SIDS Sudden Infant Death Syndrome

Meaning and definition
Sudden infant death syndrome (SIDS) or crib death is a syndrome marked by the sudden death of an infant that is unexpected by history and remains unexplained after a thorough forensic autopsy and a detailed death scene investigation. The term cot death is often used in the United Kingdom, Ireland, Australia, India, South Africa and New Zealand. Typically the infant is found dead after having been put to bed, and exhibits no signs of having suffered.[1]

What causes SIDS?

Researchers have learned a great deal about SIDS in the past three decades, but they still have no definitive answer to that question.

Some experts believe that SIDS happens when a baby with an underlying abnormality (for example, a brain defect that affects breathing) sleeps tummy-down or is faced with an environmental challenge such as secondhand smoke during a critical period of growth. Others have published studies that contradict this hypothesis.

One study published in 2007 cites a connection between hearing ability and SIDS. Pediatric anesthesiologist Daniel D. Rubens at Seattle Children's Hospital studied the results of newborn hearing tests and found that babies who died of SIDS had consistently tested lower on the inner ear function of the right ear than babies who didn't die of SIDS. (Healthy infants typically test stronger in the right ear than the left; these results flipped those scores.) This study suggests new areas of research and points to the possibility of identifying babies who are at higher risk for SIDS.[2]


Reducing the Risk

A lack of answers is part of what makes sudden infant death syndrome (SIDS) so frightening. SIDS is the leading cause of death among infants 1 month to 1 year old, and claims the lives of about 2,500 each year in the United States. It remains unpredictable despite years of research.

Even so, the risk of SIDS can be greatly reduced. First and foremost, infants younger than 1 year old should be placed on their backs to sleep — never face-down on their stomachs.[3]

Facts About SIDS

Doctors and nurses don’t know what causes SIDS, but they do know:

* SIDS is the leading cause of death in babies after one month of age.

* Most SIDS deaths occur in babies who are between 2 and 4 months old.

* More SIDS deaths occur in colder months.

* Babies placed to sleep on their stomachs are much more likely to die of SIDS than babies placed on their backs to sleep.

* African American babies are twice as likely to die of SIDS as white babies. American Indian babies are nearly three times more likely to die of SIDS than white babies.

Even though there is no way to know which babies might die of SIDS, there are some things that you can do to make your baby safer.[4]

Even though the specific cause (or causes) of SIDS remains unknown, scientific efforts have eliminated various misleading theories. We now know the following about SIDS:

* Apnea (cessation of breathing) of prematurity or apnea of infancy are felt to be clinical conditions that are distinct from SIDS. Infants with apnea may be managed with electronic monitors prescribed by doctors that track heart rate and respiratory activity. Apnea monitors will not prevent SIDS.

* SIDS is not predictable or preventable.

* Infants may experience episodes termed apparent life-threatening events (ALTEs). These are clinical events in which young infants may experience abrupt changes in breathing, color, or muscle tone. Common causes of ALTEs include respiratory infection, gastroesophageal reflux disease, or seizure. However, no definite scientific evidence links ALTEs as events that may lead to SIDS.

* SIDS is not caused by immunizations or bad parenting.

* SIDS is not contagious or hereditary.

* SIDS is not anyone's fault.[5]

This is me, backs on the sleeps. Experts say this is the safest way for baby like me to sleep to reduce SIDS

SIDS Sudden Infant Death Syndrome


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Notes:

[1] Wikipedia.org
[2] babycenter.com
[2] kidshealth.org
[3] keepkidshealthy.com
[4] emedicinehealth.com

========
About Me:
I am a 296 days / 9 months, 3 weeks & 5 days old baby

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Childproofing and Preventing Accidents

When was the last time you crawled around your home on your hands and knees? As strange as it sounds, give it a go. Kids explore their everyday environments, so it's crucial to check things out from their perspective to make sure your home is safe.

And though we often think of babies and toddlers when we hear the words "babyproofing" or "childproofing," unintentional injury is the leading cause of death in kids 14 years old and under, with more than a third of these injuries happening at home.[1]

Parents worry endlessly about how to protect their children from stranger abduction and violence, but many overlook one of the biggest threats to their children's safety and well-being — their own home. Experts say that children between the ages of 1 and 4 are more likely to be killed by fire, burns, drowning, choking, poisoning, or falls than by a stranger's violence.

About 2.5 million children are injured or killed each year by dangers right in their own home, according to the Consumer Product Safety Commission (CPSC). That's why it's so important to carefully childproof your home.[2]

One of the first steps in childproofing your home involves making sure that your kids can't get out of the house and can't get into rooms that aren't childproofed.

Door knob covers make it hard for little hands to get a grip, turn, and open doors. They should be placed on all of the doors leading out of your home and on bathroom doors. It is also a good idea to place them on closet doors and on the doors of any other room that your don't want your child to get into.[3]

Some tips for childproofing your house:

* Use covers on electrical outlets and latches on cabinets.
* Set the temperature of your hot water heater to 120 degrees F to prevent scalding burns.
* Prevent poisoning by keeping household cleaners, chemicals and medicines completely out of reach and always store them in their original container and know your local Poison Control Center number (1-800-222-1222). Also, buy and use products with child resistant caps.
* Make sure that used or hand-me-down equipment, such as car seats, strollers, toys and cribs, etc., haven't been recalled for safety reasons. Call the manufacturer or the Consumer Product Safety Commission for an up-to-date list of recalled products (800-638-2772 or www.cpsc.gov).
* Use stair gates and window guards.
* See the Lead Poisoning Guide or take our Lead Screening Quiz to see if your child is at risk for lead poisoning.
* Maintain smoke free environments for your children.
* Remove mobiles from the crib and playpen once your child can stand.
* Install smoke and carbon monoxide detectors and fire extinguishers in the house and use flame retardant sleepware.
* Install fire extinguishers and consider purchasing flame resistant or flame retardant furniture in your home.
* Remove furniture with sharp edges or use soft guards.
* Use nonskid backing on rugs and make sure carpets are securely tacked down.
* Remove breakables from low tables and shelves.
* Remove small toys and other choking hazards from around your child.
* Tie cords of blinds, curtains and appliances up out of reach or use a blind cord wind-up device. Remove loops from blinds.
* Do not use a mobile baby walker. Stationary walkers are much safer.
* Do not carry hot liquids or food near your child and do not allow your child near stoves, heaters or other hot appliances (especially curling irons). When cooking, use the back burners and turn pot handles inward.
* To prevent drowning, empty all water from bathtubs and pails, keep the door to the bathroom closed and never leave your child alone near any container of water.
* In the bathroom, use a lid lock on the toilet, a non-slip mat on the tub floor and consider a cushion for the tub faucet.
* Child proof the swimming pool by enclosing it in a fence with a self-closing and self-latching gate and never leave your child alone in a swimming area, even if he is a good swimmer.
* If you must have a gun in the house keep it and the bullets in a separate locked place.
* Be cautious of certain dog breeds (Rottweilers, pit bulls, German shepherds) that account for over fifty percent of fatal dog bites and closely supervise children when in the presence of animals.
* If using bunk beds, remember that kids under age 6 years of age should not be allowed to sleep in the upper bunk.
* Make sure your house is free of enviornmental health hazards, such as radon, carbon monoxide, asbestos, mercury and mold.
* If considering buying a trampoline, keep in mind that the American Academy of Pediatrics recommends that 'parents should never purchase a home trampoline or allow children to use home trampolines' and that even when supervised, children under age 6 years should not be allowed to use a trampoline.
* Place childproof covers on doors that your child could use to leave the house.
* Keep a list of emergency numbers near the phone and keep a phone handy at all times in case of an emergency.
* Lock rooms (with a childproof lock or door knob cover) that are not childproof and the exterior doors of your house so that your child can't get out the front door or into the garage, attic, or backyard without help.[4]

I am 'surveying' the house

Childproofing and Preventing Accidents baby farzan esfandiar

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Notes:

[1] kidshealth.org
[2] babycenter.com
[3] pediatrics.about.com
[4] keepkidshealthy.com

========
About Me:
I am a 295 days / 9 months, 3 weeks & 4 days old baby

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Temperaments and Personality

Alexander Thomas, Stella Chess, Herbert G. Birch, Margaret Hertzig and Sam Korn began the classic New York Longitudinal study in the early 1950s regarding infant temperament (Thomas, Chess & Birch, 1968). The study focused on how temperamental qualities influence adjustment throughout life. Chess, Thomas et al. rated young infants on nine temperament characteristics each of which, by itself, or with connection to another, affects how well a child fits in at school, with their friends, and at home. Behaviors for each one of these traits are on a continuum.[1]

When it comes to baby temperaments, most experts divide babies into three categories: easygoing, slow to warm up and difficult.

What do we mean by temperament? It's the way a person experiences and reacts to what's going on both inside and outside of him. You can think of it as his behavioural style. For a baby, this might mean how regularly he sleeps and eats, how vigorous his movements are, how easily he's soothed or distracted and how readily he accepts new foods or people.[2]

A child's temperament may change a lot during the first few months, because the way a newborn behaves is influenced by temporary factors such as pregnancy hormones, your own health and diet, how long your labour was, a premature birth and immature neurological development. Once these factors start to recede around four months or so, you'll have a better sense of what kind of child you're dealing with. So keep an open mind, try to understand and adjust to his present pattern and wait to see what the future brings.[3]

No matter where you may stand on the child development debate of nature versus nurture, it is generally accepted that a baby is born with innate tendencies to react to people and to act a certain way. This is what we call temperament.

Sometimes parents and babies have conflict because their temperaments are so similar or dissimilar, but the idea is that if you understand your baby's temperament you can match your expectations and parenting style accordingly.[4]

In the 1970s, two researchers, Thomas and Chess, described nine characteristics of behavior in children. Each characteristic is on a spectrum from mild to intense. These characteristics are used to describe the child’s temperament or “those stable, individual differences in emotional reactivity, activity level, attention, and self-regulation” that are typical of that child.

The nine traits of temperament are:

* activity level
* rhythmicity
* approach - withdrawal
* adaptability
* persistence - attention span
* intensity of reaction
* distractibility
* threshold of responsiveness
* quality of mood.[5]

This is my photo taken the first time I was crawling

baby's temperaments and personlities farzan esfandiar

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Notes:

[1] Wikipedia.org
[2] babycentre.co.uk
[3] ibid
[4] family.go.com
[5] keepkidshealthy.com

========
About Me:
I am a 294 days / 9 months, 3 weeks & 3 days old baby

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Celebrating Idul Adha 2009 / 1430

Today we Muslims around the world are celebrating Idul Adha (Eid ul Adha) or Idul Qurban or Hari Raya Korban in Indonesian. I celebrate it too for the first time. The time of Idul Adha will always coincide with Hajj ritual in Makkah Saudi Arabia. Therefore, it's celebrated in a bigger way in Makkah but less "extravagant" in other parts of the world compared to Idul Fitri which I celebrated for the first time as well last couple of months..

So, what Idul Adha is all about?

Eid al-Adha (Arabic: عيد الأضحى‎ ‘Īdu l-’Aḍḥā) "Festival of Sacrifice" or "Greater Eid" is a holiday celebrated by Muslims (including the Druze) worldwide to commemorate the willingness of Ibrahim to sacrifice his son as an act of obedience to God.

Eid al-Adha is the latter of two Eid festivals celebrated by Muslims, whose basis comes from the Quran.[1] Like Eid al-Fitr, Eid al-Adha begins with a short prayer followed by a sermon (khuṭba).

Eid al-Adha annually falls on the 10th day of the month of Dhul Hijja (ذو الحجة) of the lunar Islamic calendar. The festivities last for three days or more depending on the country. Eid al-Adha occurs the day after the pilgrims conducting Hajj, the annual pilgrimage to Mecca in Saudi Arabia by Muslims worldwide, descend from Mount Arafat. It happens to be approximately 70 days after the end of the month of Ramadan.[1]

Mom will bring me to the mosque for women to perform Idul Adha prayer. I wish I'll perform Idul Adha and Idul Fitri (2010 or 1431 hijriyah) next year along with dad in the mosque for men.

Dad also promises me to bring me watching cow slaughtering immediately after Eid ul Adha prayer is done.

celerating idul adha 2010 farzan esfandiar

---
Notes:

[1] Wikipedia.org


========
About Me:
I am a 293 days / 9 months, 3 weeks & 2 days old baby

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Newborn Medicine Cabinet

ewborns and infants don’t need much. Love, food, dry bottoms, and safe transportation comprise the basic needs of a new baby. But what you receive at baby showers - or check off on a baby registry - can lead you to believe that 250 items are essential for survival.

From a mom’s and pediatrician’s point of view, keeping just the basics will help you in times of need and free you from the anxiety attached to owning too many unnecessary baby items.[1]

# nfant rectal thermometer
# Infants' non-aspirin liquid pain reliever (acetaminophen or ibuprofen** see below for more info)
# Topical calamine lotion or hydrocortisone cream (½ percent) for insect bites and rashes
# Rubbing alcohol to clean thermometers, tweezers, and scissors
# Petroleum jelly for the rectal thermometer
# Antibacterial ointment for cuts and scrapes
# Tweezers for splinters and ticks
# A pair of sharp scissors
# A pair of safety manicure scissors
# Child-safe sunscreen lotion
# Child-safe insect repellent
# Pediatrician-approved children's strength liquid decongestant
# Nasal aspirator bulb syringe for drawing mucus out of a stuffed-up nose
# Ear thermometer
# Adhesive bandage strips
# Gauze rolls (½ to 2 inches wide)
# Gauze pads (some each of 2x2 and 4x4 inches)
# Adhesive tape
# Sterilized cotton balls
# Cotton-tipped swabs
# Mild liquid soap (antibacterial and deodorant soaps may be too strong for baby's sensitive skin)
# Baby shampoo
# Baby moisturizing cream to help soothe your baby's skin
# A medicine dropper, oral syringe, or calibrated cup or spoon for administering medicines
# A package of tongue depressors to check sore throats
# A heating pad
# A hot-water bottle and ice pack
# A small flashlight to check ears, nose, throat, and eyes
# A First-Aid manual. The American Red Cross's Standard First Aid Personal Safety Manual gives detailed advice for handling both minor and major emergencies.
# If your child has a life-threatening allergy, keep an epinephrine kit with you at all times.[2]

THINGS TO AVOID

You should never give your infant these medicines:

* Aspirin
* Anti-nausea medications
* Adult medications
* Any medication prescribed for someone else or for another reason
* Anything expired
* Chewables. For children under 3, they are a choking hazard
* Extra acetaminophen. Cold and cough medicines often contain acetaminophen, so don't give baby painkillers on top of that. Ask your pharmacist or pediatrician if you're unsure.[3]


Toiletries
Some of the items you will need in the day to day care of your newborn baby include:

* baby soap
* baby shampoo
* petroleum jelly (vaseline)
* diaper wipes
* sterile cotton balls
* baby nail scissors or clippers (keep nails clipped short, especially if he is scratching himself already)
* baby brush or comb[4]

Newborn Medicine Cabinet Farzan Esfandiar

---
Notes:

[1] thecradle.com
[2] fisher-price.com
[3] ibid
[4] keepkidshealthy.com

========
About Me:
I am a 292 days / 9 months, 3 weeks & 1 days old baby

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Umbilical Cord

Meaning and definition

In placental mammals, the umbilical cord or ari-ari in Bahasa Indonesia (also called the birth cord or funiculus umbilicalis) is the connecting cord from the developing embryo or fetus to the placenta. During prenatal development, the umbilical cord comes from the same zygote as the fetus and (in humans) normally contains two arteries (the umbilical arteries) and one vein (the umbilical vein), buried within Wharton's jelly. The umbilical vein supplies the fetus with oxygenated, nutrient-rich blood from the placenta. Conversely, the umbilical arteries return the deoxygenated, nutrient-depleted blood.[1]

Cord Length

The length of the umbilical cord varies from no cord (achordia) to 300 cm, with diameters up to 3 cm. Umbilical cords are helical in nature, with as many as 380 helices. An average umbilical cord is 55 cm long, with a diameter of 1-2 cm and 11 helices. For unknown reasons, most cords coil to the left. About 5% of cords are shorter than 35 cm, and another 5% are longer than 80 cm.[2]

Taking care of umbilical cord

When the umbilical cord is cut, it leaves a stump, which then dries, heals, and usually falls off within 1 - 3 weeks. While the cord is healing, keep it as clean and as dry as possible. In order to keep the cord dry, sponge bathe your baby rather than submersing him in a tub of water.

Watch the umbilical cord for infection. This does not occur often, but can spread quickly if it does occur. Signs of infection are:

* Foul-smelling, yellow drainage from the cord
* Redness and tenderness of the skin around the cord

Another uncommon problem is active bleeding. This usually occurs when the cord is pulled off too soon. Allow the cord to fall off naturally, even if it is only hanging on by a thread. In active bleeding, every time you wipe away a drop of blood, another drop appears. If the cord does actively bleed, call your baby’s doctor immediately.

Sometimes instead of completely drying, the cord will form a granuloma, which is pink scar tissue. This granuloma drains a light-yellowish fluid. This condition will usually go away in about a week, but if not, your pediatrician may need to burn off (cauterize) the granulation tissue.[3]

newborn umbilical cord

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Notes:

[1] Wikipedia.org
[2] emedicine.medscape.com
[3] nlm.nih.gov

========
About Me:
I am a 292 days / 9 months, 3 weeks old baby

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Cord Blood Banking

Meaning and Definition

A cord blood bank is a facility which stores umbilical cord blood for future use. Both private and public cord blood banks have developed since the mid to late 1990s in response to the potential for cord blood transplants in treating diseases of the blood and immune systems. However, cord blood is not recommended to be stored in a private bank for the vast majority of cases.[1]

History

After a baby is delivered, the mother's body releases the placenta, the temporary organ that transferred oxygen and nutrients to the baby while in the mother's uterus. Until recently, in most cases the umbilical cord and placenta were discarded after birth without a second thought.

But during the 1970s, researchers discovered that umbilical cord blood could supply the same kinds of blood-forming (hematopoietic) stem cells as a bone marrow donor. And so, umbilical cord blood began to be collected and stored.[2]

How is cord blood collected?

The cord blood collection process is simple, safe, and painless. It is usually completed in less than five minutes by your health care provider. Cord blood collection does not interfere with delivery and is possible with vaginal or cesarean deliveries. Your health care provider will use one of two options for cord blood collection: syringe method or bag method.

* Syringe method: a syringe is used to draw blood from the umbilical cord shortly after the umbilical cord has been cut. The process is basically the same as drawing blood for a blood test.
* Bag method: the umbilical cord is elevated to cause the blood to drain into a bag.[3]

Public banks accept donations to be used for anyone in need. Unlike private cord blood banking, public cord blood banking is supported by the medical community. However, there are very strict regulations which public banks need to follow in order to enable the donated units to be added to a registry. Generally an expectant mother interested in donation should contact the bank before the 34th week of pregnancy. The National Marrow Donor Program has a list of public cord blood banks on their website. Once the blood is donated, it loses all identifying information after a short period of initial testing.[4]

What are blood-forming stem cells?
These are primitive (early) cells found primarily in the bone marrow that are capable of developing into the three types of mature blood cells present in our blood - red blood cells, white blood cells, and platelets. Cord-blood stem cells may also have the potential to give rise to other cell types in the body.

Some serious illnesses (such as certain childhood cancers, blood diseases, and immune system disorders) require radiation and chemotherapy treatments to kill diseased cells in the body. Unfortunately, these treatments also kill many "good" cells along with the bad, including healthy stem cells that live in the bone marrow.[5]

cord blood banking

---
Notes:

[1] Wikipedia.org
[2] kidshealth.org
[3] americanpregnancy.org
[4] Wikipedia.org
[5] kidshealth.org

========
About Me:
I am a 292 days / 9 months, 3 weeks old baby

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Pediatrics

Pediatrics is the branch of medicine that deals with the medical care of infants, children, and adolescents. The upper age limit of such patients ranges from age 12 to 21, depending on the country. A medical practitioner who specializes in this area is known as a pediatrician. The word pediatrics and its cognates mean healer of children; they derive from two Greek words: παῖς (pais = child) and ἰατρός (iatros = doctor or healer).[1]

Differences

Paediatrics differs from adult medicine in many respects. The obvious body size differences are paralleled by maturational changes. The smaller body of an infant or neonate is substantially different physiologically from that of an adult. Congenital defects, genetic variance, and developmental issues are of greater concern to paediatricians than they often are to adult physicians.

Treating a child is not like treating a miniature adult. A major difference between paediatrics and adult medicine is that children are minors and, in most jurisdictions, cannot make decisions for themselves. The issues of guardianship, privacy, legal responsibility and informed consent must always be considered in every paediatric procedure. In a sense, paediatricians often have to treat the parents and sometimes, the family, rather than just the child.[2]

History

Pediatrics became a medical specialty in the mid-19th century. Before that time the care and treatment of childhood diseases was included within such areas as general medicine and obstetrics (and midwifery).

The first pediatric monograph written in the U.S. was by Charles Caldwell who received his medical degree from the University of Pennsylvania in 1796. His doctoral thesis was on diseases of childhood associated with fever.[3]

pediatrics pediatrician

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Notes:

[1] Wikipedia.org
[2] ibid
[3] medterms.com

========
About Me:
I am a 291 days / 9 months, 2 weeks & 6 days old baby

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Newborn Reflexes

From birth, all normal, healthy newborns exhibit reflexes. A reflex is defined as an automatic response to an outside stimulus. A yawn, grasp, suck, etc. are all examples of the many reflexes with which your baby is born.

What many parents fail to realize is that reflexes are needed for survival. They offer a protection, if you will. There are seven in all and each one ensures a different need for survival. Most reflexes generally disappear before the 3rd and 4th months, but can last as long as a year.[1]

Reflexes which should be present in a newborn

Root reflex

This reflex begins when the corner of the baby's mouth is stroked or touched. The baby will turn his/her head and open his/her mouth to follow and "root" in the direction of the stroking. This helps the baby find the breast or bottle to begin feeding.

Suck reflex

Rooting helps the baby become ready to suck. When the roof of the baby's mouth is touched, the baby will begin to suck. This reflex does not begin until about the 32nd week of pregnancy and is not fully developed until about 36 weeks. Premature babies may have a weak or immature sucking ability because of this. Babies also have a hand-to-mouth reflex that goes with rooting and sucking and may suck on fingers or hands.

Moro reflex

The Moro reflex is often called a startle reflex because it usually occurs when a baby is startled by a loud sound or movement. In response to the sound, the baby throws back his/her head, extends out the arms and legs, cries, then pulls the arms and legs back in. A baby's own cry can startle him/her and begin this reflex. This reflex lasts about five to six months.

Tonic neck reflex

When a baby's head is turned to one side, the arm on that side stretches out and the opposite arm bends up at the elbow. This is often called the "fencing" position. The tonic neck reflex lasts about six to seven months.

Grasp reflex

Stroking the palm of a baby's hand causes the baby to close his/her fingers in a grasp. The grasp reflex lasts only a couple of months and is stronger in premature babies.

Babinski reflex

When the sole of the foot is firmly stroked, the big toe bends back toward the top of the foot and the other toes fan out. This is a normal reflex up to about 2 years of age.

Step reflex

This reflex is also called the walking or dance reflex because a baby appears to take steps or dance when held upright with his/her feet touching a solid surface.[2]

Swimming

If you were to put a baby under six months of age in water, they would move their arms and legs while holding their breath. This is why some families believe in swim training for very little babies. It is not recommended for you to test this reflex at home for obvious safety reasons.[3]

It is not always easy to demonstrate these reflexes and not all babies do them all of the time, so don't be surprised if you or your Pediatrician can't trigger all of the reflexes. More important, is your baby's overall growth and development. Absent, asymmetric or persistent reflexes might be a sign of a neurological problem, though, and need further evaluation.[4]

newborn reflexes farzan esfandiar

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Notes:

[1] essortment.com
[2] healthsystem.virginia.edu
[3] about.com
[4] keepkidshealthy.com

========
About Me:
I am a 290 days / 9 months, 2 weeks & 5 days old baby

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DHA and ARA to Infant Formula

Almost all brands of formula sold in the U.S. are now fortified with DHA (docosahexaenoic acid) and ARA (arachidonic acid), synthesized versions of the essential fatty acids that are naturally found in breast milk; the natural versions of DHA and ARA are also concentrated in the cells of the brain and eyes.[1]


Beginning in 2002, many producers began supplementing their mixtures with synthetic forms of docosahexaenoic acid (DHA) and arachidonic acid (ARA), the long-chain fatty acids naturally present in breast milk. Evidence is now showing that the synthetic versions are detrimental to the health of children, despite their continued usage in almost every available brand of infant formula.[2]

Is DHA and ARA to infant formulas is beneficial?

The scientific evidence is mixed. Some studies in infants suggest that including these fatty acids in infant formulas may have positive effects on visual function and neural development over the short term. Other studies in infants do not confirm these benefits. There are no currently available published reports from clinical studies that address whether any long-term beneficial effects exist.[3]

With or without synthetic additives, no baby formula can replace the amazing nourishing properties of a mother's breast milk. It is the perfect, natural blend of immune-building, brain-developing goodness that cannot be matched or replicated. While some natural formulas may seem to come close, breast-feeding continues to be the superior method of nourishing a baby and should be utilized whenever possible.[4]

dha and ara in infant formula produced by nestle
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Notes:

[1] consumerreports.org
[2] naturalnews.com
[3] keepkidshealthy.com
[4] naturalnews.com

========
About Me:
I am a 289 days / 9 months, 2 weeks & 4 days old baby

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Infant Formula

Infant formula is an artificial substitute for human breast milk, intended for infant consumption. The first preparations for the feeding of infants were produced commercially in 1867 by Justus von Liebig. Today, most infant formulas are based on either cow milk or soy milk. Some formulas, for infants with special dietary needs, are highly modified and may contain neither cow milk nor soy. An upswing in breastfeeding has been accompanied by a deferment in the average age of introduction of other foods (such as cow's milk), resulting in increased use of both breastfeeding and infant formula between the ages of 3–12 months.[1]

Do infants fed infant formulas need to take additional vitamins and minerals?

Infants fed infant formulas do not need additional nutrients unless a low-iron formula is fed. If infants are fed a low-iron formula, a health care professional may recommend a supplemental source of iron, particularly after 4 months of age.

FDA's nutrient specifications for infant formulas are set at levels to meet the nutritional needs of infants. In addition, manufacturers set nutrient levels for their label claims that are generally above the FDA minimum specifications and they add nutrients at levels that will ensure that their formulas meet their label claims over the entire shelf-life of the product.[2]

How to Coose a formula

Your family doctor will usually recommend a formula made from cow's milk. Some formulas are iron-fortified (which means they have extra iron in them). Some formulas have very little iron or none at all. Most doctors recommend using an iron-fortified formula. Remember that regular cow's milk is not the same as infant formula made from cow's milk. Some formulas are made of soy milk instead of cow's milk. If your baby seems to be allergic to formula made from cow's milk, your doctor may suggest using a soy-milk formula. Use infant formula for the first year. Babies aren't ready for regular cow's milk until about the time of their first birthday.[3]


Warming bottles

You can probably feed your baby a bottle without warming it first. It is okay for the formula to be cool or room temperature. If your baby seems to prefer warm formula, you can put the filled bottle in a container of warm water and let it stand for a few minutes. Check the temperature of the formula on your skin before feeding it to your baby, to be sure it isn't too hot. The formula should only be lukewarm.

Do not heat bottles in the microwave. Microwaves heat foods and liquids unevenly, and this can cause hot spots in the formula that can burn your baby.[4]


----
Notes:

[1] Wikipedia.org
[2] keepkidshealthy.com
[3] familydoctor.org
[4] ibid

========
About Me:
I am a 288 days / 9 months, 2 weeks & 3 days old baby

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Chicken Pox

Meaning and definition

Chickenpox (Bahasa Indonesia, cacar air) is a highly infectious disease caused by one of a group of viruses called the Herpes viruses. There are many different types of Herpes virus, but one feature which they all have is that they lie dormant in the body after the initial infection, and can reactivate much later. The disease caused by the reactivation of the chickenpox virus is known as shingles and it may occur when the immune system is run down.[1]

Causes and Symptoms

Chicken pox is caused by exposure to the Varicella-Zoster virus, spreading through coughing and sneezing or through contact with fluid from inside the chickenpox blisters.

The symptoms of chicken pox are a red, irritating, itchy rash on the skin. It usually crops up first on the abdomen, back, or face and then spreads all over the body. The rash starts as red itchy bumps that look like an insect bite or sting and then turn into fluid-filled blisters. They then eventually break open into open sores and then finally start to heal over, leaving dried-out brownish-looking scabs that will fade over time, but possibly will leave scars. The sores usually appear over the period of 2-4 days and can be more severe if your child has any kind of skin disorder.[2]

Treatments

There is no specific treatment for chickenpox although recent research using anti-viral drugs in the very early stages of the illness has shown slight benefit. Paracetamol helps the associated fever and muscle aches and pains that go along with fever. Calamine lotion or a solution of sodium bicarbonate help reduce itch in the spots. Use ordinary baking soda and dissolve it in a small quantity of water. Some homeopaths suggest the homeopathic remedy sulphur to help boost the child's immune system.[3]

Picture courtesy: webmd.com



----
Notes:

[1] babycentre.co.uk
[2] surebaby.com
[3] babycentre.co.uk
========
About Me:
I am a 287 days / 9 months, 2 weeks & 2 days old baby

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Vitamins

As a matter of fact, most infant formula milk is fortified with vitamins and minerals so babies who are formula fed are already getting the supplements. Then, the question of giving vitamin supplements to the babies are always in the arguements.

According to the infant formula act in 1980, this act specifies that the minimum nutrient requirements for infant formula. Babies or newborns who are already on formula milk most of the time, in fact are getting all the vitamins and minerals they need, unless there is an underlying medical condition for which supplements would be important, they most likely won't need any.[1]

Vitamin and mineral supplements are not necessary for the average healthy, full-term breastfed baby during the first year. Breastmilk is all that your baby needs for at least the first six months of life. Studies have shown that vitamins, fluoride, iron, water, juice, formula and solid foods are rarely beneficial to healthy breastfed babies during the first six months, and some can even be harmful. There are certain cases where a vitamin supplement may be needed for a breastfed baby during the first year, but these cases are the exception, not the rule (see below for specifics).[2]

Breastfed infants will need extra vitamin D beginning around 6-8 weeks old. This can be given as Tri-Vi-Sol or Poly-Vi-Sol, which can be purchased over the counter. The dose is 1.0 ml per day.


An easy and safe way to give the vitamins is to place an empty nipple in the infant's mouth. Drop the liquid inside the nipple; your baby will suck it down at his/her own rate. Or you can nurse your baby immediately after giving the liquid through the dropper.

Formula fed infants should not need a vitamin.[3]

Vitamin A

Milk and infant formulas are excellent sources of Vitamin A, which is a fat soluble vitamin. A deficiency can occur in children with fat malabsorption or with a very poor diet. Too much Vitamin A can also be harmful.

Vitamin C

Although many parents exceed the recommended daily requirements of Vitamin C to prevent colds and upper respiratory tract infections, there is little research that supports this practice. Too little Vitamin C can lead to scurvy, which is now uncommon, but can occur in infants under one year of age who are exclusively fed cow's milk. Fruits and vegetables are excellant sources of Vitamin C.

Iron

Iron is another mineral that is important for your child's growth. Having a diet with foods that are high in iron to meet daily requirements is necessary for the development of strong muscles and production of blood. It is generally good to choose foods high in iron. Younger children require about 10mg of iron each day, while older children and adolescents need about 12-15mg a day.

Calcium

Calcium is a mineral that is mostly present in your child's bones. Having a diet with foods that are high in calcium to meet daily requirements is necessary for the development of strong bones. It is also an important way to prevent the development of osteoporosis in adults. Younger children require about 800mg of calcium each day, while older children and adolescents need about 1200-1500mg a day.

Vitamin K

Vitamin K is a fat soluble vitamin that is necessary for proper blood clotting. It can be deficient in some newborn babies, especially if they did not receive a Vitamin K shot after they were born and they are being breastfed.

Vitamin D

Vitamin D is another fat soluble vitamin that can be deficient, causing Rickets, in some infants that are exclusively breastfed, especially if they have very dark skin or if they have limited exposure to sunlight. Vitamin D is mostly found in fortified foods, such as milk and infant formulas.
There was once thought to be little need for supplements of Vitamin D in most children if they have sunlight exposure, although the AAP now recommends that all children receive Vitamin D supplements..Infants and children who drink 16-17 ounces of formula or Vitamin D fortified milk won't need a supplement, but exclusively breastfed infants need to take 200 IU of Vitamin D each day.

Fluoride

All children need supplemental fluoride after they are six months old to help prevent cavities. For most children, they can get this fluoride from the water they drink, if they are in an area where the city water supply has an adequate amount of fluoride in it (greater than 0.6 ppm), and they are drinking tap water. Sources of water that generally don't have enough fluoride include well water and filtered or bottled water, although some brands of bottled water (or nursery water) do have fluoride added to it. Also, commercially prepared pre-mixed infant formulas do not contain an adequate amount of fluoride, so consider using a powder or concentrated formula and mixing it with tap water, supplement your infant with extra tap water, or talk to your Pediatrician about giving fluoride supplements. It is in general better to have your child drink water that is supplemented with fluoride instead of giving extra fluoride drops or supplements. Too much fluoride can cause fluorosis, which is permanent white to brown discoloration of the enamel of the teeth. It is easier to get fluorosis if you are giving your child fluoride drops and he is still getting fluoride from his diet.

Zinc

Zinc is an important mineral, especially for adolescents, as it helps with growth and sexual maturation. Infants require about 3-5mg of zinc each day, while adolescents need about 10-15mg. Foods high in zinc include meats, seafood, dairy products, whole grains, breads and fortified cereals, nuts and dried beans.[4]


----
Notes:

[1] buzzle.com
[2] kellymom.com
[3] parksidepediatrics.com
[4] keepkidshealthy.com


========
About Me:
I am a 286 days / 9 months, 2 weeks & 1 days old baby

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Baby Led Weaning (BLW)

Baby-led weaning (often also referred to as BLW) is a method of gradually weaning a baby from a milk diet onto solid foods. It allows a baby to control his solid food intake by self-feeding from the very beginning of the weaning process.

Infants are offered a range of foods to provide a balanced diet from around 6 months. They often begin by picking up and licking the food, before progressing to eating. Babies typically begin self feeding around 6 months, although some will reach for food as early as 5 months and some will wait until 7 or 8. The intention of this process is that it is tailored to suit each particular baby and their personal development. The 6 month guideline provided by the World Health Organisation is based on research indicating the internal digestive system matures over the period 4-6 months. It seems reasonable to posit that the gut matures in tandem with the baby's external faculties to self feed.[1]

Weaning is when a baby transitions from breast milk to other sources of nourishment. When to wean is a personal decision. Moms may be influenced by a return to work, her health or the baby's, or simply a feeling that the time is right.

Weaning a baby is a gradual process that calls for patience and understanding from both you and your child.[2]

When to Wean

The American Academy of Pediatrics (AAP) recommends feeding babies only breast milk for the first 6 months of life. After that, the AAP recommends that a combination of solid foods and breast milk be given until a baby is at least 1 year old.[3]

Ideally, your baby will nurse until he outgrows the need. This is called natural, or baby-led weaning. Every baby has different “needs” in different areas. For example, some babies need to be held almost constantly, while others squirm and wiggle if you try to hold them too long, and are perfectly content to sit in their playpen for an hour or so while they entertain themselves.[4]


Is baby-led weaning suitable for both breastfed and formula-fed babies?


Most parents who have tried baby led weaning have breastfed their children and see it as a natural extension of the breastfeeding process. Breastfeeding babies usually feed on-demand and breastfeeding is very much an active process, with babies needing to work hard, using their jaw and tongue to latch on properly and get at the milk effectively. Research has shown that breastfed babies seem able to regulate their calorie intake according to their needs (Gillman et al., 2001). It makes sense for babies who can regulate how much breastmilk they drink to also regulate their intake of solid food.

However, there does not appear to be any reason why a bottle-fed baby couldn't be weaned onto solids in this way. If your baby is formula-fed, you should offer him several drinks of water in between milk feeds and at mealtimes. Breastfed babies do not need to be given water because breastmilk is a drink as well as a food.[5]


----
Notes:

[1] Wikipedia.org
[2] kidshealth.org
[3] ibid
[4] breastfeedingbasics.com
[5] babycentre.co.uk

========
About Me:
I am a 285 days / 9 months, 2 weeks old baby

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Food Guide Pyramid

The Food Guide Pyramid for young children (displayed below) was designed by the US Dept. of Agriculture to promote healthy nutrition in children from the age of 2 - 6 years. It is meant to be a general guide to daily food choices. The main emphasis of the food pyramid is on the five major food groups, all of which are required for good health. It also emphasizes that foods that include a lot of fats, oils and sweets should be used very sparingly.[1]

The Food Guide Pyramid is an outline of what to eat each day based on the Dietary Guidelines . It's not a rigid prescription but a general guide that lets you choose a healthful diet that's right for you.

The Pyramid calls for eating a variety of foods to get the nutrients you need and at the same time the right amount of calories to maintain healthy weight.

Use the Pyramid to help you eat better every day...the Dietary Guidelines way. Start with plenty of breads, cereals, rice, pasta, vegetables, and fruits. Add 2-3 servings from the milk group and 2-3 servings from the meat group. Remember to go easy on fats, oils, and sweets, the foods in the small tip of the Pyramid.[2]


---
Notes:

[1] keepkidshealthy.com
[2] usda.gov

========
About Me:
I am a 284 days / 9 months, 1 weeks & 6 days old baby

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I am Crawling!

Finally, I am crawling!

As mentioned here, baby start crawling at the age 7 to 9 months.

And my age is 9 months (almost) two weeks today. A bit late I think but it's still ok.

Dad and mom of course feel happy about this development.

They ask me to crawl more and more.

They tease me to encourage me to crawl even longer.

I hope I will be able to walk sooner rather than later.



========
About Me:
I am a 283 days / 9 months, 1 weeks & 5 days old baby

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Appendicitis

Meaning and definition

Appendicitis is a condition characterized by inflammation of the appendix (see the picture below). It is a medical emergency. All cases require removal of the inflamed appendix, either by laparotomy or laparoscopy. Untreated, mortality is high, mainly because of peritonitis and shock. Reginald Fitz first described acute and chronic appendicitis in 1886, and it has been recognized as one of the most common causes of severe acute abdominal pain worldwide. A correctly diagnosed non-acute form of appendicitis is known as "rumbling appendicitis".[1]

Causes

Appendicitis occurs when the appendix becomes blocked, often by stool, a foreign body, or cancer. Blockage may also occur from infection, since the appendix swells in response to any infection in the body.[2]

Symptoms

The symptoms of appendicitis usually include:

* pain in the right side of the abdomen
* nausea
* vomiting
* constipation
* diarrhea
* inability to pass gas
* low fever that begins after other symptoms
* abdominal swelling
* anorexia (loss of appetite)[3]

Treatments

Once a diagnosis of appendicitis is made, an appendectomy usually is performed. Antibiotics almost always are begun prior to surgery and as soon as appendicitis is suspected.

There is a small group of patients in whom the inflammation and infection of appendicitis remain mild and localized to a small area. The body is able not only to contain the inflammation and infection but to resolve it as well. These patients usually are not very ill and improve during several days of observation. This type of appendicitis is referred to as "confined appendicitis" and may be treated with antibiotics alone. The appendix may or may not be removed at a later time.[3]

Images of Appendicitis

appendicitis
appendicitis

----
Notes:

[1] Wikipedia.org
[2] webmd.com
[3] keepkidshealthy.com
[4] medicinenet.com

========
About Me:
I am a 283 days / 9 months, 1 weeks & 5 days old baby

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Baby Acne

Meaning & definition

Acne in the newborn (also known as acne neonatorum) or baby acne is a common condition that affects roughly 20 percent of newborn babies. Infants usually develop neonatal acne because of stimulation of the baby’s sebaceous glands by lingering maternal hormones after delivery. These hormones cross the placenta into your baby and after delivery they cause the oil glands on the skin to form bumps that look like pimples. To your dismay your beautiful newborn’s face breaks out with red pimples on the cheeks, forehead and chin. Sometimes whiteheads are present as well.[1]

Causes

As with adolescent acne, there's no clear answer. For some time, experts have pointed to the hormones babies receive from their mother at the end of pregnancy as a cause of baby acne. But researchers continue to study other factors and have yet to agree on one culprit. If you take certain medications while nursing, for example, or if your baby takes certain medications, they might trigger baby acne.[2]

Treatments

Don't put creams or oils on your baby's skin, because these can make the acne worse. Don't use over-the-counter acne medicines. And don't scrub. Baby acne isn't caused by dirt.

In fact, too much washing can further irritate your baby's skin, so don't overdo the cleansing. Simply wash your baby's face with mild baby soap and water once a day. Gently pat it dry.

Patience is usually the best course of action. Your baby's acne doesn't bother him in the least, so try not to let it bother you, either.[3]

baby acne

----
Notes:

[1] womenshealthcaretopics.com
[2] babycenter.com
[3] ibid

========
About Me:
I am a 282 days / 9 months, 1 weeks & 4 days old baby

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Immunization Schedule Year One

Since I have completed the last immunization schedule for a first year baby, it's worth to share it with you just in case you are a younger baby or you are just newly born.

As you may see from the picture below, the immunization schedule begun when I was a two months old baby.

If you are a two months baby and your mom does not take you to pediatrician, just remind her of this timeline (click the picture below to enlarge).

immunization schedule baby first year


========
About Me:
I am a 281 days / 9 months, 1 weeks & 3 days old baby

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Bowlegs


Meaning and definition


What are bowlegs? Children with bowlegs, when standing straight with toes pointed forward, have ankles that touch but knees that do not. Bowlegs is a condition involving the shin and thigh (tibia and femur) bones. During the first years of life, bowlegs are part of normal growth and development and are obvious by two months of age. Most infants' legs exhibit some degree of bowing until they have been walking for a few years. During this time, the legs may also appear "knock-kneed," with both knees pointing inward. This type of angular deformity is considered "physiologic" and usually resolves on its own by the time a child is four or five years old, although it may persist until age eight.[1]

What are the symptoms?
Normal bowlegs improve over time. As it corrects, some children with bowlegs then go through a period of”genu valgum” or "knock-knees" before their legs finally straighten fully. When bowlegs get worse after age 2 they should be evaluated. The same is true if the bowing is extreme, if only one side is affected, or if the child is otherwise not growing normally.[2]

Causes

Most often, bowlegs develop as part of natural growth, although certain conditions, such as Blount's disease and bone malformations present at birth, may cause a child's legs to bow. Some metabolic disorders, such as rickets, a disease caused by Vitamin D deficiency, can also cause bowlegs. This occurs when Vitamin D deficiency affects and weakens a child's bones, causing the legs to bow.[3]

Treatments

Treatment is rarely needed, but very occasionally surgery is used to correct a severe curve. Most experts today don't recommend braces or corrective shoes, which can cause problems with physical development (as well as take an emotional toll).[4]

baby bowlegs
----
Notes:

[1] childrenshospital.org
[2] drgreene.com
[3] childrenshospital.org
[4] babycenter.com

========
About Me:
I am a 280 days / 9 months, 1 weeks & 2 days old baby

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Nine Months Baby Development

As I reach the nine months old milestone, I think it's not a bad idea to retrospect what I have achieved and what I should attained and yet to reach.

In this respect I'll quote some scientific and authoritative sources so as to be beneficial for you too. Please note, however, that "All babies have their own internal developmental timetable. If your 9-month-old hasn't yet reached these milestones, rest assured that she will in time."[1]

Milestones this month

* Your baby now can pull himself up to a standing position from sitting down.
* He can stand while holding on to someone or something.
* Baby uses the "pincer grasp" holding tiny objects between his thumb and forefinger.
* He can walk while holding onto furniture.
* Baby drinks from a cup.
* He can stand alone for a few seconds or perhaps longer.
* Baby says "mama" or "dada."
* He understands the meaning of "no."
* Baby responds to simple commands (such as "Give Mommy the toy").[2]

Language comprehension


The torrent of words your child has been hearing since birth is beginning to work its magic. By now, your baby's understanding of words far outpaces her ability to use them, and her babbling is probably starting to sound more like real words, including "ma" and "da." (Don't get too excited just yet -- they're more than likely not actual words, just a couple of the host of sounds she babbles constantly.)

At this stage your child still comprehends more from your tone than from your actual words. The more you talk to her -- while preparing dinner, driving, or getting dressed -- the more your baby learns about communication. In fact, one study found that the greatest predictor of later intelligence is how many words a child hears daily. Of course, idle background chatter and time spent parked in front of the TV don't count -- to help your baby's comprehension, she must hear words and language used interactively.

At nine months, a baby begins to understand the word "no," but she may not obey just yet. However, she will respond to her name by looking around or by stopping what she's doing to see who called. Reinforce her recognition behaviour by saying her name frequently.[3]

Social Changes

* Your baby likes to spend quality time with you and your spouse. She is also interested in playing simple games like Peek-a-boo.
* Another favorite game she likes is playing with bath toys while having her bath. Floating ducks and boats are some of the most favorite toys.[4]

Mental Changes

* During this month, your baby observes people and pay attention to their activities. She is effectively doing 2 things at the same time.
* She manipulates and probes every part of an object with a keen mind. Her brain functions also improve rapidly.
* Her vision and line of sight improves. She easily identifies the direction in which a particular object is lying on the floor.
* She also develops a capacity to distinguish strangers from familiar faces. She may cling to you or try to hide when seeing a stranger.[5]

Signs that suggest a developmental problem
All children are different and develop at different rates, so if your baby doesn't do all the things listed in this article, it may be because they are working on some different area of learning and development. However, if your baby is very different from other children, or if you are worried about their development or it seems to go backwards, seek the advice of a health professional. Signs that could suggest a developmental problem include:

* Doesn't show pleasure when seeing familiar people
* Doesn't show anxiety when separated from main caregiver
* Is not sitting by nine to 10 months of age
* Is not starting to move around by any means
* Is not interested in new objects
* Babbling has not become more complex
* Doesn't babble in 'conversation' with others.[6]

nine months baby development

----
Notes:

[1] yourbabytoday.com
[2] ibid
[3] babycentre.co.uk
[4] babydevelopmentnews.com
[5] ibid
[6] betterhealth.vic.gov.au

========
About Me:
I am a 279 days / 9 months, 1 weeks & 1 day old baby



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Doing MMR Vaccine

As planned, I go for MMR vaccine today in the Posyandu (pos pelayanan anak terpadu, a government -run free health services for children). Just in case you forget about MMR vaccine: "The MMR vaccine is a mixture of three live attenuated viruses, administered via injection for immunization against measles, mumps and rubella (also called German measles). It is generally administered to children around the age of one year.."

Mom actually is a bit doubtful to bring me there as she thought I am not fully fit. Dad however encourages her to consult the pediatrician (Bu Wahyu) first.

Bu Wahyu, it turns out, says that I am ok to get the last immunization for the first year of my age.

The pediatrician also told mom that the reddish stuff in my neck is not Rubella or German measles as mom thought. It's only biang keringat (Indonesian, meaning prickly heat).

Thanks God. So, this everning I enjoy bathing something I didn't do for days. Mbak Muthi'ah (the baby sitter) bathed me.

baby farzan doing MMR vaccine

========
About Me:
I am a 278 days / 9 months, 1 weeks old baby

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Photos from Taman Safari 2

One week after I visited Taman Safari 2, I have the time to publish some photos dad or mom had taken out there. This is because I got the German measles for several days after the trip that made me and everyone busy to take me out of this problem.

The pictures are not so good since most of them were taken from inside the car. I hope you enjoy them though and have some views on what Taman Safari wild animal look like.













========
About Me:
I am a 278 days / 9 months, 6 days old bab

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MMR Vaccine

If everything is ok, I'll take MMR vaccine next Wednesday (11 November 2009). This is supposed to be the last immunization for me as the first year baby. What's MMR vaccine?

The MMR vaccine is a mixture of three live attenuated viruses, administered via injection for immunization against measles, mumps and rubella (also called German measles). It is generally administered to children around the age of one year, with a second dose before starting school (i.e. age 4/5). The second dose is not a booster; it is a dose to produce immunity in the small number of persons (2–5%) who fail to develop measles immunity after the first dose.[1]

Measles remains a common disease in many parts of the world. According to the World Health Organization (WHO), more than 10 million people worldwide are affected by measles each year. It is the leading cause of vaccine-preventable deaths among young children. Measles outbreaks are common in many areas, including Europe.[2]

Side effects

Anything we take into our body can have side effects. Medicines, and in this case MMR vaccine, are no exception, but vaccines are among the safest medicines.

The commonest side effects are similar to a mild version of one of the viruses involved, and not very different to the measles vaccine which was previously used. The child may be generally less vigorous, have a slight fever and possibly a rash, most often about a week after the immunisation and lasting about two or three days. Swelling of the glands in the cheeks, as seen in mumps, may happen about three weeks after the injection in about 1 in 100 cases.

Occasionally more serious events, such as convulsions, occur. This happens in about 1 in 1000 cases, six to eleven days after the injection. If your child develops worrying side effects you should contact your doctor.[3]

mmr vaccine immunisation

----
Notes:

[1] Wikipedia.org
[2] cdc.gov
[3] medinfo.co.uk

========
About Me:
I am a 277 days / 9 months, 5 days old baby

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Mumps

Mumps or epidemic parotitis is a viral disease of the human species, caused by the mumps virus. Prior to the development of vaccination and the introduction of a vaccine, it was a common childhood disease worldwide, and is still a significant threat to health in the third world.

Painful swelling of the salivary glands (classically the parotid gland) is the most typical presentation. Painful testicular swelling (orchitis) and rash may also occur. The symptoms are generally not severe in children.[1]


The disease has been recognized for several centuries, and medical historians argue over whether the name "mumps" comes from an old word for "lump" or an old word for "mumble."

Mumps was common until the mumps vaccine was licensed in 1967. Before the vaccine, more than 200,000 cases occurred each year in the United States. Since then the number of cases has dropped to fewer than 1,000 a year, and epidemics have become fairly rare. As in the pre-vaccine era, most cases of mumps are still in kids ages 5 to 14, but the proportion of young adults who become infected has been rising slowly over the last two decades. Mumps infections are uncommon in kids younger than 1 year old.[3]

Signs and Symptoms

Cases of mumps may start with a fever of up to 103° Fahrenheit (39.4° Celsius), as well as a headache and loss of appetite. The well-known hallmark of mumps is swelling and pain in the parotid glands, making the child look like a hamster with food in its cheeks. The glands usually become increasingly swollen and painful over a period of 1 to 3 days. The pain gets worse when the child swallows, talks, chews, or drinks acidic juices (like orange juice).[4]

Treatment

There is no specific treatment for mumps. Symptoms may be relieved by the application of intermittent ice or heat to the affected neck area and by acetaminophen/paracetamol (Tylenol) for pain relief. Aspirin is not used due to a hypothetical link with Reye's syndrome. Warm salt water gargles, soft foods, and extra fluids may also help relieve symptoms.

Patients are advised to avoid fruit juice or any acidic foods, since these stimulate the salivary glands, which can be painful.[5]

mumps virus

----
Notes:
[1] Wikipedia
[2] ibid
[3] kidshealth.org
[4] ibid
[5] Wikipedia


========
About Me:
I am a 276 days / 9 months, 4 days old baby

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Rubella (German measles)

It turns out the measles I suffered these last three days is the milder type called rubella or German measles (Indonesian, campak jerman; Javanese, babaken).

Rubella, commonly known as German measles, is a disease caused by the rubella virus. The name "rubella" is derived from the Latin, meaning little red. Rubella is also known as German measles because the disease was first described by German physicians in the mid-eighteenth century. This disease is often mild and attacks often pass unnoticed. The disease can last one to three days. Children recover more quickly than adults.[1]

Infection of the mother by Rubella virus during pregnancy can be serious; if the mother is infected within the first 20 weeks of pregnancy, the child may be born with congenital rubella syndrome (CRS), which entails a range of serious incurable illnesses. Spontaneous abortion occurs in up to 20% of cases.[2]

Rubella is caused by a virus that results in a rash, mild fever, and arthritis. It is spread from one child to another through direct contact with discharge from the nose and throat.

Infants and children who develop the disease usually only have a mild case of the rash and side effects. However, children who develop the disease in utero, or from their mother while she is pregnant, can have severe birth defects and consequences. It is also very dangerous for pregnant women to come in contact with someone who has rubella, because it may cause a miscarriage.[3]

Photo of Rubella (German Measles) the milder type of Measles



----
Notes:

[1] Wikipedia
[2] ibid
[3] healthsystem.virginia.edu

========
About Me:
I am a 275 days / 9 months, 3 days old baby

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Measles

Update: It turns out I suffered from mild measles called Rubella (German measles)

I've just enjoyed myself of being in better condition yesterday before another bad thing happens: I got measles (Indonesian, cacar air / campak).

Measles is an infection of the respiratory system caused by a virus, specifically a paramyxovirus of the genus Morbillivirus. Morbilliviruses, like other paramyxoviruses, are enveloped, single-stranded, negative-sense RNA viruses. Symptoms include fever, cough, runny nose, red eyes and a generalized, maculopapular, erythematous rash.[1]

Measles is a highly contagious viral disease, which affects mostly children. It is transmitted via droplets from the nose, mouth or throat of infected persons. Initial symptoms, which usually appear 8–12 days after infection, include high fever, runny nose, bloodshot eyes, and tiny white spots on the inside of the mouth. Several days later, a rash develops, starting on the face and upper neck and gradually spreading downwards.[2]

Treatment

There is no specific treatment for measles and most people recover within 2–3 weeks. However, particularly in malnourished children and people with reduced immunity, measles can cause serious complications, including blindness, encephalitis, severe diarrhoea, ear infection and pneumonia. Measles can be prevented by immunization.[3]

Actually, I am scheduled to get anti-measles vaccination / immunization next week. However, the virus is coming earlier than expected. I hope I can be well soon enough. The hot I feel is so distracting so much so that I can't enjoy drinking my baby formula.

The following picture is not my photo. It's taken from somewhere else. My measles is not as bad as that. Only around the neck.



----
Notes:
[1] Wikipedia.org
[2] WHO.int
[3] ibid

========
About Me:
I am a 274 days / 9 months, 2 days old baby

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I Feel Better Today

This morning I feel a little better.

The fever I suffered since two days ago is almost gone. That's why I could sleep well tonight.

It's a long night for me and people around me (dad, mom and the two baby sitters) these past two days. As I feel hard to sleep and not to cry, they also awake along with me.

I hope I can be a better baby in the days to come.

I am a nine months old baby, you know. I think I should be prepared to behave more like the grown-up.

Anyway, I forget to tell you that I have been brought to pediatrician twice. The first, she gave me two medicines. As the fever was still there, mom brought me to her again the following day and gave me two other bottles of medicine.

The pediatrician also confirmed that I got no dengue.

========
About Me:
I am a 273 days / 9 months, 1 days old baby

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Nine Months Baby

Well, I am a nine months old baby now as I was born nine months ago this day.

The celebration this time around is distracted a little bit by the fact that I got fever since two days ago.

That's why dad and mom's energy and attention are focused on how to make me well again.

They seem forget that even when I am sick, I want the milestone to be celebrated no matter what!


Ok, I forgive them. Nonetheless, they are not only busy and tired in taking care of me who keep crying all the time.

They are also so worried that I got not only fever; they are worried that my incessant cry is due to something else.

They hope not. I also hope not.

Forget about dad and mom celebrate my 9 months benchmark. Let me celebrate it myself this time.

Thank you for your well-wishing visit.

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About Me:
I am a 271 days / 9 months days old baby

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I Got Fever

As I mentioned earlier on my body was so hot a day after the Taman Safari trip. Mom was so scared when she touched my hand, my leg, my cheek; all are hot.

And when mom brought me to Bu Wahyu, the pediatrician has confirmed that I got fever.

What has caused this fever?

According to this article, some factors may cause fever:

Dehydration is one. Or the infant might be over-bundled with clothes in a relatively warm environment­ - the rule of thumb is to dress your baby in just one more layer of clothing than you are comfortable in.[1]


A temperature reading isn't the only indication of whether a fever is serious. Your baby's age is a factor (fever is more serious in babies under 3 months)..


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About Me:
I am a 270 days / 8 months, 4 weeks & 2 days old baby

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Baby Massages after Taman Safari Trip

Last night I could not sleep comfortably. This must be the hangover from yesterday's trip to Taman Safari 2. I also got cold and that reduce my appetite so much.

So, dad and mom decides to call Pak Giman, the masseur, to massage me.

The massage by Pak Giman gives got me a better feeling. I feel more relaxed.

However, dad and mom is so surprised in the afternoon to find out my body heats up. Mom brings me to a pediatrician (bidan Bu Wahyu) to check out what happen.

Do I get fever? Oh, come on, I hope not. Let me enjoy for the moment the pleasure of Taman Safari 2 trip.

But God has another plan..

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About Me:
I am a 269 days / 8 months, 4 weeks & 1 days old baby

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Taman Safari 2 Prigen Pasuruan Jatim

We leave for Taman Safari (Safari Park) 2 at about 9 am. The driver is Pak Haderi from Brongkal.

My baby sitters, mbak Mina and mbak Muthi'ah are also coming along.

We enjoy the trip. I especially enjoy watching the wild animal from different continent (Africa, Asia, Europe and America) stay together in one place.

I enjoy watching the camel, komodo, lions and deers (so many kinds of deers) and many more.

So much I enjoy the trip that I am not aware of one fact that I have too much overused my energy. I feel so tired when I go home that I cannot sleep comfortably at night.

Me and my Baby-sitters mbak Muthi'ah and mbak Mina in front of Taman Safari 2 Gate



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About Me:
I am a 268 days / 8 months, 4 weeks old baby

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