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Training of Roma Health Mediators in Reproductive Health

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Tra<strong>in</strong>er document/Participant document<br />

LATER CARE OF THE INFANT<br />

If the baby is breastfeed<strong>in</strong>g exclusively and cont<strong>in</strong>ues to ga<strong>in</strong> weight there is no worry.<br />

As long as mother eats well herself, she will have enough milk. However, after six<br />

months, breast milk alone is not enough for the baby and semi-solids must be <strong>in</strong>troduced<br />

along with breast milk. This is called wean<strong>in</strong>g. The pr<strong>in</strong>ciples related to wean<strong>in</strong>g <strong>of</strong> the<br />

baby:<br />

• Give semi-solids<br />

• Cont<strong>in</strong>ue breastfeed<strong>in</strong>g and give semi-solids after breastfeed<strong>in</strong>g<br />

• Introduce one food at a time<br />

• Start with 1-2 teaspoons full and <strong>in</strong>crease the quantity <strong>of</strong> food gradually<br />

• Feed frequently<br />

• Mash all foods<br />

If a baby suffers from diarrhea, i.e., it passes many loose, watery stools per day, he<br />

should be given oral re-hydration solution <strong>in</strong> order to make up for the water and<br />

important salts lost <strong>in</strong> stools. The doctor will recommend and supervise the treatment.<br />

Infants need to be protected aga<strong>in</strong>st the follow<strong>in</strong>g diseases that are the most common<br />

causes <strong>of</strong> death and disability <strong>in</strong> children: tuberculosis, diphtheria, polio, whoop<strong>in</strong>g<br />

cough, tetanus and measles.<br />

All babies should be fully immunized aga<strong>in</strong>st all these diseases with<strong>in</strong> the first year <strong>of</strong><br />

their lives. Vacc<strong>in</strong>es are available from family doctors at the PHC level. Every mother<br />

should get her baby immunized.<br />

Parents should be aware that the baby may cry, or develop fever or a small sore after an<br />

immunization <strong>in</strong>jection. These are normal after-effects and should not be a cause for<br />

alarm nor for refus<strong>in</strong>g to immunize babies. The baby should be given plenty <strong>of</strong> food and<br />

liquids, preferably breast milk. If the problem seems serious or lasts more than three<br />

days, the baby should be seen by the doctor.<br />

137<br />

RFHI/JSI <strong>Roma</strong>nia <strong>Tra<strong>in</strong><strong>in</strong>g</strong> <strong>of</strong> RHMs <strong>in</strong> <strong>Reproductive</strong> <strong>Health</strong> Session 8: Newborn Care

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