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Tiny Tottiny from Happy to Share in This Special to Toddler You Can Count on Us 2012 As new parents, you're bursting Institut national de santé publique du Québec Right from that special day, with joy. At Jean Coutu we're Tiny Tot From happy to share in this special to Toddler you can count on us. occasion. Our pharmacists have From Tiny Tot a wealth of expertise to help you to care for your little one right from Toddler day one, with reassurance, advice and answers to all your questions about health, caring 2012 and nurturing your bundle of joy. A practical guide Rest assured, we're here for you for parents and your family. from pregnancy to age two This service is offered to you by the Owner Pharmacists affiliated to www.inspq.qc.ca/tinytot The guide is given free of charge as soon as pregnancy checkups begin. Depending on the region, the guide will be handed out at your doctor’s office, CLSC, test center, birthing center, or ultrasound appointment. For those who plan to adopt, the guide is available at a youth centre or certified international adoption agency. The guide is for sale for $19.95. You can buy From Tiny Tot to Toddler and Mieux vivre avec notre enfant de la grossesse à deux ans from Publications du Québec, in bookstores, by telephone at 418 643-5150 or 1 800 463-2100 or on their Web site www.inspq.qc.ca/tinytot www.publicationsduquebec.gouv.qc.ca. Free English and French versions are also available on the Web site of the Institut national de santé publique du Québec at: www.inspq.qc.ca/tinytot Nicole Doré From Danielle Le Hénaff Authors of the original text Tiny Tot to Coordination Chantale Audet Toddler With the collaboration of Igor Baluczynski Amélie Bourret Mélissa Lafrenière 2012 A practical guide for parents from pregnancy to age two First edition: 1988. Editions revised every year. The sections regarding government programs and services have been adapted and published with the How to cite this book: authorization of Services Québec. Doré, Nicole; Le Hénaff, Danielle. The information provided was recent From Tiny Tot to Toddler, when this edition of From Tiny Tot to A practical guide for parents from pregnancy to age two. Toddler was released. For updates, go to Québec, Institut national de santé publique du Québec, 2012. 736 pages. www.servicesquebec.gouv.qc.ca Brand names of products described in this document are given as examples only. Fair use of this guide for research or private study is authorized under Section 29 of the Copyright Act. Except for illustrations and photographs, excerpts from this publication may be reproduced for educational, noncommercial purposes provided the source is acknowledged. Any other use must be authorized by the Government of Québec, which holds the exclusive intellectual property rights for this document. Authorization may be obtained by submitting a request to the central clearing house of the Service de la gestion des droits d’auteur of Les Publications du Québec, using the online form at www.droitauteur.gouv.qc.ca/en/autorisation.php or by sending an e-mail to [email protected]. Information contained in the document may be cited provided that the source is mentioned. Legal Deposit – 1st quarter 2012 ISSN: 1711-411X (printed version) Bibliothèque et archives nationales du Québec ISSN: 1911-6004 (PDF version) Library and archives Canada ISBN: 978-2-550-63189-7 (printed version) © Gouvernement du Québec (2012) ISBN: 978-2-550-63190-3 (PDF version) www.inspq.qc.ca/tinytot 2012 Edition Acknowledgements Authors of the original text For more than 30 years now, many professionals have added their expertise Nicole Doré, Danielle Le Hénaff and support to each issue of this guide. It is no longer possible to list them all, but we would like them to know how grateful we are after all these years. Writers Nicole April, Chantale Audet, Christiane Auray-Blais, Lucie Baribeau, We have sought input from many individuals and organizations François Beaudoin, Céline Belhumeur, France Bilodeau, in producing this current edition. We would like to thank them sincerely Amélie Blanchet-Garneau, Julie Boissoneault, Luce Bordeleau, for their contribution. If your name was omitted during the challenging Marie-Andrée Bossé, Nicole Boulianne, Amélie Bourret, Lise Brassard, task of listing all our contributors, please accept our double thanks. Marie-Ève Caty, Brigitte Chaput, Isabelle Charbonneau, Catherine Chouinard, Individuals Aurore Coté, Dominique Cousineau, Rosanne Couture, Luc Ferland, Julie Baril, François Beaudoin, Daniel Beauregard, Nicole Boulianne, Cécile Fortin, Denis Gauvin, Édith Guilbert, Julie Guimond, Anne Harvey, Liane Comeau, Aurore Côté, Michèle Debroux, Jeff Farber, Mélanie Guérin, Ginette Lamarre, Josée Laroche, Richard Larocque, Julie Lauzière, Édith Guilbert, Danielle Landry, Michel Lavoie, Michel Lévy, Nadia Maranda, Johanne Laverdure, Michel Lavoie, Lyse Lefebvre, Céline Lemay, Linda Lemire, Denis Ouellet, Raymond Parent, Danielle Ramsay, Mary Richardson, Brigitte Lépine, Anne Letarte, Patrick Levallois, Chantal Lévesque, Hélène Rousseau, Stéphane Schwartz, Michèle Tremblay, Roch Tremblay, Marie-Joëlle Lévesque, Michel Lévy, Nadia Maranda, Jean-Claude Mercier, Jean-Jacques Turcotte. Langis Michaud, Christina Morin, Julie Poissant, Marie-Claude Quintal, Hélène Rousseau, Marie-Josée Santerre, Diane Sergerie, Isabel Thibault, Organizations Lucie Thibodeau, Lucie Tremblay, Roch Tremblay, Jean-Jacques Turcotte, Comité d’experts en planning familial de l’INSPQ, Info-Santé, Mylène Turcotte, Pascale Turcotte, Hélène Valentini, Ginette Veilleux. Services Québec, Santé Canada. Secretarial work Publicity Photographers Julie Colas, Mélissa Lafrenière, Catherine Brochu A sincere thank you to all photographers-parents, professionals and amateurs Marie-France Lepage, who allowed us to illustrate this edition. It’s a great contribution. Cover photos Sophie Michel © Photo: SoniaJam.com Proofreading Céline Leheurteux, Virginie Jezik Caroline Cloutier, Sarah Witty Translation Printing Anglocom, Solisco imprimeurs Stevenson & Writers Inc. Graphic design and computer graphics Illustrations Luz design+communications Maurice Gervais www.luz.ca Update of the Feeding your Child section The chapters in the section on Feeding your Child have been completely revised for the 2010 edition. Many parents, too numerous to list here, The work was carried out by authors working in collaboration with the Institut’s team, and with helped us throughout the update process the support of numerous contributors whose cooperation we would like to acknowledge here. by reading and commenting on the various drafts of these chapters. This support has been invaluable and greatly appreciated For the chapters on For the chapter on by our team and the specialists who worked Feeding your baby, Milk, Water: with us. Many thanks to all of them. Breast-feeding, Bottle-feeding: Writers Revision of the French version Writers Denis Gauvin, scientific advisor and David Rancourt Cécile Fortin, lactation consultant (IBCLC), Patrick Levallois, physician and community Jean-Claude Mercier, pediatrician and Marie- health specialist. Plain language and revision Josée Santerre, nurse and lactation consultant of the French version Groups consulted (IBCLC). Danielle Bergeron Groupe scientifique sur l’eau de l’Institut national Working group de santé publique du Québec, Comité eau Journalist advisors Chantale Audet, INSPQ ; Amélie Bourret, INSPQ ; potable de la Table nationale de concertation Christian Benoit-Lapointe, Lise Brassard, Info-Santé ; Catherine Chouinard, en santé environnementale. Andrée-Anne Guénette ASPQ ; Marie-Julie Côté, mother ; Suzanne Dionne, Translation CSSS de la Haute-Yamaska (CLSC); Carole Dobrich, For the chapters on Anglocom IBCLC, Herzl Goldfarb Breastfeeding Clinic; Foods and Food-related problems: Louise Dumas, Université du Québec en Outaouais; Writer Marie-Andrée Laroche, mother ; Johanne Laverdure, Lucie Tremblay, nutritionist. INSPQ; Nathalie Lévesque, MSSS; Sylvie Lévesque, INSPQ; Réal Morin, INSPQ; Manon Niquette, Individuals consulted Université Laval. Odette Drolet, Lucie N. Fortier, Patricia Lamontagne, Sylvain Leduc, Jean-Claude Mercier, Individuals consulted Laurie Plamondon, Sylvie Renaud. Nicole April, Lucie N. Fortier, Anne Fortin, Denis Gauvin, Lyse Lefebvre, Sylvie Renaud, Groups consulted Lucie Tremblay, Michèle Tremblay, Julio C. Soto. Association québécoise des allergies alimentaires, Info-Santé, Ordre professionnel des diététistes du Québec, Regroupement des diététistes de Québec. Foreword Through the CSSS network, The 2012 edition of the guide From Tiny Tot to Toddler is in continuity with the 2010 and 2011 editions. Regular 2012 edition of From Tiny Tot to users of the guide will see few changes. The writing team is already at work on a new 2013 edition in response Toddler , A practical guide for parents to your needs. from pregnancy to age two and Looking back, you may recall that the 2010 edition underwent a major update. Since the very first edition, Mieux vivre avec notre enfant de breast-feeding and feeding have been central themes. You have shown your interest in these topics through the numerous comments and questions you have sent us. In order to meet your needs and take into account la grossesse à deux ans are offered changes in the methods and approaches to feeding babies, we have revisited the subject at length. The editorial free of charge to the following team is therefore pleased to introduce updated information on feeding babies from birth to two years in a people to support Québec parents: completely revamped green section. A small
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