DrSalunkhe Shivaji Profile picture
Mar 23, 2020 25 tweets 5 min read Read on X
#motherhood is cradle to ontogeny,enduring nature's ingenuity to propagate evolving distinctive life form with universal precision to genetic hierarchical dominance
Her subtlety to creation,resilience,tenacity & evolution no modern innovation can match efficiently & benevolently
prior to embark'g on sacrosanct lifelong parenthood both must accept basic premise to embracing vow to respect, share-care & survive mutual harmony & hardships
Reciprocate with emotional maturity & integrity to family, making life pursuit meaningful & respect gender equality1/24
initiation is a surprising uncertainty to physical & psychological transform'n for the greater good,expecting to get over unscathed through whole process ASAP
Concerned partner need to support & empathise with her to endure & empower her during tiredness & morning sickness 2.
expectant women's holistic health is prerequisite for healthy mother & baby care
Those expectant's🤰burdened with existing medical condition or complication in current or previous preg,fetal problems,problematic ailments need prompt recognition &corrective action by teamwork 3.
miscarriage,stillbirth are forbidden taboo, silence shrouds talking about grief,varied causes are ascribed to her lifstyle
Societal pressures implies her vulnerability Stigma,shame & guilt make her suffer victim'd precipit'g mental health Support~ practice sensitivity & empathy 4
transition to motherh'd is a crucial event let go of perfection by embracing bodyimage, utilize available screening but be vigilant to adversity
Being nonjudgemental, gracious & kind to new mother is a task to accept & offer support from us all to help her in nurturing both 5.
motherhood priming prior to labor provides support & encourag't
Immediate post delivery promote1skin to skin & visual contact
2 breast feeding
3 rooming in
4 affectionate response exchange
All this enables to secure physiological & psychological attachment of mother to baby 6
Immuniz'n to women prior to & during preg is must especially Tdap/tt & flu vaccine
Immunisation to neonates till adolescence facilitates to protect from infectious communicable diseases in kids
Instill handwashing practices & hygienic preventive measures to all 7.
early recognition of mothers demeanour & predicament by interaction & assessment helps facilitate counselling time & efforts All this to rectify vulnerability & foster resilience in life transforming journey to embrace everyday joy with restorative sleep & to alievte loneliness 8
In early postpartum respect autonomy & recovery time by offering comfort,relief & support
Need to enable her to voice opinion,seek help,learn feeding technique,relaxation,deligate work,be mindful to baby care,nurture self,anticipate & tuneup to baby's feed,sleep,potty cycle 9.
postpartum trivialities of distraction affect bonding & overpower her into chaos,clouding & loneliness Affective communi'n involving infant by both offers motivat'n
To supportive partner, now is payback time to relieve her for rest, recover from anxiety thus offering solitude10
pregnancy &postpartum are special situation ppt'g psychological breakdown
Being mindful,supportive &providing help at any stage to her can mitigate risk to multiple ramifications
Seek help to health care specialty &continue with appro' care to smooth transition averting agony11.
prioritize tasks to self,kids & family fulfilment Beware of inability to nourish kids with wholesome food due to time burden of multitask grind instead obvious habit forming stopgap ease of junkfood,leads to vices this dysboisis will have butterfly effect on kids future health12.
Kid's mental develop't needs guiding experience,relationship trust & supportive home enviro't To nurture kid's EQ recognise,understand, label,express & facilitate their behaviour
Allow independent exposure to help journeying milestones with gradual decoupling under vigilance 13
parental effort with intentful commun'n & assuring eye contact offer affective bonding to kid's
SEEK HELP if abuse,adverse life event,
lag in age appro' milestones,irritability, withdrawal,denial & dangerous behaviour persist't anger,
persist't abn complaint dropping grades 14.
motherhood is most compassionate of pursuit to childcare
It's the evolutionary mean to greater human good making it benevolent & memorable
It's a journey of optimism with acceptance,trust & vigilance Deviation such as maternal gate keeping & burnout need timely help15.
#maternalgatekeeping behaviour to curtail partner(workshare) involvement in housework & childcare by guarding manage't of tasks by self doing,setting std,redoing them to those std after partner performed a task Usual trigger is due to social construct prescribed mothering std 16
#parentalburnout social construct pressurizes her to be perfect mother
To fulfil that her attentive focus is directed affectively to baby She is cognitively & behaviourly more vulnerable to burnout
Challenge to working mom is to balance childcare with life-work balance 17.
dependent mom faces risk of burnout due to burden & deprivation Grinds to babycare,housework & family chores facing head-on without support, these highly depleting act's lead to self neglect & breakdown With gender inequality she acts as shock absorber, forced to accept blame 18
behavioural traits at high risk of burnout;
1,Individual parent high in neuroticism & attachment avoidance
2,Parents low in conscientiousness,agreeableness & emotional intelligence
There's propensity to ignorance & show violent behaviour,emotional neglect & abuse to kids 19.
lookout for burnout when parents suffer emotional exhaustion,distancing from children & reduced feeling of accomplishment & efficacy
Individually there's increasing escape & suicidal ideation,sleep problem & addiction
With partner there's increased conflict & estrangement 20.
the most vulnerable to burnout are mom low in positive parenting,self efficacy belief & consider parental role as freedom restrictive
Those at risk are family disorganization & conflict in lower co-parental agreement & marital dissatisfaction enviro't society blames women 21.
entire support system is central to overall functionality to mother & kid
Enable to steer burden of uncertainty,respect'g family construct & offer help to the exp'tant mom act as reliever
This cohesiveness has rewarding effect on longterm mental foundation till adolescence22.
Along changing status quo in a world of instant gratification most enduring challenge to concede for her is to reconcile self interest,desires & ambitions overruling consent
Her altruism is wilful,innate to groom kids,being resilient & focused to pursue emotional attachment 23.
patriarch's must forgo legacy control & have balanced & guiding perspective in this age of rising nuclear families & migration Our duty is to give up prejudice & be compassionate to frailty
Such amends would promote, facilitate towards better family bonding & lively home24/24.

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More from @YDrshivaji

Oct 2, 2020
#Cliniciansdilemma
When doctor faces trust deficit, a part of clinician within each doctor is undermined at times resulting in unnecessary & insane tests usually at the behest of patient who's anxious to rule out Diagnostic delusion
Clinical Dx is a challenge to any doctor
Inspite of informing to patient gravity of situation we risk everything esp when unexpected inevitable occurs
When we're prudent to patients impending situation at times patient disappears as they perceive exploitation/undue fear mongering
Patient expectations counseling dilemma for essential but costly test, prescribing specific drug but informing inbuilt risk, procedure advice and risk of comorbidities & anesthesia related complications, advising various Rx modalities admissions need & their cost implications
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Aug 29, 2020
W Maharashtra
#covid19 has reached hinterland in tier 2 /3 cities & beyond becoming uncontrollable as all beds in different designated centers are occupied full with covid19 person
Admitted either due to breathlessness requiring oxygen or comorbidities abound requiring vigilance
Pandemic Decipher
1/25
covid19 is an attack on our distorted might In our #Variedresponse most will overcome, some would suffer protracted misery & sadly unlucky few, FEW won't survive

We must empathize, urgently mitigate & strive best to protect humanity as we face this menace
2
Pertinently this virus is a #Stresstest to physiological, psychological & immunological competency, challenging each individual until present time
Testing our multisystemic resilience, developmental journey, comorbidities, immune memory & subjecting us to scrutiny of viability
Read 26 tweets
Jul 30, 2020
Attack on doctor
Patients psyche ingrained by doctors
Favourable outcomes are easily attributable to care doctor provide some pride (variables forgotten) also sole reason why patient pay for results w'out realising input cost, efforts also expect compassion,kindness from doctor
Lead from front Asses setup capabilities, most important don't be adventurous have policy decision & stick to it
Evaluate patient, relatives & their depth of social delinquency use social worker
After clinical assessment weigh in their expectations & outcome failure & then decide
Unfavourable/grave outcome when occur, some relatives assume to believe it could have been averted with another or better care, here counselling failure is usually primary reason as an astute clinician empathise of doing our best keep them in loop don't predict outcome else refer
Read 4 tweets
Apr 2, 2020
Lets respect #COVIDー19 waging lone battle for own survival,while most of us are alive & contained in our secure abode to flatten the curve but in denial about action to other species pushing into oblivion~extinction exceptional species will rebel to thrive in survival battle1
viral phobia,madness leading to social & physical distancing is yet to set in, once this happens the actual & avoidance response will transform resulting in real impact that will be realised with lag effect, hygiene consciousness will set in as top priority2 #CORONADISTANCING
collectively we need to establish remedy to minimise human casualties putting aside our differences by pro nature policies, although authorities eager to unleash grandeur ambitions w'out any urgent & long-term precautions would be risking vulnerable as bait to this lethal virus3
Read 7 tweets
Mar 24, 2020
#lockdown
This pandemic is given us opportunity to care & tend to the aged in our homes
Start at home looking after the vulnerable especially those with whom we have lost touch, reconnect with them
This isn't time to dwell but protect & amend help the needy to keep them well
#keepelderlysafe Be watchful focus within family for any chronic ailments in geriatric populn with HTN, DM, CKD, tumour remission
Hx past operation, focus on dementia, mental health, single, bed ridden & neurovascular conditions,
chr respiratory ailments do medication top up
Consult your doctor for any doubts don't feel helpless spend quality time with them, once taken care look at your nearest neighbours needing help, form cohesive team especially during clampdown be vigilant & monitor new case addition important follow rule of law & @MoHFW_INDIA
Read 4 tweets
Mar 23, 2020
#COVIDー19 is dominating everything today for obvious reasons we have to be responsible & will be subjected to
Flight and fight response
Remember first priority is to survive this crisis
Social construct like economy, enjoyment ..will be taken care of when we're out of wood
Be Responsible by
self control & be minimalist practice general activity inertia to reduce spread by hand washing when touch to every fomite & public surface No,no to spitting, cough with precautions, self segregate when ill & consult,self immobilise follow minimum touch policy
Survive infodemics and pandemic
Practice physical distancing try reducing your BMR, self restrict oneself to writing, reading books, gardening reduce clutter, meditate, hobbies
Pandemic survival; matter of luck is very important your immune response competency will be tested
Read 7 tweets

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