Friday, August 3, 2012
No Directions! No User Manual!
Thursday, December 11, 2008
Preventing Food Allergy - The Role of Bifidobacteria
Our intestine produces 80% of all antibody-producing cells, thus, making it our largest immune organ. It is the home of trillions of both friendly and unfriendly bacteria, forming an intestinal microflora. Its role is to keep us healthy as well as preventing allergy.A newborn’s intestine is sterile but within hours from birth, it will quickly become colonized by microorganisms from the mother’s birth canal and environment. A particular type of bacteria known as the Bifidobacteria becomes dominant and will eventually takes up 99% of the total bacteria count in exclusively breastfed babies.
The role of the Bifidobacteria is to stimulate the maturation and functions of our child’s intestinal immune system. It is reported that young children with food allergy have lesser bifidobacteria. In addition, Bifidobacteria also protects against intestinal infections caused by harmful bacteria such as gastroenteritis leading to diarrhea, which in turn is still the leading cause of infant mortality.
How does the method of child delivery affects the population of Bifidobacteria? The mother’s gut, skin and vaginal flora are sources of bacteria for colonizing the newborn’s intestine. Hence, it was found that infant delivered via caesarean section, where there is minimal or no contact with the mother’s vaginal and faecal flora, experienced a delay in the building of their intestinal microfloral and it may be disturbed for up to 6 months after birth. The Bifidobacteria population is further reduced if these caesarean-born infant are not breastfed or breastfed for only a very short time. Breast milk still has the special bifidogenic properties that will encourage the growth of Bifidobacteria.
Weaning also affects the population of Bifidobacteria, leading to changes in the intestinal microfloral population and decreasing the count of Bifidobacteria. Hence, solid food has to be introduced carefully since weaning is considered a high risk period due to the risk of developing food allergy.
Herein, lies another strong reason why we should be breastfeeding our babies as long as we possibly can, all the more so, if your baby is delivered via caesarean section.
Tuesday, December 9, 2008
Preventing Food Allergy - Causes and Symptoms
In my earlier post Preventing Food Allergy – Is my baby at Risk, we have seen that infants from parents with food allergies have a higher risk of developing food allergies themselves.
What is food allergy? How does it come about? Normally, our immune system will attack harmful bacteria, viruses and foreign substances in the body while recognizing food as harmless. However, food allergy arises when the immune system mistakenly identified a particular food or component, usually a protein, as dangerous and attacks it.
Symptoms of food allergy vary, including itchiness, eczema, dermatitis, nausea, vomiting, diarrhea, wheezing, asthma and bronchitis. In some severe attacks, severe reactions can be fatal.
Any type of food can cause an allergy although the possibility for some is higher than others. Highly allergenic foods include cow’s milk, egg white, soy fish, shellfish, crab, shrimp, lobster or crayfish and peanut. It is reported that allergy to cow’s milk is particularly common in infants.
Since, there are no cures for allergy; it is only prudent that parents help to prevent the development of food allergy for babies at an early age.
Measures that can be taken include the following:-
- Recognize baby’s risk by knowing or recording your family allergy history
- If you are not breastfeeding, discuss with your doctor other options such as hypoallergenic formula. (It’s protein is less allergenic and is formulated to prevent allergies)
- Using soya milk and goat’s milk formulae do not reduce the risk.
- Wean your baby only after 6 months and avoid highly allergenic food for the first year.
- Reduce dust in the house.
- No pets at home or child care centre.
- No smoking during pregnancy or in the presence of the child
In our next post, we will look at the role of our intestine, the largest immune organ of our body and how a friendly bacterium plays an important role in preventing food allergy and why babies delivered naturally has fewer tendencies to develop food allergy as compared to those delivered via caesarean section.
Saturday, December 6, 2008
Preventing Food Allergy - Is my baby at risk?
So, how does a baby develops food allergy? Is there any prevention? What are the risks of a baby getting it?
We did some research and found some pretty interesting facts.
For this post, we will share what we learnt about the risk of food allergy.
Food allergy has no age barriers and it usually begins during the first year of life. It is reported that most children will outgrow certain allergies by the time they begin schooling. However, some may persist into adulthood. High risk group are those with a family history of allergies.
Risk of developing allergy based on family history:-
Both parents with no allergy – Only 5%-15% risk of allergy
One parent with allergy – 20%-40% risk of allergy
Both parent with allergy – 40%-60% risk of allergy
Both parent with same allergy – 50%-80% risk of allergy
I have a couple of good friends who are extremely allergic to egg white for example. Just a brush with egg white in their food (apparently even the apparatus that cooked them) can bring them down with severe symptoms including asthma, nausea and black-out. Frightening isn’t it?
For the next post, we will share how food allergy comes about, common symptoms and the type of food that would commonly causes allergies.
Friday, December 5, 2008
Maid - Setting Up the Review Process
Every human being likes to be told whether they are doing well or otherwise. Praises are good motivators while reprimands on wrongs must be swiftly delivered. Similarly, everyone has their likes and dislikes, opinions and concerns. It is only fair then that they be given an opportunity to speak up and be heard.
We treat our maid no differently. We set up periodic reviews that we will sit her down with us to review her performance. We will let her know what she has achieved, improvements that we noted and are glad and similarly, what we disliked and areas that we wanted her to change. At the same time, we wanted to give her an opportunity to voice out her concerns, views and requests.
We will take this opportunity to remind her and reinforce our expectations and at the same time, shared with her what other new responsibilities we would be entrusting to her.
This periodic review also gives both of us an opportunity to release any penned up frustrations and tensions before it explodes, becoming even more difficult to manage.
For the past one week, our maid who previously was not allowed to handle Ryan has been entrusted with the following new responsibilities:-
- Prepare milk to feed Ryan (although we have not let her to feed Ryan just yet)
- Take care of Ryan for brief moments including carrying him.
She seemed excited at the prospect of being allowed to take care of Ryan. We are glad although we will still be supervising her closely. Ryan seems to have taken a liking to her and would smile whenever she calls out to him.
She has progressed rather well in the last six months considering that she does not even know how to cook. To-date, she cooks our rice, boiled vegetables, boiled simple soup, cooked double boiled herbal soup for my wife (as long as I gave her the ingredients) and boil bird nest soup for my wife. We have also `officially’ assigned to cut all our ingredients whenever we have to cook, and she is pretty good with the knife.
Thursday, December 4, 2008
Maid - Setting the Work Schedule
In my working history, there have been jobs where I reported to work without any job description or briefing of what my job is and what are the expectations. Have you ever had such an experience? Sitting there on your first day, not knowing what to do? Feeling completely lost? Imagine, if you were given a task without proper instructions and you got fired or lashed out for not doing it right. How would you feel? Was it fair to you?
Our maids are the same too. If we do not lay out a properly structured job description and schedule for them, hoping, wishing and expecting that they would be able to perform from the very first day, should we blame them if they got it all wrong?
The second thing that we did with our maid when she arrived home, after sharing with her our simple expectations, were to give her a weekly and monthly work schedule, detailing what she is expected to do from the time she wakes up to the time she retires. We make sure that she understands what we wanted by getting her to repeat it to us. She knows that she has to sweep and mop the floor by 7:30 am for example. She knows that she has to clean the refrigerator every second Tuesday of the month. She knows that we expect her to change the bed sheet and clean the fish pond every Saturday.
Having a schedule does not guarantee a problem free relationship with the maid. We have our fair share of issues with her. However, it becomes much easier for us to tell her off. Just like Sun Tzu, if we have not given her clear instructions and made her understand, how could we punish her?
Sunday, November 23, 2008
Choosing a baby Car Seat
A car seat is definitely an important accessory that one must invest for our baby once they arrived. Although most mothers would prefer to carry their infant in their arms while travelling, this is certainly unwise for safety reasons. Without any proper restraints, a collision even at 50km/hour could prove fatal to the baby, who could be crushed by the weight of the mother, strangled by the front seat belt or thrown against the dashboard or through the windscreen.
Ryan started with an infant car seat from Peg Prego and when he outgrew it, we finally invested in a Chicco Proxima car seat that could accommodate Ryan till 4 years old (or 18kg).
Since we rely heavily on the car seat to protect our baby in the event of an accident, it is paramount that the car seat manufactured has to pass certain certification to verify that the specifications of which the car seat was designed and built were able to provide the safety level required. It is pointless to buy a very affordable car seat that has not been tested extensively or certified fit to do the job. Hence, it is critical that an appropriate car seat (regardless of brands or price) MUST conform to the United Nations standard, ECE Regulation 4403.
Weight of the child is the most important factor in deciding the type of car seat to use. Manufacturers have also categorized the different types and model based on the weight of the child.
Rearward facing Baby Seats
Group 0 for babies up to 10kgs (22lbs), roughly from birth to 6-9 months
Group 0+ for babies up to 13kg (29lbs), roughly from birth to 12-15 months
Forward facing Child Seats
Group 1 for children weighing 9-18kgs (20-40lbs), roughly from 9 months to 4 years
Booster Seat
Group 2 for children weighing 15-25kgs (33-55lbs), roughly from age 4 to 6 years
Booster Cushion
Group 3 for children weighing 22-36kgs (48-79lbs), roughly from age 6 to 11 years
It is always safer to put Group 0 and Group 0+ car seat in the rear and placed it rearwards facing to provide higher protection for the baby’s head, neck and spine. NEVER place a car seat in the front passenger seat if there is a passenger airbag.
It is also common now to find some child restraints or car seats that are capable of being converted as the child grows and hence, fit into more than one group. The Chicco Proxima for example, can cater babies from newborn (Group 0) to 18kg (Group 1).
So, if you are shopping or thinking of upgrading your child’s car seat, I hope that this basic information will be of help. Remember, SAFETY FIRST!
Tuesday, November 4, 2008
My freezer is full of this!!!
This is how we saved and stored the expressed milk for Ryan from day one. Since he was a premature baby, he had difficulties in sucking directly. It was extremely frustrating and stressful initially. After much massaging and pressing, there were just a few tiny drops. At that moment, they were like liquid gold to us. We carefuly collected and passed it on to the nurses to feed Ryan. The nurses at the Damansara Specialist Centre were extremely helpful and encouraging. Since Ryan could not suck directly and not wanting to give up our desire to breastfeed him (since it is the best milk to him), my wife has been faithfully and diligently expressing it out and stored them in this tiny cups, frozen and stored them for Ryan. (That's how she got the De Quervain's Tendinitis if you read one of my earlier post).
I understand that it is extremely difficult to continue breastfeeding once you start to work. This could be another good way to continue giving your baby, breast milk for as long as you can. However, this is sometimes easier said than done. We were lucky that my wife's organization does provide their female employee with a special and private room for this purpose.
If your baby is having difficulties sucking directly, do not give up breastfeeding. You too can express the milk and feed your baby using the bottle. It is still better than feeding him baby formula.
The cups are cheap. We buy them from Giant. The one that we are currently using is able to store 4oz each. We will sterilise them, store the milk and freeze them. When needed, we will warm them up by placing them on warm water. DO NOT put them in the microwave oven!! The process of course takes a little bit more time as compared to preparing baby formula but the baby is still getting the most nutritious milk there is.
And a great big hug to Ryan's mommy for her dedication, diligence and commitment in wanting to give baby Ryan the best.
Monday, November 3, 2008
Timed Your Pregnancy. Confinement could be cheaper!
Friday, October 24, 2008
The sound that calms him down
Wednesday, October 22, 2008
Be your Baby's Paparazzi!
Tuesday, October 7, 2008
Pullovers Vs Shirt with buttons in front for Newborn?

Just like every excited expecting parent, we were busy buying up shirts, pants, mittens and booties, preparing for the arrival of our baby. We walked into every baby shop that we knew or came across, hoping to find some good deals. We were grabbing anything that we thought was a good deal. When Ryan finally arrived, there were some clothes that we really regretted buying because they were so difficult to put on, especially when you have a premature 2.2kg fragile baby.
Monday, October 6, 2008
How to give baby a Bath
Giving your baby a bath is a wonderful time to bond with him/her. It's a special time shared between us. As he enjoys a bath more, the time is even sweeter as compared to when he was apprehensive of the touch of water.
Ingredient: 1 bath tub of lukewarm water, baby bath, 1 dry towel
- Lift up baby's head gently and place your left arm at the back of his head with your left hand holding his left armpit. Make sure that your left arm is supporting the baby's head and neck especially for newborns and infants as their neck are still fragile. Refer to picture (1).
- Using your right hand, gently pick him up by holding on to his left leg. For infants or newborns, it would be advisable to support them at their buttocks with your right hand. Refer to picture (1).
- Place them gently into the bath tub.
- Allow the baby's head to rest on your left arm while you apply bath bath and wash him. Refer picture (2).
- To turn him over, gently sit the baby up and place his chin to rest on your right arm with your right hand holding his left armpit. Refer to picture (3).
- Once you have him secured in your right hand and arm, gently lift him up and then lay him down tummy first into the bath tub.
- You can now apply baby bath and wash him.
- Once done, lift him up by supporting his buttock with your left hand and place him on a dry towel to dry.
The above task can be quite taunting to first timers or when you are handling infants or newborns. As they grow older, it will become easier.
Tips:
- Newborns tend to be apprehensive of water for the first few times. Ryan gets scared every time he touches the water and he would cry. To give him more comfort and assurance, I would hold him very close to my chest and lower him down into the tub while trying to maintain our bodily contact while doing so. I found that this brought him comfort and security. Of course, I ended getting wet as well in the process.
- As they grow older and stronger, watch out for that sudden `kick' when they are enjoying their bath. If you are not careful, you might just drop him into the water or his head knocking against the side of the bath tub.
- You do not have to invest heavily into your baby's bath tub if you don't want to. I have seen bath tub costing close to RM90. The reason is because they will outgrow the bath tub within 4 to 5 months and you would have to buy a larger one for them.
- Have all the necessary items ready and within reach before placing your baby into the bath tub.
Ryan is now enjoying his bath so much that sometimes he does not seem to want to get out. He is also beginning to learn to play with water and bath bubbles. When washing his back, he is happily kicking his legs away, just like a little frog learning how to swim. Those moments are precious and priceless.
How to wash baby's hair
- Lift your baby's head and put his head in the palm of your left hand. Make sure that it supports the baby's neck. Refer to picture (1).
- Using your thumb and your index finger, gently fold and cover your baby's ears. This is to prevent water from getting in. Refer picture (2)
- Once you have him firmly in your grip, place baby under your left arm as shown in picture (3).
- Wet his hair with the lukewarm water and then apply small amount of baby shampoo.
- Rub his hair and head gently and wash off with water.
- Dry with dry handkerchief.
Simple right? It is simple if your baby is not kicking up a fuss or throwing his/her usual tantrum. Otherwise, it could be a real struggle to hold him/her while he/she is kicking away. I would advise to leave him/her alone until he/she has calmed down. As the baby gets older and definitely heavier, it would also be increasingly demanding on your left arm to hold him/her in place.
Tips:
- Place the bath tub at your hip's height so that you can stand to wash/bath your baby. I find it extremely difficult and tough on my back and spine to bathe Ryan, when I have to bent over when the bath tub is placed on the floor.
- Get all the needed stuff such as shampoo ready (with cap opened) and handkerchief easily within reach before bathing him.
- Try not to panic when he/she starts screaming half way through. I used the word `try' because often times, we can get easily rattled when our baby starts screaming away.
- This is good. Make sure that your baby's diaper is still on while washing his hair. Ryan has the tendency to wee-wee while I'm washing his hair. I tend to get `drenched' and have to take a shower myself afterwards.
We will talk about giving him a bath in the next `How to' post.
Saturday, October 4, 2008
Be Prepared for Pre-mature Arrival
- get all the required baby stuff by now. Have a checklist and start buying them (especially if you see any of them on sale with discount). I will share the checklist that we have and an indication of how much they will cost.
- decide on where you are going to have your baby delivered.
- if you wish to get a hair cut before delivery, it is a good time to get it done now. A lot of old folks do not allow you to wash your hair after you have delivered (at least for the first week, if not for the entire month of confinement)
- if you are working expecting mum, please prepare your boss or your collegue for a pre-mature delivery. Start planning your hand-over during your maternity leave.
- prepare the bag that you are going to bring to the hospital should you go into labour.
- if you are planning to have a confinement lady, you should have already confirmed her appointment by now. However, do have contigency plans that she might not be available if you deliver early. (This actually happened to us)
- if you plan to have a live-in maid, you should get your maid in and working for you by this time. You would want your maid to be ready rather than having to train her when you are busy with your pre-matured baby, confinement lady, your mum and your mother-n-law. You could go totally crazy.
- for Chinese mothers who have a whole range of chinese herbs to purchase for the confinement meals and diet, it is a good time to start buying them now.
