Baby Care Basics

Baby Sleep Miracle

The baby sleep miracle has been created by Mary Ann Schuler. She is not only a clinical psychiatrist but also an experienced specialist but also a mother. With over two decades of clinical psychologist experience, she has also put to test the methods and techniques in this book. The baby sleep miracle the exact plan that has helped to resolve issues of sleeping for babies. Every night, your child can wake you up, and this can be consistent almost every day, it further results in you not getting enough rest and get sleep deprived. This is a book about the sleep tricks which will help get your child to be at ease and get to sleep. What's more, they work even without you having to buy expensive pacifiers, dangerous swings or relying on the outdated conventional methods like Ferberizing. The book will; help you to cut your risk of depression that is caused by sleep deprivation by far, improve your baby's health and prevent risks of damage to the nervous system, and much more. The baby sleep miracle is presented to you digitally. This book is dedicated to helping the mothers and fathers around the world who have sleepless nights. Read more...

Baby Sleep Miracle Summary

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4.8 stars out of 16 votes

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Author: Mary Ann Schuler
Price: $47.00

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My Baby Sleep Miracle Review

Highly Recommended

The author has done a thorough research even about the obscure and minor details related to the subject area. And also facts weren’t just dumped, but presented in an interesting manner.

As a whole, this e-book contains everything you need to know about this subject. I would recommend it as a guide for beginners as well as experts and everyone in between.

How Can You Tell if Your Baby Is Getting Enough Milk

If you have any doubts about whether your newborn is getting adequate nutrition or if your baby does not show the reassuring signs listed next, bring your baby to his doctor for a weight check. This is a common practice a doctor may ask to see a premature or small baby two or three times a week for the first couple of weeks. In rare cases, the doctor may even want to weigh the baby before and after a feeding to check how many ounces he has taken. With a newborn, you should not delay seeking help if you think your baby is not getting enough milk. Because you can't measure breast milk the way you measure formula, here are other ways of telling if your baby is getting enough milk Once your milk comes in, your baby should have six to eight wet cloth diapers or five to six wet disposable diapers per day, with clear or very pale urine. It can be hard to be sure how wet disposable diapers are. For that reason, you may want to use cloth, at least in the beginning. Or you can put a piece of...

Discovering the sex of your baby

It is possible now at the 20 -week scan to find out the gender of your baby. This is not 100 per cent accurate as it is done by scanning the genital area and assessing what can be seen Should you have amniocentesis, which involves chromosomal analysis, then identification is accurate. So how do parents-to-be decide

Soothing and Connecting with Your Baby

Infants know they are cared for when they are held, caressed, massaged, and kissed. In most cases, they love attention. Cradle your baby in your lap, and gently stroke her in different rhythmical patterns. This simple bit of love and attention can reap great benefits Studies have shown that babies who are seldom touched don't grow or develop normally. If you and your partner both hold and touch your infant a lot, she will soon come to know the difference between Mommy's and Daddy's ways of touching. Premature babies and those with medical difficulties may especially respond to infant massage. Many books and videos cover the subject discuss with your child's doctor which one you think might work for you and your baby. Be careful, however babies are not as strong as adults are and can't take anything like the pressure or manipulation of a regular adult massage. Babies usually love sounds, so talk, babble, sing, and coo away in the first months. Most babies also like everyday sounds like...

Discovering How Your Baby Is Developing

Notice that during the second trimester (13-26 weeks), your baby grows and develops at an astounding rate. Notice that during the second trimester (13-26 weeks), your baby grows and develops at an astounding rate. Most mothers begin to feel their babies move at about this time. Knowing for sure when you first feel your baby moving inside you is difficult. Many women sense fluttering movements (called quickening) at about 16 to 20 weeks. Not every woman can tell that sensation is actually the baby moving. Some think it's just gas (and maybe you did eat too much chili) but most likely, it's the baby. Around 20 to 22 weeks, the fetal movements are much easier to identify, but they still aren't consistent. Over the course of the next four weeks, they fall into a more regular pattern. Different babies have different movement patterns. You may notice your baby tends to move more at night perhaps to prepare you for all the sleepless nights you'll have after he is born Or you may simply be...

Understanding your babys Weight gain

Although your weight gain may follow a path all its own, your baby's own bulking-up pattern is likely to progress slowly at first, and then pick up at about 32 weeks, only to slow again in the last weeks before birth. At 14 to 15 weeks, for example, the baby puts on weight at about 0.18 ounce (5 grams) per day, and at 32 to 34 weeks, 1.06 to 1.23 ounces (30 to 35 grams) per day (that's about half a pound or 0.23 kilograms each week). After 36 weeks, the fetal growth rate slows to about a quarter of a pound per week, and by 41 to 42 weeks (you're overdue at this point), minimal or no further fetal growth may occur. Check out Chapter 7 for more about how your baby grows. Your practitioner keeps an eye on your baby's growth rate, most often by measuring fundal height and paying attention to your weight gain. If you put on too little or too much weight, if your fundal height measurements are abnormal, or if something in your history puts you at risk for growth problems, your doctor is...

Your Baby Gets Ready for Birth

At 28 weeks, your baby measures about 14 inches (about 35 cm) and weighs about 2 72 pounds (about 1,135 grams). But by the end of the third trimester at 40 weeks, your due date it measures about 20 inches (50 cm) and weighs 6 to 8 pounds (about 2,700 to 3,600 grams) sometimes a bit more, sometimes a bit less. The fetus spends most of the third trimester growing, adding fat, and continuing to develop various organs, especially the central nervous system. The arms and legs get chubbier, and the skin becomes thicker and smooth. During the third trimester, your baby is less susceptible to infections and to the adverse effects of medications, but some of these agents may still affect its growth. The last two months are usually spent getting ready for the transition to life in the world outside the uterus. The changes are less dramatic than they were early on, but the maturation and growth that happen now are very important. How your baby may look inside your uterus How your baby may look...

Where Should Your Baby Sleep

Whether you'll share your room with your baby is largely a matter of personal preference. Studies indicate that babies and mothers who sleep in the same room are aroused from sleep more often, so their sleep is broken. If babies are breastfeeding, they have more frequent and larger night feedings until a later age. As your baby grows, you may want to let her share a room with another child or move her to a room of her own. Your decision will depend on practical questions and the space in your home. Unless you are planning to continue sharing your room with the baby, it's usually easier to move her to her permanent room if you do it during the first six to nine months. After that, separation anxiety may make it harder for your baby to sleep alone until she is about two years old.

Do not smoke or allow others to smoke near your baby or the room your baby sleeps in

Babies should always be put to sleep on their backs unless there is clear medical advice to do something different. Babies sleeping on their backs are not more likely to choke, and the risk of cot death is greatly increased for babies sleeping on their fronts. Keep your baby's head uncovered and place your baby in the 'feet to foot' position to prevent your baby wriggling under the covers. Make the cot so that the covers reach no higher than your baby's shoulders.

How to Feed Your Baby

Your baby should be sitting, not lying down. You can hold him on your lap, but an infant seat or highchair frees both your hands. In the beginning, nurse or bottle-feed your baby a little bit before putting him in the seat so he is not overly hungry. Show him the food and let him touch it, even smear it around if he wants to. (Make sure he wears a bib, and expect a mess it's all part of the process.) Then take a small infant spoon (the rubber-coated kind is gentle in the mouth), a demitasse spoon, or a half-teaspoon from a measuring-spoon set. Put a tiny bit of food on the spoon and place the spoon between his lips. Do not put it far back on his tongue, or he may gag. Once your baby tastes the food, he may suck it off the spoon and open his mouth for more. He may spit it out but seem interested. He may gag, cry, or become upset. He may reach for the spoon himself. (Let him play with it. After a while, you can try to guide it to his mouth, or you can feed him with another spoon while...

Hello World Your Newborn

Examining your newborn's appearance Viewing the hospital's role in the first days of life Knowing what the pediatrician looks for M**or almost 40 weeks, you and your baby have been in one body, and if m you're like most women, you've focused on staying healthy to help your baby grow and on preparing to deliver your baby safely. Now suddenly, your baby is out in the world, and you finally get to take your first real look at him. You may find that in some ways, your baby's appearance surprises you. Newborns typically look a little funny. Remember that many superficial aspects of your baby's appearance the cone-shaped head, the blotches, and especially the white, pasty goo will soon disappear. In this chapter, we give you an idea of what to expect when you first meet your little darling. We also explain the role of the hospital and the pediatrician who visits your baby in the first hours or days.

Your baby arrives at last

It is impossible to describe those first few moments after your baby is born since the experience is so unique and personal. For the majority of women their first meeting with the baby will be as it arrives into their arms as soon as it has been delivered. It can be a moment of elation, of enormous relief and great joy. That is not to say that it is universally a pleasurable experience since many couples may be feeling so overwhelmed or exhausted that they hardly know what to think. Should your baby be unwell or born very early, there may be no relief at all as medical assessment gets underway and the baby is taken from your arms. These few moments are particularly precious since it is a time to meet this new person before other events take over the initial assessment of the baby, the need for special care, the delivery of the placenta, the need for stitches and all the other immediate and more medical concerns.

Getting to know your new baby bondingattachment

There can be a number of reasons why the relationship with your baby doesn't get off to the best start. For the mother it may have been a traumatic delivery, she may have been ambivalent about becoming a parent, or it may be the result of a poor relationship with her own parents in her early years. It may be that usually you are a very anxious person and the sense of responsibility overwhelms you at this stage. There may be lots of reasons that you feel less'in tune' with your baby and therefore find being with him less rewarding. If you are terribly anxious about how much milk your baby is getting and how much weight he is gaining, then you will be less relaxed and able to enjoy feeding him. As well as issues that you bring to the relationship, there are also factors to do with the baby. If your baby is born healthy and a good size, begins to feed quite easily and sleeps a lot, you are much more likely to feel relaxed and able to respond to your baby and in turn feel that you are...

Your Babys Internal Clock

Your baby is aware of the progression of day and night. I nformation about the rhythm of the outside world passes from mother to fetus in many ways. Changes in noise level, you r ea ti ng h a b i ts , pa tter n s of exerc i se , a nd you r re laxati on ti me, all have effects the fetus can monitor. The fetus can a I so te I I what is happening in its mother's world by the m Research indicates that a child's sleeping patterns are set i n utero by i ts mother. A Swiss study demonstrated that a g roup of pregnant early r isers bore early-rising babies, while I ate-nighters p roduced children that went to bed late. By a bout 3 2 weeks, your baby has developed four activity patterns active sleep, q uiet sleep, active awareness, a nd q uiet a wareness. Brainwave patterns show that active sleep i s similar to rapid eye movement or REM sleep, in which the eyes move constantly and the brain is extremely active. Up to 32 weeks, your baby spends a lot of time in active sleep. After that, it...

Caring for your baby feeding sleeping and being held

The early relationship with your baby consists of three basic building blocks feeding, sleeping and being held. In the early days the baby will probably do little more than sleep and wake for feeding with perhaps short periods of wakefulness. Sometimes it may feel as if the baby is always with you in the sense that even though he is asleep you do not feel separate from him or able to 'get back to normal' when he is asleep. This can make those initial days feel completely overwhelming and it may be difficult to do anything else other than attend to the baby.

How often should I feed my baby

At this stage it is much too early to worry about whether or not you will feed your baby on demand (and we shall look at this in the next chapter), or any questions of how long and how much. You should feed your baby as often and for as long as he seems to want to. Your baby is learning too and as he learns and grows, his pattern will change as he manages to take in more milk. The newborn's stomach is about the size of a large walnut, so feeding has to be fairly frequent initially. Feeding will be the focus of your early days with the baby. Almost all mothers seem to have worries about feeding at some point is the baby getting enough milk Is he putting on too much too little weight Should I start solids yet It may be an anxious or difficult time now especially where you are recovering from a strenuous labour or struggling with sore nipples, but it is important to remember that all babies get enough to eat eventually and it takes time for feeding to establish. If things are going well,...

Separation From Your Baby

S ome babies need to go to the special c are u nit once they a re born, e ither because they a re very premature (see pages 1 14-15) or because they have a medical problem and need i ntensive treatment a nd monitoring. If your newborn goes to a u nit, you will be taken to see him as soon as is practical a nd then encouraged to spend a s much time as possible with him. Touching and stroking your baby will help you get to know each other a nd will help with the bonding process. Early skin-to-skin contact is encouraged by most hospitals your baby will probably be delivered onto your stomach. Early skin-to-skin contact is encouraged by most hospitals your baby will probably be delivered onto your stomach. The maternal instinct is very strong, and your b aby h as ways of attaching you to him initially. He will lie in your arms, quietly looking up at you h i s smell will appeal to you and vice versa. And th e first feedin g is an essenti al p art of th e bon din g process your baby will...

Your Babys Birth

A friend told me to look as my baby came out. It was the best advice ever a magical moment I'll never forget Happily, almost all births in the United States today end with a healthy mother and baby. And what a miracle it is Medical professionals continue to work hard to make childbirth as safe as possible and to foster an environment that's nurturing, supportive, and family friendly. But doctors and nurses aren't the only ones calling the shots today. In part, your birth experience will be shaped by your baby's needs and in part, by the decisions you make prior to the big day. This chapter focuses on the experiences and options you may have with the birth of your child. These include the people who will help you through pregnancy and delivery, the birth settings you may consider, the stages of labor and delivery, the possibility of a cesarean delivery, and the options in pain management. It also details common medical procedures that accompany labor, delivery, and after-birth baby...

Monitoring Your Baby

While you're in labor, your practitioner keeps an eye on your baby in a number of different ways to make sure that he is tolerating the whole process well. Most hospitals, and most practitioners, advise monitoring the baby's heart rate during labor. Although some low-risk patients may require only intermittent monitoring, other patients are better off with continuous monitoring. Sometimes knowing whether continuous monitoring makes sense isn't possible until you're in labor and your practitioner can see how the baby is responding. The following sections outline different ways your practitioner may monitor your baby. Your practitioner uses an internal fetal heart monitor when your baby needs closer observation than is possible with external monitoring. Your practitioner may be concerned about how your baby is tolerating labor, or he may simply be having difficulty picking up the heart rate externally if, for example, you're having more than one baby. The monitor is placed during an...

Care of your baby

Your health visitor will carry out a 'new birth visit' within the first month. She will be there to hear all about your experiences so far and to explain her role with your family until your child goes to school.The health visitor will invite you to bring your baby to the Baby Clinic once you are able enough and here you can have the baby weighed and discuss your progress or any problems with the health visitor or GP. You will also be offered a programme of immunisation for the baby in due course. At around eight weeks you will be offered a developmental check' or 'review' of your baby's progress with the GP or health visitor.

Meeting Your Baby

Usu ally bre athe almost as soon as they're out of the birth c an al, but i n c ase your b aby doesn't , th ere will be a pediatrician on hand who will clear his airways, administer a little oxygen, and kick start the bre ath i n g proc ess. The first breath your baby takes is vitally important. He is now dependent on oxygen and h is own ability to bre ath e. From the minute he is born, your baby starts usi n g h i s five senses to th e full looki n g at your a m o m o o Your baby's brain starts to react to totally different stimuli from those it received in the uterus. He can see well and focus clearly on objects about 1 Oin (25cm) away h e can tell the difference between shapes and patterns. Research suggests that newborns prefer stripes and angles to circular shapes, and yet faces are the most fascinating objects to your n ewborn baby. The epinephrine After nine months of anticipation, finally meeting your new baby gives rise to feelings of euphoria and joy. rush experienced during...

Building Nutritional Foundations

Your baby grows as a result of the process of cell division. When nutrition is deficient in the womb, cells divide less frequently, resulting in fewer cells in total in the baby's body, and hence a smaller baby. Your baby will also respond by using its own protein stores for energy. Undernourishment slows the growth process because of the lack of buildin g blocks, such as protei ns , in th e diet , and also bee ause of th e effect on h ormones that control growth, the most important being insulin. If your baby produces less in sulin th an n ormal this slows its growth and can h ave effects into adult life. This vital organ plays a key role in your baby's development. Difficulties encountered in late pregnancy often origin ate from how the placenta embedded and developed in early pregnancy. An effici ent pi ac enta in th e first trimester will ensure a good maternal blood supply, carrying a full range of nutrients to your b aby and en ablin g its organs to develop and grow.

Windows Of Opportunity

Exposure to toxins, all of which can affect growth. Within each trimester, you will find windows of opportunity features. These will help you to understand how your baby develops and when particular organs are undergoing vital periods of growth. During these windows there may be key nutrients that you c an focus on as part of your varied diet, to ensure that a specific organ maximizes its potential for growth and development. By improving the quality of your baby's life before birth, you can enhance her potential for health after birth and beyond. By improving the quality of your baby's life before birth, you can enhance her potential for health after birth and beyond.

Looking At Your Lifestyle

Your baby is constantly monitoring your stress levels by the amount of stress h ormones that cross the placenta into the fetal blood supply. The more stress hormones there are in your baby's blood, the more the outside world will appear to be a stressful place. A highly stressful pregnancy will affect the womb environment and mold stress circuits in the fetal brain. These altered stress circuits will affect how your child deals with stress as an adult.

Making Time For The Two Of

CONNECT WITH YOUR BABY 67 Talking to your baby sounds slightly eccentric I kn ow, but soon your b aby will be able to hear quite well and will respond to music and the sound of familiar voices. Verbalizing your plans and hope s to your b aby will familiarize it with your voice. Spendi n g time together and focusing on th e b aby is very important. Understanding what your b aby senses , feels , and experienc es and th e rhythms of its existence in the uterus (see pages 8 4 5 ) will help you do this.

First Hours After Birth

It is important to get a couple of hours' sleep as soon as you c an after the birth . Your baby needs emotional security, and for you to be emotionally present i n th e e arly days you need to rebuild your stores of en ergy. How you react to your baby and to th e situ ation s th at ari se will depend on how tired you are , so n o matter how tempting it is to keep goi n g while you are on a high, make sure you get the rest you n eed .

Bonding With Your Premature Baby

Th roug h po si tive touch (that i s, touch t h a t pro du c e s a po sit ive rea ct io n f rom th e ba by) a nd massage, you can play a rol e i n he I pi ng yo u r ba by recover du ri ng i ts ti me in the NICU. Stroking ca n hel p he r breath e more easily, and I etti ng you r ba by hoi d yo u r fi ng er may he I p ca I m her. If your baby is very sick, howeve r, touchi ng might cause bruising Even though your baby is very tiny, yo u ' I I soon b e a b I e to recog n i z e si g n s of whether to continue or to stop. She may a rch he r ba c k o r str etch he r a rms and As your baby grows and develops o r her g en e ra I hea I th i mproves, you'll be a ble to tou ch her more and build up to

The Benefits Of Breast Milk

The carbohydrates and fats in breast milk provide en ergy for your newborn to grow fats are p articul arly important for brain development. In additi on , bre ast milk contains a complete spectrum of proteins, ensuring your baby has all th e necess ary ' ' buildi n g blocks ' ' for ge nerati n g n ew tissue, as well as all the valuable vitamins and minerals your baby needs. Breast milk also includes antibodies that strengthen your baby's immune system. These antibodies represent a record of the diseases you h ave been exposed to and successfully fou ght off. Antibodies are especially important in colostrum, a thick , rich fluid that precedes milk. They give your newborn the edge in the survival stakes when she emerges from a sterile environment in which she had no exposure to germs. Antibodies help fi ght off germs and line the baby's gut, aiding digestion as well as immunity. Your breast milk is designed exclusively to fulfill the needs of your baby, gving him the best possible start...

The Power Of Positive Thought

But believe me, the disappointment will be ust as great . It's important to start connecting now your baby is Any emotion can nourish or deplete your nervous system . Negative thoughts or anxiety provoke a re sponse in your body and trigger the rele ase of stress hormones joyful thoughts encourage the production of endorphins while pe aceful thou ghts have a tr anquilizing effect. Your body and therefore your baby are a reflection of your experiences. Remember, throughout your pre gnancy, as your baby develops, it i s aw are of your sensations. I f you are h appy, sad, anxious, or c aim, it is detected in the uterine environment and picked up by your baby's nervous system. Being aware of this and connectin g with your baby from the beginning of your pregn ancy is the key to creatin g a nurturing environment conducive to healthy growth.

Essential Fatty Acids

Your baby cannot make its own essential fatty acids (EFAs), such as DHA (see page 21), and is dependent on you for its supply. Unless you are eating loz (30g) of nuts and seeds a day and 1 Ooz (300g) of oily fish a week, neither you nor your baby is likely to be getting enough. EFAs are particularly important for brain development. At around 24 weeks the baby's eyes are developing and light-sensitive cells in the retina start to accumulate more and more EFAs.

Stimulation In The Uterus

Why stimulate your baby The aim is to allow your baby to achieve its full Yo m y Talking to your baby Your baby hears your voice vibrating through your body. It learns to recognize the tone, speech , and voice patterns that are unique to you, and will recognize your voice instantly after birth. The sound of deep male voices passes through the abdominal wall more easily than the sound of female voices. The baby will recognize the male voices h eard most frequently but will prefer the sounds of its mother. Combine talking to your baby with rest and relaxation. Set aside 30 minutes or more a day preferably at the same time to be in a quiet place alone with your baby and talk.

Restoring Balance

I f pregn ancy doesn't occur j ust when you have planned. Think also about th e effects h i gh stress levels might have on your baby once you are pregn ant . And c onsider h ow stressful life might be on ce you are j u g gli n g th e demands of a young family. Start your stress management now

Brain Food

Your baby's most complex organ, its brain, begins to develop as early as 1 8 days after conception ( see page 5 4). The vital essential fatty acids needed must come from you since the fetus cannot manufacture its own (see page 21). If you do not h ave enough, the fetus will substitute inferior fatty acids, which may have long-term effects on its brain and nervous system. If you stay within the recommended boundaries of weight gain, you will ensure optimum health for your baby. If you stay within the recommended boundaries of weight gain, you will ensure optimum health for your baby.

Calcium

Calcium is needed throughout pregnancy, but it is especially important in the second trimester for your baby's bones (see pages 76 7). If your intake is low, c alcium from your own bones will be used to meet your baby's needs, a process that can weaken them. Calcium also helps keep blood pressure normal and may reduce the risk of preterm delivery. Pay c arefull attention to your calcium intake during this trimester. For optimum absorption of calcium from food or supplements, you need adequate supplies of vitamins C and D and phosphorus.

Weight Watch

You need to eat a n extra 300 calories a day i n the second trimester because your baby i s growing rapidly. This equates to a sandwich or a bowl of cereal, so i t's not a great deal. Gaining about 11b (450g) a week is a good sign that you're getting e nough calories. Many women are surprised at how hungry they a re during the second trimester, but the placenta i s producing hormones that will stimulate your appetite so that you eat enough to fuel the baby's growth.

Sensory Experiences

It develops over th e nin e months of pregnancy. While growing in your uterus, your baby is ve w p b , From about the time you feel the first kicks, your b aby c an h e ar. The most distinguishable sound is your heartbeat . Your baby is more aware of this Tastebuds have developed by six months. Your b aby is fl o atin g i n warm amniotic fluid, which it dri nks regularly. The flavor of the fluid varies dependi n g on your di et . Your baby has to get used to vario us t astes to h elp it apprec i ate your milk after birth . Studie s sh ow food preference s develop duri n g pregn ancy women who drink a lot of c arrot j ui ce h ave b abi es who like carrots, for ex ample. This is called dietary imprinting and may have evolved to ensure that babies are born knowi n g which foods are safe to eat and which are not . Allergies are now thought to be triggered in see Throughout pregnancy, and especially during the last three months, your uterus contracts regularly. These tightenings are known...

Babys Movements

Is now serene and calm, whereas my son never stopped moving and still doesn't Just get used to whatever your baby's pattern of activity is and be mindful of any dramatic change. (Some midwives suggest drinking a glass of cold water if the baby h asn't moved for a while )

Brain Development

Potenti al so it i s important to stimulate your baby while it is in the uterus (see pages 84 5).If your b aby receives few stimulations, you reduce the number of connections or synapses as the cells are loosely wired and will die. environment and your behavior. Your baby can h e ar soun d and see li ght it i s affected by your e atin g patterns i f you are i n a Jacuzz i , the uterus wa m o xe o y, o by If your diet is lacking in LCPs, your baby will most likely obtain the AA and DHA it requires from your brain. This may be one explanation for th e poor con centrati on , poor memory, forgetfuln ess, and va gue ness th at many women find they experie nee later i n pregn an cy.

Protein Requirements

The amino acid glycine is now recognized as the driving force behind growth, playing a key role in the production of proteins. Your baby obtains glycine from your blood supply and from the placenta. Your intake of glycine comes from the protein in your diet (see page 1 3 4) . The growing baby's demand for glycine is between 2 and 1 0 times greater than usual, and is also 2 to 1 0 times greater than the need for any other amino acid.

Countdown To Labor

You will have started prenatal or active birth classes and will be learning techniques to help cope with the birth. Visualize your baby and communicate with it. Start massaging your perineum with oil to increase its flexibility and stretchiness ready for the birth. Stock up on iron-rich foods. the best position for your baby when you go into labor is an n n

Difficult Journey

It is n ow thought that the fetus determines when pregnancy is over and labor should begin. It might be triggered by h unger and a rise i n Cortisol levels. Your baby's epinephrine levels and heartbeat will re ach th eir h i gh est ever, an d th e surge in stress h ormones increases blood flow to the heart, lungs, and brain in prepar ation for birth .

Focus On Bonding

B onding is sometimes described as a magical thing that i s supposed to h appen the instant you see your baby. This makes women panic if it doesn't happen right away. S ome n ew mothers are in pain, or they're very uncomfortable or exhausted to the point that they cannot h old their baby, and they feel guilty as a result. If you h ave h ad a tr aumatic delivery and the baby is bruised, or maybe its head i s a little misshapen, you may be shocked because your image of a beautiful baby being placed in your arms falls a little short of reality.

Dealing With Stress

How well you cope with that stress will be reflected in your baby's experien ce. The more uninterrupted sleep you Like many new mothers, you may worry about how good you'll be at interpreting your baby's needs. B ut it's h ard to get it wrong for a baby if you answer his basic needs for warmth, love, food, and to be changed into clean diapers. If you're anxious, you will have greater difficulty managing those needs, but in time you will build up confidence. Babies are creatures of h abit they like a regular pattern of events. You may not get anything else done but just accepting this fact will help you. Establishing a sleeping and feeding routine will not only keep the baby h appy, it will keep you sane.

Your Emotions

You will run the whole gamut of emotions in the days and weeks to come. You will get cross and frustr ate d, which is perfectly normal. You may also feel your con fidenc e slippin g away. The best way to build th is b ack up is to spend time with your baby. It ' s e asy to see why these emotional surges h appen . Immediately after the birth, you're elated th en your milk comes in and your breasts might be sore, and your baby may be irritable bee ause h e c an't suck e asily. Your hormones are minute you're laughing, the next you're sobbing your h e art out . Try to get out to meet other new mothers, from your prenatal class for example, or j o in a postp artum exercise or yoga class. Accept any offers of h elp from family and friends, and if th i n gs re ally do st art to get you down , wrap your baby up an d t ake h im out for a walk. You will always come back feeling happier.

Baby Massage

Th e re i s a di ffer enc e of o pi ni o n a mong professionals a bou t when you should start massaging your baby. Some be I i eve between three and four months, but I think you can sta rt ri g h t away a s I on g a s yo u r ba by i s h ea I thy a nd you choos e a ti me when he is alert and ready for some sti mulation. Don't massage just before a feeding or too soon a fter. Make sure you've got lots of time and c o nc e ntra te o n what you're doing don't, for example, try to massage while you watch television. And don't break th e sp el I by making sudden movements. You need baby massage oil, a warm room, and a comfortable space for your baby. Make sure she is not col d, tu r n th e I i g hts down , a nd wash and warm your hands befo re yo u b eg i n .

Having Fun at the Doctors Were Serious

Usually you feel fine, and some women feel better than ever. If you're lucky, the office is cheerful, filled with women your age, some of whom you might like to know. You can spend a few minutes chatting or reading magazines. Then you are seen by a (usually) solicitous nurse-practitioner, midwife, or doctor. You get to ask all the questions and describe all the strange and wonderful sensations that are beginning to bore your friends. Chances are, you will walk out with reassuring news about your baby and helpful suggestions about any discomforts you feel. Thanks to a special stethoscope, you get to hear your baby's heartbeat earlier than you otherwise could. And you may even see your baby moving, kicking, and sucking her thumb on a routine sonogram. You feel more and more like a parent.

Preparing Your Home and Family

Preparing your home for a baby can be an important part of preparing yourself to be a parent. Your child-to-be, and your new role, will begin to seem more real. Whether you're pregnant or adopting, getting ready will help you pass the time until your baby arrives and will make your life easier afterward. Plus it can be a lot of fun In this chapter, we'll discuss how to prepare the members of your household including you, your partner, and your toddler if you have one for a new arrival. We'll also explain how you can make your home safe and comfortable for your new baby. And finally, we'll give you the lowdown on stocking your home with baby gear essentials it's never easier to fall prey to slick marketing and pushy salespeople than when you're a new parent shopping for your first baby. We'll show you how to prioritize and what you'll never miss.

The beginning of our journey

My own journey into pregnancy and childbirth began many years before I had children myself. As a newly qualified clinical psychologist, in my first job, I saw many women who were distressed and struggling with their life and so often their problems were to do with the struggle of being a parent. As one father said to me, 'Why doesn't someone write a rule book and just make it easier for all of us ' Well, I soon realised that there was no rule book but many common themes did emerge the juggling of responsibilities, the loneliness of women cut off from their former life, the sense of losing your identity and balancing your adult needs against the usually more immediate needs of your baby. We can learn a great deal from Sylvia's experience about the sort of care and support that women need when they have a baby. It is important to understand what is happening to you and your baby throughout your pregnancy and childbirth. Medical professionals involved in your care should explain exactly...

Stocking Your Home with Baby Gear or How Much Stuff Does One Baby Need

Stores, catalogs, and Internet sites teem with gear and gadgets for the youngest among us. Much of it is unnecessary, especially in the beginning, when your infant is fully engaged in eating, sleeping, and encountering his body and the few inches of world just beyond it. But well-chosen baby gear can make parenthood more pleasant for you and safer for your baby.

Bedding and Accessories

For your baby's crib, bassinet, or cradle, you'll want safe bedding and accessories. Look for these A crib bumper. This is a padded length of fabric that runs around the inside of the crib and ties onto the bars. Trim the ties to six inches to prevent a choking risk. Once your baby can stand, remove the bumper so your baby can't use it as a stepping-stone to climb over the bars. The American Academy of Pediatrics recommends you consider using a sleeper (a warm sleep outfit) instead of a blanket to avoid having anything in the bed that might cover your baby's face, causing suffocation or increasing SIDS risk. If you do use a blanket, choose a thin one. Place your baby's feet toward the foot of the crib, and tuck the blanket around the foot of the mattress so it reaches only to your baby's chest.

Grooming and First Aid Supplies

When it comes to creams, oils, and soaps, the current wisdom is less is better. In the beginning, you can wash your baby with lukewarm water alone later you can use a mild, unscented soap and a no-tears baby shampoo. Most babies do not need skin lotion or oil, and some may even develop a rash from mineral oil (baby oil). If your baby's skin seems dry, you can use an unscented moisturizing lotion. All you need in the way of grooming products are a baby brush and comb and curved baby nail scissors or a baby nail clipper. For newborns, some people prefer to use emery boards instead of clippers or scissors they can be safer for such tiny nails and just as easy to use. In Chapter 28, First Aid and Emergency Care, we list the items a general first-aid kit should have. Here are some additional items to include for the care of your newborn Infant acetaminophen (such as infant Tylenol), a fever-reducing medication. You should use this only after talking with your child's doctor. Until your...

Some Nonbasic Gear to Consider Baby Bathtub

The tub should be made of plastic that is heavy enough not to bend under the weight of a full load of water. It should have a plug for draining the water. It should have a slip-resistant bottom, and it should be shaped so it holds your baby in a semi-upright position on a slip-resistant surface. For a longer period of usefulness, get a tub good for infants and toddlers. Indentations to hold washcloths, soap, and a cup (for rinsing) are nice features. Whatever you choose, don't use the tub or submerge your baby's belly into water until she's a couple of weeks old and the umbilical cord stump has healed. Until then, just use a washcloth or sponge for daily cleaning. For more on bathing, see Chapter 11, Baby-Care Basics. Baby monitors let you eavesdrop on your baby's cries, sighs, and breathing when she is out of sight. They consist of a transmitter placed near your baby and a portable receiver that can be placed in another room or carried around. Volume is adjustable, and some have...

Plan Ahead to Get Dad or a Close Friend Involved

Talk with your doctor or labor assistant about ways that your baby's father or a close friend can participate in the birth (if they choose to do so). Certainly Dad should not be forced to do anything that would make him uncomfortable (yes, sometimes men do pass out in the labor room these days ). But, for example, many dads today treasure the memory of cutting the baby's umbilical cord, holding a mirror so that his wife can see the baby come out, and helping in other ways in the labor room. Don't wait until the last minute to talk with your partner and doctor about ideas. Many men, if prepared for what to expect in advance, are eager to get involved

Optimize Your Medical Conditions

Controlling your medical conditions such as diabetes mellitus and hypertension improves the prognosis for you and your baby. Consult your obstetrician early as pregnancy could be complicated with such medical conditions. If the medical conditions are well-controlled before you conceive, you are more likely to have a smooth pregnancy and a healthy baby.

2832 weeks 3236 weeks

If you're on Income Support, income-based Jobseeker's Allowance or Working Families' Tax Credit, you can claim a lump sum Sure Start Grant to help buy things for your new baby (see Rights and benefits, pages 131-2). If you have young children, spend time getting them used to the idea of a new baby. You'll probably be attending antenatal care weekly until your baby is born.

If Theres a Problem at Birth

If a birth defect was discovered prenatally or if a serious problem was suspected before birth, your obstetrician will prepare you for what will happen after delivery. In this case, you will need to make sure that your baby is delivered at a hospital that can provide the best care for him. In cases of serious congenital problems or extreme prematurity, the best facility is almost always a tertiary care hospital with a neonatal intensive care unit (NICU) or special care nursery. (See Chapter 6, Premature Babies, for more on prematurity.) If you know your baby will need special care after his birth, you can visit the NICU or special care nursery in advance and meet the team that will care for your child. The team may include a neonatologist (a pediatrician specializing in care of newborns), a pediatric anesthesiologist, and a pediatric surgeon, as well as neonatal nurses and nurse-practitioners. A social worker should also be available to help you find services your child may need, and...

Antenatal care and antenatal classes page

Antenatal Care Dental Care

Dental care is free during pregnancy and for a year after the birth of your baby. Begin to think about how you want to feed your baby (see Feeding your baby, You may be offered an ultrasound scan which will show your baby moving. Your partner may like to see this too (see Antenatal care and antenatal classes, page 51).

Information about morning sickness

Once conception has occurred, an amazingly complex physiological process gets under way with remarkable speed. By 12 weeks your baby is fully formed, in that it has all its organs, muscles, limbs and bones, although it would not be 'viable' or able to live outside of the womb until at least 24 weeks. This is a staggering achievement for your body, and with such rapid development of the baby perhaps it is not surprising that we feel a little swept off our feet at times.When we consider the remarkable processes going on within the woman's body, it is perhaps more difficult to understand why some women feel nothing at all.

Degrees of Prematurity

The further from term your baby is born, the more immature his physical development will be. The more immature your infant is, the more difficulty he may have breathing, eating, and regulating his body temperature. Your baby has a lot of growing to do before his physical appearance (and internal organs) can be compared to that of a full-term baby. Don't let that bother you your baby looks exactly as he should for his gestational age, and that makes him beautiful. (Gestational age is the number of completed weeks of pregnancy at the time of birth.)

Special Care During Pregnancy

If your pregnancy is complicated by any condition associated with premature delivery, your obstetrician may have you see a perinatologist (a doctor who specializes in the complications of high-risk pregnancy) and a neonatologist (a doctor who specializes in the care of newborns with special needs). The perinatologist, along with your obstetrician, will follow your progress through your pregnancy, seeing you periodically while performing necessary tests and procedures. The neonatologist can provide you with information about caring for an infant born prematurely. In addition, if you are at risk for a premature delivery, you should arrange to have your baby in a hospital that can provide you and your baby with immediate and intensive care. Infants born very early may need the specialized care and support provided only by the intensive care nurseries of selected hospitals.

Youre in Premature Labor Now What

If it seems appropriate to stop the labor, you may be placed on bed rest and given fluids to determine if rest and hydration will ease your labor. If labor persists, your doctor may try using medication to suppress further progress. In preparation for the possibility of an early delivery, your obstetrician may give you a steroid medication such as betamethasone (Celestone) to speed up your baby's lung development and thus improve her chances of survival. (This is most effective if it is given more than 24 hours before delivery.) But despite the best medical care, premature labor cannot always be stopped.

Preparing for Early Delivery

While you are in early labor, your obstetrician may ask a member of the special care nursery (SCN) team to speak to you about the care your baby may need if delivered early. This person can give all the information that's available at that time Of course, you will want to know the chances for your baby's survival but before delivery, this is difficult to determine. Many factors must be considered. The most important of these are the baby's gestational age and weight, the severity of breathing problems, the presence or absence of diseases and infection, and the presence of birth defects. You will also want to know what the chances are that your baby will have a disability or handicap. Common minor disabilities associated with prematurity include short attention span, learning problems in school, and poor coordination. Significant handicaps include mental retardation, inability to walk without assistance, blindness, and deafness. Full-term infants can also be born with these problems,...

Neonatal Transport Team

When a premature birth is expected, delivery arrangements are made in advance at a hospital that has an intensive care nursery. But when the early arrival is a surprise and occurs in a hospital that is not equipped to care for infants born prematurely, your baby should be transported immediately to a larger facility that can best handle his special needs. The neonatal transport team from the referral center, along with a physician or nurse-practitioner, nurse, and respiratory therapist, will transport your infant by helicopter, airplane, or ambulance to the designated regional center. In most cases, you will be able to visit and touch your baby before he is transferred, and you will meet and talk with the medical staff from the referral center who will be caring for your baby during the transport. They will give you information about the referral center and provide you with directions and phone numbers to keep you in touch with the staff caring for your baby. If possible, the nursery...

What does it mean to be a mother Changes for women

The role of 'mother' is therefore ever changing and this uncertainty for society about what exactly a mother is can make it more difficult for the individual woman to assume the role. This may add to or generate a sense of insecurity in late pregnancy. What exactly does it mean to become a mother Is a mother someone who works outside of the home Do mothers go clubbing Do they instinctively know how to care for a newborn baby In effect, women construct for themselves the role of 'mother', being influenced both by the wider society and their own needs, preferences and responses to their baby. Your early interactions with the baby will shape your perception of yourself as a mother if your baby is born of very low birth weight your experience will be very different to a mother who gives birth to a 9 lb baby. Your view of yourself as a mother is not static it will change as you have good times and bad times and as your child displays different needs and demands. When looking at this...

Overwhelming Emotions for Parents

Having a premature baby is one of the most stressful experiences a parent can have. If you deliver prematurely, you may be in shock initially, completely occupied by the problems surrounding your baby's early delivery. It may be difficult for you to think clearly and remember what has been said. You may need to hear the same information repeated several times. You may experience feelings of denial, not wanting to believe the whole event is occurring. You may wish you could just wake up from this bad dream. You may feel angry that your baby is sick and feel sad that you did not deliver the full-term baby you had planned for and dreamed about. It's common for families to experience symptoms of anxiety and depression during this time. Some parents turn to their extended family, friends, and clergy or seek professional help. The doctors, nurses, and social workers in the newborn special care unit can be wonderful sources of support as well. Many units have parent support groups comprised...

Body Temperature Control

Premature babies do not have adequate layers of insulating tissue and fat to allow them to maintain their body temperature. Your premature infant needs an artificial heat source, like an open bed with an overhead heater or an isolette, to help her stay warm. Your baby's temperature and the temperature around your baby are constantly monitored to ensure proper heat control. As your baby grows and matures, she will be able to maintain her temperature in an open crib or bassinet bundled in blankets.

Using recreationalillicit drugs

Many studies have evaluated the effects of drug use during pregnancy. But the studies can be confusing because they tend to lump all kinds of drug users together, regardless of which drugs they use and how much they use. The mother's lifestyle also influences the degree of risk to the baby, which complicates the information even more. For example, women who abuse drugs are more likely to be malnourished than other women, they are typically of lower socioeconomic status, and they suffer a higher incidence of sexually transmitted diseases. All these factors, independent of and added to drug use, can cause problems for your pregnancy and for your baby. Q On my Caribbean vacation, I enjoyed some pina coladas on the beach. I didn't find out I was pregnant until a few weeks later. Will my baby have birth defects

Feeding and Nutrition Challenges

A few days after delivery, premature infants are given a special fluid called hyper-alimentation solution through an IV or umbilical catheter, which will provide fat and protein, along with vitamins and minerals in addition to sugar. Then, when your premature baby is strong enough, feedings of pumped breast milk or formula may be started. Depending on gestational age, your premature infant may not yet be able to coordinate sucking, swallowing, and breathing. Therefore, the initial feedings may need to be given through a feeding tube placed in your baby's mouth or nose and threaded down to the stomach. The feeding may be given as a slow constant drip, called a continuous feed, or a small amount may be given every few hours, called gavage or bolus feeding. Either way, the feedings are slowly increased as the intravenous infusion is decreased. During tube feedings, your baby may be offered a pacifier or the breast that is empty of milk to encourage and satisfy the infant's desire to...

Patent Ductus Arteriosus

If the ductus is small, your baby's doctor may wait to see if it closes on its own. While the ductus is open the doctor might decrease the amount of fluid the baby is receiving and administer a medication, called a diuretic, to decrease the fluid in the lungs. To treat the patent ductus arteriosus (PDA), the doctor may use a medication that causes the ductus to narrow so less blood flow can go through it. If the ductus does not close with medication, the PDA may be tied off (ligated) surgically through an incision in your baby's chest.

Necrotizing Enterocolitis

Because NEC is life-threatening, premature infants are monitored closely for the condition. If your baby's doctor thinks your baby is developing NEC, his feedings will be stopped, and fluids will be given through a small plastic catheter placed in a vein. A tube will be placed into the stomach from the nose or mouth to drain air and fluid from your baby's stomach and intestines. Your baby will be started on antibiotics and will be monitored closely with blood tests and frequent X-rays of the intestines.

Retinopathy of Prematurity

The ophthalmologist will examine your baby's eyes for orderly growth of the blood vessels. Babies with stages I and II ROP do not usually need any treatment, and the abnormal growth corrects itself. Close follow-up is needed. Stage III cases may need treatment with laser therapy (destroying the vessels with heat) or cryotherapy (freezing the vessels). Without treatment the abnormal growth of blood vessels can cause scarring and distortion of the retina, even retinal detachment and blindness. Treatment of ROP decreases the chances of blindness but cannot always prevent it. Myopia (nearsightedness), amblyopia (lazy eye), and strabismus (crossed eyes) can develop as a result of ROP.

Taking Your Infant Home

As the time to go home approaches, the staff at most nurseries will allow you to room in for several nights at the hospital to become more comfortable with your infant. Often, the nursery staff will arrange for a visiting nurse before and after your discharge the nurse will help you and your baby settle in at home. You will need to know the date and time of the home visit or who will be contacting you to set this up. Before discharge you will want to learn to properly position your baby in a car seat. Many nurseries monitor premature infants in car seats before discharge. Once you have selected which physician will be caring for your baby after discharge, you will want to make an appointment to see the doctor shortly after discharge. Your baby may have additional appointments with other specialists or services, such as the early intervention program or a neurologist, a doctor who specializes in problems of the brain and nervous system. If your baby is a boy, decide if you want him...

The Voice of Experience K

Breast-feeding and bottle-feeding each has advantages and disadvantages. The final decision is a personal one that only the mother and her partner can make, based on what they think is best for their family. Either way, you can have a healthy, happy, well-adjusted baby. Either way, you can be good, loving, nurturing parents who will bond with your baby. Either way, you should not feel guilty about your If you're not sure what you want to do, consider giving breast-feeding a try. After all, you can always switch if you don't like it. But if you start out on the bottle and later want to try breast-feeding, you may not be able to get the milk flowing. Besides, even a few weeks of breast milk can help protect your baby from illness at a time when his immune system is not yet fully functioning. If you try, you may find it easier than you expected and more rewarding than you imagined. Let's look at some of the issues concerning infant feeding. If you're undecided how to feed your baby, this...

What to expect The Second Trimester

One cool thing does occur in the second trimester you can actually feel your baby inside your wife. The baby makes its presence known through kicking presumably in some form of Morse code that only babies can understand. While the kicking might be a slight annoyance to the mom, it will be the ultimate in coolness to you sort of like the feeling you'd get if you could watch four football games and the Playboy channel at the same time. This will probably be the first time when you actually realize that, Yes, there is a living, growing, little future Hall of Famer inside of there. The only downside of

Taking Stock of What Youre Taking In

Sticking to a well-balanced, low-fat, high-fiber diet is important not only for your baby but also for your own health. Consuming adequate protein is also important because protein carries out many of the body's functions. The fiber in your diet helps to prevent or reduce constipation and hemorrhoids. By not consuming too much fat, you help keep your heart healthy and avoid putting on extra pounds that may be difficult to shed. Avoiding excessive weight gain also decreases your chances of developing stretch marks. To read more about stretch marks, see Chapter 7.

Stress on the Parents

Once nursing is going well, breast-feeding can be more relaxing than bottle-feeding. If your baby sleeps in your room, you won't have to get up for a bottle. Travel with your baby is simpler. And many women report that nursing triggers deep feelings of relaxation and well-being (perhaps linked to hormonal changes).

Avoid eating peanuts and foods containing peanut products

(e.g. peanut butter, unrefined groundnut oil, some snacks, etc.) if you or your baby's father or any previous children have a history of hayfever, asthma, eczema or other allergies. This may reduce the risk of your baby developing a potentially serious allergy to peanuts. Read food labels carefully and, if you are still in doubt about the contents, avoid these foods. Avoid eating shark, marlin and swordfish, as these types of fish contain high levels of mercury which can damage your baby's developing nervous system.

Debunking popular food myths

Many of the foods that have at one time or another been thought dangerous for pregnant women aren't likely to harm you or your baby. Although you don't have to avoid the following foods, they should be eaten in moderation, especially those that are manufactured (as opposed to natural) products. Smoked meats or fish Many pregnant women worry about eating smoked meats and fish because they've heard that these foods are high in nitrites or nitrates. Although these foods do contain these substances, they won't hurt your baby if eaten in moderation.

The Crossover or Cross Cradle Hold

This is similar to the cradle hold except that you hold your baby in the arm opposite the breast you are using. Lie on your side, put your baby on his side facing you, and hold him with your top arm so his neck rests in your hand, with your thumb and fingers supporting the back of his head and your arm supporting his back. Then lift him to your breast. Because you have more control over your baby's head, this hold can be helpful with babies who are having trouble latching on (taking the breast into their mouth in the proper way).

Havent had a chance to think about my pregnancy building a relationship with the baby

As the pregnancy progresses, the baby begins to 'communicate' with you little kicks and movements can be felt. Eventually when looking at your bump you may be able to make out how the baby is lying, where he likes to be. At ante-natal appointments you will hear your baby's heartbeat and at the mid-pregnancy scan you will see your baby in some detail right down to the four chambers of his heart. You may also decide to find out whether you are having a boy or a girl. It becomes easier therefore to begin to imagine what this little person might be like. If he kicks a great deal, you might imagine him to be a lively, active baby and if this happens in the middle of the night, you may fear that he won't be a good sleeper You may now be 'trying out' names and imagining many things about what your baby might look like or what his personality might be. For some women, especially in a second or third pregnancy, you may feel you haven't had a chance to think about the baby but it's never too...

Typical Nursing Session

Let your newborn nurse as long as she wants on one breast, then burp her and switch her to the other breast. Because your baby is likely to nurse more from the first breast, alternate the breast you start with. You can keep track by moving a safety pin or piece of ribbon from one strap of your nursing bra to the other. Some of the parents who responded to our survey recommended switching a watch from wrist to wrist to keep track. Once your milk comes in, you will want to continue to make sure that your baby empties at least the first breast each session, rather than taking a little from each breast. That's because the first milk out of the breast, called the foremilk, has less fat in it than the milk at the end, called the hindmilk. You want your baby to get enough hindmilk to grow well. In most cases, let your baby nurse as long as she wants. Usually she will stop on her own or fall asleep while sucking. If she seems to suck endlessly more than an hour in each session check with your...

Comparing forms of exercise

Downhill skiing, water-skiing, and horseback riding put you at risk of falling with significant impact, which could injure you or your baby. Although these activities may be fine early in pregnancy, talk to your doctor before doing them in your second or third trimester. Cross-country skiing is less risky, especially if you're experienced.

What About Problem Foods

Proteins and other substances from foods you eat can be passed on to your baby in your breast milk. If there are allergies, asthma, or eczema in the family, your doctor may advise you to drink little or no milk while nursing. He or she may suggest that you avoid other foods that are most likely to cause allergies, such as peanuts, soy, fish (including shellfish), egg whites, and wheat. But if allergies or asthma do not run in your family (and you don't have any yourself), you can eat just about anything you enjoy, including spicy foods. To minimize trouble, eat a variety of foods in moderate amounts rather than eating the same thing every day or having huge helpings of a single food. If you suspect your baby is reacting to something you ate, becoming fussy or refusing to eat, try eliminating the food for a few days or a week. If the symptoms disappear, try eating the food and see if they recur. The foods you eat may flavor your milk, and some babies may simply like or dislike certain...

Alcohol Cigarettes and Medication

Alcohol gets into breast milk, which means it gets into your baby so be careful. But one beer, one shot of whiskey, or one glass of wine will not harm a breastfeeding infant. If you sometimes have several drinks in a row or have a drinking problem, discuss this with your baby's doctor. You should not breast-feed if you drink excessively. Don't assume that herbal remedies are safe because they are natural. Some herbs can be dangerous to you and your baby if taken in large amounts and can harm your milk supply. In addition, depending on the source of the herbs, it can be hard to know exactly what's in them. To be safe, check with your baby's doctor before taking any herbal remedies.

Weaning Earlier than One Year

Despite the experts' recommendations, most women stop breast-feeding before their child is one year old. This is an issue you must decide based on what's best for your baby, your family, and you. If you wean from the breast well before the child is one year old, you will need to switch to formula before a baby is one, he should get formula, not regular cow's milk. If your child is close to one, you may want to try switching to formula and a cup, rather than a bottle. If you do switch to formula, be sure to read the next chapter, which is full of tips for making bottle-feeding nourishing and healthy.

AntenataC Bfood Tests

This test will also enable doctors to screen for thalassemia, an inherited genetic condition that may be transmitted to your baby (see Chapter 12). Though less common, your baby may be severely affected if your partner is affected as well. More blood tests such as hemoglobin electrophoresis and DNA tests may be performed to confirm this diagnosis. Secondly, it helps to determine your Rhesus (Rh) status. You may be Rh positive (majority) or Rh negative (minority). If you happen to be Rh negative, you may require further injections (Rhogam) during the course of your pregnancy to prevent harmful antibodies from being produced that may harm your baby. Your doctor will discuss this in greater detail should you require this.

Types of Baby Bottles

Bottles come in various types which ones you choose will be a matter of your own and your baby's preference. You can try a few types, if necessary, and then stock up on the ones your baby prefers. 2. Bent neck. The bent neck allows you to hold the bottle at a more comfortable angle while still keeping the nipple filled with formula this prevents your baby from swallowing air. Filling bent-neck bottles, however, requires more care to avoid spills. You'll also see bottles with novelty shapes hourglass shapes, footballs, loops, and handles that make holding the bottle easier for a baby. For an infant, however, you want a bottle that is easy to clean (without a lot of odd-shaped crannies) and has easy-to-read markings (so you can see how much formula is left). Your newborn will not be feeding herself, so the handles are unnecessary.

Do You Need to Sterilize Bottles Nipples and Water

Talk to your baby's doctor about sterilizing bottles, nipples, and water. Some doctors recommend sterilizing bottles and nipples for the first three months of your baby's life. Others think this is not necessary if your water comes from a municipal water supply that is chlorinated, but they recommend sterilizing if you use well water or another nonchlorinated water supply. In addition, whatever your water supply, package labels often recommend sterilizing before a new item a nipple, bottle, pacifier, or teething toy is used for the first time. If you use powdered or concentrated formula, you'll need to mix it with clean water either tap water (from the cold tap) or bottled water. If your child's doctor thinks your baby needs sterilized water, boil it for five minutes, whether it's bottled or tap water. (Bottled water is generally not sterile unless it is intended for medical use and is labeled sterile.) Don't boil water so long that a lot of it boils away that could concentrate any...

How to Prepare Formula

Newborns should be fed at the first sign of hunger and allowed to eat as much as they want at each feeding. Feed your newborn whenever he shows signs of hunger, says the American Academy of Pediatrics (AAP). Early signs of hunger include increasing alertness or activity, mouthing objects, and rooting with the mouth. Don't assume that if your baby is not crying, he's not hungry. Crying is a late sign of hunger by the time a baby is howling, he's already been hungry for a while. Plus, crying may be a sign of many other problems as well or of no problem at all Because formula takes longer to digest than breast milk, formula-fed babies generally go a little longer between feedings than breast-feeders. For the first month or so, a formula-fed baby will usually eat every three to four hours, round-the-clock. In the first week or if your baby is particularly small, she may eat even more frequently. If your baby sleeps longer than four or five hours between feedings, wake her up and offer her...

Talking to your unborn child

Your best course of action is to grin and bear it, and hope nobody is watching you on a hidden camera or something. It will help you get through this if you talk about subjects that are near and dear to your heart, such as your favorite TV shows and sports teams. This will allow you to keep at least some semblance of your manhood. Plus, if those wacky scientists are right, your baby will be born with incredible taste. Of course, the best benefit from all this will be you'll get a happy wife, and a happy pregnant woman is much easier to deal with than a non-happy one.

Going to Your First Prenatal Appointment

After the at-home pregnancy test reveals the news, set up an appointment with a practitioner. Make visits to your practitioner a regular part of your pregnancy, not only to ensure your health, but also to ensure your baby's health. Your first prenatal visit may be your first meeting with the practitioner who will guide you through your pregnancy. (If you don't already have a practitioner selected, see Chapter 2 for information on the kinds of care available and tips for choosing a healthcare provider.) Or you may have a long-standing relationship with an OB GYN or family-practice doctor with whom you've already discussed many of the topics that are typically covered at an initial prenatal visit.

Lean meat fish poultry eggs cheese beans and pulses are all

Dairy foods like milk, cheese and yoghurt are important as they contain calcium and other nutrients needed for your baby's development. Choose low-fat varieties wherever possible. You can get seven pints of milk free per week if you are on Income Support or income-based Jobseeker's Allowance (seepage 131).

The Importance of Latching On

Nursing experts agree that the way your baby latches on (positions her mouth on the breast) is the key to comfortable, productive nursing. Your baby should take as much of your areola (the darker circle around the nipple) into her mouth as possible, with her gums resting not at the base of the nipple but at least an inch down the areola (see Figures 9.3a c). Milk is stored in reservoirs under the surface of the areola. When your baby sucks, her tongue presses the areola against the roof of her Whether you feed your baby by breast or bottle, feed a newborn whenever he shows signs of hunger, says the American Academy of Pediatrics (AAP). Such signs include increased alertness or activity, mouthing objects, or rooting with the mouth. Crying, notes the AAP, is a late sign of hunger by the time a baby is howling, he's already been hungry for a while. Newborns should be nursed 8 to 12 times in every 24 hours, each time until they don't want any more. Pediatric experts and many other...

Nuchal Translucency Scan Week 1114

In the recent years, ultrasound scans in the first trimester can be used to assess the risk of your baby being affected by Down Syndrome (Figure 14.3). This is done by a measurement of the skin fold thickness (nuchal trans-lucency) at the back of neck of the baby. If the neck fold is unusually thick, it may indicate that your baby may have Down syndrome (see Chapter 11). Other causes may include heart abnormalities or even other rarer genetic syndromes. This test is quite accurate to detect Down Syndrome as the detection rate is 80 in the hands of experienced doctors. So do consider this test, which is perfectly safe for your baby. If your baby is in an optimal position, ultrasound examination after 11 weeks may be able to visualize the baby's nose bone (known as nasal bone). The absence of the nose bone is a worrying sign, which increases the risk of Down Syndrome.

The Best Advice I Got Was L

When trying to determine if your baby has colic, the first thing to do is rule out illness as the cause for the crying. Colicky babies have a healthy sucking reflex and a good appetite. Usually, babies who are ill won't have the same strong sucking reflex, and they'll drink less milk. Colicky babies usually like to be cuddled and handled. Ill babies may not like to be handled despite their fussiness. Colicky babies may spit up from time to time, but if your baby is actually vomiting or otherwise seems sick, you should call your child's doctor. Even if your baby doesn't have symptoms of illness, The cause of colic is unknown it may be a mix of things or different things in different babies. Contrary to popular belief, doctors believe that colic is rarely, if ever, caused by a milk allergy or reactions to other food. Still, if you're breastfeeding and think you notice some relation between what you eat and your baby's colic, you could try dropping the suspect foods from your diet to see...

Human immunodeficiency virus HIV and Acquired

Current evidence suggests that an HIV positive mother in good health and without symptoms of the infection is unlikely to be adversely affected by pregnancy. However, 1 in every 6 babies born to HIV positive mothers are likely to be infected. HIV positive mothers may also pass on the virus through breast milk. If you're HIV positive, talk to your doctor about your own health and the options open to you, or contact the organisations listed on page 143 for advice and counselling. It is possible to substantially reduce the risk of transmitting HIV to your baby during pregnancy and after birth (see box page 54).

Screening Tests FTS or MSS

Baby Has Long Nasal Bone Down Syndrome

Screening tests do not tell you if your baby has Down Syndrome. Their purpose is to tell you if your fetus belongs to a low or high risk group. If the screening test shows that there is a high risk of your baby being affected, you will be offered a diagnostic test (see below) to confirm it. Screening tests are noninvasive hence, there is no risk of miscarriage to the baby. First trimester screening (FTS) This consists of a detailed ultrasound scan of your baby at 11-14 weeks gestation to measure the nuchal translucency (NT). NT is the skin at the back of your baby's neck (Figure 11.4). If this is increased above the normal range, most babies will still be normal although there is an increased risk of Down Syndrome, heart problem or rare genetic syndrome in some babies. Its accuracy is about 80 , and increases to 90 if maternal blood tests are done as well. This is known as integrated screening.

Care of the Umbilical Cord Stump

Don't be surprised if your baby's umbilical cord stump is blue. The color comes from an antibacterial dye used in many hospitals. To help prevent infection, swab the area with rubbing alcohol periodically until the cord stump dries up and falls off, usually in 10 days to three weeks. The infant's navel area shouldn't be submerged in water during bathing until this occurs. The withering cord stump will change color, from yellow to brown or black this is of no significance. But you should consult your baby's doctor if the navel area becomes reddened or if a foul odor or discharge develops. Sometimes, after the cord stump falls off, the navel area doesn't completely heal over with skin on its own, and blood-tinged fluid may

Using the Guide Effectively

Include a variety of foods from Canada's Food Guide to Healthy Eating, both within and among the four food groups to assure that you and your baby get all the essential nutrients. Get a copy of Canada's Food Guide from your PSP health promotion or fitness staff and use it to understand serving sizes and the number of servings you require.

Limiting the Guest List

Because your baby's immune system is immature, it's a good idea to limit his exposure to lots of visitors in the first weeks. Ask your child's doctor when it is appropriate to take your baby into crowds, such as taking a trip to the shopping mall. If a friend or relative has an infection, it only makes sense for that person to delay visiting until he or she is better. If a member of your household becomes ill, limit his or her contact with the baby. (Make sure this person doesn't cough in your baby's face or kiss your baby until he or she is recovered.) Everyone in the household should, as always, practice good hygiene, washing hands thoroughly before touching your baby.

Forgetfulness and clumsiness

Until she was pregnant, Joanne never would have believed that misplacing keys, bumping into furniture, and dropping things could be real side effects of pregnancy. We don't know of any medical explanation for these effects, but some women do feel they're more scatterbrained and clumsy. If it happens to you, don't worry. You're not losing your mind. Look at it this way Now you have an excuse for having forgotten your best friend's birthday. And rest assured you'll go back to being your brilliant, coordinated self after your baby is born.

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