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After the Baby Comes

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After your baby arrives, there’s a lot to think about. Click on the following links to learn more about how to help keep you and your baby healthy and safe, as well as learn about certain birth defects and medical conditions.

Health

Breastfeeding: You and your baby gain many benefits from breastfeeding. Breast milk is easy to digest and has antibodies that can protect your baby from bacterial and viral infections.

Proper Handling and Storage of Breast Milk: Safely prepare and store your expressed breast milk to maintain its high quality and keep your baby healthy. Make sure your baby’s caregivers know how to safely prepare and store the breast milk, too.

Happy baby playing with toy blocks.

Breastfeeding and Travel: Travel need not be a reason to stop breastfeeding. A mother traveling with a nursing infant may find breastfeeding makes travel easier than it would be if traveling with a bottle-fed infant. Find helpful tips for traveling while breastfeeding, and learn about vaccinations for international travel.

Postpartum Depression: Postpartum depression is depression that occurs after having a baby. If you think you have postpartum depression, seek treatment from your health care provider as soon as possible.

Jaundice and Kernicterus: Jaundice can sometimes lead to brain damage in newborns. Before leaving the hospital, ask your doctor or nurse about a jaundice bilirubin test. If you think your baby has jaundice, call and visit your baby’s doctor right away.

Vaccinations: Vaccines are very important to your baby’s health. When you get vaccinated against whooping cough and the flu during your pregnancy, you will pass some immunity (protection) to your baby.  However, that protection will begin to decrease over time, leaving your infant vulnerable to disease.  Make sure he or she gets vaccinated according to CDC’s childhood immunization schedule for safe, proven disease protection.

Immunization Schedules: Follow the schedule found at this link to be sure your baby gets his or her shots on time. If you miss any, check with your doctor about getting back on track.

Vaccination After Pregnancy: It is safe for a woman to receive vaccines right after giving birth, even while she is breastfeeding. Vaccination after pregnancy is especially important if you did not receive certain vaccines before or during your pregnancy.

Newborn Screening: Within 48 hours of your baby’s birth, a sample of blood is taken from a “heel stick,” and the blood is tested for treatable diseases. More than 98% of all children born in the United States are tested for these disorders.

Some babies with a critical congenital heart defect (CHD) appear healthy at first and may be sent home before their critical CHD is detected. Newborn screening for critical CHDs is a tool that works with prenatal diagnosis and physical exams after birth to improve detection of critical CHDs.

Your baby should be screened for hearing loss before 1 month of age, preferably before leaving the birth hospital. Learn more about newborn hearing screening and what happens if your baby doesn’t pass the screening test.

Once your baby is born, you can learn more about ATSDR’s Choose Safe Places for Early Care and Education program, which protects the health of children where they learn and play to reduce your child’s risk of being exposed to dangerous chemicals during their care.

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Visit CDC’s Hear Her campaign website to learn the warning signs to watch for during pregnancy.

Safety

Child Medication Safety:  Every year, one out of every 150 two-year-olds is treated in an emergency department for an accidental medication overdose. Find tips for keeping all medications up and away and out of sight of young children.

Sudden Infant Death Syndrome (SIDS): Learn what parents and caregivers can do to help babies sleep safely and reduce the risk of sleep-related infant deaths, including SIDS.

Child Safety Seats: Motor vehicle injuries are a leading cause of death among children in the United States. But many of these deaths can be prevented. Always buckling children in age- and size-appropriate car seats, booster seats, and seat belts reduces serious and fatal injuries by up to 80%.

Travel: An estimated 2.4 million children from the United States travel internationally each year. Learn how to travel safely with your baby within the country and internationally.

Fire Safety: Find tips to help prevent injury or death from a fire in your home.

Child Maltreatment: Maltreatment is a serious problem that can have lasting harmful effects on a child’s life. Find some strategies to help prevent child maltreatment.

Disaster Safety for Expecting and New Parents Learn general tips to get prepared before a disaster and what to do in case of a disaster to help keep you and your family safe and healthy.

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Happy baby playing with toy blocks.

Development

Child Development: The early years of a child’s life are crucial for learning, social, and emotional development. Learn what you can do to ensure that your child grows up in an environment that meets his or her needs.

Positive Parenting Tips for Babies: Learn how to give your baby a healthy and safe start in the first year of life.

Learn the Signs. Act Early. Measuring your baby’s growth involves more than tracking height and weight. Learn about milestones to watch for in how your baby plays, learns, speaks, and acts.

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Medical Conditions

Birth Defects: Birth defects are structural changes present at birth that can affect almost any part or parts of the body (e.g., heart, brain, foot). They may affect how the body looks, works, or both. About one in every 33 babies is born with a birth defect.

Developmental Disabilities: Developmental disabilities are a group of conditions due to an impairment in physical, learning, language, or behavior areas. About one in six children in the U.S. have one or more developmental disabilities or other developmental delays.

Genetics: If your baby was born with a genetic condition, you may want to work with a genetic counselor in your area to help with information, resources, and support.

Blood Disorders: CDC works to prevent and reduce complications among people with certain blood disorders (bleeding disorders, hemophilia, von Willebrand disease, thrombophilia, and thalassemia).

RSV Respiratory Syncytial Virus Infection

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Respiratory syncytial (sin-SISH-uhl) virus, or RSV, is a common respiratory virus that usually causes mild, cold-like symptoms. Most people recover in a week or two, but RSV can be serious, especially for infants and older adults. RSV is the most common cause of bronchiolitis (inflammation of the small airways in the lung) and pneumonia (infection of the lungs) in children younger than 1 year of age in the United States.

Symptoms

 

People infected with RSV usually show symptoms within 4 to 6 days after getting infected. Symptoms of RSV infection usually include

  • Runny nose
  • Decrease in appetite
  • Coughing
  • Sneezing
  • Fever
  • Wheezing

These symptoms usually appear in stages and not all at once. In very young infants with RSV, the only symptoms may be irritability, decreased activity, and breathing difficulties.

Almost all children will have had an RSV infection by their second birthday.

 

Call your healthcare professional if you or your child is having difficulty breathing, not drinking enough fluids, or experiencing worsening symptoms.

Care

Most RSV infections go away on their own in a week or two.

There is no specific treatment for RSV infection, though researchers are working to develop vaccines and antivirals (medicines that fight viruses).

Take steps to relieve symptoms

  • Manage fever and pain with over-the-counter fever reducers and pain relievers, such as acetaminophen or ibuprofen. (Never give aspirin to children.)
  • Drink enough fluids. It is important for people with RSV infection to drink enough fluids to prevent dehydration (loss of body fluids).
  • Talk to your healthcare provider before giving your child nonprescription cold medicines. Some medicines contain ingredients that are not good for children.

RSV can cause more serious health problems

RSV can also cause more severe infections such as bronchiolitis, an inflammation of the small airways in the lung, and pneumonia, an infection of the lungs. It is the most common cause of bronchiolitis and pneumonia in children younger than 1 year of age.

Healthy adults and infants infected with RSV do not usually need to be hospitalized. But some people with RSV infection, especially older adults and infants younger than 6 months of age, may need to be hospitalized if they are having trouble breathing or are dehydrated. In the most severe cases, a person may require additional oxygen, or IV fluids (if they can’t eat or drink enough), or intubation (have a breathing tube inserted through the mouth and down to the airway) with mechanical ventilation (a machine to help a person breathe). In most of these cases, hospitalization only lasts a few days.

Centers for Disease Control: Learn more about people at high risk for severe RSV infection..

Creating Positive Childhood Experiences

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Healthy and happy childhoods start now. Learn how you can help!

Children and families thrive when they have access to safe, stable, nurturing relationships and environments. These relationships and environments are essential to creating positive childhood experiences and preventing adverse childhood experiences.

Early negative events impact the health and well-being of children and the adults they become. These negative events are known as adverse childhood experiences, or ACEs. ACEs are potentially traumatic events that occur in childhood (0-17 years). For example:

  • Experiencing violence or abuse
  • Witnessing violence
  • Having a family member attempt or die by suicide

ACEs also include aspects of the environment like growing up in a household with:

  • Substance misuse
  • Mental health problems
  • Instability due to parental separation or household members being in jail or prison

Some adversity and stress are normal and can even be helpful so that children learn how to react to future challenges. However, if children are repeatedly exposed to adversities like abuse and neglect and unstable relationships or environments, they may experience toxic stress. Discover how toxic stress develops and evolves.

We all benefit when children have safe, stable, nurturing relationships and environments. Everyone can help prevent ACEs and promote positive childhood experiences by supporting children and families where you live and work.

Parents and caregivers:
Parenting is hard work! There are many things you can do to create positive childhood experiences.

  • Establish a routine. Children feel secure and thrive when the environment is structured for them.
  • Praise your child when she does something right. The more you praise a behavior, the more likely it is your child will behave the same way again.
  • Pay attention to your child when he is trying to communicate with you. Giving him your full attention will make him feel like you care about what he has to say.
  • Set aside time each day to talk and play with your child. Creating a special time lets your child know she is important and strengthens the bond between the two of you.
  • Check out CDC’s Essentials for Parenting Toddlers and Preschoolers! This resource can help you handle common parenting challenges and improve skills so you can enjoy helping your child grow.

We know that every child and every parent is unique. You may face many different situations and challenges every day. It’s ok to ask for help.

  • Reach out to babysitters, family members, or close friends.
  • Discuss your concerns with your child’s doctor.
  • Find out if your community offers support groups or programs for parents and caregivers.

Friends, family, and neighbors:

As a friend or neighbor, you can develop nurturing, supportive relationships with the children in your life. Offer to babysit, make a meal, or drive a parent or child where they need to go.

Coworkers:
As a coworker, you can listen and support your colleagues by encouraging them to take breaks or seek additional help if needed. You can also offer to help with their workload.

Everyone:
We can all recognize challenges that families face and offer support and encouragement to reduce stress. Everyone can promote social norms that discourage violence and help ensure the safety of all members of a community.

  • Let people know that violence is unacceptable and steps will be taken to protect the victim of violence.
  • Encourage people to stand up and speak up, if they can safely do so, when a person is being harassed or hurt or needs support.

We can also support community programs and policies that provide safe and healthy conditions for all children and families.

  • Examples include supporting family friendly work policies like paid leave and flexible work schedules and supporting policies that strengthen household financial security based on the best available evidence.

Working together, we can help create neighborhoods, communities, and a world in which every child can thrive.

Childhood Arthritis

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What is childhood arthritis?

mother pushing child down slide

Arthritis in children is called childhood arthritis or juvenile arthritis. The most common type of childhood arthritis is juvenile idiopathic arthritis (JIA), also known as juvenile rheumatoid arthritis.

Childhood arthritis can cause permanent physical damage to joints. This damage can make it hard for the child to do everyday things like walking or dressing and can result in disability.

 

Is there a cure for childhood arthritis?

Although there is no cure, some children with arthritis achieve permanent remission, which means the disease is no longer active. Any physical damage to the joint will remain.

 

What are the signs and symptoms of childhood arthritis?

Symptoms may come and go over time. There may be times when symptoms get worse, known as flares, and times when symptoms get better, known as remission. Signs and symptoms include:

  • Joint pain
  • Swelling
  • Fever
  • Stiffness
  • Rash
  • Fatigue (tiredness)
  • Loss of appetite
  • Inflammation of the eye
  • Difficulty with daily living activities such as walking, dressing, and playing

 

What causes childhood arthritis?

The exact cause of childhood arthritis is unknown. In childhood arthritis the immune system may not work right which causes the inflammation in the joints and other body systems.

 

How is childhood arthritis diagnosed?

Childhood arthritis is diagnosed through a physical examination and review of symptoms, X-rays, and lab tests. A doctor should make this diagnosis, particularly a rheumatologist who specializes in arthritis and other related conditions in children. These doctors are called pediatric rheumatologists.

 

Who gets childhood arthritis?

Childhood arthritis can affect children of all ages, races and ethnic backgrounds.

Learn more about childhood arthritis
Learn more about arthritis

Lead Poisoning Prevention

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Protecting children from exposure to lead is important to lifelong good health. No safe blood lead level in children has been identified. Even low levels of lead in blood have been shown to affect learning, ability to pay attention, and academic achievement. While the effects of lead exposure may be permanent, if caught early there are things parents can do [PDF – 234 KB] to prevent further exposure and reduce damage to their child’s health.

The most important step that parents and caregivers, healthcare providers, and public health professionals can take is to prevent lead exposure before it occurs.

CDC supports primary and secondary lead exposure prevention.

  • Primary prevention is the removal of lead hazards from the environment before a child is lead exposed. It is the most effective way to ensure that children do not experience harmful long-term effects of lead exposure.
  • Secondary prevention includes blood lead testing and follow-up care and referral. It remains an essential safety net for children who may already be exposed to lead.
Cover sheet of the How to Prevent Lead Poisoning Fact Sheet

How to Prevent Lead Poisoning in Children

A blood test is the best way to determine if a child has been exposed to lead. The amount of lead in blood is referred to as a blood lead level, which is measured in micrograms of lead per deciliter of blood (μg/dL). Most children with lead in their blood have no obvious symptoms. Talk to your child’s health care provider about getting a blood lead test.

Preventing childhood lead exposure is cost-effective.

According to an analysis from the Health Impact Project, [PDF – 7.5 MB] eliminating lead hazards from the places where children live, learn, and play could generate approximately $84 billion in long-term benefits per birth cohort. Additionally, permanently removing lead hazards from the environment would benefit future birth cohorts, and savings would continue to grow over time. CDC is committed to helping address this threat and improving health outcomes for our nation’s most vulnerable citizens—our children.