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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, MDEmily K. Johnson, MD

3333 Bardstown Road

Louisville, KY 40218

502-452-6337

WWW.KaplanBarron.yourmd.com

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Newborn care: Common-sense strategies for stressed-outparents - 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.

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

Accept a helping hand.

Relax your standards.

Get out of the house.

Keep your perspective.

Parenting is a challengeeven on a good day.

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JAUNDICE

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J U C

yellow color

baby liver learning to take over function of mother's placenta to clean bilirubin ( a normalbreakdown 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

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C-section

Neonatologist

Back to Sleep programSIDS

Smoking

Sibling Rivalry

Pacifier

Cord Blood Banking (1:2700)

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Umbilical cord care: Relax, it's simple!

A newborn's umbilical cord stump isn't pretty. But fear not. Simply keep it cand dry until it falls off.

By Mayo Clinic staff

You can describe most bellybuttons as little nubs or crinkly indentations not at first. Your baby's bellybutton starts out as an umbilical cord stump aban inch long. It's not pretty, but it's amazing all the same. Until the stump drout and falls off, keep it clean and dry.Why your baby has a stumpCLICK TO ENLARGEImage of umbilical cord at birth Umbilical cord at birth

Y b b ' bili l d t ill h f ll i h t

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Your baby's umbilical cord stump will change from yellowish green tobrown to black as it dries out and eventually falls offusually within twweeks after birth. In the meantime, treat the area gently.

* Keep the stump clean. Parents were once instructed to swab the stumwith rubbing alcohol after every diaper change. Researchers now say thestump 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 clotharound the stump or use the low setting on a hair dryer, being careful tohold 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 thestump. Change wet or soiled diapers quickly to prevent irritation. In warmweather, dress your baby in a diaper and T-shirt to improve air circulation

* Stick with sponge baths. Sponge baths may be most practical during healing process. When the stump falls off, you can bathe your baby in ababy tub or sink.

* Let the stump fall off on its own. Resist the temptation to pull off thestump yourself, even if it's hanging on by only a thread.

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Signs of infection

During the healing process, it's normal to see a little crust or dried blood nethe stump. Contact your baby's doctor if your baby develops a fever or if th

umbilical area:

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Cord Blood Banking

Family history of genentic diseases , such as severe anemias, immunedisorders, some cancer

If no such risk factors, then 1-in-20,000 chance of needing a stem celltransplant

Source : www.MarchofDimes.com

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AAP's recommendation

"Given the difficulty of making an accurate estimate of the need for

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

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."

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3. Because there are no scientific data at the present time to support autolog

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" shou

be discouraged.

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

National Shaken Baby Syndrome Campaign

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

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Secondhand Smoke

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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

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he Children's Hospital of Philadelphia's Vaccine Education Cen

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accines have literally transformed the landscape of medicine over the courhe 20th century.

efore 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 retarda

n 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 school

ged children.* A bacterium called Haemophilus influenzae type b (Hib) would causeeningitis in 15,000 children, leaving many with permanent brain damage.* Pertussis (whooping cough) would kill thousands of infants.

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

owever, the disappearance of many childhood diseases has led some parenuestion whether vaccines are still necessary. Further, a growing number ofarents are concerned that vaccines may actually be the cause of diseases su

s autism, hyperactivity, developmental delay, attention deficit disorder,iabetes, multiple sclerosis, and sudden infant death syndrome (SIDS) amonthers. These concerns have caused some parents to delay vaccines or withhhem altogether from their children. For more specific information on theseoncerns, visit the Vaccine Safety section of the site.

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HIB

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DIPTHERIA

MEASLES

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MEASLES

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MUMPS

RUBELLA

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RUBELLA

POLIO

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POLIO

SMALLPOX

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SMALLPOX

TETANUS

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TETANUS

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Sibling Rivalry

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It's never too early to read to your baby

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Suggested Reading

Caring For Your Baby and Young ChildBirth to Age 5

By Steven P. Shelov, M.D.; Academy of Pediatrics

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Kaplan Barron Pediatric Group

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p p

John B. Roth, MD

Ronald Lehocky, MDDavid 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