Mayo Clinic Guide to Your Baby’s First Year: From Doctors Who Are Parents, Too!

tory system or the digestive system. The thick and sticky mucus associated with cystic fibrosis clogs the tubes that carry air in and out of the lungs. This can cause a persistent cough, wheezing, and re-peated lung and sinus infections. The thick mucus can also block tubes that carry digestive enzymes from the pan-creas to the small intestine. Without these digestive enzymes, the intestines can’t fully absorb the nutrients in the food. The result is foul-smelling and greasy stools, poor weight gain and growth, a distended abdomen from con-stipation, and intestinal blockage, partic-ularly in newborns. Within the past decade, most states have begun to routinely screen newborns for cystic fibrosis. This test checks a blood sample for a particular component that’s commonly elevated in babies who have cystic fibrosis. Other tests are needed to confirm the diagnosis. Treatment There’s no cure for cystic fibro-sis, but treatments can ease symptoms and reduce complications. Treatment gen-erally includes medications and therapy. Infants with cystic fibrosis may be given medications to treat infection, break up mucus in the lungs, and reduce lung inflammation. A child may also re-ceive enzyme supplements with each meal to help his or her body absorb food.To help loosen mucus in the lungs, a parent or caregiver may need to thump the baby’s chest with a cupped hand. This often needs to be done a couple of times each day for about 30 minutes each time. There are also electronic devices that can perform this task. In the past, most children with cystic fibrosis died in their teens. Improved screening and treatments now allow many children with cystic fibrosis to live into their 50s or even longer. Intrauterine growth restriction A baby who is born full term but weighs less than 5 pounds, 8 ounces is often re-ferred to as being at a low birth weight. The medical term for this condition is in-trauterine growth restriction, or IUGR. Intrauterine growth restriction refers to the poor growth of a baby while in the mother’s womb during pregnancy. Spe-cifically, it means the developing baby weighs less than 90 percent of other ba-bies at the same gestational age. Intrauterine growth restriction can result from a variety of genetic, metabolic and environmental influences. Congeni-tal or chromosomal abnormalities are of-ten associated with below-normal weight. Infections during pregnancy may affect the weight of the developing baby. A placenta that’s particularly small or isn’t functioning normally also can result in a growth-restricted baby. After birth, the growth and develop-ment of a low birth weight baby is gener-ally influenced by the severity and cause of the condition. Many IUGR babies see improvement in growth during the first months after birth. However, some ba-bies continue to experience slow growth despite ample nutrition. Treatment A baby born at a low birth weight may have to stay in the hospital longer than normal, until he or she gains sufficient weight and other problems are resolved, such as jaundice or mainte-nance of normal body temperature. Ba-bies with IUGR may need specific nutri-tional supplements and assistance with feeding until they are growing well. A baby with IUGR may have trouble fitting safely in a car seat. Some infants need to be transported in a crash-safe car bed until they grow large enough for a regular infant car seat. CHAPTER 42: OTHER NEWBORN CONDITIONS551

AMERICAN ACADEMY OF PEDIATRICS847-434-4000www.aap.orgCENTERS FOR DISEASE CONTROL AND PREVENTION800-232-4636www.cdc.govCHILD CARE AWARE800-424-2246www.childcareaware.orgINTERNATIONAL LACTATION CONSULTANT ASSOCIATION919-861-5577www.ilca.orgLA LECHE LEAGUE INTERNATIONAL800-525-3243www.llli.orgMAYO CLINIC HEALTH INFORMATIONwww.MayoClinic.comNATIONAL CAPITAL POISON CENTERPoison Help hotline: 800-222-1222www.poison.orgNATIONAL CENTER FOR FATHERING800-593-3237www.fathers.comNATIONAL CENTER ON BIRTH DEFECTS AND DEVELOPMENTAL DISABILITIES800-232-4636www.cdc.gov/ncbdddNATIONAL DISSEMINATION CENTER FOR CHILDREN WITH DISABILITIES800-695-0285nichcy.org/families-community/new-to-disabilityAdditional ResourcesIf you’re looking for additional information on a particular topic, you may find the following resources helpful.552 ADDITIONAL RESOURCES

NATIONAL DOWN SYNDROME SOCIETY800-221-4602www.ndss.orgNATIONAL FATHERHOOD INITIATIVE301-948-0599www.fatherhood.orgNATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT800-370-2943www.nichd.nih.govNATIONAL ORGANIZATION OF MOTHERS OF TWINS CLUBS INC.248-231-4480www.nomotc.orgNATIONAL WOMEN’S HEALTH INFORMATION CENTER BREASTFEEDING HELPLINE800-994-9662www.womenshealth.gov/breastfeedingPATHWAYS.ORG800-955-2445www.pathways.org [email protected]. CONSUMER PRODUCT SAFETY COMMISSION800-638-2772www.cpsc.govU.S. FOOD AND DRUG ADMINISTRATION888-463-6332www.fda.gov ADDITIONAL RESOURCES553

Aacne, 28, 99, 100activityhigh, 139physical, 270as temperament aspect, 136adaptabilityhigh, 140slow, 141as temperament aspect, 137working with, 140, 141adopted baby, 481–491adjustment time, 484bonding with, 484–487breast-feeding, 487care provider, 481–482developmental delays, 483–484developmental stage, identifying, 486difficult remarks, handling, 490–491family story sharing with, 487–489health support, 481–484immunizations and, 482international, 484learning about, 485–486medical history, 482needs, responding to, 485parent attitude toward, 488parenting, 491post-adoptive care, 482–483self-care and, 486siblings and, 489support, 484truth, telling, 490advice, 403–404air bags, 192air travelairports, 194baby happiness during, 194–195boarding, 194identification, 193safety, 193seat safety, 194–195See also travelingallergies, 354–355ambiguous genitalia, 546anemia, 355–356, 535–536animalsbites, 214–215books of, 303stuffed, 290antibiotics, 83, 85aortic stenosis, 548Apgar scores, 32appearance, 265–269month 1, 221–224month 2, 233–234month 3, 243–245month 4, 255–257month 5, 265–269month 6, 277–279month 7, 287–288month 8, 297–299month 9, 307month 10, 317month 11, 327month 12, 337–338newborns, 29–32premature babies, 505appointments, scheduling, 152aspirin, 349assertiveness, 334asthma, 356–357atrial septal defect, 548attachment, 274attention, wanting, 252autism, vaccines and, 161–163Bbabies with special needs, 177baby blues, 411–413Baby Einstein, 292back pain (mother), 409backyard safety, 202basement safety, 201bathingattentiveness, 92–93baby-care products, 92baby preparation, 93basics, 89–90circumcised penis, 97creases and folds, 93, 95crying and, 95drying, 93eyes, 93frequency, 89illustrated, 94–95Index554 INDEX

items and products, 90–91location, 90month 4, 262orientation to, 89rinsing, 95safety, 91–93soap, 90step-by-step, 93–94towels, 91toys, 91tub, 94uncircumcised penis, 97washcloths, 90washing, 93, 95water, 90bathroom safety, 201bathsplay, 96preparing for, 91sponge, 89–90temperature, 91–92, 94types of, 89–90batting, 248bed sharing, 116bedding, 119bedtimedrowsy baby at, 116routine, 115, 256–257settle down time, 116See also sleep (baby)behaviorDown syndrome baby, 531status, at checkup, 156surprising, 135bending, 340bilingual babies, 332biotinidase deficiency, 39birthmarks, 28–29, 31, 223bitesanimal/human, 214–215insect, 376–378bleeding, emergency care, 209–210blooddisorders, 535–537in stools, 83body language, 230bondingadopted baby, 484–487baby, 25–26couples, 433–434dads/partners, 428–429laughter, 261moments, 26month 1, 231bottle-feedingamount, 65bottles, 60breast-feeding vs., 43–44formulas, 60–65multiples, 496–497nipples, 61positions, 64–65pros versus cons, 59supplies, 59vitamin D and, 65weaning, 65bouncing, 269–270, 283bowel movements (mother), 410breaks, mom and dad, 418–419breast milkcontainers, 53–54donor, 506expiration, 55mother ingestion and, 46optimizing production, 496production, 46sticking with, 67storing, 53–55thawing, 55breast pumps, 53breast-feedingadopted baby, 487amount, 51–52antibodies, 44baby mouth opening and, 49–50basics, 49–52benefits for baby, 44–45benefits for mother, 45bottle-feeding versus, 43–44comfort, 50cradle-clutch combination, 494–495cradle hold, 48–49cross-cradle hold, 48digestion, 44double clutch, 494drawbacks, 45football (clutch) hold, 49, 50frequency, 50–51lactation consultants, 47length, 51as long as possible, 245–246managing siblings during, 454 INDEX555

breast-feeding continuedmultiples, 494–496positions, 47–49pumping breasts, 53–55side-lying hold, 49, 50simultaneous, 495–496starting, 46–47supplies for, 47support, 52vitamin D and, 52weaning, 57–59when to begin, 47working and, 54breastsblocked milk ducts, 57care, 56–57in childbirth/labor recovery, 408fullness, 56–57infection, 57nipple discomfort, 57breathingin CPR, 212–213disorders, 537–539noisy, 114bronchiolitis, 358–359bronchopulmonary dysplasia, 537–538bumper pads, 123burns, 203, 213–214Ccafe au lait spot, 29, 30calming techniques, 131–132, 133car seats, 187–192air bags and, 192convertible, 188, 189expiration dates, 189front-facing position, 191grandparents and, 459infant-only, 188, 190installing, 189–192models, 188for older children, 191preemies/small babies and, 192rear-facing position, 190–191sleeping in, 190in travel systems, 187used, 189when to purchase, 187cardiopulmonary resuscitation. See CPRcare providersaccessibility and hours, 147, 148adopted baby, 481–482bedside manner, 148budget, 147choosing, 145–146, 149contacting with sick baby, 352examination after birth, 145–146family physicians, 146finding, 145–149information about,, 149knowledge, 148nurse practitioners, 146–147office atmosphere, 148options, 146–149pediatricians, 146personal approach, 147philosophy and style, 149recommendations, 148role importance, 149team approach, 149training, 147, 148caressing, 127central nervous system disorders, 539–541cereal, baby, 70cerebral palsy, 539–540chaos, comfortability with, 401–402checkupsappointment scheduling, 152attending, 151–152behavior, 156development, 155–156Down syndrome baby, 528head-to-toe physical exam, 152–154measurement, 152medical records, 157nutrition information, 155premature baby, 515questions and concerns, 157safety, 157schedule of, 151–152sleeping status, 155vaccinations, 156–157visit expectations, 152–157See also care providerschickenpox vaccination, 162–163child careamount to spend determination, 173for babies with special needs, 177budgets, 177contact information and, 180expectations, 177556 INDEX

factors to consider, 176–177family, 174–175getting started with, 173–174grandparents as providers, 457–459in-home, 174in home vs. job decision, 462–463information after, 181options, 174–180providers, 180–181by relative or friend, 176resources, 174reviewing, 181separation, handling, 179for sick children, 178single parents, 444–445child care centers, 175–176, 179–180child obesity, 71, 244–245child rearing, agreeing on, 439childbirth/labor recoverybaby blues/depression, 411–413back pain, 409bathroom woes, 409–411bowel movements, 410breasts and, 408demands and, 407–408hair and skin changes, 411hemorrhoids, 410–411period return, 409urination problems, 409–410vagina, 408–409childproofing, 197, 314, 341choking, 200–201, 210–211circumcisionbenefits, 37care, 38–39, 97how it’s done, 38illustrated, 38issues, 36–38risks, 37–38washing and, 97clapping games, 313cleft lip and cleft palate, 544cloth diapers, 76, 85clothesafter bathing, 91cost, 108detergents, 111dress wear, 109–110dressing for weather and, 110ease, 108fabric, 108one-piece outfits, 109one-piece undershirts, 109pajamas, 109safety, 108shopping tips, 107–108sizes, 107–108socks, 110stains, 111summer hat/cap, 110for traveling, 195where to start, 108–110winter wear, 110clubfoot, 545coarctation of the aorta, 548cognitive skills, 156colds, 359–362coliccauses, 129common signs, 129defined, 128–130diagnosis, 130from food sensitivities, 129from immature nervous system, 129managing, 130–132motion and, 132from temperament, 129tummy hold for, 131comforting, 127–128, 165communication, 229–230, 249–251, 323concentrated liquid formulas, 61congenital adrenal hyperplasia (CAH), 39congenital hypothyroidism, 39congenital nevus, 29, 30constipation, 363–364contact dermatitis, 102contact information, 180conversation, 290, 322convertible car seats, 188, 189cooing, 237–238cord blood banking, 33core, strengthening, 415cotton balls, 91coughs, 348, 361, 362–363couplesbonding, 433–434challenges of, 434–435changing roles, 435child-rearing agreement, 439communication, 437division of labor, 434expectations, 437 INDEX557

couples continuedless time as, 434–435nurturing, 437parenting as, 433–439 responsibilities, 436sharing load, 435–437stresses, 435cow’s milk formulas, 61CPR (cardiopulmonary resuscitation)airway, 212breathing, 212–213for choking, 211circulation, 212defined, 211for drowning, 216illustrated, 212procedure, 212–213for unconsciousness, 214when to perform, 211–212cradle cap, 99–102cradle hold, 48–49crawling, 307–308, 328cribsbedding, 119bumper pads, 123corner posts, 121drop-side, 121hardware, 121mattress, 119, 123paint, 121safety, 120–123, 199slat spacing, 121sleep positioners, 123toys and, 123cross-cradle hold, 48croup, 365–366cruising, 329cryingbaby movement and, 128baby sucking and, 128caressing and, 127checking diapers and, 127–128from colic, 128–130comforting, 127–128cry types, 126–127from discomfort, 126, 127distraction trick, 128help, asking for, 133from hunger, 125–126, 127intense/inconsolable, 129keeping your cool with, 133letting, 128from loneliness, boredom, fear, 126newborn statistics, 125from overstimulation/overtiredness, 126predictable episodes, 129quiet and, 128reasons for, 125–126response to, 133singing/music and, 128state of consciousness, 230cuddling, 26cups, 73, 299curiosity, 139, 294curl-ups, 417cystic fibrosis, 39, 550–551Ddads/partners, 423–431bonding, 428–429care uncertainty, 425–426child care, 444–445common concerns, 425financial responsibility, 426–427help, asking for, 431partner’s moods and, 429–430reduced attention, 427role in baby development, 426romance, rekindling, 431shifting roles, 424single, 443stay-at-home, 425support, 427, 444supporting role, 423time for yourself, 431–432work-life balance, 427–428dance, with baby, 26delayed development, 156, 517–523causes, 521defined, 517–520diagnosing, 521–522identification of, 520outgrowth of, 520services offered for, 523support and, 523typical development versus, 518what can be done for, 522–523depression, postpartum, 412–413development, 153, 155–156diaper changingboys, 81cleaning baby’s bottom, 79–80558 INDEX

discarding diaper, 81dry clothes and, 77drying, 80equipment, 77–79frequency, 79gel-like materials, 83girls, 79–80illustrated, 80mindset, 79new diaper placement, 80–81ointment, 79old diaper removal, 79pink/small blood stains, 83preparation for, 79process, 79–81small crystals, 83station, 77surprises, 83umbilical cord stump and, 81washing up after, 81wipes, 77, 78diaper pails, 79diaper rash, 84–87diapersamount of, 77breast-feeding and, 52checking when crying, 127cloth, 76, 85discarding, 81disposable, 75–76, 85equipping with, 77sizes, 76–77swim, 77types of, 75–77diarrhea, 83, 366–367digestive disorders, 541–543diphtheria vaccination, 163discipline, 293discomfortcomforting, 127crying from, 125–126disposable diapers, 75–76, 85, 199distractibility, 138, 141distraction trick, 128distractions, 263donor breast milk, 506Down syndrome baby, 525–533behavioral problems, 531blood cell problems, 531carrying, 528checkups, 528early intervention, 531–533gastrointestinal problems, 530getting to know, 526growth, 528health, 528–531hearing problems, 528–529heart problems, 529joint problems, 530–531learning of, 525milestones, 527obstructive sleep apnea, 531occupational therapy, 533physical therapy, 532routine with, developing, 526–527sleeping, 527–528speech and language therapy, 532–533support system, developing, 533thyroid problems, 529–530vision problems, 529drool rash, 102drop-side cribs, 121drowning, 205–207, 215–216DTaP vaccine, 167Eearsinfection, 367–368physical exam, 153wax blockage, 368–369eatinghabits, establishing, 298–299month 1, 224month 2, 235month 3, 245month 4, 257month 5, 267month 6, 279month 7, 289month 8, 298–299month 9, 309month 10, 319month 11, 329month 12, 339newborn problems, 35overfeeding, avoiding, 298–299eczema, 101, 102electrical shock, 214emergency care, 209–219animal/human bites, 214–215bleeding, 209–210burns, 213–214 INDEX559

emergency care continuedchoking, 210–211CPR, 211–213deep wounds, 215drowning, 215–216electrical shock, 214inhaled poison, 217–219injuries from falls, 216poison, 219swallowed poison, 216–217when to seek, 209empowerment, art of, 292erythema toxicum, 28, 99, 100esophageal atresia, 542exercisecore, strengthening, 415fitting into schedule, 414Kegel, 418safety, 414in stress release, 404tips, 414See also childbirth/labor recoveryexpectations, 23, 437eyedrops, 380, 381eyesbathing, 93crossed, 364lazy, 379–380newborns, 29–32physical exam, 153–154poison in, 219protection, 34teary, 390–391Ffabric, clothing, 108facial and extremity disorders, 543–546failure to thrive, 155fallsinjuries from, 216preparing for, 320preventing, 203–204seriousness of, 216familiarity, 236family child care, 174–175, 178family life, 315family physicians, 146fears, 126, 335febrile seizures, 371feedingas bonding times, 67bottle, 59–65breast, 44–59breast versus bottle, 43–44changes, planning for, 250choking prevention, 200–201combined breast-/bottle-feeding, 495–496on cue, 66flexibility, 66–67mealtime supervision, 200multiples, 493–497pace, baby as setting, 66positions, breast-feeding, 47–49premature baby, 513safety, 200–201sleepy baby, 117solids introduction, 69–73spitting up and, 67–69style, changing, 130–131tips, 65–67fever, 348, 369–372fifth disease, 372finances, 462, 472–473fingersdeformities, 545–546foods, 70–71, 311skills, 329fire safety, 203first days. See newbornsfirst examination, 32–34flu (influenza), 164–165, 372–373fluidsfor colds, 360for fever, 370in stress release, 404fontanels, 27foodsbalance of, 298finger, 311fruits and vegetables, 268high-risk, avoiding, 200new, introduction of, 84not using as pacifier, 245for nutrition, 299sensitivities, 129variety, 298See also solid foodsfootball (clutch) hold, 49, 50formulasadding water to, 63–64concentrated liquid, 61560 INDEX

cow’s milk, 61digestibility, 60as energy-dense food, 60feeding with, 64–65forms, 61–62generic versus name brand, 62hand-washing before preparing, 63ingredients, 62measuring, 63outdated, 62powdered, 61preparation of, 62–64protein hydrolysate, 61ready-to-use, 62soy-based, 61sticking with, 67storing, 64types of, 60–61warming, 64weaning from, 65See also bottle-feedingfriendships, shifting, 419–420front yard safety, 202fruits, 70, 268frustration, 141, 143, 314furniture bumpers, 202Ggalactosemia, 39–41games. Seetoys and gamesgarage safety, 201gastroesophageal reflux (GER), 69, 382gastrointestinal problemsDown syndrome baby, 530premature babies, 508–509genital disorders, 546–547genitalia, 154, 224German measles vaccination, 163germs, preventing spread of, 352giggling, 248, 251gonorrhea eye infections, 34grandparentscar seats and, 459as child care providers, 457–459at a distance, 458education classes, 459help, receiving, 455–456holidays and, 457letting go of the past and, 456name preferences, 457opinions, conflicting, 456–457relationships with, 454–455role, 454time, giving, 455grasp reflex, 226grasping, 259–260, 269growthDown syndrome baby, 528month 1, 221–224month 2, 233–234month 3, 243–245month 4, 255–257month 5, 265–269month 6, 277–279month 7, 287–288month 8, 297–299month 9, 307month 10, 317month 11, 327month 12, 337–338premature babies, 507spurts, 222gurgling, 237–238Hhairchanges (mother), 411month 1, 224newborns, 32hand-foot-and-mouth disease, 373–374handsfavoring, 281finger coordination, 288–289, 300month 3, 246mother, washing, 362skills, month 9, 309–310harnesses, 500hats/caps, 110headmonth 1, 222–223month 2, 233–234newborns, 26–27physical exam, 153head lifts, 417health information, maintaining, 157healthy diet (mother), 414hearingDown syndrome baby, 528–529month 3, 247month 4, 260month 5, 271month 6, 281 INDEX561

hearing continuedmonth 9, 311month 10, 319month 11, 330premature babies, 510screening, 41heartdisorders, 548–550physical exam, 154heights, awareness of, 203hemangioma, 29, 31hemorrhoids (mother), 410–411hepatitis A vaccination, 164hepatitis B vaccination, 34, 164hernias, 35–36, 96–97Hib disease, 164high chair, 291hip dysplasia, 546Hirschsprung’s disease, 542hives, 374–375home versus job decision, 461–469career consequences, 462child care, 462–463finances, 462issues, 461–463living with, 463–464re-evaluating, 466stresses and rewards, 463homocystinuria, 41hunger, 125–126, 127hydrocele, 389–390, 546hydrocephalus, 540hypospadias, 547Iillnesses/conditionsallergies, 354–355anemia, 355–356asthma, 356–358bronchiolitis, 358–359caring for, 351–353cold, 359–362constipation, 363–364cough, 362–363crossed eyes, 364croup, 365–366diarrhea, 366–367ear infection, 367–368earwax blockage, 368–369fever, 369–372flu (influenza), 372–373frequency, 347hand-foot-and-mouth disease, 373–374hives, 374–375impetigo, 375–376insect bites and stings, 376–378jaundice, 378–379lazy eye, 379–380medications and, 348–349pink eye (conjunctivitis), 380–381pneumonia, 382reflux, 382–384roseola, 385–386RSV (respiratory syncytial virus), 384–385stomach flu (gastroenteritis), 386–388sty, 388sunburn, 388–389swollen scrotum (from a hydrocele), 389–390teary eyes, 390–391teething, 391–392thrush, 392–393urinary tract infection, 394–395vomiting, 395–396whooping cough, 396–397See also newborn conditionsimmune system, functioning of, 160imperforate anus, 542impetigo, 101, 102–104, 375–376inactivated polio vaccine (IPV), 166infant jaundice, 223infant-only car seats, 190infection, in newborns, 35inguinal hernias, 35–36inhaled poison, 217–219in-home child care, 174, 178insect bites and stings, 376–378instincts, trusting, 22intensity, 137, 140international adoptions, 483intestinal blockage, 542–543intimacy, maintaining, 420–421intrauterine growth restriction (IUGR), 511, 551irregular body rhythms, 140Jjaundice, 34, 223, 378–379juices, 71, 245562 INDEX

KKegel exercises, 418kitchen safety, 199–200kneeling pelvic tilt, 416Llanguage skillsbilingual babies, 332at checkup, 156exposure to language and, 322month 4, 261month 5, 272month 8, 302month 9, 312–314month 12, 344language therapy, Down syndrome baby, 532–533laughter, 251, 261–262lazy eye, 379–380lead poisoning prevention, 204leg slides, 416legs and feet, 224, 246limits, consistent and firm in, 294listening, 330, 331, 341–342low blood sugar, 536–537lungs, physical exam, 154Mmaple syrup urine disease (MSUD), 41mealsexpectations, 267exploration, 73happy time, 267managing, 73patience, 267–268spoon use, 267success tips, 266–268See also foods; solid foodsmeasles vaccination, 165measurementsat checkup, 152first examination, 32–34premature babies, 153meat, pureed, 70meconium aspiration, 537–538medical records, 157medicationscough and congestion, 348, 361dosing, 348fever and pain, 348giving, 349infants and, 348–349precautions, 348–349using wisely, 352medium-chain acyl-CoA dehydrog- enase (MCAD) deficiency, 41memory pathways, 249mental developmentmonth 1, 228–230month 2, 237-238month 3, 249–251month 4, 261–262month 5, 271–272month 6, 282–284month 7, 290–292month 8, 301–302month 9, 312–314month 10, 320–322month 11, 331-332month 12, 342–344milestonesDown syndrome baby, 527month 1, 231month 2, 241month 3, 253month 4, 263month 5, 275month 6, 285month 7, 295month 8, 305month 9, 315month 10, 325month 11, 335month 12, 345milia, 28, 99, 100milk ducts, blocked, 57mimickinggames, 262month 10, 324toys, 321mirrors, 273, 303mobile walkers, advice against, 270mobiles, 123, 236moisturizers, 91month 1appearance, 221–224body language, 230bonding, 231breasts and genitalia, 224communication, 229–230crying, 229eating, 224 INDEX563

month 1 continuedgrowth, 221–224hair, 224head, 222–223legs and feet, 224mental development, 228–230milestones, 231movement, 225–226reflexes, 226sensory development, 227size/weight chart, 222skin, 223sleeping, 224smiles, 231social development, 230–231toys and games, 228umbilical cord, 224month 2appearance, 233–234cooing and gurgling, 237–238crying, 238eating, 235fits and stops, 234growth, 233–234mental development, 237–238milestones, 241movement, 234–235sensory development, 237size/weight chart, 234sleeping, 235smiles, 241social development, 239–241toys and games, 236month 3appearance, 243–245attention, desire for, 252communication, 249–251eating, 245giggling/laughing, 251growth, 243–245hands and arms, 246legs and feet, 246memory pathways, 249mental development, 249–251milestones, 253movement, 245–246sensory development, 247size/weight chart, 244sleeping, 245social development, 251–252toys and games, 248month 4appearance, 255–257bedtime routine, 256–257crying, 257distractions, 263eating, 257growth, 255–257head and back control, 258language skills, 261laughing, 261–262mental development, 261–262milestones, 263movement, 257–260reaching and grasping, 259–260rolling over, 258–259sensory development, 260size/weight chart, 256sleeping, 257social development, 262–263standing, 259stranger anxiety, 263toys and games, 262month 5appearance, 265–269attachment, 274bouncing, 269–270eating, 267growth, 265–269language skills, 272learning how things work, 272mental development, 271–272milestones, 275movement, 269–270personality, 274–275physical activity encouragement, 270reaching and grasping, 269rolling over, 269sensory development, 270–271size/weight chart, 266sleeping, 267social development, 272–275solid food introduction, 265–269toys and games, 273month 6appearance, 277–279babbling, 284eating, 279growth, 277–279hands, favoring, 281mental development, 282–284milestones, 285564 INDEX

movement, 279–280picking up and letting go, 280playing, 282–284sensory development, 281size/weight chart, 278sleeping, 279social development, 284–285teeth, 277–279toe discovery, 280toys and games, 283tripod sitting, 280month 7appearance, 287–288conversation, 290eating, 289empowerment, 292growth, 287–288hand and finger coordination, 288–289mental development, 290–292milestones, 295movement, 288–289sensory development, 289–290sitting, 288size/weight chart, 288sleeping, 289social development, 293–295stranger anxiety, 293toys and games, 291month 8appearance, 297–299attaching meaning, 301baby sign language, 302eating, 298–299getting around, 300growth, 297–299hand and finger coordination, 300language skills, 302mental development, 301–302milestones, 305movement, 300object permanence, 301sensory development, 301separation anxiety, 304–305sitting, 300size/weight chart, 298sleeping, 299social development, 302–305toys and games, 303month 9appearance, 307crawling, 307–308eating, 309growth, 307hand skills, 309–310language and understanding, 312–314mental development, 312–314milestones, 315movement, 307–310sensory development, 310–311sitting, 308–309size/weight chart, 308sleeping, 309social development, 314–315standing, 308toys and games, 313month 10appearance, 317conversation, 322eating, 319eyeing mom and dad, 325first words, 320–322growth, 317mental development, 320–322milestones, 325mimicking, 324movement, 317–319nonverbal communication, 322picking up, pointing, poking, 318–319pulling to sit, 318pulling to stand, 318sensory development, 319–320sharing, 324size/weight chart, 318sleeping, 319social development, 324–325toys and games, 321month 11appearance, 327assertiveness, 334crawling, 328cruising, 329eating, 329fears, 335finger skills, 329growth, 327milestones, 335movement, 328–329sensory development, 330–332size/weight chart, 328sleeping, 329social development, 332–335standing, 328–329 INDEX565

month 11 continuedtoys and games, 333vocabulary, 331–332month 12appearance, 337–338eating, 339growth, 337–338hand and finger skills, 341language skills, 344mental development, 342–344milestones, 345movement, 338–341relationship with others, 345saying no, 345sensory development, 341–342sitting, 338size/weight chart, 338sleeping, 339social development, 344–345stairs, 340standing and bending, 340tantrums, 344–345thinking complexity, 342toys and games, 343understanding, 344walking, 340mood, 137mothersdiet, changing, 131giving time to, 429health, 56–57, 431moods, dad’s/partner’s understanding of,429–430pampering, 430See also self-caremotioncolic and, 132sickness, 192motor skills, 155–156mouth, physical exam, 154mouthing, 260movementin comforting, 128month 1, 225–226month 3, 245–246month 4, 257–260month 5, 269–270month 6, 279–280month 7, 288–289month 8, 300month 9, 307–310month 10, 317–319month 11, 328–329month 12, 338–341multiples, 496bottle-feeding, 496–497breast-feeding, 494–496bulk buying for, 499caring for, 493–501combined breast-/bottle-feeding, 495–496help and support with, 501logistics, 499–500one-on-one time, 498–499overwhelming demand of, 493parenting strategies, 499raising, as strong individuals, 497–499rest and, 500self-care with, 500–501siblings and, 454mumps vaccination, 165music, 26, 128, 273Nnail care, 98naps, 114, 115neonatal intensive care unit (NICU), 503, 504–505, 511newborn conditionsblood disorders, 535–537breathing disorders, 537–539central nervous system disorders, 539–541digestive disorders, 541–543disorders, other, 550–551facial and extremity disorders, 543–546genital disorders, 546–547heart disorders, 548–550newbornsbirthmarks, 223bonding, 25–26circumcision, 36–39first examination, 32–34issues, 34–35looks, 26–32screening tests, 39–41strollers and, 186–187temperament in, 138vaccinations, 166night lights, 204nipples, bottle-feeding, 60no, saying, 345566 INDEX

nonverbal communication, 323nurse practitioners, 146–147nursery rhymes, 313nursery safety, 197–199nursing. See breast-feedingnurturing, 437nutritioninformation at checkup, 155mother, 55–56premature baby, 506weaning and, 59Ooccupational therapy, Down syndrome baby, 533ointment, 79, 85, 381opposite-sex role models, 447outlets/electrical cord safety, 202overfeeding, avoiding, 298–299overstimulation/overtiredness, crying from,126Ppacifiers, 116, 119, 225pain relievers, 370pajamas, 109parentingadopted baby, 491as adventure, 23chaos and, 401–402enjoying, 399–405foundation as a couple, 439multiples, 499new-baby stress, 404–405role adjustment, 403–404single, 441–447skill development, 143sleep and, 399–401support, 404, 405as team, 433–439temperament and, 141–143welcome to, 21–23parents, connecting with, 404, 420patent ductus arteriosus, 548–549patience, fostering, 23pediatricians, 146peekaboo, 284, 303persistence, 138, 139personality, emerging, 274–275pets, safety around, 205phenylketonuria (PKU), 41physical activity, 270physical development, 419, 518physical exams, 153–154physical therapy, Down syndrome baby, 532picking up, 280, 318–319pink eye (conjunctivitis), 380–381play development, typical, 518playing, 282–284playtime safety, 259pneumococcal disease vaccination, 165–166pneumonia, 382pneumothorax, 538pointing, 318–319poisonin eyes, 219inhaled, 217–219on skin, 219swallowed, 216–217Poison Help hotline, 216, 217, 219poking, 318–319polio vaccination, 166polycythemia, 537pool safety, 205–207port-wine stain, 29, 31postpartum depression, 412–413powdered formulas, 61premature babies, 503–515appearance, 505blood concerns, 509brain concerns, 508breathing concerns, 508bringing home, 512–515car seats and, 192care requirements, 512–513caring for, 505–507checkups, 515condition and care, 505–506corrected age, 510definitions, 504dental concerns, 510development, 153feedings, 513future issues, 510–511gastrointestinal concerns, 508–509growth and development, 507health issues, 507–511hearing concerns, 510–511heart concerns, 508help with, 512illness, protecting against, 513–515 INDEX567

premature babies continuedintermediate care, 511measurement, 153medical team for, 506metabolic concerns, 509NICU, 503, 504, 505nutrition, 506reasons for, 503–504rehospitalization, 513self-care, 511–512separation from, 507siblings and, 511–512SIDS, 510transporting, 507, 513vaccinations, 168vision concerns, 509–510vulnerable child syndrome, 515probiotics, 83protein hydrolysate formulas, 61pulmonary stenosis, 549pumping breasts, 53–55, 496push toys, 333pustular melanosis, 28, 99, 101pyloric stenosis, 543Qquietness, 128, 140Rrapid eye movement (REM), 114rashes, 256RDS (respiratory distress syndrome), 538–539reaching, 259–260, 269, 283reading, to baby, 26ready-to-use formulas, 62reflexes, 226reflux, 67, 382–384regularity, 136–137relative/friend child care, 176respiratory distress syndrome (RDS), 538–539rest, mother, 56rolling, 248, 258–259, 269romance, rekindling, 420–421, 431rooting reflex, 226roseola, 385–386rotavirus vaccination, 167routines, 445RSV (respiratory syncytial virus), 384–385Ssafety, 197–207air travel, 193airplane seat, 193–194baby carrier, 185–186basement, 201bathroom, 201burn prevention, 203caution and, 207child care centers, 180childproofing and, 197clothing, 108crib, 120–123, 199exercise, 414exploration, 315fall prevention, 203–204feeding, 200–201fire, 203front yard/backyard, 202garage, 201hazardous objects/substances, 199, 201kitchen, 199–200lead poisoning prevention, 204nursery, 197–199pet, 205playtime, 259shopping cart, 186status, at checkup, 157straps, 197stroller, 187tips, 202–203toy, 198vaccine, 161–163water, 205–207salmon patches, 28, 31scheduling appointments, 152screening tests, 39–41second childcareer impact, 473deciding on, 471–474family dynamics, 473family issues, 476–479finances and, 472–473five years or more apart, 477–478health issues and, 475–476long interval between pregnancies, 475–476mother age and, 479one to two years apart, 476–477partner preferences, 472responsibilities, 471–472568 INDEX

short interval between pregnancies, 475social pressures, 473–474thinking in reverse, 474timing, 475–476two to five years apart, 477when to have, 471–479self-care, 407–421adopted baby and, 487breaks, 418–419care provider, calling, 410childbirth/labor recovery, 407–411exercise, 414–418friendships and, 419–420getting back into shape, 413–418healthy diet, 414importance of, 23with multiples, 500–501, 511–512out of the house, 418–419pampering, 419romance, 420–421single parents, 445weight return, 413sensitivity, 137, 141sensory developmentmonth 1, 227month 2, 237month 3, 247month 4, 260month 5, 270–271month 6, 281month 7, 289–290month 8, 301month 9, 310–311month 10, 319-320month 11, 330–332month 12, 341–342separation, child care, 179separation anxiety, 8, 304–305sex, having, 420, 421sharing, 324shoes, 330shopping cart safety, 186shoulder lifts, 417siblingsadopted baby and, 489age 2 and under, 450–451ages 2 to 4, 451all children, 451comparisons, avoiding, 453gentleness, teaching, 452ground rules, 453introducing your new baby, 449–450listening to, 453multiples and, 454reactions, 450–452rivalry, 452–453safety hazards, 453school-age, 451sick newborns and, 450sick babiescaring for, 347, 351–353child care and, 178comforting, 352fluids, 352rest, 352siblings and, 450temperature, taking, 350–351sickle cell disease, 41side-lying hold, 49, 50SIDS. See sudden infant death syndromesign language, baby, 302silly songs, 321singing, to baby, 26, 128, 484single parents, 441–447challenges of, 441dads, 443emotional struggles, 443family life stability, 445family time priority, 445–446financial issues, 442opposite-sex role models, 447organization, 447pathways to becoming, 441positive attitude, 447rewards and strengths, 447routines, 445self-care, 445support issues, 443work and pressure of, 441–443work issues, 442sittingmonth 7, 288month 8, 300month 9, 308–309month 12, 338pulling for, 318size/weight chartsmonth 1, 222month 2, 234month 3, 244month 4, 256month 5, 266 INDEX569

size/weight charts continuedmonth 6, 278month 7, 288month 8, 298month 9, 308month 10, 318month 11, 328month 12, 338skinchanges (mother), 411month 1, 223month 2, 234newborns, 27–28physical exam, 154poison on, 219sunscreen, 103skin conditionsacne, 99, 100common, 98–105contact dermatitis, 102cradle cap, 99–102eczema, 101, 102erythema toxicum, 99, 100impetigo, 101, 102–104milia, 99, 100pustular melanosis, 99, 101rashes, 256thrush, 101, 105slate gray nevus, 28, 30sleep (baby), 113–123activity during the day and, 115“back” to, 117–118bed share and, 116bedtime routine, 115in car seats, 190daily, 113–114Down syndrome baby, 527–528falling asleep, 115frequency of stirrings, 116going to bed drowsy, 116good habits, 115–117month 1, 224month 2, 235month 3, 245month 4, 257month 5, 267month 6, 279month 7, 289month 8, 299month 9, 309month 10, 319month 11, 329month 12, 339naps, 114, 115night versus day, 114noisy breathing, 114overheating baby and, 119pacifiers, 116position, 117–118, 459rapid eye movement (REM), 114schedule, 113–114setbacks, 116–117settle down time, 116states of consciousness, 230status, at checkup, 155sudden infant death syndrome (SIDS) and,117–118tips, 115–117trouble, 117sleep (parents), 399–401sleep positioners, 123sleepy baby, feeding, 117smell, 227, 247smiles, 231, 241soap, 90social developmentmonth 1, 230–231month 2, 239–241month 3, 251–252month 4, 262–263month 5, 272–275month 6, 284–285month 7, 293–295month 8, 302–305month 9, 314–315month 10, 324–325month 11, 332–335month 12, 344–345social skills, 156socks, 110soft scrubbers, 91solid foodsbaby cereal, 70baby readiness for, 266child obesity and, 71finger food, 70–71getting started with, 69–70holding off of, 246homemade, 70introducing, 69–73, 265–266juice, 71meal management, 73570 INDEX

not introducing too soon, 200off-limits, 71–72pureed meat, vegetables and fruits, 70stools and, 269taste and texture, 70–71soy-based formulas, 61speech development, typical, 518spina bifida, 540–541spitting up, 67–69spoiling, 26, 238sponge baths, 89–90spoons, 267, 310stairs, getting up/down, 340standing, 259, 308, 318, 328–329, 340startle reflex, 226states of consciousness, 230stay-at-home dads (SAHDs), 425stepping reflex, 226sties, 388stimulation, 285, 315stomach flu (gastroenteritis), 386–388stools, 82–84, 269stranger anxiety, 263, 293stress, handling, 404–405strollers, 187accessories, 187double, 499–500newborns and, 186–187safety tips, 187short trips, 283in travel system, 187use of, 186stuffed animals, 290suckling, 225, 226sudden infant death syndrome (SIDS), 117–119, 510sun, 103, 184sunburn, 388–389sunscreen, 103supervision, 312supportadopted baby, 481–484breast-feeding, 52dads/partners, 427, 444delayed development baby, 523Down syndrome baby, 533multiples, 501parenting, 404, 405work and, 469swallowed poison, 216–217swim diapers, 76Ttantrums, 344–345taste, 227, 247teary eyes, 390–391teethcaring for, 279first, 391formation, 391month 6, 277–279teethingrecognizing, 391seriousness of, 391signs and symptoms, 277–278tips for soothing, 278–279, 391–392See also illnesses/conditionstemperamentactivity, 136, 139adaptability, 137, 140as colic cause, 129curiosity, 139distractibility, 138, 141frustration, 140inborn traits, 136–138initial approach, 137intensity, 137, 140interaction with, 143irregular body rhythms, 140mood, 137in newborns, 138parenting and, 141–143persistence, 138, 139quiet, 140regularity, 136–137sensitivity, 137, 141surroundings and, 135–136understanding, 135–143working with, 138–141temperature, taking, 350–351tetanus vaccination, 167tetralogy of Fallot, 549thermometers, 350thrush, 101, 105, 392–394time, relishing, 22timetables, caution, 251toesdeformities, 545–546discovery of, 280tonic neck reflex, 226touchmonth 1, 227month 6, 281 INDEX571

touch continuedmonth 8, 301month 9, 311month 10, 320month 11, 330month 12, 342towels, 91toys and gamescribs and, 123month 1, 228month 2, 236month 3, 248month 4, 262month 5, 273month 6, 283month 7, 291month 8, 303month 9, 313month 10, 321month 11, 333month 12, 343safe, 198selecting, 198water, 343transient tachypnea, 539transposition of the great vessels, 549–550travelingair, 193–194with baby, 183–195with baby carriers, 184–186with car seats, 187–192dressing for weather, 184essentials, 195heading out, 183–184internal clock and, 195motion sickness, 192with preemies and small babies, 192preparation for, 183, 184with strollers, 186–187sun protection, 184trip basics, 195weather and, 184tripod sitting, 280trust, 293–294tummy hold, 131tummy time, 120, 228, 236Uumbilical cordcare, 96–97in diaper changing, 81exposing to air, 96month 1, 224problems, 96–97umbilical granuloma, 96umbilical hernia, 36, 96–97uncircumcised penis, caring for, 97undershirts, one-piece, 109understanding, 344undescended testicle, 547urinary tract infection, 394–395urinationirritation from, 84normal, 81–82problems (mother), 409–410used car seats, 189Vvaccinations (vaccines), 159–171additives, 161alternative schedules, 164autism and, 161–163benefits of, 159at checkup, 156–157chickenpox, 163childhood, 163–168comforting during/after, 165diphtheria, 162–163first examination, 34flu, 164–165German measles, 163hepatitis A, 164hepatitis B, 34, 164Hib disease, 164how they work, 159–160immune response, 160measles, 165missing, 167mumps, 165newborns, 166pneumococcal disease, 165–166polio, 166preterm babies, 168reasons for getting, 160–161risks versus benefits, 171rotavirus, 167safety, 161–163severe reaction, 169side effects, 169tetanus, 167well-child schedule, 162572 INDEX

when to avoid, 169whooping cough, 167–168vaginal recovery, 408–409vegetables, 70, 268ventricular septal defect, 550visionDown syndrome baby, 529month 1, 227month 3, 247month 4, 260month 5, 271month 6, 281month 8, 301month 9, 311month 11, 330premature baby, 509–510visiting rules, 402vitamin D, 52, 65vitamin K injection, 34vocabulary, 331–332vomiting, 395–396Wwalkinginterest in, 340together, 313, 343washcloths, 90watersafety, 205–207temperature, 199, 201toys, 343weaningfrom formula, 65gradual approach to, 57–58methods, 58nutrition and, 59timing, 58See also breast-feedingweather, 110, 184weight gain, breast-feeding amount and,51well-child vaccination schedule, 162whooping cough, 167–168, 396–397winter wear, 110wipes, 77, 78rst,fiwords, 320–322workbalance (dads/partners), 427–428breast-feeding and, 466career options, 469continuity of care, 465home connection, 466home life balance, 466–469parent networking, 466planning return to, 250, 464–465t for, 468firight self-nurture and, 469support and, 469transition back to, 464–466ups and downs, 465–466See also home versus job decision INDEX573

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