PREVENTION OF CEREBRAL PALSY AND
OTHER NEURODEVLOPMENTAL DISORDER
Dr. Pradeep Dubey
MD (Ped.), DCH.
Dr. Pradeep Dubey - Consultant Pediatrician

Fastest Growth Rate
Brain growing still faster hence more prone to injury .
Dr. Pradeep Dubey - Consultant Pediatrician

NUTRITION OF MOTHER
Age at conception >20 yrs. or < 35 yrs.
Wt. > 40 kgs.
Ht. > 145 cms (4’10”)
Wt. gain in pregnancy – 10kgs in 9 mths.
Dr. Pradeep Dubey - Consultant Pediatrician

D I E T
 Iron – Jaggery, Date palms & Apples etc.
 Protein – Milk, Cheese, Eggs & nuts etc.
 Calcium – Milk & Milk products.
 Smoking & Alcohal
Food hygiene & Stay away from pets.
Dr. Pradeep Dubey - Consultant Pediatrician

Dr. Pradeep Dubey - Consultant Pediatrician

Prolong low grade fever.
Burning in micturition – rule out UTI
Foul smelling genital discharge.
Fever with rashes
R/O G. U. infections of father
Vaccination Rubella, TT, Hep. B.
Dr. Pradeep Dubey - Consultant Pediatrician

SYSTEMIC DISEASES OF MOTHER
Diabetes, Hypertension, Epilepsy,
Heart Disease.
Uncontrolled diabetes  risk of birth defect.
Change drugs like valproate
Dr. Pradeep Dubey - Consultant Pediatrician

FOLIC ACID
400 mcg. Start before conception
Birth defects  by 30%
Mandatory food fortification in US & Chile
Dr. Pradeep Dubey - Consultant Pediatrician

Prolong low grade fever.
Burning in micturition – rule out UTI
Foul smelling genital discharge.
Fever with rashes
R/O G. U. infections of father
Vaccination Rubella, TT, Hep. B.
Dr. Pradeep Dubey - Consultant Pediatrician

PRE & POST NATAL CARE
Hospital delivery “JANANI SURAKSHA”
Asphyxia - < 10% - US study of 45,000 Deliveries.
- depressed new born not able to breath
Hypothermia
Hand wash
Dr. Pradeep Dubey - Consultant Pediatrician

HEALTHY TRADITIONAL PRACTICES
Psychosocial support.
Good Nutrition – Milk, Ghee,
Dry fruits & Jaggery etc.
Isolation and temp. control
Hygiene
Dr. Pradeep Dubey - Consultant Pediatrician

F E E D I N G
Early breast feeding – Colostrum helps
Avoid bottle feeding
Weaning by 5 - 6 months.
Dr. Pradeep Dubey - Consultant Pediatrician

V A C C I N A T I O N
Special Attn :
- BCG,
- Hemoph. B.
- MMR
Dr. Pradeep Dubey - Consultant Pediatrician

A L A R M I N G S I G N
Dr. Pradeep Dubey - Consultant Pediatrician

WE ARE GUILTY OF MANY ERRORS AND FAULTS, BUT OUR WORST CRIME IS
ABANDONING OUR CHILDREN, NEGLECTING FOUNTAIN OF LIFE.
MANY THINGS WE NEED IN LIFE CAN WAIT, THE CHILD CAN NOT.
RIGHT NOW IS THE TIME – HIS BRAIN IS GROWING ,
HIS BLOOD IS BEING MADE. HIS SENSES ARE BEING DEVELOPED.
TO HIM WE CAN NOT ANSWER TOMORROW
HIS NAME IS “TODAY ”
GABRIELA MISTRAL (NOBEL LAURIET FROM CHILE)
Dr. Pradeep Dubey - Consultant Pediatrician

FOR FURTHER DETAILS :
PLEASE VISIT
“DEVCHHAYA”
Early Intervention Centre
Prem Mandir Chowk, Wright Town - Jabalpur
Dr. Pradeep Dubey - Consultant Pediatrician