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The first weeks TO TREAT NAPPY RASH Follow the steps outlined in To protect your baby against nappy rash on page 25 and also: • Apply a nappy rash cream to help healing – ask your health visitor or pharmacist to recommend one. • If the rash does not go away after treatment or there is a persistent brightred moist rash with white or red pimples which also affects the folds of the skin, this may be due to a thrush infection. In this case, a special anti-fungal cream available from your pharmacist or on prescription from your doctor will be needed. NAPPY SERVICES AND NAPPY COSTS If you use disposable nappies, it is worth enquiring whether any shop in your area provides a free delivery service. Or, if you use washable cloth nappies, you may be able to use a nappy laundering service (see page 150). The approximate cost of buying and washing cloth nappies for 2 1 ⁄2 years ranges from £185 to about £352, depending mainly on nappy type. (This is based on an estimated cost of £1 per week using your own washing machine. Nappy laundry services cost from £6 to £9 per week.) The cost of disposable nappies over the same period ranges from £463 to £732. 26 Getting started • If your baby is dirty, use the nappy to clean off most of it. Then, using the cotton wool, a mild baby soap and warm water, baby lotion or gentle baby wipes, clean girls from front to back to avoid getting germs into the vagina. Boys should be cleaned around the penis and testicles (balls). Don’t pull back the foreskin when cleaning the penis. It’s just as important to clean carefully when you’re changing a wet nappy. • You can use a barrier cream, which helps to protect against nappy rash, but it’s usually enough just to leave your baby’s skin clean and dry. Some babies are sensitive to these creams and some thick creams may clog nappies or affect the ability of disposable nappies to absorb wetness. • Avoid using baby powder because it can make your baby choke. • If you’re using a washable nappy, adjust the size, or choose the right size nappy and waterproof cover for your baby’s weight. Pre-wash nappies to make them softer and more absorbent. Insert a nappy liner then fasten the nappy on your baby, making sure it fits snuggly round the waist and legs. • If you’re using disposable nappies, take care not to get water or cream on the sticky tabs as they won’t stick. You can now buy extra tabs to stick disposable nappies (or sticky tape will do). NAPPY HYGIENE Put as much of the contents as you can down the toilet. If you’re using nappies with disposable liners, the liner can be flushed away, but don’t ever flush a nappy down the toilet because you’ll block it. Disposable nappies can be rolled up and resealed with the tabs. Put them in a plastic bag kept only for nappies, then tie it up and place it in an outside bin. Washable cloth nappies. These are easily laundered in a normal 60°C wash. There may be a nappy laundering service near where you live who deliver a pile of freshly laundered nappies to your home and take away the soiled ones to be washed every week. They supply everything you need, including nappies, nappy covers, liners and storage bins. For more information see page 150. Remember to wash your hands after changing a nappy and before doing anything else in order to avoid infection.
The first weeks WASHING AND BATHING WASHING Wash your baby’s face, neck, hands and bottom carefully every day. This is often called ‘topping and tailing’. Choose a time when your baby is awake and contented and make sure the room is warm. Organise everything you need in advance – a bowl of warm water, a towel, cotton wool, a fresh nappy and, if necessary, clean clothes. • Hold your baby on your knee, or lie your baby on a changing mat, and take off all your baby’s clothes except for a vest and nappy. Then wrap your baby in the towel. • Dip the cotton wool in the water (not too much) and wipe gently around your baby’s eyes from the nose outward, using a fresh piece of cotton wool for each eye. • Using a fresh piece of cotton wool, clean around your baby’s ears, but don’t clean inside them. • Wash the rest of your baby’s face, neck and hands in the same way and dry them gently with the towel. • Now change your baby’s nappy as described on pages 25-6. BATHING Bathing two or three times a week is quite enough, but you can do it daily if your baby enjoys it. Don’t bath your baby straight after a feed or when your baby is hungry or tired. Make sure the room is warm. Have everything you need at hand – a baby bath or washing-up bowl filled with warm water, two towels (in case of accidents!), baby bath liquid (but avoid this if your baby has particularly dry skin) or baby soap, a clean nappy, clean clothes and cotton wool. • Make sure the water is warm, not hot; check it with your wrist or elbow. • Hold your baby on your knee and follow the instructions given above for cleaning his or her face. • Wash your baby’s hair with baby soap or liquid, then rinse carefully, supporting your baby over the bowl. Dry gently. • Now remove your baby’s nappy, wiping away any mess. If you’re using baby soap, soap your baby all over (avoiding his or her face) while still on your knee, keeping a firm grip while you do so. • Lower your baby gently into the bowl using one hand to hold your baby’s upper arm and support his or her head and shoulders; keep your baby’s head clear of the water. Use the other hand to gently swish the water over your baby without splashing. Never leave your baby alone in the bath; not even for a second. • Lift your baby out and pat dry, paying special attention to the creases. You may want to use this time to massage oil into your baby’s skin. Many babies love this and it may help your baby relax and sleep. Lay your baby on a towel on the floor as both the baby and your hands might be a bit slippery. If your baby seems frightened of bathing and cries, you could try bathing together, but make sure the water is not too hot. It’s easier if someone else holds your baby while you get in and out. 27
Page 1 and 2: Birth five to This book gives you a
Page 3 and 4: Birth five to Your complete guide t
Page 5 and 6: 1 The first weeks There’s somethi
Page 7 and 8: The first weeks SCREENING AT A GLAN
Page 9 and 10: The first weeks B REASTFEEDING Brea
Page 11 and 12: The first weeks 2 Be patient… Sta
Page 13 and 14: The first weeks Allow your baby to
Page 15 and 16: The first weeks USING BREAST PUMPS
Page 17 and 18: The first weeks STERILISING All the
Page 19 and 20: The first weeks Follow the manufact
Page 21 and 22: The first weeks S LEEPING Some babi
Page 23 and 24: The first weeks room is too hot.
Page 25 and 26: The first weeks If you’re finding
Page 27: The first weeks NAPPY RASH Most bab
Page 31 and 32: The first weeks T WINS ( OR MORE) P
Page 33 and 34: YEARS MONTHS 1 2 3 4 5 6 7 8 9 10 2
Page 35 and 36: How your child will grow • Walk o
Page 37 and 38: How your child will grow BRUSHING Y
Page 39 and 40: How your child will grow HEIGHT AND
Page 41 and 42: How your child will grow You should
Page 43 and 44: 3 Learning and playing What we call
Page 45 and 46: Learning and playing I DEAS FOR PLA
Page 47 and 48: Learning and playing H OW TO MAKE S
Page 49 and 50: Learning and playing TRANSITION FRO
Page 51 and 52: Learning and playing MAKING CHILDCA
Page 53 and 54: 4 Habits and behaviour There are so
Page 55 and 56: Habits and behaviour PROBLEMS WITH
Page 57 and 58: Habits and behaviour • By twelve
Page 59 and 60: Habits and behaviour A NEW BABY IN
Page 61 and 62: Habits and behaviour • Sometimes
Page 63 and 64: Habits and behaviour time he or she
Page 65 and 66: Habits and behaviour out to buy one
Page 67 and 68: 5 Feeding your child Food is one of
Page 69 and 70: Feeding your child - push the bowl
Page 71 and 72: Feeding your child ALLERGIES Babies
Page 73 and 74: sensible for adults, but not for ba
Page 75 and 76: Feeding your child • Squashes, fi
Page 77 and 78: Feeding your child FAMILY F OOD For
Page 79 and 80:
Feeding your child ‘When you go s
Page 81 and 82:
Feeding your child Types of vegetar
Page 83 and 84:
Feeding your child • Fruit and ve
Page 85 and 86:
Feeding your child F OOD SAFETY You
Page 87 and 88:
Feeding your child • If your chil
Page 89 and 90:
6 Illness and accidents Every child
Page 91 and 92:
Illness and accidents ● ● out-o
Page 93 and 94:
Illness and accidents smoking or en
Page 95 and 96:
Illness and accidents D IARRHOEA YO
Page 97 and 98:
Illness and accidents ● ● ●
Page 99 and 100:
Illness and accidents Alternative t
Page 101 and 102:
Illness and accidents After these m
Page 103 and 104:
Illness and accidents ILLNESS INFEC
Page 105 and 106:
Illness and accidents practice nurs
Page 107 and 108:
Illness and accidents swelling wher
Page 109 and 110:
ecome a carrier and develop serious
Page 111 and 112:
Illness and accidents ❑ ❑ ❑
Page 113 and 114:
Illness and accidents ● ● ●
Page 115 and 116:
Illness and accidents IF YOUR CHILD
Page 117 and 118:
Illness and accidents at the knee a
Page 119 and 120:
Illness and accidents THINGS STUCK
Page 121 and 122:
Illness and accidents W HEN A CHILD
Page 123 and 124:
Your own life P HYSICAL PROBLEMS A
Page 125 and 126:
Your own life visitor about other l
Page 127 and 128:
Your own life Stress also comes fro
Page 129 and 130:
Your own life • Share the housewo
Page 131 and 132:
Your own life • Suggest a regular
Page 133 and 134:
8 Your services There is a wide ran
Page 135 and 136:
Your services H OW TO CHANGE YOUR G
Page 137 and 138:
make. The money cannot be taken out
Page 139 and 140:
Your rights and benefits of childca
Page 141 and 142:
Your rights and benefits child’s
Page 143 and 144:
Your rights and benefits Anything e
Page 145 and 146:
Your rights and benefits Who gets t
Page 147 and 148:
Your rights and benefits HOUSING BE
Page 149 and 150:
USEFUL ORGANISATIONS Some of these
Page 151 and 152:
Council for Disabled Children 8 Wak
Page 153 and 154:
INDEX A accidents 108-18 additives
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