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Bottle-feeding and formula By Raising Children Network

Infant formula is the only safe alternative to breastmilk for the first 12 months of your baby’s life.

Facts about formula

What is formula?
Infant formula is not the same as cow’s milk. All infant formula has added 
vitamins and enzymes and different fats that babies need, which they can’t get from straight cow’s milk. This is why experts say you shouldn’t give cow’s milk to your baby as the main milk drink until your baby is over 12 months old.

Which formula is best?
Every formula you can buy in Australia meets strict Australian Standards. 

There is a range of cow’s milk formulas on the supermarket shelves. Most of them are of similar quality and nutritional value.

Some expensive formulas have special additional ingredients. You can pay more for this kind of formula. On the whole, though, there is no significant evidence that these formulas are better. There is some evidence that formula with added LCPs, naturally found in breastmilk, assists in brain development. 

A brand might be more expensive, but that doesn’t mean it’s better for your baby. A hospital’s use of a particular brand of formula does not mean that brand is the ‘best’.

Preparing formula
Infant formulas are most commonly available in powder form. The formula is prepared by adding the powder to cooled boiled water. Until your baby is 12 months old, it’s very important to
sterilise bottles and teats. This will stop the formula from being contaminated by any bacteria that might make your baby sick.

Soy formula

The National Health and Medical Research Council (NHMRC)  recommends regular formula over soy milk formula for most infants.

This is because consuming high levels of soy can have potential risks for young children. In particular, the NHMRC notes that phytoestrogen compounds in soy formula might affect the growing neuro-endocrine systems and immune system. But there is no compelling research to either prove or disprove that these compounds harm infants.

If you don’t want to use regular formula, soy formula will provide your child with all necessary nutrients. For example, you might be vegan and want a vegan diet for your child. Your baby can’t get necessary nutrients from soy milk for adults.

Some infants are allergic to both cow’s milk and formula. If you think your baby has an allergy, talk to your doctor before switching to a different formula.

Formula with LCPs, betacarotene and probiotics

Some formula has the following elements added to make it closer in composition to breastmilk:

  • LCPs: these are important for brain and nerve development. There is no clear evidence that babies can (or cannot) absorb ingredients such as LCPs when they are added to formula. Research has shown, however, that formula with added LCPs might be helpful for premature babies’ development.
  • Betacarotene: this is a source of vitamin A and anti-oxidants. Most formulas already have added vitamin A and anti-oxidants. There is no real evidence that beta-carotene formulas are better for your baby.
  • Probiotics: these can help formula-fed babies grow healthy bacteria in their bowels. The bacteria might help your baby have softer poo and less nappy rash. It might also help reduce the chance of gastroenteritis.
You should note that having the same ingredients doesn’t necessarily mean formula will work in your baby’s body the same way breastmilk does. Formulas with LCPs, beta-carotene or probiotics added might be more expensive than other formulas.

Changing formula

Once you’ve settled on a formula for your baby, it’s better not to change formulas too often. This might upset your baby’s feeding routine.

Follow-on formula
Some parents change to a ‘follow-on formula’ when their baby reaches six months:

  • Follow-on formula should not be given to babies under six months.
  • Babies older than six months need follow-on formula only if they are not getting an adequate variety of solid foods in their diets.
  • If babies have been started on a diet of healthy solids, they’ll be getting all the nutrients they need from those and their original formula.
If you do decide to change formula, read the directions carefully as different formulas have different-sized scoops and are made up in different ways.
Sourced from the Raising Children Network's comprehensive and quality-assured Australian parenting website http://raisingchildren.net.au
 
Homemade baby food By Raising Children Network

Homemade baby food

By Raising Children Network
 

Ingredients for good baby food

A range of foods that make suitable solids for babies
  • Start simple: along with iron-fortified cereal, baby’s first solids can be single foods such as mashed banana or avocado, or cooked and pureed apple, pear, pumpkin or potato.

  • Once baby is enjoying a good range of fruits and vegetables, introduce some fresh beef, lamb, pork or chicken (not pickled, salted or smoked). Combine meat with vegetables or even fruits such as apple or pear.

  • Gradually become more adventurous with different foods and textures. When teeth start coming in, try flaky loose fish, mashed legumes and couscous. Include fruits such as berries, citrus and stone fruit that has been deseeded and mashed.

 

Preparing and cooking baby foods

Preparing, cooking and processing solids
  • Step 1: to make baby food, first peel the skin off fruits and vegetables, trim the fat off meats, and remove any skin from chicken.

  • Step 2: steam, microwave or boil the foods until cooked, and set aside some of the cooking liquids.

  • Step 3: puree in a food processor or with a hand blender. Add some cooking liquid if you need to smooth out the mixture. For babies over eight months, chop meat finely. Mash other foods with a fork. If using fish, remove any bones.

 

Storing and serving baby food

Store baby food in ice trays or plastic containers
  • Pureed baby food can be frozen in clean ice cube trays. Spoon the puree into the trays and cover with plastic wrap. Freeze for 30 days maximum.

  • Solids can also be stored in plastic containers or glass jars. They’ll keep for up to two days in the fridge or one month in the freezer. Label containers with contents and use-by date.

  • To serve, pop out food cubes into a glass or ceramic bowl. Warm the solids in the microwave or on the stove. Stir well to get rid of hot spots. Test temperature with a clean spoon on your lip before serving to baby. Discard any leftovers – don’t refreeze.

 
Sourced from the Raising Children Network's comprehensive and quality-assured Australian parenting website http://raisingchildren.net.au
 
Breastfeeding problems and solutions By Raising Children Network

Breastfeeding is a learning curve for both mum and baby, so it’s no wonder there can be some sore nipples and other challenges at first. Most issues can be easily resolved, and getting help early can make all the difference.

Did you knowQuestion mark symbol

Did you know that breastfeeding women are entitled to two unpaid 30-minute lactation breaks? When, how and where you take them is up to you to discuss with your employer.

 

If you’re finding breastfeeding hard in any way, it can be a great help to speak to your maternal and child health nurse, GP or a lactation consultant. An Australian Breastfeeding Association counsellor can also help.

You’re bound to get lots of different advice – take the advice of the person you trust most, and stick with it.

Sore nipples

The idea of sore nipples can be frightening. While having sore nipples isn't uncommon, it usually doesn't last more than a few days. If this happens it may discourage you from breastfeeding, so it's good address the problem as soon as possible.

Sore nipples are often caused by not feeding correctly, so a good start is to check your breastfeeding technique.

If you’ve checked your technique and your nipples are still getting sore, it’s good to address the problem before this discourages you from breastfeeding. There’s a lot you can do to stop soreness from getting any worse, and your maternal child health nurse or lactation consultant will be able to help.

Some tips for alleviating soreness are:

  • applying an ice-pack after feeding, or a warm cloth before feeding
  • expressing a little milk to lubricate the nipple before feeding
  • wetting your nipple and areola with milk after feeding and allowing them to dry while exposed.

Another tip is to try avoiding using nipple shields or breast pumps, rough towels and any creams or liquids (such as shampoo) that may dry out your nipples.

It is unusual for sore nipples to persist, and worth speaking to your maternal and child health nurse if they do.

Not enough milk

Many mums worry that they aren't making enough milk for their baby. This is particularly the case in the early days when a newborn's main way of communicating is to cry, and a baby might cry after a feed. Mums and dads are still trying to work out which cry means ‘hungry’, which cry means ‘tired’ and which cry means ‘I'm not hungry now, but I've got a tummy ache’.

You don’t need to give your baby a bottle to make sure she has enough food. If your baby has at least six to eight wet cloth nappies or five very wet disposables in 24 hours, you have plenty of milk. If you don't think your baby has that many wet nappies, there are ways to increase your supply of milk.

By breastfeeding often, you'll be helping to ensure you have enough milk. Your baby will let you know when she is hungry, and responding to this (even if it seems very frequent) will increase your supply.

If you are already breastfeeding every two hours (a gap of two hours between feeds, not two hours from the start of one feed to the start of the next), you could try to fit in a few snack breastfeeds in between.

If your baby is asleep for a long time, it can also help to express for a couple of minutes – but if this makes you tense or tired, don’t bother.

You can also try the following:

  • Feeding regularly at night, as this is when prolactin levels are higher.
  • Avoiding using a dummy and/or bottle; when feeding expressed breastmilk, use a cup.
  • Using the feeds as a time for you to rest.
  • Making sure you are taking care of yourself by eating properly, drinking plenty of water and getting some rest.

If you are concerned about your baby’s weight gain or anything else, talk to your maternal and child health nurse.

Too much milk

If you feel like you have too much milk or a fast flow and your baby is being swamped, you might like to try any of the following:

  • Letting her finish the first breast before offering the second; she may not want both breasts at each feed, and this can help regulate your supply.
  • Expressing a little before feeds to help your baby attach and make the flow of milk less overwhelming for her.
  • Checking your positioning and technique
  • Expressing a little when you can. Do this to relieve pain only – too much expressing will stimulate you to make more milk.

Full, sore breasts

To gain relief from engorged breasts, try the following tips:

  • When feeding, limit the sucking time.
  • Take your bra off completely before beginning to breastfeed.
  • If your baby is asleep for a long time, express for a minute or two rather than waking your baby to feed.
  • Warm your breasts with a warm cloth before breastfeeding.
  • Massage your breast gently while breastfeeding.
  • Vary breastfeeding positions.
  • Place an ice-pack wrapped in cloth on your breast to relieve pain after breastfeeding.

Mastitis

If you have a breast that is inflamed, sore, swollen or red, or if you have the chills or just feel like you have the flu, you may have mastitis, which is a serious infection. If you think you may have mastitis:

  • Consult your GP as soon as possible. You will probably be prescribed antibiotics; you can continue breastfeeding while taking these.
  • Go to bed, rest and try to get someone to look after you. Take your baby to bed with you.
  • Feed frequently to empty the affected breast. Although you have an infection, the milk is still safe for your baby to drink.
  • Warm your sore breast with a warm cloth before feeding.
  • Give your baby the affected breast first.
  • Massage the breast gently while your baby feeds.
  • Vary feeding positions, so that all your milk ducts are being emptied – sometimes mastitis can start from one or two ducts that aren't being emptied fully.
  • Place an ice-pack on your breast to relieve pain after a feed.

Sometimes, women may develop nipple or breast thrush (candidiasis) following a course of antibiotics. Symptoms of nipple or breast thrush may include sore nipples, shooting pain in the breast, and possibly white nipple discharge. Not only is nipple thrush particularly painful but it can be passed back and forth between mother and baby.

Research has not come up with a standard treatment for nipple or breast thrush. Different doctors treat it differently, depending on their own clinical experience. Treatment is likely to involve an oral gel for baby’s mouth and an ointment for mum's nipples and, sometimes, baby’s bottom. Antifungal tablets may also be prescribed for the mother.

Many women feel overwhelmed when they experience mastitis and may find it difficult to continue breastfeeding. Many do overcome mastitis and continue to breastfeed for some time with great success. Getting the support you need to get over this hurdle will help. You are not only learning to look after this new baby and are tired because of it, you are also unwell. You need help!

Baby won’t feed

Once you are at home with your baby, she should generally want to feed. If your baby is persistently not feeding it's best to consult a professional in case there is a problem.

Having said that, now and then, a baby refuses the breast. There are many possible reasons for this, some related to the baby and some to the mother, and it is often just a passing phase.

Here are some possible causes of breast refusal (but there are many more):

  • Your baby has a cold.
  • Your baby is having trouble attaching.
  • Your baby is overstimulated or overtired, or distracted (this is normal in older babies – try breastfeeding in a quiet place).
  • Your milk tastes different, possibly because you are taking medication, are experiencing hormonal changes (you may be about to have a period again) or have eaten something unusual.
  • Your milk flow is faster, lesser or slower to ‘let-down’ than usual.

Most of these causes of breast refusal will either go away on their own or can be solved with a few simple changes to your routine. None of them mean you have to give up breastfeeding.

If your baby is feeding but you are worried that she might not be getting enough milk:

  • check that the milk flow is not too fast or too slow
  • try different positions
  • work out whether she prefers one breast to another.

Biting

As babies grow older they get more playful, and they get teeth. It’s almost physically impossible for a baby to bite while sucking, but she might find it fun to bite your nipple once she’s finished (particularly if she thinks you’re not paying her enough attention!). If your baby does bite, say ‘No’ calmly and remove her from the breast. If you protest too loudly, this will just contribute to her amusement. Luckily, biting is usually a passing phase and probably won’t happen more than once or twice. You can also try offering your baby something else to chew on, like a teething ring. Some mothers switch to expressing if their baby keeps biting, but try to avoid this – it's just more work for you.

Returning to work

While many women keep breastfeeding when they go back to work, many still feel that their only option is to wean their baby. If you are thinking about going back to work and want to keep breastfeeding, here are some issues to consider:

  • Can I delay my return to work?
  • Can I work from home?
  • Can I organise flexible hours with my employer?
  • Can I breastfeed while at home, and can the carer give the baby expressed milk or formula while I’m at work?
  • Is there a child care facility near work?
  • Will I be able to express milk while I’m at work?
  • Do I know any other mums who have successfully balanced work and breastfeeding? Could they help with tips or advice?
  • How do I express? Can I express? How do I store breastmilk? How often? Read more about expressing and storing breastmilk.

Many women worry about talking to their employer about this issue. According to the Federal Sex Discrimination Act, it is illegal to discriminate against a woman on the basis that she is breastfeeding. That means that employers must make reasonable attempts to accommodate you if you want to breastfeed or express milk while at work.

Sourced from the Raising Children Network's comprehensive and quality-assured Australian parenting website http://raisingchildren.net.au
 
Nappy Rash By Professor Frank Oberklaid and Dr Leah Kaminsky, excerpt from 'Your Child's Health'

Nappy rash is common and may occur despite the most careful attention to your baby. Almost all children wearing nappies get nappy rash at some stage.

When to see the doctor

Take your child to the doctor if:

  • the rash has not improved after three or four days, despite following the below measures
  • blisters, crusts or pimples appear
  • your child is distressed and not sleeping
  • your child has an unexplained fever
  • the rash is spreading
  • the end of your child’s penis is red and swollen, or has a scab on it.

In cultures where nappies are not worn, nappy rash is unheard of. Cloth nappies tend to cause fewer problems than disposables, which do not let air circulate as much. If possible plastic overpants should not be used for the same reason.

What causes it?

Various factors combine to cause nappy rash. The main cause is prolonged contact of a wet or dirty nappy with the baby’s skin. Ammonia may be released from the urine and this further irritates the skin. The use of plastic pants may make the rash worse because air cannot reach the skin and, as a result, moisture is retained. Associated conditions such as eczema or thrush may make the rash worse.

What are the symptoms?

The skin in the nappy region looks red and sore. Some areas of skin may be raised or swollen and there may even be ulcers present. Skin folds are usually not involved because they are protected from exposure to urine. The rash may cause discomfort or pain, which may make the baby irritable and cry more often.

How is it treated?

Simple measures will usually work and the rash will improve or disappear in a few days. A good course of action will include: 

  • changing nappies frequently: this keeps the area dry and gives the skin a chance to heal. You may have to check every hour or so to see if the nappy is wet or soiled. If it is, change it immediately.
  • letting the baby’s bottom ‘air’: expose your baby’s bottom to the air for as long as possible each day. Even during naps, you can leave the baby lying on an open nappy or a towel. Fasten nappies loosely, so that air can circulate freely.
  • cleansing the skin gently using lukewarm water and a mild soap: always rinse thoroughly and pat dry gently with a towel. Disposable wipes usually have alcohol in them which will sting the already raw areas. Cleansing with running water is preferable when possible.
  • using an appropriate protective cream after each nappy change: these can be purchased from the chemist without a prescription, but it is a good idea to check with your doctor or maternal and child health nurse. Do not use cortisone creams or ointments – these can all make the rash worse. If there is a secondary infection, your doctor may prescribe particular creams or ointments.
  • rinsing cloth nappies thoroughly after they are washed, to remove soaps. Bleach is most effective in killing bacteria, but make sure the nappies are rinsed. Ensure the nappies are quite dry before using them again.

Complications of nappy rash

Secondary infection can sometimes occur, especially thrush (fungus or yeast). These bugs are normally present on the skin, but are real opportunists and multiply when the chemical balance has been disrupted in their favour. Thrush appears as bright red and shiny areas in the napkin area; they have clearly defined borders and also affect the skin folds. Numerous red dots (satellite lesions) may be studded beyond the outer edge of the rash.

Treat with an antifungal cream which will be prescribed by your doctor. As opposed to a simple nappy rash, which clears up quickly, thrush can take longer to clear, and has a tendency to recur. Treatment can be prolonged, and sometimes very frustrating.

How can I prevent it?

If used consistently, the simple measures outlined above should help prevent nappy rash. Keep the nappy area clean and dry, and use protective sorbolene creams (often containing a zinc oxide base).

Sourced from the Raising Children Network's comprehensive and quality-assured Australian parenting website http://raisingchildren.net.au
 
Lactose Intolerance By Raising Children Network

If your baby has been crying a lot and has watery diarrhoea, you might be thinking he has lactose intolerance. This condition is not very common in full-term babies, but if your child is showing typical symptoms, it’s important to diagnose and treat them appropriately.

What is lactose intolerance?
What causes lactose intolerance?
Common symptoms of lactose intolerance 
Diagnosing lactose intolerance
What can I do about my baby’s lactose intolerance?
Eating solids: lactose intolerance and diet
Lactose overload
Food allergy versus lactose intolerance

What is lactose intolerance?

Lactose intolerance occurs when the body can’t break down a sugar called lactose, which is present in all breastmilk, dairy milk and other dairy products.

Lactose makes up around 7% of breastmilk (and a similar amount in infant formula). Lactose provides around 40% of your baby’s energy needs, helps your baby absorb calcium and iron, and helps ensure healthy development.

Usually, the enzyme lactase, which is produced in the small intestine, changes the lactose into glucose and galactose — sugars which are more easily absorbed. Sometimes babies don’t produce enough lactase to break down all the lactose and the unabsorbed lactose passes through the gut without being digested. Undigested lactose irritates the gut and causes build up of wind and diarrhoea.

Lactose intolerance is uncommon in Caucasian children, who typically do not develop symptoms until after 4 or 5 years of age. About one in five Hispanic, Asian, and African-American children have lactose intolerance, with symptoms occurring around 3-5 years of age.

What causes lactose intolerance?

There are two types of lactose intolerance: primary and secondary.

Primary lactose intolerance occurs when babies are born with no lactase enzymes at all. This is extremely rare. It’s genetically carried and babies who have it need a special diet from the time they are born, in order to thrive.

Secondary lactose intolerance can occur if a child’s digestive system is disrupted by illness, affecting healthy production of enzymes like lactase, or if there is inadequate production of lactase.

Illnesses that might lead to secondary lactose intolerance include tummy bugs that cause gastroenteritis and coeliac disease

Gastroenteritis can cause temporary irritation to the lining of the stomach and small intestine, but this will usually clear up with time:

  • for a baby aged under three months, around eight weeks
  • for a baby older than 3 months, around four weeks
  • for a baby 18 months and older, around one week.

Secondary lactose intolerance due to inadequate production of lactase most commonly develops after the age of three. Some people are more likely to develop it than others. For example, people from a Northern European background are generally less likely to develop it; Indigenous Australians and people from Asia or Africa are more likely to do so.

Sometimes lactose intolerance is confused with other digestive problems such as a food allergy or lactose overload. This is because these conditions have similar symptoms. Food allergies and lactose overload are not the same as lactose intolerance, and do not affect a baby’s production of lactase.

Common symptoms of lactose intolerance

Without lactase, the lactose in milk remains unabsorbed and stays in the intestines. As bacteria in the gut feast on the lactose, they produce large amounts of gas by fermentation. This causes a range of symptoms including:

  • wind
  • pain and swelling in the tummy
  • irritability
  • failure to settle
  • at feeding times, coming on and off the breast
  • failure to gain weight
  • diarrhoea.

The diarrhoea occurs because unabsorbed lactose forces the intestines to retain excess water, causing frothy green diarrhoea.

Note: Lactose intolerance does not cause vomiting, but food allergies do.

Even if your child has these symptoms, it doesn’t mean he is lactose intolerant. Some or all of these symptoms are common in healthy breastfed infants, according to research. They can occur in the first week of life and last up to six weeks or as long as five months. It is also highly likely that the symptoms will disappear. As long as your baby’s weight and health aren’t suffering, it’s not likely that there is a problem.

It is always wise to consult your doctor if your child has persistent diarrhoea, especially if he is under three months old.

Diagnosing lactose intolerance

Because the symptoms for lactose intolerance and food allergy are similar, clearly diagnosing lactose intolerance can sometimes be difficult.

Methods used to diagnose lactose intolerance include:

  • Clinitest tablet — a small amount of faeces is mixed with water, than a special tablet is added and checked for colour change. This is commonly used when temporary lactose intolerance is suspected after gastroenteritis.
  • Hydrogen breath test — this tests the amount of hydrogen gas in the child’s breath. Lactose intolerant children will have higher levels of hydrogen in their breath coming from the process of fermentation in the gut (bacteria feeding on lactose that has not been broken down).
  • Elimination diet — this involves removing foods containing lactose from the child’s diet to see whether symptoms improve. If symptoms come back once the foods are reintroduced, then lactose intolerance is most likely the cause of the problem.
Even if your baby is diagnosed with lactose intolerance, he will continue to thrive once the problem is addressed. Remember to seek medical guidance for your baby's nutritional needs.

What can I do about my baby’s lactose intolerance?

The treatment for lactose intolerance in your baby depends to some extent on the cause. If your child has primary lactose intolerance, your doctor, paediatrician or nutritionist will help guide you.

For secondary lactose intolerance caused by gastroenteritis:

  • Try using Lactaid drops that contain the enzyme lactase. (Note that there is some debate about the effectiveness of this treatment.)
  • Alternate your baby’s breastfeeds with a lactose-free infant formula. If the situation is particularly serious, you may have to wean your baby onto the formula temporarily. If this occurs, keep expressing so that your supply of breastmilk is maintained.

If you are breastfeeding, persist if possible. Weaning is not recommended, because of the nutritional value of breastmilk and the benefits of lactose for your baby’s growth. Also, if your child can tolerate a small amount of lactose then gradually increasing lactose can help his body produce more lactase. 

And remember that one of the most important things you can do is soothe and comfort your baby when he’s showing symptoms.

Note: Talk to your doctor if you are thinking of replacing or alternating breastmilk with a soy-based or other lactose-free formula. You can also talk to a community nurse or lactation consultant if you are concerned about alternating breastfeeding and bottle-feeding.

Eating solids: lactose intolerance and diet

If your child is older and diagnosed with lactose intolerance, here are some tips for watching his diet. These also apply to adults with lactose intolerance.

Foods that are OK Foods to watch out for Check the ingredients
  • Bread and cereals
  • Rice and pasta
  • Fruit and vegetables
  • Meat, fish, chicken, pulses, legumes, nuts
  • Cheeses with very small lactose content: brie, camembert, cheddar, colby, cotto, edam, fetta, gouda, havarti, mozzarella, parmesan, Swiss, Tilstat
  • Soy yoghurt
  • Milk, yoghurt, ice-cream, milk desserts, cream cheese, processed cheese, cheese spread, cottage cheese, ricotta
  • Yoghurt coated muesli bars
  • Instant mashed potato and vegetables with added milk, white or cheese sauces
  • Fish pastes, meat pastes, frankfurts
  • Creamy Italian or French cooking
  • Biscuits
  • Cakes
  • Cake mixes
  • Creamed soups
  • Mayonnaise
  • Milk chocolate
  • Flavoured chips and cheese
  • Flavoured snacks
  •  
  • Artificial sweeteners

Here’s a quick reference chart for the lactose content of common foods:

Dairy product Lactose content
Yogurt, plain, low-fat, 240 ml (1 cup) 5 gm
Milk, reduced fat, 240 ml 11 gm
Swiss cheese, 28 gm (1 oz) 1 gm
Ice-cream, 120 ml (½ cup) 6 gm
Cottage cheese, 120 ml 2-3 gm
Butter, 20 gm (1 tblsp) 0.2 gm

Cream, 20 gm (1 tblsp)

0.6 gm

 

Dietary tips
  • In addition to water, rice milk and diluted fruit juice, use a calcium-fortified soy drink or lactose-free milk.
  • Check margarine labels for milk-free varieties.
  • When cooking, try roasts, grilled vegetables and Asian-style stir-fries.
  • For dessert, try lemon sorbet, frozen fruit desserts, meringue, fruit baskets and milk-free muffins.

Lactose overload

Lactose overload is not the same as lactose intolerance – that is, it’s not a problem with the production of lactase. Rather, lactose overload occurs when a baby consumes large amounts of lactose at the one time and can’t break it all down.

Lactose overload can occur when:

  • Breastfed babies drink more first milk than last milk. The early milk passes through the digestive system faster than the last milk – so quickly, in fact, that there is not sufficient time for all of the lactose to be broken down.
  • Bottle-fed babies drink a lot of milk.
  • Mothers have a natural oversupply of breastmilk in their babies’ early weeks.
  • Breastfed babies feed frequently and alternate breasts before the breasts have been emptied.
  • Breastfed babies have a pattern of short breastfeeds – sometimes mothers (understandably!) shorten breastfeeds because of problems such as sore nipples or mastitis.
  • Breastfed babies are not correctly attached to the breast, resulting in longer feeding times but less milk - so baby may be getting too much of the early milk.

Trying to slow down or lengthen the feed may help with lactose overload.

Research shows that the symptoms of lactose overload improved in 79% of babies who:
  • were fed in a position that ensured they received all the milk from each breast
  • finished the first breast before moving onto the second breast
  • were fed at three-hour intervals, and not more frequently in case of over-feeding.

Read more about breastfeeding problems and solutions.

Food allergy versus lactose intolerance

Sometimes, symptoms we think indicate lactose intolerance are actually caused by a food allergy. An allergy to milk, for example, affects bottle-fed babies more than breastfed babies because the majority of infant formulas are based on cow's, goat's or soy milk.

It’s very rare for babies to be allergic to human breastmilk, although a protein allergy might develop from proteins eaten by a breastfeeding mother, which are then transferred into her breastmilk. An elimination diet can be used to diagnose such an allergy. This involves removing dairy foods such as milk, cheese, yogurt and cream from the mother’s diet. If the baby’s symptoms improve, but return when mum reintroduces the foods, this may suggest an allergy.

Reactions to food allergies are more severe than allergies to lactose intolerance. If your baby is allergic to food such as cow’s milk, soy products or egg, you may notice the following symptoms:

  • vomiting
  • blood or mucus in his diarrhoea
  • poor weight gain
  • wheezing or asthma.
Sourced from the Raising Children Network's comprehensive and quality-assured Australian parenting website 
http://raisingchildren.net.au

 
Hygiene By Child and Youth Health

Hygiene is important for anyone taking care of children and one of the most effective ways we have to protect ourselves, and others, from illness. Hygiene means washing your hands especially, but also washing the rest of your body. It means taking care when handling and storing food. It also means being careful not to cough or sneeze on others, cleaning things that you touch, throwing away things such as tissues that might have germs on them and using protection when you might be at risk of catching some infections.

Hand washing

Most of the infections we get, especially colds and gastro, we catch when our hands get germs on them, and we then put them in our mouth.

Some illnesses we can get when other people's dirty hands touch the food that we eat. So it is important to keep hands as clean as possible, particularly if you are around food.

Some of the times that it is important to wash hands are:

  • after using the toilet 
  • before making or eating food 
  • after handling dogs or other animals 
  • if you have been around someone who is coughing or has a cold. You can, of course, also catch the germs if you breathe in the air that they have just filled with germs when they coughed or sneezed.

Washing hands

  • Use clean water and soap (or alternative) over your hands and wrists.
  • Use a brush to get under nails if they are dirty as well.
  • Use something clean to dry hands, such as paper towel or a hot air dryer. 
Note: For children it can help them to remember to give hands a ‘good’ wash if they wash them while they sing ‘This is the way we wash our hands, wash our hands, wash our hands. This is the way we wash our hands and wash the germs away’.

Food

Food poisoning is an illness that you can develop after eating food that has harmful germs in it, or food which contains a toxin (poison) made by some germs. This is called contaminated food. You can feel sick, vomit, have abdominal (tummy) pains and diarrhoea (runny poo), starting a couple of hours to a day or so after eating the contaminated food. You usually can't tell if food has been contaminated because the germs usually don't make the food smell or taste different.

  • Always have clean hands before you eat or prepare food.
  • When you are preparing the food, keep the area that you are working on clean.
  • Prepare raw and cooked foods on separate work areas with separate knives, spoons and other utensils.
  • Wash all food that will be eaten raw (such as fruit and vegetables) in clean water.
  • Maintain the correct temperature when storing foods.
  • Keep perishable food, such as fresh meat, milk and vegetables, refrigerated. 
  • Do not thaw frozen foods at room temperature (keep them in a fridge). 
  • Serve hot food when it is hot, and cold food when it is cold. 
  • Don't keep cooked food at room temperature; keep it either hot or cold. 
  • If you are reheating foods, make sure the food gets hot right through. 
  • When you have thawed frozen food, do not re-freeze it, and if you have re-heated food once already, don't let it get cold and then re-heat it again.

Personal hygiene

Ideas about ‘hygiene’ were first of all thought of to stop the spread of infection, but now we also use the word hygiene to mean the way to make sure that our body is acceptable to others.

What you do about personal hygiene is very much dependent on the culture in which you live.

In some groups it is expected that you will wash your body at least every day and use deodorants to stop body smells. In other groups different 'routines' may be usual.

Body odour

Some people do make judgements about others based on what they look like and what they smell like.

Body smells are:

  • partly due to chemicals that the body makes (such as the pheromones or 'sexual' chemicals that attract (or repel) others) 
  • partly due to things that the body is trying to get rid of through breathing them out (such as garlic and alcohol) 
  • partly due to the actions of bacteria on the skin and clothes.

There are always bacteria on the skin which ‘feed’ on dead skin cells and fluids such as sweat. Some of these bacteria make chemicals which smell unpleasant, such as methane and hydrogen sulphide (rotten egg gas). Washing and using deodorants gets rid of many of these smelly chemicals for a while but they build up again every day.

Clothes (especially socks and underwear) can be smelly and unpleasant to others after they have been worn for more than one day.

Cigarette smoke, whether you are a smoker or are around people who smoke, can cling to your clothes with an unpleasant smell.

Making sure that underwear and socks are changed each day is usually the thing to do in places where it is easy to wash clothes. In some places this may not be possible.

Shoes often get very smelly. Put them outside to dry completely, killing the bacteria in them which make the smell.

Having clean hair is also something that many people prefer.

For girls

Vaginal hygiene
The vagina is an area of the body that is able to clean itself.

No special care is needed other than washing the outside of the genital area like you wash other areas (e.g. in a bath or a shower).

Putting anything into the vagina can damage the delicate skin inside, making it easier for germs to cause an infection. Tampons can damage the skin of the vagina, as can douches (preparations that can be bought to clean the vagina).

For boys

For most male babies and many young boys, the foreskin is attached to the glans (the tip of the penis).

Forcing it away from the glans may cause damage to the tip of the penis or the foreskin - so it is best not to force back an infant's foreskin.

Like every other part of the body, the tip of the penis and underneath the foreskin should be cleaned regularly once the foreskin moves easily. Don't use soap when washing under the foreskin because it can irritate the skin.

Boys should learn how to wash their penis and scrotum (balls) in the same way they learn how to wash other parts of their body.

With time the foreskin moves back more easily, and boys should be encouraged to wash under the foreskin every time they bath or shower.

The white stuff (smegma) under the foreskin is natural and does not cause health problems - it simply needs to be washed away regularly.

Bad breath

There are several things that can cause bad breath, for example, diseases of the teeth, gums and mouth, indigestion and some other health problems.

Most people have ‘bad breath’ first thing in the morning because not much saliva (which ‘washes’ the mouth) is made while they are asleep.

After having something to drink and eat, and when teeth are cleaned, the breath will smell better again.

Some things that you eat or drink can cause your breath to smell ‘bad’ for a while, such as garlic, onion and alcohol. The body gets rid of these unwanted chemicals by moving them from the blood in the lungs into the air that is breathed out. It can take many hours for the smell to disappear. Because the smell is in the air that is breathed out, cleaning teeth will not get rid of it.

Cigarette smoking can make breath smelly and stain teeth yellow.

Bad breath can also be caused by decaying teeth or a gum infection. There may be some bleeding from the gums. It is important to have regular visits to the dentist and brush and floss often.

Mouth washes, mouth sprays and flavoured chewing gum can make your breath smell better for a little while, but if you have a health problem in your mouth, the smell will come back, so see your dentist.

Travelling and hygiene

If you are not sure whether the water that you can use for hygiene is safe, take special care.

A shower with hot water is probably OK, but do not use tap water for cleaning your teeth unless you are very sure that it is safe.

If you need to use water that you are not sure about to wash your hands, make sure your hands are totally dry before you touch any food (and do not wash fruit or vegetables in unsafe water).

If you do not have a safe water supply, make sure the water is boiled before you drink it (it is usually recommended that the water be held at a rolling boil for a minute).

Different ‘authorities’ recommend different times for how long water needs to be boiled - some recommend up to 5 minutes. One minute should be enough. Many electrical jugs boil for less than 30 seconds, which is probably not long enough. Boiling water in a kettle or saucepan on the stove may be better.

Make sure any washed dishes are clean and totally dry before they are used again.

Safety and blood

Infections can be passed from one person to another by contact with blood. It is wise to think of all blood as possibly infected so that you always do the things you need to do to keep yourself safe. However:

  • Touching blood with your hand or other part of your skin will not give you an infection if your skin is 'intact' (there are no sores or cuts on your skin). 
  • If the blood is dry it will usually be safe. Germs mostly only live for a short time, only a few minutes when they are dry and outside of the body. 
  • You will not get an infection if the other person did not have an infection.

If someone is bleeding and needs your help:

  • Try to make sure that you do not touch the blood or injured part of that person's body if you can. 
  • You could wear plastic gloves or cover your hand with plastic wrap or a plastic bag. 
  • You could give the dressing to the injured person to hold on the wound while you stay close and give your support.

If you do need to touch something with blood on it, or you do so accidentally, it is unlikely that you will get an infection, since most blood-borne infections need blood to blood contact (e.g. through sharing drug injecting equipment or getting blood into a cut that you already have on your body). If you are concerned, see your doctor who will be able to talk about the risk, and have blood tests done if needed.

Dried blood on tampons or pads used during a menstrual period, or on used tissues will not cause an infection, but they are unpleasant for others to have to touch, so make sure you dispose of them carefully. Wrap them in paper and put them into a bin. Do not flush them down the toilet.

Some blood-borne infections can be passed on during sexual intercourse. You can protect yourself from infection by practising safe sex and always using condoms.

Sourced from the Raising Children Network's comprehensive and quality-assured Australian parenting website http://raisingchildren.net.au
 
Settling your Child into Care and School
By Bernice Greenacre BEd (Early Childhood Studies)

The best way to get you child to settle into Childcare or School is to prepare them for what is to come that way they will have a better knowledge of what to expect when it actually happens. Even if your child has already started this transition which many have it is great to use strategies and activities that will ease them into this transition and provide some experiences which they can relate to and built upon.

To prepare our son Eli for Kindergarten we began introducing books, DVDs as well as well as many activities early on in order to make the experience and transition as enjoyable and positive as possible.  He honestly was so ready to start Kindergarten this year and his first day was a huge success!

Here are some things that we did to prepare him for school:

1. Leave your child with a babysitter or carer other than yourself to get familiar with being in someone else’s care and away from you as the primary caregiver. We did this twice a week: Crèche at Church and a weekly meeting at our Church where Crèche was provided.

2. Find as many resources such as books and DVDs about school that you can share with your child and talk about them continually.

3. Provide  activities for your child to do which will be familiar and that is commonly done at schools or Childcares such as play dough, painting, puzzles etc.

4. Get excited about school together talk about it regularly.

5. Role play going to school with your child in a game.

6. If your child wears a uniform hang it up for them to see and talk about it and even let them wear it if they are keen!


7. If necessary let them take a comfort toy along that will help to ease the transition.


8. Every school day try and be super organised this reduces unnecessary stress and tension. Being organised allows for a positive start to the day and is good role modeling for your child.


9. When you drop your child off try to spend some time with them by reading a book with them or doing a puzzle together.


10. When it is time to say goodbye be positive and encouraging. For example you could say “I am sure that you are going to have lots of fun playing and learning at school today!”


11. Leave promptly even if your child is upset dragging it out longer makes the transition more difficult and if they do not settle the teacher or career will make contact with you.
 
Cradle Cap By Professor Frank Oberklaid and Dr Leah Kaminsky, excerpt from 'Your Child's Health'
Cradle cap appears as a crusty, or scaly, oily covering on areas of the scalp. It looks unsightly, but does not seem to bother the baby at all. It begins soon after birth and may last for several months.

When to see the doctor

Take your child to the doctor if:

  • the cradle cap does not improve after two weeks, despite simple treatment described below
  • the rash is red or sore, or your baby is scratching at it
  • the rash seems to be spreading
  • you are in any doubt that the rash your baby has is cradle cap.

What causes it?

The exact cause of cradle cap is not known, but it is thought to be related to the influence of the mother’s hormones, which still circulate in the baby’s bloodstream after birth.

What are the symptoms?

Most often cradle cap appears as a pale yellow scale or crust (which has an oily texture) at the back or on the top of the head, which can also spread to the eyebrows and behind the ears. It is difficult to peel off. The baby is not irritated by the rash, and it is not itchy or sore.

How is it treated?

Applying olive oil or baby oil can help to soften the crusts, and this may be all that is needed. Make sure you wash the oil off after an hour, otherwise it may aggravate the cradle cap. Try using a soft brush to gently lift out some of the scale. There are also special shampoos that can be bought over the counter at the chemist without a prescription and that are effective in treating cradle cap; use them in accordance with the instructions.

Sourced from the Raising Children Network's comprehensive and quality-assured Australian parenting website http://raisingchildren.net.au
 
Jaundice in Newborns By Professor Frank Oberklaid and Dr Leah Kaminsky, excerpt from 'Your Child's Health'

Mild jaundice in babies is very common: around half of newborn babies get it. It is most noticeable from the third day after birth. 

Jaundice is usually harmless and disappears after a week or two without problems. Nonetheless, a nurse or doctor should check and monitor all cases of jaundice in newborn babies. Some babies have severe jaundice, which very occasionally can lead to deafness and even brain damage if not treated promptly.

What causes it?

The normal breakdown of red blood cells causes jaundice. This process releases a chemical called bilirubin, which makes skin yellow. Babies break down red blood cells very rapidly, but their livers aren’t really developed enough to dispose of bilirubin. This overload causes physiological jaundice.

Newborns can also get breastmilk jaundice, where a chemical secreted in the mother’s milk interferes with the disposal of bilirubin. This usually fixes itself after several weeks and does not require treatment.

A rare type of jaundice occurs when the mother’s and the baby’s blood groups are incompatible. This is not usually a problem during a first pregnancy because the mother’s and the baby’s bloodstreams do not mix. However, during the delivery, some of the baby’s blood may mix with the mother’s blood. The mother then develops antibodies which become active during the next pregnancy and cross the placenta to attack the second baby’s red blood cells. Their destruction releases bilirubin into the baby’s bloodstream, and jaundice appears.

If this has happened, it usually becomes apparent in the first 24 hours after birth.

 How is it treated?

Treatment depends on what caused the jaundice and how bad it is. Babies who develop jaundice several days after birth usually just require careful monitoring, sometimes with heel prick blood tests to check the bilirubin levels in their blood. If these are high, the hospital staff may recommend a few days’ treatment with phototherapy. This technique uses ultraviolet light to help to break down excess amounts of bilirubin. The baby is placed naked, with eyes covered to protect them, in the cot, under a blue phototherapy lamp for 2-3 days. Most babies tolerate the treatment and there are minimal side effects – possibly a mild rash and watery bowel motions for a few days. Because more fluid is lost during phototherapy, your baby may require extra feeds at this time.

More severe jaundice, in which bilirubin levels are very high, may require treatment with an exchange transfusion in which your baby’s own blood is replaced by compatible fresh blood. This is not common.

If your baby has breastmilk jaundice, it does not mean that you need to stop breastfeeding. Rather, talk to your nurse or doctor about alternating between breast and infant formula feeds.

 Do I need to see the doctor?

Take your child to the doctor if:

  • your child is unwell, feeding poorly and not gaining adequate weight
  • your baby develops jaundice in the first 48 hours after birth
  • the jaundice becomes more noticeable after a week
  • the jaundice has not disappeared after two weeks.

Can I prevent it?

Only ‘incompatible blood’ jaundice is preventable. The mother is given an anti-D injection immediately after delivery and this prevents complications in subsequent pregnancies.

Sourced from the Raising Children Network's comprehensive and quality-assured Australian parenting website http://raisingchildren.net.au
 
Recognising serious illness by By Professor Frank Oberklaid and Dr Leah Kaminsky, excerpt from 'Your Child's Health'

How do you know when your child's illness is minor and when it might be more serious?

  • Hey dads

    Read info and watch film clips especially for dads, or meet other fathers in the discussion forum.

    For Fathers
 

Recent research has pointed to signs which might indicate that your baby or young child should be seen immediately by a doctor. Signs of illness to watch out for:

  • drowsiness
  • decreased activity or lethargy
  • breathing difficulty
  • poor circulation
  • poor feeding
  • poor urine output.

Signs of illness to look out for

The more of these signs your baby or young child has, the more chance there is that they have a potentially serious illness. See the doctor if any one of these signs is present in your child.

If your child shows more than one of the following signs, seek urgent medical attention.

 

Drowsiness

 

Your baby is less alert than usual. She makes less eye contact, and is generally less aware of sounds and movement and of the immediate environment. The more drowsy the baby, the greater the chance of serious illness.

Decreased activity

Your baby is less active, and moves her arms and legs less. She may just tend to lie around, or want to be cuddled by a parent, rather than be involved in activities that she usually likes.

Breathing difficulty

This is an important sign of a potentially serious illness. The baby may be breathing very quickly, or grunting with each breath. She may be coughing continuously. With each breath you may notice the muscles between the ribs being sucked in, or the baby may be blue around the mouth.

Poor circulation

Your baby may look paler than usual, and this can last for up to several hours. Your baby’s hands and feet may be cold or even blue.

Poor feeding

Your baby drinks much less than usual. Breastfed babies will suck less strongly and for shorter periods of time. Bottle-fed babies take less than half the normal amount of milk that they normally drink in 24 hours. The baby may not be very interested in feeding in general.

Poor urine output

The baby has fewer than four wet nappies in 24 hours.

When to get urgent medical attention

Call the doctor straight away if any of the following happen:
  • Your baby vomits green fluid.
  • Your baby has a convulsion (fit).
  • Your baby has a very high temperature (fever); more than 38°C. (Note that a high fever is potentially much more serious in a baby of less than six months than it is in an older child. Fever in a baby always needs medical attention, as it is more likely to indicate a significant and potentially serious infection.)
  • Your baby stops breathing for more than 15 seconds (apnoeic episode).
  • Your baby has a lump in the groin area (hernia).

In babies and young children, illness can progress more quickly. If in doubt, seek medical advice.

You might put off seeing the doctor for all kinds of reasons. You may not want to worry the doctor, with what may turn out to be a trivial illness, especially at night, or if you think that the doctor is very busy. You may be anxious that your fears are groundless and that you will look foolish if your baby turns out to have a minor illness. The doctor’s job isn’t just to diagnose and treat illness: doctors are also there to reassure you that your child is well. Seeing the doctor can make you feel a lot less anxious.

Most general practitioners will always find time to see a child if the parents are worried. If you have repeated difficulty getting an early appointment for your baby to be seen by a doctor, or if you are made to feel guilty for ‘wasting the doctor’s time’, then it may be time to find a different doctor. Most accredited GP clinics allow for emergency appointments throughout the day. Make sure you have phone numbers for the clinic’s after-hours services.

If you are worried about your baby or young child for any reason, seek medical advice straight away.

Sourced from the Raising Children Network's comprehensive and quality-assured Australian parenting website http://raisingchildren.net.au
 
Newborn screening tests by raising children Network

In those first hours and days of life, your baby will have some important ‘screening’ tests. If everything is OK, you’ll feel reassured. If something unusual shows up, your doctors can assess what, if anything, needs to be done.

did you knowQuestion mark symbol

All Australian states regularly review information from other parts of the world to make sure their testing is kept up to date. Any new tests are trialled to make sure they are accurate and useful for people living in Australia.

 

Most newborns are perfectly normal. A very small minority, however, have disorders or illnesses that might not be obvious at birth. Screening tests do not diagnose illnesses as such – they simply indicate whether your newborn needs more tests to rule out serious conditions. They can identify signs of more than 30 congenital disorders.

Screening tests help your doctor identify any problems before your baby becomes sick.

In their first few days, most babies with disorders look healthy and act normally. If disorders are picked up with screening tests, most of these babies can be treated and will do well.

Apgar score

What to expect

Apgar is a scoring system used to assess the condition of a baby at birth. Your baby is first checked at birth, at one minute and five minutes. Five physical characteristics are observed – skin colour, heartbeat, reflex, muscle tone and breathing. A score of 0–2 is given for each characteristic. 

If your baby is born with an Apgar score of 0-3, active resuscitation begins immediately. If your baby has required resuscitation and the five-minute Apgar score is less than seven, the score is repeated at five-minute intervals until 20 minutes.

Apgar sign 0 points 1 point 2 points
1. Skin colour Blue-gray, pale all over Normal, except for extremities Normal over entire body
2. Heartbeat Absent Below 100 bpm Above 100 bpm
3. Reflex No response Grimace Sneeze, cough, pulls away
4. Muscle tone Absent Arms and legs flexed Active movement
5. Breathing Absent Slow, irregular Good, crying

Scores: 7-10 = normal, 4-7 = some resuscitation, 3 or below = immediate resuscitation

Why is it done?

This test checks your baby’s vital signs and helps the doctor and midwives decide whether any medical help or treatment is needed, at the time of birth or later.

Heel prick test

What to expect

This test is done when your baby is between 48 and 72 hours old.

You and your baby may be taken to a quiet room, where your baby’s heel will be pricked. A few drops of his blood will be collected on special filter paper. If you are concerned about the pain this might cause him, you could breastfeed him while the test occurs. Research indicates that this can comfort him.

The filter paper is left to dry, then sent to a newborn screening laboratory where the sample is tested for different conditions.

Why is it done?

The heel prick test is done to detect rare genetic disorders. In Australia, it usually screens newborn babies for the following conditions:

There are other conditions that are only tested in some hospitals throughout Australia. If people in your local community have these conditions, your hospital is more likely to test for them:

If you plan on leaving hospital early, ensure you have arrangements to carry out your baby’s heel prick test. This might mean a midwife visiting you at home or just bringing your baby to the hospital again.

Tandem mass spectrometry test

Blood from the heel prick test is sometimes also used in a test called the tandem mass spectrometry test. This test can detect more then 30 extremely rare disorders related to how the body breaks down protein and fat. Disorders screened include:

You can ask your nurse or midwife exactly what conditions the heel prick test will screen. There are other conditions and disorders that aren’t tested, but if you have a family history of any disorders or conditions let your doctor or nurse know.

Developmental Dysplasia of the Hip (DDH)

What to expect

Previously referred to as Congenital Dislocation of the Hip (CDH), this condition is usually checked for by a doctor immediately after birth or in a newborn’s first few days. The test is repeated at six weeks.

Your doctor will put your baby on his back and move his leg, while feeling and listening to each hip for signs of dislocation – a ‘click’ or ‘clunk’ sound. Sometimes doctors may use an X-ray or an ultrasound to test for this condition. 

How common is the condition?

It affects one in every 700 babies. Some babies are at higher risk, such as those born after a breech presentation or where there is a family history of DDH.

Hearing

What to expect

Small sensor pads are put on baby’s head while he is quiet or asleep, usually during his first week. Specific sounds are played into his ears through a soft ear tip or earphone and his responses are recorded. 

Is it compulsory?

This hearing test is not compulsory in all Australian states. If your baby is not tested at birth, your maternal health nurse or doctor will do the test at one of your follow-up visits.

Test results

Usually you will be told about your baby’s test results only if there is a problem. If your baby’s results are normal they will usually be mailed to the centre where your baby was born, or your midwife, about two weeks after the test. If your baby’s test results are abnormal, you will be told straight away and given instructions on what to do next.

Follow-up tests

Only a few babies need to have more tests. This is usually because the first test did not give a clear result. Your hospital or midwife will contact you if there are any concerns with the test results, but this does not necessarily mean your baby has a problem.

If your baby’s test results are abnormal, your doctor or midwife will usually ask you for permission to do extra tests and ask you to consider treatment for your baby if necessary. If you are asked for a repeat test, it is important to take your baby for testing as soon as possible.

If there are any problems with your baby’s hearing test, doctors will usually do two more before you are referred to a specialist for a more detailed examination.

Newborn screening: free, voluntary and vital

Newborn screening is free in Australia. Also, the heel prick test is completely voluntary, so your doctor, midwife or nurse must ask you if you want your baby to be tested.

Some parents are not keen on subjecting their child to the pain caused by a needle prick, but if you are concerned, weigh up the momentary experience of discomfort with the knowledge that your child will be safe from illness if you take advantage of these valuable tests. Although the heel prick test measures rare conditions, children in families with no history of health problems still have a small level of risk.

In fact, most children with these disorders come from families with no previous history of the condition.

If you have any questions about newborn screening tests, talk to your midwife, obstetrician, or birthing room staff. Prenatal classes are also a great opportunity to ask questions.

In Australia, the National Pathology Accreditation Advisory Council requires all blood samples to be stored in a secure location for a minimum of two years.

Sourced from the Raising Children Network's comprehensive and quality-assured Australian parenting website http://raisingchildren.net.au
 
Choosing good food by Raising Children Network

When children eat lots of different healthy foods, they get the nutrients they need for growth and development. It also helps them learn healthy eating habits for life.

School boy choosing fruit
 

Nutritious food for children

Fruit and vegies
Compounds in fresh fruit and vegetables help protect the body against all kinds of diseases, including cancer. Fruits and vegetables are also full of
fibre and water.

Grains
Most cuisines rely on grains (such as rice, pasta and noodles). They provide an important energy source to the body. Grains with a low glycaemic index give the body slow-release energy. This is why cereals like breads and pasta are the main component of a child’s diet. Read the
Choice article on glycaemic index to find out more.

Try adding more wholegrains to your family diet. They provide additional essential nutrients like fibre and magnesium.

Lean meats, fish and poultry
These foods – and alternatives such as eggs – supply vital
iron, zinc and vitamin B12 as well as protein. These are things children need to grow.

  • Red meats are an especially valuable source of iron, zinc and B12.
  • Fish is a good source of omega-3 fatty acids, which help the brain to develop.

Dairy
Dairy is high in
calcium, which builds strong bones.

Why it’s important to eat lots of different foods

As long as children eat a variety of nutritious foods, it’s likely they won’t be missing out on any important vitamins or minerals. It also makes it less likely they’ll be eating harmful amounts of anything. Fish, for example, can contain traces of pollutants such as mercury, which are dangerous in large doses.

It’s easier for children to make good food choices if you offer them a healthy assortment of food from an early age.

One way to encourage variety, add interest and expand the range of nutrients in your child’s diet is for your family to try foods from different cultures and with different ingredients.

Vegan and vegetarian diets
Children require many different nutrients for healthy growth and development. So a
vegan diet suitable for adults might not be nutritious enough for the growing bodies of babies and children. You will need to compensate for the lack of vitamins. For example, vitamin B12 is essential for brain development and can only be found in animal products.

A vegetarian diet that includes dairy and eggs is fine for most children.

If you follow a vegan or vegetarian diet and are concerned about your child’s nutrition, consider consulting a dietitian.

Sourced from the Raising Children Network's comprehensive and quality-assured Australian parenting website http://raisingchildren.net.au
 
Carrot and muslei mini muffins by Raising Children Network

These mini muffins are the perfect size for school lunch boxes and afternoon snacks.

Carrot and muesli mini muffins
 

Makes 24

150 gm self-raising flour
150 gm mixed fruit muesli
180 gm carrots, grated (about 2 medium carrots)
100 gm brown sugar
½ tsp cinnamon
2 eggs
150 ml olive oil

  1. Preheat oven to 180°C. Lightly oil a 24-hole mini muffin tin.
  2. In a large bowl, combine flour, muesli, grated carrot, sugar and cinnamon. Mix to combine. Lightly whisk eggs and add to oil. Pour into carrot mixture and mix until just combined (don’t overmix).
  3. Spoon evenly into the muffin tin. Bake in the preheated oven for 12-15 minutes, or until a skewer inserted comes out clean.
  4. Allow to rest in the tin for 5 minutes before turning out and cooling on a wire rack.
Your child can use a pastry brush to lightly oil the muffin tin.
Sourced from the Raising Children Network's comprehensive and quality-assured Australian parenting website http://raisingchildren.net.au
 
Wholemeal banana and yohurt loaf by Raising Children Network

This delicious banana bread has the goodness of yoghurt and wholemeal flour and keeps for several days.

Wholemeal banana and yoghurt bread
 

Makes 1 loaf

115 gm butter, softened
115 gm brown sugar
2 eggs
3 medium ripe bananas
200 gm vanilla yoghurt
250 gm wholemeal self-raising flour
1 tsp mixed spice

  1. Preheat the oven to 180°C. Grease and line an 11 cm x 21 cm loaf tin with baking paper.
  2. Using an electric beater, cream the butter and sugar until light. Add the eggs one at a time, beating well after each addition.
  3. In a separate bowl, mash the bananas and stir in the yoghurt. Fold through egg mixture. Fold flour and mixed spice into mixture.
  4. Spoon into prepared tin and bake for 50-60 minutes, or until a skewer inserted comes out clean.
  5. Remove from oven. Allow to cool in the tin for 5 minutes before turning out onto a wire rack.

Tip: keep your bread in an airtight container, and it should stay fresh for 3-4 days.

Kids love this banana bread for breakfast, toasted and topped with a scrape of their favourite spread.
Sourced from the Raising Children Network's comprehensive and quality-assured Australian parenting website http://raisingchildren.net.au
 
Everything Fried Rice by Raising Children Network

For something different, you can serve this nutritious fried rice in Asian-style bowls with spoons.

Everything fried rice
 

Serves 4
Preparation: 10 mins
Cooking time: 10 mins

2 tbsp oil
2 eggs, lightly whisked
100 gm green prawns, peeled, de-veined and chopped (optional)
1 carrot, grated
1 stick celery, finely chopped
¼ Chinese cabbage, shredded
2 cups cooked long grain rice
½ cup frozen peas
2 tbsp light soy sauce
2 tbsp tomato sauce

  1. Heat a wok or large frying pan over medium–high heat. Add half the oil and pour in whisked eggs. Turning the wok in a swirling motion, run egg around the sides of the pan to make a thin omelette. When cooked, turn omelette out onto a board, roll up, and cut into thin slices.
  2. Reheat wok, and add remaining oil. Cook prawns in batches until cooked through and prawns change colour. Remove from wok and set aside.
  3. Reheat wok. Add carrot and celery, and stir-fry for 3-4 minutes. Add cabbage, stirring for a further 2 minutes.
  4. Add rice, prawns, peas, soy sauce and tomato sauce to the wok. Toss until combined and heated through.
  5. Spoon into serving bowls and top with sliced egg.

Tip: if your children don’t eat prawns, try this recipe with chicken strips or tofu instead.

Older children might want to try using chopsticks to eat their fried rice. Keep a fork handy just in case.
Sourced from the Raising Children Network's comprehensive and quality-assured Australian parenting website http://raisingchildren.net.au
 
Chicken burgers with sweet potatoe wedges by Raising Children Network

Kids love burgers for dinner. These chicken burgers contain lots of hidden good stuff and come with a side order of sweet potato wedges.

Chicken burgers with sweet potato wedges
 

Serves 2 (1 burger each)
Preparation time: 15 mins
Cooking time: 15 mins

250 gm lean chicken mince
½ cup canned chickpeas, drained, rinsed and chopped
1 zucchini, grated
1 egg
2 spring onions, chopped
3 medium sweet potatoes, peeled and cut into fingers
2 tbsp honey, warmed
1 tbsp sesame seeds
2 small wholemeal bread rolls, split
2 slices cheese
2 butter lettuce leaves, washed and dried
2 slices beetroot
1 tomato, sliced

  1. Preheat oven to 200°C. Line a baking tray with baking paper.
  2. In a medium bowl, mix together chicken mince, chickpeas, zucchini, egg and spring onions, and season with salt. Divide mixture into 2 patties. Put onto a plate, cover and refrigerate for 10 minutes.
  3. Meanwhile, put the sweet potato into a bowl and toss with honey and sesame seeds. Tip onto prepared baking tray, spread out and bake in preheated oven for 15 minutes until golden.
  4. Heat a barbeque grill or frying pan over medium–high heat, and cook patties for 4 minutes each side.
  5. To assemble burgers, place cheese, lettuce, beetroot and tomato onto one half of a roll. Top with a chicken patty and other half of the roll. Serve with sweet potato wedges.
Sourced from the Raising Children Network's comprehensive and quality-assured Australian parenting website http://raisingchildren.net.au
 
(Newborns) At three months by What to Expect
If your baby seems not to have reached one or more of the developmental milestones listed, check with your doctor or maternal and child health nurse. In rare instances the delay could indicate a problem, though in most cases it will turn out to be normal for your baby. Premature infants generally reach milestones later than others of the same birth age, often achieving them closer to the adjusted age (the age they would be if they had been born at term), and sometimes later.

The 3rd month

By the end of this month, your baby:

 … should be able to:

  • on stomach, lift head up 45 degrees
  • follow an object in an arc about 15 cm above the face past the midline (straight ahead)

… will probably be able to:

  • laugh out loud
  • on stomach, lift head up 90 degrees
  • squeal in delight
  • bring both hands together
  • smile spontaneously
  • follow an object in an arc about 15 cm above the face for 180 degrees – from one side to the other

… may possibly be able to:

  • hold head steady when upright
  • on stomach, raise chest supported by arms
  • roll over (one way)
  • grasp a rattle held to backs or tips of fingers
  • pay attention to a raisin or other very small object

… may even be able to:

  • bear some weight on legs when held upright
  • reach for an object
  • keep head level with body when pulled to sitting
  • turn in the direction of a voice, particularly mummy’s
  • say ah goo or similar vowel consonant combination
  • blow a raspberry (make a wet blowing sound with lips placed together and vibrating)
Sourced from the Raising Children Network's comprehensive and quality-assured Australian parenting website http://raisingchildren.net.au
 
(Newborns) At two months by What to Expect
If your baby seems not to have reached one or more of the developmental milestones listed, check with your doctor or maternal and child health nurse. In rare instances the delay could indicate a problem, though in most cases it will turn out to be normal for your baby. Premature infants generally reach milestones later than others of the same birth age, often achieving them closer to the adjusted age (the age they would be if they had been born at term), and sometimes later.

The 2nd month

By the end of this month, your baby:

… should be able to:

  • smile in response to your smile
  • follow an object in an arc about 15 cm above the face to the midline (straight ahead)
  • respond to a bell in some way, such as startling, crying, quieting
  • vocalise in ways other than crying (e.g. cooing)

… will probably be able to:

  • on stomach, lift head 45 degrees
  • follow an object in an arc about 15 cm above the face past the midline (straight ahead)

… may even be able to:

  • hold head steady when upright
  • on stomach, raise chest, supported by arms
  • roll over (one way)
  • grasp a rattle held to backs or tips of fingers
  • pay attention to a raisin or other very small object
  • reach for an object
  • say ah goo or similar vowel consonant combination

… may possibly be able to:

  • smile spontaneously
  • bring both hands together
  • on stomach, lift head 90 degrees
  • laugh out loud
  • squeal in delight
  • follow an object in an arc about 15 cm above the face for 180 degrees (from one side to the other)
Sourced from the Raising Children Network's comprehensive and quality-assured Australian parenting website http://raisingchildren.net.au
 
(Newborns) At one month by What to Expect
Within a few days of birth your baby will probably be able to:
  • lift head briefly when on the tummy
  • move arms and legs on both sides of the body equally well
  • focus on objects within 20-40 cm
If your baby seems not to have reached one or more of the developmental milestones listed, check with your doctor or maternal and child health nurse. In rare instances the delay could indicate a problem, though in most cases it will turn out to be normal for your baby. Premature infants generally reach milestones later than others of the same birth age, often achieving them closer to the adjusted age (the age they would be if they had been born at term), and sometimes later.

The 1st month

By the end of this month, your baby:

… should be able to:

  • lift head briefly when on stomach on a flat surface
  • focus on a face

… will probably be able to:

  • respond to a bell in some way, such as startling, crying, quieting
  • follow an object moved in an arc about 15 cm above face to the midline (straight ahead)

… may possibly be able to:

  • on stomach, lift head 45 degrees
  • vocalise in ways other than crying (e.g. cooing)
  • follow an object moved in an arc about 15 cm above face past the midline (straight ahead)
  • smile in response to your smile

… may even be able to:

  • on stomach, lift head 90 degrees
  • hold head steady when upright
  • bring both hands together
  • smile spontaneously
  • laugh out loud
  • squeal in delight
  • follow an object in an arc about 15 cm above the face for 180 degrees (from on side to the other)
Sourced from the Raising Children Network's comprehensive and quality-assured Australian parenting website http://raisingchildren.net.au
 
(Newborns) Growth Charts By Raising Children Network

Babies all develop at different rates, so there is a huge variety between them. Because of that, it's a good idea to treat percentile chart measurements as a guide. The most important thing is that your baby is healthy, responsive and happy, not how he compares with other babies on a chart.

Growth refers to an increase in size. This is easy to gauge by measuring your baby’s length, weight and head circumference.

Normal growth in healthy babies is obvious as they grow out of their clothes and suddenly become too large for a bassinet or baby bath or other item that seemed enormous when they were just a newborn.

Growth charts (percentile charts)

Percentile charts are based on measurements of babies and children from a certain population (for example, all the Australian babies in a certain year). The Victorian government percentile charts have been updated recently using data drawn from between 1963 and 1994. These charts, along with many other percentile charts used in Australia, are based on United States surveys.

As normal variations in height and weight are considerable, the percentile charts are drawn to allow for the variations. If you look at percentile charts you will see that the lines represent the 5th, 10th, 25th, 75th, 90th and 97th percentiles for weight, height and head circumference.

Length is measured when the baby is lying down. Height is only measured for children over two years of age when the child is standing. Most babies’ weight and length fall somewhere between the 5th and 97th percentile, although certain populations (e.g. people of Asian origin, people with specific disabilities such as Down syndrome) may fall outside the ‘normal’ range.

Understanding the charts

If a baby is on the 5th percentile for height and weight it means that 95% of babies are taller and heavier than he is. And a baby on the 90th percentile for height and weight, is taller and heavier than 90% of other babies. In both examples, the baby, although very different in size and at different ends of the percentile range, is within the normal range.

Head circumferences can also be charted on the percentile chart. A baby’s head grows rapidly in the first year making it easy to check that it is growing at the right rate.

WHO Child Growth Standards
In April 2006, the World Health Organization (WHO) released the
WHO Child Growth Standards. These new standards are based on a survey of children from Brazil, Ghana, India, Norway, Oman and the United States. Similar to percentile charts, the WHO standards use Z-scores to show the spread of growth data for children of the same age.

Sourced from the Raising Children Network's comprehensive and quality-assured Australian parenting website http://raisingchildren.net.au
 
(Newborns) About development - By Raising Children Network

Development is the term used to describe the physical changes in your baby, as well as his amazing ability to learn the skills he needs for life. As your baby grows these skills and abilities become more and more complex.

did you knowQuestion mark symbol

  • If your baby seems to forget how to do something, it's likely that he has become fascinated by learning a new task, and will surprise you with the earlier skills when he is ready.
  • Your baby will constantly repeat actions like waving, clapping or making a particular sound and then suddenly stop without any reason. These skills will also reappear.
  • Hey dads

    Read info and watch film clips especially for dads, or meet other fathers in the discussion forum.

    For Fathers
 
  • Development is a gradual process with surges and slow spots.
  • Babies pass through developmental stages in a similar order, but there is tremendous variety as to when they do.

Most healthy babies who have plenty of love and attention develop new skills in a completely natural and continually surprising way. So much development takes place in the first 12 months that this is an amazing process for parents to watch.

Babies grow and develop at tremendously different rates – and with blissful disregard for what parenting textbooks say they should be doing.

Your instincts, plus knowing that your baby eats and sleeps well, and is not grizzly whenever awake, tell you more than a growth or development chart can.

Enjoy the variations. Your baby is letting you in on an important secret. These variations are what make development so exciting and memorable – both for you and your baby.

Developmental achievements are called ‘milestones’. Growth and development milestones are a useful guide, but they aren't something to agonise over.Developmental milestones are grouped under headings according to the parts of the body they refer to:

  • Large body movements involve the coordination and control of large muscles and skills like walking, sitting and running.
  • Small body movements(or manipulation) involve the coordination and control of small muscles and skills like holding a rattle, picking up crumbs and scribbling with a pencil.
  • Vision is the ability to see near and far and to interpret what is seen.
  • Hearing and speech: hearing is the ability to hear, listen to and interpret sounds; speech is the ability to understand and learn language.
  • Social behaviour and understanding: your child's ability to learn and interact with others, including skills for play and connecting and communicating.

Developmental progress can be affected by delays. These delays may be temporary or, less often, permanent. Premature birth and illness are two things that might cause temporary delays. Some disabilities can cause permanent delay. A baby’s development can also suffer because of his environment.

Development: what you need to know

Milestones are only a guide. Unless you are seeing delays in a few different areas over several months, it is unlikely there is anything wrong if your baby seems slow to do some things compared to other babies.

Babies do things at their own pace, particularly when it comes to walking and crawling.

But if you are ever concerned, do ask a professional. You know your baby better than anyone and you will have a good feel for what’s happening.

As a general guide, seek help if you notice any of the following:

  • Your baby doesn’t consistently respond to sounds.
  • Your baby doesn’t seem to see things, has white or cloudy pupils, or if there is anything about his eyes that bothers you.
  • Your baby doesn't look at you.
  • He isn’t interested in what’s going on around him.
  • Your baby can’t hold his head up by the time he's reached 3-4 months.
  • Your baby is persistently crying for more than about three hours every day (babies cry on average for about two hours a day, peaking between 6-8 weeks), especially after three or four months.
  • Your baby has an unusual cry (for example, a high-pitched squeal).
  • Your baby doesn’t move or use both arms and/or legs.
  • Your baby is not sitting well by 10 months.
  • Your baby doesn’t want to bear his own weight by 12 months.
Sourced from the Raising Children Network's comprehensive and quality-assured Australian parenting website http://raisingchildren.net.au
 
Newborn development: in a nutshell by Raising Children Network

Newborns come in all shapes and sizes. Just visit a parent group to see how different they can be.

Newborn baby grasping mother's finger
  • Hey dads

    Read info and watch film clips especially for dads, or meet other fathers in the discussion forum.

    For Fathers
 

Although boys usually weigh more than girls and are slightly longer, there is no ‘right’ size for a newborn. If your baby is active and feeding well, there’s no need to worry if she doesn’t fit neatly into the weight-length chart you see on the baby health centre wall.

In the first nine months, your baby will roughly triple her weight. If she is not gaining weight at a healthy pace, it could be a feeding problem and your child health nurse will be able to help you sort that out.

What your newborn may be doing

All babies pick up new skills in their first year. These are called milestones. Here’s a guide to some of the major milestones.

  • At birth: unable to support her head unaided, closes hands involuntarily in the grasp reflex, startles at sudden loud noises
  • At four weeks: focuses on a face, may respond to a bell in some way (startling, crying, going quiet), follows an object moved in an arc about 15 cm above her face until straight ahead
  • At six weeks:may start to smile at familiar faces, may start to coo
  • At 12 weeks: can lie on her tummy with head held up looking around, can wave a rattle, starts to play with own fingers and toes

Your baby may be a late starter with milestones. Don’t worry, they nearly always catch up.

Development problem signs

It’s a good idea to have her checked by your doctor if your newborn shows any of the following signs:

  • consistently doesn’t respond to sounds
  • doesn’t seem to see things, has white or cloudy eyes or if there is anything about her eyes that bothers you
  • doesn't look at you
  • isn’t interested in what’s going on around her
  • can’t hold her head up by 3-4 months
  • continually cries for more than three hours every day, especially after 3-4 months. (Babies usually cry for about two hours a day, peaking between 6-8 weeks.) For more on constant crying, see Newborn behaviour
  • has an unusual cry (for example, a high-pitched squeal)
  • doesn’t move or use both arms and/or both legs
  • is not grasping your fingers or objects

You know your baby best. If you are worried about your newborn’s development, speak to your GP or child health nurse.

Sourced from the Raising Children Network's comprehensive and quality-assured Australian parenting website http://raisingchildren.net.au
 
Work and family: in a nutshell By Raising Children Network

Striking a balance between work and family can be difficult. When you are on top of it, the rewards can outweigh the challenges, but when you are still trying to find that balance, it’s not uncommon to experience a range of conflicting emotions.

Dad dressing baby
 

Returning to work

If you have taken leave from your job to care for your child, returning to work poses a major change to your day-to-day life. You may feel:

  • excited about getting some variety in your day 
  • guilty at ‘leaving’ your child 
  • nervous about rejoining the workforce 
  • stressed about managing the extra workload.
Mothers who return to work sometimes feel they suddenly have two jobs. Research says this is partly because domestic duties are not always shared equally between two adults in a relationship.

Tips for returning to work

  • To ease the transition, make changes before you start work. You could think about what your new daily routine will be. There may be things you can start doing now, like gradually introducing your child to child care or finding a back-up carer.
  • Talk with family, friends and carers. They might have ideas for saving time or could help you spot problems before they arise.
  • It's worth looking into what family-friendly polices and provisions are available from your employer. Research says that the workplace plays an important role in parent health and wellbeing.
  • Try to leave work distractions at work. Now that you have less time with your baby, you'll want to make the most of your time together.
  • Spend time with family members whenever you get the chance.
  • Prepare things at night. To ease the morning rush, you could iron your clothes or make lunches the night before.
  • Look for meal shortcuts. Breakfast and dinner time may be more of a challenge now that you’re working. When cooking, try making extra portions that you can freeze for future meals. Search out magazines or internet sites that feature quick and easy family recipes. You could try our ideas for meals in minutes.

Helping your child adapt

The transition from spending most days together with your child to being apart all week can be tough. Parents often worry how their child will be affected by the separation, and feel nervous about leaving their child in someone else’s care. Here are some ideas that might help you both adapt:

  • Talk to your child about the changes ahead. Or if she’s too young to understand, have some ‘practice separations’. Before you actually start work, again, try leaving her with her new carer for short periods.
  • Spend time with her before or after work.
  • Set up a before-work routine. Children feel safe and secure when they have predictable routines.
  • Always say goodbye to your child, even if she’s upset.
  • Feel free to ring your carer or child care centre to check that your child has settled down. Very often, children are happily playing before their parents have even got to the car!

Read some more ideas to help you and your child adapt to your return to work.

Making time for your partner

If you have a partner, your relationship with him or her may be affected by your return to work. Here are some tips to make the most of your time together.

  • Try to make time to catch up and spend time together. An easy way to do this is to share household jobs. One of you can clean the shower while the other does the basin, one can wash the dishes while the other dries, and you can both fold the laundry.
  • Take advantage of technology to stay in touch – phone, text or email each other during the workday.
  • Schedule lunch or dinner dates with your partner. If you work near each other, you can grab a quick coffee or lunch without having to find a babysitter.
  • Put the kids to bed on time so you can share the evening together, even if it’s just sitting in front of the TV!

Managing stress

Getting the work-family balance right can be stressful. You will be trying to cope with more responsibilities and even less time for you. Stress has a way of sneaking up on you slowly, or it can sometimes be more like a volcanic explosion, particularly if conditions at work or home are difficult.

Give these ideas on reducing stress a go:

  • Take care of yourself. Eat a healthy diet and exercise regularly. Exercise is a great outlet for stress and helps put things into perspective.
  • If work is making you feel stressed, talk about your concerns with your manager. Your employer might have some helpful suggestions for how you can manage the return to work after a baby.
  • Are there things you could change at work to reduce your stress levels? Perhaps you need to reduce your workload or hours, or make them more flexible. You can try to make these changes yourself or with the help of others. 
  • Take some pressure off unexpected events, such as when your children are sick, by having a plan you can turn to.
  • If you stay organised at work, things are less likely to get on top of you. If you work in an office, practise simple time management techniques, like only checking emails twice a day and making a daily list of your work priorities.
  • Are you getting some regular time to yourself? Could your partner or a relative prepare dinner while you take an evening walk? Or look after the kids while you go out for a coffee?
If returning to work is proving difficult and you don’t feel it’s working out, make some time to look at your options again. There might be another way to manage your time and money so that you achieve a happier balance.
Sourced from the Raising Children Network's comprehensive and quality-assured Australian parenting website http://raisingchildren.net.au
 
Twins and Multiples By Child and Youth Health

How are twins formed? 
Pregnancy and birth with twins
Preparing for twins
Breastfeeding twins
Bottle-feeding twins 
Caring for twins at home 

Once you have found out that you are expecting twins it can be very exciting. It can also be scary as you think about how you will manage two babies at once.

The following information aims to help you to understand more about twins and offers some ideas about how to care for them. Most of the information also applies to triplets and other multiple births.

How are twins formed?

Identical twins (or monozygotic twins)

  • Identical twins happen when a single sperm fertilises an egg, and then, at a very early stage, the fertilised egg divides into two and starts forming two babies. 
  • Identical twins have the same genes, so they are the same sex. 
  • Some of these twins have their own separate placenta (afterbirth) and sac to grow in the mother’s uterus (womb) but many share the same placenta and a few also share the same sac. 
  • Monozygotic twins may be quite different sizes at birth, but they become more alike with time. They are often hard to tell apart when they are older. 
  • Identical twins do not usually ‘run in families’ and it is not known why monozygotic twins occur. 
  • Identical twins happen about once in every 250 live births.

Non-identical twins (or dizygotic twins)

  • Non-identical twins are also sometimes called fraternal twins. They happen when two separate eggs are fertilised by two different sperm so that two embryos (the beginnings of a baby) are formed. 
  • Each has its own separate place in the uterus and separate placenta and sac. 
  • They may be the same sex or different sexes. 
  • Dizygotic twins are often similar at birth, but they become less alike as they get older, as do other (different age) brothers and sisters. 
  • Dizygotic twins are more likely to happen when there are twins in the mother’s family, or if the mother has been having fertility treatment. If a mother is a non-identical twin, she has about a 10% chance of having twins herself. (A mother of twins who is not a twin herself has about a 5% chance of having another set of twins). If the father is a twin, this does not make it more likely that the parents will have twins. 
  • About two births in every hundred are dizygotic twins. There has been a rise in the number since the use of fertility treatment has become more common.

Siamese twins (or conjoined twins)

  • Siamese twins are rare. 
  • They are twins who come from the same egg (monozygotic) but the embryo does not separate completely to form two separate babies. 
  • This means that the babies are joined together in some way. Some can be separated by an operation without too much difficulty. In other cases they share vital organs and cannot be separated without the death of one or both twins.

A vanishing twin
With ultrasound being done early in pregnancies, it has been found that many more pregnancies start as twin pregnancies (up to 5% at 12 weeks), but one of the babies stops developing. The other baby develops normally.  

Knowing if twins are monozygotic or dizygotic
Usually your doctor will work out whether your twins are monozygotic or dizygotic soon after the birth. If they are different sexes they are definitely dizygotic. Monozygotic twins are more likely to have some physical problems at birth, and also more likely to have similar health problems when they are older – so it can be useful to tell if they are identical or not. Since monozygotic twins can look very different at birth, the doctor may have the placenta very carefully examined, or do blood tests.

Pregnancy and birth with twins

  • Some of the problems (complications) with pregnancy, such as ‘morning sickness’ and weight gain may happen earlier with twins. 
  • Twins are usually born earlier than single births, and the babies are usually smaller. 
  • The babies may be born vaginally, especially if both babies are in a head-down position, but a caesarean section may be a safer way of delivery for some twins. 
  • There are more health risks for newborn twins, but usually the risks are similar to the risks for single babies of the same weight. 
  • Because of their premature birth, some twins develop breathing problems, and will need special care, or intensive care for a while. 
  • Sometimes one monozygotic twin will be much smaller than the other, because the placenta was not equally shared. This baby may have some health problems at birth, but usually the smaller baby will have caught up in size within six months.

Preparing for twins

It is important to prepare your mind as well as your body for the twins’ arrival.

  • Once you know you are having twins it is a good idea to start thinking about them as separate individuals so you can get to know them. 
  • You can start building your relationship with your babies by getting to know their movements and their position in the womb. You can also use ultrasound pictures to share your experiences with the babies’ father. 
  • You might feel emotionally and physically drained by the changes happening to your body. It is important to share these feelings with your loved ones. This helps them to start sharing the care. 
  • Read as much as you can about twins and how to care for them. 
  • If you get offers of help – accept! You may feel uncomfortable about this at first. Every bit of help you get will help you to build a better relationship with your babies. People like to be helpful. You could, for example, accept help with cleaning, ironing, shopping or with preparing food. 
  • Freeze some meals in advance for times when you need them after the birth. 
  • In the first few weeks while you are getting settled you may need a lot of help. This is a good time to plan for your partner, a family member or family friend to be available to help out. 
  • Plan what you are going to do about nappies. A nappy service or disposable nappies may be helpful. 
  • Because twins often come early, plan to go to your antenatal classes a bit earlier than usual to make sure you can complete them. Your midwife or doctor will be able to help you with this planning. 
  • If you have other children at home, particularly very young children, think about how you are going to prepare them for the new babies.

Breastfeeding twins

Because breastmilk supply increases with extra demands, most women can breastfeed twins well. This can mean much less work compared to preparing and giving formula.

  • Because of the extra challenges of feeding two babies, it might help if you get in touch with your local breastfeeding association, a lactation consultant or your local branch of the Multiple Birth Association before the birth of your babies. Your midwife or community child health nurse will also be able to give support. 
  • Breastfeeding has many advantages. It provides the best food for babies and it helps prevent some common infections. 
  • Make sure you get as much rest as you can and remember to eat nutritious meals. 
  • You can feed the babies together or separately. Feeding both babies at once can give you more time to get some rest in between feeds. You may want to feed separately some of the time so you get more chance to get to know each baby. 

Bottle-feeding twins

  • When you can, it is a good idea to feed each baby separately, as this separate closeness and touching helps encourage bonding with the baby. If you try to feed them together you will find you are holding the bottles, not the babies! 

Caring for twins at home

  • Looking after even one baby can make you feel very tired, and caring for two babies can be even harder if they are unsettled. The most common cause of depression for new mothers is fatigue.
  • There are many topics on this site which could be useful, such as Crying babies, Newborn sleep, New mums and Postnatal depression.
If you can manage getting a bit of extra assistance in the house after the babies are born this can be a great help – even if you have to go without something else.
Sourced from the Raising Children Network's comprehensive and quality-assured Australian parenting website http://raisingchildren.net.au
 
Folic acid and pregnancy  By Child and Youth Health

Taking folic acid before pregnancy and for the first three months of pregnancy can reduce your chances of having a baby with spina bifida. Spina bifida is where the spinal cord, and the bones, muscle and skin that cover it, do not form normally.

Research has shown that the chance of having a baby with spina bifida or similar problems (called neural tube defects) is much less if a woman increases her intake of folic acid for at least one month before she gets pregnant and for the first three months of her pregnancy. Every woman who could become pregnant should be sure she gets enough folate and this is best done by taking folic acid tablets.

Taking folic acid before pregnancy may also lower the risk of some other heart, kidney and limb abnormalities. The evidence for this is not as strong as for spina bifida, and more research is being done.

There is no evidence that other vitamins or minerals will protect your baby against spina bifida.

What is folate or folic acid?

Folic acid is a water-soluble B-group vitamin that is needed for healthy growth and development. The vitamin is known as 'folate' when it is found naturally in food, and 'folic acid' when it is added to foods or when it is in tablets. Folic acid is turned into folate in the body.  

It can be found naturally in most plant foods, especially green vegetables, wholegrain breads and cereals, peas and dried beans. 

Extra folic acid is also added to some foods, such as breakfast cereals. If folic acid is added, this will be marked on the labelling.

How can you increase your folic acid?

The easiest and most effective way is by taking a daily folic acid tablet. A healthy diet is important, but it is very difficult to get enough folate from foods to prevent spina bifida.

Folic acid tablets are quite safe to take. The tablets recommended are 0.5 milligrams (which is 500 micrograms). One tablet each day is enough.

Folic acid tablets are available from chemist shops (without a prescription), health food shops and some supermarkets.

Some multivitamins contain folic acid but often at a lower dose, so it is best to take the separate tablets.

Who should take folic acid tablets?

Folic acid works best if it is taken for at least one month before starting a pregnancy.

As many pregnancies are unplanned, it is recommended that all women of child-bearing age who could become pregnant take a folic acid tablet (0.5 milligrams) every day.

If you have a family history of spina bifida, or take medication for epilepsy, you may need a higher dose of folic acid. Ask your doctor about this.

Extra folate is not as effective if you start to take it after you know you are pregnant but it is worth taking it if you suspect you may be pregnant (for example, if you have missed a period).

The risk of having a baby with spina bifida if extra folic acid was not taken is still small.

What is spina bifida?

Spina bifida is a serious abnormality of the spinal cord, and the bones, muscles and skin covering it. Babies with spina bifida usually have an obvious abnormality on their back when they are born. Some will die soon after birth and most need a lot of treatment.

Spina bifida can cause permanently weak legs, no feeling in the legs and problems walking. Many people with spina bifida will need to use a wheelchair.

There can also be problems with bladder and bowel control.

Other neural tube defects affect the development of the brain as well as the spinal cord.

The problems occur when the spinal cord and brain are forming during the sixth week of pregnancy (four weeks after conception). This is often before a woman knows that she is pregnant.

There is no cure for spina bifida.

What is the risk of spina bifida?

Any woman could have a baby with spina bifida or other neural tube defect.

About 1 in 1000 babies in South Australia is born with spina bifida and another 1 in 1000 babies has another type of neural tube defect.

The risk is higher if another family member has had spina bifida. You can have tests to check for neural tube defects during pregnancy.

Taking folate for at least one month before getting pregnant and during the first three months has been shown to reduce the risk by up to 70%.

Finding out whether an unborn baby has spina bifida

Most women in Australia have an ultrasound examination during early to mid pregnancy. Most babies with spina bifida will be found by that ultrasound.

Blood tests which find most neural tube defects may also be done. 

Putting folic acid into foods

In the USA and Canada there has been mandatory (enforced) addition of folic acid to flour since 1998. That has successfully reduced the risk of spina bifida without any other health risks.

Regulations insisting that folic acid be added to flour or to bread will come into force in Australia soon.

For more information about folate in pregnancy talk to your family doctor, obstetrician, community health nurse or a dietician.

Sourced from the Raising Children Network's comprehensive and quality-assured Australian parenting website http://raisingchildren.net.au
 
Pregnancy in a Nutshell by Raising Children Network
Don’t be surprised if your pregnancy feels like an emotional rollercoaster ride. For many women, pregnancy is an exciting event to celebrate with family and friends. It brings new physical and emotional experiences – but it can also bring uncertainty about the changes to come.


* Staying healthy
* Folic acid: preventing spinal abnormality
* Pregnancy hormones
* Prenatal classes
* Preparing for breastfeeding
* You and your partner
* Preparing your family
* When to get help

Staying healthy

Regular, moderate exercise, such as walking, has many positive benefits. It helps you keep strong for the birth, lifts your mood and helps maintain a healthy weight.

Healthy eating keeps you feeling good and gives your baby the essential nutrients he needs in utero. Overall, aim for a balanced diet, with an appropriate blend of all the five food groups. Foods containing protein help the baby grow. Meat, fish, chicken, eggs, milk, cheeses, nuts, beans and peas are all good sources of protein. Aim to drink 6-8 glasses of water every day – water contains fluoride, which helps your growing baby’s teeth develop strong enamel.

For your baby’s health and safety, it’s best to avoid certain foods, such as soft cheeses and raw fish. It is also best to limit caffeine, found in coffee, tea and cola drinks.

If you are taking prescribed drugs, check with your doctor that they are safe to take during pregnancy. Your doctor will advise you against smoking, recreational drugs and alcohol.

Some airborne chemicals can pass to your baby if inhaled. Stay away from people who are smoking, go easy on chemical household cleaners and avoid spraying pesticides. Ask someone else to fill up your petrol tank and don’t do any household painting while pregnant.
Folic acid: preventing spinal abnormality

Research shows that getting enough folic acid before pregnancy and for the first three months of pregnancy can reduce your chances of having a baby with spina bifida by up to 70%. Spina bifida is when the spinal cord, bones, muscle and skin that cover it do not form normally. Folic acid tablets are available in most supermarkets, chemists and health food shops.
Pregnancy hormones

Between the first 6-12 weeks of pregnancy, your body makes lots of extra hormones in preparation for birth and to help your baby grow. These hormones can cause nausea and vomiting, often called morning sickness. Some women sail through pregnancy without a hint of nausea. Others feel wretched for the whole nine months. Many find the sick feeling lifts after the first three or four months.

The extra hormones can also make you feel very emotional. Often mothers-to-be feel more vulnerable and tired than usual and may need extra support. Some women feel unattractive and less interested in sex than before (although some find pregnancy increases their sex drive). If you can be open and honest about your changing feelings with your partner, it can avoid hurt and misunderstanding.

Read more about dealing with your emotions and your changing body.
Prenatal classes

Prenatal classes, also called birthing or pregnancy classes, can be very helpful for first-time parents. You generally attend classes with your partner or birthing partner when you are around 26 weeks pregnant. Classes cover every possible question, including techniques and positions for giving birth. If you are booked into a hospital for your delivery, ask for information about prenatal classes.
Preparing for breastfeeding

Breastfeeding is a skill, so it takes time to learn and it doesn’t always come easily. Here are some tips for preparing to breastfeed:

* Attend prenatal breastfeeding classes (ask at your hospital or local branch of the Australian Breastfeeding Association).
* Read up on breastfeeding techniques and positions.
* Be prepared to hear different advice about breastfeeding from different professionals. Pick the professional and the advice that works for you.
* Talk to other new mothers who are breastfeeding.
* Don’t expect too much of yourself – breastfeeding just doesn’t work for everyone.

You and your partner

Communication is essential to ensure you understand each other’s feelings and expectations for the future:

* Discuss how you both feel about the pregnancy and what’s to come – talk about the positives and the challenges.
* Remember that in the first months of pregnancy, your partner may not share your strong connection with your unborn baby. But as you get to know your baby from ultrasounds and as your baby makes its presence felt with kicks and wriggles, your partner will be better able to share your excitement.
* Talk about how you would like your relationship to be when the baby is born. Things such as how you will look after the baby, how you will share housework, what your hopes are for your new family, and what family rituals you want to create.
* Consider financial counselling if you’re worried about how you will be able to afford a new baby.

Read our guide to preparing your relationship for the arrival of your baby.
Preparing your family

If you have other children you may want to prepare them for the new baby. Give them plenty of time to get used to the idea, perhaps a few months before the due date. What and how much you tell them will probably depend on their ages.

Before the birth you could help your children prepare for the change by perhaps arranging for them to spend time with a relative or friend or go on special outings with family friends.

You may want to involve your own parents. Talking to all members of your family will help them know what to expect – and what you expect of them – when your baby comes home.
When to get help

There may be times when you need extra help and support to cope with some of the overwhelming changes happening during your pregnancy. You may find it helpful to speak to a doctor or relationship counsellor if you are experiencing any of the following:

* feeling that you are not coping with the pregnancy
* worrying about how to cope after the baby is born
* feeling that the pregnancy is having a major impact on you and your partner or your family
* feeling like some of the changes in your relationships are making your life worse.

Prenatal anxiety and depression are common (and a predictor of postnatal depression) so getting help and support before the baby is born may help you manage better after the birth.

Sourced from the Raising Children Network's comprehensive and quality-assured Australian parenting website http://raisingchildren.net.au
 
Settling Your Child Into Care by Raising Children Network

 

Children often experience some anxiety about going to child care for the first time. Their parents often feel anxious too! There are things you can do to make the process easier for both you and your child.

 

Toddler playing with plastic cups

 

did you knowQuestion mark symbol

 

 

Babies and toddlers can experience stranger and separation anxiety when starting in a new care setting. Often it's because children can't communicate as effectively with their new carers as they can with their parents. But everyone learns to understand each other eventually.

 

 
 
 

Factors affecting how children settle

 

 

Children have different experiences of settling into child care. The way they settle can be affected by:

 

  • temperament, which will affect the way they respond to any sort of change, including a new care setting
  • personal preferences, such as how they like to be fed, how they like to be comforted and soothed, and how they ask for and accept affection
  • age and stage of development – for example, babies (less than six months) are often happy to be left with carers because they haven’t yet developed separation and stranger anxiety
  • number of days in care – for example, a child who attends care one day a week will often take longer to settle than a child who attends five days a week. This is simply because children attending fewer days a week have less time to become familiar with and comfortable in their new setting.

Separation and stranger anxiety

 

 

Separation anxiety (baby gets upset when you leave him) and stranger anxiety (baby gets upset around other people) are a normal part of development. Almost all babies and children go through this to some extent. It usually starts at around six months and peaks at 12 months.

 

 

Around the same time, babies develop an understanding of object permanence. This means your baby understands that you exist, even when you’re not with her. Unfortunately she doesn’t understand that you’ll be back if you leave her, so she might initially become upset when you go. This generally passes once she learns through experience that you will return.

 

 

All of this is going on just as many parents are thinking about going back to work and leaving their child in care. It’s not your fault – it’s just how babies develop.

 

 

Try not to worry – children usually adjust as the new faces in their care setting become familiar. You can help your child overcome these anxieties by spending some time together in the new care setting, before you start leaving your child there without you. If you can, try leaving your child for just short periods, and build up to a whole day. This will help teach your child the concepts of leaving and returning.

 

Preparing for a new care environment

 

 

Preparing children for their first day in care will help them settle more easily. Although it’s difficult, it’s important for you to be positive about the experience. Children have an amazing ability to detect when their parents are worried or anxious. The following suggestions might help.

 

 

Leading up to the first day (2-3 weeks prior)

  • Ask the care setting for a copy of its daily schedule and incorporate it into your child’s routine. Try to synchronise lunch, play and nap times so that your child needs less time to adjust when care starts.
  • Read picture books with your child about starting care. Make up stories that you can share with your child about such experiences. It’s good to include all types of emotions, feelings and experiences that your child might go through (happiness, fun, friendship, sadness, anxiety, apprehension and tiredness).
  • Familiarise yourself and your child with the new care environment and carers by making short visits together to the setting. Your child will get used to the new smells, toys, sounds, faces and voices during this time. Gently encourage your child to play with the toys and engage in activities while you are there.
  • Have positive conversations with your child about the new environment, friends, carers and activities.

 

The night before

  • Try to ensure your child eats a healthy dinner and has a good night’s sleep.
  • Pack all the necessities that your child needs, including:
    • bottles, formula, nappies
    • hat, spare clothes
    • food (unless provided by the centre)
    • medicines and medical records
    • special comfort items, such as cuddly toys, blankets or books, or a family picture.
  • Ensure all items that will be taken to the centre (including bottles, comfort items and clothing) are labelled with your child’s name.
  • If your child doesn’t sleep well the night before starting care (or for the first few nights) let the staff know, as this can impact on your child’s day at the centre.

 

The first few weeks

  • If possible, ease your child gradually into the new care program. Stay with your child for a while for the first few days. You can help your child through the transition by reading a book together, playing peekaboo or watching your child engage in activities or play with new friends. Gradually increase the time you spend away from your child (whether in another room or outside the care setting).
  • Introduce your child to one primary caregiver every time you visit the setting, so that your child can start to form a new attachment. Having a key carer is especially important for babies. They are social beings and crave close attachments within their care settings.
  • Always be there to hug, kiss and say goodbye to your child.
 
If your child is generally happy to go to her care setting, shows you things she has made there and talks excitedly about her day (if talking), chances are she has settled well and is enjoying her new environment. Your next challenge might be getting her to come home!
 

Tips for saying goodbye

 

 

Despite your best preparations, your child might still find it difficult to separate from you and will probably become upset and start crying. You can help by acknowledging your child’s feelings, giving him words to help express himself, and comforting him. You might also like to:

 

  • Talk about an activity you and your child will do together when you get back home, such as playing in the garden, or reading a story.
  • Establish a goodbye routine, such as three kisses and a bear hug, high-fives or some other special gesture meaningful to your child.
  • Reassure your child that you or another familiar adult will be back to pick him up at a particular time, or after an event that your child understands, such as sleep or snack time.
  • Keep the goodbye brief. After your goodbye routine, gently but firmly say goodbye to your child. Lingering to comfort your upset child can sometimes prolong his distress and even make it worse. 
  • Allow your child’s carer to gently lead him away to do something he enjoys, such as feeding the fish or watering the garden.

 

If you are feeling distressed after seeing your child upset, call the centre about half an hour after your departure to see how your child is. Most children stop crying shortly after their parent departs.

 

 
If your child is distracted when it’s time for you to leave, you might feel tempted to sneak out without her noticing. This can make children more upset. They realise you’ve gone and haven’t had a chance to say goodbye. It’s best to let your child know you’re going and that you’ll be back later.
 

My child isn’t settling

 

 

Your child might settle happily in his new setting within a few days or few weeks. Some children continue to be distressed beyond the first few weeks. Others might settle initially and then later become upset (often when the novelty of the new environment has worn off).

 

 

In all cases, stay calm and allow your child to express his distress. Listen to what your child is saying. Is he showing signs of separation anxiety? If so, it’s worth persevering for a little while, to give your child time to adjust. It is also important to communicate with the centre’s staff – you can work together to develop settling strategies that you and the staff are comfortable with. The centre’s group leader should be able to suggest some ideas that have helped other children in the past. As difficult as it might be, try to stay positive about your child’s transition to care.

 

Sometimes, it might be that the care setting just isn’t right for your child. For example, he might seem afraid of the care setting or a carer, or be going backward in his development. You might want to consider finding a different centre, or a different

 

type of child care.

Questions to ask carers

 

 

To monitor how your child is settling into her new care setting, you can ask carers questions about:

 

  • how your child’s progress will be recorded and relayed to you
  • whether it’s okay for you to call during the day to check that your child has settled. This is particularly important for your peace of mind during the first few weeks. Most care settings will welcome these calls
  • how your child slept during the day and what she ate
  • how she seemed to be feeling and whether she was getting on with the other children
  • what activities your child likes (so that you can continue these with her at home).

Settling a child with a disability

 

 

Children with special needs or disabilities attach to their parents just as other children do. But some can find it more difficult to express their feelings. The following might help your child with a disability settle more easily:

 

  • Advise the care setting of your child’s disability or special needs on the waiting list form. If the diagnosis emerges later, let the service know when an offer of enrolment is made. This allows the service to prepare for your child with as much time as possible, including making specialist equipment available and training staff.
  • Take additional time to ensure your child is familiar and comfortable with his new setting. Any information you can provide to staff about your child’s particular needs and abilities will help staff ease your child’s transition to care.
  • Establish a communication book to share information between home and the care setting.
  • Discuss your expectations about your child’s behaviour with his carer.
  • Tell the carer about which activities your child can participate in if he has an intellectual or physical disability, and suggest alternative activities that you do together at home.

Many care settings provide for children who need additional assistance with communication, language and literacy skills by using alternative communication methods, signs, symbols, large print, symbol text and materials that can be accessed through sight, touch, sound and smell. You might wish to consider a different care setting if the centre you have chosen does not provide this assistance.

 

Sourced from the Raising Children Network's comprehensive and quality-assured Australian parenting website http://raisingchildren.net.au

 

 

 

 
Starting School by Raising Children Network

 

Once you’ve decided which school you would like your child to attend, the next step is enrolment and preparing for this new phase in your child’s life.

 

School boy polishing shoes

 

Did you knowQuestion mark symbol

 

 

Research shows that having mum or dad come to activities such as reading or sports days helps children do better at school.

 
 
 

Enrolling your child can be as easy as contacting the school of your choice and filling in the relevant forms. Or it could involve putting your child’s name down at a private school from shortly after birth. Our tips on

 

choosing a school might help if you are still deciding which school is right for your child.

 

Before school starts

 

  • Visit the school together so your child is familiar with the grounds, including the drink taps, toilets and classroom.
  • Visit the school when the other children are there so your child can get used to the noise of the playground and the size of the ‘big’ students.
  • Meet your child’s teacher together and give your child an idea of how many children will be in the class.
  • Show your child where the after-school care facilities are, if needed.
  • Get your child to try on the uniform and shoes before the first day, just to make sure everything fits.
  • Make sure your child has all the extras. Remember – bag, hat, art smock, library bag and so on.
  • It will help if your child knows another child from class before school starts. Try to organise play dates with other children before the first day of school.
  • Explain the basic school rules, such as putting up your hand, asking before going to the toilet, listening quietly when necessary, and doing what the teacher asks.
  • Have a practice run with the lunchbox to make sure your child can take off the lid (perhaps before buying the box).
  • Give your child lots of love and support. Be excited and enthusiastic about your child starting school.

 

During the first few weeks

 

 

Your child will need a lot of support when school starts. There are simple things you can do to help these first few weeks go smoothly:

 

  • Pick your child up on time. If you’re late it could make your child feel very anxious.
  • Try to make after-school time a bit special, with a snack and time for the two of you to chat.
  • Your child might want to blurt out every little detail about school, or clam up completely. Either way, be patient and respect your child’s response to this new experience.
  • Your child will probably be famished after school. School is a hungry business! Your child might want to snack after school and miss normal dinner.
  • Your child might be grumpy and tired for the first few weeks, especially in hot weather. You could try keeping your child quiet at home and aim for early bedtimes for the first few weeks.
  • Don’t expect too much too soon. If your child is happy and seems to be enjoying school, that’s a real achievement. The rest will come later.
  • If your child doesn’t seem to be settling well, or reports teasing or bullying, speak to the teacher.

 

Settling in and doing well

 

 

If you show your child that you think he can manage at school, he will start to believe it too. Try not to let your child know about any worries you might have. Sometimes it’s helpful to talk to other parents about how they are doing this.

 

 

Inviting a school friend to play helps strengthen the links between school and home.

 

You can be an active partner in your child’s education. At home you can help her with reading and any

homework

 such as finding interesting show-and-tell or costumes for special days. 

 
If possible, try taking part in school social events and getting involved with fundraising or working bees. Make time to get to know your child’s teacher.
 

 

In the whole new world that is school, it will help if your child understands the following:

 

  • How the school routine operates. For example, that he has to sit on the mat in the morning and come in from play when the bell rings. You could try reminding him about this routine.
  • She has to listen when her teacher is talking and then put up her hand when she wants to ask a question.
  • He needs to cooperate, share and play fairly with other children.
  • All the teachers are there to help. She can ask for help at any time.
Sourced from the Raising Children Network's comprehensive and quality-assured Australian parenting website http://raisingchildren.net.au

 
Yummy Yoghurt Loaf
Healthy Lunch Snack Recipe

Thanks to Haydi and Chloe from WA for sending in their delicious recipe!

If you have a great recipe to send in to us please do so and please take a photo of the end product too!


YUMMY YOGHURT LOAF:
Use the yoghurt container to measure out all the ingredients - it saves on the washing up!
1 x 200g fruit yoghurt
1 x 200g castor sugar
1 x 200g oil
3 x 200g self-raising flour
3 large eggs, lightly beaten.

Preheat the oven to 160 deg Celsius.
Spray a medium sized loaf tin (23x11x7cm) with non-stick spray.
Measure all the ingredients into a mixing bowl. Beat together for 3 minutes with an electric beater or 6 minutes by hand.

Turn the batter into the prepared tin and back for about 1 hour or till a testing skewer comes out clean. Turn the cake onto a wire rack to cool.

Chloe with her Yummy Yoghurt Loaf and modelling a Vintage Kid's apron!

Our Recipe Book Recommendation for Mums with Children from 0-6 years old is ‘The Big Book of Recipe’s for Babies, Toddlers and Children’

http://www.fishpond.com.au/Books/Cooking,_Food_Drink/Cooking/General/9781844830367/?cf=3&rid=273683944&i=11&keywords=starting+school

 
Mum of the Month - February 2010

 The Morgan Family - Marc, Jade and our feature Mum for February Tanya

“Wow... what a journey! My transition into motherhood has been one of the most terrifying and yet amazing experiences of my life. I had no idea that one little person could have so much influence on the way I saw the world, the way I saw my friends, family, and the way I saw myself.


Thanks to IVF we have a BEAUTIFUL 4 month old daughter, Jade, who is now the centre of our world. We fell pregnant using ICSI technology and after many failed attempts at artificial insemination, a miscarriage and a cancelled IVF fresh embryo cycle due to OHSS (ovarian hyper stimulation syndrome) we were incredibly lucky to fall pregnant during the 2nd frozen embryo cycle. After being diagnosed with Polycystic Ovaries 3 years ago, I was told I’d have less than 1% chance of falling pregnant naturally and with there being many fertility issues in my family history, I know we are one of the very fortunate ones to have fallen pregnant and my heart goes out to all couples going through fertility treatments.

The journey was emotionally and physically draining not to mention the anxiety I experienced while waiting to find out if each fertility treatment cycle had been successful that was extremely difficult.

At thirty eight weeks and two days I delivered our beautiful daughter. She was a fighter from the word go, I will always remember the Embryologist admiring the embryo and commenting on how well it had divided and how perfect it was at the time of transfer. She fought till the end and even survived having the cord around her neck twice at birth and on top of that my placenta had stopped working towards the end of the pregnancy which Jade survived by living off her own body fat. My waters had broken early for a reason and she needed to come out! She’d lost a lot of weight in the womb, but she was alive and healthy!

The first few weeks at home with Jade was a shock to the system! The first thing they should teach you in prenatal class is to expect the unexpected. I had read all the books (‘Save Our Sleep’ by Tizzie Hall is definitely worthwhile reading as it helps you get into a routine which is extremely important for you and your baby), watched educational videos (I would recommend ‘Happiest Baby on the Block’ to new Mums), I watched all the birthing videos, went to parenting classes, ate well, slept well, questioned, researched and queried until I had exhausted every resource, determined to be prepared for my new life, but nothing prepared me for the reality of being a mum. At times it was really quite challenging and of course life changing, but I wouldn’t change it for the world!

I read that ‘ART’ (Assisted Reproductive Technology) mums are not failures if they sometimes feel the pressures of motherhood even more than the average mum. It’s not because they are less positive or less relaxed. They are mums who have had to face (and perhaps continue to face) a unique set of circumstances and have 'little miracles' as a result of modern technology.’ So true! The first 6-8 weeks were tough and I never believed it when friends & family would say ‘it’ll get better’. But it did! I learnt that the first three months were very difficult, not only was I adjusting to parenthood but my daughter also had to learn how to cope and communicate – we had to learn how to work together.

No one ever tells you how emotionally draining and physically tiring being a mother can be. How you can be so sleep deprived to the point of delirium, and yet blissfully contented and satisfied with your new role. How just when you think you finally have five minutes to yourself, your baby wakes up and you move without hesitation, unselfishly to attend to her needs.

I discovered many nice traits about myself too, like patience, understanding and the protective mother's love. I think that being a mother has made me realise that there isn’t a more important role, no greater social responsibility than becoming a mother. I feel so incredibly blessed to have this amazing experience to share with my partner, my friends and my family.

Each time I look at my daughter I am just so thankful and grateful. Parenting is such a life changing journey; we wouldn't want it any other way!!!

I really hope my story will help and encourage other mum’s going through the same struggles I’ve gone through and may this give you hope and strength to get through it all! “

 
Bees Knees Kid - February 2010

Meet Annabelle who is modelling  pair of Vintage Kid China Doll Ruffle Pants. Annabelle is 18 months old and loves to dance! Isnt she gorgeous! Thanks so much to Mum Felicity for sending her picture in and sharing. Please send in your photos to berns@thebeeskneeskids.com.au with your child's name, what they are wearing or using from The Bees Knees Kids as well as their age and favourite activity. Thanks so much we always enjoy seeing all the gorgeous photos so keep them coming!

 
The Buzz - February 2010

If you have trouble reading this email, view it in your browser.

 
The Bees Knees Kids
Specialising in babywear, kidswear and accessories.
Welcome



Welcome to our new and improved newsletter - 'The Buzz': the newsletter of
The Bees Knees Kids. We aim to assist parents in the nurture of the children in their care.

In each edition of 'The Buzz' we will be featuring practical parenting strategies; a Mum of the Month highlighting pregnancies, birth stories, the first few weeks of the new arrival and more; child friendly recipes; latest news on The Bees Knees Kids products, grabbing the latest bargainbook recommendations; helpful videos; and the opportunity to show off your child on our Fan Photos Wall of Fame!
  Check out the new competition - vote for your favourite child for them to appear as our March child of the month!

As an Early Childhood Teacher I really believe that by providing our children with the best start to life with as many fun filled learning experiences in their own home we can nature a real passion for learning!



Settling Your Child Into Care and School
By Bernice Greenacre BEd (Early Childhood Studies)

The best way to get you child to settle into Childcare or School is to prepare them for what is to come that way they will have a better knowledge of what to expect when it actually happens. Even if your child has already started this transition which many have it is great to use strategies and activities that will ease them into this transition and provide some experiences which they can relate to and built upon.

To prepare our son Eli for Kindergarten we began introducing books, DVDs as well as well as many activities early on in order to make the experience and transition as enjoyable and positive as possible. He honestly was so ready to start Kindergarten this year and his first day was a huge success!

Here are some things that we did to prepare him for school:
1. Leave your child with a babysitter or carer other than yourself to get familiar with being in someone else’s care and away from you as the primary caregiver. We did this twice a week: Crèche at Church and a weekly meeting at our Church where Crèche was provided.
2. Find as many resources such as books and DVDs about school that you can share with your child and talk about them continually.
3. Provide activities for your child to do which will be familiar and that is commonly done at schools or Childcares such as play dough, painting, puzzles etc.
More...
 

 

Photo above right: Eli’s first day at Kindy. Why do they not look at the camera when they are supposed to?!



Perfect Little Helpers for School

Get Organised!
If you need your child to get organized this product is a must for you! Cubeo™ is a revolution in organisation! Attaching easily to backpacks, the compact colourful Cubeo™ helps children remember what they need to bring to school each day of the week. With the Cubeo™, getting ready for school is a breeze, and remembering what to take home, as easy as 1-2-3. $19.95

 
   
Safe Drink Bottles built to last!
These stainless steel Drink Bottles are very easy to clean and their unique surface has no pores or cracks to harbour dirt, grime or bacteria. So your bottle stays completely clean and safe for years upon years. Comes in a variety of sizes perfect for toddlers there is one to suit everyone in the family! From $17.90
 
   
Perfect Puzzles for Toddlers
(See our range of wooden peg puzzles some with sounds!) From $19.
 
   
Sandwiches without the mess and fuss!
Our Sandwich cutters the perfect helper in all Mum's kitchens. Quick and easy to use even our 3 year old knowshow to use it! Perfect for making those school lunches. Choose from the half bit, quarter bite orround bite or get all 3 for a bit of variety at only $5.95 it is so well worth it!
 
Clever Mum Invented Shoe Clues
Help your children become in with the Mom Invented Shoe Clues. Shoe Clues will help kids recognize which shoe is the left and right. This product will also help teach them from left to right. Encourage your child's growing independence by investing in this great invention by a Clever Mum and help your child learn to put the right shoe on the right foot! At $5.95 it's a great investment!
 


Further Reading

Settling into Care 0-3 years

Settling into School



Useful Videos

Settling Your Child Into Childcare

Finding Quality Childcare



Book Recommendations

   


Mum of the Month

The Morgan Family - Marc, Jade and our feature Mum for February Tanya (below)

 

“Wow... what a journey! My transition into motherhood has been one of the most terrifying and yet amazing experiences of my life. I had no idea that one little person could have so much influence on the way I saw the world, the way I saw my friends, family, and the way I saw myself.
   
Thanks to IVF we have a BEAUTIFUL 4 month old daughter, Jade, who is now the centre of our world. We fell pregnant using ICSI technology and after many failed attempts at artificial insemination, a miscarriage and a cancelled IVF fresh embryo cycle due to OHSS (ovarian hyper stimulation syndrome) we were incredibly lucky to fall pregnant during the 2nd frozen embryo cycle. After being diagnosed with Polycystic Ovaries 3 years ago, I was told I’d have less than 1% chance of falling pregnant naturally and with there being many fertility issues in my family history, I know we are one of the very fortunate ones to have fallen pregnant and my heart goes out to all couples going through fertility treatments.
   
The journey was emotionally and physically draining not to mention the anxiety I experienced while waiting to find out if each fertility treatment cycle had been successful that was extremely difficult.
   

More...


 

         

Dr Harvey Karp Promo

The 5’s in action by a Dad - See how it works in action!


annabelle.jpg
Bees Knees Kid for February

Annabelle Age 18 months wearing China Doll Ruffle Pants by Vintage Kid.



Healthy Lunch Snack Recipe

Thanks to Haydi and Chloe Heslin the Mum and daughter team for sending in this delicious recipe in!

chloe baking.jpgYUMMY YOGHURT LOAF:
Use the yoghurt container to measure out all the ingredients - it saves on the washing up!
1 x 200g fruit yoghurt
1 x 200g castor sugar
1 x 200g oil
3 x 200g self-raising flour
3 large eggs, lightly beaten.

Preheat the oven to 160 deg Celsius.
Spray a medium sized loaf tin (23x11x7cm) with non-stick spray.
Measure all the ingredients into a mixing bowl. Beat together for 3 minutes with an electric beater or 6 minutes by hand.
Turn the batter into the prepared tin and back for about 1 hour or till a testing skewer comes out clean. Turn the cake onto a wire rack to cool.

Photo (right): Chloe with her Yummy Yoghurt Loaf and modelling Vintage Kid's apron!


 

GRAB A BARGAIN!
This is your LAST chance to get a bargain off our Summer Stock on clearance until the end of February: Chino Kids, Plum, Sooki Baby and Baobab NOW 40% off use coupon code SALE and this is ONLY while stocks last so you will need to be quick!

Our Winter Range for 2010 has arrived. Check it out at the The Bees Knees Kids!

Until next time, keep your kids buzzing.

Kind Regards,

Bernice

The Bees Knees Kids
www.thebeeskneeskids.com.au

 


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