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Babymassage
Soothingandenjoyable,particularlywhendoneafterabath Gettingstarted

Baby massageissoothing, Togetstarted,smoothafewdrops enjoyable and a great way to ofedibleoilsuchasoliveorsweet connectwithyourbaby.Youcando almondoilintoyourwarmhands it after a bath or when baby is andbeginmassagingthesolesof clothed or in his cot. Beforeyou babysfeet.Usefirm,gentle,slow strokesfromtheheeltowardsthe begin, show baby your hands so toes. he can 'consent' to the massage (he'llturnhisheadorrollawayif he'snotinterested).

Continuewithlongsmooth strokesupbabyslegs.Massage fromtheankleuptothethighand overthehip.Youcantry massagingbothlegsatonceor justoneattime.

Massaging the upper body

Start the upper body massage with your hands on baby's shouldersandmakegentlestrokes intowardsthechest.

Massagethearmsbystroking fromtheshouldersdown towardsthewrists.Trynottoget oilonbaby'shandsbutifthat happens,wipehisfingersclean beforehesucksthem.

Ifyourbabystummyfeelssoft (nothardorfull)massagehis bellyusingcircular,clockwise strokes.Babies'tummiesare sensitive,soifhebecomes unsettled,moveontothenext step.

Massaging the face and back

Useyourfingertipstomassage babysface.Strokefromthe middleofhisforehead,down theoutsideofhisfaceandin towardshischeeks.

Ifbabyisstillrelaxedonce you'vefinishedmassagingthe frontofhisbody,youcanturn himontohistummyanduse long,smoothstrokesfromhead totoe.

Userespectfultouchandstop themassageifbabyisnot enjoyinghimselforshowingany signsofbeinguncomfortable. Itsalsobesttoavoidamassage ifyouareverytense,orifbabyis agitatedorupset.

Jl. Panjang Arteri No. 26, Kedoya Utara, Jakarta Barat 11520 Indonesia Ph. +62 21 2991 0999 Fax. +62 21 5698 2233 Email : info@grhakedoya.com, www.grhakedoya.com
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Bathinganewborn
Preparingthebath

Once the bath is ready, Whenbathinganewborn,start Make sure the room is at a undressyourbaby.Cradling by preparing the bath area. comfortable temperature and fill herheadandshoulderswith Collectallthe bathitemsyou thebathwithabout5cmofwarm onehandandsupportingher need and positionthem near water. Test the water temperature body with the other, gently the bath. Have an unfolded with your wrist or elbow it lowerherintothebath. towelhandyinpreparationfor shouldbeapproximately36Cand dryingyourbaby. shouldNOTfeelhotonyourskin.

Bathing your newborn

Moistenacottonwoolballwith Onceortwiceaweekyoucan warm water and gently clean washyournewborn'shair.Todo your newborns eyelids, wiping so, lay baby down in the bath frominnereyetooutereye.Use and gently splash some water adifferentpieceofcottonwool ontoherhead.There'snoneed foreacheye. forshampoountilshe'solder.

Use a soft washcloth to gently clean your newborns face (1), then theneck and body (2), leavingthegenitalsandbottom tilllast(3).

Think safety: bathtime do's and don'ts

Make sure your newborn is Babiescandrowninlessthan5 Its usually not necessary to use secured in a bouncer or cot cmofwatersoneverleaveyour soap it can make your newborn before disposing of the newborn, or any child, slipperyandhardtohold.However, bathwater. unattended in the bath. If you if you do decide to use soap, consider an alternative such as have to leave the bath sorbolene lotion which wont area,wrapbabyinatoweland irritatebabysskin. takeherwithyou. Jl. Panjang Arteri No. 26, Kedoya Utara, Jakarta Barat 11520 Indonesia
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Glossary: BathItems:Whenbathinganewborn,ithelpstocollecttheseitemsbeforehand:thebath,atowel,awashcloth,cotton wool,anewnappyandcleanclothes.

Breastfeeding positions
Getting comfortable

Making sure that youre comfortable and relaxed and that baby is correctly attached can help to make breastfeeding easier and more enjoyable. Try to feed in a chair that offers good back support; use cushions or pillows to prop up your arms; and if necessary, rest your feet on a telephone book or footstool. Its also good to experiment with the different feeding positions, shown below, until you find one that works for you and baby.

Breastfeeding positions

Thisistheclassic'fronthold' or'cradleposition'.

The'underarmposition'shown The'lyingdown'positionis aboveisalsoknownasthe'footy particularlygoodformums hold'.Itspossibletofeedtwins whovehadcaesareansorif yourbottomissoreafterthe togetherinthisposition(see birth. below).

Other positions

Ifyoufeeluncomfortableorselfconscious In the first few weeks, it may be easier to feed whenbreastfeedinginpublic,drapealight twins separately. However, once youve got the Jl. Panjang Arteri No. 26, Kedoya Utara, Jakarta Barat 11520 Indonesia hang of it, you can try feeding them together using muslinwrapoveryourshouldersoitcovers Ph. +62 21 2991 0999 Fax. +62 21 5698 2233 Email : info@grhakedoya.com, the 'twin hold'. yourbreastandbaby. www.grhakedoya.com
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Breastfeeding techniques
The basic feeding routine

Newbornsneedtobefedsixto12timesevery24hourseightfeedsadayiscommon.Onceyouve gotthehangofit,mostfeedstake20minutesorso,however,intheearlydaysandweekstheymay takeuptoanhour. Thebasicroutine istofeedfromonebreast,haveabreakandchangebaby's nappy,thenoffertheotherbreast.Don'tworryifshedoesn'twantittheimportantthingistooffer it. Attaching to the breast

Tostartthefeed,holdbabysoher Whenhermouthiswideopen, chestistouchingyourchest;her bringbabytoyourbreast noseshouldbeinlinewithyour keepingyourhandsacrossher nipple.Gentlybrushyournipple backandshoulders.Whenshe fromhernosetoherupperlip attaches,mostoftheareolawill thiswillencouragehertoopenher beinhermouthandherchinwill mouthwide. betuckedintothebreast.When

Whenbabyisnotcorrectlyattached andjustsucksthenipple,feedingis painful,nipplescanbecome damagedandthebreastwontbe properlydrained.Ifbabyhasnt attachedcorrectly,stop,takeheroff thebreastasshownbelowandtry again.

Breaking the attachment and burping

Itsnormaltofeela'stretching Yourbabymayneedtoburpafter Avoidpullingbabyfromthe sensation'whenbabystarts feedingfromeachbreast.Todo breast.Instead,breakher sucking,butifbreastfeedinghurts attachmentbyinsertingyourlittle this,sitheruporholdhertoyour itmaymeanthatbabyisnot shoulderandgentlyruborpather fingerintothecornerofher Jl. Panjang Arteri No. 26, Kedoya Utara, Jakarta Barat 11520 Indonesia correctlyattached.Sostop,remove back.Notallbabiesburpsoifyou Ph. +62 21 2991 0999 mouth,betweenhergums,and Fax. +62 21 5698 2233 Email : info@grhakedoya.com, babyfromthebreastandtry don'thearan'uurp!'dontworry. www.grhakedoya.com gentlyremoveherfromthebreast. Ref.http://www.abc.net.au/parenting/parenting_in_pictures attachingagain.

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Changing a disposable nappy

Set-up and strip off

Beforeyouchangeanappy,make Undress baby's bottom half and Lie baby down on the change sure you have everything you unfastenthenappy.Usethefront table.Ifshegrizzles, singhera need within arm's reach of the ofthenappytowipeoffanypoo, songorgiveherafavouritetoyto change area. This includes: a then fold the nappy into a tight keepherentertained. freshnappy,babywipesandbaby bundle before putting it in a cream. plasticbag.

Cleanse and apply cream

Gentlycleansebaby's bottom To wipe the back of baby's Applyadollopofbabycream using baby wipes. Make sure bottom,holdherbythelegswith topreventagainstnappyrash. you get into the crevices but your fingers between her ankles avoid separating a baby girl's and gently lift so her bottom labiato'cleaninside'.Likewise, comes slightly off the change aboy'sforeskinshouldneverbe table. Wiping girls front to back pushedback. willhelpavoidvaginalinfections.

Jl. Panjang Arteri No. 26, Kedoya Utara, Jakarta Barat 11520 Indonesia Ph. +62 21 2991 0999 Fax. +62 21 5698 2233 Email : info@grhakedoya.com, www.grhakedoya.com
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Applying the new nappy

Openacleannappy,makingsureOnceyou'vedressedbaby,secure Remember:neverleaveababy thefasteningtabsaretowardstheher in a bouncer or cot and unattendedonachangetable. top.Liftbabyupbytheanklesanddisposeofthenappy.Washyour Theycansquirmorrolloffin slipthenappybeneathherbottom.hands before touching baby's seconds.Ifyouhavetotakeyour Fold the front flap up, tuck ithandsorface. eyesoffbaby,keepyourhands firmly around baby's waist and on. secureeachtab.

CPR for babies under 12 months

Aguidetocardiopulmonaryresuscitation(CPR) Beingpreparedandcheckingvitalsigns

Ifababyisunconscious,checkher Checkforbreathing.Listenforthe Be prepared for emergencies by

mouth for any items blocking her sound of the breath, look for familiarisingyourselfwithfirstaid airway. This could include her movementsofthechestorfeelfor procedures and keeping a list of tongue, food, vomit or blood. If thebreathonyourcheek. emergencynumbersinyourmobile present, use your little finger to orbythephone. cleartheblockagefromhermouth.

Rescue breathing

Iftherearenosignsoflifeaftertwo If baby is breathing, place her in IfbabyisNOTbreathing, tiltherhead breaths, make sure someone has therecoveryposition(shownabove), backveryslightly,liftherchintobring phoned 000 and commence chest thetongueawayfromthebackofthe phone000 andcheckherregularly throat, opening her airway. Take compressions a . forcontinuedsignsoflifeuntilthe breath and seal her mouth and nose ambulancearrives. with your mouth. Blow gently and steadilyforaboutonesecond. Watch fortheriseandfallofthechest;take anotherbreathandrepeatthesequence.
Jl. Panjang Arteri No. 26, Kedoya Utara, Jakarta Barat 11520 Indonesia Ph. +62 21 2991 0999 Fax. +62 21 5698 2233 Email : info@grhakedoya.com, www.grhakedoya.com

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Chest compressions

Positiontwofingersinthecentreof babys chest and give 30 compressions at a rate of approximately 100 per minute. Eachcompressionshoulddepressthe chestbyaboutonethird.

After 30 compressions, take a Continue giving 30 compressions followed breath,sealyourmouthoverbabys by two breaths until medical help arrives. mouthandnoseandgivetwosteady If signs of life return, put baby in the breaths.Lookfortheriseandfallof recovery position (shown in 3a), however, thechest. continue to monitor breathing and be prepared to recommence CPR at any time.

Acknowledgements

Thanks toAmbulanceGrha KedoyaHospital for their help in developing this content. Please note: This informationisnotasubstituteforfirstaidtraining.StJohnsrecommendsthateveryoneistrainedinfirstaid. Formoreinformation,visitwww.grhakedoya.com

Jl. Panjang Arteri No. 26, Kedoya Utara, Jakarta Barat 11520 Indonesia Ph. +62 21 2991 0999 Fax. +62 21 5698 2233 Email : info@grhakedoya.com, www.grhakedoya.com
Ref.http://www.abc.net.au/parenting/parenting_in_pictures