Always keep the number of Poison Centre posted beside your phone ||Reading aloud will help your baby be a better reader when she's older. ||Always check the water temperature with your hand before bathing your baby. Be sure the room is comfortably warm, too ||The AAP recommends sponge baths until the umbilical cord stump falls off — which might take up to three weeks ||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. ||If every feeding is painful or your baby isn't gaining weight, ask a lactation consultant or your baby's doctor for help ||Don't allow your pet on the couch while you are holding baby. This makes dogs bigger and taller in relation to your infant and may encourage aggression. ||Until your baby is 6 months old, he'll get all the hydration he needs from breast milk or formula, even in hot weather ||Plan for regular family meals. Enjoy being together as a family and give a chance for everyone to decompress from the day ||The most important thing on growth curves is how your baby grows over time. If he's small but growing at the appropriate rate, there's usually no cause for concern. ||
Does prophylactic Acetaminophen help reduce postvaccination fever?

Fever is one of the most common adverse events associated with childhood vaccinations, and both clinicians and parents often choose to administer antipyretics to children to prevent discomfort, or even febrile seizures. A recent study examines the usefulness of acetaminophen in the prevention of fever following routine vaccinations and also reports on an unexpected interaction between acetaminophen and vaccine efficacy.

 

Study highlights

 
  • At ages 3, 4, and 5 months, children received the 10-valent PHiD-CV along with the DTPa-HBV-IPV/Hib. Boosters of these 2 vaccines were administered between 12 and 15 months of age. Oral human rotavirus vaccine was administered at 3 and 4 months of age.
 
  • Children were randomly assigned to receive either acetaminophen in 3 rectal doses distributed in the 24 hours after a vaccine dose or no postvaccine treatment.
 
  • The main study outcome was the effect of acetaminophen on the rate of fever after vaccination. The secondary outcome was the effect of acetaminophen on vaccine immunogenicity.
 
  • Acetaminophen was most effective in preventing fever on the day of vaccination.
 
  • However, an unexpected finding was a substantial reduction in the primary antibody response. Acetaminophen led to reduced immunogenic responses regardless of the presence of fever.
 
Conclusion

The current study finds that prophylactic acetaminophen can reduce minor fever after vaccination among young children, but it does not reduce rates of significant fever and may be associated with reduced vaccine immunogenicity.

 

They conclude that the clinical relevance of their findings needs further assessment but suggest that the prophylactic administration of antipyretic drugs at the time of vaccination "should nevertheless no longer be routinely recommended without careful weighing of the expected benefits and risks."

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