Rus Articles Journal

Neither hot, nor it is cold... How to provide normal temperature condition to the newborn

Honor

in all books and textbooks devoted to care of children the attention to that obvious fact is paid that at the baby mechanisms of regulation of body temperature in this connection there is a big risk of overcooling are imperfect. From this, in general, absolutely correct situation, absolutely wrong conclusions 1 are often drawn .

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of 1 these Conclusions are drawn, as a rule, not by authors of books and textbooks, but parents.

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Protection of the child against overcooling pays prime attention up to that purchase of an electric heater represents one of the most obligatory actions by preparation for the newborn`s meeting. If air temperature in chamber of newborns of maternity hospital has to be, according to instructions, not lower than 22 ° With (as a rule, it is higher), the parents who are afraid of everything at any cost will aspire to that below this figure it (temperature) did not fall in any way. The author visited hundreds of newborns in the first days after their extract from maternity hospital, and the feeling of shortage of air was the most constant and the most typical of all feelings which he had to test after short-term stay in a nursery.

In panic being afraid of cold, parents often also do not think that the imperfection of mechanisms of thermal control mentioned by us is fraught not only overcooling, but also an overheat.

the Metabolism at the newborn proceeds very intensively and is followed by development of a significant amount of heat. The organism of the child needs to get rid of this heat. It is possible to make it in two ways - through lungs and through skin (direct transfer of heat at contact of two environments with different temperature plus sweat evaporation).

the Air inhaled by the person (the newborn - not an exception), reaching lungs, heats up to body temperature. That is the child inhales air with a temperature of 18 ° With, and exhales, respectively, 36,6 ° C. At the same time, certainly, a certain amount of heat is lost. If temperature of the inhaled air 23 ° With, it is obvious that losses of heat considerably decrease. But it is necessary to lose heat! And the child makes active the second way of losses - through skin. It is necessary to form 2 sweat which not only wet, but also salty - means, are lost water and salts, and stocks and that and another at the newborn are very insignificant.

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Even at small shortage of liquid significantly break work of all systems and bodies. And you will surely find consequences of these violations, having developed the child. The overheat organized in maternity hospital (if only you did not tell that you chilled) first of all is visible on the newborn`s skin - it brightly - red; in those places where sweat accumulates, in a groin, for example, - an intertrigo 3 . It is swollen out and hurt by a tummy (dense of - for shortages of liquid intestinal juice is hardly capable to digest food), in a mouth white specks - the milkwoman of newborns 4 (dense of - for shortages of liquid saliva does not carry out the functions), in a nose the dry crusts complicating breath (cannot even sometimes suck), etc.

Regulation of temperature condition of the newborn can be carried out by

by means of the solution of two tasks:

  1. Air temperature in a nursery.
  2. Clothes of the child.
Both of these tasks have to be solved by

immediately, in the first days after return from maternity hospital. What longer you will gather and decide, that it will be worse to you and your baby, big efforts will be necessary for those subsequently to make up for lost time.

It is extremely important (!!!) not to confuse and not to mix such concepts as “it is cold to the child“ and “the air temperature which the child breathes“.

the Optimum temperature of a nursery makes

18 - 19 ° Page

The higher, the worse. But for the rest of life - and yours, and children`s - it is necessary to remember the major rule allowing to make the correct decision in the presence of doubts 5 . it is better for p to overcool

, than to overheat

Only this way and not otherwise because it is impossible, it is impossible to forget at all that the child`s overheat not less, and is, as a rule, much more dangerous, than overcooling!

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the Environment is usually allowed to create optimum temperature condition (18 - 19 ° C), but there are exceptions - and they are absolutely frequent. The child can be born in a hot season, in the country with hot climate, in the city where workers of heating systems are inclined with the increased eagerness to treat the duties, and t.

to Save the child from an overheat at high temperature in the room (higher than 22 ° C) it is possible actions in three directions:

  1. Clothes, more precisely, its minimum quantity.
  2. Sufficient receipt in an organism of the child of liquid, besides milk (water).
  3. Bathtub.

In all these directions we will thoroughly walk further.

A let`s pay attention to such phenomenon, surprising from the household point of view, now as draft 6 .

Draft - a draft, the current of air blowing the room through the openings located against each other“ 7 .

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of 2 Sweat glands at the newborn are developed by

badly, that is it is adapted by the Nature for loss of heat by means of breath
of 3 the Intertrigo - the skin inflammation arising mainly in its folds.
4 the Milkwoman - the inflammation of a mucous membrane of an oral cavity caused by drozhzhepodobny fungi.
5 needs to Realize this rule, certainly, not in 5 years and not in 10, the expert of the moment of the birth.
6 for some reason seems to the Author that most of readers has no conditioners and installations of artificial climate. An open window leaf - the most widespread technical device for decrease in air temperature indoors. Conversation on draft in this case can be quite pertinent.
7 Definition from the explanatory dictionary.

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It is interesting to whom to the first the thought that the Nature can create a species for which the current of air represents terrible danger came to mind?

People expensive! We are afraid of drafts because our parents preserved us in all possible ways against these drafts. But the baby here at what? Of course, it is not necessary to go too far, but continuous exclamations: “Close rather a door!“ - do not conduct to anything good. The child is afraid of unfamiliar. Also it is impossible to live life, having never met draft. It is so best of all to get acquainted with it in infancy, having ceased to be afraid, than the adult and solid uncle to shout at all bus: “Close a window, appears!“

from the moment of return from maternity hospital do not pay attention to that, the door to the room where there is a child is open or closed. From the point of view of its health, does not matter where the bed is located and whether air from the slightly opened window gets on it. For the five-year-old child who is already spoiled by aspirations to save him has. And for the newborn - no.

Clothes

Concerning temperature condition: parents have to achieve that the clothes did not allow the child to freeze.

Separately - concerning disposable diapers

It is frequent grandmothers - doctors write and say about development of some special “greenhouse effect“, that testicles very need cold, and the increased temperature (testicles) is contraindicated to them (grandfathers is doctors about it do not write), agreed (were added) already to the fact that use of disposable diapers leads to infertility. From where our doctors took this information, not clearly. But it is always pleasant to accuse overseas diapers of our local problems, especially considering the fact that not less than 15% of married couples are fruitless. Notice: concerning “greenhouse effect“ from four diapers on the child and two heaters in a nursery nobody writes anything.

Now about rules of use.

the Option of diapers or romper suit remains to

for parents. From the point of view of health, this choice is not basic. Decide - what is simpler, what is more convenient, what is cheaper. Personally I advise you to be guided by a season. If the child “summer“ (been born in the summer) and in the room warmly (higher than 20 ° C), it is better to refuse diapers at once. Well, and “winter“ in diapers will be cozier.

the Hat

At a temperature over 18 ° With it is not necessary in general. It is required surely for walks in a cold season and after bathing. Numerous talk on need to protect ears is only talk, any logical basis under themselves not having. It is clear that, so far as the auricle and acoustical pass are constantly protected from impacts of temperature drops, moisture and influence of moving air (the same draft), the first contact with water and a breeze will end with some sore - otitis (an ear inflammation), for example.

the quantitative and qualitative players of clothes will be significantly changed by

in process of growth of the child, but the main thing everything - is clothes in the first months of life. It is impossible to foresee everything that can be necessary. In July the six-months child quite will have a T-shirt and pants, and in February the fur coat and a romper suit will already be necessary. For us it is important to understand the principles of clothing , and any sane person quite will be able independently to answer other questions.

the Main principle we already stated

, but for reliability we will repeat once again: it is better for to overcool, than to overheat .

Further: it is better for to cover, than to wrap up .

I Explain

: if the child sleeps in a nursery, you will swaddle him by means of only two objects - a diaper and a thin diaper. All the rest: warmer diaper, a towel, a blanket - it will need to be covered. But to parents it is always unclear: how many it is necessary all the rest? How to define, it is cold to the child or hot?

the Most powerful criterion - appearance of skin which has to be pale - pink. Red - means, overheated, and next time it is necessary to use less clothes (in smaller quantity to wrap up, to cover with smaller quantity). Feature of the healthy child consists that he very violently reacts to cold - loudly shouts, moves. If you swaddled the child and he quietly fell asleep about any cold the speech it is simple to go cannot. But so far as to you it is very terrible for it, cover with an excess diaper, be only not nervous.

the Clothes always have smaller value in comparison with air temperature in the room.

At a temperature below 18 ° it is almost impossible to overheat the child - as if you him muffled up, excess heat will leave in the course of breath.

At a temperature from 18 ° With to 22 ° With - one - two diapers and a diaper is quite enough. At a temperature over 22 ° With the healthy child will not freeze in general, and here it is easy to overheat him.

Many delusions exist concerning what has to be temperature of skin of the kid - not that temperature that shows the thermometer, and to the touch - handles, legs, a nose, ears etc. of It is absolutely wrong when cool and pale heels are considered as threat to health or as a symptom of an illness!

In any warm-blooded organism as we already found out, constantly two processes - heat generations and thermolyses happen.

In a normal organism these processes are in an equilibrium state which makes about 36,4 - 36,9 ° With, however individual fluctuations are possible (that is there are people - both children, and adults, - for which body temperature, say, 36,3 ° is quite normal; With or 37,2 ° Ñ).

When indoors where there is a child, cool, and the child is healthy, his organism reacts absolutely definitely - reduces losses of heat. It is reached quite easily - skin vessels are reduced, intensity of circulation in them of blood decreases and, thus, the thermolysis decreases. Skin at the same time cool to the touch that demonstrates normal thermoregulation.

If in the room 18 ° With, and the golenky child has pink and warm heels - means, you already managed to spoil him - he is not able to keep heat and consequently, can quickly overcool and ache.

Drink

One more criterion of that to the kid hot, - his desire to drink .

the Amount of liquid necessary for the child is defined by that how many liquid it loses. The main ways of loss by a water organism - moistening of the inhaled air and sweating. As a rule, the kid who is on breastfeeding does not demand additional drink, however than more warmly indoors and the more warmly is dressed the child, the more liquid it loses and the more actual for it drink .

At the air temperature which is not exceeding 20 ° With to force the baby to drink very difficult. At 24 ° About need for water it is equal, approximately, 30 ml on 1 kg of weight a day, that is for the newborn - about 100 ml.

Needless to say that it is necessary to give to the child water in intervals between feedings - for example if he woke up in an hour after food. Believe, the healthy kid who lacks liquid will never sleep peacefully from feeding before feeding. At shortage of liquid intestinal juice becomes dense and does not cope with the obligations for processing of food. And the child is hurt by a tummy. Therefore doctors thought up a remarkable way to treat belly-ache - appoint dill water. Did not give to drink to the child, and he cried. Then began to give dill water, and everything passed. Only fennel here at anything. Equally well it is possible to drink petrushkovy, celery and salad water. The main thing in another: if is not possible to avoid liquid losses - very hot - to providing the child with water besides maternal milk the paramount attention has to be paid . Unlike dairy mixes which temperature has to be 36 - 37 ° With, water can be more cool - 26 - 30 ° With in the first 1 - 2 month of life and about 20 ° With - for children of more advanced age.

Anyway the problem of drink is secondary

. It just does not exist if due temperature condition (18 - 19 ° is indoors provided;). And for this reason desire or unwillingness to drink water is exclusively convenient criterion allowing to answer a question: there is an overheat or it is absent . It is healthy, but greedy drinks, - means overheated. Fast take measures. Refuses drink - it`s all right.