Drandramalikiwi

Drandramalikiwi I am a Neonatal Paediatrician based in Melbourne Australia. This page is dedicated to provide educat

The safety record of IM vitamin K at birth is very strong. The real and documented risk of Vitamin K deficiency bleeding...
02/05/2026

The safety record of IM vitamin K at birth is very strong. The real and documented risk of Vitamin K deficiency bleeding from not giving vitamin K — with death or permanent neurological disability from intracranial haemorrhage is something that should not be taken lightly by parents.The benefit-risk calculation strongly favours intramuscular injection .

Keep your baby safe. Always.

30/04/2026

“I had to give my baby formula — have I ruined breastfeeding?” — here’s what the evidence actually says.

The association is real:
→ Norwegian study of 30,000 women: formula in week 1 = nearly 6x higher risk of stopping full breastfeeding in month 1
→ US cohort: nearly 3x risk of cessation by day 60 in mothers who supplemented in hospital

🧠 But — these are observational studies. Mothers who supplement early are already struggling. The bottle is a marker of difficulty, not the cause of failure.

🔄 The counterintuitive finding: One systematic review found regular structured supplementation was associated with a 40% increased likelihood of exclusive breastfeeding at 3 months. Reducing the anxiety spiral of perceived low supply protects breastfeeding — when done with support.


📋 What actually matters:
✅ Supplement alongside lactation support — not instead of it
✅ Cup feeding carries lower risk than bottle feeding where feasible
✅ Minimum necessary supplementation is the goal
✅ The first week carries the highest risk — beyond that, evidence is much less alarming

If you gave your baby a bottle — you were keeping them fed and safe. That is never the wrong decision.

💾 Save this and share with a mum who needs to hear it.

Questions? Drop them below 👇
🔗 Free Newborn First Year Checklist in bio.




The birth injury that hides in plain sight.1 in 100 vaginal births → broken collarbone. Many babies show zero symptoms. ...
28/04/2026

The birth injury that hides in plain sight.
1 in 100 vaginal births → broken collarbone. Many babies show zero symptoms. Parents find out when a lump appears at 1–2 weeks.

Good news: heals completely on its own. No cast. No surgery is required.

Save this for any parent expecting a baby soon.

👨‍⚕️ Dr Andy | Neonatologist




Parents need more awareness and educational support from paediatricians and neonatologists on the importance of Vitamin ...
25/04/2026

Parents need more awareness and educational support from paediatricians and neonatologists on the importance of Vitamin K and Hepatitis B vaccine at birth.

Pediatricians are seeing increased hesitancy among parents when it comes to the vitamin K birth shot, a critical aspect of routine newborn care that protects babies from dangerous bleeding, known as Vitamin K Deficiency Bleeding. The injection gives babies the vitamin K they need until they can start getting it from solid food and making it themselves.

The AAP continues to recommend that all newborns receive the vitamin K shot at birth. Learn more in this Healthy Children article. https://bit.ly/3UxLRff

24/04/2026

Helmet or no helmet? Here’s what the evidence actually says about positional plagiocephaly 👇





21/04/2026

"Avoid dummies or your baby won’t breastfeed.”

A lot of parents are getting conflicting information regarding the risk of ni**le confusion with their babies.

Here’s what the evidence actually says.

A Cochrane Review of 3 RCTs with 1,300 breastfeeding babies found that pacifier use had NO significant effect on exclusive breastfeeding at 3 or 4 months. A 2022 meta-analysis of 10 RCTs confirmed the same finding

Why do observational studies show the opposite? Reverse causation — mothers already struggling with breastfeeding reach for dummies. The dummy is a marker of difficulty, not the cause.

Bottles are a different story Bottles deliver milk passively — less effort than the breast. Flow preference is biologically plausible and the evidence is more concerning. Cup feeding is preferred if supplemental feeds are needed early.

What I would recommend:
✅ Wait until breastfeeding is established
✅ After that, dummy use at sleep time is safe and reduces SIDS risk by over 60%
✅ If breastfeeding is struggling — the dummy almost certainly isn’t the problem

Evidence-based parenting means knowing the nuance.
💾 Save this and share with a breastfeeding mum who needs to hear it.

Questions? Drop them below 👇
🔗 Free Newborn First Year Checklist in bio.


**leconfusion


19/04/2026

Sleep regressions are periods of increased night waking tied to developmental transitions. Every single one is driven by growth.

Here’s when they happen and why:
🔵 3–4 months — permanent sleep architecture change. The most significant. Brain reorganises from newborn to adult-like sleep cycling. Very strong evidence.
🔵 6 months — peak in night waking confirmed by studies of 55,000+ babies. Motor development, stranger anxiety, separation awareness.
🔵 8–9 months — object permanence, crawling, peak separation anxiety.

Your baby’s brain is doing something extraordinary every single time.

💾 Save this and share with a parent in the thick of it right now.

Questions? Drop them below 👇
🔗 Free Newborn First Year Checklist in bio.




17/04/2026

“Do my baby REALLY need those injections right after birth?”

The answer is Yes — and here’s the evidence behind why. 👇

Vitamin K and Hepatitis B aren’t optional extras. They protect your newborn against two very real risks in the first days and months of life.

As a neonatologist with 20 years of experience, I explain what every parent deserves to know before their baby arrives.

If you find this reel helpful, be sure to watch part 1 as well !

Save this for your birth prep and share it with someone who may need to hear this.

🔔 Follow this account for trusted newborn and infant health education



17/04/2026

“Do my baby REALLY need those injections right after birth?”

The answer is Yes — and here’s the evidence behind why. 👇

Vitamin K and Hepatitis B aren’t optional extras. They protect your newborn against two very real risks in the first days and months of life.

As a neonatologist with 20 years of experience, I explain what every parent deserves to know before their baby arrives.

This is part 1, be sure to continue to watch part 2 next!

Save this for your birth prep and share it with someone who may need to hear this too.

🔔 Follow this account for trusted newborn and infant health education



15/04/2026

Nobody tells you the truth about newborn sleep deprivation. In this reel, I share 5 evidence-based tips for surviving the first 6 weeks as a new parent:

1️⃣ Sleep when baby sleeps — actually do it, every time 2️⃣ Your sleep is a clinical priority — poor postpartum sleep predicts depression at 6 and 12 months
3️⃣ Take shifts — one longer block beats fragmented hours
4️⃣ Adjust your expectations — catastrophising about sleep makes it worse
5️⃣ Accept help and ask for it specifically

The first 6 weeks are the hardest. You will get through it.

💾 Save this and share with a new parent who needs to hear it.

What helped you most in those first weeks? 👇





13/04/2026

Your newborn isn’t a bad sleeper — they’re a normal newborn.
Here are my 5 sleeping tips for your newborn.

1️⃣ Frequent waking is normal — sleep consolidation doesn’t begin until 5–6 months
2️⃣ Use daylight to start training their body clock
3️⃣ Safe sleep every time — back, flat, firm, bare, in your room
4️⃣ Offer a dummy at sleep time — reduces SIDS risk by up to 90%
5️⃣ Don’t fix sleep yet — focus on feeding. Hunger drives waking at this age

💾 Save this for your first week home.
What’s your biggest newborn sleep question? 👇





Your newborn can’t speak. But their body can.These 7 warning signs are what every parent needs to know — before they nee...
12/04/2026

Your newborn can’t speak. But their body can.

These 7 warning signs are what every parent needs to know — before they need to know them.

From breathing difficulties to rashes, jaundice to seizures — recognising these early could save your baby’s life.
Swipe through.
Save it.
Share it.

For education only. Always seek advice from your GP, MCH nurse, or paediatrician




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