Dr David’s Tips : Common Newborn Ailments

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Dr David’s Tips for Nappy Rash, Teething & Sticky Eye

Nappy Rash

Both my babies have had nappy rash, and I see a lot of it in the general practice setting. There’s such a huge spectrum of what you might see when you open your baby’s nappy. Nappy rash can vary from just a bit of redness around the baby’s bottom, to severe, weeping, infected skin which may spread into the creases of the baby’s thighs and up towards the genitals.

Current medical guidelines do not support putting cream on your baby’s bottom daily to prevent nappy rash, but there is no harm in applying cream daily if you feel this helps. Some brands of wipes may irritate the skin, so you may want to consider using cotton wool and water or changing brands.

To treat nappy rash medical evidence is supportive of:

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5 Reasons Why We Love A Birth Ball

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Ok, so they are not exactly aesthetically pleasing and they can’t really be hidden away, but a birth ball is an absolute essential if you are pregnant and here’s why…

  1. It’s comfy: Sitting on a birth ball, especially in the later stages of pregnancy, is much more comfortable than sitting on a regular chair. This is because you have to plant your feet on the floor with your legs wide to give you stability (you’re entitled not to be ladylike – you’re growing a human), so there is room for your bump.

  2. It helps the baby’s position: Sitting on a birth ball means your knees are lower than your hips which tilts your pelvis, providing more room for your baby to get into a good position for birth.

  3. It strengthens: As a natural instinct you are going to want to move when sitting on a ball – you will bounce, you will rock from side to side, you will circle your hips, you may even do figures of eight.  All of this is excellent for supporting and strengthening the ligaments that are holding up your uterus.

  4. Pain relief: If your back is aching you can kneel on the floor and lean over the ball and gently rock from side to side which can really ease the pain.  In fact, you may find this position so comfy that you decide this is how you will spend the rest of your pregnancy!

  5. Labour support: The ball is also excellent for labour – you can’t actually sit on it as the baby is crowning (obvs) but it is a brilliant tool for the earlier stages. All the movements described above are going to encourage the baby to put more pressure on the cervix to aid dilation and keep your pelvis flexible making it easier for the baby to move through its bony cradle.  In addition, placing the ball on the floor or on your bed/sofa and leaning over it means you can rest in between contractions.

Which ball to buy? Ensure your ball is anti-burst’ or ‘double walled’ and big enough that when you sit, your pelvis is tilted forward so your knees are below your hips.  The majority of women will be comfortable with a 65” but if you are on the short side you might find a 55” suits you better and similarly, if you are very tall you will be more suited to a 75”. Check out the Natural Birth & Fitness ball from My Little Bubba and receive 15% off with the discount code AAB15.

TIP:  Get an electric pump to blow it up!  We once had a client who blew his up as you would a balloon – he didn’t feel so good afterwards!!

So, get your balls and get bouncing girls – it will be worth it!

If you are pregnant check out our Antenatal Course here. Dani also offers hypnobirthing courses which you can learn more about here.

 

Fussy Eating: Facts & Fixes


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By Stacey Zimmels, Feeding & Swallowing Specialist 

1.      Healthy children will take in the calories they need even if they are refusing some parts of meals or whole meals. You may notice them eating a heartier breakfast on some days or snacking more on other days. Knowing this enables you to relax around mealtimes and follow a plan to promote positive eating habits.

 2.      It is best to make up a balanced plate of food (protein, carb, veg, fruit) and ALWAYS put one food on the plate that you know they will eat. If the rest of the food stays untouched, that is just fine!

 3.      Many parents stop giving children foods they know they won’t eat. My advice is to continue to give them opportunities to eat a range of foods. Research shows that exposure to foods is key to acceptance, so if you give up on the green veg then your fussy eater is even less likely to eat them in the long run.

 4.      There should be no need to offer an alternative as you have ensured that there is always something your child will eat on the plate. Offering an alternative will most likely leave your child refusing and holding out for something else.

5.      And then they refuse… “Yuk I’m not eating that!” You will become a Zen Dinner Master and you will calmly say: “You do not have to eat it.” Your fussy eater will initially look at you with surprise. However as soon as you have uttered those words there is no power struggle, nothing to argue with, no winners, no losers and no battle! Mealtimes will suddenly be more relaxed for both you and your child.

6.      Does this sound familiar? “You can only have a yoghurt if you eat your broccoli”? Using a food as a reward for eating other foods teaches that the non-desired food (broccoli) is not as good as the desired food (yoghurt). This serves to reinforce your fussy eater’s lack of interest in some foods. This should be avoided at all costs.

7.      You’re going to laugh at this next fix… If your child’s meal is going to include a dessert, then present that with the rest of the food at the start of the meal (shock horror). They may eat the dessert first, but guess what? They will most likely then go on to eat a portion of the meal. And even better, there is no negotiation or debate about how many bites of carrot before they can have dessert.

8.      So who should be sitting /eating at the table with your child? “Peppa Pig!” I hear your child demand. Sadly not. Distractions are not beneficial in the long term and can create other food-related issues due to kids not observing when they are full and not gaining pleasure from the tastes and sensations of eating.  Family and friends? Yes, you got it! Eating together and seeing others eat will most likely give your child confidence to try new things.

Stacey is a Feeding and Swallowing Specialist Speech & Language Therapist. She has almost 20 years of experience supporting infants and children with feeding difficulties. From bottle refusing to fussy eating, breastfeeding difficulties to reflux and allergy related feeding issues, Stacey has a wealth of knowledge and experience. She currently divides her time between working in the NHS, running her private practice and being mum to two small children. For more information about what support Stacey can offer, and for her contact details go to www.feedeatspeak.co.uk

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How to develop the best routine for YOUR baby.

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Sadly, babies aren’t born with user manuals – how simple life would be if they were! Many parents (myself included) struggle with the unpredictability of babies and aim to set up a routine and structure to their day. For many babies this can be a really positive change. Babies often thrive on routine and parents can find that once a routine is established, their babies nap better, settle better and improve their night-time sleeping. Continue reading

The Myth of “Normal” Baby Sleep Patterns

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On meeting a new baby for the first time, one of the most common questions asked to new parents is: “Are they good? Do they sleep?” My response to this question would be: “Yes, of course she is good, she’s a baby.” And: “No, of course she doesn’t sleep, she’s a baby!”

Sadly, I fear that the frequency of these questions has caused parents today to equate good parenting with babies who sleep. As a sleep consultant I am constantly faced with parents feeling insecure about their abilities. Statements such as: “I know I have broken her” and “I know it’s my fault he doesn’t sleep well” make me really sad.

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Wind-Down Time : The Key To Successful Naps

renderedWe all know that feeling – when you come home from a night out or a work event and you are really shattered but your brain just won’t switch off. Most of us would find it impossible to go straight to bed and sleep. We need to unwind first, to calm our active brains. Our babies need this time too.

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