Showing posts with label Newborn. Show all posts
Showing posts with label Newborn. Show all posts

Tuesday, January 29, 2008

Newborn Hearing Test Might Point To SIDS Risk

A simple hearing test soon after birth may help identify babies at risk for sudden infant death syndrome (SIDS), a new U.S. study finds.

SIDS kills about one in 1,000 infants worldwide. Most of the victims are between two to four months old. Boys are more likely than girls to die of SIDS.

Dr. Daniel D. Rubens and colleagues at the Children's Hospital and Regional Medical Center, in Seattle, analyzed data on 31 Rhode Island babies who died of SIDS.

They found that they all shared the same distinctive difference in newborn hearing test results for the right inner ear.

Compared with other babies, those who died of SIDS scored four points lower in standard newborn hearing tests, across three different sound frequencies in the right ear.

Rubens also noted that healthy infants typically test stronger in the right ear than in the left. However, the infants who died of SIDS had lower scores for the right ear than the left.

The study was published in the July issue of the journal Early Human Development.

"This discovery opens a whole new line of inquiry into SIDS research," Rubens said in a prepared statement. "For the first time, it's now possible that with a simple, standard hearing test, babies could be identified as at risk for SIDS, allowing preventative measures to be implemented in advance of a tragic event."

The inner ear contains tiny hairs involved with both hearing and vestibular (balance) function. Vestibular hair cells may play an important role in transmitting information to the brain about levels of carbon dioxide in the blood, Rubens suggested. Injury to vestibular hair cells may disrupt respiratory control and predispose infants to SIDS.

Rubens urged further research in this area. "We must now fully explore all aspects of inner ear function and SIDS and analyze testing frequencies higher than those currently tested by newborn hearing screen centers," he said.
-- Robert Preidt



source from http://www.babycenter.com

What I Wish I'd Know About Getting More Sleep

"In the morning, stay in your PJs and keep going back to bed until you get enough sleep - even if that means you don't get up until noon!"

"My husband and I slept in shifts. After feeding the baby around 10 p.m., I went to sleep and my husband stayed up and put him to bed. Since I was breastfeeding, I was the one who needed to get up at 2 or 4 a.m. to feed him, so my husband slept through that. I felt better with that extra two hours I got early in the night."

"Sleep when the baby sleeps except for one nap. Use that time to do dishes and laundry."

"Buy a baby swing. They are wonderful for those late nights when your baby is either crying or won't sleep. Strap her in and you know she's safe — then you can catch some zz's on the couch next to her."

"Once I made up my mind that I wasn't going to get any sleep that night, it made it easier to cope. It was when I obsessed about getting sleep that I had problems dealing with the lack of sleep."

"If your partner's habits (restlessness, snoring) keep you from sleeping, ask him to sleep somewhere else for awhile."

"Don't wait until nighttime to catch up on sleep, because that's when your baby wants to be up. I slept at least once during the day when my baby napped, and that made all the difference between being a nice mommy and a mean mommy."

"The first four nights were the hardest, getting up every two hours to go into another room to feed the baby, hoping she wouldn't wake when I laid her down. The fifth night, I took her to bed with me, and we both slept like a dream. Now I enjoy eight hours of sleep a night."

"Have a lot of pillows for comfort — even if you don't get a lot of sleep, it feels good."

"Don't worry about getting the dishes done or cooking dinner. I lost out on so much sleep because I was trying to keep my house together, and by the time I was ready to lie down, guess who was awake."

"Get someone else to watch the baby while you nap, even if you have to pay a babysitter."

"I've learned after three children not to worry too much if my baby doesn't want to eat every three hours. If her last feeding was at 11 p.m. and she sleeps until 4 a.m., then the best thing to do is enjoy the sleep while you can."

"When all else fails, put a blanket (not a comforter, but a flat blanket) on the floor and lie down with your baby. You will get some sleep — maybe not the most comfortable sleep, but sleep nonetheless."

"My husband gets up with the baby first, changing her and comforting her, which gives me time to prepare for breastfeeding (waking up a little, using the restroom, and getting a glass of water). He has been a great help!"

"Catnapping works wonders for new moms. Set an alarm for 15 or 20 minutes. You'll be surprised how much it helps to close your eyes for even a short period of time."

"At night, put the baby down in a separate room and turn the monitor low enough so you can hear a cry but not grunts and whines."

"My nurse advised me to take six-hour shifts with my husband. That way, each of us got some solid sleep. Once we started doing that, we both felt better."

"You know how they always tell you "Sleep when your baby sleeps"? Well, I tried, but I was so overtired and anxious about being a new mother that I couldn't sleep! My doctor prescribed a sleeping pill, and it really helped me get the rest I needed."




source from http://www.babycenter.com

Establishing Good Sleep Habits In Your New Born

Typical newborn sleep patterns
Newborns sleep a lot — about 17 to 18 hours a day for the first few weeks and 15 hours a day by the third month. But, at least for the first couple of months, they're almost never asleep for more than three to four hours at a time, day or night. Translation: You won't be getting much uninterrupted sleep, either. At night you'll need to get up to feed and change your baby; during the day, you'll play with him, too. And while some infants sleep through the night as early as age 8 weeks, many babies don't reach that milestone until they're 5 or 6 months old. You can help your baby get there sooner by teaching him good sleep habits from the start.

How you can establish healthy sleep habits
Learn the signs that mean he's tired.
For the first six to eight weeks, your baby won't be able to stay up longer than about two hours at a time. If you wait much longer than that to put him down, he'll be overtired and may have trouble falling asleep.

Swaddling your newborn — an age-old technique for wrapping him snugly in a blanket — may help him feel warm and secure and fall asleep more easily during the first month..

Watch your baby for signs that he's sleepy. Is he rubbing his eyes, pulling on his ear, or developing faint dark circles under his eyes? If you spot these or any other signs of sleepiness, head straight for the crib. You'll soon develop a sixth sense about your baby's daily rhythms and patterns, and you'll know instinctively when he's ready for a nap.

Begin to teach him the difference between day and night.
Some infants are night owls (something you may have gotten a hint of during pregnancy) and will be wide awake just when you want to hit the hay. For the first few days you won't be able to do much about this. But once your baby is about 2 weeks old, you can start teaching him to distinguish night from day.

When he's alert and awake during the day, play with him as much as you can, keep the house and his room light and bright, and don't worry about minimizing regular daytime noises like the phone, radio, or dishwasher. If he tends to sleep through feedings, wake him up. At night, don't play with him at feeding time. Keep the lights and noise level low, and don't spend too much time talking to him. Before long he should begin to figure out that nighttime is for sleeping.

Give him a chance to fall asleep on his own.
When your baby is 6 to 8 weeks old, start giving him a chance to fall asleep on his own. How? Put him down when he's sleepy but still awake, suggests Jodi Mindell, director of the Center for Sleep Medicine at MCP-Hahnmann School of Medicine in Philadelphia and author of Sleeping Through the Night: How Infants, Toddlers, and Their Parents Can Get a Good Night's Sleep. Mindell advises against rocking or nursing your baby to sleep, even at this young age. "Parents think that what they do this early doesn't have an effect," she says, "but it does. Babies are learning their sleep habits. If you rock your child to sleep every night for the first eight weeks, why would he expect anything different later on?"

How to keep your sleeping newborn safe
The best way to protect your new baby from sudden infant death syndrome (SIDS) and other sleeping hazards is to learn the rules of safe sleeping. Then make sure your bassinet, crib, or any other place you plan to put your baby for napping and at night is properly set up .

Create a safe sleeping spot
Resist the urge to set up a bassinet or crib with pillows and fluffy comforters. As cozy as that may look, it's not the safest sleeping environment — your baby needs a surface that is firm and flat. Any blankets and bumpers should be thin, flat, and fastened securely to minimize the risk of covering the baby's head or face. Keep stuffed animals and toys out of the sleeping area, too.

If your crib is new and you bought it in the United States, it was made to meet strict safety regulations. If it's borrowed, though, be extra careful: Make sure crib slats are no more than 2 3/8 inches apart (a canned soda shouldn't fit between the slats) to prevent your baby's head from slipping between the bars. Also check that the mattress fits snugly — you should be able to fit no more than two fingers between the matress and the side of the crib.

For more details, see our articles on cribs and childproofing your nursery.

Put your infant to sleep on his back
Putting your baby to sleep on his back reduces the risk of SIDS. Experts estimate that up to 2,000 lives have been saved since the "Back to Sleep" public awareness campaign began in 1994.



source from http://www.babycenter.com

Tuesday, January 15, 2008

Milia (birth to 12 month)

My newborn has tiny white bumps on her nose and cheeks. What are they?
They're called milia. They're harmless and they're very common — about 40 percent of newborn babies get them, most often on the upper cheeks, nose, or chin. Some babies have just a few, and others have many of them.

It can be upsetting to see your beautiful infant's skin covered in these little bumps, but they aren't painful or contagious. And they'll go away without any treatment in two or three weeks.

You may spot similar bumps on your baby's gums or on the roof of her mouth. These are called Epstein's pearls, and they're also harmless.

What causes milia?
Milia occur when dead skin becomes trapped in tiny pockets near the surface of your baby's skin. When the surface of the bump wears away, the dead skin is sloughed off and the bump disappears.

What can I do to help clear them up?
You don't need to do anything at all. The bumps will go away on their own, without treatment, in a few weeks, although it's possible for them to last a month or two.

Doctors recommend that you not put any creams or ointments on the milia. And don't try to squeeze these pimple-like bumps to make them go away faster — that could cause scarring. Vigorous washing and scrubbing isn't a good idea either: It won't help and it could irritate your baby's sensitive skin.

Try to be patient. Your child will soon have her baby-smooth complexion back.

Does having milia mean my baby will grow up to have acne?
No, your baby isn't destined to have acne. Genetics is thought to be a predictor of who gets acne. If you or your partner had acne as a teen or adult, your child is more likely to get it when she hits her teenage years.




source from http://www.babycenter.com

Thursday, January 10, 2008

Toys For Newborns

In her first months, before she learns to grasp objects or sit up, your baby will most appreciate things she can look at and listen to. Her vision will be fuzzy at first and she'll fix on things that are about eight to 14 inches from her eyes. She's drawn to the human face — and can recognize yours at about 1 month — but she will also enjoy large pictures of faces.

High-contrast patterns and bright colors captivate her because they're the easiest for her to see. She's already learned to appreciate sounds and soft music. (Find out the lyrics to all your favorite lullabies.) Objects that move slowly and produce a gentle sound are far more interesting to her than those that are fixed and silent.

Hand-held toys: Her nearsightedness makes her appreciate anything you can move into her line of sight. She won't be able to hold toys for a while, but she'll demonstrate her preferences by batting at the ones she likes.

Tape player or music box: Music is one of the best ways to entertain and soothe your infant. Play a variety of music — nothing too raucous — and see how she responds. For more ideas, see our musical recommendations for this age group.

Mobile: A mobile can add a new dimension to a baby's horizontal view of life. Look for ones with high-contrast colors and patterns. Many babies are particularly fond of mobiles that play music. Attach the mobile to the crib rail. Infants this age look to the right 80 percent of the time, so a toy hung overhead or on the left will be of limited value now. For safety's sake, keep the mobile out of your baby's reach.

Unbreakable mirror: Although they won't realize it's themselves they're seeing at this stage, babies find their own reflection fascinating. And by 3 months old, yours may have struck up a relationship with hers, and begun smiling at it. Look for a mirror you can fasten to the side of the crib or hang near a changing table.

Soft books with high-contrast patterns: Soft books with easy-to-see patterns or decorations are designed just for babies. Lie down next to her so she can watch you turn the pages as you read aloud to her — even at this age it pays off. For more ideas, see our recommended books for newborns.

Sensory toys: A soft toy that trills or tweets when pressed will please a baby for months to come. The accidental squeaks will also help her become aware of what her hand is doing.

Sock and wrist rattles: Attach a soft rattle to your baby's wrist or ankle, or warm her feet with socks that have built-in rattles to provide long moments of entertainment as she experiments with new sounds she can make herself.

Wind chimes: Babies love soft music, so hang a set of these in a place where she can watch it move and listen to the sound. If the chime is over her crib, your baby may fall into the habit of watching it for a few minutes before drifting to sleep. Hold her up once in a while so she can sound the chimes herself, too.




source from http://www.babycenter.com

Wednesday, January 9, 2008

Apgar Score

The very first test given to your newborn, the Apgar score occurs right after your baby's birth in the delivery or birthing room. The test was designed to quickly evaluate a newborn's physical condition after delivery and to determine any immediate need for extra medical or emergency care.

Although the Apgar score was developed in 1952 by an anesthesiologist named Virginia Apgar, you may have also heard it referred to as an acronym for: Activity, Pulse, Grimace, Appearance, and Respiration.

The Apgar test is usually given to your baby twice: once at 1 minute after birth, and again at 5 minutes after birth. Rarely, if there are serious problems with the baby's condition and the first two scores are low, the test may be scored for a third time at 10 minutes after birth.

Five factors are used to evaluate the baby's condition and each factor is scored on a scale of 0 to 2:

  • heart rate (pulse)
  • breathing (rate and effort)
  • activity and muscle tone
  • grimace response (medically known as "reflex irritability")
  • appearance (skin coloration)

Doctors, midwives, or nurses add these five factors together to calculate the Apgar score. Scores obtainable are between 10 and 0, with 10 being the highest possible score.

Apgar Scoring

Apgar Sign




Heart Rate
(pulse)

Normal (above 100 beats per minute)

Below 100 beats per minute

Absent
(no pulse)

Breathing
(rate and effort)

Normal rate and effort

Slow or irregular breathing

Absent (no breathing)

Grimace (Responsiveness or "reflex irritability")

Pulls away, sneezes, or coughs with stimulation

Facial movement only (grimace) with stimulation

Absent (no response to stimulation)

Activity
(muscle tone)

Active, spontaneous movement

Arms and legs flexed with little movement

No movement, "floppy" tone

Appearance
(skin coloration)

Normal color all over (hands and feet are pink)

Normal color (but hands and feet are bluish)

Bluish-gray or pale all over

A baby who scores a 7 or above on the test at 1 minute after birth is generally considered in good health. However, a lower score doesn't necessarily mean that your baby is unhealthy or abnormal. For example, a score between 4 and 6 at 1 minute indicates that your baby simply needs some special immediate care, such as suctioning of the airways or oxygen to help him or her breathe, after which your baby may improve.

At 5 minutes after birth, the Apgar score is recalculated, and if your baby's score hasn't improved to 7 or greater, the doctors and nurses may continue any necessary medical care and will closely monitor your baby. Some babies are born with heart or lung conditions or other problems that require extra medical care; others just take a little longer than usual to adjust to life outside the womb. Most newborns with initial Apgar scores of less than 7 will eventually do just fine.

It's important for new parents to keep their baby's Apgar score in perspective. The test was designed to help health care providers assess a newborn's overall physical condition so that they could quickly determine whether the baby needed immediate medical care. It was not designed to predict a baby's long-term health, behavior, intellectual status, or outcome. Few babies score a perfect 10, and perfectly healthy babies sometimes have a lower-than-usual score, especially in the first few minutes after birth.

Keep in mind that a slightly low Apgar score (especially at 1 minute) is normal for some newborns, especially those born after a high-risk pregnancy, cesarean section, or a complicated labor and delivery. Lower Apgar scores are also seen in healthy premature babies, who usually have less muscle tone than full-term newborns and who, in many cases, will require extra monitoring and breathing assistance because of their immature lungs.

If your doctor or midwife is concerned about your baby's score, he or she will let you know and will explain how your baby is doing, what might be causing problems, if any, and what care is being given. For the most part, though, most babies do very well, so relax and enjoy the moment!


source from http://kidshealth.org

Tuesday, December 18, 2007

The Best Sleep Advice You've Never Heard (birth to 12 mo.)

Babies: Sleep deprivation 101


Although newborns have a penchant for sleeping up to 18 hours a day, they do it in maddeningly short bursts around the clock. Here's how to get your little Rip Van Winkle to put in a few of those hours (preferably in a row) during the night.

Put your baby to bed when she's drowsy, not fast asleep
This is a tall order, especially for breastfeeding moms, but master the timing and you'll score some much-needed sack time. Babies who drift off on their own are more apt to fall asleep more quickly and learn how to soothe themselves to sleep easier, says Kim West, author of Good Night, Sleep Tight. West is a social worker in Annapolis, Maryland, as well as a professional sleep consultant who has helped more than 2,000 families nationwide soothe troubled sleepers.

Here's her advice: Starting when your newborn is 6 to 8 weeks old, create a sleepiness scale from 1 to 10 — 1 is full-throttle and 10 is out cold. Wait until your baby hits number 7, and lay her down to sleep. Less-vigorous arm and leg action along with diminished sucking power (from nourishing to soothing) are both reliable signs she's nearing sandland.

Try not to look your baby in the eye
Many babies are easily stimulated. A loving look from you can take them from tired to wired faster than you can say, "uh oh." Seeing your baby brighten at your glance is heartwarming at noon and discouraging at midnight.

Parents who make eye contact with sleepy babies inadvertently encourage them to snap out of their sleep zone, says Claire Lerner, director of parent education at Zero to Three, a nonprofit that promotes the health of infants and toddlers. "The more interaction that takes place between you and your baby during the night, the more motivation they have to get up."

So what should you do instead? Lerner suggests keeping it low-key. If you must enter your baby's sleep space at night, don't hold her gaze, chitchat, or serenade her with your favorite Rolling Stones hit. Keep your gaze on her belly and soothe her back to sleep with a soft voice and gentle touch.

Win her over to the dark side
"Lights push your child's biological 'go' button," says Elizabeth Pantley, author of the No-Cry Sleep Solution. On the flip side, darkness triggers the brain to release melatonin, a key sleep hormone.

If your baby sleeps more during the day than at night, help her to know the difference. During the day, allow plenty of sunlight into the house. Put your baby down for daytime naps in well-lighted rooms (unless she has trouble with naps). To induce nighttime sleepiness, install dimmers on the lights not only in your baby's room but also in other rooms where you both spend a lot of time. Lower the lights up to two hours before bedtime in the evening to set the mood. Nightlights are okay, but choose small, dim ones with a bluish tone (the vivid yellow and bright white varieties are more stimulating).

During the night, if your child wakes up, don't turn on the lights or carry her into a brightly lighted room. The shift from dark to light tells her brain it's time to rise and shine. Instead, soothe her back to sleep in her bedroom. If early morning sunlight prompts your child to wake too early or if she has trouble napping in the afternoon, install room-darkening shades.

Cut your tie to the baby monitor
A parent who jumps at every squeak transmitted over the baby monitor will teach her child to wake up more often, says Pantley. Instead, time your entrance so that you go to your child between the moment you know for sure she's awake and the moment she escalates into a full-blown howl. Waiting a few minutes gives her a chance to soothe herself back to sleep. And stepping in before a meltdown means that you'll catch her before she's too worked up to fall back asleep.

Either way, it's okay to turn down the sensitivity on your baby monitor. Set the volume so you'll hear her when she's distressed but you won't be privy to every gurgle. Eventually you may just want to turn the thing off.

Relax the rules on diaper changes
Resist the urge to change your baby every time she wakes up — you'll just jostle her awake even more. Instead, dress your baby in a high-quality, nighttime diaper at bedtime, says Pantley. When she wakes up, sniff to see if it's soiled and change only if you must. For sleepy nighttime changes, nothing wakes a baby faster than a cold, wet wipe. Try substituting a warm washcloth.

Toddlers and preschoolers: Just when you thought it couldn't get worse
It's hard to believe, but by the time your child celebrates his second birthday, he has spent more time asleep than awake. On average, toddlers need 12 to 14 hours of sleep a day, including naps. (Preschoolers do fine on 11 to 13 hours.) Don't be alarmed if your child vetoes the two-nap routine. At around 18 months, it's not unusual for a child to wean himself from two naps to one. But cutting his siestas in half means nighttime sleep gets promoted to highest priority.

Keep the sleep routine short and sweet
An elaborate, multifaceted variety show — a bath, three books, two songs, and a back rub — can stretch on ad nauseam. "Before you know it, your well-intentioned sleep routine turns from transition time to playtime for your child," says Mary Ann LoFrumento, a pediatrician and author of Simply Parenting: Understanding Your Newborn and Infant. If your child fights bedtime, keep the focus on sleep and don't let your child call all the shots.

LoFrumento suggests that parents of troubled sleepers keep the routine no longer than 15 minutes. (Longer is fine if your child falls asleep easily.) Fifteen minutes should be all it takes to put on pajamas, read two short books, and say goodnight, she says.

Connect the dots
"One of the biggest mistakes parents make is not connecting a child's sleep and his daytime behavior," says Pantley. She attributes many of the behaviors labeled as terrible twos to signs of sleep deprivation. "Fussiness, whininess, fighting with siblings — all have their root in the lack of a good night's sleep." Her advice? Move up bedtime. (See our next tip, "Take back the night.")

Take back the night
Exert control and set an early bedtime, preferably between 7 and 8 p.m., Pantley says. "These kids aren't looking at the clock to see what time it is. They're simply waiting for someone to tell them it's time for bed." So pick a time and stick to it.

Practice climate control
Sure, 72 degrees Fahrenheit sounds comfy for a bedroom. And that's true — when you're awake. But the ideal sleeping temperature is between 60 and 70 degrees Fahrenheit. That's because sleep follows on the heels of a sharp drop in body temperature, which is also why a bath before bed helps kids nod off faster. The bath gets your child nice and toasty and then the cool room causes his body temperature to drop, which brings on sleepiness.

So, nudge the thermostat down at least an hour before bedtime. If you're forgetful, install an automatic thermostat. Program it to drop in the evening and rise in the morning, and your child just might follow suit.

Wake kids at the same time every day
A consistent wake-up routine is just as important as a regular bedtime. Children should get up at roughly the same time every day (give or take 30 minutes). Fight the urge to let them sleep in on weekends, says Pantley. "What we are doing is asking our children to live in two different time zones — a weekday zone and a weekend zone," she says. "As a result, they get perpetual jet lag."

Just because kids don't benefit from a little extra shut-eye on the weekends doesn't mean you won't. If weekend mornings are your only time to make up lost sleep, trade morning duty with your partner so that your child stays on track.

Grade-schoolers: The age of reason
As children outgrow naps, cribs, and lullabies, they gain an important skill: reasoning. "Parents have less direct control over making older children sleep, so it becomes about making them a partner and teaching them about the importance of getting a good night's rest," says Pantley.

Children ages 5 to 12 still need between ten and 11 hours of sleep a night. Pantley suggests appealing to their logical side. At this age children are old enough to understand that hormones that help them grow are released during sleep, so they need to sleep to reach their full height, she says. Use a similar logic for good grades or sports: If they sleep well their brains will be better able to remember what they learned at school that day, and their bodies will perform better on the baseball field.

Stamp out night-owl behavior
Staying up too late is a common pitfall for grade-schoolers. Parents often contribute to the problem because they want to spend more time with their kids at the end of the day. Do the math backward. "If your child needs 11 hours a night and he tends to wake up at 7 a.m., then he needs to be asleep by 8 p.m.," says West.

Sleep-inducing snacks
Put your child in the mood for sleep by giving him a healthy, sleep-instigating treat an hour before bedtime. Some foods naturally spark a release of serotonin, the body's built-in sleep inducer: Try a glass of milk, a piece of whole-wheat toast with a slice of cheese, half a peanut butter sandwich, or oatmeal with bananas.

During the day, cut out foods containing caffeine six hours before bedtime. According to the National Sleep Foundation, nearly 75 percent of school-age children guzzle caffeinated beverages, such as colas. And since most of these drinks are empty calories, consider eliminating them from your child's diet altogether.

Discourage homework before bed
Kids who do homework before bed often stay up too late and are groggy the next day. Scientific studies link irregular sleep patterns to academic and behavioral problems. School-age children are desperate for sleep, says LoFrumento. "I've had lots of parents tell me their child's school performance improved dramatically with better sleep habits."

Instead of letting your child leave homework until the last minute, schedule a regular work time either right before dinner or right after, suggests LoFrumento. "Leave your child plenty of time to play sports, run around, or just relax after a long day at school but make sure to wrap up homework by 7:30 or 8 p.m." If your child consistently has trouble with a heavy homework load, talk to her teacher.

Be choosy about your child's mattress
Most adults spend hours picking the perfect mattress for their own bed, but accept whatever mattress comes with their child's bed, says Pantley. Her suggestion? Lie on your child's bed for 30 minutes. Ask yourself: Is it comfortable? How's the pillow? Is the blanket soft and cozy? Make it a place you'd want to sleep.

Rule out medical problems
Like adults, children can have medical conditions that interfere with their sleep. Up to 12 percent of kids snore, and as many as 10 percent have sleep apnea, a sleep disorder in which the airway becomes partially blocked and reduces airflow, which rouses the child from a deep sleep. Although many children will outgrow the problem, ask your pediatrician for help if your child snores heavily or is excessively sleepy during the day.

source from http://www.babycenter.com/


Caring For Your Newborn's Umbilical Cord Stump

What's the purpose of the umbilical cord?

Babies receive nourishment and oxygen in the womb through the placenta, which is connected to the inner wall of the mother's uterus. The placenta is connected to your baby by the umbilical cord through an opening in the baby's abdomen. After your baby is born, the umbilical cord is clamped and cut close to the body in a painless procedure, leaving an umbilical stump.

How long will my baby have an umbilical stump?
In about 10 to 21 days, the stump will dry up and drop off, leaving a small wound that may take a few days to heal.

Does the stump require special care?
It must be kept clean and dry. Fold the baby's diaper below the stump (or buy newborn diapers with a cut-out space for the cord) so it's exposed to the air and not to urine. When the stump falls off, you may detect a little blood on the diaper, which is normal. Avoid giving your baby tub baths until the stump falls off.

In warm weather, have your baby wear just a diaper and loose T-shirt to let air circulate and speed the drying process. Avoid bodysuit-style undershirts until the cord has fallen off. And never attempt to pull off the cord, even if it looks like it's hanging by a little thread.

Sometimes after the stump falls off some bits of lumpy flesh remain, which may disappear on their own or may need to be treated by your child's doctor. These "umbilical granuloma" are not serious and contain no nerves, so if treatment is required, it's painless for your baby.

As for the time-honored practice of swabbing the stump with rubbing alcohol, the waters have become murky. To prevent infection, your doctor or midwife will swab the cord with dye or another antiseptic when she clamps and cuts the cord. And for at-home care afterward, healthcare practitioners have long recommended cleaning the base of the stump with a cotton swab or gauze pad dipped in a little bit of rubbing alcohol once or twice a day.

Many pediatricians still support that practice, but others now suggest that it's more effective to let the cord dry naturally. That's because a 1998 study by the Hamilton Health Sciences Corporation in Ontario, Canada, found that untreated cords healed in eight days, while it took ten days for alcohol-swabbed cords to fall off. (None of the 1,800 newborns in the study developed an infection.)

Pediatrician Carol A. Miller, a clinical professor of pediatrics at the University of California in San Francisco, says she still recommends the alcohol cleaning because many parents don't like the odor and "goopiness" that sometimes result from not using the alcohol. "It's questionable whether the one- or two-day benefit of natural drying is worth it," she says.

If you're not sure which method to use, talk to your baby's doctor.

What are the signs of infection?
Consult your healthcare provider if:

• Your child develops a fever or appears unwell.

• The navel and the surrounding area become swollen or red.

• Pus appears at the base of the stump.


source from http://www.babycenter.com/

Thursday, December 6, 2007

Get Your Body Back After Pregnancy

If all those images of svelte and shapely celebrity new moms have left you feeling like you never want to look in a mirror again, take heart! Here's some real-world advice on how to get your body back after pregnancy.

When to Begin

Although most women say that diet is the quickest way to lose weight after giving birth, experts say a dramatic cut in calories is not the best way to begin – particularly if you are breastfeeding.

"You should be eating at least 1,800-2,000 calories a day while breastfeeding, and if you eat less you will not only be shortchanging yourself, you'll be shortchanging your baby. You can't produce quality milk if you are not eating enough," says nutritionist Elizabeth Somer, RD, author of Nutrition for a Healthy Pregnancy.

"If you can lose a couple of pounds before then, that's OK, but you really don't want to cut your food intake dramatically during these early weeks -- you need the energy, and you need the calories for breastfeeding," she says.

Good news: Breastfeeding burns calories. It can help mothers lose extra weight gained during pregnancy.

But what if you're not breastfeeding? Somer says it's OK to watch your caloric intake, but never aim to lose more than a pound a week.

After Pregnancy: Working Off the Pounds
In a paper published in the Journal of Midwifery and Women's Health, experts reported mounting evidence suggesting that exercise not only benefits depressive symptoms in general but pointed to two studies indicating it may offer benefits specifically for women with postpartum depression.

To this end, many groups, including American College of Obstetricians and Gynecologists, have not only significantly loosened the reins on the number of activities a new mom can safely do but have also begun promoting exercise as a key factor in the health of new moms.

But how do you know if you're ready to begin an exercise program? ACOG recommends that you check with your doctor before starting, especially if you had a complicated pregnancy or delivery. That said, most experts agree you are free to begin a mild workout as soon as you feel up to it -- and you can keep up with the activity level.

Post-Pregnancy Workouts: What Works!
Whether it's within six days or six weeks of delivering, ACOG experts say one of the easiest ways to begin a postpartum exercise routine is by walking. And you can even get baby in on the fun! Indeed, one of the more popular forms of organized new-mommy exercise involves walking stroller workouts.

A Final Word of Caution
No matter how eager you are to lose your baby fat, experts caution against any activities that put major stress on your joints -- such as jogging, jumping, or running -- for at least six to eight weeks. Why?

"During pregnancy you produce a hormone called relaxin, which actually makes joints loose and consequently more prone to injury, and you will still have significant amounts of this hormone in your blood for at least several weeks after childbirth," says Fleming.

Put too much stress on joints during this time, she says, and you could end up sidelined for months with a serous injury.

Moreover, regardless of what exercises you do, pay close attention to the warning signs of trouble and seek medical attention if any of these symptoms appear:

  • Excessive bleeding
  • Pelvic or abdominal pain
  • Extreme shortness of breath
  • Exhaustion after even mild exercise
  • Muscle soreness that does not go away within a day or 2
supported by:http://www.webmd.com