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山大妞之前雖然會爬 但只是向後爬 而且越爬離目標越遠 所以她也不太想爬 今晚大家準備睡覺前 山大妞在地上玩自己的玩具 百般無聊又想睡覺 山大妞居然就爬爬 爬向掛在電腦網路上的媽咪 一路哀叫地爬來 這次是"向前爬"了 媽咪趕快要正在唸故事給山大王聽的爸鼻看 終於等到了山大妞向前爬囉
今天收到ㄚ蔚姨寄來的山大妞生日禮物包裹 包括大阿姨很棒的禮物:書和阿原肥皂 還有ㄚ嬤和阿蔚姨合買小女生的髮夾和小公主環冠和好多裙群洋裝 當然還有山大王最喜歡的書 也謝謝胖胖玲阿姨送的貼紙和VCD 還有牛牛媽送給山大妞的小圍巾 山大妞好高興拿著ㄚ公ㄚ蔚姨和阿嬤親筆簽名的卡片不放喔
山大妞11個月 約19磅 70公分 現在媽咪看山大妞哭時已經都能平靜應對 很難想像再過一個月山大妞就一歲了 帶山大妞最大的挑戰在於山大妞的癢癢問題 現在山大妞白天想睡或無聊時也會開始抓癢 禁食忌口過敏食物也一樣癢 最近媽咪索興懶得幫她全禁口小麥 自己也多少吃了點全蛋和小麥製品 看到哥哥吃藍莓muffins 山大妞也好想吃 一但媽咪給她一點她就會一直要 麵包貝果媽咪吃的時候 也會讓她吃一點 已經有四顆牙齒的山大妞 吃水果還會自己用牙齒去皮 雖然山大妞更會抓癢了 但比較嚴重都是晚上想睡的時候 媽咪也只能幫她抓癢塗藥 抱著她ㄋㄟ睡 癢到睡不好就吃藥吧 山大妞的粗動作已經會"向後爬" 只是她還是不喜歡爬 只會向後爬反而離目標更遠 山大妞通常比較喜歡"臀移" 山大妞雖然也喜歡站 但是很膽小 不太敢放手坐下或遊走 通常是哀哀叫求救媽咪收場 山大妞細動作很棒 手眼協調也很好 丟球接球很冷靜很準呢 有時爸鼻媽咪還覺得山大妞 比四歲的哥哥還會玩接丟球咧 雖然山大妞嘗試開關多半還是會想用蠻力敲打 但是可以看見她一但看過大人的動作 她就不會再用蠻力 山大妞用手指可以開鏡子櫃門或玻璃櫃門 現在在摸索學開燈和牆上的開關 媽咪覺得山大妞是比山大王小時候難帶 十分黏媽咪不說 山大妞也比較膽小但她表達自己意見很明確 媽咪看她想噗噗 問她是不是要噗噗坐potty小馬桶 山大妞會看著媽咪堅定地搖頭 因為她不喜歡坐小馬桶時的感覺 山大妞衣服脫掉時就會抓癢 所以她寧願忍到不能再忍 才願意坐小馬桶 吃東西吃飽了 山大妞就不願意多吃了 妳再要多餵她吃一口 她就馬上跟你搖頭搖手 不過給她湯匙她倒很高興 自己多少再自己拿湯匙吃一點點 山大妞還沒開始喝果汁 她喜歡喝水倒是蠻好的習慣 也喜歡玩牙刷 山大妞喜歡玩水 如果她哭時跟她說玩水了 帶她去洗洗手轉移她注意力 她眼淚就會收乾 山大妞哀哀哭時還會一邊抱怨地說話 啊達...啊達...啊達... 有時會叫哥哥的名字 或叫idee idee...(是喊疼嘛) 山大妞心情好時會叫媽媽和饅饅 通常是她吃東西很高興的時候 睡飽醒來時喝ㄋㄟㄋㄟ也會讓她心情很好 尤其那種不太餓時 邊喝ㄋㄟㄋㄟ邊停下來玩ㄋㄟㄋㄟ 會笑得很甜 山大妞一天還是有2~3次小睡 一次可以睡20分鐘到三小時 晚上還是四個小時會醒來一次 有時醒來確認媽咪還在喝點ㄋㄟㄋㄟ繼續睡 但大多醒來癢癢抓抓喝ㄋㄟ 要花時間一小時到兩小時才再入睡 媽咪破碎的夜晚睡眠 讓媽咪就算半夜餵奶後餓也懶得再下樓吃東西 現在只剩下81.5磅 睡眠不足加上隨便吃東西 有時少了咖啡因 媽咪真得覺得自己像張紙飄來飄去 山大妞對稀飯還是很喜歡 不喜歡地瓜和義大利瓜 不過最近山大妞吃太多稀飯加蛋黃泥 有時她也會想換口味 山大妞喜歡吃葡萄乾和藍莓 藍莓媽咪不敢讓她多吃 但葡萄乾媽咪咬小小塊 讓她自己撿著吃她很喜歡 還有夏天農夫市場的桃子李子油桃又香又甜 這些可以幫助排便的水果 每天山大妞都要吃上約一顆的量 媽咪看山大妞吃得高興心情也很好 就盼山大妞自己離乳的那天快到
帶山大妞去UCI children hospital看 Pediatric Deremtology 山大妞似乎得了eczema herpeticum 不過現在已經好多了 昨天帶山大妞給Dr. Uchiyama看山大妞腿上新的疹子 雖然Dr. Uchiyama猜是食物過敏但 她還取了皮膚上的組織液要Lab看受感染的原因 然後幫我們打電話約Dr. Matz看診 Dr. Matz只有星期一和二看診 而且這個星期時間全排滿了 最後Barbara幫媽咪排進今天9:15am的門診 媽咪一早挖起還在睡的山大妞出發 到UCI Medical Center停車場 遇見眼科醫生的鄰居也來上班了 她上個月底才生了baby boy 匆匆聊了幾句話 她指引我Pediatric Deremtology building所在的位置 媽咪就趕緊推山大妞過去了門診了 其實山大妞昨晚開始吃Dr. Uchiyama開的抗生素 情況已經好轉 Dr. Matz看一眼疹子的狀況 就確認是病毒感染的eczema herpeticum 而不是媽咪猜的細菌感染的Impetigo 似乎沒什麼耐心聽媽咪昨晚辛苦整理的 山大妞的飲食狀況和一家人感染病毒或細菌的情形 開了藥要我們隔幾週再來看她 雖然她總是對著媽咪笑咪咪地問診 但媽咪覺得這種賣藥醫生不太聽病人說的病況 下次實在不想再看她咧
Self-care For minor infections that haven't spread to other areas, try the following: Soak the affected areas of skin with a vinegar solution — 1 tablespoon of white vinegar to 1 pint of water — for 20 minutes. This makes it easier to gently remove the scabs. After washing the area, apply an over-the-counter antibiotic ointment three or four times daily. Wash the skin before each application, and pat it dry. Avoid scratching or touching the sores as much as possible until they heal. Applying a nonstick dressing to the infected area can help keep impetigo from spreading. WHAT IS IMPETIGO? It is a bacterial infection of the skin that can occur just about anywhere, but is most common around the mouth and nose or on the buttocks and arms. Impetigo may or may not itch. Scratching spreads the eruptions. Mild impetigo is often caused by streptococcus or staphylococcus. It occurs when the skin gets raw and irritated from scratching, runny nose, or excessive drooling. The bacteria may invade any area where the top protective layer of skin is broken down by an injury or irritation. Picking the skin around the nose or picking a pimple is an invitation for bacteria to come in and set up an infection. WHAT DOES IMPETIGO LOOK LIKE? It begins as tiny red spots, (resembling picked-at pimples) which become blisters that rupture and produce an oozing, sticky honey-colored crust on the surface. The spots are circular and may be as small as a dime or as large as a quarter. Impetigo is particularly common around the entrance to the nose, where the skin around the nostrils appears raw and reddened with a yellow crust. IS IMPETIGO CONTAGIOUS? Impetigo is not as contagious as it's sometimes made out to be. You do not have to treat your child like a leper if he has impetigo. It can be transmitted by touching the eruptions, so it is important to tell your child not to touch the rash. Although, it's common to find impetigo in several family members at once, it is rarely necessary to keep the child with impetigo out of school. HOW IS IMPETIGO TREATED? For impetigo that seems mild and is just beginning, follow these steps three times a day: Cut your child's fingernails to help prevent trauma to the skin from scratching. Wash the infected area with warm soapy water. Apply some diluted hydrogen peroxide (mix ½ water with ½ peroxide). Wash off the peroxide after two minutes. Apply any over-the-counter antibiotic ointment such as polysporin. It may take one or two days for the infection to improve on this regimen. As long as it does not worsen then you should be fine. If the infection continues to worsen despite the above treatment, then proceed with the following steps three times a day: Wash with warm soapy water. Apply a hot washcloth to the area for 10 minutes (this will improve blood flow to the area and help the body fight the infection). Apply diluted hydrogen peroxide, than wash off after two minutes. Apply 10% diluted Betadine solution (mix 1 tablespoon of this over-the-counter brownish red antiseptic with 10 tablespoons of water) and let it dry for two minutes. Thoroughly wash off all Betadine. Apply a prescription antibiotic ointment called Bactroban. Your doctor may call in this prescription for you. It may take one or two days for this treatment to start to improve the infection, but it should not keep getting worse during this treatment. WHEN SHOULD YOU CALL THE DOCTOR? If you need the prescription ointment Bactroban, call or see your doctor. This generally would not warrant an urgent page to the doctor. If your doctor's office does not open for another day or two, then a call to your doctor for the ointment is probably warranted. More serious infection. If the redness and drainage continue to worsen despite all the above treatment, or your child develops fevers or red streaks extending out from the area, then you should see your doctor right away. If it is after hours, you should page your doctor. Your child may need oral antibiotics to help fight the infection. HOW DO I PREVENT IMPETIGO FROM HAPPENING AGAIN? Prevent chapped lips. If your child is prone to dry, cracked lips, then routinely apply Vaseline lip therapy or Lansinoh to the lips (a Lanolin ointment is available in the diaper cream section of your local drug store). Treat sore noses during a cold. Apply Vaseline or Lansinoh to the irritated, cracked skin around the nose during a cold. Heal irritated patches around the mouth. If your child gets raw, irritated patches around the mouth, apply Vaseline or Lansinoh to heal it.
昨天媽咪去看鄰近另一所蒙特梭利學校後 今天決定要幫山大妞排兩歲上學的學校 這間不是蒙特梭利學校 學校就在家的山腳下 從兩歲可以上到國中 開車還滿近的 媽咪喜歡這所學校的原因是 1. 因為學校提供所有孩子有機營養午餐 午餐都是學校的廚房每天現做 很多蔬果還是學校附屬的果園和菜園種的 不管是上半天還是全天 孩子都會留在學校吃過午餐 2. 這邊的老師都是雙語教學 每個老師都會另外一種不同語言 而且老師們都在學校待超過十年以上 3. 而且這學校就在山谷間 離家裡很近 今天山大王和媽咪一起去幫妹妹看這個學校 4.這個學校的裝飾很文化藝術 又很重視植物動物與孩子共處 山大王很好奇到處看 看得出來山大王很喜歡教室的佈置 自己興沖沖地去逛每個教室 學校事務辦公室鄰近的是大禮堂 大禮堂是舊教堂改建 但是牆上的壁畫挑高的建築 還是讓人覺得很有歐洲的感覺 禮堂旁還有一隻叫Expresso的白襪黑貓 教室雖小但是很溫馨 每個教室都很有自己的特色 孩子的椅子排列不像蒙特梭利很獨立 而是並行或像圓桌會議那樣 看過蒙特梭利學校 再看這個學校 感覺這裡的孩子應該受文化和自然的薰陶長大的 除了有farm school之外 還有petting zoo:孔雀,雞,白鵝,兔子,和山雉 鄰近印地安式帳棚裡上的是體操 一間彩繪玻璃門窗後 是一群上吉他課的孩子和老師一起彈唱 山大王就站在窗戶外看得著迷呢 菜圃旁我們看到琵琶,桃子蘋果果實壘壘等的果樹; 還有草莓南瓜,玉米,朝鮮薊等 花園小徑通向不同的小教室 山大王學校比較重視真實世界的學習 (迪士尼或童話的書不可帶去學校分享) 而這個學校鼓勵孩子由自然裡啟發想像 cottage style的花徑有許多動物石雕 小小的泥地廣場 大孩子們在展示給朋友看如何採高蹺及翻跟斗 附近好些托兒所或是蒙特梭利學校鄰近的是商家 雖然學校要按電子鎖密碼才進得去 但是媽咪很不喜歡那樣學習的環境 這裡孩子遊戲的地方鄰近的不是馬路車流 球也不會滾到陌生人那 孩子的教室不是一排排像補習班那樣分散在小小走道間 5. 而是分散座落各處花園 遊戲的地方很多大樹果樹和花木 也有一個獨立的圖書館 更有座橋連結小溪分隔的停車場和教室 有一點像森林小學的感覺 不過學校對有興趣的家長 要求要繳$250才可以排隊等上學 $250不退款 孩子要滿兩歲且如廁訓練完全結束一個月後 排到位子才可以去入學 總之最重要的是 6. 媽咪覺得山大妞在這裡應該會"玩"的很開心
動作: 山大妞的細動作比肢體動作成熟 撕花瓣或衛生紙面紙可以撕很細 也會拿地上很細很細的頭髮或碎屑 雖然還不會爬 但山大妞坐著也可以轉方向 所以以她身長圍軸心畫圓就是她自己可以移動的版圖 媽咪有時放她在地上自己玩球,布偶, 電子琴,或玩具音樂車 怎麼動總移動不了太遠 山大妞小腿比大腿有力 在地上坐時喜歡小腳一腳疊在另一腳上 很小姑娘的坐法啦 山大妞也喜歡站在椅子上 手抓著椅背上下晃動 但自己抓著還站不穩 也還不會自己由站著穩穩地坐下 如廁訓練: 訓練山大妞如廁實在是因為 怕她不願意噗在布布裡 便秘會更加嚴重才開始訓練的 雖然偶爾山大妞還是會噗一小塊在布布裡 但是只有在小馬桶她才會盡情地噗噗 山大妞坐馬桶時已經開始把玩衛生紙 坐小馬桶時也知道爸鼻媽咪要她噗噗 已經好幾次都噗噗在小馬桶裡 但是山大妞還不會告知我們她要噗噗了 但她會腳趾頭不停擺動 手也會不知所措舉著擺動手指 爸鼻媽咪就知道她要噗噗了 自己餵食: 山大妞很喜歡自己用手或湯匙餵食 山大妞喜歡喝水也喜歡玩水 雖然喝不多 但看到媽咪喝寶特瓶的水她也想喝 媽咪喝過水蓋緊蓋子 山大妞會迫不及待拿起寶特瓶 假裝她也和媽咪一樣地喝水 在high chair上吃東西時 自己會用學習杯喝得很好 可以喝上10c.c.左右吧 遊戲: 山大妞會自己抓著小被子遮著臉玩peek-a-boo 我們跟她說peek-a-boo 或拍拍手或說掰掰 她都會聽懂接著拍手或掰掰或躲在被被後 遠遠地和她說笑逗著玩也會笑得很開心 山大妞很喜歡和家人玩 抓哥哥頭髮或聽哥哥唱歌還會主動拍拍手 喜歡媽咪或哥哥唱她熟悉的歌: Five little ducks Love in your eyes (Proud of you) Do Re Ma Fire fighters 喜歡家人逗她玩親她肚肚騷她癢 就呵呵哈哈地笑得很燦爛 社交圈: 但出門她頂多和可親的人揮揮手或微笑 並不會像山大王小時候那樣 還會和可親逗他的人玩起來 但山大妞很多時候自己睡飽醒來 會自己唱歌說話玩身旁的小毛巾 嗨聲嗲嗲哇哇地很小女生樣 會說爸爸媽媽 但不一定是對著爸鼻媽咪喊 可是會對著山大王喊哥哥 還會叫哥哥的名字 以前山大王搶妹妹手上的玩具 山大妞都逆來順受 但現在山大妞自我意識高漲 也會想玩哥哥玩的玩具 不給她玩也會大喊 阻止她玩不適合北鼻玩的玩具 山大妞還會把爸鼻或媽咪的手拉開 看著哥哥玩木頭火車邊唱歌邊擬火車聲 山大妞也會在一旁一邊玩手上的北鼻樂高車車 或有輪子的小車還會邊發出嗚嗚的聲音 小妞妞雖然爬站還不行 但對家裡的政治狀況可摸得一清二楚呢
最近山大妞吃固體食物很有興致 看到家人吃東西時就要跟著吃 所以媽咪得幫他準備三餐加點心水果 山大妞今天吃了 1.綠葡萄 2.排骨粥+rice cereal 3.紅蘿蔔 4.蘋果 5.甜薯地瓜泥 6.牛油果 7.和一點雞胸肉 這些固體食物山大妞都曾嚐過 所以變來變去就這幾樣 但是山大妞除了蔬菜不太愛吃 其他都很喜歡 本來也喜歡抓著小紅蘿蔔啃的 但知道梨子和蘋果抓著吃更甜後 山大妞就不再願意抓著小紅蘿蔔啃上十幾分鐘 吃了這麼多固體食物 半夜也少不了媽咪ㄋㄟㄋㄟ 尤其這幾天天氣炎熱乾躁 山大妞晚上癢癢的話都會找媽咪ㄋㄟㄋㄟ安慰 綜合下來山大妞噗噗也很多 因為還是喝不少媽咪ㄋㄟㄋㄟ 所以並沒有便秘的困擾 但是山大妞有一點潔癖而且皮膚很脆弱 一但有噗噗黏在屁屁上就不敢再噗 以前固體食物吃得少 ㄋㄟㄋㄟ喝得多時噗噗很水所以尿布吸收很快 而且聲音氣味很獨特媽咪一下子就偵測到 可是噗噗變膏狀後噗時就消音了 如果山大妞在玩媽咪就很難感覺到了 山大妞噗噗一點不再噗 膏狀噗噗就會黏在屁屁上 有時只噗一點點連媽咪都聞不出來 有時聽到屁屁聲打開尿布一看只有氣沒有體 山大妞的細嫩的小屁屁就會紅紅而且還會破皮 如果沒有即時搶救 山大妞被一點噗噗包圍的小屁屁 到時擦屁屁時山大妞就會流淚大哭 媽咪只好用清水洗她屁屁 一天像這樣要噗好幾次 所以媽咪才決定要提早拿出小馬桶combi 山大妞雖然會坐了 但是坐在potty上雙腳還碰不到地 抓著手把的山大妞還不知道媽咪要她噗噗 上次山大妞第一次噗噗在馬桶上 是她坐在馬桶上身體靠著媽咪 媽咪今天和山大妞一起午餐時 見到山大妞面有難色 趕快抱她去坐combi小馬桶 山大妞布布脫掉後還沒有噗出來 媽咪陪著她坐小馬桶幫她扶著背後 幾分鐘後山大妞就邊叫邊噗出黃金一兩便啦 當然媽咪又大力的稱讚一番 希望山大妞下次繼續努力
Perhaps no other food culture is more famously linked to the sense of touch than Japan's, "Hands are like a cooking tool in our cuisine," says Ryuta Sakamoto, co-chef and co-owner of Medicine restaurant in San Francisco. "With touch we can actually tell not only freshness and condition, but the taste of a fish." I know this sounds absolutely crazy, but it's a function of repetition and paying attention: Chefs can touch a piece of fish, then taste it and remember the connection between the two. The next day they will do it again, and then repeat ad infnitum until they have built up an extremely accurate sensory database that informs them of what a fish will taste like simply by its feel. ......If you don't happen to live with a chef, a good rule of thumb is to feel your earlobe--that's rare. The tip of your nose resembles medium, and your chin is well-done. Quote from "The Power of Touch" by Daniel Patterson at Food & Wine June 2007.
今年春天真的比較涼 都四月底了天氣還是早晚有些冷 不過溼度高雨下得少 倒是對山大妞的皮膚比較好 最近山大妞吃雞絲稀飯和蘋果 好像消化的不錯 但是噗噗變膏狀讓山大妞不太敢一次噗完 星期天早上媽咪才幫她換乾淨的布布 山大妞馬上噗一小陀就不敢再噗了 媽咪知道山大妞有一點潔癖 怕膏狀的噗噗會擠在布布黏在屁屁上所以不敢再噗 所以每次換乾淨布布都只敢噗一點 媽咪已經想幫山大妞potty training了 正好逮到她膏狀噗噗出動的時機 媽咪馬上抱著山大妞轉身回廁所 讓她坐在馬桶上靠著媽咪 鼓勵她噗出來 真的金黃膏狀便便就噗到馬桶裡囉 長長兩小條膏狀金黃便 只要是有幫孩子訓練如廁經驗的人 經歷這樣順利的第一次 大概都會很興奮有成就感 說"永身難忘"的經驗來形容 媽咪的開心可能一點都不誇張 不過媽咪星期天早上想偷懶 拉全家去買菜 順便吃大華超市的中式早餐 (雖然一個飯團很貴...... 可是家裡沒長糯米了沒法自己做) 發現山大妞雖然抽血測試對黃豆不過敏 但她喝幾次豆漿後 好像都會有過敏皮膚便紅的症狀 因此燒餅豆漿媽咪都應該不可以吃 主要是怕麵粉小麥和黃豆都會過奶讓山大妞癢癢 但是中式早餐對媽咪的誘惑太大 山大王又搶媽咪的飯團吃 媽咪飯團沒吃飽就只好偷吃一個韭菜盒子和甜燒餅 本來星期五六山大妞皮膚好很多 可是星期天晚上山大妞就又開始紅紅了 山大妞一開始又紅癢 媽咪就又得乖乖地回到淨食diet-- 米飯粥+沙拉(不加醬)和雞肉和魚 媽咪來囉#___#
身高 HT/%: 25% 體重 WT/%: 16 LBS 12 oz/ 25%-50% 頭圍 HC/%: 44.5 cms/ 50%-75% 有兩顆小白 動作: 可單手拿取抓和翻書還可以輕鬆換手 可以不需扶著自己坐著很久 只願意在床上做翻滾 可以由坐姿換趴姿再翻成躺著 吃固體食物時喜歡以手抓著咬 喜歡小紅蘿蔔和香蕉蘋果 會用嬰兒學習杯吸管喝水或豆漿了 語言: 哥哥,爸爸,接接,喔歐 還有很多金星語言媽咪學不來...... 癢癢: 對黃豆類, 小麥類, 花生堅殼果仁類, 牛奶及蛋白類和燕麥類食品過敏 固體食物: 香蕉蘋果紅蘿蔔牛油果 糯米飯稀飯加鱈魚米糕 Rice cereal 水, 葡萄汁
不論是在急性期或緩解期,以下方法都是自然醫學醫師(Natuoapthic Physician)用來治療過敏症狀或逆轉過敏體質的有效療法: 1. 用天然植物性的抗過敏藥物,使肥大細胞安定下來。例如,尤佳利樹萃取物、生物類黃酮、天然維他命C。 2. 用針灸調整局部與全身性的自主神經失衡現象。 3. 使用植物性抗氧化劑,以中和體內過多自由基,穩定細胞膜。 4. 避免食用一切氧化與氫化的油脂,長期適量補充富含Ω3必需脂肪酸的油脂。 5. 提高睡眠品質,使身體的腎上腺能得到足夠的休息,因為精神飽滿的腎上腺會分泌天然的皮質酮,使體內的發炎或過敏現象消退。 6. 避免劇烈運動,因為突然劇烈運動會擾亂自主神經的平衡,自主神經失衡時會透過神經傳導物質,激發肥大細胞,導致它分泌發炎物質。須多從事緩和的身心運動,例如瑜珈、八段錦、太極拳。 7. 常保愉快的心情,許多小孩甚至大人的過敏,是在壓力過大與心理創傷的情況下誘發出來,因為心理變化也會直接影響自主神經的平衡。 Natural Therapies Used by Naturopathic Physicians Include: Clinical Nutrition: Nutrition and the therapeutic use of foods have always been a cornerstone of naturopathic medicine. A growing body of evidence now validates the naturopathic concept of using foods and nutritional supplements to treat or manage a wide range of conditions. N.D.'s receive over 140 classroom hours in clinical nutrition. Homeopathy: Over 200 years old, this powerful system of medicine is widely used and accepted in many other countries. The British and Dutch Royal families employ physicians specializing in homeopathy. Homeopathic remedies act to strengthen the innate healing of the individual, and seldom have side effects. Brought to the US in 1825 by doctors who had studied in Europe, by 1900 there were 22 colleges of Homeopathic medicine, including a department at the University of Iowa in Iowa City. The sale and preparation of Homeopathic remedies has been regulated by the FDA since 1938. Modern research has shown Homeopathic remedies to be effective, with research articles printed in the British Journal of Pharmacology, The Lancet and Pediatrics. Botanical Medicine (Phytotherapy or Herbal Therapy): Naturopathic physicians receive extensive training in this area and often blend their own formulas, or even prepare their own extracts. Research in the German E Commission Monograph has verified the use of plants as powerful healing substances which are safe and effective when used knowledgeably. Scientific research in Asia and Europe has shown that some herbal preparations are at times clinically superior to synthetic drugs. Physical Medicine: Techniques used by N.D.'s include, but are not limited to, applications of heat and cold, diathermy, ultrasound, hydrotherapy, exercise therapy, and Naturopathic Manipulative Technique (NMT). Oriental Medicine: Naturopathic physicians are trained in the fundamentals of Oriental medicine and methods of diagnosis. Many incorporate acupuncture, acupressure and oriental botanical medicine their practice. Counseling and Stress Management: N.D.'s are trained in a number of psychological techniques, including biofeedback, hypnotherapy, counseling, nutritional balancing, abreactive therapy and other methods Minor Surgery: All Naturopathic physicians are required to complete classroom and clinic work in the surgical removal of foreign bodies, cysts and other superficial masses, and superficial wound repair, using local anesthesia.
今天是爸鼻公司的帶孩子上班日 因為下午山大妞要去健康檢查 所以就由媽咪跟爸鼻帶著山大妞去爸鼻公司上班 最興奮的應該是媽咪吧 因為媽咪很"哈"上班"躲"在office的日子 本來應該山大王來參觀比較有意義 但是山大王還是得上學啊 所以就派山大妞代打吧 爸鼻的同事們都好喜歡山大妞喔 真的是很像山大妞被參觀 而不是山大妞參觀爸鼻的公司 短短的半天參觀 我們躲在RD的實驗室裡 和爸鼻的上司同事們聊聊天 看看爸鼻的cubicle座位還有休息室 之後媽咪吃爸鼻買來的公司餐廳的雞肉沙拉 ㄋㄟㄋㄟ睡山大妞後媽咪還可以上上網 然後就有免費的午餐吃 吃完就可以和爸鼻一起帶山大妞去健康檢查了 媽咪可是很喜歡這樣的上班日啊
最近山大妞常因為癢癢抓傷自己 讓爸鼻媽咪很擔心 媽咪怕山大妞過敏的食物過奶 自己禁口一陣子的蛋白小麥食品 光吃些米飯雞肉的食物 但山大妞的癢癢狀況還是沒有好轉 讓媽咪最近真的心煩意亂 晚上睡不好 幫山大妞洗澡換布布都很擔心她又抓傷 山大妞好像天黑燈關掉時 注意力不能分散只能睡覺時 抓癢都很用力 只有媽咪餵ㄋㄟㄋㄟ時 她才會覺得比較放鬆不用力抓自己 可是就會很用力捏抓摳媽咪胸口 山大妞和山大王小時候的癢癢有些不同 山大王抓的地方都很明確 就是異位性皮膚炎會癢的臉頰手腕和腳膝蓋後 但妹妹癢的地方多半在胸口脖子肚子臉頰耳朵內後 有時天氣溼度也蠻好的 山大妞還是癢癢 很多嬰兒副食品都是燕麥的cherrio 小麥的toast和一些finger food 山大妞都不能嘗試或多吃 甚至最近山大妞吃像爆米花的brown rice cake 她噗噗出來也讓她很不舒服 從山大妞六個月到九個月這三個月 癢癢的狀況似乎越加劇烈 每天晚上山大妞都吃1/2cc的止癢藥 但也不見得對她睡眠止癢有幫助 山大妞還是3~4個小時醒來抓癢 真是叫媽咪心疼......
山大妞八個月半生活越來越有趣 她喜歡用手指摳嬰兒的汽座的綿絮出來嚐 總是趁媽咪開車或不注意時 小手就摳啊摳出一小陀棉花塞在嘴裡嚼 被媽咪發現她手上有棉絮 免不了要被媽咪氣急地手指伸進她嘴巴巡邏一下 常常一小團棉花就被媽咪從山大妞嘴裡急救出來 不然要過一天 媽咪換山大妞布布時才可以再見到 真是糟糕 除了棉絮之外山大妞還喜歡吃紙, 花 (薰衣草, 香草天竺葵, 甜美愛麗森) 和玩具布標籤 除了這些不可以吃的東西外 山大妞最喜歡吃水果 也喜歡拿著baby carrot啃 磨牙啦 媽咪餵她稀飯倒是興趣缺缺 媽咪跟山大妞平心靜氣地說"不可以吃"的時候 山大妞就會無辜地看著媽咪 圓圓晶亮亮的眼睛一會兒就水汪汪了 然後大叫地哭起來表示抗議 不過山大妞這個年紀真的很聽話 媽咪要她不可以吃時 她就會鬆手不吃直到她忘記又忍不住要吃 媽咪看她的變哭的表情真的是好可愛 對媽咪來說好天氣就是 像最近有霧陰涼的日子 山大妞乾燥的皮膚就會漸漸好起來 變得水噹噹 晚上也會比較好睡 媽咪因為山大妞對小麥和蛋白過敏所以 平常早餐常吃的麵包, 蛋餅, 和土司都不能吃了 每天就煮稀飯當早餐 希望山大妞從六個月就出現的癢癢可以趕快消失 山大妞手指很靈活 在媽咪餵奶時老是喜歡捏媽咪 小手指摳戳捏的功夫真是了得 媽咪痛得叫山大妞就會哭的放嘴 再鼓勵她喝奶時 愛的小手又捏過來了 哎呀呀... 山大妞不只手會捏媽咪 也喜歡喝ㄋㄟ時抓媽咪頭髮 躺著喝ㄋㄟ還有腳ㄚ子踢媽咪捏 但是如果媽咪手握著她的小手 山大妞就會輕輕地小手指在媽咪的掌心玩著 山大妞遇到初次見面的朋友或不熟的人 一律很嚴肅地看著對方不茍言笑 但常常看到熟了 山大妞看到了會熱情地手上下揮動 嘴角帶有一絲微笑 爸爸和媽咪都覺得山大妞以後是那種 酷酷的冰山美人型的女子 其實山大妞平常開心時 大叫大笑嘎嘎嘎地 還會說一大串話 今天早上醒來爸鼻逗她時 還聽到她說"謝謝"捏 不過今天山大妞 見到一位帶著快滿一歲的兒子的媽媽 來山寨家推薦教會出的月刊 山大妞居然會主動揮手喔 看來媽咪每天早上帶山大妞 跟哥哥和爸鼻揮手掰掰 已經學會囉
千呼萬喚始出來 左下小白門牙終於在八個月的前一天來報到
一共只有兩次自己願意翻身 每次趴趴還是會哇哇叫 一定要媽咪跟她玩roll over才願意翻身
雖然還是大哭 不過終於抽到血了 一個星期後揭曉 3/22接到報告 對牛奶,蛋白, 小麥, 花生, 和燕麥過敏 媽咪要少吃蛋和麵粉類食物囉 唉呀呀...
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最近喝ㄋㄟ山大妞都會流口水 還有肚子上老是有紅點的疹子 半夜睡覺有時也很難ㄋㄟ睡 會抓脖子癢 媽咪幫她用貓咪搔癢那樣手來回刷脖子 山大妞就會露出好像很享受快睡著的表情 但是不搔癢山大妞又會開始自己抓脖子 媽咪本來不想幫山大妞的指甲剪得很短 媽咪喜歡山大妞的指甲圓圓有點弧度的 但是無奈她自己半夜抓臉會抓花了臉 爸鼻就把山大妞指甲修得吃進指甲肉一點扁扁短短地 上回六個月大健康檢查 山大妞肚子的紅疹才剛開始 醫生有說山大妞皮膚很乾要塗很多很多乳液 媽咪就很擔心山大妞有過敏性溼疹 但是山大妞不曾抓肚子 只有抓下巴,脖子和臉頭 如果是口水疹天氣一濕一點 山大妞的臉又是水噹噹 但是肚子還是有紅點 媽咪換她尿布時就幫她塗cetaphil和aquopher乳液 但是還是幫助不大 白天山大妞不會抓癢 晚上有時醒來喝奶時就會抓癢到睡不好 山大妞睡不好 媽咪就也睡不好 媽咪睡不好脾氣就不好 一家人都遭殃 所以還是得請醫生看診才能對症下藥吧 檢查結果: 七個月大山大妞重: 16磅6盎司 Dr. Uchiyama認為山大妞是皮膚太乾而非過敏 媽咪讓山大妞試一次抽血測過敏 Lab人員還是抽不出血來 建議去另外Lab請一位很有經驗抽北鼻血的護士幫忙 見山大妞被扎針快半分鐘哭成淚人兒很心疼 媽咪決定改天再去試
山大妞除了喜歡吃梨子泥 還喜歡撕面紙 多是用左手撕扯然後丟掉小片那半再繼續撕 最近山大妞很喜歡玩電話 抱著她走過電話機她就高興地尖叫要玩 媽咪常讓她聽爸鼻留言 和ㄚ嬤或爺爺講電話山大妞也會插上幾聲小小尖聲吶喊 在花園山大妞最喜歡看棕櫚樹長長的葉子低垂 然後山大妞喜歡伸手抓著晃晃棕櫚葉子
山大妞最近嚐鮮的有 蘋果泥 Oat whole grain cheerios cereal 梨子泥 可是也發現山大妞有些過敏發癢的紅疹 所以先暫時不吃cheerios cereal 也可能是媽咪吃了有加蝦米的海鮮粥過奶 山大妞很喜歡最近嚐鮮的菜單 尤其是甜甜的韓國梨水果泥 媽咪還是加點水打的果泥 山大妞直要拿湯匙自己餵喝梨子果泥喔 山大妞高興的時候會發出像一段句子的聲音 不然就是呀呀咕啦地滴滴咕咕說個沒完 總是拉高八度邊叫邊說 很可愛呢 山大妞坐的更好了 自己快要倒一邊時還會平衡修正回來 但是就是遲遲不願翻身爬行 可能是天氣冷平常都裹很多衣服 只有在尿布都脫光光時 山大妞才會腳丫大幅晃來晃去 像快翻過身那樣 山大妞到現在小白還沒發出芽 山大妞也不願意喝奶瓶奶嘴 媽咪還是全母奶餵食中 可是白天越來越難ㄋㄟㄋㄟ睡 只要媽媽奶嘴一拔掉 山大妞就張大眼睛無辜地唉唉叫
媽咪實在有點擔心六個月半的山大妞進步緩慢 山大妞不喜歡tummy time 自己也還不會翻身 雖然坐的很好了 可是牙齒本來都可以見到牙齦下的小白了 後來又消失無蹤 真是很奇怪 媽咪還擔心山大妞不喜歡趴著學爬呢 因為山大妞媽咪扶著站著她就好高興 山大妞也不太喜歡固體食物 但媽咪餵她全母奶已經開始倦怠了 吃過米糊,紅蘿蔔糊,和香蕉泥 對香蕉泥還可接受 但多半是喜歡抓著湯匙自己餵食 看山大妞噗噗都會隨著添加固體食物 而改變顏色氣味和內容物 真是讓媽咪也些小擔心 山大妞現在喜歡的有 可以咬翻著看的寶寶書: 123 小熊嘟嘟 teething ring 看深銅色立燈 Evian塑膠水瓶
妹妹雖然沒有發燒 但是咳嗽有痰流鼻水 和哥哥症狀一樣 因為喝ㄋㄟ會鼻塞 妹妹睡不好也吃不好這兩天蠻難帶的 還好昨天Isabelle & Ryan都感冒過 星期六他們約要來前也告知朋友 山寨家大小兩隻都在感冒 中午吃披薩真是錯誤的決定 山大王晚上睡覺前又咳到吐且發燒 披薩吐出來的味道真不好聞 可能山大妞喝媽咪ㄋㄟㄋㄟ 也有起司過奶的嫌疑 下午就開始抓臉 身上有小疹子 這次哥哥感冒已經拖兩個星期了 怕咳到肺炎也怕妹妹呼吸道感染太嚴重 媽咪決定星期二要帶大小兩隻去看醫生
謝謝翰翰媽咪,嘿熊熊媽咪及光光與淨淨媽咪
STARTING SOLID FOODS I've heard that it's better to start vegetables before fruits. Is this true? Purists recommend that vegetables be introduced before fruits so that infants don't learn to expect that food should always taste sweet. This is one of those nutritional directives that sound great in theory, but many of us who have fed lots of babies have found it hard to put into practice. First of all, babies are born with a sweet tooth. Their tiny tongues are more richly supplied with sweet tastebuds than with any others. This makes sense, because human milk is sweet, and breastfed babies are less likely to willingly accept the bland taste of vegetables than formula-fed babies. While there is no doubt that vegetables are nutritionally superior to fruits, most parents find that babies will happily eat fruits, making them hassle-free first foods. The nutritional content of starter foods is of secondary importance; the main goal of these early solid food feedings is for the baby to learn how to swallow foods of different textures. You're likely to have more success with fruits than with vegetables. When introducing veggies, try the sweet ones first: carrots and sweet potatoes. If you have a baby who loves vegetables, good for you! Don't worry if your baby attacks veggies with less enthusiasm than fruit. He'll eventually learn to like them if you keep offering them NUTRITIP: Favorite First Foods rice cereal peaches barley cereal applesauce bananas carrots pears squash avocados sweet potatoes My baby enjoys rice cereal and bananas. What foods should I feed her next? Work your way from soupy to lumpy as you also increase how often and how much baby eats. At first, you'll offer food only once a day; but within a few months, you'll be feeding solids whenever you sit down to a meal. Babies differ so much in their preferences and their readiness for solids that it's difficult to make hard and fast rules about the consistency, amount, and type of solid foods to offer. But here are some suggestions from our family and our pediatric practice for babies from five to eight months. Bananas. Because of their sweetness and smooth consistency, ripe bananas closely resemble mother's milk, which makes them an ideal starter food. They are one of the few fruits that can be served uncooked. Let the banana get very ripe before serving it to baby (the skin should be covered with brown spots). After peeling, cut and mash it with a fork, and serve it either straight or mixed with formula or breastmilk for a more soupy consistency. Bananas are a great quick meal for parents and babies on the go -- mash a few slices and eat the rest yourself. Cereal. Begin with rice or barley cereal, the least allergenic. Don't serve a mixed cereal until you've tried each of the ingredients separately to be sure baby is not allergic to any of them. Rice is approximately 75 percent carbohydrates and seven percent protein. High protein cereals, made primarily with soybeans, may contain as much as 35 percent protein. Cereals made especially for infants are fortified with minerals, such as calcium and phosphorus, along with B-vitamins and iron. Begin with one- fourth teaspoon of cereal and advance to a tablespoon, and so on. Mix it with breastmilk or formula to the desired consistency. Cereal alone is very bland and may be refused by your baby. Once you know your baby is not allergic to different fruits and cereals, you can experiment by combining various fruits with cereal in various consistencies. Cereals are often suggested as a way to fill baby up, lengthening the interval between feedings, and even sleeping longer at night. This "filler fallacy" is an unwise feeding pattern. Cereal is not nearly as nutritious as breastmilk or formula. Besides, this practice rarely works. Pears. Pears are easy to digest and have a mild flavor perfect for babies. As with all fruits, they are mostly carbohydrates and a good source of potassium and vitamins A and C. Try pear sauce instead of applesauce. Applesauce. Applesauce is an ideal first fruit. It is low in citric acid, which can cause an allergic reaction in some infants. Cook the pared and peeled apples with two tablespoons of water over medium heat until tender. Blend or whip until smooth. Applesauce can be combined with a variety of foods, including cereal or as a "sauce" to disguise less-palatable, but more nutritious, foods. Uncooked apples are difficult for babies to gum and chew under one year of age, and they are a choking hazard. Carrots. Cooked carrots are a very good source of vitamin A and beta carotene, and as mom always said, carrots improve night vision. Peel, slice, and steam carrots until tender without spices, salt, sugar, or butter. Small blobs of mashed, cooked carrots are usually well-accepted and enjoyed by babies. Bite-size cooked carrots or a pile of steamed, grated carrots are good finger foods beginning at eight months. Avoid raw carrots, which can cause choking. Sweet potatoes and winter squash. Babies enjoy sweet potatoes and winter squash for their flavor, texture, and color. They are both high in beta carotene. Sweet potatoes contain vitamin B- 6, which helps the body use carbohydrates, protein, and fat needed for healthy skin, nerves, and circulation. Winter squash supplies potassium and other nutrients. Carrots, sweet potatoes, and squash can all be cooked quickly in the microwave, with minimum nutrient loss. Sweet potatoes are like convenience foods in the microwave: wash, cook for seven or eight minutes, open and serve. You don't even need a plate. Be sure to stir the warm potato and test for "hot spots," since microwaved food may heat unevenly. Wash and peel sweet potatoes before cooking in a small amount of water, or steam over a medium-heat until tender. Puree with a small amount of liquid. For variety, mix sweet potatoes with peas, carrots, or squash. Cut the squash in half, remove the seeds, and bake it. Or, you can peel it and steam the halves. Blend until smooth and add water to reach the desired consistency. Avocados. Avocados are, in our opinion, an ideal food for babies. The avocado's smooth, creamy consistency makes it a fresh fruit even a baby can enjoy. Low in sodium and cholesterol-free, avocados contain such valuable nutrients as vitamin A, vitamin B-6, folic acid, niacin, phosphorus, magnesium, and iron. Ounce-for-ounce avocados contain more potassium than 45 other fruits, juices, or vegetables, including bananas, peaches, carrots, and green beans, and they are one of the only fruits that contain monounsaturated fats, which are essential for your baby's development. Avocados are higher in calories than any other fruit or vegetable. This is a plus for babies, since feeding infants calls for nutrient-dense foods , foods that contain a lot of nutrition per unit of weight and volume. Ripe avocados can be served without any cooking; a time-saver for mom and dad. To prepare, cut in half around the entire circumference of the seed. Grab a half in each hand and twist to remove the seed. Scoop out the meat inside and mash with a fork, or simply spoon-feed directly from the shell. For variety, avocados can be mixed with apple or pear sauce, cooked squash, or sweet potatoes. One of the reasons why avocados are one of the Sears' favorite foods for babies, infants, and children is their versatility. You can do so much with them, as can babies. Avocados can be spread, scooped, mashed, and made into guacamole for children (avocado dip without the strong spices). WHY WAIT? 6 REASONS Gone are the days when pressured mothers stuffed globs of cereal into the tight mouths of reluctant six-week-olds. Nowadays parents feed their baby on the timetable that is developmentally and nutritionally correct -- as determined by their baby. Don't be in a rush to start solids. Here are some good reasons for waiting. 1. Baby's intestines need to mature. The intestines are the body's filtering system, screening out potentially harmful substances and letting in healthy nutrients. In the early months, this filtering system is immature. Between four and seven months a baby's intestinal lining goes through a developmental growth spurt called closure, meaning the intestinal lining becomes more selective about what to let through. To prevent potentially-allergenic foods from entering the bloodstream, the maturing intestines secrete IgA , a protein immunoglobulin that acts like a protective paint, coating the intestines and preventing the passage of harmful allergens. In the early months, infant IgA production is low (although there is lots of IgA in human milk), and it is easier for potentially-allergenic food molecules to enter the baby's system. Once food molecules are in the blood, the immune system may produce antibodies to that food, creating a food allergy . By six to seven months of age the intestines are more mature and able to filter out more of the offending allergens. This is why it's particularly important to delay solids if there is a family history of food allergy, and especially to delay the introduction of foods to which other family members are allergic. 2. Young babies have a tongue-thrust reflex . In the first four months the tongue thrust reflex protects the infant against choking. When any unusual substance is placed on the tongue, it automatically protrudes outward rather than back. Between four and six months this reflex gradually diminishes, giving the glob of cereal a fighting chance of making it from the tongue to the tummy. Not only is the mouth-end of baby's digestive tract not ready for early solids, neither is the lower end. 3. Baby's swallowing mechanism is immature. Another reason not to rush solids is that the tongue and the swallowing mechanisms may not yet be ready to work together. Give a spoonful of food to an infant less than four months, and she will move it around randomly in her mouth, pushing some of it back into the pharynx where it is swallowed, some of it into the large spaces between the cheeks and gums, and some forward between the lips and out onto her chin. Between four and six months of age, most infants develop the ability to move the food from the front of the mouth to the back instead of letting it wallow around in the mouth and get spit out. Prior to four months of age, a baby's swallowing mechanism is designed to work with sucking, but not with chewing. 4. Baby needs to be able to sit up. In the early months, babies associate feeding with cuddling. Feeding is an intimate interaction, and babies often associate the feeding ritual with falling asleep in arms or at the breast. The change from a soft, warm breast to a cold, hard spoon may not be welcomed with an open mouth. Feeding solid foods is a less intimate and more mechanical way of delivering food. It requires baby to sit up in a highchair – a skill which most babies develop between five and seven months. Holding a breastfed baby in the usual breastfeeding position may not be the best way to start introducing solids, as your baby expects to be breastfed and clicks into a "what's wrong with this picture?" mode of food rejection. 5. Young infants are not equipped to chew. Teeth seldom appear until six or seven months, giving further evidence that the young infant is designed to suck rather than to chew. In the pre-teething stage, between four and six months, babies tend to drool, and the drool that you are always wiping off baby's face is rich in enzymes, which will help digest the solid foods that are soon to come. 6. Older babies like to imitate caregivers. Around six months of age, babies like to imitate what they see. They see you spear a veggie and enjoy chewing it. They want to grab a fork and do likewise. How will I know when my baby is ready for solids? As with all aspects of parenting, watch your child and not the calendar. Besides the developmental milestones above, watch for these ready-to-eat cues in your baby: Able to sit with support, reaches and grabs, and mouths hands and toys Watches you eat, following your fork as it moves from plate to mouth "Mooches," reaching for food on your plate Mimicks your eating behaviors, such as opening her mouth wide when you open your mouth to eat. Grabbing your spoon is not a reliable sign of feeding readiness, since baby may be more interested in the noise, shape, and feel of your utensils rather than the food stuff on them. Baby can show and tell. Around six months of age babies have the ability to say "yes" to wanting food by reaching or leaning toward the food and "no" by pushing or turning away. Expect mixed messages as your baby learns to communicate. When in doubt, offer, but don't force. Does baby seem hungry for additional food? If your baby is content with breastmilk or formula, no need to complicate his life with solids. If, on the other hand, your baby seems unsatisfied after a feeding, is shortening the intervals between feedings, and several days of more frequent feedings don't change this, it may be time to begin. I'm not sure if my baby is ready. Should I try offering solids anyway?Is your baby both ready and willing to try solid foods? Here's how to tell. If your baby eagerly opens his mouth when he sees a spoonful of food coming toward him, he is probably both ready and willing. If he turns away, he's not. Or, give him a spoon to play with to see if it quickly ends up in his mouth. (Feeding tip: use plastic spoons with smooth, rounded edges. They do not get too cold or hot, and they are quiet when banged or dropped.) Remember, your immediate goal is to introduce your baby to solid foods, not fill him up on solids. Milk feedings will continue to be a major part of his diet for the next several months. Gradually introduce baby to a different texture, taste, and way of swallowing. Overwhelming your child with big globs of too many new foods all at once invites rejection. At this point, solids are add-ons, not substitutes for the breast or bottle. However, if you have a six- to nine-month-old formula-fed baby who is taking forty ounces a day, you may consider substituting a solid food feeding for a bottle. Which foods are best to begin with? Begin with foods that are not likely to cause allergies and that are most like the milk baby is used to. If your baby is used to the sweet taste of human milk, start with mashed bananas. If baby is used to the more bland flavor of formula, try rice cereal mixed with formula (or with your milk if your breastfed baby prefers rice cereal to bananas). Rice is the most intestinal-friendly grain because it is gluten-free, low in protein, and high in carbohydrates. It has a nutritional profile more like a fruit than a grain. Mix the cereal to a soupy consistency and lessen the amount on milk or formula you add as baby gets better at eating. How do I start? Use your finger as baby's first "spoon." It's soft, at the right temperature, and baby is familiar with it. Encourage baby to open her mouth wide. Place a fingertipful of this glorious glob on baby's lips while letting her suck on the tip of your finger. Next, advance the fingertipful of food to the tip of your baby's tongue (where there are tastebuds receptive to sweetness). If this gets swallowed, or at least is not spit back at you, try placing the next glob toward the middle of baby's tongue. Watch baby's reaction to this new experience. If the food goes in with an approving smile, baby is ready and willing. If the food comes back at you, accompanied by a disapproving grimace, baby may not be ready. Some babies make funny faces just because this is all so new to them. What happens in the mouth may be a more accurate indicator of whether a baby is ready to eat solids. If the mouth opens for a second helping, give it another try – you may have a winner. Even if the food comes back out, the baby may just need to learn to seal his mouth shut when he moves the food from the front to the back. Rejection of the food could also indicate that the tongue-thrust reflex is not yet gone, and baby can't move the food to the back of his mouth and swallow it. If your baby just sits there, with an open mouth, confused by the glob of food perched on her tongue, she's probably having difficulty with the tongue-thrust reflex. Let her practice a while. If she still doesn't seem to know what to do, wait a week or two before you try again. NUTRITIP: First Spoon We advise that baby's first "spoon" be your finger. It is soft, at the right temperature, and by this stage baby is very familiar with its feel. Your finger also knows if food is too hot. Few babies like to begin their feeding life with a silver spoon in their mouth. Metal holds the heat in, so baby has to wait longer for each bite as you cool the hot food by blowing on it. A hungry baby finds this infuriating! A coated demitasse spoon is a good starter utensil. Plastic spoons with smooth, rounded edges are best – and quietest when banged or dropped. Use shatterproof plastic bowls that can survive battering on the high-chair tray and numerous tumbles to the floor. How much food should I offer? If your baby eagerly accepts the first fingertipful of food, offer a little more the next time. At these first feedings, baby may actually swallow only a teaspoon or two of food. Gradually increase the amount you give baby until you are offering a quarter-cup or more at a time. Remember, your initial goal is to introduce your baby to the new tastes and textures of solid foods, not to stuff baby. As with all areas of development, babies take two steps forward and one step back. Expect erratic eating patterns. Baby may take a couple tablespoons one day and only a teaspoon the next. Baby may devour pears and refuse bananas one day, then the next day ignore the pears and gobble down the banana. That's all part of the feeding game. Relax and realize that you can't control your child's every mouthful. Don't force-feed a baby. Know when enough is enough. (Your baby knows.) Observe stop signs: Baby purses lips, closes mouth, and turns head away from approaching spoon. Baby leans away from the advancing spoon, uninterested or wanting to avoid the food entirely. Leaning toward the food or grabbing the spoon or hand of the feeder indicates a desire for more. NUTRITIP: Milk Plus Consider solid foods an addition to, not a substitute for, breastmilk or formula, which are more nutritionally balanced than any solid food. This food fact is especially important for breastfeeding babies. For a breastfeeding baby, it's best to start solids slowly, so that they don't become a substitute for the more nutritious breastmilk. Also, solids fed at an early age can interrupt the supply-and-demand cycle, resulting in decreased milk production. What time of the day is best for feeding solid foods? Offer new foods in the morning. If by some chance your baby is allergic to a particular food, the intestinal upset should wear off by the end of the day. Beginning a new food in the evening runs the risk of painful nightwaking. Otherwise, offer solids at the time of the day when your baby seems hungriest, is bored, or you both need a snack and something interesting to do. Mornings are usually the time when babies are hungriest and in the best mood for social interactions, including feeding. If breastfeeding, try offering solid foods toward the end of the day, when your milk supply is likely to be the lowest and baby will be more eager to eat. Feed baby solids between breastfeedings, not right after, since solid foods may interfere with the absorption of some of the nutrients in breastmilk. Choose a time of the day when you are not in a hurry, since dawdling, dabbling, spewing, spattering, smearing, and dropping are all part of the feeding game. Forget fast-feeding. Remember, meals are both a food-delivery system and a social experience. Take your time, and enjoy this new nutritional stage. NUTRITIP: Don't Sweat the Small Feedings Take it from the Sears family: Relax and have fun with this new stage. By four months of age babies are very astute at reading parents' facial expressions. If you're anxious about getting solid food into your baby, expect baby also to be anxious. Approach the feeding game as just another social interaction that you will both enjoy.
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