Pregnancy, Maternity and Health Tips for Expecting Parents

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Should You Immunize Your Baby Against RSV and Other Respiratory Illnesses

As a parent, one of the most important decisions you will make for your child is whether or not to immunize them against various diseases and illnesses. This decision can be particularly difficult when it comes to respiratory illnesses, such as RSV (respiratory syncytial virus) and coronavirus. On one hand, immunizations can provide vital protection against serious and potentially life-threatening diseases. On the other hand, some people have concerns about the safety and effectiveness of vaccines, and may be hesitant to expose their newborn babies to them. In this blog post, we will explore the pros and cons of immunizing newborn babies against RSV and other respiratory illnesses, to help you make an informed decision for your own family.

What is RSV and why is it important to immunize against it?

RSV is a highly contagious respiratory virus that is common in children, but can also affect adults. It causes symptoms similar to the common cold, such as runny nose, cough, and fever, but can also lead to more serious complications, particularly in young children and babies. These complications can include bronchiolitis (inflammation of the small airways in the lungs) and pneumonia (inflammation of the lungs).

Babies are at particularly high risk for RSV, as their immune systems are not fully developed and they are more prone to respiratory infections. In severe cases, RSV can lead to hospitalization and even death, although this is rare. According to the Centers for Disease Control and Prevention (CDC), RSV is the leading cause of bronchiolitis and pneumonia in children under the age of 1.

There is no cure for RSV, so the best way to protect your newborn baby against the virus is through immunization. There is a vaccine available to prevent RSV, called the palivizumab vaccine. It is typically given as a monthly injection to high-risk babies during the RSV season (typically November to April in the United States). The vaccine is not recommended for all babies, but rather for those who are at particularly high risk for severe RSV disease, such as premature infants, babies with underlying health conditions, and those with a history of RSV in the family.

What are the potential benefits of immunizing newborn babies against RSV?

There are several potential benefits to immunizing newborn babies against RSV:

  1. Protection against serious illness: As mentioned above, RSV can lead to serious and potentially life-threatening complications in young children and babies. By immunizing your newborn baby against RSV, you can help protect them from these complications and reduce their risk of hospitalization.

  2. Prevention of RSV outbreaks: In addition to protecting individual children, immunizing against RSV can also help prevent outbreaks of the virus within a community. When a large percentage of the population is immunized against a disease, it becomes much more difficult for the disease to spread, as there are fewer people who are susceptible to infection. This is known as herd immunity, and it can help protect those who are unable to receive vaccines due to underlying health conditions.

  3. Cost savings: While the cost of the palivizumab vaccine may seem high, it is generally much less expensive than the cost of treating RSV complications. Hospitalizations and other medical interventions can add up quickly, and immunizing your newborn baby against RSV can help reduce these costs.

What are the potential risks of immunizing newborn babies against RSV?

Like any vaccine, there are potential risks and side effects associated with immunizing newborn babies against RSV. These include:

  1. Injection site including soreness, redness or swelling.
  2. Allergic reaction and/or a rash.

As with any vaccination, you should always consult a physician before vaccinating your child against any respiratory illnesses, including RSV, Covid 19 and bronchitis.

 

Photo by Mufid Majnun on Unsplash

Study Suggests Long Terms Health of Babies Affected by Covid 19 Pandemic

The COVID-19 pandemic has been hard on many people in a variety of ways, even babies. For babies born during the Covid19  pandemic, a JAMA study suggests, the log-term health problems has the potential to be lifelong.

The first three years of life are crucial for brain development in humans. But it’s not just the health of babies that it affected, but the interactions between babies, parents and other would be caregivers. Babies need to be touched, spoken to, swaddled, smiled at, played with, stimulated and loved. As they respond to those interactions, neural connections are constructed in the brain. Without those interactions, an infant's brain doesn’t develop and grow as it should.

A stressed out or depressed parent or caregiver may find it hard to find the time and energy required to give the child's brain the love, stimulation and attention it needs to develop. There are many studies showing that poverty, maternal depression and other factors can change the development of a child's brain forever.

 

Methodology

As part of an ongoing study of babies and their mothers, researchers from Columbia University studied the development of three groups of 6-month-old infants. Two of the groups were born during the COVID-19 pandemic; the mothers of one group had COVID-19, while the mothers of the other did not. The third group was a historical cohort (a group of babies who were born before the pandemic).

Mothers participating in the study used an Ages and Stages Questionnaire (ASQ-3) to record their babies’ development and evolution. The researchers noted no difference in the development of the two groups of babies born during the pandemic, suggesting that prenatal exposure to COVID-19 doesn’t affect development, which is good news. But babies born during the pandemic scored lower in gross motor, fine motor, and social-emotional development than the babies born before the pandemic. Examples of developmental tasks for babies in this age group are rolling from back to tummy (gross motor), reaching for or grasping a toy with both hands (fine motor), and acting differently to strangers than to parents or familiar people (social-emotional development).

 

Infant Development during COVID

It’s just one study, and we need to do more research to better understand this, but the findings are not really surprising given what we know about infant development. The COVID-19 pandemic has caused a lot of stress — emotional, financial, and otherwise — for so many families. It has also markedly affected the number and kind of interactions we have with other people. Babies are on average interacting with fewer people (and seeing fewer faces because of masking) than they did before the pandemic.

Even though we need to do more research, this study should serve as a warning for us as a society. The children of this pandemic will carry scars forever if we don’t intervene now. We’ve already seen the emotional and educational effects on children, and we need to be aware of the developmental effects on babies too. The stakes are too high to ignore the research.

 

What Can be Done?

We need to find ways to financially and emotionally support families with young children. We need to be diligent, energetic and creative, and work every angle available. And even if our government can't help out enough and play a role, our communities and individuals must take up the slack.

And parents and caregivers of infants and toddlers need to know about this research — and ask for help. It’s understandable and natural for parents to think that babies are too small and unaware to be affected by the pandemic. But they are affected, in ways that could be long-lasting. Talk to your doctor about what you can do to help yourself, your family, and your baby’s future.

Photo by Filip Mroz on Unsplash

An Expectant Mom’s Guide to Contractions

Many first-time expectant moms are understandably nervous about the labor and delivery process. A smart way to alleviate any anxiety associated with the birth of your new baby is to learn as much as possible about what to expect, including the difference between true labor signs and false alarms. Pocket this advice and you’ll be ready to take on your labor with confidence.

Beware of false alarms. Many soon-to-be new moms experience false labor pains known as Braxton Hicks contractions.  If you're not sure whether these might be real labor pains, remember that false contractions are irregular in their timing. And if changing your activity or position makes the pain go away, it's probably false labor. On the other hand, true labor contractions take place at regular intervals and occur more frequently as time goes on. They’ll last anywhere from 30 seconds in the beginning to 90 seconds as labor progresses, and walking or any increased activity may cause the contractions to intensify.

Look for other signs. While labor pains are usually a sign that you’re nearing your delivery time, there are other indications that labor is not far away. For starters, the new baby may have dropped, also known as lightening. This simply means your little one has settled into your pelvis. In some instances, a woman's water may break before labor begins, which occurs either as a sudden gush of fluid or a steady trickle. This is the amniotic sac, which is a fluid-filled membrane that protects the baby in the uterus. Once this occurs, there is an increased risk for infection, so if labor has not already started, you may need to be induced.   

Call the doctor You'll want to call your health care provider (and prepare to head to the hospital) if your contractions are growing stronger and occurring at shorter intervals. The same is true if your water has broken. Likewise, severe vaginal bleeding or cramping, as well as pain in your belly, back, or pelvis, are reasons for an expectant mom to call for emergency assistance.

When it comes to childbirth, the more prepared you are, the better, so memorize the signs of labor -- especially if this is your first delivery. Simply understanding the changes that take place in your body when the time finally arrives helps to put you at ease and prepare you for the birth of your new baby.

Lessen Your Labor Pain

Unfortunately, no one, not even someone who's given birth before, can tell you exactly what to expect on the big day. That's because every expectant mom’s labor and delivery experience is different. Fortunately, there are basic things you can do beforehand to strengthen both your body and your resolve, and during labor to help keep you as comfortable as possible while waiting for your new baby’s big entrance. Try these nine strategies.

For Pregnancy

New mom tip #1: Learn about labor. Find out everything you can about labor from books, magazines, Web sites, videos, classes, and hospital tours. Familiarizing yourself with the procedures and customs at your hospital or birth center will mean fewer surprises.

New mom tip #2: Take childbirth classes. In these classes, you will learn different ways to deal with pain during labor such as walking, changing positions, taking showers or warm baths, and using breathing exercises, hypnosis, relaxation, and massage.

New mom tip #3: Express your fears. Are you worried about labor, needles, or medication? Speak with a knowledgeable childbirth educator or your doctor. Voicing your worries can bring relief as well as practical solutions to your concerns.

New mom tip #4: Keep up with your normal exercise routine. The more you move during pregnancy, the better prepared your body will be for labor, delivery, and recovery. Exercise helps reduce backaches, constipation, swelling, and other unpleasant side effects.

For Labor

New mom tip #5: Create a sense of calm. Make your environment in the hospital or birth center as soothing and familiar as possible. Play some soft music and put some framed pictures of your partner next to your bed. You may also want to bring a pillow from home (if the facility allows it).

New mom tip #6: Get a massage. Having someone rub your back will warm your skin and stimulate the body to release its own natural painkiller.

New mom tip #7: Use a warm compress. Applying warmth is a tried-and-tested way of relaxing aching, tense muscles. Have someone in the hospital room keep a compress handy to warm your back, tummy, or groin.

New mom tip #8: Practice deep breathing. Focusing on your breathing is a very helpful way to get through each contraction. Taking a deep breath at the beginning of each contraction and then slowly releasing it will conserve your energy and help ease the pain.

New mom tip #9: Change position. Try not to lie on your back once you’re in active labor unless you’re exhausted. Instead, walk around or stay in an upright position. As labor progresses, lying on your side can provide rest and may help slow a delivery that is happening too quickly.

These tips will certainly prepare you for your baby’s big debut, but if you feel you need more help managing the pain, speak up or have your partner convey your needs. And remember, this pain will be a distant memory once you have your beautiful new baby in your arms.