The sheer volume of developmentally significant moments in the first three months is a bit overwhelming. It can be hard to know which milestones are more important to watch for than others. The tricky thing when looking at milestones at any point in your baby's development is becoming too focused on when your baby should be able to start doing something. Milestones are developmental moments that we watch for to make sure nothing is out of the ordinary. For example, infants can start laughing as early as 3-4 months old. But if your baby doesn't start laughing until she is 5-6 months old there is still nothing out of the ordinary. This milestone is only important when the normal span of time for it to occur has passed. So if your baby still hasn't laughed by 9-12 months, there might be something wrong. There are very few things that must happen in the first three months in order to be sure that your baby is developing on schedule. Five of them are listed here.
1. Turns head toward sounds.
The acknowledgement of hearing sound and expressing curiosity about where the sound came from are very important. Your baby can start to show this interest right away, or it may take a few weeks. However, if your little Sherlock is showing no interest in sudden sounds that are coming from outside their range of vision by the age of three months, there might be something seriously wrong. If your baby does not meet this milestone, it could be caused by a number things, including deafness, and neurological issues, so bring it to your pediatrician's attention right away.
2. Eyes follow your face.
This is called "tracking", and it is a social instinct that teaches your baby how to communicate. Although babies don't speak, or even learn to use sign language for several more months, they are learning to interpret your expressions, your tone of voice, and your physical cues from the first couple of weeks. If your baby isn't showing any more interest in your face than in a random toy or mobile by three months this could be indicative of a serious issue. Though the particular cause is best left for your pediatrician to sort out, it is something very important to watch for.
3. Resists when arms or legs are pulled or pushed.
The instinct to pull or push with arms and legs is essentially your baby's built-in personal trainer. Your baby has to grow new muscles and continually strengthen existing muscles constantly from the moment they are born. Her body is growing so fast, and getting heavier , so nature made sure she would be born with a need to push and pull, kick, and grab, twist and wiggle, constantly. If this instinct hasn't kicked in, or seems to be barely there, it could cause many physical development delays and result in years of physical therapy. As well as being a sign that there might be something seriously wrong. But it is easy to test, just give a little tug on your baby's hand while she is awake and alert. If she pulls away, she is fine.
4. Tries to suck on things that brush the cheeks.
This instinct normally kicks in within minutes of birth. However, it can sometimes take a bit longer. The urge to turn his head and start suckling is of course one of your little kissy-face's most basic survival instincts. It is there to help him figure out how to eat. Though you can still feed a baby who does not have this instinct, it is important to bring it to your pediatrician's attention, as it could be a sign of something more serious.
5.Grasps an object with purpose.
Now this skill does take just a bit longer to kick in. At first your baby will just swat at things or nudge them with her hand, but after a month or two, she should be able to grab something within her reach that she is looking at. Though she won't learn to let go for another month or two, learning to grab, on purpose, is something that demonstrates the normal development of curiosity, independence, and physical coordination. If this skill is late in showing up, even if the cause is not a very serious one, it could point to a particular type of challenge that your diaper-dweller will have to face. Such as the need for help with fine-motor skill development, or being encouraged to explore and ask questions, or needing extra encouragement to try new things. Of course your pediatrician will help in determining how serious the cause of missing this milestone is. And guide you in the proper direction to give your baby the help she may need.
Always remember, milestones aren't there to promote competition, it doesn't matter in the least if your baby started doing something two weeks or a month before another baby. And it doesn't matter if it takes your baby a month or two longer to master a skill like rolling over or sitting up than other babies you see of the same age. The most important thing about milestones is to be sure that your baby will have the earliest possible care for any issues that could have an effect on his development. If you have found these tips to be helpful, please forward them to any new or expecting parents you might know. And as always, your questions, comments and suggestions are always welcome. Happy parenting!
Showing posts with label normal. Show all posts
Showing posts with label normal. Show all posts
Tuesday, March 6, 2012
Wednesday, January 18, 2012
5 Tips About Your Baby's Spit-Up
Many of us parents worry about our baby spitting-up milk and/or formula. Sometimes it can seem like our little regurgitators don't keep anything down at all! I often get asked questions about this constant concern, and in my recent poll it was voted the topic of most interest to you. However, since many of the questions I am asked don't have to do with how to minimize spit-up, I decided to take this opportunity to simply answer some of the most common questions many parents have on the topic.
1. Is spit-up dangerous during sleep?
Laying your baby on his back to sleep is considered the safest position. But this obviously leads to the concern that your infant may choke on his own spit-up. This is not a common problem for most babies. Most babies will turn their head slightly to the side during sleep, and even if they don't they have reflexes that help them avoid choking on their spit-up. If you have ever dripped water on your little splasher's face during his bath, you might have seen him arch his head and body backward while waving his arms. This reflex is to help your baby roll onto his side if any thing obstructs his breathing. He will do the same thing, even while asleep, if his airway is not clear. Even swaddling will not keep your baby from arching his back and turning his head. The only time when night-time spit-up might be dangerous is if your baby has a cold that is producing a lot of mucus. If your baby is having trouble breathing anyway, there is a chance some spit-up could be sucked into the lungs on accident. There are some dangers that this could cause, so if you suspect that this has happened I would contact your pediatrician right away. Signs that your baby might have inhaled some spit-up are, excessive coughing, coughing while crying, and a rattling sound to their breathing between coughing.
2. Why does my baby spit up when laying down?
Many babies have trouble keeping their food down when laying flat, because there is a valve that is often under developed or not yet very strong at the top of the stomach that is meant to keep food down once swallowed. When this valve is so underdeveloped that it hardly functions it causes the condition known to most of us parents as "infant reflux". Even if your baby doesn't have reflux, when there is still liquid in her belly and you lay her down, the food will sometimes leak back into her throat (which can be painful because there will probably be some stomach acid mixed in) and stimulate the gag reflex, which causes spit-up. It helps clear food out of the airway before it is accidentally inhaled into the lungs, but also causes a bit of a mess. Most of the time digestion of breast milk and formula is pretty fast, and almost all of your baby's food will be gone within 10-15 minutes after a feeding. However, every baby is different, and as your little one grows she will change as well. Sometimes this means that digestion will take longer, or that there is something about the feeding that disagrees with your finicky nibbler's tummy, and there may be a bit more left to toss back up the pipes than normal. As a good rule of thumb, try to keep your baby's head elevated a few inches above her stomach for at least 20 minutes after feeding to try and ensure that most of the food has been digested before you lay her down flat.
3. Is white chunky spit-up normal?
There are several different types of spit up. The most common is fairly watery with a few chunks of white cheesy-creamy stuff in it. This kind is usually seen pretty quickly after a feeding, and most often in infants that are having a bit of excess drool. The reason the spit-up is watery with little white chunks is usually because the spit-up was triggered by a burp which brought up both bits of partially curdled milk (curdling is a natural reaction to your baby's stomach acids, and is part of the digestion process), and mixed it with the excess saliva that was both in your baby's throat, and in his mouth. Another common kind is a large amount of milky-white chunky stuff. This usually comes right up from the tummy, and is often the result of a strong gag reflex getting triggered accidentally by a burp (...or a finger, or a toy, or a pacifier). It can also be caused by a bit too much horsing around too soon after eating. And, more rarely, it can be caused by nausea from a sickness. In general, white chunky spit up is absolutely normal. Other common types of normal spit-up are mostly milky (few chunks) and mostly watery (no milk or curdled milk chunks).
4. Is my baby spitting-up too much?
Almost always the answer to this question is "no". If your baby is eating regularly, having a normal number of wet and dirty diapers, and is continuing to gain weight, then she is getting enough to eat. It can seem like your baby is spitting up an awful lot, but it is extremely rare for a baby to spit up an entire feeding. The reason for this is, that digestion begins as soon as your baby swallows her first mouthful. And for a baby who is 3-4 months old digestion proceeds at an average rate of 1 ounce (30 ml) every 10-15 minutes. So if your baby eats approximately 5-6 ounces (150-180 ml) and a feeding lasts around 15-25 minutes, a great deal has been digested by the time your adorable little lactarian has finished. Even if your baby occasionally empties everything left in her stomach within 5-10 minutes after eating, the most that would come up would be around 2 ounces (60 ml). Now, don't get me wrong, 2 ounces (60 ml) can seem like an awful lot when poured down your neck, but as far as it being a sign that your little tulip isn't getting enough nutrition, it is unlikely. However, trust your instincts, and if you feel like something is really wrong with your baby, always check with your pediatrician.
5. How can I tell if my baby's spit-up is not normal?
In some cases there are conditions that cause strange spit-up. Some signs that you should immediately bring to your pediatrician's attention are:
Although there are many things to worry about with your new baby, generally spit-up shouldn't be one of them. The worst thing about spit-up for most parents is the inevitable spoiling of a favorite shirt, or getting some splattered on your face. If you have found these tips helpful, please forward them to any new, or expecting parents you know. As always questions and comments are always welcome! Happy Parenting!
There is a NEW post from NAOMI up today (9/5/14)! Check it out HERE.
1. Is spit-up dangerous during sleep?
Laying your baby on his back to sleep is considered the safest position. But this obviously leads to the concern that your infant may choke on his own spit-up. This is not a common problem for most babies. Most babies will turn their head slightly to the side during sleep, and even if they don't they have reflexes that help them avoid choking on their spit-up. If you have ever dripped water on your little splasher's face during his bath, you might have seen him arch his head and body backward while waving his arms. This reflex is to help your baby roll onto his side if any thing obstructs his breathing. He will do the same thing, even while asleep, if his airway is not clear. Even swaddling will not keep your baby from arching his back and turning his head. The only time when night-time spit-up might be dangerous is if your baby has a cold that is producing a lot of mucus. If your baby is having trouble breathing anyway, there is a chance some spit-up could be sucked into the lungs on accident. There are some dangers that this could cause, so if you suspect that this has happened I would contact your pediatrician right away. Signs that your baby might have inhaled some spit-up are, excessive coughing, coughing while crying, and a rattling sound to their breathing between coughing.
2. Why does my baby spit up when laying down?
Many babies have trouble keeping their food down when laying flat, because there is a valve that is often under developed or not yet very strong at the top of the stomach that is meant to keep food down once swallowed. When this valve is so underdeveloped that it hardly functions it causes the condition known to most of us parents as "infant reflux". Even if your baby doesn't have reflux, when there is still liquid in her belly and you lay her down, the food will sometimes leak back into her throat (which can be painful because there will probably be some stomach acid mixed in) and stimulate the gag reflex, which causes spit-up. It helps clear food out of the airway before it is accidentally inhaled into the lungs, but also causes a bit of a mess. Most of the time digestion of breast milk and formula is pretty fast, and almost all of your baby's food will be gone within 10-15 minutes after a feeding. However, every baby is different, and as your little one grows she will change as well. Sometimes this means that digestion will take longer, or that there is something about the feeding that disagrees with your finicky nibbler's tummy, and there may be a bit more left to toss back up the pipes than normal. As a good rule of thumb, try to keep your baby's head elevated a few inches above her stomach for at least 20 minutes after feeding to try and ensure that most of the food has been digested before you lay her down flat.
3. Is white chunky spit-up normal?
There are several different types of spit up. The most common is fairly watery with a few chunks of white cheesy-creamy stuff in it. This kind is usually seen pretty quickly after a feeding, and most often in infants that are having a bit of excess drool. The reason the spit-up is watery with little white chunks is usually because the spit-up was triggered by a burp which brought up both bits of partially curdled milk (curdling is a natural reaction to your baby's stomach acids, and is part of the digestion process), and mixed it with the excess saliva that was both in your baby's throat, and in his mouth. Another common kind is a large amount of milky-white chunky stuff. This usually comes right up from the tummy, and is often the result of a strong gag reflex getting triggered accidentally by a burp (...or a finger, or a toy, or a pacifier). It can also be caused by a bit too much horsing around too soon after eating. And, more rarely, it can be caused by nausea from a sickness. In general, white chunky spit up is absolutely normal. Other common types of normal spit-up are mostly milky (few chunks) and mostly watery (no milk or curdled milk chunks).
4. Is my baby spitting-up too much?
Almost always the answer to this question is "no". If your baby is eating regularly, having a normal number of wet and dirty diapers, and is continuing to gain weight, then she is getting enough to eat. It can seem like your baby is spitting up an awful lot, but it is extremely rare for a baby to spit up an entire feeding. The reason for this is, that digestion begins as soon as your baby swallows her first mouthful. And for a baby who is 3-4 months old digestion proceeds at an average rate of 1 ounce (30 ml) every 10-15 minutes. So if your baby eats approximately 5-6 ounces (150-180 ml) and a feeding lasts around 15-25 minutes, a great deal has been digested by the time your adorable little lactarian has finished. Even if your baby occasionally empties everything left in her stomach within 5-10 minutes after eating, the most that would come up would be around 2 ounces (60 ml). Now, don't get me wrong, 2 ounces (60 ml) can seem like an awful lot when poured down your neck, but as far as it being a sign that your little tulip isn't getting enough nutrition, it is unlikely. However, trust your instincts, and if you feel like something is really wrong with your baby, always check with your pediatrician.
5. How can I tell if my baby's spit-up is not normal?
In some cases there are conditions that cause strange spit-up. Some signs that you should immediately bring to your pediatrician's attention are:
- If your baby's spit-up is discolored (Yellow, green, red, blue, etc).
- If your baby spits up something that looks like coffee grounds.
- If your baby is not gaining weight appropriately.
- If your baby is forcefully expelling spit-up type fluid (projectile vomiting) frequently.
- If your baby resists feedings and is still spitting up large amounts.
- If your baby spits up constantly throughout every feeding.
- If spitting up seems to be causing your baby sharp pain (screaming and crying immediately after spitting up on a regular basis).
Although there are many things to worry about with your new baby, generally spit-up shouldn't be one of them. The worst thing about spit-up for most parents is the inevitable spoiling of a favorite shirt, or getting some splattered on your face. If you have found these tips helpful, please forward them to any new, or expecting parents you know. As always questions and comments are always welcome! Happy Parenting!
There is a NEW post from NAOMI up today (9/5/14)! Check it out HERE.
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