Guidelines Screening for Substance Abuse During Pregnancy
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Newborn Care 2 Table of Contents
Newborn Care 2 Table of Contents Your Newborn ............................................ 4 Baby Basics ............................................... 16 Preparing for Your Baby ................................. 4 Stools ................................................................. 16 What to Expect in the Hospital ....................... 4 Wet Diapers ..................................................... 16 Your Newborn ................................................... 5 Diapering .......................................................... 16 Bathing .............................................................. 17 Comfort and Bonding ............................ 7 Skin Care .......................................................... 17 Handling Your Baby ......................................... 7 Fingernail Care ................................................ 17 Interacting with Your Baby ............................. 7 Umbilical Cord Care ....................................... 17 Crying and Comfort ......................................... 7 Circumcision Care .......................................... 17 Bonding with Baby ............................................ 9 Infant Development ........................................ 10 Health and Safety ................................. 18 Baby Wearing .................................................. 11 Sleep Safety ....................................................... 18 SUID and SIDS ................................................ 18 Sleep.............................................................. -
Breastfeeding Matters
Breastfeeding Matters An important guide for breastfeeding families ACKNOWLEDGEMENTS Best Start by Health Nexus would like to thank the Public Health Units of Ontario who supported the creation and development of this provincial resource and generously shared their resources and expertise. We would also like to thank the parents and the experts who provided input for this booklet. Final review was done by Marg La Salle, RN, BScN, IBCLC, and BFI Lead Assessor. The information in this booklet is current at the time of production but information can change over time. Every effort will be made to ensure the information remains current. Throughout this resource, gender-specific language such as “woman”, “women” and “mother” is used in order to accurately cite the research referred to. We intend these terms to refer to all childbearing individuals, regardless of their gender identity or sexual orientation. Funded by the Government of Ontario. Table of Contents SECTION 1 .......................... 3 SECTION 4 ........................ 27 The Importance of Breastfeeding Important Things to Know • Risks of Not Breastfeeding • Waking a Sleepy Baby • Your Breastfeeding Rights • Calming a Fussy Baby • The Baby-Friendly Initiative • Burping Your Baby • Making an Informed Decision • Growth Spurts • Family Support • Sore Nipples • Peer Support • Using a Pacifier (Soother) • Engorgement SECTION 2 ........................ 11 • Storing Your Breast Milk Helping Your Baby Get a Good Start • Skin-to-Skin SECTION 5 ........................ 33 • Safe Positioning -
USIT Exam Answer
American Board of Family Medicine 2018 IN-TRAINING EXAMINATION CRITIQUE BOOK This book contains the answers to each question in the In-Training Examination, as well as a critique that provides a rationale for the correct answer. Bibliographic references are included at the end of each critique to facilitate any further study you may wish to do in a particular area. Copyright© 2018 The American Board of Family Medicine, Inc. All rights reserved. Item 1 ANSWER: E A urine test for Legionella pneumophila antigen is the preferred method to confirm Legionnaires’ disease. This test is rapid and will only detect Legionella pneumophila antigen. A sputum culture is the gold standard for the diagnosis of Legionnaires’ disease but it requires 48–72 hours. A chest radiograph does not confirm the diagnosis but may show the extent of disease. Responding to antibiotic treatment does not confirm a specific diagnosis. Ref: Mercante JW, Winchell JM: Current and emerging Legionella diagnostics for laboratory and outbreak investigations. Clin Microbiol Rev 2015;28(1):95-133. 2) National Center for Immunization and Respiratory Diseases: Legionella (Legionnaires’ disease and Pontiac fever): Diagnosis, treatment, and prevention. Centers for Disease Control and Prevention, 2017. Item 2 ANSWER: C Risk factors for developmental dysplasia of the hip in infants include a breech presentation in the third trimester, regardless of whether the delivery was cesarean or vaginal. Other indications to evaluate an infant for this condition include a positive family history, a history of previous clinical instability, parental concern, a history of improper swaddling, and a suspicious or inconclusive physical examination. -
Safer Swaddling
Safer Swaddling Although swaddling has been practiced for years, recent studies show that swaddling for sleep can put your baby at risk of suffocation. If you have tried calming your baby and nothing has worked, you can try swaddling to settle your crying baby. What are the risks of swaddling? Swaddling can get in the way of Swaddling for sleep may result in mother- baby bonding and newborn sudden infant death feeding g Loose fabric can cover baby’s face and Skin-to-skin contact between mother and baby cause suffocation. has many benefits. It helps you develop your g If the baby becomes unwrapped, the fabric relationship with your baby, helps reduce your can become wrapped around baby’s neck and baby’s stress, promotes more restful sleep and cause strangulation. helps with breastfeeding. g The baby may roll onto his or her stomach and be unable to roll back . Tight swaddling can be risky g Babies wrapped in blankets or heavy fabrics g Tight swaddling can interfere with breathing can get too hot, which increases the risk of and can even lead to pneumonia. Your baby Sudden Infant Death Syndrome (SIDS). must have enough room for his or her chest g Sleeping with a baby on a bed or couch greatly to move. increases the risk of sudden infant death and g It can cause long-term hip problems. Your suffocation. This risk is even higher when a baby must have enough room to freely move baby is swaddled. the hips and legs. January 2016 When to stop swaddling baby When baby can roll or is able to unravel the wrap, it is time to stop swaddling because the loose fabric creates a suffocation or strangulation risk. -
STRONG UNION Actor Gabrielle Union Urges Women Not to Put Off Breast-Cancer Screenings PG
DOWNLOAD THIS ISSUE ON YOUR TABLET FOR FREE FROM THE APP STORE OR GOOGLE PLAY! October 2016 $4.95 CANCER RESEARCH CANINE MEN’S THERAPIES HEALTH OFFER 5 Key HOPE FOR HEALTHY Cancer Signs HUMANS BEAUTY pg. 13 PG. 34 The Deal With FOOD Chemical Peels FAMILY & pg. 16 PARENTING Tasty Apple Making Shots Dishes for Fall pg. 40 CHECKUP Less Scary pg. 23 Advances in Breast Cancer pg. 44 LIVING HEALTHY Workout Recovery Tips pg. 12 STRONG UNION Actor Gabrielle Union urges women not to put off breast-cancer screenings PG. 28 OCTOBER 2016 Contents FEATURES Pg. 28 Download WebMD Magazine You’ve Got for FREE on the App Store and a Friend Google Play. Gabrielle Union knows all too well the pain of breast cancer. She lost one of her closest friends to the disease in 2010. Today she’s dedicated to spreading the I HAVE TO word about the importance MAKE SURE of breast cancer screening. MY HEALTH“ “ IS GREAT—SO I’M AROUND TO HELP MY The Canine FAMILY. Connection Promising new research looks at how treatments used to help dogs with cancer could one day help humans with the disease. IN EVERY ISSUE Pg. 4 EDITOR’S NOTE TAKE 10 Sonequa Martin- Green of The Walking Dead shares how a family history of cancer spurred her to become a health activist. Plus, she reveals her favorite Pg. health advice and her 34 ultimate “cheat food.” Pg. Cover Photograph by Alexei Hay/Trunk Archive 49 W ebMD.COM 2 OCTOBER 2016 Contents OCTOBER 2016 HEALTHY START Pg. -
Effective Analgesia Using Physical Interventions for Infant Immunizations
ARTICLE Effective Analgesia Using Physical Interventions for Infant Immunizations AUTHORS: John W. Harrington, MD,a,b Stacey Logan, MD,a WHAT’S KNOWN ON THIS SUBJECT: Pain during routine infant Courtney Harwell, MD,a Jessica Gardner, MD,a Jessica immunization causes parental anxiety. Oral sucrose solutions are Swingle, BS,a Erin McGuire, MS,a and Rosemarie Santos, MDa effective pain-reduction strategies. Few studies have measured aDepartment of Pediatrics, Eastern Virginia Medical School, a combined strategy of a physical intervention along with sucrose Norfolk, Virginia; and bDepartment of Pediatrics, Section of to decrease the infant’s pain response. General Academic Pediatrics, Children’s Hospital of The King’s Daughters, Norfolk, Virginia WHAT THIS STUDY ADDS: We demonstrate that a physical, KEY WORDS nonpharmacological intervention called the 5 S’s (swaddling, immunizations, vaccines, pain management, infant, analgesia side/stomach position, shushing, swinging, and sucking) provides ABBREVIATIONS significant pain reduction with or without sucrose during routine 5S’s—swaddling, side/stomach position, shushing, swinging, and sucking 2- and 4-month vaccinations. ANOVA—analysis of variance IRB—internal review board This trial has been registered at www.clinicaltrials.gov (identifier NCT01368861). www.pediatrics.org/cgi/doi/10.1542/peds.2011-1607 abstract doi:10.1542/peds.2011-1607 BACKGROUND: To measure the analgesic effectiveness of the 5 S’s Accepted for publication Jan 11, 2012 (swaddling, side/stomach position, shushing, swinging, and sucking) Address correspondence to John W. Harrington, MD, Department of alone and combined with sucrose, during routine immunizations at Pediatrics, Children’s Hospital of The King’s Daughters, 601 Children’s 2 and 4 months. -
Essential Newborn Care and Breastfeeding
Promoting Effective Perinatal Care Essential Newborn Care and Breastfeeding Training modules WHO Regional Office for Europe 2002 EUR/02/5035043 30063 ORIGINAL: ENGLISH UNEDITED E79227 Keywords INFANT CARE INFANT, NEWBORN INFANT, NEWBORN, DISEASES – therapy BREAST FEEDING HEALTH PERSONNEL – education TEACHING MATERIALS EUROPE, EASTERN EUROPE COMMONWEALTH OF INDEPENDENT STATES © World Health Organization – 2003 All rights in this document are reserved by the WHO Regional Office for Europe. The document may nevertheless be freely reviewed, abstracted, reproduced or translated into any other language (but not for sale or for use in conjunction with commercial purposes) provided that full acknowledgement is given to the source. For the use of the WHO emblem, permission must be sought from the WHO Regional Office. Any translation should include the words: The translator of this document is responsible for the accuracy of the translation. The Regional Office would appreciate receiving three copies of any translation. Any views expressed by named authors are solely the responsibility of those authors. This document was text processed in Health Documentation Services WHO Regional Office for Europe, Copenhagen CONTENTS Page Preface............................................................................................................................................................i Introduction ...................................................................................................................................................1 -
Breast Refusal Or Difficulty Achieving Or Maintaining a Latch Protocol #9: Breast Refusal Or Difficulty Achieving Or Maintaining a Latch
Protocol #9: Breast Refusal or Difficulty Achieving or Maintaining a Latch Protocol #9: Breast Refusal or Difficulty Achieving or Maintaining a Latch Breast refusal or difficulty achieving a latch can occur at any stage of breastfeeding and is not limited only to the early weeks of birth. Observation and Assessment delivery, nerve damage related to birth injury, anaesthesia, intravenous therapy, lengthy labour. Assess the baby for: • Medical condition, e.g., jaundice, dehydration, • Repeated inability to achieve or maintain a latch. hypoglycemia, sepsis. • Pushing away from the mother’s breast with arms • Neurological conditions affecting muscle tone, and legs. e.g., hypertonia, hypotonia, prematurity. • Arching and crying when brought to the mother’s • Abnormal nasal, oral, or facial structure, breast. e.g., narrowing or blockage of the nasal airway • Latching and sucking a few times, then letting the (choanal atresia), cleft lip/palate, other alterations in nipple slide out of the mouth. palatal structure, receding chin. • Refusal of one or both breasts. • Abnormal tongue, e.g., ankyloglossia, large or short tongue, tongue curling up to the roof of the mouth, Possible Contributing Factors tongue thrusting, decreased tongue peristalsis. or Causes With an abnormal tongue, the tongue may not be • Breast refusal or difficulty achieving a latch may be able to extend past the lower gumline and cup the mother and/or baby related. areola during breastfeeding. This can be assessed by pulling back slightly on the baby’s lower lip when Early Breast Refusal the baby is at the mother’s breast. There may also be dimpling of the cheeks or clicking/smacking 1. -
Caring for Babies with Prenatal Substance Exposure
CARING FOR BABIES WITH PRENATAL SUBSTANCE EXPOSURE Ministry of Children and Family Development Vancouver Coastal Region In partnership with Acknowledgements ACKNOWLEDGEMENTS 2nd Edition updated December 2003, Ministry of Children and Family Development (MCFD), British Columbia Radhika Bhagat, MN, RN, & Pam Munro, MSN, RN Review and Contributions: • Child Development Centre, Prince George: Linda Martindale, Physiotherapist, Carol Oosthizen, Speech & Language Pathologist • Foster Parents: Colleen Anderson, Lorraine Jamieson, Laura Lang, • Forest Cottage Coaching: Tanya Helton-Roberts, www.ForestCottageCoaching.com • Infant Development Program: Bonnie Barnes, IDP Consultant, Vancouver; Dana Brynelson, Provincial Advisor, Annie Wolverton, Regional Advisor, Lower Mainland. • Ministry for Children and Family Development, /Vancouver Coastal Region: Sandi Karmel, Resources Social Worker, Lyna Kiviste, Resources Supervisor • Sunny Hill Health Centre for Children: Janice Duivestein, Lois Woo, & Nicole Raftis, Occupational Therapists; Janet Schlenker, Clinical Paediatric Dietitian • Vancouver Coastal Health Authority: Leslie Cochrane & Laraine Michalson, Community Health Nurses, Sheway Program; Corinne Eisler, Anne Swann, Nutritionists; Sue Wastie, Speech & Language Pathologist; Tana Wyman, Dental Program Coordinator • University of BC: Paul Thiessen, M.C.,F.R.C.P,(C), Clinical Professor, Pediatrics Pictures: Lenora Marcellus, MSN, RN, Mitch Stringer, & MCFD Illustrations: Infant Development Program & Doug Quiring The 1st Edition of this guidebook -
Pacifier Guide for Parents Table of Content
Pacifier guide for parents Table of content How to use pacifiers responsibly 1–3 What can a pacifier do for my baby? 4 How does the ideal pacifier look? 5 How can I keep my pacifiers clean 6 and safe for my baby? Five important points to know for 7–9 responsible pacifier use Goodbye Pacifier! 10–13 References 14 Pacifier guide to parents | 2 How to use pacifiers responsibly There are different opinions when it As parents, you want comes to how and when to use a pacifier – and having questions is totally normal. Each nothing more than to nur- baby is unique, and we believe parents will ture your bond with your know and do what’s best for their little ones. With that in mind, the purpose of this guide little one, grow together is to share what we know so you can make the in love and closer to each most educated choices around when to use a pacifier, how to introduce one responsibly. other everyday. You want your children to grow hap- Suckling is an innate, natural reflex of most babies. When babies suckle to calm them- py and healthy, enabled by selves or self-soothe to sleep without nursing, the early choices you make that’s what experts call non-nutritive sucking (NNS). Non-nutritive sucking has already been with them. observed in the womb when the baby practices suckling on their hands or fingers. Introducing a pacifier can help satisfy your little one’s natural desire to suckle. Parents have given their babies objects to suckle on for centuries. -
Routine Pacifier Use in Infants: Pros and Cons
J Pediatr (Rio J). 2019;95(2):121---123 www.jped.com.br EDITORIAL Routine ଝ,ଝଝ pacifier use in infants: pros and cons Uso rotineiro de chupeta por bebês: prós e contras Arthur I. Eidelman Hebrew University School of Medicine, Shaare Zedek Medical Center, Jerusalem, Israel 1 Webster’s dictionary of American English defines the nutritive and other health benefits, and the act of breast- ‘‘pacifier’’ as an object that makes one ‘‘quiet or peace- feeding and its non-nutritive benefits, which by definition ful,’’ surely a welcome behavioral outcome that mothers are dependent on the warm and comforting physical pres- routinely report from its use with their infants. The current ence and contact of the mother. form of the pacifier (e.g., a soft teat, a guard, and a handle) Conceptualizing the pacifier as a ‘‘dummy,’’ i.e., a neg- dates back to design patents from the early 1900s. However, ative object, is reinforced by the reports of the association it is notable that soothing hard rings, teats made from linen of pacifier use with decreased breastfeeding exclusivity 3 4 rags stuffed with sugar, or various foodstuffs have been doc- and duration, increased risk of developing otitis media, umented in the medical literature from the 15th century and a variety of dental malocclusions and long term oral 5 and depicted in classical art from the 16th century. Capi- abnormalities. These supposed negative effects of pacifier talizing on the inherent non-nutritive sucking physiology of use on breastfeeding rates presumably reflects a phe- infants, the use of these objects leads to enhancing a form nomenon labeled as ‘‘nipple confusion,’’ which results in the of the infant’s behavior that stabilizes breathing, stimulates reluctance of the infant to take to the breast as opposed to oral motor function, and modifies autonomic functioning and preferentially sucking on an artificial rubberized or silicone 2 sleep patterns. -
BRITISH ENGLISH a to ZED H
BRITISH ENGLISH A TO ZED h BRITISH ENGLISH A TO ZED h Third Edition NORMAN W. SCHUR Revised by EUGENE EHRLICH and richard ehrlich BRITISH ENGLISH A TO ZED, THIRD EDITION Third edition copyright © 2007 by Eugene Ehrlich and the estate of Norman W. Schur. Original edition copyright © 1987, 2001 by Norman W. Schur. All rights reserved. No part of this book may be reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage or retrieval systems, without permission in writing from the publisher. For information contact: Facts On File, Inc. An imprint of Infobase Publishing 132 West 31st Street New York NY 10001 Library of Congress Cataloging-in-Publication Data Schur, Norman W. British English A to Zed / Norman W. Schur with Eugene Ehrlich.—Rev. and updated ed. p. cm. Includes index. ISBN 0-8160-6455-5 (hardcover : alk. paper) 1. English language—Great Britain—Dictionaries. 2. Great Britain— Civilization—Dictionaries. I. Ehrlich, Eugene H. II. Title. PE1704 .S38 2001 423′.1—dc21 00-060059 Facts On File books are available at special discounts when purchased in bulk quantities for businesses, associations, institutions, or sales promotions. Please call our Special Sales Department in New York at 212/967-8800 or 800/322-8755. You can find Facts On File on the World Wide Web at http://www.factsonfile.com Cover design by Dorothy M. Preston Printed in the United States of America MP FOF 10 9 8 7 6 5 4 3 2 1 This book is printed on acid-free paper.