2010年4月18日
待產倒數@LA-38週又4天
2010年4月13日
待產倒數@LA-第二次產檢
2010年4月11日
待產倒數@LA-漫談祖國二三事
2010年4月10日
待產倒數@LA-相片分享1
When can my baby start sleeping through the night?
Expert Answers
When babies are able to sleep through the night and when they actually do are often very different things. Some infants as young as 3 months old can snooze for six to eight hours at a stretch. Others won't sleep this long until they're 12 months. But most babies (70 percent) do sleep through the night by the time they hit 9 months, according to the National Sleep Foundation.
Not that "sleeping through the night" means a full night of uninterrupted sleep for you. "'Through the night' is defined as from midnight until five o'clock in the morning," says Judith Owens, a pediatrician and director of the Pediatric Sleep Disorders Clinic at Hasbro Children's Hospital in Providence, Rhode Island.
You may have heard that bigger babies and babies who eat solids are better sleepers — but it's not true. Your baby's ability to sleep through the night is related to age, not size or diet.
There's no research to prove that adding rice cereal to the evening bottle, for instance, will help your baby sleep better or longer. In fact, this practice is a choking hazard, and offering solids too early can deprive your baby of the necessary nutrients in breast milk or formula. The American Academy of Pediatrics (AAP) recommends that babies be exclusively breastfed for the first four to six months.
You play a big part in your baby's sleep habits. "Put her to bed drowsy but awake by the time she's 4 months old," says Owens. "This will help her avoid developing a dependence on you to fall asleep and make it easier for her to fall back to sleep on her own when she wakes at night."
2010年4月7日
37週了~ He's all cooked and ready to go
小咚咚目前是2586g,大約5.7磅,每天在肚子裡活潑地動動動不停唷~
Your Baby
Huge news this week: You're carrying a full-term baby! If you were to go into labor today, all systems would be a go. Woohoo! Even though you can't wait for the little bambino to quite literally rear his head, keep in mind that your bun benefits from every day in the oven. Other ticker-tape-worthy developments:
- Baby's growth slows down dramatically this week, which is great news for your birth canal. His bones are still soft and pliable and will solidify after he's born. More great news for your birth canal.
- So if he's all cooked and ready to go, what the heck is he still doing in there?! He's busy practicing for "life on the outside," working on his breathing, sucking, sleeping, gazing and peeing abilities. The only thing he can't practice yet is his ability to scream at the top of his lungs when he's hungry—but he'll do plenty of that in a few weeks.
- At this point babies vary in size, but the average length is between 19 and 20 inches and most babies weigh approximately 6 pounds. About the size of an average largemouth bass caught in Minnesota by your cousin Earl.
B 型鏈球菌產前檢查
新生兒常見問題除早產、先天異常之外,最常面臨的危機就是「感染」。B型鏈球菌就是經由母體垂直感染(懷孕或生產過程)主要菌種,因為新生兒血腦屏障發育尚未成熟,因此一旦發生菌血症時,細菌極易侵犯腦膜,引起腦膜炎,甚至敗血症、肺炎等相關疾病,嚴重者甚至可能致死。
根據國外研究數據顯示,B型鏈球菌造成新生兒感染機率,不考慮產婦是否帶菌情形,新生兒感染情形約千分之1-2;國內約千分之1.4-1.8,但當產婦帶菌,讓胎兒、新生兒與感染源接觸機率增加,以致感染機率升高10倍至1%。國內疾病管制局93年有關B型鏈球菌新生兒的感染症之研究顯示:除了原有的菌血症之外,有37%的案例併發腦膜炎;另有32%併發肺炎。因此,雖然發生率不高,一旦受到感染,致死率卻高達20%,這也是引起我們重視的原因。
郭綜合醫院利用細菌培養,在94年至96年期間,針對B型鏈球菌進行孕婦產前篩檢及抗生素試驗之統計顯示:感染率分別高達8.0、12.4、9.9%(4/50、24/193、27/274),而追蹤新生兒同時亦感染之比率在95 與 96年分別為4.2及3.7%,且若含產婦未篩檢之所有新生兒感染的比率反推,則每年生產之孕婦感染B型鏈球菌之人數,高達 119-135 人次;同時,郭綜合醫院對 95-96 年孕婦感染之B型鏈球菌,進行抗生素感受性試驗報告統計上,亦證實安比西林(Amp icillin)抗生素在在體外試驗治療上,分別高達96.9及96.6%之成功率。本院在今年九月亦發生一起疑似母親垂直感染新生兒之病例報告:有一位待產之產婦,產前發燒(
美國疾病管制局研究證實,檢測B群鏈球菌以時機 35-37 週最佳,若對產前B型鏈球菌感染的媽媽,於待產中預防性給予抗生素後,新生兒發生B型鏈球桿菌感染的比率可降低75%,意即可減少新生兒感染B型鏈球菌的機會。美國疾病管制局及小兒科及婦產科學會亦建議:媽媽有絨毛羊膜炎、破水超過18 小時、懷孕週數小於35週早產兒臨盆前均應全面性進行B群鏈球菌產前篩檢,以減少感染;同時對於母體有B型鏈球菌菌尿症、直腸或陰道帶菌、發燒>