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Healthy Baby

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Bonnie Grover

on 15 July 2013

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Transcript of Healthy Baby

A guide to the developmental, nutritional, and medical milestones of your baby's first year.
Healthy Baby
Newborns
Your Beautiful Baby
A new baby brings joy and happiness to your family. They also bring lots of questions and concerns. This presentation is designed to help alleviate your fears and understand your new baby.
Your newborn should be able to do these things within the first few days:
Lift head briefly when on tummy
Move arms and legs on both sides equally well
Focus on objects within 8-18 inches
Nutrition
Milk- Mother's milk or formula only unless ordered by a doctor.
Breastfeeding Holds
Know the signs of a hungry baby
Mouthing the hands
Rooting the nipple
Being particularly alert
Crying is a late sign of hunger and you shouldn’t wait until the baby is crying.
Breastfeeding Basics
It’s a brain booster- increases a child’s IQ at least through age 15
It builds stronger mouths- breastfed babies are less likely to get cavities during childhood
Health benefits for mama- women who breastfeed have slightly lower risk of uterine cancer, ovarian cancer, and premenopausal breast cancer. They also have lower risk of developing rheumatoid arthritis and osteoperosis
Reasons to Breastfeed cont.
http://www.llli.org/faq/positioning.html
http://www.breastfeedingguide.com/default_files/Page384.htm
http://www.youtube.com/watch?v=2RHIb_-a6bg
References
Get professional help if you have any questions. A lactation specialist is available in most areas.
Online resources
www.lalecheleague.org
www.nursingmothers.org
www.ilca.org
www.medela.com
Get help if you need it!
The cradle position is most commonly used after the first few weeks.  
To nurse your baby while cradling or holding him across your lap, he should be lying on his side, resting on his shoulder and hip with his mouth level with your nipple.
Use pillows lifting your baby and supporting your elbows to bring your baby up to nipple height especially during the first few weeks
Your baby's head will be on your forearm and his back will be along your inner arm and palm.
When you look down, you should see his side. His mouth should be covering at least a half inch of the dark area around your nipple.
Be sure his ear, shoulder and hips should be in a straight line. As a newborn, your baby's head and bottom should be level with each other
Positions for Breastfeeding
Laid-back breastfeeding, or Biological Nurturing, means getting comfortable with your baby and encouraging your own and your baby’s natural breastfeeding instincts. See biologicalnurturing.com for further information.
Lean back on a bed or couch and be well supported— not flat, but comfortably leaning back so that when you put your baby on your chest gravity will keep him in position with his body molded to yours.
Have your head and shoulders well supported. Let your baby’s whole front touch your whole front.
Since you’re leaning back, you don’t have a lap, so your baby can rest on you in any position you like. Just make sure her whole front is against you.
Let your baby’s cheek rest somewhere near your bare breast.
Positions for Breastfeeding
1. Position yourself comfortably with back support, pillows supporting your arms and in your lap and your feet supported by a footrest or a telephone book.

2. Position baby close to you, with his hips flexed, so that he does not have to turn his head to reach your breast. His mouth and nose should be facing your nipple. If possible, ask your helper to hand you the baby once you are comfortable.

3. Support your breast so it is not pressing on your baby's chin. Your baby's chin should drive into your breast.

4. Attach or latch baby onto your breast. Encourage him to open his mouth wide and pull him close by supporting his back (rather than the back of his head) so that his chin drives into your breast. His nose will be touching your breast. Your hand forms a "second neck" for your baby.

5. Enjoy! If you are feeling pain, detach baby gently and try again.

http://www.llli.org/faq/positioning.html
Positioning Your Baby to Breastfeed
Practice makes perfect
Even before your milk comes in you should be nursing. The small amount of colostrum is just right for your baby’s needs.
Breastfeeding Basics
Start as soon as possible
Babies show eagerness and readiness to suck during the first 2 hours after birth and a sucking reflex that is most powerful 30 minutes after delivery.
Breastfeeding Basics
It’s custom-made-constantly changes to meet the ever-changing needs
Goes down easily- designed especially for a baby’s sensitive underdeveloped digestive system
It sooths the tummy- reduces the risk of constipation and digestive upset
It keeps diaper rash away- less likely to cause diaper rash
It’s an infection preventer- baby gets antibodies from the mother to ramp up immunity and fight disease
Reasons to Breastfeed
By Sara Best
Breastfeeding
During the early weeks, many mothers find a variation of the cradle position, called the cross-cradle position to be useful.
For this position, your baby is supported on a pillow across your lap to help raise him to your nipple level. Pillows should also support both elbows so your arms don't hold the weight of the baby; they will tire before the feeding is finished.
Positions for Breastfeeding
What your Baby May be Doing
Lift head briefly
Move arms and legs on both sides of the body equally well
Focus on objects within 8-15 inches

Focus on a face
Lift head 45 degrees when on stomach
Vocalize- cooing
Smile in response to your smile
Hold head steady when upright
Immunizations
HBV: Hepatitis B vaccine; recommended to give the first dose at birth, but may be given at any age for those not previously immunized.
Car Seat Safety
One Month
Fourth and Fifth Months
Hugging (5 months)
Your baby will quickly learn to hug Mom, Dad, and other people she's comfortable around -- as well as her stuffed gorilla, the cat, and anything else she adores -- by watching others hug and getting hugged herself.
Single-grain cereals
(Fortified cereals give your baby iron, an important nutrient he needs now. A baby is born with a natural reserve of iron that begins to deplete around 6 months of age.)
Nutrition
Developmental
What your baby may be doing:
Tips for your baby's 1st month:
Babies love to be touched. Give your 1-month-old lots of skin-to-skin contact, for example by holding and rocking, or giving your baby a gentle massage. It will make your newborn feel comforted and loved.
Move your baby's legs in a bicycling motion for a couple of minutes at a time. This easy exercise will help tone the muscles to prepare for crawling and walking -- which your baby will start doing before you know it!
Six-Nine Months
Nutrition
Pureed or strained fruits and vegetables, and pea-sized pieces of cooked meat such as chicken or turkey or other meats and beans or peas or lentils.
Finger foods such as O-shaped cereal.
Development
6-9 months




Shellfish
Honey
Goats and sheep milk
Cows milk as a drink
Shark, swordfish or marlin (due to high mercury levels
Mould ripened soft cheeses
Salt
Whole nuts
Foods still to avoid at this stage
Immunizations:
DTap
HepB
PCV
Rota
Immunization Schedule
Two-Three Months

These two months are very rewarding. Your baby has begun to smile. She should be sleeping for longer periods of time. Although she may smile at anyone who speaks to her, she has begun to recognize the important people in her life.
Developmental
SIDS
9. Don’t share sleep surfaces. Adult beds, couches, and chairs are not safe for infant sleep and increase the risk of SIDS, suffocation and accidental infant death. After breast feeding put your baby back in his or her crib.
RISK REDUCTION
7. Offer your baby a pacifier at all sleep times. Pacifiers have been shown to reduce the risk of SIDS.
RISK REDUCTION
6. If possible, breast feed your baby. Breast feeding has been shown to reduce the risk of SIDS.
RISK REDUCTION
5. Create a healthy lifestyle for you and your baby. When pregnant, see your doctor often and do not use drugs or alcohol. Talk with your doctor about changes in your baby and how your baby acts.
RISK REDUCTION
4. Lay your baby to sleep in an approved crib, on a firm mattress. Do not let the baby sleep on soft things, like a couch, pillow, sheepskin, foam pad or waterbed. Remove all loose bedding, stuffed animals, and pillows from crib. Crib bumpers are not recommended and can be hazardous.
RISK REDUCTION
2. Don’t smoke while pregnant and never smoke near your infant. While pregnant or considering pregnancy do not smoke. Never let others smoke near your baby. Smoking is a major risk factor for SIDS.
RISK REDUCTION
1. Always lay your baby to sleep face up. Side and tummy positions are not safe; check with your doctor if your baby has breathing problems.
RISK REDUCTION
SIDS is not caused by suffocation, choking, or smothering.
SIDS is not caused by child abuse or neglect.
SIDS is not contagious.
SIDS occurs in families of all races and socioeconomic levels.
SIDS cannot be predicted or prevented and can claim any baby, in spite of parents doing everything right.
SIDS
The National Institute of Child Health and Human Development (NICHD) defines SIDS as the sudden death of an infant under one year of age which remains unexplained after a thorough case investigation, including performance of a complete autopsy, examination of the death scene and review of the clinical history.
SIDS
http://www.cjsids.org/resource-center/what-is-sids-suid.html
Resources
10. Share these tips with everyone who cares for your baby. Educating yourself and others who care for your baby can help you keep your baby safe.
RISK REDUCTION
8. Put your baby on his or her tummy to play when your baby is awake and supervised. Make sure someone is always watching. “Tummy Time” is good for your baby because it makes neck and shoulder muscles stronger.
RISK REDUCTION
3. Don’t let your baby get too hot. Overheating is a leading risk factor for SIDS. Dress your baby in as much or as little as you would wear. If your baby is sweating, has damp hair, or a heat rash, he or she may be too hot. Room fans have been shown to reduce the risk of SIDS. Consider using a wearable blanket or other type of sleeper instead of a blanket.
RISK REDUCTION
SIDS claims the lives of almost 2,500 infants in the US each year - that's nearly 7 babies every day.
SIDS is not caused by "baby shots."
SIDS deaths occur unexpectedly and quickly to apparently healthy infants, usually during periods of sleep.
SIDS
Sudden Infant Death Syndrome (SIDS) is one of the leading causes of death among infants one month through one year of age in the United States.
SIDS
Immunizations
Sudden Infant Death Syndrome
Constipation
Upon introduction of cereal, you may notice that your baby is constipated. This is how you can help:
Aside from making changes to your baby's diet, here are a few more tricks for getting bowels back on track:
• Wiggle your baby's legs in a gentle pedaling motion while she's lying on her back.
• Gently but firmly massage her belly below her navel. If you feel a firm area, keep a steady pressure there for a few moments.
• If you see her straining to make a poop, place her in a warm-water bath to relax her muscles.
• Use a glycerin suppository or stimulate her rectum with a rectal thermometer lubricated with petroleum jelly as a temporary measure, but only with the doctor's approval. If the constipation doesn't respond to these interventions, the doctor may recommend a baby laxative.
Teething
Ten-Twelve Months
Cruising
Within a few weeks of learning to pull himself to a standing position, your baby will probably start shuffling along while holding onto furniture; this can start anywhere from 8 to 11 months. Called cruising, it's one of the last steps on the journey toward walking independently.
Finger Foods
By eight months or so most babies are ready to try their hands at self-feeding, a milestone that comes with their developing ability to pick up objects with the thumb and pointer finger (their pincer grasp). Some food you might want to try is: Cheerios, cheese, fruit, veggies, pasta, pancakes, French Toast.
Avoid: popcorn, raw veggies like carrots, grapes and hotdogs, which can cause choking in small children.
Nine Medicines you should never give your baby:


Aspirin
Over-the-counter cough and cold medicines
Anti-nausea medications
Adult medications
Any medication prescribed for someone else or for another condition
Anything expired
Extra acetaminophen
Chewables
Syrup of ipecac

Language Development
Pays increasing attention to speech
Responds to simple verbal requests
Responds to “no”
Uses simple gestures, such as shaking head for “no”
Babbles with inflection
Says “dada” and “mama”
Uses exclamations, such as “oh-oh!”
Tries to imitate word
Disclaimer-
This Prezi presentation "Healthy Baby" provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other healthcare professional.

Thank you- Sara Best - June 2013
“A baby will make love stronger, days shorter, nights longer, bankroll smaller, home happier, clothes shabbier, the past forgotten, and the future worth living for”.
-Unknown.

I chose this topic because I believe there needs to be more education for young mothers and early interventions for abnormalities.

Collection of data
Communications—to facilitate data quality, comparability and exchange—along with policies to support data sharing and mechanisms
Tools for accessing and disseminating data and information
Reporting will increasingly form the basis for surveillance systems


How Informatics as used in articles

http://web.ebscohost.com/ehost/delivery?sid=49d1713f-792f-4b4d-b9cd-6f7f03ea9b09%40sessionmgr10&vid=11&hid=20
 
http://web.ebscohost.com/ehost/detail?sid=49d1713f-792f-4b4d-b9cd-6f7f03ea9b09%40sessionmgr10&vid=15&hid=20&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=rzh&AN=1995031036
 
http://web.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=27&sid=49d1713f-792f-4b4d-b9cd-6f7f03ea9b09%40sessionmgr10&hid=20


Links to Articles

In summary the 3 EBP articles that I read all recommend that school age children get vaccinated to prevent chickenpox.

Summary of 3 Articles

In school age children does vaccination prevent chickenpox in comparison to children who do not receive the chickenpox vaccine?

P: school age children
I: vaccination
C: compared to children who do not receive the chickenpox vaccine
O: prevent chickenpox


PICOT QUESTIONING

http://www.cdc.gov/print.do?url=http://www.cdc.gov/vaccines/vpd-vac/varicella/unprotected-story.htm
Varicella (Chickenpox): Unprotected Story
In summary the 3 EBP articles that I read all recommend that school age children get vaccinated to prevent chickenpox.

Collection of data
Communications—to facilitate data quality, comparability and exchange—along with policies to support data sharing and mechanisms
Tools for accessing and disseminating data and information
Reporting will increasingly form the basis for surveillance systems
Full transcript