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Here are some fun activities to help an infant learn to walk. Remember, learning to walk is mostly a natural process, but here are some ways to encourage a baby in his or her new-found adventure. Use these every day household items to encourage walking:
Although you may be anticipating those first steps, at no time should a child be forced to walk. He or she will let you know when it is time. Remember that your baby will develop at his or her own pace. Simply bouncing a baby on your lap, or laying the baby on his back and allowing him to push his legs against your hands can help with balance, coordination and strengthening his legs.
While adults tend to think of walking as a way to get from A to B, toddlers view their newfound mobility quite differently. In your child's first months on their feet, they will be far more interested in exploring things around them than following mum or dad.
You should notice that your toddler will do most of his or her walking while you're sitting still. This way, they can come and go from you as they want. In fact, you may even find that when you get up and start moving yourself, you'll probably find that your toddler stops (and maybe makes signals to be carried).
Keep your stroller/push chair to hand! Just because your toddler is walking, they will tire easily and be prone to wandering. So don't ditch the buggy to early!
Fertility Problems Begin at 35
Facts show that fertility changes throughout a woman's life and doesn't suddenly decline when she turns 35. Rather, many women reach their fertile peak in their early twenties, says Dr. Shari Brasner, author of Advice From a Pregnant Obstetrician: An Inside Guide. This is an age when most women aren't even considering having children yet, says Dr. Brasner. But just because you're not thinking about children doesn't mean your biological clock isn't ticking. Knowing and understanding this from early adulthood can prevent a lot of heartbreak later on and give you realistic expectations about your chances of conceiving.
Infertility Is a Female Problem
For some reason, when a problem with fertility arises with a couple, the party responsible is often assumed to be the woman—yet this couldn't be further from the truth. According to Dr. Benjamin Rivnay, vice president of research and development at Repromedix, a specialty infertility testing lab in Woburn, Massachusetts, 40 percent of infertility problems are attributed to men. Another 40 percent is attributed to women, and about 20 percent of infertility problems can be attributed to both parties.
Good Health = Good
Although women have been conceiving babies since the beginning of time, false presumptions and myths about fertility abound. In a 15-question survey concerning basic fertility facts conducted by the American Fertility Association, only one out of 12,382 respondents answered all of the questions correctly! Just one!
What causes so many misconceptions about conception? Some are old wives' tales, others just hearsay or distorted science. They've either been around so long or they fit well enough into anecdotal experience that they aren't questioned as they should be. What it comes down to is that a lot of people have the wrong idea about humans' reproductive systems and how they work.
One of the most common myths about fertility—that being in good health means conception is more likely—is believed by many women, according to Dr. M. Singh, a reproductive endocrinologist at the William Beaumont Hospital, Royal Oak, Michigan. "They feel that as long as they take care of themselves by eating properly and exercising, that fertility will not decline," says Dr. Singh. Yet this simply is not the case. Fertility declines as we age, regardless of health—and even though not smoking extends fertility, it does not prevent a decline altogether.
We've compiled some of the most common fertility myths and paired them up with the facts to set the record straight.
Daily Sex Helps Conception
Although it may be fun, having intercourse more frequently than normal will not necessarily increase a woman's chances of conception. Evidence shows that the potency of a man's sperm may not be depleted upon frequent intercourse, says Dr. Singh, but having sex every other day at the time of ovulation (most often between days 12 and 16 of a woman's menstrual cycle) is sufficient as "sperm can survive an average of two days."
If your baby is born too early, the miracle of birth might be overshadowed by concern about your preemie's health and the possible long-term effects of prematurity. However, there's much you can do to take care of your premature baby — and yourself — as you look toward the future.
Your preemie's special challenges
A premature or preterm baby is born before 37 weeks of pregnancy have been completed. Generally, the earlier a baby is born, the higher the risk of complications.
At first, your premature baby might have little body fat and need help maintaining body heat. He or she might cry only softly and have trouble breathing. Feeding your preemie might be a challenge. Yellowing of the skin and eyes (jaundice), low blood sugar, and lack of red blood cells to carry oxygen to your baby's tissues (anemia) are possible. More-serious concerns might include infection, episodes of stopped breathing (apnea) and bleeding into the brain. Some preemies have impaired hearing or vision. Others experience developmental delays, learning disabilities, motor deficits, or behavioral, psychological or chronic health problems. Many, however, catch up and experience normal healthy development.
Taking care of your preemie
Your preemie's special needs call for special care, probably in a neonatal intensive care unit (NICU). In some cases, a premature baby needs to be transported to a hospital that can provide specialized care. The medical team caring for your baby will do everything they can to help your baby thrive. Your role as a parent is essential, too.
Find out about your preemie's condition. Uncertainty can be frightening — as can the monitors, respirators and other types of equipment in the NICU. Write down your questions and seek answers when you're ready. Read material provided by the hospital, or do your own research. The more you know, the better you'll be able to handle the situation.
Share your observations and concerns. If you notice changes in your preemie's condition, tell your baby's medical team right away.
Establish your milk supply. Breast milk contains proteins that help fight infection and promote growth. Although your preemie might not be able to feed from your breast or a bottle at first, breast milk can be given in other ways — or frozen for later use. Begin pumping as soon after birth as possible. Aim to pump at least six to eight times a day, round-the-clock. Also, ask your baby's doctor about your baby's need for supplementation — either in the form of breast milk fortifiers or preterm infant formula.
Spend time with your baby. Speak to your baby in loving tones and touch him or her often. Reading to your baby also can help you feel closer to him or her. When your baby is ready, cradle him or her in your arms. Hold your baby under your robe or shirt to allow skin-to-skin contact. Learn to feed, change and soothe your preemie. If you're concerned about interfering with intravenous tubes or monitor wiring, ask your baby's medical team for help. Consider personalizing your baby's bed with a special blanket or family pictures.
Taking care of yourself
You're concentrating on your baby now, but remember that you have special needs, too. Taking good care of yourself will help you take the best care of your preemie.
Allow plenty of time to heal. You might need more time to recover from the rigors of childbirth than you imagined. Eat a healthy diet, and get as much rest as you can. When your health care provider gives you the OK, make time for physical activity, too.
Acknowledge your emotions. Expect to feel joy, sadness, anger and frustration. You might celebrate successes one day, only to experience setbacks the next. Give yourself permission to take it one day at a time. Remember that you and your partner or spouse might react to stress and anxiety differently, but you both want what's best for your baby. Keep talking and supporting each other during this stressful time.
Take a break when you need it. If you leave the hospital before your baby, use your time at home to prepare for your baby's arrival. Your baby needs you, but it's important to balance time at the hospital with time for yourself and the rest of your family.
Be honest with your baby's siblings. If you have other children, try to answer their questions about the new baby simply. You might explain that their baby sister or brother is sick and you're worried. Reassure your children that the baby's illness isn't their fault. If your children aren't allowed to see the baby in the NICU, show them pictures.
Accept help from others. Allow friends and loved ones to care for older children, prepare food, clean the house or run errands. Let them know what would be most helpful.
Seek support. Surround yourself with understanding friends and loved ones. Talk with other NICU parents. Consider joining a local support group for parents of preemies, or check out online communities. Seek professional help if you're feeling depressed or you're struggling to cope with your new responsibilities.
Bringing baby home
When it's time to bring your baby home, you might feel relieved, excited — and anxious. After days, weeks or months in the hospital, it might be daunting to leave the on-site support of your baby's medical team behind. Keep in mind that as you spend more time with your baby, you'll better understand how to meet his or her needs and your relationship will grow stronger.
Before you leave the hospital, consider taking a course in infant CPR. Make sure you're comfortable caring for your baby, especially if you'll need to use special monitors at home or give your baby supplemental oxygen or other treatments. Ask as many questions as you need to. Nothing is silly or unimportant when it comes to caring for your baby. Schedule follow-up visits with your baby's doctor, and find out whom to call if you have questions or concerns in the meantime.
Because sitting semireclined in a car seat can increase the risk of breathing problems or a slow heartbeat, your baby might need to be monitored in his or her car seat before hospital discharge. When you have the OK to use a car seat, use it only during travel. In addition, don't place your baby in a backpack or other upright positioning devices — which might make it harder for him or her to breathe — until you talk to your baby's doctor.
To measure your premature baby's development, use his or her corrected age — your baby's age in weeks minus the number of weeks he or she was premature. For example, if your baby was born eight weeks early, at age 6 months your baby's corrected age is 4 months.
You'll always remember your baby's time in the hospital. Now cherish the opportunity to begin making memories at home.
When your baby is calmer:
In 2003, the American College of Obstetricians and Gynecologists changed its recommendation for Pap tests, also known as Pap smears; previously, the test was recommended immediately after a woman first has sexual intercourse or at age 18, whichever came first.
Now, Pap tests aren't recommended until women have been sexually active for about three years, or until they turn 21.
An early Pap test may seem harmless, but the stress of needing a Pap—often thought of as an uncomfortable and invasive procedure—may cause young women to avoid their gynecologist or refrain from asking about birth control. Young women should be able to approach their doctors and discuss these issues without the scrutiny of unnecessary tests, says Dr. Yen.
Why the reason for the change? Most cases of human papillomavirus (HPV) clear up on their own within three years; it's only the cases that stick around longer—and will be picked up by a later Pap test—that are real causes for concern because they can lead to cervical cancer.
Plan B, also known as the "morning after" pill, is not the same as RU-486, a pill that causes an abortion. In fact, if you take Plan B when you're already pregnant—that is, if a fertilized egg has attached to the wall of your uterus—it won't make a bit of difference.
In previous research, more than 30% of sexually active adolescents said that they believed emergency contraceptives induce abortion. And in Dr. Yen's study, 10 of the 34 websites studied failed to mention the difference between the two drugs.
"No one likes the word 'abortion'," says Dr. Yen, "so I think a lot of websites aren't going to state that Plan B is not, in fact, an abortive agent."
It may seem like the odds are in your favor, but there's no reason to risk it: You are just as likely to get pregnant the first time you have sex as any other. "In fact, some statistics say that 20% of people get pregnant within a month of starting sex," says Dr. Yen.
Sexually transmitted diseases or infections can't live outside the body for a long period of time—especially not on a cold, hard surface like a toilet seat. Plus, they aren't present in urine, anyway (it's usually sterile), so the chances of you catching one from whoever used the bathroom before you are slim to none, says Dr. Yen.
What you do need to worry about, however, is what may seem like benign skin-to-skin or mouth-to-mouth contact. Kissing, for example, can spread herpes (and deeper kissing can even spread oral gonorrhea and chlamydia, Dr. Yen warns), while skin rubbing together can pass infections such as genital warts, herpes, scabies, and pubic lice.
You know the best place to get information about your sexual health is from your doctor, but for whatever reason—convenience, privacy, or anxiety and urgency—you may one day find yourself searching the Internet for answers to intimate and important questions.
It's great to learn more about your body and your choices, but explore those search results with caution: A recent Stanford University study on adolescent reproductive health found that health websites are often riddled with errors, omissions, and outdated advice, and that it's not always easy to find the truth about common myths believed by many teenagers (and probably many adults as well!).
We spoke with Dr. Sophia Yen, MD, lead researcher of the study and adolescent medicine specialist at Lucile Packard Children's Hospital in Palo Alto, Calif., to get the facts behind these top sexual health misconceptions.
Should I have any vaccinations before trying for a baby?Many preventable infections can cause miscarriage or birth defects, so make sure your vaccinations are up to date. If you're not sure, a quick blood test will reveal whether you've been vaccinated against diseases such as rubella
If you need to be vaccinated with a live viral vaccine, as for rubella, you should wait one month after the vaccination before trying to conceive (NHS 2010). This is a precaution, as it's thought that your body needs time to get rid of the injected virus.
You may want to have a tetanus booster. If you're in a high risk group for hepatitis B, you may want to consider being vaccinated against that disease as well. Should I take any pre-pregnancy supplements?As soon as you decide to try for a baby, start taking a daily supplement containing 400mcg of folic acid. Taking folic acid has been found to greatly reduce the risk of neural tube defects, such as spina bifida (CKS 2007).
It's particularly important to have enough folic acid in the early weeks of pregnancy, when you may not even realise you're expecting. The early weeks are when your unborn baby's brain and nervous system are developing fast. You can buy folic acid supplements from pharmacies.
You'll need to take a higher daily dose of 5mg (CKS 2007), which is only available on prescription from your doctor, if you:
Once you are pregnant, it is recommended you take a vitamin D supplement. What about smoking, drinking or taking drugs? Can my GP help with giving up?Smoking, drinking and illegal drugs can all cause health problems for your baby, and increase the risk of miscarriage (CKS 2007, NHS 2010). So it's well worth quitting now, rather than once you know you're pregnant.
Your doctor may be able to offer you a place on a smoking cessation programme to help you stop before you conceive (CKS 2007).
Experts can't be sure about a safe level of alcohol for an unborn baby. Department of Health guidelines say that if you're planning a pregnancy you should avoid alcohol altogether (NHS 2010).
If you do decide to drink, stick to no more than one or two units, once or twice a week, and don't get drunk (CKS 2007). If you feel you need help cutting down the amount that you drink, talk to your doctor.
If you take illegal drugs, your doctor can refer you for some extra support to help you give your baby a healthy start to life (CKS 2007).
To help you keep track of all your tests and vaccinations, print off our physical readiness checklist.
It's not just your body you need to get ready. Find out which lifestyle changes are advisable too.
If you're concerned, you can ask your GP for screening tests for sexually transmitted infections, including:
You can have these tests done at your doctor's or at a genito-urinary medicine (GUM) clinic. Having treatments for STIs before you conceive can greatly increase your odds of a successful pregnancy.
If you're overweight, with a body mass index (BMI) of 30 or higher, your doctor will recommend that you try to lose weight. Losing weight may increase your chances of conceiving (NICE 2010) and will mean that you'll have a healthy start to your pregnancy.
Your doctor will also want to know about any existing health conditions you may have, such as:
It will be helpful if your doctor also knows about:
Your doctor may also ask about any terminations, miscarriages or ectopic pregnancies you've experienced. You may find it hard to go over painful memories. Try to bear in mind that knowing about what's happened in the past will help your doctor to ensure you get the best care.
From that first coo to the full play-by-play of their day at school, children's language skills usually develop in an orderly fashion. Here's an idea of what to expect when – but it's perfectly normal for a child to hit these milestones a little early or a little late.
Baby
Birth to 3 months
Makes quiet cooing sounds when pleased. These are typically a single vowel, like ahhhh.
2 to 3 months
Cries differently in different situations. As you get to know your baby, you may be able to distinguish a hunger cry from the cry he makes when he's tired, for example.
3 to 4 months
Vocalizes mostly vowels, but cooing becomes a little more sophisticated, with more varied sounds.
5 to 6 months
Practices intonation by making her voice rise and fall, often in response to baby talk and your facial expressions.
Red flag: If your child isn't making vocal sounds by the time she's 6 months old, talk with her doctor.
7 to 12 months
Begins to babble with greater diversity, making new sound combinations and intonations. Tries to imitate your speech, putting consonants and vowels together (like "bah-BAH-bah" or "dee-dee-dah"). Has pretend conversations with you, taking turns "talking."
Toddler
12 months
Has said his first word. Knows one to five words well enough to use them.
14 months
Uses inflection (for example, raises her voice at the end of a question, like, "more?") and makes hand gestures to complement her speech.
Red flag: If your child isn't saying any words by the time she's 15 months old, bring it up with her doctor.
16 months
Talks to someone much of the time as opposed to just babbling out loud. Calls you to get your attention ("Mommy!"), nods and shakes head for yes and no. Makes many common consonant sounds, like t, d, n, w, and h.
18 months
Has a vocabulary of five to 20 words, including names ("Mama"), verbs ("eat"), and adjectives ("cold"). Uses common phrases ("want doll") to make requests.
18 to 24 months
Starts putting two-word phrases together for more novel purposes ("Daddy go," "milk mess").
Preschooler
24 months
Knows 150 to 300 words. Uses short, two- or three-word sentences with lots of pauses ("Baby ... fall down!" "Me go ... school?").
2 to 3 years
Can carry on a simple conversation about something in the immediate environment. Asks simple questions frequently. Expands phrases from three- to six-word sentences and develops a vocabulary of 450 words, including lots of verbs. Uses past tense by tacking on a "d" sound to verbs ("runned") and plurals by adding an "s" sound to nouns ("mans"). Uses pronouns (I, she, we) correctly.
Red flag: If your 2- or 3-year-old echoes your questions rather than answering them, tell her doctor. This could be an early sign of a language delay.
3 to 4 years
Is able to talk and play at the same time. Knows about 800 to 1,000 words. Favorite words often include "why," "what," and "who." Can be understood most of the time. Can tell you what happened if you were out of the room.
Red flag: Your child may sound as though he's stuttering if he gets tripped up on his words in his excitement to communicate. This is perfectly normal. If it continues for more than six months, though, or if he tenses his jaw or grimaces while trying to get the words out, ask your child's doctor for a referral to a speech pathologist.
Big Kid
4 to 5 years
6 to 7 years
Can describe how two items are the same or different, retell a story or event without the help of pictures, and recount past conversations and events. Uses some irregular plural nouns ("men," "teeth").
8 years
Has mastered all speech sounds as well as the rate, pitch, and volume of speech. Uses complex and compound sentences correctly and is capable of carrying on a conversation with an adult.