Aruna Savur, MBBS, DNB (PED), Adv Training in NICU, IBCLC, CIMI (IAIM)
Speaker Type: A Whole Body Approach to the Clinical Management of Complex Breastfeeding Issues Lecture Pack 2023, Comprehensive Care for Six Newborn Challenges: Diagnosis, Treatment, and Support Lecture Pack 2024
Country: India
Biography:
MBBS from Mysore Medical College Research Institute,Mysore , India1985-1990
DNB (Pediatrics) from Fr Muller Medical College, Mangalore, India 1994-1997
Advanced Training Program in Neonatal Intensive Care at Manipal Hospital Bengaluru, India
2014-2015
BPNI-IYCF 2017
IBCLC-2018
Certified infant massage instructor from IAIM 2020
Work experience:
In private pediatric practice from 1998-2014.
After NICU fellowship, worked at different hospitals in Bengaluru, India as a consultant pediatrician.
With over 2 decades of pediatric practice, neonatology training and an IBCLC qualification, i like to think that i am a baby friendly+breastfeeding friendly pediatrician in private practice in Bengaluru
My special interest is to help mothers and babies with their breastfeeding journeys, and i constantly update myself with current learning in the field.
Breastfeeding is orchestrated by the newborn’s brain, eliciting the parent’s responses via their nervous system and hormones. The newborn uses 6 cranial nerves, 22 bones, 34 articulations, and 60+ muscles - all tied together by fascia, and multiple physiological processes to accomplish a smooth suck, swallow and breathe cycle.
Any abnormal function of the nervous, muscular or skeletal system can disrupt the biomechanics of breastfeeding, which the baby would circumvent with compensations. If this is detected, corrected and supported the innate breastfeeding bond can be reestablished. Detection includes looking for clues in the history (pregnancy, birth, breastfeeding), in the physical examination of the baby, oral exam, and the breastfeeding process.
This presentation helps the learner to identify the structures involved, what could have caused dysfunction, the kind of dysfunction that ensues, and the breastfeeding compensations being used by the baby. These can then be effectively addressed by the IBCLC along with a collaborative care team to ensure a competent breastfeeding journey.
Jaundice is an important problem in the first week of life. It is a cause of concern for the midwife and a source of anxiety for the parents. Jaundice is the most common morbidity in the neonatal period with nearly 60% of term newborn becoming visibly jaundiced in the first week of life. Preterm babies are at greater risk. While in most cases, it is benign and no intervention is required, approximately 5-10 % of newborns have clinically significant hyper-bilirubinemia mandating the use of phototherapy .
Neonates who are exclusively breastfeeding have a different pattern and degree of jaundice as compared to artificially fed babies. Because high bilirubin levels may be toxic to the developing central nervous system and may cause neurological impairment even in term newborns, it is important to know how to determine if a baby is significantly jaundiced, risk factors involved and when treatment is indicated.
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