Monday, May 21, 2007

Nappies

NAPPIES:

It is best to use cotton diapers. They can be washed with a simple detergent or soap and reused. In contrast, disposable nappies are more convenient but expensive. In general, it is best to use them during an outing or occasionally at night. Your baby is at a higher risk of developing a nappy rash with disposable nappies, because they tend to trap the heat and humidity.

CARE OF BABY’S NAVEL

Shortly after birth the doctor will clamp the umbilical cord close to your baby’s navel with a plastic clip. She then cuts it, leaving a small bit of cord which will gradually dry out. The clamp is removed when the umbilical stump has dried sufficiently. This is usually in about 24 hours, but it might take more time more time for a cord that is cut long.
Care of the umbilical area usually consists of cleaning around the junction between the cord stump and the skin with alcohol to encourage drying and discourage the possibility of infection. In some hospital settings, an antibiotic ointment is used instead of alcohol. To further promote drying of the cord, the baby should not receive a tub bath until the cord has separated, and the umbilicus has healed. A cord dressing is considered to be unnecessary since exposure to the air enhances drying of the cord. No attempt should be made to dislodge the cord before it separates completely. If there is a red inflamed area around the stump or any discharge with an odour, bring it to the attention of the doctor immediately.
The cord usually become detached from the body between the fifth and the eighth day after birth, but it may not detach until the 12th or the 14th day. When the cord drops off, the umbilicus is depressed somewhat and usually free from any evidence of inflammation no further treatment is necessary, except to keep the part clean and dry.

SLEEP PATTERN

The newborn need rest and sleep, with as little handling possible. If he is well and comfortable, he usually sleeps much of the time and wakes and cries when he is hungry or uncomfortable. He may sleep as much as 20 hours! It is not the sound sleep of the adult; rather he moves a good deal, stretches, and at intervals awakens momentarily. Since he responds so readily to external stimuli and which may make him restless, his clothing and coverings are important. They should be light in weight, warm but not too warm. And free from wrinkles. His position should be changed frequently when he is awake. He can be placed on either side or his abdomen, especially when he is ready for sleep. If he is positioned on his back, someone should be present, for if the baby regurgitates, he is more likely to aspirate in this position. As he gets older and learns to roll over, he will assume the position that he likes most for sleep.

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