Brief Answer:
It is safer and better to shift to a branded baby milk formula.

Detailed Answer:
Dear XXXXXXX

Congratulations on arriving in XXXXXXX ... you have shifted here probably because of a lifestyle or job related change.

I would say that you should search for the most appropriate doctor for routine check-ups and vaccinations yourself. You can use a search engine like justdial for the same. Alternatively, you can visit one of the big hospitals here, compare the prices and take her to a place that is convenient for you and has a good reputation among locals. It would be unfair for anyone at healthcaremagic to recommend any one doctor over another, and besides, it would involve legal wrangles that I am sure the both of us do not wish to entangle ourselves in! Justdial also has a review feature, so you can check out the reviews given by others for each and every doctor listed there.

Coming now to your first query. Remember that breast milk is the best food for your baby, or for that matter, for any baby in the world. In fact, scientific research has shown so many benefits of it to the baby, that every struggle your wife makes to make more breast milk available to your baby will be valuable.

The first thing to do is to stop using a feeding bottle and use a cup and spoon, or a bondla/soothi/palada to feed her milk. The latter item is a diya shaped metallic container, available with utensil shops and is a traditional feeding vessel for babies. Once you deprive the baby of a feeding bottle, she will suckle more energetically at the breast, and the result will be, hopefully, an increased milk secretion and flow, so that she will need lesser quantities of top milk, if at all. This exercise can be very tiring, and it needs 100% commitment from both your partner and you. Initially, the going will be tough, as the child will keep demanding the bottle, but once you have gone beyond that (something that takes a few days), she will be eager to feed at her mother's breast.

I wish you both success in this endeavour.

If, however, you cannot give up top-feeding, you should really consider using branded, reputed baby milk powders rather than rely on open milk that is usually not designed for babies. The reason is that baby formulas are tailored to meet the recommended nutrient demands of the baby. Other milks are not. They may not have the right concentration of fat, or have too much of something that the baby may not be able to digest. They (the open milks) may not be fortified with vitamins or brain nutrients like DHA, which is omega-3 fatty acid that is crucial for the baby's development.

Hence, my suggestion is to go for fortified, powdered, branded top milk formulas. The ones that have DHA are costlier than the ones that are not fortified with it. You can decide on your budget for this based on your income.

Please be advised that this advice is based on current recommendations. I am not trying to tell you that pasteurised packeted milk is bad, only that branded powdered milk is better.

If you still decide to stay with packeted open milk, that's fine too, but don't expect this to be any different from other similar formulas. When it comes to fat content, well, you can always boil even XXXXXXX milk with 10% fat, let it cool and remove all the cream from the top so that its fat content falls below 3%!
This last measure is called humanising animal milk. To do this, you must add about 2 tsps of sugar to the de-creamed milk and then feed it to the baby. In this way, the baby's calorie needs will be met and the milk will be digestible as well.

I hope I haven't confused you too much. If you need further clarifications, please write back to me. I would recommend a book called "Breast is Best" that has been around for many years. Read it when you can to understand how magical breast milk can be.

Best wishes,

Dr. Taher

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Brief Answer:
I cannot comment on Ayurvedic treatment.

Detailed Answer:
Dear XXXXXXX

I hope you understand that we are mainstream doctors and have no knowledge of Ayurveda. Even if I open the link that you sent me, it would still be outside my domain of expertise. Why would you need to use this? What is the motivation level of madam for restarting exclusive breast feeds? Please explore this natural option before any other option. That is my humble request.

Okay, so I checked that website. There are a few questionable ingredients here. First of all, it is mostly sugar. It would make the milk more sweet - something undesirable. This is because the child develops a sweet tooth fairly early in life - and this kind of food preference can be problematic in later life. Secondly, it has taj, laung, etc. ... I mean why give all those things to a baby? Thirdly, it has jayphal - the basic plant from which heroin is extracted - would it be prudent to use that? You be the judge.

There are no alternate options. What I wrote in my initial answer are the correct ways to bring up the baby. Do not add questionable things to milk. Period.

Taher

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Brief Answer:
I appreciate what you both are doing

Detailed Answer:
Dear XXXXXXX

I really appreciate your united efforts to give the best to your baby. It seems that madam had some nipple-related problems on one side. There are feeding aids available from the market. Pigeon brand makes nipple shields and other similar devices. You can take a look if possible.

Thank you for your appreciation. If you don't mind, please add a positive review and good ratings for me as it seems that we have reached the end of this question.

Once again, my best wishes for your baby and the whole family.

Take care,

Dr. Taher

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