Kaplan Barron Pediatric Group

John B. Roth, MD Ronald Lehocky, MD David S. Katz, MD James R. Belza, MD Karen J. Abrams, MD Mark Newstadt, MD Emily K. Johnson, MD
3333 Bardstown Road Louisville, KY 40218 502-452-6337 WWW.KaplanBarron.yourmd.com

Newborn care: Common-sense strategies for stressed-out parents - from the MayoClinic.com Consider these practical tips: Take care of yourself. Get plenty of rest. Establish visiting hours. Go with the flow. Expect a roller coaster of emotions. Share your feelings.

Newborn care: Common-sense strategies for stressed-out parents - from the MayoClinic.com

Accept a helping hand.

Relax your standards.

Get out of the house. Keep your perspective. Parenting is a challenge even on a good day.

JAUNDICE yellow color baby liver learning to take over function of mother's placenta to clean bilirubin ( a normal breakdown product of red cell

2nd or 3rd day

2/3 of babies more common in breast fed babies, difference in blood type of mother vs. baby treatment often includes phototherapy

C-section Neonatologist Back to Sleep program SIDS

Smoking
Sibling Rivalry

Pacifier
Cord Blood Banking (1:2700)

Umbilical cord care: Relax, it's simple!

A newborn's umbilical cord stump isn't pretty. But fear not. Simply keep it clean and dry until it falls off. By Mayo Clinic staff You can describe most bellybuttons as little nubs or crinkly indentations but not at first. Your baby's bellybutton starts out as an umbilical cord stump about an inch long. It's not pretty, but it's amazing all the same. Until the stump dries out and falls off, keep it clean and dry. Why your baby has a stump CLICK TO ENLARGE Image of umbilical cord at birth Umbilical cord at birth

Your baby's umbilical cord stump will change from yellowish green to brown to black as it dries out and eventually falls off usually within two weeks after birth. In the meantime, treat the area gently.
* Keep the stump clean. Parents were once instructed to swab the stump with rubbing alcohol after every diaper change. Researchers now say the stump may heal faster if left alone. If the stump becomes dirty or sticky, wash it with soap and water and dry it well. Hold a clean, absorbent cloth around the stump or use the low setting on a hair dryer, being careful to hold the dryer a safe distance from the baby. * Keep the stump dry. Expose the stump to air to help dry out the base. Keep the front of your baby's diaper folded down to avoid covering the stump. Change wet or soiled diapers quickly to prevent irritation. In warm weather, dress your baby in a diaper and T-shirt to improve air circulation. * Stick with sponge baths. Sponge baths may be most practical during the healing process. When the stump falls off, you can bathe your baby in a baby tub or sink. * Let the stump fall off on its own. Resist the temptation to pull off the stump yourself, even if it's hanging on by only a thread.

Signs of infection
During the healing process, it's normal to see a little crust or dried blood near the stump. Contact your baby's doctor if your baby develops a fever or if the umbilical area:

Cord Blood Banking

Family history of genentic diseases , such as severe anemias, immune disorders, some cancer
If no such risk factors, then 1-in-20,000 chance of needing a stem cell transplant

Source : www.MarchofDimes.com

AAP's recommendation
"Given the difficulty of making an accurate estimate of the need for

autologous [donation from self] transplantation and the ready availability of

allogeneic [ donation from sibling or unrelated person] transplantation,

private storage of cord blood as "biological insurance" is unwise. However,

banking should be considered if there is a family member with a current or

potential need to undergo a stem cell transplantation."

3. Because there are no scientific data at the present time to support autologous cord blood banking .....difficulty of making an accurate estimate of the need for autologous transplantation and the ready availability of allogeneic transplantation, private storage of cord blood as "biological insurance" should

be discouraged.

Babies are fragile. Please don't shake a child.

National Shaken Baby Syndrome Campaign

http://www.preventchildabuse.com/shaken.htm

Secondhand Smoke

More upper respiratory infections More bronchitis and pneumonia

More ear infections and hearing problems Higher rate of SIDS More cases of asthma More severe symptoms in children who already have asthma

Source: AAP

The Children's Hospital of Philadelphia's Vaccine Education Center

Vaccines have literally transformed the landscape of medicine over the course of the 20th century.

Before vaccines, parents in the United States could expect that every year:

* Polio would paralyze 10,000 children. * Rubella (German measles) would cause birth defects and mental retardation in as many as 20,000 newborns. * Measles would infect about 4 million children, killing 3,000. * Diphtheria would be one of the most common causes of death in schoolaged children. * A bacterium called Haemophilus influenzae type b (Hib) would cause meningitis in 15,000 children, leaving many with permanent brain damage. * Pertussis (whooping cough) would kill thousands of infants.

Vaccines have reduced and, in some cases, eliminated many diseases that killed or severely disabled people just a few generations before.

However, the disappearance of many childhood diseases has led some parents to question whether vaccines are still necessary. Further, a growing number of parents are concerned that vaccines may actually be the cause of diseases such as autism, hyperactivity, developmental delay, attention deficit disorder, diabetes, multiple sclerosis, and sudden infant death syndrome (SIDS) among others. These concerns have caused some parents to delay vaccines or withhold them altogether from their children. For more specific information on these concerns, visit the Vaccine Safety section of the site.

HIB

DIPTHERIA

MEASLES

MUMPS

RUBELLA

POLIO

SMALLPOX

TETANUS

Sibling Rivalry

It's never too early to read to your baby

Suggested Reading
Caring For Your Baby and Young Child Birth to Age 5 By Steven P. Shelov, M.D.; Academy of Pediatrics

Kaplan Barron Pediatric Group

John B. Roth, MD Ronald Lehocky, MD David S. Katz, MD James R. Belza, MD Karen J. Abrams, MD Mark Newstadt, MD Emily K. Johnson, MD
3333 Bardstown Road Louisville, KY 40218 502-452-6337 WWW.KaplanBarron.yourmd.com