Background: The study was planned to evaluate awareness of breast feeding among mother, institutional quality indicators of early breast feeding. The objective was to know factors causing delay in breast feeding initiation, to assess knowledge, cultural practices, and quality indicators of hospital regarding breast feeding initiative.Methods: The observational study was conducted over a period of 3months from July 2017-Sept 2017 in a tertiary care centre of India. 118 postnatal mothers were interviewed for time of first breast feeding (dependent variable or outcome), and independent variables age, education , religion, parity, occupation of mother, antenatal visits, prelacteal feeds, customs of not breast feeding, duration of labour, mode of delivery, sedation, pain after delivery, baby over mother abdomen after birth, institutional quality indicators-knowledge of breast feeding given by doctor /nurses, relatives, self reading, mothers with correct attachment and position of baby during breast feeding and separation of mother and baby post delivery.Results: Mean time of initiation of breast feeding was 1340.262min after birth. Prelacteal feeds, lack of education, cesarean deliveries, parity of mother, sedation, anesthesia during cesarean and lack of counselling by staff nurses were found to have early increased time of initiation of breast feeding.Conclusions: Great lacuna in knowledge, attitude and practice of early breast feeding of mother.

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Original Research Article Background: An infant after birth goes transition from foetal circulation to neonatal circulation. Changes in ventilation and circulation occur during this time indicated by the changes in heart rate, respiratory rate and APGAR score. Aim: To form a normative data of pulse oxymetry readings in newborns at 1st, 5th, and 10th minute of life, in healthy term newborn. Material Methods: The study was conducted in tertiary care hospital in India during the period of 2 years. All the full term healthy newborns and no resuscitation required at birth were included in the study after taking voluntary informed consent of their parents. Predesigned semi-structured questionnaire was prepared based on the review of literature on pulse oximetry in healthy newborns Results: Total 2873 babies out of 4326 born were included in the study. Mean heart rate was 139 per minute at 1 minute which gradually reduced to 122 per minute at the end of 10 minutes. Mean respiratory rate was 45 per minute at 1 minute which gradually reduces to 40 per minute at the end of 10 minutes. Mean APGAR score was 9 at 1 minute which increased to 10 at the end of 10 minutes. Mean SpO2 was 67% at 1 minute which increased to 83% at the end of 5 minutes and 91% at the end of 10 minutes of life. Conclusion: the study concluded saturation trends didn't vary according to the gender, birth weight in term infants.

Scrotal lymphangiomas are hamartomata’s lymphatic malformations with no risk of malignant transformation, resulting due to inadequate drainage of lymph from sequestered lymph or lack of continuation between lymphatics and venous channels. Here we report a case of scrotal lymphangioma in a 1.5 years old child who presented with scrotal swelling and misdiagnosed as hydrocele. Child was managed successfully with surgical resection of the mass and doing well now.