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Feeding your child 86 YOUR QUESTIONS ANSWERED Q.How do I discourage a relative from giving sweets to my child? A. Suggest a present of a small book, pencil or other non-edible gift instead. You could keep sweets to a special ‘treat’ day, once a week. Remember that the number of times that teeth come into contact with sugars is as important as the amount of sugar that is eaten. Sweets are best eaten in one go rather than over the course of an hour or two. Keep them for mealtimes, when they do least damage to teeth. If you want more information about caring for your children’s teeth ask your health visitor. Q.What snacks can I give instead of biscuits or crisps? A. Try some of these: a drink of milk; • a plain yogurt with a banana sliced into it; • a slice of toast with yeast extract, cheese or a slice of ham; • some crackers, breadsticks or rice cakes with cheese; a bowl of cereal with milk; • a piece of fruit. Q.I’ve heard that a high-fibre diet is unsuitable for young children. Why is this? A. Foods that contain a lot of fibre (wholemeal bread and pasta, brown rice, bran-based breakfast cereals, etc.) fill up small tummies, leaving little room for other foods. Bran also prevents important minerals from being absorbed. It’s good for your child to try different varieties of starchy foods, but don’t use only wholegrain foods until your child is five. Q.What should I pack in a lunchbox for my three-yearold when she goes to nursery? A. Try to choose two savoury options, some fruit, a sweet option (yogurt, fromage frais, scone, or currant bun) and a drink. Fill sandwiches with canned tuna or salmon, mashed banana, hard or cream cheese, ham, or peanut butter (but beware of food allergies, see page 83). Add a few vegetable sticks of carrots, peppers or cucumber to munch on and a container of ready washed and bite-size fruits – satsuma or seedless grapes. A box of raisins is fine if eaten at lunchtime. If you include a fromage frais or yogurt, don’t forget a spoon. A piece of kitchen towel is always useful. If the lunchboxes are not refrigerated at nursery, choose an insulated box with an ice pack to keep food safe and cool. Buy a leak-proof beaker so you can give milk, water or well-diluted fruit juice. Q.My child refuses to drink anything but sugary drinks. A. If sugary drinks are drunk frequently, teeth are at high risk of decay. See pages 72–3 for suitable drinks. If your child will only drink sugary drinks, it can take some time to break the habit. Start by diluting these really well with water and offer in smaller quantities, in a beaker at mealtimes.
6 Illness and accidents Every child gets ill occasionally and every parent has had that feeling of anxiety as they see their normally cheerful child looking sad and listless. Most bouts of illness pass quickly and leave children better able to resist the next attack. Sometimes, if the illness or accident is serious, immediate (and possibly long-term) help is needed. This chapter deals with common childhood illnesses and accidents, the best ways to prevent them, and the action to take in an emergency. K NOWING WHEN YOUR CHILD IS ILL Sometimes there’s no doubt, but often it’s difficult to tell whether a child is ill. Children may be listless, hot and miserable one minute, and running around quite happily the next. Watch out for: • some sign of illness (like vomiting or a temperature, cough, runny nose, runny eyes); • behaviour that’s unusual for your child (like a lot of crying, being very irritable or refusing food and drink, being listless or drowsy). Possible signs of illness are always more worrying if your child is a baby or very small. To know when to consult the doctor about your baby, see the box on this page. If your child is older and you’re not sure whether or not to see the doctor, you might want to carry on normally for a while and see whether the signs of illness or pain continue. It might be best not to let your child see you watching. Most children can put on an act, especially if they see you’re worried. Above all, trust your feelings. You know better than anyone what your child is like day-to-day, so you’ll know what’s unusual or worrying. If you’re worried, contact your doctor. Even if it turns out that nothing is wrong, that is exactly what you need to know. If you have seen your GP or health visitor and your baby isn’t getting better or is getting worse, contact your GP again the same day. If you become worried and you can’t get hold of your GP or your GP out-of-hours service, NHS Direct is available 24 hours every day to provide advice. If you are still concerned and your GP or out-ofhours service can’t come to you quickly enough, then take your child straight to the Accident and Emergency department of the nearest hospital, one with a children’s ward if possible. It’s worth finding out in advance where this is, in case you ever need it. NHS DIRECT Telephone 0845 4647 - available 24 hours a day. If you have any concerns about your child’s health, or wish to read up on common childhood illnesses and general health and development in childhood, or about your own and family health issues, NHS Direct is also available online with all the health information you need in one website: www.nhsdirect.nhs.uk .Parts of NHS Direct are also available on TV with Freeview or Sky Digital, and they will also post information to you on request. If you’re seriously worried and/or know your child needs urgent attention, phone your GP at any time of the day or night. There may be a different number for when the surgery is closed. If you can’t contact a GP, go directly to the Accident and Emergency department of the nearest hospital. See the inside back cover for what to do in an emergency. 87
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Birth five to This book gives you a
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Birth five to Your complete guide t
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1 The first weeks There’s somethi
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The first weeks SCREENING AT A GLAN
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The first weeks B REASTFEEDING Brea
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The first weeks 2 Be patient… Sta
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The first weeks Allow your baby to
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The first weeks USING BREAST PUMPS
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The first weeks STERILISING All the
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The first weeks Follow the manufact
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The first weeks S LEEPING Some babi
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The first weeks room is too hot.
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The first weeks If you’re finding
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The first weeks NAPPY RASH Most bab
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The first weeks WASHING AND BATHING
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The first weeks T WINS ( OR MORE) P
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YEARS MONTHS 1 2 3 4 5 6 7 8 9 10 2
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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: Feeding your child • If your chil
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
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Council for Disabled Children 8 Wak
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INDEX A accidents 108-18 additives
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