Pregnancy and Lactation

  • Dr. Chaminda Kandauda is a qualified MBBS, MD.MRCOG (UK) consultant specialized in obstetrics and gynecology. Currently he is practicing at Peradeniya Teaching hospital. Beyond being a doctor, he provides his knowledge to the younger generation as a senior lecturer in Obstetrics and Gynecology Faculty of Medicine, University of Peradeniya for many years now.

    Having more than 15 years of experience on the area of obstetrics and gynecology he would like to spend some time with MIC community to give indept insight into the area of pregnancy and lactation.

    Take this  opportunity to get expert advice and clarify any doubts you may have in the areas of pregnancy and lactation. 
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Perhaps your six month old has not rolled over yet, but the child development chart shows that some babies start rolling over at five months. Or possibly your neighbor's eleven month old is walking, but your thirteen month old has not attempted to walk.

Maybe you are worried that your baby's development is not where it should be and wonder what this means for his or her future. Comparing your baby's development to other infants or to norms on developmental charts should be avoided. Instead it is important to know that babies develop at different rates and should only be compared to their individual milestones from the previous week or month.

Infant development is divided into four categories:

· Social: How your baby interacts to the human face and voice. Examples include learning to smile and coo. A social delay may indicate a problem with vision or hearing or with emotional or intellectual development.

· Language: Receptive language development (how well baby actually understands) is a better gauge of progress than expressive language development (how well baby actually speaks). Slow language development can indicate a vision or hearing problem and should be evaluated.
Having a baby can be both exhilarating and exhausting. It can bring much joy, but it can also challenge you in ways you never expected. Soon after giving birth, many women feel weepy and moody. You may be blessed with a beautiful baby and a loving partner, yet you find yourself crying over things that usually wouldn't bother you.

Approximately 70-80% of all new mothers experience some negative feelings or mood swings after the birth of their child. Often the symptoms of "baby blues" will hit forcefully within four to five days after the birth of the baby, although depending on how the birth of the baby went, they may be noticeable earlier.
My baby is now 3 months old. I produced milk after 5 days of delivery,after that my baby refused to take my left breast because of  a small nipple,I breast fed for one month but my daughter lost even her birth weight,then I started formula with breastfeeding, She prefers the bottle and takes the right breast rarely but I would like to breastfeed her exclusively. Can I do that? I got training in hospital too at Lmc, but no success, pls help me


This is a common issue for many women around the world. Breast refusal is distressing for a mom but the key is to find out the reason "Why".

I can provide you with a few tips on this to ease your mind.

· Is it really refusal or is he being a fussy eater?

Sometimes your baby is not refusing to feed but rather is fussy or hard to feed.

All babies have individual feeding habits. Some babies are easy-going, settle easily into feeds, feed well and come off satisfied until the next feed. Other babies take a while to get going but feed well once they start.
My second baby is one month & two weeks. After she drinks milk and even after she burps she keeps throwing up milk, this happens almost everytime I feed her & at times she throws almost half of what she drank.
Then in no time she starts crying again I don't know whether it's because she's feeling hungry or for any other reason.
I'm really stressed out..would like to know if any other mother have the same experience & any advice how to overcome this.

Most of the babies vomit small amounts when they burb sometimes largely in first few weeks. Mainly because they are still getting used to milk. But in your case I feel it's not normal since the baby vomits every time a large quantity. if the baby is often sick and vomiting large quantities like you explained, its something to be cautious.

This could be due to many reasons and below some of the reasons. But the best solution is to go and meet your doctor and discuss this further.

1. Gastro-Oesophageal Reflux (GOR)

the muscular valve at the end of food pipe which keeps food in the stomach are still developing in new born. Because of this when the tummy is full, food and stomach acid can flow back up his food pipe and the result will be vomiting.
I 've just had my first baby and I find I just don't have enough breast milk? Is there something wrong with me?

First I would like to say that you do not worry as most  new mums think that their body is not making enough milk. Most of the time it's just in your mind as most of the mothers think their milk supply is low when it's not.

There is a good way to track this by keeping track of your baby's weight gain. Naturally first few days baby's weight could go down from his birth weight but babies who feeding well tend to put on that weight again within few days.

But if you really think you don't make enough milk it's not that you do not love your baby or care about the baby but more of a natural thing that could occur due to some stress.

Sometimes a stressful birth could cause your milk to take slightly longer to come in but don't think that there's something wrong with you. Once you are settled milk will come naturally and baby will gain his weight.
Most women who are having a normal pregnancy may continue to have sex right up until their water breaks or they go into labor. There are some circumstances, in that case you can get clarified from your midwife or doctor whether you have – or develop – any complications that make sex a no-go. If you're uncertain, ask your practitioner.

Normally intercourse does not hurt or harm the baby. a baby isn't hurt when a pregnant woman and her partner make love. The amniotic sac and the strong muscles of the uterus protect the baby, and the thick mucus plug that seals the cervix helps guard against infection. During intercourse, the penis doesn't go beyond the vagina, so it won't reach the baby.
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