Features
As Julie Chung morphs into Elizabeth K Horst…
by Malinda Seneviratne
Ambassadorial aspirants hardly break a sweat when drafting submissions to the US Senate Committee on Foreign Relations, not even in pre-ChatGPT days. They’ve been in the business of US diplomacy long enough to know what ‘US Foreign Policy’ is. They know what the listeners want to hear. They have templates to choose from. And therefore the opening statement made on May 9, 2024 to the Committee by Elizabeth K Horst, nominee to be the US Ambassador to Sri Lanka, is more or less par for the course. A parenthesis is called for here.
(US foreign policy, broadly, is about (ab)using economic and military power to coerce governments to bend and twist to ensure that US strategic and economic interests are obtained. The US has, does and will leverage the very same power to enact global rules to serve these purposes. US rhetoric about democracy and human rights is hogwash. What Noam Chomsky wrote in 1992, ‘What Uncle Sam really wants,’ is a quick, easy and edifying read for those who want the details.)
So. Elizabeth’s foreign-speak is hardly any different from the testimony of her predecessor-to-be Julie Chung submitted to the same committee on October 20, 2021. It is a tad different from the submissions of Aliana B Teplitz, Atul Keshap and Michele J Sison but the variance was essentially over time-specific issues.
Elizabeth is as laughable as was Julie. Both are adept at tossing out platitudes. Both have trotted out notions such as justice, accountability and reconciliation. Julie spoke about ‘unimagined violence and continued ethnic and religious divisions,’ betraying a scandalous imagination-deficit. Elizabeth is as ignorant of the notion ‘charity begins at home,’ when she talks of ‘marginalized populations.’ Both are citizens of and represent a country which consistently re-writes definitions of such things or ignores them altogether.
Today it is about Israel not having crossed some “US red-line” clearly amenable to arbitrary movement, geographically and metaphorically, with regard to attacks on Rafah. White House spokesman John Kirby says, ‘The US does not believe Israel has launched a full-scale invasion of Rafah in southern Gaza.’ So, an invasion of a lesser scale is sanctioned by implication.
Kirby adds, that the US ‘[does not] support,’ and ‘won’t support a major ground operation in Rafah.’ Operations are not limited to the ground, of course and we’ve seen a lot of that.
The bottom line, drawing from Elizabeth’s laughable talk of ‘marginalized populations,’ is that the USA, throughout its history, has not only marginalized populations, but have decimated them as well. In the case of Palestinians, the US has been pretty consistent in supporting genocide; yes, long before President Biden earned himself the sobriquet ‘Genocide Joe.’
Elizabeth claims she will reiterate commitment to ‘the rules-based international order.’ What rules, though? Those of the International Criminal Court (ICC) perhaps? Well, not too long ago, the then White House National Security Advisor John Bolton threatened judges of the ICC if it moved to charge any American who served in Afghanistan with war crimes. In other words, the USA was demanding impunity, much like its client-state, Britain, which self-legislated immunity from ‘vexatious’ prosecution for war crimes with the would-be defendant deciding on what would be irksome. So much for accountability, truth, transparency and justice! Hence, the giggles over the funnies crafted by Julie and Elizabeth.
How about WTO rules? Well, in what was then a pretty much unipolar world, the USA with the support of not-so-strange ideological bedfellows or by cajoling or arm-twisting others replaced the General Agreement on Tariffs and Trade (GATT) in 1994 supposedly to usher in an era sans subsidies or protectionism of any kind. Today, no nation on the planet has shown the kind of protectionism demonstrated by the USA. As for subsidies, Washington has never stopped buttressing its agriculture sector and of course the arms industry, creating or fueling conflicts all over the world and even making its own citizens cough up bucks so that the arms manufacturers reap in mega profits. Yeah, Ukraine comes to mind.
What’s all this got to do with the likes of Julie and Elizabeth? China. Simple.
Julie alluded to Sri Lank’s strategic location, flagged global maritime lanes and trading routes and slipped in the key US strategic concern: the Indo-Pacific architecture which, she vowed, she would do her best to keep ‘free and open.’ Free and open are lovely words but are not even distant relatives of deed. Where monopoly is possible, the USA never budged, but when that’s not possible, Washington talks of equal access.
When the Committee questioned Elizabeth on the possibility of urging Sri Lanka to maintain a moratorium on Chinese research vessels entering Sri Lankan waters, it is reported that she said she will discuss the moratorium issue but also ensure fair and equal access to ships from the US.
Interesting. Pushing for a moratorium means the USA does not want any Chinese research vessels in Sri Lankan waters. Equality is a word that then would be applicable to both access and its denial. In other words, Elizabeth, if she wrangles a continued moratorium would desist from any US involvement in Sri Lanka, not in the seas and not on land. No purchasing of ‘civil society’ via ‘educational programs,’ no indoctrination, no CIA/NED operations, covert or otherwise, nothing that could even vaguely be construed as ‘research.’ But, as mentioned, talk is cheap and words are for convenient manipulation of meaning, for Elizabeth, like Julie, is also planning to work with non-state actors. More ‘rules’ in the US version of a rules-based international order, one is prompted to ask? We will return to this presently.
She speaks of ‘collaborative maritime security,’ and ‘stability throughout the Indian Ocean,’ as though she envisages some kind of equal partnership between the USA and Sri Lanka, but that’s all nonsense, need one even say?
Bill Haggerty, Senator for Tennessee, is reported to have raised alarm over China’s use of debt-trap diplomacy and highlighted Sri Lanka’s leasing of both the Hambantota and Colombo ports which provided China with a “strategic foothold” in the region.’ Now aren’t strategic-footholds what US foreign policy is all about? Sauce for the goose and the gander, so to speak. As for debt-trap diplomacy, that’s an old trick — the USA employs it through the Bretton Woods institutions, China is upfront (if one were to buy the Chinese debt-trap story).
More specifically, Haggerty had noted Sri Lanka’s ‘opposition to “a renegotiation of a status of force agreement (SOFA) and the Millennium Challenge Corporation (MCC) compact”.’ SOFAs, Elizabeth probably knows, are multilateral or bilateral agreements that establish the framework under which U.S. military personnel operate in a foreign country and how domestic laws of the foreign jurisdiction are waived with respect to U.S. personnel in that country.’ So a SOFA with Sri Lanka is essentially an inking of a ‘strategic foothold.’
What does Elizabeth say? She opines, ‘I think we can go a long way at doing more public diplomacy and engaging with all stakeholders on the ground beyond the government. With civil society, with journalists, and with those who feel affected by such projects and the future.’ But wait, if ‘equality’ is what is sought, would she applaud the idea of a Chinese SOFA?
A busybody she unabashedly is and one who doesn’t give a hoot about crossing all red lines pertaining to diplomatic protocols. In short, she is saying, ‘I will interfere, I will prod, I will poke, I will purchase, I will do what it takes to turn footprint into foothold to kick-ass as and when necessary.’
So when she talks of maritime security or about stability throughout the Indian Ocean, she’s talking of US security interests in and US control of the region. Nothing free-and-equal in any of that.
Why do US officials, in Washington and representing Washington, so easily trip when they speak? Why do they contradict themselves? Why do they toss out lofty ideals only to defecate on the same when questioned on specifics? Why has almost everything that comes out of Washington, even such a trivial matter such as confirming the appointment of a nominee to a diplomatic posting, end up being about China?
In a word, fear. China owns close to a trillion US dollars or 9.95% of foreign-owned US debt. China, according to Washington’s own narrative, has taken over the African continent. No jack-boot diplomacy there. No guns in booty out, as has been the way of the USA and her allies in Europe for centuries. Fear, perhaps, but envy too, one must wonder.
That however does not explain contradictions and incoherence, and we’ve seen shiploads of it in recent times, haven’t we? What’s come out of Washington with regard to the war in Ukraine, the genocide taking place in Gaza and of course rhetoric and legislation with regard to that linguistically flawed term ‘anti-Semitic’ has been unbelievably sophomoric. The response to events and statements have been vague at best but more typically indicative of a cornered pickpocket, frothing at the mouth and muttering incongruities. Something is said but without the realization that the statement is full of holes and that the arguments can be thrown back to call out positions taken, things done and said in similar situations.
The US is showing all the signs of an entity that has lorded over one and all and gotten away with murder for so long that when things go wrong it is simply and utterly incomprehensible. The world is no longer uni-polar. De-dollarisation is no longer an improbable country in some other universe; it’s birthing as we speak. European unity is no longer a given and neither is its status as partner or rather adjunct of the USA. Emmanuel Macron, for example, stung by reversals in Africa is strutting around in New Caledonia, perhaps to purchase some ‘feel-goodness’ having found himself in drastically reduced circumstances.
And we have the likes of Elizabeth Horst unable to sum up enough diplospeak to sound half-way coherent. Julie Chung was all strut and her excellent public relations couldn’t really hide her viceroy-like operations. We have yet to see Elizabeth Horst’s public persona. Frills aside, it would be optimistic to expect her to be any different.
Features
What nature knows that humanity has forgotten
by Dr Debapriya Mukherjee
Former Senior Scientist
Central Pollution Control Board
Human beings often treat nature as an unlimited storehouse, clearing forests, polluting rivers and degrading soil for immediate gain. Animals and plants, without environmental policies or scientific knowledge, survive through relationships with their surroundings and other forms of life. An elephant needs connected habitats; a bee depends on flowers; a tree supports organisms while drawing nutrients from the soil. Humans can understand these connections, yet too often act as if their consequences did not concern us.
Elephants remind us that habitats cannot survive as isolated islands. Elephants disperse seeds and shape vegetation through feeding. Roads, railway lines, mines and settlements can obstruct their movements, increasing the risk of accidents and encounters with people. An elephant entering a village may reflect not only animal behaviour but also habitat fragmentation or changes in access to food and water. Protecting elephants therefore means conserving the corridors connecting essential habitats, not merely preserving separate patches of forest.
Vultures reveal the value of nature’s unsung services. These scavengers consume carcasses and help remove decaying animal material. India’s vulture crisis, linked particularly to exposure to the veterinary drug diclofenac, showed how a chemical used for one purpose can disrupt a distant ecological process. A creature often dismissed as unattractive may perform a service whose loss has far-reaching consequences.
Bees and bats reveal the biological foundations of food security. Bees pollinate many crops and wild plants. Certain bats also pollinate flowers, disperse seeds or consume insects. Habitat destruction, pesticide exposure and loss of food sources can threaten these contributions. Agricultural success cannot be judged by yield alone; the health of pollinators and the wider landscape also matter.
- Frog
- Bee
Frogs can warn us of environmental disturbance. Many amphibians have permeable skin and depend on both aquatic and terrestrial habitats. Some populations are sensitive to pollution, pesticides, habitat loss and disease. Frogs also consume insects and provide food for birds, snakes and other animals. Their decline does not identify a particular pollutant by itself, but it can warrant investigation. A pond may still hold water while losing important elements of ecological health.
Earthworms and termites reveal the living world beneath our feet. Earthworms contribute to soil structure and organic-matter decomposition. Termites recycle plant material and influence soil formation in many environments. Alongside fungi and bacteria, these organisms sustain processes essential to soil health. This matters to agriculture: applying cow dung or vermicompost does not guarantee a good crop if soil conditions and nutrient requirements are unknown. Agricultural inputs should be chosen according to soil properties, water availability and crop needs.

“Elephants remind us that habitats cannot survive as isolated islands. Elephants disperse seeds and shape vegetation through feeding. roads, railway lines, mines and settlements can obstruct their movements, increasing the risk of accidents and encounters with people.” (A file photo by picture by Dilum Alagiyawanna.)
Fig trees and native grasses show why conservation must respect each habitat’s character. Many fig species depend on specialised fig wasps for pollination, while their fruits feed birds, bats and other animals. Native grasses provide food and shelter for insects, birds and grazing animals. Planting trees everywhere is therefore not necessarily ecological restoration. Converting natural grasslands into tree plantations can damage habitats adapted to open landscapes. Conservation must protect the ecosystem suited to each place, not simply increase tree numbers.
Mangroves and wetland plants provide natural protection. Mangroves support wildlife, trap sediments in suitable conditions and can reduce wave energy and coastal erosion. Wetlands store water, provide habitat and cycle nutrients; some also help moderate flooding. Neither can prevent every cyclone or flood, but destroying these systems without assessing their functions may increase risks and the cost of protecting communities.
Nature is not a world of perfect cooperation. Predators hunt prey, plants compete for sunlight, and organisms sometimes harm one another. Its lesson lies instead in interdependence, environmental limits and the consequences of disruption.
Development is often measured through roads built, buildings completed and economic returns. These achievements matter, but the picture is incomplete when ecological damage is ignored or its costs are transferred to other communities. Science enables us to examine impacts before approving projects, protect wildlife corridors before they are severed, test soil before choosing inputs and assess wetlands before filling them. Knowledge, however, protects nature only when it influences decisions.
Nature does not ask humanity to abandon progress. It asks us to distinguish genuine progress from activities that destroy their own ecological foundations. A vulture, frog, bat, termite or fig tree may seem insignificant in isolation; their importance emerges through the processes they sustain.
The living world offers no simple moral sermon, but a scientific truth: a civilisation that neglects the ecological relationships sustaining life ultimately undermines its own future.
Features
Man Behind the Music: Ananda Ganegoda and Singlanka
A tribute to the man who believed Sri Lankan music deserved the very best
by Vindana Ariyawansa
Some people build companies. Others build institutions that outlive them. When Ananda Ganegoda passed away last week at the age of 81, he left behind something far larger than a business: a cultural landmark whose logo sits on the cassette shelves of countless Sri Lankan homes, and whose songs many of us grew up with without knowing the man who made them possible.
For decades, his name and Singlanka were one and the same. Both stand for the belief that Sri Lankan music deserved the highest standard of quality in its content, its production and its presentation.
“Singlanka: the symbol of excellence in creation and of priceless perfection in finish!”
That was the promise printed in the company’s advertising, and Ananda Ganegoda spent his life trying to keep it.
A friendship that changed a life
In the 1970s, Ganegoda was already a successful businessman from an industrialist family, running enterprises alongside his brothers. Then he met pop singer Milton Mallawarachchi, and the friendship became a turning point.
Through Milton, he came to know many of the country’s most celebrated artistes. He admired them deeply, and they welcomed him into their circle. Before long, the businessman had become something rarer: a patron who supported the country’s artistic endeavours out of genuine love for them.
Worried for the artistes
By the late 1970s the audio cassette had become the most practical way to sell music, and many businessmen rushed into the trade. Ganegoda watched this with concern. He worried about what it meant for singers’ creative and financial independence, and whether the people who made the music would share fairly in its rewards.
At the request of leading artists, he decided to enter music production himself. He did it, by every account, without commercial ambition. His only intention was to serve the artists.
18 March 1980
Singlanka was founded on 18 March 1980 as a limited company. Its founding team was remarkable. Clarence Wijewardana, the celebrated singer and songwriter, joined it. So did the renowned lyricist Kularatna Ariyawansa, who gave up his government job to be part of the venture, and continued to this day as its creative director. Vijaya Ramanayake, owner of the Tharanga record label, took charge of distribution.
Dozens of veteran artists who were close friends of Ganegoda handed over songs they had recorded independently to be released under the new label. Many new songs were recorded under the guidance of Clarence Wijewardana and Vijaya Ramanayake. In April 1980, Singlanka launched with 25 albums at once.
The first cassettes were produced in Singapore and imported. Because Sri Lanka then lacked the facilities to print Sinhala on the covers, the first sleeves carried their titles and information in English. Listeners objected, and the albums were quickly re-released with new covers in Sinhala.
By December 1980, 15 more albums recorded earlier in the year had followed. That same year, the Singlanka recording studio opened in Nugegoda under Clarence Wijewardana’s supervision. Equipped with the latest technology, it produced the country’s first eight-track recordings. Ganegoda invested heavily in it, and with veteran recordist Dayananda Perera at the helm it became the busiest and most respected studio in the country.
One roof, one family
The year 1981 was a landmark for the company. Ganegoda held a strong conviction that artists should not be left at the mercy of a fluctuating cassette market, which made careers unpredictable and unsustainable. If he could give them stability under one roof, he believed, they could give their energy to their art instead of worrying about money.
So, he invited them to join Singlanka, and they came. Amaradeva, Nanda Malini, Victor Rathnayaka, Sanath Nandasiri, Milton Mallawarachchi, Gunadasa Kapuge, Priya Sooriyasena, Sisira Senarathna, Indrani Wijayabandara, Malkanthi Nandasiri, Clarence Wijewardana, Anton Jones, Abeywardana Balasooriya and Niranjala Sarojini became exclusive Singlanka artists. Sunil Edirisinghe, T. M. Jayaratna, Somathilaka Jayamaha, Karunarathna Divulgane, Deepika Priyadarshani, Janaka Wickramasinghe, Rohan Bulegoda and Dayan Witharana joined them later.
Singlanka also produced best-selling albums by H. R. Jothipala, M. S. Fernando, Desmond de Silva, Nihal Nelson and Vijaya Kumaratunga.
The journey was not without heartache. Some ventures did not bear fruit, and it pained him when a few artistes left the label over the years. But the majority stayed, which says something about the man they stayed with.
A company of firsts
Singlanka’s catalogue reads like a record of firsts for Sri Lankan music:
· In April 1981, it released the first film soundtrack on cassette, for Sunil Ariyaratna’s Vajira.
· That year it also released Nanda Malini Live in London, the country’s first live-recorded cassette.
· In 1982, Ganegoda began replicating cassettes in Sri Lanka itself, having previously relied on Singapore. Veteran musician Rohana Weerasinghe left his government teaching post to join the company in 1983.
· In 1983, Prof. Ediriweera Sarachchandra’s iconic play Sinhabahu was released on a double cassette. Noorthi and Nadagam Songs, directed by Punyasena Gunasinghe, followed as another first.
· In 1984, under Sanath Nandasiri’s direction, came Madhubani, the country’s first album of classical instrumentals and songs, launched with a classical concert at Colombo’s Tower Hall.
· The same year, Nanda Malini’s double vinyl album Sathyaye Geethaya was released. Vinyl was not in popular demand at the time, so the experiment was not continued.
· In 1987, one of Ganegoda’s dream projects came true with Dorata Waduma, an album by six talented amateur singers. It introduced the singer Deepika Priyadarshani.
· In 1987, Sansare Api became the first collection of songs written by a member of the clergy, the Venerable Rambukkana Siddhartha.
· In 1989, Dhammapada Geethaya set verses of the Dhammapada to song.
The famous Singlanka logo was designed by Charlie Chang of Singapore. It has since become a timeless emblem of quality Sinhala music. In its first decade alone, Singlanka produced 136 original albums, a remarkable achievement for a company built on original recordings.
A patron of the nation’s culture
Ganegoda’s generosity reached well beyond his own studio. During its first two decades, Singlanka contributed financially to virtually every prominent national artistic event in the country.
In the early 1980s he sponsored concert tours to the United Kingdom for Amaradeva, Sisira Senarathna, Indrani Wijayabandara, Sunil Edirisinghe, Malani Bulathsinhala, Sanath Nandasiri and Malkanthi Nandasiri, carrying Sri Lankan music to audiences abroad.
He supported the first Sarasaviya Film Festival at the BMICH in 1980, the University of Colombo Art Festival, the G. B. Senanayake scholarship at the University of Sri Jayewardenepura, and the Mahagama Sekara Memorial Festival. He supported the Amaradeva felicitation event, the Children’s Books Society’s book exhibitions and prize-givings, the Bandaranaike Memorial Foundation Fund, and the Charles Silva Gunasinghe Memorial Fund. He supported the Vesak Bhakthi Gee Festival of the Lake House Buddhist Society, the “40 Years of Sinhala Cinema” event organised by the film critics and writers’ society, Prof. Sarachchandra’s drama festival, and the Premakeerthi Tribute Festival.
He also helped launch Amaradeva’s Naada Siththam, Dharmasiri Gamage’s Sulan Kurullo, and the concert Mage Swarayayi Obe Ridmayayi by Victor Ratnayake and Premasiri Kemadasa. These are only some of the many occasions on which he quietly gave his support.
More than a company
Today, Ananda Ganegoda’s name and Singlanka are inseparable. Singlanka is more than a record label. It is a cultural emblem of Sri Lanka, one that preserved the country’s musical heritage and identity for a generation and set a benchmark that the industry still looks to.
He began as a businessman who befriended a singer. He became a guardian of Sri Lankan music, giving artists a home, a stage and the security to create. Most of the millions who have hummed those songs may never have known his name. But every time a Singlanka melody plays, his dream is still being heard.
Features
The newborn baby
Dr B. J. C. Perera
MBBS(Cey), DCH(Cey), DCH(Eng), MD(Paediatrics), MRCP(UK), FRCP(Edin), FRCP(Lond), FRCPCH(UK), FSLCPaed, FCCP, Hony. FRCPCH(UK), Hony. FCGP(SL)
Specialist Consultant Paediatrician and Honorary Senior Fellow,
Postgraduate Institute of Medicine, University of Colombo, Sri Lanka.An independent freelance medical correspondent.
KEY POINTS
- The foetus lives a pampered existence within the womb of the mother and the birth itself is a bit of a harrowing experience for the baby.
- The most important initial need is to establish normal breathing.
- Exclusive breastfeeding should be commenced within one hour of birth.
- Baby should “bed-in” with the mother and should be fed on demand, day and night.
- The baby needs warmth and to be cuddled.
- The baby should pass urine and stools within the first 24 hours.
The arrival of any newborn baby is certainly a superlatively joyous occasion. The mother has carried this bundle of joy in her womb for just about nine months, and at long last, it will be time for him or her to see the light of day. The foetus in the womb has a pampered existence, with the mother meeting all its needs. Her body provides all the warmth and essential nourishment that the baby needs for growth and development. The baby grows in the protected environment of the womb, floating in a bag of water in completely dark surroundings. Having gone through nine months of such a blissful existence, it must surely be quite a harrowing experience at the time of delivery, either by the natural route or by a Caesarean operation. No small wonder that all of them come out making quite a bit of noise and crying. That noise is music to the ears of the birth attendants, as in the vast majority, it implies that all is generally well with the baby.
First essential requirement
The first essential requirement for the newborn baby, at birth, is to breathe properly. In the womb, the mother’s blood provides the baby with life-giving oxygen through the placenta and umbilical cord. This route is cut off rather suddenly at birth, and the baby has to fend for itself as far as breathing is concerned. The immediate need, after birth, is to initiate and maintain normal breathing. In the vast majority of deliveries, Mother Nature has put in the necessary mechanisms for the baby to start breathing normally, and the baby comes out with a lusty cry, expands the lungs and starts to breathe normally. The life-giving oxygen from the air will be extracted by the lungs and carried to all the tissues by the blood. The skin turns pink, the baby starts to move all four limbs vigorously, keeps on crying, and with some gentle coaxing, settles down to the normal routine of a newborn baby. The umbilical cord is generally secured with a germ-free sterile plastic clamp or tied up with special sterile suture material and cut with a pair of sterile scissors.
Based on scientific evidence, it is now advised to delay the clamping of the cord by 60 seconds or more after the birth of the baby, as it has several benefits for the health of the baby. The total functional dependence on the mother is terminated with the cutting of the cord, but the baby still remains almost totally dependent on the mother for its basic needs.
Yet for all this, in a small minority of babies, breathing problems are encountered, and this situation must be dealt with promptly, imperiously, and with a lion-hearted response by the medical attendants at delivery. Sometimes the possibility of breathing problems could be predicted, but at other times it just happens out of the blue. Inadequate establishment of normal breathing leads to a catastrophic fall in the oxygen content of the blood. One organ that is exquisitely sensitive to a lack of oxygen is the newborn baby’s brain. There is absolutely no time to lose. Every second matters, and resuscitative measures should be instituted immediately. The recovery of the baby will depend on the skills, capability and urgency of the medical response. Happily, such episodes can now be dealt with competently and decisively using the currently available resources in our medical institutions. In many instances, all that is necessary is to take over the baby’s breathing for a couple of minutes with a special bag with a mask attached to it. This type of artificial ventilation automatically induces the baby to breathe normally in most cases. Once a baby has recovered adequately and satisfactorily from such a calamity, there is no looking back, and he or she will be quite normal.
Different treatment modalities
However, if the treatment modalities are delayed, leading to a protracted lack of oxygen to the brain of the newborn, or the baby does not recover well even after adequate efforts at resuscitation, there is a very real risk of permanent brain damage from which he or she will suffer for the rest of his or her life. The damage to the brain can take many forms, but the most common is a disturbance of the ability to move the limbs normally known as Cerebral Palsy. In some instances, it does leave the child severely disabled for the rest of his or her life. Baby brains that are permanently damaged in this fashion do not recover completely, and the child is likely to have enormous problems for his or her life thereafter. This is the reason that training of all personnel and dedication towards the resuscitation of the newborn is such an important aspect of the day-to-day routine in the labour rooms and operating theatres.
While in the womb, the baby is constantly exposed to a surrounding temperature of around 37 degrees Celsius. This is the normal body temperature of the mother. The room temperature in the delivery rooms and operating theatres is much lower than this. Even in non-air-conditioned areas, it may be about 28 to 30 degrees Celsius, while in air-conditioned surroundings it may be as low as 18 – 20 degrees Celsius. The newborn baby needs to be kept warm, particularly because the normal body temperature control mechanisms of the baby are rather immature and not fully developed or sensitised at birth. In many institutions, radiant heaters are used to keep the baby warm, but simple measures like keeping the baby adequately covered in pre-warmed linen are quite effective. The most rational and simplest way of keeping the baby warm is to keep the baby with the mother as soon as feasible, using the body warmth of the mother for the purpose. This is known in medical parlance as ‘Kangaroo Care’.
Food and nourishment
During the time that the baby is in the womb, all the nutrients for the baby are provided by the mother. There is a prime need to provide food and nourishment for the baby after birth. The very best food for the baby is, of course, mother’s milk. Breastfeeding is the natural continuation of the care that has been given to the baby during the months of pregnancy. Breast milk is all the food that the baby needs for the first six months of life, and it is the proverbial elixir of life. The best time to start breastfeeding is right after the baby is born. Babies are born with a sucking reflex, which is most powerful around 30 minutes after birth. Putting the baby to the breast then helps the mother and baby in several ways.
The sucking of the baby releases hormones in the mother’s body which contract the womb and help to control blood loss. The baby gets colostrum, or first milk, which offers proteins and immune protection. The mother responds to successful breastfeeding by making more milk, so that the baby loses less weight after birth. Immediate feeding is also known to initiate and enhance that all-important mother-child bonding, which would last a full lifetime. In scientific circles, this bonding with the mother is considered to be one of the many useful outcomes of early breastfeeding. It has been clearly established that the sooner the baby is started on mother’s milk, the better it is, especially to successfully feed the baby for the first few months of life.
Need to be with mother
The bundle of joy is later cleaned up, washed, dressed in very light clothes and handed over once again to the mother. It is now the usual practice to have the baby bedded in with the mother in the same bed. In the good old days, babies were separated from their mothers and kept in nurseries and cots. Being with the mother at all times helps her to respond to the needs of the baby and particularly to react to demand feeding whenever the need arises. The normal newborn baby is expected to pass urine during the first few hours after birth and to open its bowels during the first 24 hours. The urine is generally very light-coloured, and the stools are dark blackish. Gradually, the stools turn to the normal yellowish brown colour over the first couple of days.
The baby tends to sleep a lot during the first few days and wakes up when he or she is hungry. All that the baby needs in the first few days is for it to be fed adequately with the mother’s milk and kept clean and warm. It is also important to continue to feed the baby whenever the baby wakes up in the night, as there is hormonal stimulation by the suckling process, which increases the supply of milk from the mother. With night feeding, this benefit is carried on even into daytime. The currently advised practice is to exclusively breastfeed the baby for the first six months of life. What is meant by this is to give only mother’s milk to the exclusion of everything else, except medicines and vitamins. The World Health Organisation (WHO) recommendation for exclusive breastfeeding is six months. However, due to social reasons, such as the need for the mother to go back to work and the limitation imposed by the period of maternity leave, it may be necessary to curtail this period to four months. It has been scientifically shown that the baby does not need even additional water, not even in very warm climates. The vast majority of babies do very well on this regime of exclusive breastfeeding, grow and develop satisfactorily. They should be protected from infections by preventing people with other communicable diseases from coming into contact with the baby. It must be remembered that newborn babies have immature defence mechanisms and a still-developing immune system. Therefore, they are that much more vulnerable to many types of infections.
Newborn babies need to be cuddled and comforted. The warmth of the mother is quite soothing and reassuring to the baby. Normal newborn babies thrive extremely well without any further assistance from anything or anyone else, provided adequate nutrition is provided for them. In evolutionary terms, they are born with all the necessary requirements and the potential to grow unhindered into childhood, adolescence and adult life. The vast majority of them will develop and flourish, just like flowers that bloom beautifully in this world.
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