Yes I know, I'm sorry, but it's 25th of November now, someone had to mention it soon.
This is actually Arthur's second Christmas, but last year he was so small he didn't really know what was happening. This year, at 16 months, trees, lights, decorations, that big fat bearded chap dressed in red, and gifts (well at least the boxes they come in!) will all capture his endless curiosity. Like many parents, his dad and I are thinking about what Christmas will be for our family. Like birthdays, we want it to be a special occasion, with lots of fun and joy and celebration, but without too much commercialism, or ridiculous expense.
Our culture of course means that you can't have a conversation about a child's Christmas without the mention of Santa / Father Christmas / St Nick, or whatever it is you call him in your house. We decided we are 'doing' Santa, but as we got deeper into that conversation, we discovered we had radically different expectations of how Santa works, based on our own childhood experiences.
For me, Santa brought of of little things; some knickers and socks were a regular feature, some chocolate, one or two small toys, a couple of books. For him, Santa bought just one big special thing. He always felt sad for kids who's Santa bought them clothes! My Mum and Dad always got me a nice present, whereas for him there was nothing at all from his parents (only Santa!). I would have felt sad for him!
As a result of our own experiences, I have been collecting up list of all the things Arthur needs, like some PJ's, vests, trousers, and some little toys he has shown interest in, like a pot and pan set and a dustpan and brush. Daddy on the other hand has been thinking of a tricyle or ride on toy. I'm not sure we've fully decided how to proceed as yet, but we are aware there is no rush - he is unlikely to remember this year anyway, so if he has the excitement of unwrapping lots of things (even if they are vests that I would have to buy him anyway) he wont necessarily expect lots of things next year. So for now, we can go ahead with my little stocking plan. He could also get a tricycle, but it will probably arrive when the weather is more tricycle friendly and his legs are a longer and more coordinated (perhaps for his birthday). By next year though we are hoping we'll have a definite plan in place.
Other Christmas things we'll do? We'll have a tree with lights, maybe we'll make something with holly to stick on the front door, we'll hang the cards as our decorations and we will spend the big day with extended family, and enjoy giving. If the weather is good, we might head into our town centre for the switching on of the lights next week, and we may go to that garden centre where they have the reindeer one day. I think that's enough, don't you?
So, how about you? What are your Christmas Traditions? Does Santa visit your house? What does he bring? Please share your ideas with us using the comments below.
Sunday, November 25, 2012
Thursday, November 22, 2012
Campaign to Delay Cord Clamping
NCT is encouraging and supporting this campaign - we have supported
change in this practice now for more than a decade and have been
encouraging researchers to carry out research in the area so the
evidence to force a change in practice is there ... it's getting there
slowly - we need a big push by everyone to get it to happen. Belinda Phipps
I am a practicing Midwife with 24 years experience. Seven years ago, I truly reflected on my practice with regards to the third stage of labour and the wide spread practice of Immediate Cord Clamping after teachers voiced their concern at the increasing numbers of children with medical or learning problems. I also observed the same in friends and family children.
After extensive searching and confirmation of very worrying statistics, I had an epiphany and realised that this common practice implemented 40-50 years ago was an interruption of a fundamental birth process, which deprived the baby of up to 40% of its intended blood volume, with unknown results and for the most part absolutely unnecessary.
On approaching managers and doctors, I was told I had an interesting scientific theory which was not evidence based. I pointed out at that time that Immediate Cord Clamping was not evidence based. I was informed that to change practice I would have to produce evidence.
I wrote to the RCM and asked for immediate national clarification on timing of clamping the umbilical cord. At the time there was little evidence but George Morley from the US was convinced that Immediate Cord Clamping was the cause of irreversible brain damage leading to Autistic Spectrum Disorders. From that time, I immediately started offering all my women informed choice with regards to delaying the clamping and cutting of their babies cord. Over the years I have received a good deal of antipathy.
Over the past 7 years, there has been a growing body of evidence to support the delay in clamping and cutting of the umbilical cord. The World Health Organisation, Unicef, ILCOR, International Confederation of Midwives, FIGO and more recently the Royal College of Midwives have all recommended Delay in Cord Clamping as best practice. Timings vary from 1 to 5 minutes.
NICE are intending to review and publish new guidelines but not until November 2014 and there is no guarantee that they will include Delaying Cord Clamping in the new guidelines.
Many hospital doctors are reluctant to change their guidelines until NICE give the go ahead, whereas other hospitals i.e. Darlington, Liverpool and Worcester have taken the lead and changed their guidelines despite NICE recommendations.
Two years is too long to wait when there is ample evidence to indicate that Immediate Cord Clamping is detrimental to babies. I am part of a national team which includes Consultant Paediatricians, Obstetricians and Neonatologists. Together we developed the basics trolley, a small resuscitaire which enables the umbilical cord to remain intact whilst resuscitation occurs. Much of the evidence shows that compromised and premature babies benefit from delayed cord clamping.
As part of a growing global network, I was delighted to be approached by the NCT and I would like to invite you all to join the campaign to lobby the National Institute of Clinical Excellence to change the Current Guidelines which recommend Immediate Cord Clamping (NON evidence based practice, proven to be detrimental to babies and normally performed before baby has breathed) to recommend Delayed Cord Clamping for at least 3-5 minutes, but ideally until the cord stops pulsating.
http://www.change.org/petitions/nice-implement-delayed-cord-clamping-immediately?share_id=QmzivsMSYS&utm_campaign=petition_created_email&utm_medium=email&utm_source=guides
Amanda Burleigh RGN RM
I am a practicing Midwife with 24 years experience. Seven years ago, I truly reflected on my practice with regards to the third stage of labour and the wide spread practice of Immediate Cord Clamping after teachers voiced their concern at the increasing numbers of children with medical or learning problems. I also observed the same in friends and family children.
After extensive searching and confirmation of very worrying statistics, I had an epiphany and realised that this common practice implemented 40-50 years ago was an interruption of a fundamental birth process, which deprived the baby of up to 40% of its intended blood volume, with unknown results and for the most part absolutely unnecessary.
On approaching managers and doctors, I was told I had an interesting scientific theory which was not evidence based. I pointed out at that time that Immediate Cord Clamping was not evidence based. I was informed that to change practice I would have to produce evidence.
I wrote to the RCM and asked for immediate national clarification on timing of clamping the umbilical cord. At the time there was little evidence but George Morley from the US was convinced that Immediate Cord Clamping was the cause of irreversible brain damage leading to Autistic Spectrum Disorders. From that time, I immediately started offering all my women informed choice with regards to delaying the clamping and cutting of their babies cord. Over the years I have received a good deal of antipathy.
Over the past 7 years, there has been a growing body of evidence to support the delay in clamping and cutting of the umbilical cord. The World Health Organisation, Unicef, ILCOR, International Confederation of Midwives, FIGO and more recently the Royal College of Midwives have all recommended Delay in Cord Clamping as best practice. Timings vary from 1 to 5 minutes.
NICE are intending to review and publish new guidelines but not until November 2014 and there is no guarantee that they will include Delaying Cord Clamping in the new guidelines.
Many hospital doctors are reluctant to change their guidelines until NICE give the go ahead, whereas other hospitals i.e. Darlington, Liverpool and Worcester have taken the lead and changed their guidelines despite NICE recommendations.
Two years is too long to wait when there is ample evidence to indicate that Immediate Cord Clamping is detrimental to babies. I am part of a national team which includes Consultant Paediatricians, Obstetricians and Neonatologists. Together we developed the basics trolley, a small resuscitaire which enables the umbilical cord to remain intact whilst resuscitation occurs. Much of the evidence shows that compromised and premature babies benefit from delayed cord clamping.
As part of a growing global network, I was delighted to be approached by the NCT and I would like to invite you all to join the campaign to lobby the National Institute of Clinical Excellence to change the Current Guidelines which recommend Immediate Cord Clamping (NON evidence based practice, proven to be detrimental to babies and normally performed before baby has breathed) to recommend Delayed Cord Clamping for at least 3-5 minutes, but ideally until the cord stops pulsating.
http://www.change.org/petitions/nice-implement-delayed-cord-clamping-immediately?share_id=QmzivsMSYS&utm_campaign=petition_created_email&utm_medium=email&utm_source=guides
Amanda Burleigh RGN RM
Children's Toys: Readers' Recommendations
by Lucinda Graves
With just a month to go, you may be
wondering what to get your little ones for Christmas. We asked some NCT members
for their thoughts on their children’s favourite toys. It became quite clear from the comments
received that different children like different toys but we thought this may
help you when thinking about Christmas presents! This is what they said.
Babies
A baby
gym is great for little babies. Even tiny ones love to lie under the toys.
Some have lights and noise but they’re not necessary to entertain the baby for
ages. Having played with some at friends' houses, I'd avoid the plush cushion
type ones as they make it hard to do tummy time; stick to a flat mat – it's
more versatile, especially if the gym bit can be removed later and the mat just
used to play on when they are older.
We got a bouncy
chair for our son as a baby. He went in it a lot for the first few months
and our daughter used it a lot too but they do outgrow it by 5 months or so and
I'm really glad we didn't spend loads on a self-rocking/swinging lights/sounds
one. Ours did vibrations or a sort of gentle rock and that was fine and it cost
about £30.
I found having somewhere safe and easy to put
my baby down was really useful. For my son, we had an inflatable doughnut nest (from a NNS!) that he would happily lie in
for a while under a heap of toys.
My daughter loved the Jumperoo and would bounce away for ages while I cooked or washed
up.
My only recommendation for a small baby would
be some form of entertainer (where
you stick the child into a seat and they can get at toys attached to a 'tray'
all the way round them). Mine was bought cheaply from a NCT sale and I wasn't
sure that it would last long. However, it worked from 3 months all the way up
to walking and provided great value particularly when my kids wanted to be able
to play with things but didn't have enough coordination to sit or get to toys
unaided.
My children have both loved the LeapFrog Spin & Sing Alphabet Zoo Ball,
which covered quite a big age range - our son just loved the fact he could make
it make a noise, whereas my daughter eventually taught herself the alphabet by
playing with it.
Lamaze toys: they do a range and I think all are
attractive to most children of this age due to the black and white contrasting
and the different crinkly/rattle noises that they make.
Rattles: my daughter had an elephant rattle that spun round and
round inside a square bit that she could hold (Mothercare I think). She also
liked a simple round rattle with
balls inside, which was actually part of a big play gym - she was more
interested in this part of it than anything else.
Books, especially books with simple
pictures and limited black text on white background, e.g. B is for Bear by Dick
Bruna, and touchy-feely cloth books.
1-2 years
Duplo
lego
is good for 1yr+ as it helps hand eye coordination and encourages creativity in
older children. My 2yr old boy loves his and though they do get
everywhere he has a big megabloks truck that they all go into. At the moment he
likes the plain bricks rather than the farm/castle playsets (from a NNS).
I bought a playskool busy ball popper from an NCT sale for my daughter when
she was just 1 year old. It entertained all her cousins (aged 1-12) and was a
firm favourite for a long time in our house. Well worth the money.
At 15 months old, our son got a Vtech phone that lights up and talks to
you and has numbers/shapes modes. He loved it and now our daughter does too.
It's been great for entertaining them in the car!
My son got an alphabet puzzle (pull out pieces on a board) for his 1st birthday and even by 18M he could do it on his own and it helped him learn all his letters.
I bought a scramblebug ride on for my daughter for her first birthday and she loves riding it round. If I were buying it for a slightly older child though (18M+) I'd buy the three wheeled scuttlebug instead.
My 18 month old has loved her Fisher Price ride on fire engine, which
makes lots of noise!
One of the
biggest hits in our house has been a wooden
pushalong pig - I would never have chosen it in a million years but
my mother-in-law took our daughter to a toy shop when she was quite small and
let her choose something and this was what she chose. She's played with it for
nearly 3 years now, and now our son (1) loves it too, whether they're pushing
it along, using it as a golf club, or unscrewing the stick and playing with the
pig or just using the stick to hit things. In fact, that's made me think I
might stock up for nieces and nephews for Christmas!
An ELC
steering wheel and other buttons (with clips for attaching to e.g. a buggy,
but they fell off pretty fast) has kept them both entertained in the car for
many (cumulative) hours :)
Plastic
animals
provide hours of play and are great in the bath too.
The stacking cups from ELC have probably been the most used gift. We've
gone through a few sets but they love them and still play with them in the bath
(my oldest is 7). We also have the stacking
alphabet/number cardboard boxes. They like lining them up like a road,
stacking them, putting toys into them, making towers. Unfortunately the dog
likes eating them, so we are on our third set.
We have enjoyed Fisher Price Peek-a-Blocks, although some of my kids have taken to
them more than others. The Incrediblock
was definitely well worth it.
The early learning centre wooden post box was a big hit as was
the Early Learning Centre Noah's ark.
2+ years
Let's pretend toys e.g. Kitchen, washing machine, toy pram etc. (although
my daughter plays just as happily with her cardboard oven/hob that we made for
her as she would have done with a plastic or wooden one).
Wooden
play cooker
- we have a small one by Le Toy Van. It's great as it takes up very little
space unlike some of the toy cookers which are almost as big as the real thing!
It has had hours and hours of play constantly. To go with the these, we have
plenty of wooden food, plates, knives etc.
Tea sets: they never get
bored of them! We have a plastic ELC one. They also love the Fisher Price Laugh
and Learn singing teapot. At our group's 2nd b'day we did secret Santa
presents for the kids &, once unwrapped, half of them dropped everything to
go for the cups, plates & cutlery!
Happy Land - fantastic for all ages, babies can
chew the figures safely (!) but goes across all ages - my 2 year old loves it
and my 6 year old still plays with it. There is a huge variety of sets to
choose from so they can role play whatever they are most interested in -
schools, zoos, transport, shops...and you can gradually build up a village
which is great fun (even Mum and Dad have been on their hands and knees joining
in!) You can also use it to put little minds at rest - using the doctors’
surgery we were able to explain about injections resulting in a very easy trip
to the real doctor!
We like Fisher Price Little People. There are so many sets,
you can get one for every season and interest. Storage can become a problem if
you get too many sets.
For slightly older children I recommend playmobil. It does seem really
expensive but I have been really impressed at how versatile and durable it is.
It also grows well with a child and allows them to play differently as their
play develops. It also holds its value well so is good to resell at NCT sales
or on eBay.
The vtech reading pen and books are really
good, particularly for car journeys/restaurants. These really helped with early
reading and helping with a love of books. The pen can read the page or the
individual words and there are games in each book as well. There is a good
choice of books for girls and boys; the only complaint would be that you can
only load a certain number of books on the pen so have to swap around regularly
using the computer, but a great educational toy.
A toy pushchair (my daughter will walk much further around town if
she's pushing her little pushchair with a teddy in it than she normally would).
One for toddlers that I have
liked is the Aqua draw mats - either
the large ones that go on the floor and can be drawn on with water (the mat
then dries and you can start again) or the smaller mini mats which have a
picture that can be uncovered with water. Once dried they can be used again and
again and again!
Simple coloured pencils and crayons
are well loved and my son loves ‘colouring in’ my artistic offerings.
Anything with wheels is loved by
our little boy. This started with simple
ELC emergency vehicles and a Happyland Tractor and has now
progressed to vehicles which you can puts lots of people or animals in (like
the Happyland Bus). He also loves his Thomas the Tank engine trains and can spend hours playing with
them.
A micro
scooter. I spent ages debating because of the money but it was well worth
the expense and is better than the alternative/similar/cheaper versions on the
market. It takes a little perseverance before your child learns the 'tilt to
steer' technique but that was worth it too. The micro scooter is now on its
second child and I expect it will do at least a third.
Our purchase of an ELC wooden trike and trailer at an NCT sale
was a brilliant buy and it is used on a daily basis.
Lifelong favourites have definitely been Brio (and compatible) wooden train sets.
My 8 year old has only just outgrown it, but my eldest would still play with it
at her grandparents' when she was 12. Even adults sometimes like to get down on
the floor and help with assembling tracks.
We have a Little Tykes playhouse that was given to us when my son was 18
months old. It was second hand then but is still going strong 4 years later and
has been well loved by all children. My son loved opening and closing the door
and shutters early on and it has then developed into more imaginative play. My
daughter loves the doorbell (which had initially been broken but we were able
to replace from Little Tykes).
We've recently invested in a big outdoors slide and swing set (the Buckingham by
Little Tikes) and it's been very well loved so far.
One year we invested in a swing and slide 'fort' as we didn't go
on holiday and that is used all the time.
We bought space hoppers-the Science Museum ones from Iwantoneofthose (sold in
Argos too), and they've been fab. The children love them and get loads of
exercise. I also bought a small ELC one for pre-schoolers, so no one is left
out.
I recently bought kerplunk, which is such a visual game, full of suspense and quite young children,5+ can join in.
Dolls
house
- we got our eldest daughter one to celebrate the arrival of her sister and it
gets loads of play, now from the toddler as well.
Dress
up doll foam stickers
for the bath. They were a present for my daughter’s 2nd birthday and are still
loved!
Dressing
up clothes
from age 3ish. A girl can never have too many princess outfits! A favourite for
playdates.
Do you have any toy recommendations? What are you getting your children this Christmas? Let us know by commenting below...
Do you have any toy recommendations? What are you getting your children this Christmas? Let us know by commenting below...
Monday, November 19, 2012
Cambridge Sling Library comes to Ely!
The
Cambridge Sling Library recently opened its doors, offering a range of
slings, carriers and babywearing accessories (including babywearing
coats and sling rings) that parents can hire.
Every second Wednesday the
Sling Library will be visiting Ely – pop into the Old Dispensary
between 12.30 pm & 1.30 pm on the 12th of December 2012 or 9th
of January 2013.
Bring along your own sling for some expert advice or
come & try one of ours. You’re very welcome to come even if you
don’t want to hire a sling & just want to come to chat.
The Sling
Library is run by Victoria Ward who is a local NCT antenatal teacher
& antenatal yoga teacher (watch this space for details of some
babywearing yoga sessions soon). She’s also the founder of Babywearing
UK and was awarded Babywearing International’s 'Babywearing Advocate of
the Year' award for 2012.
More details of the sling library are available
at www.cambridgeslinglibrary.co.uk and via Facebook.
Sunday, November 18, 2012
Winter Bugs
by Hannah Lazarus
Winter is on its way – and so are the bugs!!
I was struck down with suspected winter vomiting bug on
Monday evening. It came out of nowhere!
It was ok though – my husband said he’d stay at home the
next day and look after our 14 month old daughter while I rested up.
Then he was hit with it four hours later! And worse than me.
He eventually ended up in A&E on a drip!
When you’re ill, all you want to do is lie in bed and get
some rest. But, as I’ve come to learn, Mums have to just get on with it! There
was no chance for me to be the poor patient!
Surprisingly, my daughter, Maria, got away with it! She wasn’t
ill at all. You think babies are such small, fragile things but they can
actually be quite resilient!
However, this did mean that it was business-as-usual for
her. “Mummy, can you read this book AGAIN....Let me climb on you one more
time....Let’s press the button on this noisy toy over and over... oops, time
for a nappy change!!!”
I guess the only thing you can do is be as prepared as
possible for being ill. Get a few stocks in. Things I needed were alcohol hand
gel (to stop the spread), a loaf of bread (keep one in the freezer), plain biscuits,
sugary drinks and plenty of baby essentials (nappies, wipes, food, etc) so you
don’t have make an emergency trip to the shops.
Hopefully, like Maria, you’ll get away with it too! But if
you do get ill this winter, you can find advice on the NHS website
including advice on treating babies and children who have
sickness and diarrhoea
and advice on looking after a sick child
Thursday, November 15, 2012
First-time Mum Review: The Essential Baby Care Guide
By Claire Williams
I watched the Essential Baby Care Guide from the position of being a pregnant first time mum whose closest previous contact with babies was seeing them on pampers adverts. I had been pre-warned that the full set of DVDs took 8 hours to watch, so that was no surprise, though I must confess that I took so long about getting through them that my husband and I watched the final DVD post-birth.
As set out in the other review, there are 4 DVDs covering 1. Feeding, 2. Care & Development, 3. Sleeping, and 4. First Aid and Accident Prevention. Each DVD has a good menu, allowing you to either watch an entire section, or to skip straight to the information you are interested in (e.g. baby resuscitation). Each DVD includes interviews on the relevant topic with various parents, who are happy to explain the issues they faced with their children and how they overcame them. The real value of the DVDs however is that instead of just describing something, you are show (e.g. the ‘poo’ gallery clearly shows what you might see in the nappy of a breast fed baby, a constipated baby, what nappy rash looks like, etc). For the clueless first time parent, being able to see what I might need to be looking for was invaluable.
The Feeding DVD covers breast feeding, bottle feeding and weaning. Most time is spent on breast feeding advice, as the DVD goes through various problems that parents may encounter (such as mastitis and latching issues) and suggested solutions. In contrast, the bottle feeding section is very short and essentially says you should follow the manufacturer’s instructions. While the section on weaning looked useful, it will be a while before my daughter is ready to be weaned, so it felt a bit too soon for me to watch that section.
I found the Care & Development DVD extremely useful, with basic advice on baby hygiene and care, such as how to give baby a bath, plus information on games and toys that will interest and stimulate babies as they grow. The Sleeping DVD was also eye-opening, as prior to watching it my husband and I hadn’t given any thought at all to questions such as when we would like to set up some sort of routine, what time is sensible for a baby or toddler to go to bed, how often and for how long children need to nap…
The final DVD, on First Aid and Accident Prevention, is perhaps the most vital to watch. It covers basic first aid from dealing with cuts and burns right through to resuscitation and choking. Techniques are repeatedly demonstrated, which helps fix them in your memory, and I now feel a bit more confident that I could deal appropriately with an emergency.
All in all, the DVDs were useful, although I should note that they can seem very slow – sometimes I did start thinking ‘yes, I know, please move on’. They can be purchased as a set, or alternatively as separates (enabling parents to only pay for the ones relevant to them). If you wish to buy the full set, you can get £5 off and purchase at reduced price of £30 by purchasing direct from www.essentialparent.com and entering the code ElyNCT at checkout. For each DVD set sold The Essential Parent Company will donate £5 to the branch.
Pregnant women advised to avoid all alcohol
A study of over 4,000 mothers and their children by researchers from Oxford University found women who consumed as little as one glass of wine a week had babies with IQs that were almost two points lower than non-drinkers. The normal span of intelligence is 20 points – from 90 to 110 – so though the effect is small for any individual it could have a noticeable impact on the population as a whole.
The National Institute for Clinical Excellence said in 2007 that alcohol should be avoided for the first three months of pregnancy but one to two drinks a day was safe thereafter. The Department of Health said in 2006 there was no safe limit throughout pregnancy.
The new findings are published on-line in the journal Plos One (Public Library of Science One) and indicate that genes determine the sensitivity of the foetus to alcohol.
The researchers studied four genetic variants that determine how fast individuals metabolise alcohol to remove it from their bodies. They measured the IQs of children at age eight and found the effects were greatest in those who were slowest to clear alcohol while in the womb.
Ron Gray, who led the research, said: "This is a complex study but the message is simple: women have good reason to choose to avoid alcohol when pregnant."
15/11/12 The Independent
The National Institute for Clinical Excellence said in 2007 that alcohol should be avoided for the first three months of pregnancy but one to two drinks a day was safe thereafter. The Department of Health said in 2006 there was no safe limit throughout pregnancy.
The new findings are published on-line in the journal Plos One (Public Library of Science One) and indicate that genes determine the sensitivity of the foetus to alcohol.
The researchers studied four genetic variants that determine how fast individuals metabolise alcohol to remove it from their bodies. They measured the IQs of children at age eight and found the effects were greatest in those who were slowest to clear alcohol while in the womb.
Ron Gray, who led the research, said: "This is a complex study but the message is simple: women have good reason to choose to avoid alcohol when pregnant."
15/11/12 The Independent
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