Preparation for the new baby; 1

PREPARING THE NEW BABY

Pregnancy is a process of preparing with hope, excitement, and waiting anxiously for many “new” parents-to-be. You dream of a strong, healthy, intelligent baby and you think about how you will provide him with everything he needs to grow and develop. Various questions run through your mind. You may have some fears, especially if your baby is going to be a “first”; “what if something goes wrong with your pregnancy…”, “what if having a child isn’t as beautiful as you imagine…”. Rest assured, most of these worries are unfounded. Nine months of pregnancy will give you time to find answers to your questions, overcome your fears and anxieties, and prepare yourself for the reality of becoming a mother or father.

As soon as you find out that you are pregnant, you need to start some preparations. The most important thing you can do for the healthy development of your unborn baby (fetus) is to take care of your own health. Getting plenty of rest and exercising without too much strain will help you feel better and lessen the physical strains of pregnancy.

As pregnancy progresses, you’ll have to make a number of decisions, from planning the birth to preparing the nursery. Perhaps you have already made many of these decisions, or perhaps you have postponed some of these decisions until later, because your baby does not seem “real” to you yet. If you prepare yourself for the baby’s arrival, you will get used to the reality of “child” and your pregnancy will seem to progress faster.

From time to time, you will think that you are too caught up in these issues and that your whole life revolves around an unborn baby. Don’t worry, you’re not going to extremes, this increasing intensity is both very normal and healthy. It helps prepare you emotionally for the challenge of being a parent. Since you’ll be making decisions for your child for at least the next twenty years after the baby is born, it’s a good idea to start this kind of work now. In fact, the ideal time to start these is now.
Below you will find information to guide you in the most important preparations for the baby to be born.

GIVING YOUR BABY A HEALTHY START

From the moment you get pregnant, almost everything you eat or breathe during pregnancy will pass on to your baby. This process begins the moment you conceive. The period when your unborn baby (embryo) can be most damaged by external factors is the first two months of pregnancy, when major body parts such as arms, legs, hands, feet, liver, heart, genitals, eyes and brain begin to form. Smoking, alcohol, undesirable drugs, narcotic or illegal drugs and chemicals contained in some medical drugs, X-rays, many infectious diseases can adversely affect both the current and later development of your baby, and even cause serious birth defects (defects). .

Let’s take cigarettes for example; If you smoke during your pregnancy, your baby’s birth weight may drop significantly, organ development retardation, resistance to infectious diseases may be seen. Even breathing the smoke of other people’s cigarettes (passive smoking) can affect your baby. Stay away from smoking places and warn those around you not to light their cigarettes near you. If you were drinking before conception and still continue to do so, now is the time to quit. There is more to the matter; You should leave it forever, not until birth. It has been shown that children who grow up in smoking houses are more likely to experience ear infections and respiratory problems during infancy and early childhood, and are more prone to smoking when they grow up.

There is a similar concern about alcohol consumption. Excessive alcohol intake during pregnancy increases the risk of miscarriage. It can lead to a disease called Fetal Alcohol Syndrome, in which birth anomalies and below-average intelligence are seen in babies. To date, no one has been able to determine how much alcohol will harm pregnant women and how much will not cause any harm.

However, there is a fact; “The more you drink, the greater the risk to your baby’s health”.

During your pregnancy, you should abandon all medications except those that your doctor deems appropriate during your pregnancy. This includes not only prescription drugs, but also over-the-counter medicines such as aspirin, cold medicine, allergy medicine. Even vitamins can be dangerous when taken in higher than appropriate doses. (For example, excessive intake of vitamin A is known to cause birth defects). It is essential to consult your doctor before taking any medication during pregnancy.

Your intake of “caffeinated” beverages such as tea and coffee during pregnancy should also be very limited or moderate. Although normal caffeine intake has not yet proven side effects, caffeine does have effects such as alertness and restlessness in adults. This can make you feel uncomfortable and tired.
Another cause of birth defects (defects) is diseases during pregnancy. Some of the dangerous diseases that you should avoid are:

Rubella (Rubella): It can cause mental retardation, heart anomalies, cataracts and deafness. Fortunately, this disease can now be prevented by immunization. This vaccine should never be given during pregnancy.

Most adult women are immune to the disease because they had rubella as a child or were vaccinated. If you are not sure whether you are immune, contact your doctor and get a blood test. In the unlikely event that you are not immune, you should stay away from people who have had this disease, especially in the first trimester of your pregnancy. It is recommended that you get vaccinated after birth to avoid such a situation in the future.

Chickenpox: The danger to the baby increases as the birth approaches. If you haven’t had chickenpox yet, you should especially stay away from young children who have had chickenpox or have approached patients with chickenpox.

Toxoplasmosis: It is an infection that can be caused by the mouth of food contaminated with cat feces. The cause of this disease is a parasitic infection, which is more common in cats. All pets must have been vaccinated against parasites, and must have acquired the habit of not buying raw meat or contaminated food from outside. Anyone who comes into contact with an infected stool is at risk of contracting the disease.

If you have a cat, have it checked for toxoplasmosis before or as soon as possible before conception. To minimize the chance of contracting this disease to your cat, feed it commercial cat food prepared in ways that will destroy this organism. At the same time, have your cat’s stool cleaned by another non-pregnant person to minimize the risk of contamination.

Hepatitis B: Approximately one out of every 14 people in our country is a carrier of hepatitis B virus. This rate is especially high in our southeast region. If you are a carrier, this virus can be passed on to your baby during birth and therefore your baby should be immunized with both hepatitis B immunoglobulin and hepatitis B vaccine within the first 12 hours after birth. Although it does not cause any defect in the baby, it is important and necessary to prevent this disease, which greatly increases the risk of liver cancer and cirrhosis in the coming years. If you are not sure whether you are carrier or immune, contact your doctor and get a blood test.

SELECTION OF THE PEDIATRIC PHYSICIAN

All pediatricians consider themselves parents’ children; They are dedicated to their upbringing in a healthy, easy, comfortable, enjoyable and successful way. However, there will be differences in their approach to this issue. Therefore, before deciding on your child’s doctor, it is useful to consult with different candidates. In this way, you will be able to decide in a healthier way which doctor will better address your family’s preferences and needs. Do this research before your baby is born. before do it. Thus, the pediatrician of your choice can conduct the first examination of your newborn baby.

Here are some points to consider when making your selection:

Education of Pediatricians

Pediatricians usually receive a four-year pediatric specialization training after six years of medical school education in our country. During this period, the pediatrician receives and applies a wide range of diagnosis and treatment training, from the simplest pediatric diseases to the most serious ones, under supervision.

Those who are successful in the specialization final exam taken at the end of the training are given a diploma stating that they are authorized in this subject. You can see this diploma in your doctor’s office.

After specialization training, some pediatricians can do a post-specialization in one of the sub-branches. For example, neonatal diseases (neonatology) is one of these upper specialization branches. This branch deals with newborns born prematurely or sick. Pediatric Heart Diseases (pediatric cardiology) is another branch of specialization. This branch deals with the diagnosis and treatment of childhood heart diseases. Even if the opinion of another specialty is needed, it is useful to do this under the recommendation and guidance of your pediatrician.

How to Find Your Child’s Physician

Your obstetrician is the first of the resources you will consult while doing research on this subject. Obstetricians and gynecologists can get to know the pediatricians in the vicinity and recommend successful physicians among them, who are respected in the medical community. When choosing your baby’s doctor, you can benefit from the experiences of families with children around you about pediatricians.

After getting the names of a few doctors, you can call their practice in the last months of your pregnancy and request a personal interview with them. Many pediatricians are accustomed to this type of interview. If possible, parents should attend these meetings together. In this way, both parents can agree on the physician’s methods and philosophy about raising children. Feel free to ask questions about anything, do not be shy. Some seemingly insignificant questions may be the most important to you. Here are a few suggestions to help you prepare for this interview.

■ How soon after birth will your pediatrician see your baby?

Many hospitals ask for the name of your pediatrician when you go into labor. If they don’t ask, you can let them know and ask them to call. In this way, the obstetrician will have the opportunity to call your doctor as soon as possible after the birth. If you have encountered any problems during pregnancy or delivery, your baby should be examined as soon as it is born. If there is no problem, it is sufficient to make the first examination within 24 hours. Ask your pediatrician if this examination can be done with you. While watching this first examination, you will have the opportunity to get to know your newborn baby better and to find answers to your questions.

■ When will your baby’s next exam be?

Pediatricians usually want to examine newborns and talk to parents before you leave the hospital. This process allows the physician to identify emerging or potential problems; It also gives you the opportunity to ask questions before you stay alone with your baby at home. Your pediatrician will also make the next examination appointment (usually at 2-3 weeks). In the meantime, he tells how to reach him in case of any medical problem.

■ When can you call the doctor by phone?

Ask your pediatrician if there are any scheduled times to ask your questions over the phone, or what is the best time to call him. If you constantly have to talk to non-physician people, it would be useful to find out what their experience and training is. Ask your doctor what kinds of problems can be resolved over the phone and which ones require an examination.

■ Which hospital does the physician prefer?

Ask your doctor which hospital you should go to in case of serious illness or injury. If this hospital is a teaching hospital and medical students and residents work there, find out who will follow your child if he or she is hospitalized.

■ What should you do in an emergency?

Ask your pediatrician if you can call at night in an emergency, and learn what to do if you cannot find him. Ask if you can go to his practice outside of the daily examination hours, and if this is not possible, you should go to an emergency room. If the possibilities allow, it is more convenient and faster to visit the doctor in his office. It will take longer for your child to be seen by the doctor at the hospital and the paperwork to be completed. However, research and treatment possibilities are often wider in hospitals, so hospitals are better suited for serious or complex problems.

■ Who can you refer to when your doctor is not available?

If your doctor works with a certain group, meet with the doctors who will take care of your child in his absence. If your doctor works alone, he will identify the person who can take care of his place and take the necessary measures to reach him. However, consider the times when you may not be able to contact him, and try to obtain the names and addresses of other physicians or institutions that can be contacted in an emergency.
If you have shown your child to another doctor at night or on the weekend, you should call your own doctor the next morning or on Monday and let him or her know. Even if your doctor is aware of this, it is important for him to inform him about the developments. You too will experience the peace of knowing that everything is under the control of your own physician.

■ How often should your pediatrician see your baby for checkups and vaccinations?

The American Academy of Pediatrics recommends that infant checkups be performed at 1, 2, 4, 6, 9, 12, 15, 18, and 24 months, and annually thereafter.If your doctor is giving you more or less frequent appointments, find out why. .

■ What is the cost of medical care?

Your pediatrician should charge a standard rate for the hospital and office. Apart from this, if he is doing it, he charges an additional predetermined fee for the home visit and visits outside of the daily examination time. Find out if the physician administers vaccines in his office and, if so, the fees for these vaccines.

After these interviews, ask yourself if you are satisfied with your pediatrician’s philosophy, attitude, office (practice) and working style. You need to feel that you can trust him, that you can get answers to your questions, that your concerns will be approached sensitively. You should also feel comfortable with the general atmosphere in the office and the employees.

The pediatrician you choose gives the most important test with the way your baby approaches your and his problems after he is born. If you have any discomfort regarding the approach to yourself or your child, you should discuss this problem directly with your doctor. If the answer does not shed light on the issues that bother you or if there is a problem that cannot be resolved, do not hesitate to change your doctor.

CIRCUMCISION
Newborn boys have a piece of skin that covers the tip of their penis. Circumcision is an operation that takes a part of this skin and brings the tip of the penis (glans) and the mouth of the urinary tract into contact with air. This procedure is common in many countries and in many hospitals and is performed 1-2 weeks after birth. Circumcision performed by an experienced physician takes only a few minutes and the probability of a problem is very low. A small part of the physicians apply local anesthesia in order to minimize the discomfort of the baby. Make your decision on whether or not to apply local anesthesia in consultation with your physician.

ISSUES TO DISCUSS WITH YOUR PHYSICIAN

Once you’ve found a pediatrician you’re comfortable with, let them help you plan your child’s primary care and nutrition. Before the baby is born, there are some preparations that need to be completed and some decisions that need to be made.

For example, your doctor can help you with:

Should a baby be circumcised?
If your baby is a boy, you will need to decide whether or not to be circumcised. If you are not sure that your baby will be a girl, making this decision before the birth will save you from dealing with this issue while the exhaustion and excitement of the birth continues.

Circumcision has been a religious practice for thousands of years. Circumcision of boys is both a religious and social phenomenon in our country. The child is circumcised because; ”he will be a man now” or his parents and other elders will see his ‘heritage’. A small number of boys are circumcised for medical reasons.

Whether circumcision should be medically recommended or not is controversial. Recent studies have concluded that uncircumcised male babies are more likely to get urinary tract infections, so new information suggests that circumcision has some medical benefits. For now, caution should be exercised when evaluating this information. The results of future research and the determination of the importance of such urinary tract infections in terms of health may enable physicians to take a clearer stance on circumcision.

It has been known for a long time that penile cancer, which is a very rare problem, occurs almost exclusively in uncircumcised men. In addition, recent studies have shown that cervical cancer is more common in the spouses of uncircumcised men. There are findings showing a similar relationship between circumcision and sexually transmitted diseases. However, none of the research done so far has come to a definitive conclusion.

In addition to the suggested positive aspects, circumcision has certain risks such as infection and bleeding. If the baby was born prematurely (prematurely), has a disease at birth, a birth defect or a blood problem, it should definitely not be circumcised immediately. Circumcision should only be applied to healthy babies. .

The American Academy of Pediatrics does not recommend that circumcision be performed routinely in every boy, except for religious rules. However, if circumcision is to be done sooner or later, as in our case, this procedure; I believe that it is less risky and healthier to be done in the early period without the need for general anesthesia before the child rises and without the development of some fears about circumcision. This decision should be taken jointly by the parents and the pediatrician. Your doctor will discuss the risks and benefits of circumcision with you.

Should I Breastfeed or Bottle Feed?

Before your baby is born, you will want to decide whether to breastfeed or formula feed. Although not exactly equivalent, many formulas are nutritious and digestible close to breast milk. Both methods are safe and healthy for your baby. Both have different advantages. The American Academy of Pediatrics promotes breastfeeding as the ideal method of infant feeding.

The American Academy of Pediatrics promotes breastfeeding as the ideal method of infant feeding.

The visible benefits of breastfeeding are its ease and cheapness. But it also has real medical benefits. Breastfeeding provides your baby with natural antibodies to protect against certain diseases. Breastfed babies are less likely to encounter allergic problems than those fed cow’s milk-derived bottle formula.

If you cannot or do not choose to breastfeed, you may feel similar feelings when bottle-feeding a baby.

Breastfeeding mothers talk about the emotional rewards this brings. After the milk starts to come and the baby is able to take it well; There is an incredible sense of closeness and comfort between mother and baby. This bond lasts through infancy.

If you cannot or choose not to breastfeed, you may feel similar feelings when bottle feeding a baby. Shaking, stroking, cuddling, and eye contact with your baby will be an extraordinary experience for both of you, whatever the source of the milk.
Read chapter four before making up your mind on this. Thus, when making a choice about breastfeeding and bottle feeding, you will fully understand their advantages and disadvantages and be able to evaluate all options in this regard.

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