What can I do to enhance my child’s knowledge before entering kindergarten?

What can I do to enhance my child’s knowledge before entering kindergarten?

[mme_highlight] Poor school readiness predicts increased likelihood of low levels of academic achievement, high levels of retention in grade, special education and ultimately school dropout. Parents can use a wide variety of strategies since early childhood to enhance their child’s knowledge before entering kindergarten, using cultural activities, mathematics exercises and conversations about everyday’s life. [mme_highlight]

Poor school readiness predicts increased likelihood for low levels of academic achievement, high levels of retention in grade, special education and ultimately school dropout. In turn, this raises the risk for unemployment, teen pregnancy, juvenile delinquency, social dependency, and poor parenting practices.
Studies have shown evidence that early childhood learning interventions have positive results throughout life. Parents are one of the foundations to these, and there are many simple interventions they can put into practice to enhance their child’s knowledge even before entering kindergarten.

What have early childhood interventions proven?

The Chicago’s Child-Parent Center (CPC) Preschool Program, which targeted low-income minority children, offered half-day preschool for one to two years, full or part-day kindergarten, as well as a parent educa­tion component.  Results shown in the table below refer to participants when they turned 21 years, having had 1 to 2 years of CPC.
Another important study was the Abecedarian Preschool program, which also targeted low-income children with intensive daycare or center intervention according to age, this program integrated activities that addressed social, emotional, and educational development. The results below refer to participants of the Abecedarian Preschool program when they turned 21, having participated in the program for 5 years.

[mme_databox]

Results from the Chicago’s Child-Parent Center Program

Intervention group vs control group (no participation in the program)

 Intervention groupControl Group
School Dropout46.7%49.7%
Number of years of completed education10.6 10.2
Rates of juvenile arrest16.9%25.1%
Rates of high school completion49.7%38.5%

[/mme_databox]

[mme_databox]

Results from the Abecedarian preschool program

Intervention group vs control group (no participation in the program)

 Intervention groupControl Group
Increase in IQ4.44.2
Number of years of completed education12.2 11.6
Rates of 4 year college/university enrollment36%14%
Rates of teenaged parenthood26%45%

[/mme_databox]

Practical tips to enhance your child’s general knowledge before entering kindergarten

Cultural domain

  • Each weekend see what’s on in your city concerning cultural activity. Take your child to the theatre, to a ballet or music performance or to an art exhibiton. Talk to her/him about what you are seeing; have no fear of giving too much information. In addition, spare time at afternoon to take her/him to the park and talk about the plants, the animals and the people.
  • Example: listen to the “Four Seasons” and talk to your child about it, for instance: “This music was done by a man called Vivaldi. This music makes me think of the Winter…listen, it seems like the wind and the rain drops…”
  • Example 2: See that ballerina? She is moving like a swan, look at her arms like wings! She uses special shoes to be on top of her fingers. It hurts a lot, but she does it to move like a feather on the stage.”

Linguistic domain

  • Read, read and read with your child! And reread known stories. This one of the most robust evidence as an extremely beneficial early learning experience.
  • Talk about everything you see and do together while at home or on the road. “Look at that shop. They sell sockets. We use sockets to warm our feet. These yellow sockets are bigger than the pink ones.”
  • Sing songs with your child.
  • Give your child complex commands: “take off your gloves and put them on the top of the dinner table.”
  • Use open-ended questions: “What do you think about…?”
  • Incentive your child to put objects into categories, organizing them by function, color or size.

Mathematics domain

  • Teach your child to count to 100.
  • Ask your child to identify shapes: circles, triangles, squares.
  • Ask your child to make comparisons: more than, less than, same as.

Summary and Recommendations

  • School readiness influences the academic success and general well-being of a child throughout life.
  • Early intervention programs have consistently shown that intensive and early learning experiences have a considerable impact on parameters like number of years of completed education, criminal behavior and teenaged parenthood.
  • Parents can use a wide variety of strategies from early childhood to enhance their child’s knowledge before entering kindergarten, using cultural activities, mathematics exercises and conversations about everyday’s life.
  • Reading to and with children is one of the cornerstones for future academic success.

[mme_references]
References

  • www.childrenslearninginstitute.org/library/publications/documents/Effective-Early_Childhood-Programs.pdf (accessed 4.11.2013)
  • Reynolds, A. J.; Temple, J. A.; Robetson, D. L.; and Mann, E. A. “Age 21 Cost-Benefit Analysis of the Title Chicago Child–Parent Centers.” Educational Evaluation and Policy Analysis 24 (2002): 267-303.
  • Reynolds AJTemple JA, Robertson DL et al. Long-term effects of an early childhood intervention on educational achievement and juvenile arrest: A 15-year follow-up of low-income children in public schools. JAMA. 2001 May 9;285(18):2339-46.

[/mme_references]

Best toys for 24 to 36 months-old children

What are the right toys for 24 to 36 months-old children?

[mme_highlight] Especially between 30 and 36 months, children show interest in playing with other children and engage in game and pretend play with others. Good toys choices for this age group are: push and pull toys, ride-on toys, balls, construction toys, puzzles, magnetic boards, counting boards, chalk boards, picture dominoes, sandbox tools, dolls, music instruments, drawing materials, large trucks and books.  [/mme_highlight]

Play is essential for children, contributing to the cognitive, physical, social development as well as for their emotional and general well-being. The importance of playing for an optimal development children is reflected in the recognition by the United Nations High Commission for Human Rights of playing as a right of every child.

Parents and Educators aware and promoting the right of children to play, want to choose the right toys for every age, which can be a challenge. Knowing the main developmental milestones and features of each age may be a great help to choose the most appropriate toys. Thus, when choosing a toy, always ensure it meets the general characteristics of a good toy: safety, durability and suitability for the age group. Beware of toys containing small parts because of its inherent chocking risk.

What are the main developmental milestones between 24 and 36 months?

Between 24 and 36 months, your child explores the world around in all possible ways: running, jumping, climbing, hanging by arms, galloping. They can throw and retrieve objects. Between 30 and 36 months they improve a lot their hands-feet coordination. Children in this age group show interest in object features like color, shape, size and texture. They also begin to develop counting skills.

You will notice their creativity in constructions and drawings. Pretend play and fantasy play are prominent features of this period and children make toys carry out actions on other toys. Especially between 30 and 36 months, children show interest in playing with other children and engage in game and pretend play with others.

They use language to express likes and wishes too. Your 2 to 3-year-old child loves to be read stories from picture books. A desire for independence is noticeable and children show pride in their accomplishments.

What kind of toys to prefer between 24 and 36 months?

Generally, prefer toys that meet your kids’ interests at this age: cooperative and social play, pretend play, action toys (with movement or sounds resulting from child’s action). Children like realistic toys and they pay attention to toys’ qualities. Choose light toys, more easy to carry, and those in bright colors.

What toys to buy between 24 and 36 months?

Buying toys for kids can be as exciting as challenging for parents and family members. In fact, these toys not only should be suitable for their kids’ age group, but they also should present specific characteristics that may help their children’s development.

  • Push and Pull Toys
  • Wagons, doll carriages, vacuum cleaner, shopping cart

  • Ride-on Toys

Find those with realistic looks, like tractors and motorcycles. Small tricycles can be offered from 30- 36 months.

  • Gym equipment (only with adult supervision)
  • Tunnels, climbing structures and swings

  • Balls (diameter larger than 44 mm)
  • Construction Toys
  • Plastic bricks, wooden blocks.

  • Puzzles
  • 4 to 5 pieces for children aged 24 to 30 months
    6 to 12 pieces for children aged 30 to 36 months

  • Magnetic Boards, Counting Boards, Chalk boards
  • Shape Sorters
  • Simple lotto matching pieces
  • Bathtub activities
  • Sandbox tools
  • Soft-bodied and rubber dolls

Children prefer those with a realistic look, talking, with accessories and garments

  • Small hand puppets
  • Music Instruments
  • Rhythm (bell, drums, triangle)
    Horns and whistles (from the age of 30 months)

  • Drawing materials (crayons, sturdy markers, blunt end scissors)
  • Play scenes: farm, airport, garage, castle.
  • Large trucks, cars
  • Books

What toys should be avoided between 24 and 36 months?

Try to avoid projectile toys and toys with small parts which have choking risk.

Are there sex differences concerning toys preferences among 3 year olds?

Studies have demonstrated these differences may be noticeable since young childhood. A cross-sectional study by Serven A et al. investigated toy-choice in 1 to 5-year-old children between 10 different toys (four feminine, four masculine, and two neutral) during a structured play-session, in which children played alone for 7 minutes and then with parent for another 7 minutes.

As indicated in the box below, girls and boys differed significantly in what toy they chose (p<0.01). The ball was still the most popular toy among all children. However, girls chose the doll more often than the boys did, and the boys chose the car more often compared to girls.

[mme_databox]

Proportions for toy choices among 3-year-olds by gender

 BallDollCar
Girls50%39%11%
Boys63%0% 38%

[/mme_databox]

During the play session, girls preferred Barbie and Ken dolls, as well as the beauty set, while boys played more with the bus, construction toys and the garage, as shown in the box below.

[mme_databox]

Analysis of variance for toy choices among 3-year-olds by gender

  • 3-year-old girls played significantly more than the boys with:
  • The Barbie and Ken dolls (t=64, p<0.01 – statistically significant)
    With the beauty set (t=23, p<0.001- statistically significant)

  • 3-year-old boys played significantly more than the girls with:
  • The bus (t=2.16, p<05 – statistically significant)
    The construction toy (t=2.46, p<01 – statistically significant)
    The garage (t=2.75, p<0.01 – statistically significant)

[/mme_databox]

Summary and Recommendations

  • When choosing a toy, always ensure it meets the general characteristics of a good toy: safety, durability and suitability for the age group.
  • 24 to 36-months-old children love to run, jump, climb, hang by arms and gallop. They like pretend play a lot and start showing interest in playing with other children.
  • Prefer toys that promote cooperative and social play, pretend play and action toys with special features.
  • Good toys choices for this age group are: push and pull toys, ride-on toys, balls, construction toys, puzzles, magnetic boards, counting boards, chalk boards, picture dominoes, sandbox tools, dolls, music instruments, drawing materials, large trucks and books.
  • Studies have suggested that sex differences regarding toys preferences can be noticed early in childhood and among 2 to 3-year-olds they are prominent: in a study, girls chose the doll more often than the boys did, and the boys chose the car more often compared to girls.

[mme_references]
References

  • Office of the United Nations High Commissioner for Human Rights. Convention on the Rights of the Child. General Assembly Resolution 44/25 of 20 November 1989.
  • U.S. Consumer Product Safety Commission. Goodson B, Bronson . Which Toy for Which Child: A Consumer’s Guide for Selecting Suitable Toys.
  • Servin ABohlin GBerlin L. Sex differences in 1-, 3-, and 5-year-olds’ toy-choice in a structured play-session. Scand J Psychol. 1999 Mar;40(1):43-8.

[/mme_references]

Best toys for 12 to 24 months-old children

What are the right toys for 12 to 24 months-old children?

[mme_highlight] When choosing toys for children between 12 and 24 months of age, parents and family members should take into account the preferences and exploratory character of children at these ages. Good toys choices in this age group are: action figures, floating toys for bath, musical instruments, dolls and role play materials.  [/mme_highlight]

Play is essential for children, contributing to the cognitive, physical, social development as well as for their emotional and general well-being. The importance of playing for an optimal development children is reflected in the recognition by the United Nations High Commission for Human Rights of playing as a right of every child.
Parents and Educators aware and promoting the right of children to play, want to choose the right toys for every age, which can be a challenge. Knowing the main developmental milestones and features of each age may be a great help to choose the most appropriate toys. Thus, when choosing a toy, always ensure it meets the general characteristics of a good toy: safety, durability and suitability for the age group. Beware of toys containing small parts because of its inherent chocking risk.

What are the main developmental milestones between 12 and 24 months?

Between 12 and 24 months major milestones in children development take place. Your child likes to explore the world around in all possible ways: walking, climbing, running. Near completing 24 months, children can kick and catch the ball. You will also notice she/he likes to play with action toys and puzzles.
In this period children are capable of matching similar objects and identify objects by pointing at them. Playing with water and sand makes for a great funny time for your 1 to 2-year-old child. Children at this age also scribble spontaneously and imitate adult’s tasks and housekeeping activities. Another interesting characteristic is that children at this time prefer to play with an adult rather than with another child. They also love to read and learn songs and nursery rhymes.

What kind of toys to prefer between 12 and 24 months?

When choosing toys for children between 12 and 24 months of age, parents and family members should take into account the preferences and exploratory character of children at these ages. They love action toys, especially those which make movements or sounds as a result of child’s action. Between 1 and 2 years of age, children present imitative behavior.
Movement skills develop fast, both at a gross level – by running and climbing – as well as at a fine motor level – they love making constructions.

What toys to buy between 12 and 24 months?

It is exciting for the family members to buy the toys for children, but it can be a bit of a challenge too as the toys not only should be suitable for their kids’ age group, but they also should present specific characteristics that may help their children’s development.

  • Action figures
  • Prefer those which are light and have bright colors and a realistic appearance. Children love figures with special noises and action effects.

  • Doll carriages
  • From 18 months on.

  • Small Rocking Horses
  • Prefer those with stout handles and confirm adequate height.

  • Ride on toys
  • Prefer those with four or more wheels which need to be pulled with feet; avoid pedals. Children love ride-on toys with storage bins and that look like animals.

  • Gym Equipment
  • Choose soft platforms and tunnels for crawling. All this kind of equipment needs adult supervision.

  • Swings
  • The appropriate swings must have curved seats, a restraining strap and should be made of energy absorbing material.

  • Construction Toys
  • Before 18 months the interlocking mechanism may be difficult for children. After 18 months, provide 20 to 40 solid wooden blocks. The ideal blocks’ size is between 50 and 100 mm.

  • Puzzles
  • Start with 2 to 3 pieces puzzles and then, from around 18 months, you can offer 5 piece puzzles.

  • Pop-up toys (mechanism operated by pushing)
  • Shape sorters
  • Activity boxes (eg., with a dial and key to turn)
  • Simple number/counting boards (1 to 5, with large pegs)
  • Balls (diameter larger than 44 mm)
  • Floating toys for bath
  • Musical Instruments
  • Instruments operated by shacking
    From 18 months, xylophones, drums, cymbals.

  • Crayons and large paper
  • Dolls(soft-bodied or all-rubber dolls)
  • Simple doll clothes and large accessories
  • Puppets

Operated by an adult and, from 18 months, small hand puppets for child’s hand.

  • Role Play materials
  • Telephone, mirror, household equipment, carriage for dolls.

  • Books
  • What toys should be avoided between 12 and 24 months?

    Projectile toys and games are not suitable for this age group.

    Are there sex differences concerning toy preferences between 12 and 24 months?

    Studies have came to the conclusion that sex differences regarding toys preferences can start to be noticeable before 9 months. Jadva V et al. studied toy preferences in toys, in infants at ages 12, 18, and 24 months.

    As shown in the box below, girls showed a significant preference for the doll over the car at 12 and 18 months, with the same tendency at 24 months.

    The time spent looking at individual toys was analyzed; note that for this experiment, the toys shown to children were colorless, in order to avoid confusion inserted by color.

    [mme_databox]

    Mean proportion of looking time for individual colorless toy by sex and age

     GirlsBoys
    12 months18 months24 months12 months18 months24 months
    Doll57.3%50.4%50.7%58.8%44.5%45.5%
    Car42.7%49.6%49.3%41.2%55.5%54.5%

    [/mme_databox]

    As shown in the box below, girls showed a significant preference for the doll over the car at 12 and 18 months, with the same tendency at 24 months. Nevertheless, boys also showed a significant preference for the doll over the car at 12months. However, this tendency inverted at 18 and 24months.

    [mme_databox]

    Mean proportion of composite scores regarding toy preferences by sex and age

     GirlsBoys
    12 months18 months24 months12 months18 months24 months
    Doll57.3%50.4%50.7%58.8%44.5%45.5%
    Car42.7%49.6%49.3%41.2%55.5%54.5%

    [/mme_databox]

    Summary and Recommendations

    • When choosing a toy, always ensure it meets the general characteristics of a good toy: safety, durability and suitability for the age group.
    • Between 12 and 24 months, babies love to explore the world around, match objects, scribble and play with water and sand, so choose toys that appeal to these activities.
    • Prefer toys with movement and sound resulting from child’s action as well as well as toys that demand construction or allow children to imitate adults.
    • Good toys choices in this age group are: action figures, floating toys for bath, musical instruments, dolls and role play materials.
    • Studies have suggested that sex differences regarding toys preferences are present since early childhood – in experiments, girls seem to prefer dolls and boys prefer trucks.

    [mme_references]
    References

    • Office of the United Nations High Commissioner for Human Rights. Convention on the Rights of the Child. General Assembly Resolution 44/25 of 20 November 1989.
    • U.S. Consumer Product Safety Commission. Goodson B, Bronson . Which Toy for Which Child: A Consumer’s Guide for Selecting Suitable Toys.
    • Jadva V, Hines M, Golombok S. Infants’ preferences for toys, colors, and shapes: sex differences and similarities. Arch Sex Behav. 2010 Dec;39(6):1261-73.

    [/mme_references]

    Best toys for 6 to 12 months-old infants

    Best toys for 6 to 12 months-old infants?

    [mme_highlight] Good toys choices for this age group are: Cars to push and pull, Soft / Rubber Blocks, Teethers, Keys on Ring, Rattles, Puzzles, Balls, Floating toys for bath, Soft Dolls, Soft Hand Puppets, Music Box Animals, cardboard and plastic books. Infants in this age group love to insert, drop, shake, squeeze, fitting one object into other, push balls and cars. [mme_highlight]

    Play is essential for children, contributing to the cognitive, physical, social development as well as for their emotional and general well-being. The importance of playing for an optimal development children is reflected in the recognition by the United Nations High Commission for Human Rights of playing as a right of every child.
    Parents and Educators aware and promoting the right of children to play, want to choose the right toys for every age, which can be a challenge. Knowing the main developmental milestones and features of each age may be a great help to choose the most appropriate toys. Thus, when choosing a toy, always ensure it meets the general characteristics of a good toy: safety, durability and suitability for the age group. Beware of toys containing small parts because of its inherent chocking risk.

    What are the main developmental milestones between 6 and 12 months?

    Between 6 and 12 months, infants start sitting alone and dominate crawling and cruising. Some start walking in this period.  They develop as well the pincer grasp and can hold objects with one hand while manipulating them with the other hand. A prominent milestone at a cognitive level is the notion of object permanence, hence they like see things appearing and disappearing. 
    Children at this age love to explore the world around them and they like activities as bath play, pushing and pulling, opening and shutting. They start being interested in picture books as well. Parents and caretakers will notice children in this period develop stranger anxiety but also interest in social games. They love peek-a-boo and wave bye-bye. Language development is fast at this phase: infants babble and imitate sounds; they recognize their own name and are capable of pointing to named objects. Children can follow simple commands.

    What kind of toys to prefer between 6 and 12 months?

    Infants in this age group love to insert, drop, shake, squeeze, putting in and out and fitting one object into other. They also like a lot to push balls and cars and to operate simple machines. When choosing a toy, take these preferences into account.

    Which toys to buy between 6 and 12 months?

    It is exciting for parents and family members to buy toys for infants. However, it can be sometimes a bit of a challenge as the toys not only should be suitable for their infants’ age group, but they also should present specific characteristics that may help their children’s development.

    • Cars to push and pull
    • Soft / Rubber Blocks
    • Teethers
    • Keys on Ring
    • Rattles
    • Puzzles
    • Only if they have large robust pieces

    • Balls
    • Balls should be larger than 44 mm in diameter.

    • Floating toys for bath
    • Soft Dolls
    • Soft Hand Puppets
    • Music Box Animals, CDs
    • Books
    • prefer cardboard books or plastic books which can also be present in the bath

    What toys should be avoided between birth and 6 months?

    Try to avoid ride on toys and projectiles.

    Which colors and shapes do infants prefer?

    Jadva V et al. studied color and shape preferences in toys, in infants at ages 12, 18, and 24 months. Stimuli presented to children in the study and used to examine shape preferences were: angular triangle, squares, angular star vs. rounded triangle, circles and rounded star. As for studying color preferences, four pairs of stimuli were used.
    The time spent by children looking at the different color and shape stimuli was analyzed, and statistical results (p<0.01) were found regardless of age and sex.

    As shown in the box below, concerning the red/pale blue pairing, 12-month-olds looked significantly longer at red compared to 24-month-olds, suggesting a significant main effect of age in toys color preferences. For the four color stimuli combined, infants looked longer at pink/red than blue/pale blue, as presented in the table below.

    [mme_databox]

    Mean proportion of time spent looking at color stimuli by infants

    ColorProportion of time spent looking at color
    Red55.9%
    Blue44.41%
    Pink44.41%
    pale Blue47.9%

    (Statistically significant results (p<0.01) are shown in bold.)
    [/mme_databox]

    The same study revealed also that infants may prefer round shapes over angular ones.

    [mme_databox]

    Mean proportion of time spent looking at shape stimuli by infants

    ShapeProportion of time spent looking at color
    Circles59.63%
    Squares40.38%
    Rounded star50.84%
    Angular star49.15%
    Rounded triangle57.44%
    Triangle42.57%

    (Statistically significant results (p<0.01) are shown in bold.)
    [/mme_databox]

    [mme_databox]

    Color and Shape preferences for toys in infants

    • Red/pale blue pairing: 12-month-olds looking significantly longer at red compared to 24-month-olds
    • (f=94, p<0.01)

    • Four color stimuli combined: infants looked longer at pink/red than blue/pale
    • blue
      (f=5.67, p<0.01)

    • Four Shapes combined: infants looked longer at rounded than angular images
    • (f =14, p<0.001)

    (Values of f and p result from the analysis of variance – statistical test)
    [/mme_databox]

    Summary and Recommendations

    • When choosing a toy, always ensure it meets the general characteristics of a good toy: safety, durability and suitability for the age group.
    • Between 6 and 12 months,
    • When buying a toy for your infant remember that at this age she/he to insert, drop, shake, squeeze, putting in and out , fitting one object into other, push balls and cars and to operate simple machines.
    • Good toys choices for this age group are: Cars to push and pull, Soft / Rubber Blocks, Teethers, Keys on Ring, Rattles, Puzzles, Balls, Floating toys for bath, Soft Dolls, Soft Hand Puppets, Music Box Animals, cardboard and plastic books.
    • Some studies shown that apparently there is a main effect of age in toys color and shape preferences: infants show a preference for red and rounded shaped toys.

    [mme_references]
    References

    • Office of the United Nations High Commissioner for Human Rights. Convention on the Rights of the Child. General Assembly Resolution 44/25 of 20 November 1989.
    • U.S. Consumer Product Safety Commission. Goodson B, Bronson . Which Toy for Which Child: A Consumer’s Guide for Selecting Suitable Toys.
    • Jadva VHines M, Golombok S. Infants’ preferences for toys, colors, and shapes: sex differences and similarities. Arch Sex Behav. 2010 Dec;39(6):1261-73.

    [/mme_references]

    Best toys for 0 to 6 months-old infants

    Best toys for 0 to 6 months-old infants

    [mme_highlight] Good toys choices in this age group are: mobiles, soft blocks, soft dolls, soft squeeze balls, keys on a ring, rattles, plush animals, soft hand puppets and mirrors. Prefer toys with bright primary colors, simple designs, bull’s eye pattern and whose noises are not too loud. [mme_highlight]

    Play is essential for children, contributing to the cognitive, physical, social development as well as for their emotional and general well-being. The importance of playing for an optimal development children is reflected in the recognition by the United Nations High Commission for Human Rights of playing as a right of every child.
    Parents and Educators aware and promoting the right of children to play, want to choose the right toys for every age, which can be a challenge. Knowing the main developmental milestones and features of each age may be a great help to choose the most appropriate toys. Thus, when choosing a toy, always ensure it meets the general characteristics of a good toy: safety, durability and suitability for the age group. Beware of toys containing small parts because of its inherent chocking risk.

    What are the main developmental milestones between birth and 6 months?

    Between birth and 6 months, babies’ visual focus improves and they can follow objects with their eyes. In addition, babies can turn head towards a sound. Infants at this age make progresses regarding control of feet, so you will see them putting feet to mouth. Of relevance, during this period babies start sitting with support.
    At a cognitive level, they recognize familiar faces and shows object preferences. The mentioned skills reflect at a social level: babies smile, show interest in faces and contact with people and, importantly, they start babbling and imitating sounds.

    What kind of toys to prefer between birth and 6 months?

    Generally, prefer toys that meet your baby’s interests at this age: looking, listening, sucking and touching.

    As for looking, prefer toys with bright primary colors, simple designs and bull’s eye pattern (babies follow with eyes as you move the bull’s eye). It appears that both male and female infants between the ages of 3 and 5 months like red most and green least, so you can take this in account when choosing toys for your baby. Regarding the sound features of toys, you can choose toys which make noises, but not too loud. Also, remember that infants like toys in which they can produce effects with their action.

    What toys to buy between birth and 6 months?

    It is exciting for the family members to buy the first toys for babies. However, these not only should be suitable for their babies’ age group, but they also should present specific characteristics that may help their children’s development. Studies have proven that babies as young as 3months can see color.

    • Mobiles
    • Mobiles make both an enjoyable toy but also a beautiful decoration piece for your baby’s nursery room. Moving objects attract baby’s attention and stimulate interaction. They should be suspended 20 to 36 cm from the baby’s eyes, out of reach but angled towards baby’s eyes.

    • Soft Blocks
    • Soft blocks can be given to children from the age of 4 months.

    • Keys on Ring
    • Keys on a ring can be given from about 4 months.

    • Soft squeeze balls
    • Soft squeeze balls can be given to a baby 6 to 8 weeks after birth. These should be larger than 44 mm in diameter.

    • Rattle
    • Rattles, light and squeeze toys are ideal for babies to touch and use grasping.

    • Soft Dolls
    • Plush Animals
    • Soft Hand Puppets
    • Music Box Animals, CDs
    • Mirrors (if large and unbreakable)
    • Books

    Infants at this age like to be read stories from a book.

    What toys should be avoided between birth and 6 months?

    Try to avoid push and pull toys, ride on toys, puzzles, projectiles and mobile instruments.

    Are there sex differences concerning toys preferences between birth and 6 months?

    Studies suggest the answer is yes. Alexander GM et al. studied the eye-movements in 3 to 8 months old infants during the simultaneous presentation of a doll and toy truck and their results showed that sex differences in interest in some model objects are present before 9 months of age, as demonstrated in the box below.

    [mme_databox]

    Medium looking times at doll and truck in infant boys and girls

     GirlsBoys
    Doll4.13 seconds ± 2.07 3.45 seconds ± 2.46
    Truck2.47 seconds ± 1.63 3.62 seconds ± 1.92

    [/mme_databox]

    In fact, girls showed a visual preference for the doll over the truck and boys fixated their eyes more times on the truck, with the statistically significant results shown in the box below.

    [mme_databox]

    Sex differences in interest in infant girls and boys

    • Infant girls fixated more on the doll compared to the toy truck
    • (d = 1.27, p<0.01)

    • Infant boys fixated more on the truck compared to the doll
    • (d = 0.78, p<0.05)
      [/mme_databox]

      Summary and Recommendations

      • When choosing a toy, always ensure it meets the general characteristics of a good toy: safety, durability and suitability for the age group.
      • Between birth and 6 months, babies love to look, listen, suck and touch, so choose toys that appeal to these activities.
      • Prefer toys with bright primary colors, simple designs, bull’s eye pattern and whose noises are not too loud.
      • Babies love to see toys with special features resulting from their action on it.
      • Good toys choices in this age group are: mobiles, soft blocks, soft dolls, soft squeeze balls, keys on a ring, rattles, plush animals, soft hand puppets and mirrors.
      • Studies have suggested that sex differences regarding toys preferences can start to be noticeable before 9 months.

      [mme_references]
      References

      • Office of the United Nations High Commissioner for Human Rights. Convention on the Rights of the Child. General Assembly Resolution 44/25 of 20 November 1989.
      • Adams, R. J. (1987). An evaluation of color preference in early infancy. Infant Behavior and Development, 10, 143–150.
      • U.S. Consumer Product Safety Commission. Goodson B, Bronson . Which Toy for Which Child: A Consumer’s Guide for Selecting Suitable Toys.
      • Alexander GM, Wilcox T, Woods R. Sex differences in infants’ visual interest in toys. Arch Sex Behav. 2009 Jun;38(3):427-33.

      [/mme_references]

    What are the most common Breastfeeding Problems?

    What are the common Breastfeeding Problems?

    [mme_highlight] Breastfeeding is the recommended method of infant feeding. However, it is not always easy as it takes time and practice and some problems can appear along the way: inadequate milk production, mastitis, sore nipples, engorgement and others. [mme_highlight]

    Breastfeeding is the recommended method of infant feeding. However, it is not always easy as it takes time and practice and some problems can appear along the way. In the United States it is estimated that 75 percent of women start breastfeeding but only 44 percent are still nursing at six months. Knowing how to manage the different problems related with breastfeeding can prevent an early stop in breastfeeding.

    Is my milk production inadequate?

    This situation or perception is the most common reason for an early stop of breastfeeding. Previous breast augmentation surgery can lead to insufficient production of milk and there are also some medicines that can interfere in the process too.
    Note that infrequent feeding and inadequate latch-on are among the most common causes for the problem of milk production, because it is the suction the baby does that triggers the process which in the end leads to milk production.

    What is Engorgement?

    Engorgement is a medical term for breasts which are too full of milk, which can cause swelling and pain. Some women in this situation can feel their breasts warm and redden and even experience a low fever. In addition, engorgement flattens the nipples, making it more difficult for babies to reach them. The best way to deal with engorgement is to breastfeed frequently and fully. If this is not enough, you can use a pump or your hand to extract some milk, but do not do this more than about 3 minutes or letting too much milk out, as this can worsen the engorgement.
    To help reduce the swelling, put your fingers from both hands on the sides of the nipple and press them against the chest; you can also use ice in a fabric pocket to relieve pain. Another tip is to massage your breast gently prior to a feeding, because this can help stimulate milk flow.

    Why are my nipples sore?

    Nipples become increasingly more sensitive during pregnancy with a peak about the fourth day and postpartum and generally a return to normal after that.  96% of breastfeeding mothers experience sore, painful nipples during breastfeeding and stop nursing before they intended. This situation is common during the first minute of breastfeeding, but usually relieves after that. If the pain persists it may have been caused by nipple cracks, blisters, or bruises.

    The main recommendation is to optimize the position of breastfeeding and latch-on. Lanolin-based nipple ointments and other creams are also recommended by doctors. The study shown below investigated the efficacy of some of these measures for sore nipples;  94 women with sore nipples were divided into 3 groups: group 1 received lanolin ad shells + assessment, education and corrective measures; group 2 received glycerin gel + assessment, education and corrective measures; group 3 received assessment, education and corrective measures (no commercial products).
    Based on the results, although no statistic difference was found between groups, one can speculate that assessment, education and corrective measures alone are effective to treat sore nipples.

    [mme_databox]
    Comparison of 3 different treatment plans for sore nipples – pain scores at the final midwife visit (after intervention) are shown:

    • Average pain rating at first visit: 3.42.
    • Average pain rating at the last visit: 1.69
    • Group 1: pain rating at the last visit = 1.48
    • Group 2: pain rating at the last visit = 1.29
    • Group 1: pain rating at the last visit = 1.68

    [/mme_databox]

    What is mastitis?

    Mastitis means inflammation in the breast, which in most cases is caused by an infection. It usually occurs in the first 6 weeks after delivery. You may feel ill, with fever, chills and muscle pain and your breasts may be swollen and hard, with redness.  Risk factors implied are poor breastfeeding technique and a lowered immune status due to sleep deprivation or stress. 
    Some studies have suggested the entry door for the infection may be a fissure in the nipple. The most frequent bacterial agents implied are Staphylococcus aureus or coagulase-negative staphylococci. To treat your mastitis you can take a pain-relieving medicine (ex. Ibuprofen), massage your breasts and, if prescribed by a doctor, take antibiotic medicines.

    [mme_databox]
    Associations of breastfeeding practices and other health behaviors with lactation mastitis (logistic regression analysis)

    (Study design: prospective cohort study of lactation mastitis, Michigan and Nebraska, 1994–1998; 946 breastfeeding women included in the study, covariates from the same week as mastitis shown)

    • Mastitis history (previously): 4 times more risk for lactation mastitis (OR 4.0 – 95% CI 2.64-6.11)
    • Nipple cracks or sores: 3.4 times more risk for lactation mastitis (OR 3.4 – 95% CI 2.04-5.51)
    • 1 to 5 feeds per day: 60% less risk for lactation mastitis (OR 0.4 – 95% CI 0.19-0.82)

    OR – Odds Ratio; CI – Confidence Interval
    [/mme_databox]

    What other problems can occur while breastfeeding?

    You can notice a color change in your nipples, which may happen because of alterations in the blood vessels of the nipples. A tendered or reddened lump may suggest that a milk duct is blocked; in this case the best measure is to breastfeed often; try to massage gently your breasts.

    Summary and Recommendations

    • While breastfeeding you can experience problems like: inadequate milk production, mastitis, sore nipples, engorgement, and blocked milk duct.
    • Always seek for medical advice in the following situations:
    • If you notice a blocked milk duct that persists more than 3 days;
    • If you have a swollen and red area of the breast associated with fever;
    • If you notice a bloody discharge from your nipples;
    • If the pain in the nipples lasts during the whole feed.

    [mme_references]
    References

    • Snowden HM, Renfrew MJ, Woolridge MW. Treatments for breast engorgement during lactation. Cochrane Database Syst Rev 2001; :CD000046.
    • Cadwell K, Turner-Maffei C, Blair A et al. Painreduction and treatment of sore nipples in nursing mothers. J Perinat Educ. 2004 Winter;13(1):29-35.
    • Committee on Health Care for Underserved Women, American College of Obstetricians and Gynecologists. ACOG Committee Opinion No. 361: Breastfeeding: maternal and infant aspects. Obstet Gynecol 2007; 109:479.
    • Foxman B, D’Arcy H, Gillespie B et al. Lactationmastitis: occurrence and medical management among 946 breastfeeding women in the United States. Am J Epidemiol. 2002 Jan 15;155(2):103-14.

    [/mme_references]

    What are the benefits of breastfeeding?

    What are the benefits of breastfeeding?

    [mme_highlight] No water or other foods are needed for the baby until 6 months of age; this is called the “exclusive breast feeding” period. The benefits of breastfeeding are many, making it the healthiest option for your baby: adequate nutrition, protection from infections, lower risk for Sudden Death Syndrome and is a great moment for mother-child bonding. [mme_highlight]

    Breast feeding is one of the greatest boons the newborn can get from the mother. The breast milk is the ideal nutrition as it exactly meets the requirements of the baby. The nutrients and benefits can’t be replaced by cow’s milk or any formula feeds. No water or other foods are needed for the baby until 6 months of age and this is called the “Exclusive breast feeding” period. Exclusively breast fed babies are superior in terms of their immune status, growth and overall health.

    What is the composition of Breast milk?

    To understand why breast milk should be preferred, it is important to know what its content is.

    The exact composition of breast milk varies from day to day depending on the food taken by the mother, as well as hormonal and environmental influences.

    [mme_databox]

    Composition of breast milk:

    • Water – 85 to 90%
    • Protein – 1%
    • Fat – 4.5%
    • Carbohydrates – 7%
    • Minerals – 0.2%

    [/mme_databox]

    Breast milk also contains digestive enzymes, hormones, antibodies, vitamins and lymphocytes from the mother.

    A research conducted in the Netherlands including more than 4000 infants was published in the Journal of Paediatrics. It has concluded that babies who were exclusively breastfed for more than 4 months had less probability for developing respiratory and gastrointestinal infections.

    According to the WHO (World Health Organization), 1 million infant deaths could be avoided each year if the babies were exclusively breastfed for the period of 6 months.

    What is colostrum?

    Colostrum is the aqueous light yellow fluid, which initially comes out of the breast right after delivery. It is richer in proteins, sodium and vitamins than the normal breast milk. The importance of colostrum is related to the antibodies and immune cells it carries, which help protecting the baby from the first potential pathogens. Thus, it passes a kind of passive immunity to the baby like a vaccine protection the mother transfers to the baby. It is replaced by normal breast milk in 3 to 4 days.

    What are the differences between human breast milk and cow’s milk?

    The needs of the human baby are different from those of a calf; hence the mother’s milk has the most adequate composition for a baby. A human baby needs less protein and more fat and the cow’s milk contains more protein and almost equal quantity of fat, so it does not supplies adequately human’s need.
    It should also be noted that the fat content of cow’s milk is richer in saturated fatty acids whereas that of the human milk is richer in unsaturated fatty acids, which are healthier. Cow’s milk is low in vitamins A, C, D and also poor in iron. Though calcium content is higher in cow’s milk, the calcium contained in human milk is better absorbed by the baby.

    What are the differences between human breast milk and Formula feed

    Though Formula feed is said to be a better alternative to cow’s milk, when compared to human breast milk it proves to be less adequate. Many working women choose formula feed due to its convenience and greater flexibility or in the cases when mother’s milk production is low in spite of adequate treatment to improve milk production.
    Unless a health care provider tells you otherwise or you feel breast feeding cannot be continued for a strong reason, it is not advised to go for an alternative.

    Formula feed is prepared with almost similar composition of breast milk with identical amounts of fat, carbohydrate, proteins, minerals and vitamins. However, formula feed lacks antibodies, antiparasites and antiallergens, as well as growth factors and enzymes that are present in Breast milk.

    A study by Dukes University’s Medical study centre showed that breast milk is more effective in preventing infections than formula feed.

    What are the benefits of breastfeeding for the baby?

    • Breast milk has the right composition and nutrients which satisfy the thirst and hunger of the baby.
    • Breast milk has anti infectious properties, as it carries antibodies and immune cells, thus preventing infections.
    • Breast milk has enzymes which help digestion.
    • Breastfed babies are less prone to middle ear and respiratory infections or diarrhoea, as bottle feeding is not necessary.
    • Breastfed babies are healthier and they have less odds to suffer from heart disease, diabetes, cancer and obesity later in the life.
    • Research suggested that breastfed infants have lower risk for Sudden infant death syndrome.
    • The emotional bonding created between mother and infant helps baby’s growth and brain development.
    • As breast feeding is available when baby wants, this avoids the hunger cries of the baby.

    What are the benefits of breastfeeding for the mother?

    • Breast feeding is protective against breast cancer and ovarian cancer.
    • Breast feeding helps losing the weight gained during pregnancy.
    • Breast feeding acts like a natural contraceptive.
    • The emotional bondage of the mother and baby is strengthened and so the mother feels more confident and happier.
    • Breast feeding saves money and time.
    • Mothers who have breastfed have fewer chances to have osteoporosis later in life.

    ” While breastfeeding may not seem the right choice for every parent, it is the best choice for every baby.
    (Amy Spangler)

    Summary and Recommendations

    • During the first 6 months breastfeeding should be the exclusive nutritional source, as it has the complete range of nutrients your baby needs.
    • The composition of human milk is different from that of cow’s milk; this is the reason why the latter is not adequate for babies during the first year of life.
    • In comparison to cow’s milk, human’s milk contains less protein and more fat, predominantly unsaturated fatty acids, with high proportion of vitamins A, C, D and also iron.
    • Although formula milk is similar to human’s milk in terms of composition, it lacks the antibodies and protective immune cells that pass from the mother to child through the milk, reinforcing the immune system of the baby.
    • The benefits of breastfeeding are many, making it the healthiest option for your baby: adequate nutrition, protection from infections, lower risk for Sudden Death Syndrome and is a great moment for bonding.

    [mme_references]
    References:

    • Belitz, H Food Chemistry, 4th Edition, p.501 table 10.5
    • FSA, 2002. McCance and Widdowson’s The Composition of Foods, 6th summary edition. Cambridge, England, Royal Society of Chemistry.
    • Hanson, L. A.; Söderström, T. (1981). “Human milk: Defense against infection”. Progress in clinical and biological research 61: 147–159. PMID 6798576.
    • Dewey KG, Heinig MJ, Nommsen-Rivers LA (1995). “Differences in morbidity between breast-fed and formula-fed infants”. J. Pediatr. 126 (5 Pt 1): 696–702. doi:10.1016/S0022-3476(95)70395-0. PMID 7751991.
    • Blaymore Bier JA, Oliver T, Ferguson A, Vohr BR (2002). “Human milk reduces outpatient upper respiratory symptoms in premature infants during their first year of life”. J Perinatol 22 (5): 354–9. doi:10.1038/sj.jp.7210742. PMID 12082468

    [/mme_references]

    What are the benefits of breastfeeding for my baby?

    What are the benefits of breastfeeding for my baby?

    [mme_highlight] A breastfed child does not need any other food or liquid during the first six months of life. Investigators have shown that breastfeeding lowers the probability to develop infections, obesity, diabetes, rheumatoid arthritis, allergic reactions, leukemia and other diseases.[mme_highlight]

    Breast milk is the food that is naturally adapted to the needs of an infant. According to American Academy of Pediatrics, frequency of breastfeeding in the USA is as shown below.

    [mme_databox]

    • 70% of women initially breastfeed their babies;
    • 33% of women breastfeed their babies for 6 months after delivery;
    • 18% of women breastfeed their babies for 12 months after delivery.

    [/mme_databox]

    What is the composition of breast milk?

    A breastfed child does not need any other food or liquid during the first six months of life. The basic ingredient of breast milk is water (82.5 – 90%). The level of protein in breast milk is 9-11g/L, the level of fat is 35-45 g/L and level of carbohydrates is 70 – 80 g/L. Also, human breast milk contains optimal quantities of calcium, phosphorus, chloride, sodium, iron, vitamin A, vitamin D and vitamin C.
    The electrolyte concentration is adjusted to the kidneys of baby. The antibodies and other immunological significant substances from mother’s milk provide antibacterial, antiviral and antiparasitic characteristics and thus protect the health of the child. This is why breast milk has an absolute priority in the nutrition of infants.

    What are the benefits of breast milk for my baby?

    Studies show that breast milk provides multiple benefits to child. As we said, mother’s milk contains a lot of immunologically active substances that help to baby’s undeveloped immune system to fight with infections. It has been proven that children who were breastfed have lower incidence of infectious diseases. This is supported by evidence from research, indicated below.

    [mme_databox]
    Infections: breastfed vs. non-breastfed children
    8.1% of children among breast-fed children had pneumonia and bronchitis in the first year of life

    • 14.8% children who are not breastfed had pneumonia and bronchitis in the first year of life
    • Ear infection is 3 to 4 times more frequent among non-breastfed babies.

    [mme_databox]

    Human milk has the adequate ratio between fat, proteins and carbohydrates that completely and perfectly meets baby’s energetic and nutritional needs. According to scientific research, children who are breastfed have less chance for obesity than children who were fed with formula.
    In addition, prospective research accompanying the study population from childhood through adulthood showed that breastfeeding reduces the incidence of diseases that are immune-mediated such as diabetes and rheumatoid arthritis. Many studies prove this thesis. e.g. in the group of people aged between 30 and 39 years with diabetes, it was shown that there is much higher percent of diseased among the people who were not breastfed.

    [mme_databox]
    Obesity, diabetes and rheumatoid arthritis: breastfed vs. non-breastfed children

    • 1% of obese children were fed with formula milk;
    • 2% of obese children were breastfed;
    • Chance for morbidity of rheumatoid arthritis was reduced by 40% in breastfed children.

    [/mme_databox]

    Breast milk contains less allergens. Therefore, breast milk is the safest food for baby.

    [mme_databox]
    Allergic reactions and breastfeeding

    • Only 2 to 3 % of babies react to allergens from mother’s milk.
    • 75% of children younger than one year are allergic to the protein of cow’s milk.
    • 8-14% of children who are allergic to cow’s milk, will also develop an allergic reaction to soy milk.

    [/mme_databox]

    It was demonstrated that baby girls who were breastfed had 25 percent lower risk to develop breast cancer compared to baby girls who were on adapted milk formula. Also, infants that were breastfed had 21 percent lower risk to develop leukemia.

    Mother’s milk osmolality (concentration of dissolved substances in water) is 280-300 mOsm / kg of water; milk formula osmolality is greater. The concentration of protein in the mother’s milk is 11g / L, and the concentration of proteins in adapted cow’s milk formula is 15-19 g / L. Based on these data, we can conclude that underdeveloped baby’s kidneys are more protected with breast milk.
    In addition, breast milk has a good influence on the blood pressure of the baby. It is much easier for a baby to digest breast milk than formula, consequently, the quantity of useful substances that are absorbed from digestive tract is much higher in breastfed babies.

    Also, it was proven that breastfed children have reduced morbidity (meaning health consequences) from diseases like lymphoma, asthma, high cholesterol, chronic intestinal disorder, mental health problem, osteoporosis, atherosclerosis etc. Some research shows that breastfed children have slightly higher score on cognitive tests and improved “head-eye” coordination.

    Breastfeeding relieve stress both for baby and mother. In addition, breastfeeding has an analgesic effect (relieves pain in babies), and it also has a positive effect on baby’s sleep and baby is satiated for a longer period.

    Consult also the topic on benefits of breastfeeding for mother’s health: it should be noted that breastfeeding certainly contributes to the building of a unique emotional and psychological connection between mother and baby.

    Summary and Recommendations

    • Breast milk perfectly meets the nutritional requirements of a child during the first 6 months.
    • The benefits of breastfeeding are multiple and studies show increasing evidence on more advantages. Investigators have shown that breastfeeding lowers the probability to develop infections, obesity, diabetes, rheumatoid arthritis, allergic reactions, leukemia and other diseases.
    • Breastfeeding relieves pain and stress in the baby and is a privileged moment to establish a bond between mother and daughter.

    [mme_references]
    References

    • Watkins C. J., Leeder S. R., Corkhill R. T. The relationship between breast and bottle feeding and respiratory illness in the first year of life. Journal of Epidemiology and Community Health, 1979, 33, 180-182
    • Zeiger RF, Sampson HA, Bock SA, et al. Soy allergy in infants and children with IgE-mediated cow milk allergy. J Pediatr. 1999;134:614–622
    • Armstrong J, Reilly JJ, Child Health Information Team. Breastfeeding and lowering the risk of childhood obesity. 2002;359:2003–2004
    • Pettit DJ, Forman MR, Hanson RL, Knowler WC, Bennett PH. Breastfeeding and the incidence of non-insulin-dependent diabetes mellitus in Pima Indians. 1997;350:166–168
    • Freudenheim, J. et al. 1994 Exposure to breast milk in infancy and the risk of breast cancer. Epidemiology 5:324-331
    • Shu X-O, et al. Breastfeeding and the risk of childhood acute leukemia. J Natl Cancer Inst 1999; 91: 1765-72
    • Shu X-O, et al. Breastfeeding and the risk of childhood acute leukemia. J Natl Cancer Inst 1999; 91: 1765-72
    • Duncan, B et al Exclusive breastfeeding for at least four months protects against Otitis Media, Pediatrics 91(1993): 897-872

    [/mme_references]

    Which foods should mothers avoid while breastfeeding?

    Which foods should mothers avoid while breastfeeding?

    [mme_highlight] Caffeine, spices, alcohol, citrus fruit, mint and parsley, as well as the most common food causing allergy – peanut, dairy, wheat and eggs – should be avoided. If a mother has an allergic reaction, the suspected causative aliments must be suspended for 2 weeks and then introduced one at a time. [mme_highlight]

    Breast milk is the food that is naturally adapted to the needs of an infant and has an absolute priority in the nutrition of infants. However, nursing mothers should pay particular attention to the fact that substances from food and liquids they intake can reach the baby’s body, through milk. Therefore some foods and substances should be avoided.

    Which foods to avoid and why?

    Caffeine can be found in coffee, cola drinks, tea and cocoa. Caffeine can reach the baby’s body through milk. Although a small percentage of caffeine (from 0.06 to 1% administered dose) has been found in breast milk, it is enough to cause a reaction in the baby. The baby eliminates caffeine slower than adults. Therefore, sleep disturbance, irritability and higher blood pressure may occur due to the presence of caffeine in the blood of a child.

    Some groceries affect the taste and smell of milk (pepper, garlic, chili spices, sprouts, broccoli, cauliflower, etc.). These groceries should be avoided because your baby may refuse to suckle due to changes in smell and taste of milk. In addition, pepper, garlic, chili spices, broccoli and cauliflower could cause colic and irritability of baby.

    Alcohol should be avoided, because it is excreted in breast milk. Less than 2 percent of the consumed amount gets into breast milk, but that amount is enough to damage the baby’s health. Impaired motor development, change in the sleep patterns and hypoglycemia may occur due to the presence of alcohol in the blood of a child. Besides this fat, alcohol also affects the lactation- 3 to 4 hours after alcohol intake, milk production is reduced for 20 percent. According to the American Academy of Pediatrics, a modest amount (one glass) of wine or beer is allowed.

    Fishis high in protein and omega-3 fatty acids, but some species of fish are particularly rich in mercury. According to U.S. Environmental Protection Agency, 25 % percent of the fish that people eat had mercury levels above the safety levels. Mercury causes the damage of nervous system and it is especially dangerous for babies, as they slowly excreted mercury.
    Therefore, lactating women should avoid fish high in mercury such as king mackerel, hark, tilefish and swordfish. Fish that contains small amounts of mercury (canned light tuna, pollock fish, salmon etc.) can be eaten, but its consumption should be limited to one portion per week.

    Citrus fruit contains acid, which can irritate the baby’s immature digestive tract. Therefore, the intake of citrus fruits should be limited, however, mothers should enrich the diet with other aliments containing vitamin C.

    If the mother has got allergy to some food allergens, this allergy can also occur in 0.2-0.3% of children through breastfeeding. A history of food sensitivity, asthma and/or eczema in family members increases the chances for a baby to have allergies. If both parents have allergies, the baby has 80% chances of having it too; if only one parent has allergies, then the odds decrease to 30%. Allergic reactions can occur in the form of eczema, colic, fussiness, wheezing, constipation or diarrhea, etc. There are rare milk allergies that can be severe or fatal.

    The most common allergies are allergies to peanut, dairy, soy, shellfish, wheat and eggs. Peanut allergy is very common in infants. One to three hours after ingestion of peanuts, peanut allergens are present in 50% of mothers in milk. Between 5 to 10 % of babies are allergic to dairy. The babies who are only breastfed have about 0.5 % chance to develop soy allergy. In addition, babies who are only breastfed have about 0.5% chance to develop milk allergy.

    Mother should thus exclude food that can trigger allergic reactions in babies. If an allergic reaction affects the baby, all suspected foods should be excluded from mother’s diet for two weeks. After that period, the mother should eat the suspected ingredients each day one by one to carefully observe the baby’s reaction after breastfeeding. This is the easiest way to discover the allergens.

    Some products, such as mint and parsley, reduce milk production. Therefore, they should be avoided or mother should reduce their intake to a minimum.

    It should be noted that smoking and the use of drugs are very harmful for baby’s health. It was found that children of mothers who smoke suffer from infant respiratory illness more frequently and gain less weight. If a sick mother considers the use of drugs, she should consult a pediatrician or a doctor who supports her breastfeeding.

    With the exception of the restrictions stated above, mothers can eat a normal and balanced diet. After the termination of breastfeeding, the mentioned restrictions can return to the diet.

    General advice is that food should be safe, clean and well heat treated if necessary. It is also recommended to avoid foods that contain a lot of additives, preservatives, artificial colors and sweeteners. The point is to establish healthy eating habits that will allow both mother and baby to feel good.

    Summary and Recommendations

    • Some substances, like caffeine, pepper and other spices and citrus fruit should be avoided, as they can pass through the mother’s milk and cause irritability or colic and, thus, should be avoided.
    • A breastfeeding mother should avoid alcohol at all cost, because it decreases the production of milk and, since it passes to the milk, alcohol can impair child development.
    • A family history of allergic reactions, particularly when these happened in parents, raises the probability for a baby to develop allergies.
    • The most common causes of allergy to food are: peanut, dairy, wheat and eggs.
    • If a mother has an allergic reaction, the suspected causative aliments must be suspended for 2 weeks and then introduced one at a time in an attempt to discover which one caused the allergy.

    [mme_references]
    References

    [/mme_references]

    What are the father and mother differences in infant interaction?

    What are the father and mother differences in infant interaction?

    [mme_highlight] Parent-infant interaction plays a fundamental role in the socioemotional development of infants. Parent positive affect has proven to be a key element. It is well established that fathers express positive affect less often than mothers but, on the other hand, spend more time engaging in physical playing with their infants. [mme_highlight]

    Parent-infant interaction plays a fundamental role in the socioemotional development of infants and recent scientific research has proven so. In fact, regardless of any differences in the father-infant or mother-infant interactions, it should be emphasized that parent positive affect has a unique role in promoting infant positive affect too, which has important implications for later social and emotional adjustment of children.

    How does parental affect influence babies?

    Parent positive affect has proven to be a key element to the emotional and social development of infants. For instance, the work of Cohn and Elmore has elicited that if mothers show a still-face or contingent in response to their infant’s smile, infants tend to look away. In addition, if mothers maintain a still face for a long period or simulate depression, babies’ smiles become attenuated and, again, they tend to look away. Parental depression is known to be a risk factor for affective psychopathology in children and the face to face interaction with parents can mediate, at least in part, this risk.

    What are the father and mother differences in infant interaction?

    It is well established that fathers express positive affect less often than mothers but, on the other hand, spend more time engaging in physical playing with their infants. Interpreting the functionalist perspective of Campos and colleagues, parents’ positive affect and physical play

    may have a similar function as both may promote infant positive affect. Taking this point of view, then fathers’ physical play could compensate for their lower positive affect in comparison to mothers and thus infant positive affect would occur in similar frequency in response to the interaction with mothers and fathers.

    A study conducted by Forbes EE and colleagues examined infants’ positive and negative affect by observing behavior during normal and still-face conditions occurring during mother-infant and father-infant interaction at ages 3 and 6 months, supporting the findings stated in the topic above, as shown in the box below.

    [mme_databox]
    Correlations between Infants’ Positive and Negative Affect and Mothers’ and Fathers’ Positive Affect and Physical Play

    • Mothers displayed more positive affect with infants than did fathers

    – F = 7.58 (coefficient obtained after analysis of variance), p < 0.01(statistically significant)

     

    • Fathers were more likely to exhibit physical play than were mothers

    – χ2 = 9.03 (coefficient obtained after categorical modeling analyses), p < 0.01(statistically significant)

     

    • Parents were more likely to exhibit physical play with infants at 3 months than at 6 month

    – χ2 = 5.21 (coefficient obtained after categorical modeling analyses), p < .05(statistically significant)
    [/mme_databox]

    Are there differences in mother and father behavior in skin-to-skin contact with their baby

    Skin to skin contact between mother and infant must occur as immediate as possible after birth as this induces a biological program that promotes a breast seeking behavior and the whole relationship between baby and parents. This is also true regarding fathers, as it is established that fathers who have skin to skin contact with their newborn after birth reduce infants’ cry and fathers also feel satisfied knowing they can offer similar care as mothers. In addition, tactile contact by parents with their newborn is absolutely crucial as this makes the baby feel loved and cared; tactile contact may also help fathers to understand their newborns behavior.

    A study by Velandia M et al. compared mothers’ and fathers’ interaction with their newborn immediately after birth by watching behaviors like touching, kissing and speaking. Importantly, both fathers and mothers showed spontaneous behavior of affection towards their newborn; they smiled and kissed the newborn, which has an obvious impact for bonding.

    [mme_databox]
    Parental behavior in skin-to-skin contact with their baby – touching

    • Mothers in touched their infants significantly more than fathers
    • df = 1, F = 14.138 (after analysis of variance), p = 0.001(statistically significant)
    • Mothers touched newborn girls for a mean of 7.59 minutes (95% CI 2.955–12.225)
    • Mothers newborn boys for a mean of 14.5 minutes (95% CI 6.81–22.19)
    • Mothers touched girls significantly less than boys
    • df = 1, F = 5.152 (after analysis of variance), p = 0.038 (statistically significant)

    [/mme_databox]

    Interestingly, mothers’ physical approach to their newborn was firstly by finger tipping, whereas the father more commonly touched the infant with the palm of his hand.

    Regarding speaking, mothers length of directed speech towards the newborn girls and boys did not differ. In opposite, fathers directed significantly less speech towards their newborn girls in comparison to boys as the box below shows.

    [mme_databox]
    Parental behavior in skin-to-skin contact with their baby – Speaking

    • Mothers length of directed speech towards the newborn girls: 2.68 min (mean; 95% CI 0.24–5.125);
    • Mothers length of directed speech towards the newborn boys: 2.76 min (mean; 95% CI 1-6.5).
    • Fathers length of directed speech towards the newborn girls: 2.5 min (mean; 95% CI 1.055–3.835)
    • Fathers length of directed speech towards the newborn boys: 5.6 min (95% CI 1.67–9.53)

    [/mme_databox]

    Summary and Recommendations

    • The interaction between parents and infants plays a fundamental role in the socioemotional development.
    • The expressions of affection in parents’ faces as well as their simulation of depression have been proved to affect infants affect response too.
    • Fathers express positive affect less often than mothers but, on the other hand, spend more time engaging in physical playing with their infants. These between mother and father differences may compensate and the result, overall, may be similar.
    • Skin to skin contact between newborns and mothers and fathers must occur as soon as possible as it strongly influences the breast seeking behavior of the newborn and the relationship between newborn and parents.
    • It appears that, concerning the tactile approach of a newborn, mothers used finger tipping more, whereas fathers touched the infant more frequently with the palm of his hand.

    [mme_references]
    References

    [/mme_references]