> Childcare. Advice to the mother for the first few months of a newborn’s life.

Post-partum and newborn, here are some tips childcare the doctor will haveà provide the mother to facilitate the task in the first months of the growth of the baby.

    the

  • Meconium, and feces
  • the

  • Urine
  • The room of the newborn
  • the

  • Cleansing
  • the

  • Navel
  • the

  • in The bathroom
  • the

  • Clothing
  • the

  • The teeth
  • the

  • high Chair
  • the

  • travel

Meconio e feci

The first stool to be evacuated of the newborn are defined in meconium. This is issued within the first 12/24 hours of life and for the first three days. It is a material of a consistency, more viscous, blackish green, and without the smell.

Subsequently appear in the stool of transition in which the meconium is commingled in food waste. At the end of the 1ˆ week, the presence of the feces of the definitive.

These, in the infant feeding at its mother’s breast or artificial milk are yellow egg, soft creamy smell with a pò acid not unpleasant and are issued with a frequency of 1 – 5 times in 24h, often immediately after feeding. The frequency of bowel movements is reduced after the 1ˆ – 2ˆ month.

Urine

The infant begin the emission of urine, usually after 12h after birth. Sometimes the first emission of urine può take a day, a day and a half. In the first days of life the newborn’s urine a few times (from 2 to 6 times in 24h). In the following, the number of urination increases.

The room of the newborn

The room of the child must be dry and well-exposed (possibly to the South). The temperature in the environment should be around 22° C (20° C at night). the moistureà around the 50 – 60%. Are numerous trade types of thermometers and hygrometer (the tools used to measure the humidity; the environmental).

The environment is too dry tends to dry out mucous membranes (nose and throat), and to promote sweating, resulting in an excessive loss of fluids; the environment is too moist, on the contrary, does not allow the evaporation of sweat. D winter is useful to the use of water tanks in contact with the heaters. To make the air clear and easily breathable is recommended Aroma of Guna n° 4 to spray in the environment. the

baby cot or cot must have high walls; The mattress should be rather hard and the pillow are pretty low. the

Note the child must feel wrapped, protected (in the uterus) which is preferable especially for the first few days to use the wheelchair. the Many insomnia and tears are caused by the fact that the child feels “lost” in a bed too big for him.

Rules of hygiene for the baby When the mom-to-be is home alone with her child, even the things più simple seem difficult, as, for example, the change of the diaper.

Detersione

If the diaper è dirty urine è rinse the skin with lukewarm water and bicarbonate, rather than just water, baking soda disinfects and softens the water alone, especially if it is rich in calcium, it may irritate the delicate skin of the newborn.

If the diaper è dirty stool is advisable to wash the skin with a liquid soap (è più delicate) acidic, cioè, between 3 and 5.5 (disinfectant), change often in order not to sensitize the skin; Alpha 4, Saugella 3, Soagen liquid, Sebamed liquid, Vitadermina 3, Nativolil are the recommended detergents.

then, Apply a protective cream with zinc oxide: Vitadermina, Dermana pasta dermatological, Babygella, Kinder cream, OZ Aleph, etc., in Addition to prevent irritating (photo), is used to prevent infections by fungi (candidiasis). Also good is the cream of the calendula homeopathic (Calendula Heel N ointment to associate with Chamomile Heel ointment).

Never apply talcum powder
or other dust that can be breathed in by the child and cause of the pneumonia is difficult to cure.  From: E. Meneghini, pediatric Dermatology practice

L’ombelico

typically, the umbilical cord falls within the 1° month of life, thereforeò the mother must know how to treat it. We recommend that you take a garzina and rolling it up like a drawstring, soak it good with pure alcohol, then wrap and tie around the umbilical cord.

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Può happen that the skin of the belly around the navel anger; in this case, the apply a cream than those previously used, so that the alcohol does not touch it directly. Può happen that the bait of the blood from the navel after the fall of the stump, or at the base of the stump if it is still not è fallen: in these cases is good apply hydrogen peroxide and allow to dry before replacing the diaper.

The bathroom

When to do the bath? After the fall of the umbilical cord. And before? Use a cleansing milk or an oil with a cotton swab on the body without rinsing (A – DERMA bath, oats, OIL – triderm, etc)

How you do the bath?

it Is a good idea to use a small bath, well washed and disinfected. The water must have a temperature of about 35° C and può dissolve a pò bicarbonate , starch, bubble bath for children that do not irritate the eyes (Vitadermina).

hair?

When hair is short, the head has to be washed as the rest of the body (Shampoo, extra gentle DUCRAY, Restiva OIL, Avalon, cleaner etc) Where is the bath? The bathroom is the ideal environment as being più small the other rooms is better suited to be heated. The heater, if necessary, should be used in another room, where the child is brought to be dried well and coated.

Technique of the bathroom

The technique of the bath consists in immersing gently the child in the water, times holding with the left hand kept under the shoulders and by engaging top hook with the fingers splayed, the axillary; the head should be kept propped up on your forearm while your right hand moves in the cleaning of the body. For cleansing, you can use: soaps, cleansers, and milk acids. The latter are to be preferred as they do not damage the Ph of the skin (Vidermina Alpha 4, Saugella 3, Soagen liquid, Sebamed liquid,Nativoil etc.).

Clothing

due To a thermoregulation is not yet perfectly efficient for infants suffer from the heat and the sudden changes of temperature rather than cold. There should be regular considering that the children have the same feelings. If in the summer we decide to bring in a a low-cut dress, also we have to keep discovered the child. The sweating is a physiological phenomenon important and the babies must be able to sweat freely.

winter is better to use, in contact with the skin, the t-shirts with the cotton lining and wool on the outside; complete any outfit with a blouse and a sweater. If you must leave, remember that drapes, padded do perspire little skin , and therefore must be used for periods of time that are not too long. The sweat is not evaporated remains deposited on the skin and easily cools. If possible use of breathable materials (microfiber, goretex) and lightweight, also to facilitate the movements of the child. The shoes are leather with leather sole.

I denti

the time of the eruption of the teeth starts at around the 6° in the same month, but there is a wide variabilityà from case to case: some have 1-2 teeth, già at birth, others start later in the year. Già starting from the 3° month increases salivation (the baby “drools”) but not c’è no relationship with the beginning of teething. Normally burst first the 2 lower central incisors, then the 4 upper incisors, then the other 2 lower incisors, then first molars, canines and finally second molars. But this is a rule valid for all.

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coinciding with the eruption of the teeth may appear some problems. in cases where the dentition is not done or is late, children overweight, chilly, sweat, particularly at the level of the head of the night and who tend to be anxious, especially if each tooth, check that it appears diarrhea, benefit from the administration of Calcium Carbonicum Injeel, 1 vial to be dissolved in a little water and drink during the day.

When the dentizione is absent or very slow) with the teeth that once flagged you cariano quickly in infants thin and emaciated, it is advisable to Calcium Fosphoricum Injeel 1 ampoule to the dì dissolve in a little water and drink during the day.

If the baby during the teething in search of something to bite on to relieve some of the discomfort, administer Phytolacca Decandra Injeel 1 ampoule to the dì dissolve in a little water and drink during the day. Vice versa, if during the teething convulsions in a child restless that you it bites your fists and cries it is recommended Aconitum Napellus Injeel 1 ampoule to the dì dissolve in a little water and drink during the day.

The preparations mentioned above may be associated with Viburcol half a suppository twice a day, and Chamomilla Injeel ampoules if the agitation is very intense. teeth should be cared for even if they are the ones from the milk by a good dentist experienced in pediatric issues.

fluoride

Almost always è appropriate integration of fluorine. There are some areas in Italy, where the water is very rich in fluorine (for example, in the province of viterbo). If the mother who breastfeeds drinking water, you should know if this is a già rich in fluorine; if it is poor in fluoride is indicated the assumption of Oligoel n° 4, thirty drops twice a dì.

If the child is fed with milk adapted, check the composition to see if this già contains fluorine, or if the water used to reconstitute the milk contains. Otherwise to give to the child Oligoel,n°4 15 drops twice a dì in a little water.

Le vitamine

The child only need vitamin D, even if in the countries in which children may be exposed to the light of the sun, not all consider it necessary. In the market there are various types: AD – Pabyrn, Rocaltrol, Didrogyl). Its daily requirement is 400 IU dì: do not exceed this dosage unless directed otherwise by the pediatrician, otherwise you run the risk of having side effects due to overdose (pain in the bones, dryness of the skin and mucous membranes).

In the exclusively breastfed children it is recommended the administration of small amount; daily of a polyvitaminic compound (e.g. Protovit drops, 5 drops, 2 times per day) as the breast milk is scarce, some of them, such as vitamin C. The addition of vitamins is necessary for children fed with milk adapted, as a rule, with the addition of .

After weaning, varietyà of the diet often makes unnecessary the addition of vitamins.

Visite specialistiche

typically, sarà the doctor to request the intervention of the specialist, OTOLARYNGOLOGIST ,ORTHOPEDIST, GASTROENTEROLOGIST or ALLERGIST. The visit to the ophthalmologist is the only visit of the screening to be conducted always between 3 and 4 years.

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The Chair

When you può make a child sit? Not before 5 – 6 months. In general. The baby starts to sit up, leaning around 5 – 6 months and is sitting alone to 8 months.

The walker, and with the box

You do not recommend the prolonged use of the baby walker as it is not conducive to the harmonious development of the child depends on the use of all muscle groups and not only from the lower limbs. Furthermore, with the use of the walker, the child is forced to stand in an age too early and not when the effort is allowed by a adequate bone and muscle development.

In the box, on the contrary, the child learn to crawl (even if not all children do), standing alone, to parry falls with arms, climb, etc., You must avoid, also, to keep long-standing the child before 8 months: his bone structure is not; still ready to sorreggerne the weight and may suffer deformations ( “legs x”, flat foot, etc)

The journey

In the first months of life, if not strictly necessary, should be avoided long trips that exceed the time interval between one meal and another species if it is in condition to supply the small. In case of actual needà you should consult with your doctor.

In all cases, avoid travelling during hours that are too hot, whatever means it uses, becauseè più the child is small, the less efficient is its system of adaptation to the external temperatures (thermoregulation). the it is good advice to the mother before traveling to take : .

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  • a bottle sterilized, and closed full of water with a low mineral content;
  • the

  • a pacifier sterilized.
  • the

  • a package of tissues to lose.
  • the

  • a pack of cleansing cream for children or detergent wipes for cleaning the baby;
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  • Fundamental to the seat, which must be approved. Now every manufacturer of materials for children produced different types. The car seat from the car, follows the growth of your child according to this table:

Type Weight Età Group 0 0-10 Kg 0-9 months Group 0+ 0-13 Kg 0-14 months Group 1 9-18 Kg in 10 months-3/4 years Group 2 15-25 Kg 3/4-6 years Group 3 22-36 Kg 5/6-10 years

After the four months, è able to withstand travel più long: the doctor willà advise on how to arrange meals that are suitable to the circumstances and the age of the child. When the child è più grande, in the face of a long journey, always mount the small on a child safety seat. If you è in the car, in the summer and in the hours of the più hot of the day, avoid the più possible long breaks in the column: it is preferable to stop for some time in a rest area.

During the summer, leaving an inch of opening in all four of the windows in order to ensure the exchange of air without directly exposing the child to the currents. Remember to close them when driving through long tunnels, severely polluted by exhaust gases of motor vehicles, activating the internal circuit. the In routes with many curves, if the child is awake, stopping frequently. never smoke inside the car.

If you are traveling by train or plane, choose a compartment, not smoking. The clothing must be suitable to the type of journey you take. If your child suffers from car sickness, sea or air, administer Anti-Age Jet 3 granules morning and evening, and Melatonin 4CH 10 drops repeatedly during the trip.

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Page updated on 7/11/2009