Most newborns need eight to 12 feedings a day — about one feeding every two to three hours ||Proper weight gain is the sign that your baby is having enough milk. Not crying and not comparing with other kids ||Set aside time for your partner and share what's happening in each other's life ||Put a photo of a face – yours – on the side of the cot for your baby to look at. Human faces fascinate babies ||As a new baby mother who has to breast feed you should make sure that you drink lots of water ... Make a habit out of drinking a glass of water every time you feed your baby. This will ensure that you are getting your water, and help your body produce enough milk. ||If you have trouble emptying your breast, apply warm compresses to the breast or take a warm shower before breast-feeding ||Your toddler may be clumsy simply due to her trials to master so many new physical skills at the same time. The more active she is, the more likely she will drop things, run into things, or fall down. ||Don't ever be afraid to ask for help from a friend or relative. Time away will let you recharge. ||The AAP recommends sponge baths until the umbilical cord stump falls off — which might take up to three weeks ||To help your kid stand up to negative peer pressure, encourage him to talk, use role playing with him, get to know the parents of your child's friends and finally deal with your own peer pressure. ||
Can I really get a dangerous infection from my cat?

David Barrere, MD

If you have a cat, you may have heard you are at risk of catching an illness from your pet during pregnancy.

Your question
I have a cat, and heard there's a danger of me getting toxoplasmosis from her? What is toxoplasmosis, and how can I avoid it?

The expert answers


Toxoplasma gondii (Toxoplasmosis) is a protozoan that has a complex, 3-stage life cycle that is dependent on cats, which are the only known host for the oocyst stage. The oocyst stage develops in the cat's intestine, and is excreted in feces. Human infection occurs when food is contaminated with feces or infected meat is consumed. Stray cats and domestic cats that consume raw meat are most likely to harbor toxoplasmosis. Hand washing and proper cooking of meats helps to prevent human infection.

When an infection occurs, they most commonly are asymptomatic. Symptomatic infection, although quite rare, presents in a similar fashion to mononucleosis . Immunocompromised patients (patients with HIV infection or who are taking immunosuppressants after organ transplants) are more susceptible to symptomatic infection.

The diagnosis of an acute infection is made by serologic (blood) testing for antibodies to toxoplasmosis. The initial antibody produced is called IgM, and the presence of this antibody indicates a recent infection. Later, the body produces antibodies called IgG.

Congenital infection of the fetus can occur if a woman develops acute toxoplasmosis during pregnancy. The third trimester is the period of highest fetal susceptibility to infection. Recurrent or chronic infection is unlikely to cause injury to the fetus unless the patient is immunocompromised.

Treatment of an acute infection is recommended in pregnant women and non-pregnant, immunocompromised patients. Treatment of the mother clearly has been shown to decrease the risk of congenital infection, however it does not totally eliminate its occurrence. Close follow-up of the fetus using frequent ultrasonography should be instituted, looking for signs of infection including:

· growth restriction

· calcifications within the brain

· microcephaly (small head)

· hepatosplenomegaly (organ enlargement)

· ascites (fluid accumulation in the abdomen and chest)

Amniocentesis to obtain amniotic fluid, or cordocentesis to obtain fetal blood can be performed to test for the presence of toxoplasmosis, however this is rarely done.

By far, the best treatment for toxoplasmosis is prevention of the infection. For this reason, many pregnant women are advised not to change the cat's litter box during pregnancy.



----Cited from D Barrere, MD, pregnancy and child magazine----

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