Author Archive

Proper Umbilical Cord Care

Posted on October 27, 2009 by admin | No Comments

After birth, the newborn’s umbilical cord may change color. It can alter from green to brown to black. Not to worry! This is all part of the natural process as the cord dries out in preparation for falling off. This typically takes about 1-2 weeks.

During those days the only care needed is to keep the area clean and avoid bumping the cord.

The section around the navel is comprised of sensitive skin. Just press on your own navel even as an adult and you’ll see. It takes only modest pressure to feel discomfort. Babies are, naturally, a little more tender. No need to be paranoid, just cautious.

Keeping the cord area clean will help prevent infection. The skin is the body’s first line of defense against disease. It provides a physical barrier against bacteria, viruses, fungi and other organisms that are seen as ‘foreign invaders’ that provoke the immune system into a response.

But a baby’s immune system is still under considerable development for the first year. It doesn’t yet have all the normal complement of antibodies to counteract common germs. So, keeping the area flexible and free of dirt will help prevent those germs from getting inside.

It’s rarely necessary to swab the area with alcohol. In fact, a contemporary study suggests that this is mildly counterproductive. While not actively harmful, the cord will likely drop off a couple of days sooner if left alone.

But, babies are babies and the area can attract dirt, food and a host of other things. Again, not to worry! A little gentle wipe with a soft, wet cloth will do the trick. Sterile water is often all that’s required.

When a little more thorough cleansing power is needed, mild and well-diluted antibacterial soap with a soft cotton cloth can do a perfect job. Avoid ordinary washcloths if they become stiff and a little harsh after they’re no longer brand new.

If moisture gets trapped where it won’t dry out within a few minutes, the lowest setting of the hair dryer can help. Make sure the air doesn’t get hot though. A baby’s skin is very sensitive.

Avoid covering the stump with the diaper. Also, keep it folded down far enough so that the top ridge doesn’t push or bend the cord as the baby is moved around or picked up. Be sure to change soiled diapers right away to keep the area dry and free from possible infectious agents.

A sponge bath is best during this period. In theory it’s possible to use a tub filled below the navel. But babies will get tilted, slip and other movements will likely occur that splash the area with soapy water. A little drip from a sponge bath isn’t a disaster, but keeping water to a minimum is best.

Never succumb to the temptation to give the stump any assistance in falling off. It will do so naturally at the right time all on its own. Tugging can tear the skin and produce pain and possible infection.

Slings and Backpack Baby Carriers

Posted on October 21, 2009 by admin | No Comments

What’s old is new again. For thousands of years, mothers have carried their babies in slings on the back or near the heart. Though out of fashion in many Western countries for a while, they’ve come back into style with a vengeance. But this ancient idea has been adapted to modern times where it’s sometimes known as ‘babywearing’, with greatly enhanced benefits.

Slings are made of cloth or fabric, often nylon or some kind of blend. They’re flexible, comfortable for parent and baby, and provide a secure carrying method. They also provide a way of transferring body heat to keep the baby warm while offering physical closeness that is a value to both parent and child.

The styles available cover an astounding range.

Some are wraps that are modeled after ancient Asian methods. They coil around the parent’s back and waist, then wrap around to form a sling in which the baby can lie or sit securely. Others resemble a backpack with some of the pieces removed. The straps flow over the shoulders and a thick belt wraps around the waist.

Either model allows a baby to be carried in front or back, and both positions have their advantages. In front, the baby is close to the heart where it can see or touch the parent’s face. That creates a valuable bond that comforts the baby and will please any parent. Worn in back, the weight is distributed along different muscle groups, making it easier for a parent to carry the child for longer periods.

In either case, babies can be faced toward the parent or away, both of which also have their benefits. Facing the parent, the child is close and can see and feel they are protected. Facing outward, they can more readily explore the world, which develops perception and mental faculties, and also helps keep the baby occupied and satisfied.

Backpack-style carriers offer many of the same benefits, with variations. A backpack style is a little sturdier and offers additional places to attach harnesses and pockets. It provides a little stiffer frame so that babies can sit up more easily.

Backpack styles make it easier to shift the weight upward to the shoulders, where the baby can be ‘worn’ for long periods or distances. That’s especially helpful when taking nature walks or for long outings at the mall.

All the different styles come in every possible color and design. Some offer forest scenes, others may be covered with drawings of cars. Still others may sport only an abstract color scheme. In short, every possible variation is available to suit every individual taste or interest.

Traditional hard shell carriers, often a converted car seat or stroller bed, still perform a valuable role. But slings or backpacks offer advantages that those designs can not. Every parent will want to have at least one of each type.

Punishment and Objectivity

Posted on October 20, 2009 by admin | No Comments

In parenting circles, the word ‘punishment’ often brings to mind ‘corporeal punishment’ – spanking, slapping or other forms of physical action. One can agree that such behavior is counter-productive in rearing a healthy child, while at the same time avoiding the false alternative of excessive permissiveness.

In life, both children and adults are ‘punished’ for bad behavior or failing to obtain a certain standard. Poor performance on a test leads to the punishment of a low score. Poor performance at work leads to lower raises, delayed promotions and other results.

Punishment, in the proper sense, is simply one side of the coin of justice. Justice or fairness, entails giving of the deserved, whether good or unpleasant. Children, like adults, have a healthy self-interest in seeing that justice is enacted.

As a result, it can be a net positive benefit to children to see that their actions have consequences – even if, temporarily, those consequences are painful. Both nature and social arrangements require that certain actions be taken to achieve values. When those actions are destructive of positive values, or fail to achieve them, the logical consequences are undesirable.

As part of the learning and maturation process, not shielding children from the logical effects of their behavior results in absorbing those lessons in relatively mild form. Children too, need to learn to relate cause and effect, both in natural actions and in social circumstances. They need to connect choices to values and fairness.

There are several aspects of this approach that are essential to achieving positive results. First and foremost among them is being objective, followed closely by a sense of proportion.

Objectivity does not mean value or emotional neutrality. It simply means attending to the facts and evaluating them reasonably. As every parent knows, this is easier said than done.

But, just as courts of law have to make an effort to sort fact from fiction, so finding out what actually occurred – and responding appropriately – requires careful thought, maturity and a commitment to being fair.

Mother and her 10 year-old child have just had an argument. A moment later, the child enters the kitchen and pours him or herself a glass of milk. From the other room, Mom hears the crashing of glass on the floor. Mom enters to find milk spilled on the floor, a sugar bowl upturned and a child stomping its feet.

Was the child negligent? Was the child hasty because of its anger? Once the milk had spilled, was the sugar bowl dumped over in frustration or was that part of what was a multi-part accident?

Already upset over the just-past argument, it will be a real challenge for the mother to attain objectivity – to get the facts and draw the correct conclusion, then take the appropriate action.

Here there are several alternatives. Mom can react in rage, order the child out of the kitchen or angrily toss down a wet towel and demand the child clean up the mess. Or, she can take a deep breath, sweep up the glass and begin to ask questions.

When she takes the latter approach, she quickly finds that in pouring the milk, the child brushed a hand up against the hot coffee pot. They clean up the mess together and Mom pours the child another glass of milk while they talk.

Even in clear circumstances where a definite bad behavior has been willfully engaged in, it’s possible to err if a sense of proportion is ignored.

Repeatedly dismissing or ignoring bad behavior teaches many incorrect lessons and encourages the development of adults without a sense of right and wrong. But not every wrong action is serious. Like most things, there are degrees.

Remaining objective and fair will help parents arrive at responses that are proportional to the actual harm done. In the middle of an angry exchange, this is especially difficult to do. Parents will benefit themselves and the child by deferring ’sentencing’ until they have regained self-control.

This benefits the child in two ways. In the first instance, they receive a punishment that is appropriate to the action they initiated. Even though unpleasant, they observe that fairness is at work. At the same time, they see that mature self-control is possible and that outcomes are more beneficial to both parties when reason isn’t swamped by emotion.

Choosing and Using Baby Formula

Posted on October 17, 2009 by admin | No Comments

Breastfeeding is the preferred method of providing newborns with all the nutrients and immune system aids they require. But for many people – whether mother, infant or both – that simply isn’t an option. Not to worry though, baby formula has signifigantly advanced, thanks to excellent science.

New parents sometimes read about potential difficulties associated with feeding infants cow’s milk, and so shy away from formula based on it. But all commercial formulas are safe and nutritious.

Cow’s milk isn’t a preferred food for babies under 12 months. That much is true. But that’s chiefly because it doesn’t have the same percentage and type of proteins, fats, carbohydrates and other compounds that is contained in natural human breast milk. And, indeed, a small percentage of newborns are lactose intolerant.

But baby formula based on cow’s milk isn’t just your regular dairy product in a different bottle with a higher price sticker. The formula is carefully prepared. The cow’s milk fats and proteins are altered to emulate human breast milk to a very high degree.

But, for those few who truly have difficulty digesting cow’s milk-based infant formula, there are good alternatives.

Soy-based formula is a healthy choice. They’re useful primarily for those babies who lack the enzyme to correctly break down lactose, the natural sugar in cow’s milk. Here again, it’s important to get soy formula, not soy milk. The latter is not appropriate for newborns.

A specialized formula called protein hydrolysate is another alternative for those who have some types of milk allergy. The proteins in the formula are already broken down to products that would result from natural digestion. For those rare but unfortunate few babies who are born with a family history of milk allergies, it can be a lifesaver.

Beyond the general category of ingredients, there are many types of infant formula. They differ primarily in cost and convenience.

Powdered formula is the least expensive. It’s designed to be mixed with water. It’s possible and usually safe to mix with tap water. But many parents will want to use bottled water to ensure purity, which largely eliminates the price advantage.

Concentrated liquid formula is also intended to be mixed with water. It has the advantage of being a little easier to prepare, but (like powdered formula) requires careful measurement. The right ratio of formula to water is important for optimal nutrition and ease of digestion.

Ready-to-use formula, by contrast, is already pre-mixed to the exact concentration and form for instant use. Like the others it can be fed warm or cool, whichever the baby prefers. Not surprisingly, it is also the most expensive.

Some formula labeled ‘enhanced’ contain DHA (docosahexaenoic acid) and ARA (arachidonic acid), which are omega-3 fatty acids found in natural human breast milk. They’re safe, but research is mixed on how much extra benefit they add.

All formulas are safe and nutritious, but all carry the same requirements. They should be prepared with clean, preferably sterile, utensils. Hands that contact anything that would make its way into the baby’s mouth should also be thoroughly cleaned before feeding.

Prepare formula to the exact concentration recommended and feed only what the baby wants. Don’t force the infant to take more than it is willing to consume after waiting a few minutes to relax caregiver and child. If it hasn’t consumed the ‘right’ amount or at the time desired, simply wait and try again later. Babies regulate according to their own internal clock, not the one on the wall.

In the early decades of the 20th century in the U.S., smallpox was a common childhood illness. Now it is virtually unknown here, thanks to vaccines. The same could be said of rubella, polio and other once-common childhood illnesses. These and many other facts supported by reliable studies point to the conclusion that immunization through vaccination is important to newborn health.

Developing fetuses receive their immunization protection in part from their own immune system, and in part from antibodies supplied by the mother through the umbilical cord. But even after birth, the newborn immune system is still immature. It will be a year before the child develops the full complement of antibodies that help fight off ever-present bacteria, viruses and other disease causing germs.

During those first critical months, breastfeeding mothers can help supply their newborns with protective antibodies through the colostrum and breast milk. But some mothers can’t breastfeed. And, most importantly, even mother’s milk doesn’t supply full protection against the wide number of potential diseases.

Parents can give their child extra protection by having them vaccinated.

The principle of vaccination is very simple. In some cases, a quantity of dead organisms that would otherwise cause disease are used in a solution that is given via injection, sugar table, nasal spray or pill. In other cases, genetically-modified live organisms are used. In both cases, the disease causing germ has been neutralized.

But the basic biochemical makeup of the germ is still present. That stimulates the body’s immune system, which has evolved to recognize these proteins as ‘foreign invaders’ and to release antibodies to combat them. Since the organisms can’t cause disease, there’s minimal impact. But the body still releases the antibodies, and so builds up immunity should live, functioning germs ever be encountered. That prevents the disease before it occurs.

Is it Effective?

Decades of clinical research and common experience confirm the view that vaccines do work. They have reduced the incidence of rubella, whooping cough, smallpox, polio and a range of other once-common childhood diseases.

In the rare instance that a child still does get one of these diseases, the symptoms are often drastically reduced. What, in generations past, might have been a permanently crippling disease or a death sentence is now almost always a minor inconvenience.

Are Vaccines Risky?

While no vaccination is completely without risk, modern genetically modified viruses used in vaccines represent a very low risk. It’s nearly unknown for a child, for example, to develop rubella from a vaccine. Consider how many people, young and old, get flu vaccines every year. Almost none ever get the flu.

But why take any risk, no matter how small? Because, the risks of serious harm should the child contract the disease the vaccination protects against are high. Thanks to widespread vaccination over the past few generations, many of these diseases are rare in the U.S. and elsewhere. But the potential effects are serious. That tips the risk-benefit ratio heavily in favor of vaccinations.

Junk Science Is Common

Many uninformed people have exaggerated the risks of vaccines. It was popular at one time, for example, to assert that vaccinations caused autism. The Mayo Clinic, in a recent meta-study that examined over 200 studies from major research organizations, found nothing to support this claim.

So it goes with so much of what is written on health today. Someone raises an unfounded concern. Professionals from a diverse group of organizations, including the CDC (Centers for Disease Control), major public and private universities, world renowned hospitals and others investigate. Invariably, they find the claims of risk to be overblown.

Conclusion

Vaccinations are an excellent method to help give your newborn the best start in life. Stimulating the immune system very early in life to develop antibodies against disease causing organisms drastically lowers the odds of contracting the disease later in life.

That has proven true with whooping cough, rubella, diphtheria, smallpox, chicken pox, polio and many more that only a few generations ago devastated entire communities.

Look into the subject by reviewing professional sources. You’ll find that vaccines are good for your newborn.

Choosing a Baby Bouncer

Posted on October 12, 2009 by admin | No Comments

Parents around the world recognize similar behavior in babies; they like to move. That’s good for them, since it develops strength and muscle control. It also helps keep several other body systems tuned up, like the cardiovascular system.

One way to make sure they satisfy that natural desire in a safe way is to invest in a good baby bouncer. But what makes a baby bouncer good?

The specifics will vary slightly with age, but the first criteria – of course – is safety. Baby bouncers should be able to stand up to a range of punishment. Some babies are naturally more vigorous and mobile than others. But as they age all of them will increase the stress they put on a bouncer. And, as every parent knows, they grow up fast.

Many are bouncer/rocker combinations. These are a great option since they allow for multiple kinds of motion. Bouncing gets all that super baby energy out, rocking provides comfort for those quieter moments. That also allows movement of different types and in different directions, which adds valuable muscle control training to sheer strength development.

The bouncer or rocker should have padding on any part that comes in contact with the baby and have no sharp edges anywhere. They should also be protected anywhere the bouncer might come in contact with the floor, walls or furniture. A wide base will keep it stable and prevent injury.

Some designs make that kind of lateral movement more likely than others. Some have wheels. Those that do should have a lock-down mechanism so you can discourage movement across the room when you want to. Others are outfitted with rubberized ‘feet’ that will protect the floor, while side padding protects both baby and wall.

Look for snaps, screws, rivets that are strong and installed to minimize the odds of tearing the padding. Some, for example, have plastic rings rather than metal that provide the attachment to the bouncer or rocker. That can be okay, provided the plastic is a good composite that won’t break under strain.

One excellent variation incorporates a battery operated motor. One with an adjustable speed is always appreciated. Sometimes it’s good to let the bouncer do the work.

It also gives parents a needed break from gentle rocking that soothes an excited or unhappy baby. That decreases crying and also stimulates perception. Any safe interaction with a dynamic environment is good for mental as well as physical development.

Most will have good safety restraints built in, but you should try to work them to check. A soft 3-point harness around the waist and between the legs keeps your baby securely in place. The restraint should also be designed so that there’s no chance of pinching or excess compression. Convenience is a factor, too. You want it to be easy to snap together when you’re in a hurry.

Other nice to have elements might include sounds or music. That keeps your baby occupied and, again, helps them develop mentally while they exercise. A canopy is useful when you want to use the bouncer outside. A toy tray that is ultra-sturdy is always great to have, too.