Baby’s first Christmas
Your baby’s first Christmas is a magical time for them and for you. It’s a time when you can re-live some of the wonderful traditions that you grew up with at this time of year and maybe even introduce some new ones. Of course your little one will probably be too young to appreciate it all, but will undoubtedly enjoy the lights and sparkling decorations, the extra attention of family and friends, and of course the presents (or more specifically what they’re wrapped up in!).
With everything that’s going on it might be quite hard but do try and keep your baby’s routine as close to normal at this time. Babies prefer it this way and they (and you) will stay calmer and happier as a result. There’s no need to splash out on extravagant presents when they’re tiny (and as a mother of 3 teenagers I can assure you their requests will get more costly as they get older so hold onto your money while you can!). And remember to take lots of photos of these special times.
Continue with your normal mealtime routine, but why not offer them a Christmas Day menu? For breakfast, try HiPP Apple & Cranberry Breakfast (either on its own or added to baby’s normal cereal); a Christmas lunch from HiPP's selection of festive recipes, followed by a fruity HiPP dessert; and of course whatever your baby fancies in the evening.
We all hope that you and your baby have a fabulous Christmas!
Helen and the HiPP team.
It was reported in the news this week that pregnant women who ask for a caesarean delivery should be allowed to have one. You can read the full story on the BBC website.
A vaginal birth is generally safer than a caesarean birth. However, a caesarean section may be needed to save the life of a mum or baby. In these cases, caesarean birth is without question the safest option.
But there are also times when the decision is not so obvious and it will be up to you and your doctor to weigh up the risks and benefits of having a caesarean to decide what's best for you. Although a caesarean is a common procedure, it involves major surgery in your abdominal and pelvic area, and all operations carry risks.
Disadvantages of a caesarean:
- Pain. The main disadvantage is pain after the caesarean. This may last for a few weeks or more after the operation. You will be given medication to help cope with the pain but it will affect your daily activities.
- Infection. Before the operation, you will be offered a single dose of antibiotics, but about 8% of women still go on to get an infection.
- Blood clot. Any surgery carries a risk of developing a blood clot. This can be serious, or even life-threatening, depending on where the clot develops. You will be given blood-thinning drugs and support stockings to improve the blood flow in your legs after the caesarean. You'll also be encouraged to get up and move around as soon as possible afterwards. This helps your circulation and reduce your risk of developing a clot.
- Adhesions. These are bands of scar tissue which form as you heal and can make organs in your abdomen stick to each other or to the inside of your abdominal wall. About half of women who have had a caesarean get adhesions, and this can increase with more caesareans. Adhesions can be painful because they limit the movement of your internal organs.
- Infertility. Occasionally, adhesions can lead to problems with fertility, as they can press on or block fallopian tubes. Sometimes women experience unexplained infertility after a caesarean.
- Anaesthetic. Most caesareans are done with an epidural or spinal, which numbs you from the abdominal area down. An epidural or spinal is safer for you and your baby than a general anaesthetic. However, having any anaesthetic involves a small risk. With epidurals and spinals a few women can have; a severe headache (affects about 1% of women); nerve damage. This rarely happens and, if it does, it usually only lasts for a few days or weeks although very rarely it’s permanent.
- Injury to the bladder, to the tubes connecting the kidneys to the bladder (ureters) or to the bowel.
- Very occasionally, if there are major complications, to protect a woman's health, doctors may have to perform an operation to remove the uterus (hysterectomy).
- A blood transfusion. If you've had a serious complication during the caesarean, you may need a blood transfusion. Some of the rarer complications of a caesarean can be life-threatening. However, the risk of a caesarean proving fatal is extremely small, only one in 12,000.
- Breathing difficulties for the baby. About 35 in every 1,000 babies have breathing problems after a caesarean compared with five in 1,000 babies born vaginally. Breathing problems are more common for premature babies born by caesarean or babies born by a caesarean before labour started.
- About 2% of babies get a nick or cut from the doctor's scalpel.
- Although early postnatal depression is more common in women who've had a caesarean than women who've had a vaginal birth, by two months, the rates are about the same.
- Women who've had a caesarean are less likely to start breastfeeding than women who've had a vaginal birth. However, once you've started, your chances of success are the same as for a woman who's given birth vaginally.
- It can affect future pregnancies. Once you've had one caesarean, you're much more likely to have another caesarean in future pregnancies. Having had a caesarean slightly increases your risk of having a low-lying-placenta (placenta praevia) in future pregnancies. There is a very small risk of the scar on your uterus opening up again in future pregnancies or births. This is called a uterine rupture but is rare and affects 0.5-1% of women in future pregnancies.
Advantage of a caesarean:
- If it’s planned, you will know when your baby will be born.
- Although you'll have a very sore tummy, you won't have some of the discomforts that can result from a vaginal birth, such as pain and bruising and tears and stitches around your vagina.
- Caesarean birth may help protect against the slight risk of urine leaks and in later years, vaginal prolapse. However, other factors such as the number of births, having big babies, having assisted deliveries and obesity also contribute to these conditions. Pregnancy itself is also a risk factor for these conditions as it can weaken your pelvic floor, so you still need to do your pelvic floor exercises!
If you have any questions about either a caesarean or a vaginal birth, don't be afraid to ask your midwife and talk through all of the options with her.
Best wishes - Amber
Importance of good dental hygiene for babies and young children
Babies are born with a preference for sweet-tasting foods and a baby’s sole source of nutrition for the first few months of life, breastmilk or infant formula, tastes sweet (with the sweetness coming from the carbohydrate lactose). But once weaning onto solids starts, whether your baby’s teeth have started to appear yet or not, it is important to limit the amount and frequency of sugars in their diet. Controlling sugars intake will help to ensure a baby eats a more balanced diet and does not put on too much weight, and will help reduce the risk of dental caries (decay). You can’t remove sugars from a baby’s diet completely and actually sugars can be a really useful source of energy in babies, especially with their small stomachs and high energy requirements. But it’s all about getting the balance right, introducing them to lots of different tastes, avoiding high-sugar foods and drinks, and giving sugar-containing foods and drinks at the right times.
Foods containing sugars should be eaten at mealtimes and should be avoided between meals to keep the risk of dental caries to a minimum. Milk and water remain the preferred drinks for babies and toddlers, but you can give diluted fruit juice as well occasionally at mealtimes. An advantage of fruit juices with vitamin C is that they help the body to absorb vitally necessary iron, but as they contain naturally occurring sugars they should be used sensibly. Try to introduce your baby to a feeding cup or beaker instead of a feeding bottle as early as possible to avoid prolonged contact of sugars with growing teeth.
Cleaning your baby’s teeth needs to become part of their daily routine as soon as teeth start erupting. Use a pea-sized amount of children’s fluoride toothpaste on a soft toothbrush or cloth, cleaning using small circular movements, front and back, in the morning and last thing before bed. Get your toddler used to going to the dentist too - start them off by coming with you for your check-up so that they can get used to the environment – dentists try hard to make children feel comfortable and will often give out stickers too!
For more information on diet and dental health have a look at the following links:-
Bye for now.
How big a problem is being obese or overweight for children?
Not a week goes by without hearing something in the news about the rising problem of obesity in this country. It’s something we should all be concerned about, especially when you hear how many children are affected. Around one third of all children in the UK are currently above a healthy weight and this number is increasing year on year. It’s estimated that by 2050, two thirds of children will be obese or overweight.
There are of course some serious consequences of being obese, including an increased risk of coronary heart disease, strokes, diabetes and other health problems. Most parents are understandably keen to ensure that the eating patterns their children develop are healthy ones and I’m often asked by parents if the amounts of foods their babies are eating are normal or whether they are eating too much and at risk of becoming overweight. As I said in my last blog, making sure your baby is active is important too.
Starting weaning at the correct time and not too early (recommended weaning age is 6 months, although some babies may need weaning earlier, although not before 4 months) is key to reducing obesity risk. Once weaning has started, you should encourage your baby to eat a varied, balanced diet; unhealthy eating can ‘programme’ young children’s tastes for the rest of their lives. Weaning babies on pureed junk food, chocolate bars, crisps and fizzy sugary drinks just isn’t an option!
For more information on a good diet to feed your baby, have a look at these links:
Your health visitor will advise you on how often you should get your baby weighed to check they are gaining weight at the correct rate, and if you have any concerns you should have a chat with them.
Goodbye for now.
The importance of a healthy lifestyle for our children
The last few weeks have seen a huge amount of media coverage on the impact of diet and activity levels on the long-term health of our children. This follows the publication of two Government reports looking at these important areas.
The Department of Health commissioned SACN (Scientific Advisory Committee on Nutrition) to review the influence of maternal, fetal and child nutrition on the development of chronic disease (e.g. obesity, heart disease, diabetes) in later life.
They have also issued guidance on the level of activity we should all, including children, should undertake.
These reports highlight how important it is for us parents to encourage our children to take regular and sufficient physical activity and adopt a healthy lifestyle. Of course, we’re often hearing about how a good, well-balanced diet with sufficient, but not too much, energy is vital for good health at all stages of life, but this is the first time we’re being told how much exercise our young children should actually be doing.
In the UK, pre-school children have been shown to spend on average 2-2.5 hours a day being active, but the new recommendation is that they should do at least 3 hours per day, once they can walk unaided. This could be any form of activity, ranging from riding a bike, running, climbing, jumping, skipping, walking to swimming. Even before they can walk unaided, you should encourage your baby to take part in floor-based play such as rolling, reaching for and grasping things, pulling and pushing objects, and water-based activities. The report also discourages all of us from keeping our under 5s restrained in buggies, car seats or baby bouncers, or leaving them sitting in front of TV or computer screens, for extended periods.
Are your children active enough, what is their favourite activity, do you have any issues with this new recommendation, is this advice practical for you and your family? We’d love to hear from you.
Off for a run now!