Mayo Clinic Guide to Your Baby's First Years
by Cook, Walter J., M.D.; Klaas, Kelsey M., M.D.







PART 1 Caring for your child
18(132)
Chapter 1 Welcome to parenthood!
19(4)
Parenting 101
19(2)
This book
21(2)
Chapter 2 Baby's first days
23(16)
Baby bonding
23(1)
Baby's looks
24(6)
Head
Skin
Birthmarks
Facial appearance
Hair
1st examination
30(1)
Apgar score
Other checks and measurements
Treatments and vaccinations
Newborn issues
31(2)
Jaundice
Eating problems
Infection
Hernias
Circumcision
33(2)
Issues to consider
How it's done
Circumcision care
Screening tests
35(4)
Newborn screening
Hearing screening
Heart defect screening
Chapter 3 Feeding your baby
39(26)
Breast milk or formula?
39(1)
Breast-feeding
40(11)
Benefits for babies and moms
Challenges
Milk production
Getting started
Breast care
Weaning
Pumping breast milk
51(5)
Choosing a pump
Storing breast milk
Formula-feeding
56(6)
Pros and cons
The right supplies
Choosing a formula
Preparation
Weaning
Spitting up
62(3)
Reflux
What you can do
When it's more serious
Chapter 4 To solid foods and beyond
65(10)
Starting solids
65(4)
First foods
Getting started
Taste and texture
What's off-limits
Introducing peanut butter, milk and other foods
69(1)
Peanuts and other allergenic foods
Cow's milk
Family mealtimes
70(5)
Tips for babies
Tips for toddlers
Chapter 5 Diapers and all that stuff
75(14)
Finding the right diaper
75(2)
Disposable
Cloth
Sizes
Amount
Getting equipped
77(2)
Changing station
Supplies
Changing diapers
79(2)
What's normal
81(3)
Urine
Stools
Diaper rash
84(5)
Chapter 6 Toilet training
89(8)
Recognizing readiness
89(2)
Physical readiness
Developmental readiness
Behavioral readiness
Parent readiness
Active training
91(2)
Equipment
Purpose of the potty
Potty breaks
Respond quickly Ditch the diapers
Praise and reward
Nighttime training
Troubleshooting
93(4)
Accidents
Lack of interest
Regression
Active resistance
Chapter 7 Bathing and skin care
97(14)
Bathing basics
97(1)
When and how
Temperature
Attentiveness
Bathing, step by step
98(4)
Umbilical cord care
102(1)
Circumcision care
103(1)
Nail care
104(1)
Common skin conditions
104(7)
Milia
Baby acne
Erythema toxicum
Pustular melanosis
Cradle cap Eczema
Contact dermatitis and `drool rash'
Impetigo
Chapter 8 Clothing your child
111(6)
A few shopping tips
111(1)
Size
Fabric
Safety
Ease
Cost
Wardrobe essentials
112(3)
Bodysuits
Pajamas
Winter gear
Summer accessories
Shoes
Laundry tips
115(2)
Chapter 9 Sleep and sleep issues
117(12)
Newborn sleep schedule
117(2)
Fits and spurts
Syncing days and nights
Sleep safety
119(3)
`Back' to sleep
A safe sleep space
Try a pacifier
Good sleep habits
122(3)
Bedtime routine
Self-soothing
Naps
Transition to separate bedrooms
Troubleshooting
125(4)
Nighttime feedings
Nighttime awakenings
Staying in bed
Chapter 10 Comforting a crying baby
129(10)
Why babies cry
129(1)
Hunger
Discomfort
Loneliness, boredom or fear
Overtiredness
Understanding baby's cries
130(1)
Comforting strategies
131(3)
Colic
133(1)
Causes
Common signs
Diagnosis
Managing colic
134(2)
Your feeding style
Your diet
Your lifestyle
Calming techniques
Keeping your cool
136(3)
Chapter 11 Building a relationship
139(11)
Nurturing your bond
139(4)
Benefits of a strong bond
Connecting with your baby
Understanding temperament
143(1)
Trait clusters
Blending temperaments
You and your toddler
144(3)
Little person, big emotions
When emotions explode into tantrums
Setting limits
147(1)
Encouraging good behavior
Playing with your toddler
148(2)
PART 2 Health and safety
150(78)
Chapter 12 Finding the right medical provider
151(6)
Getting started
151(1)
Medical provider options
152(1)
Pediatricians
Family physicians
Midlevel providers
Factors to consider
153(1)
Your needs and preferences
Cost
Location, accessibility, hours
Evaluating your options
153(2)
A team approach
155(2)
Chapter 13 Checkups
157(10)
Checkup schedule
157(1)
What to expect at a well-child visit
158(7)
Physical exam
Nutrition
Bowel and bladder function
Sleep Development
Behavior
Vaccinations
Safety
Questions and concerns
165(2)
Chapter 14 Vaccinations
167(14)
How vaccines work
167(1)
Why get vaccinated?
168(1)
Vaccine safety
169(3)
Childhood vaccinations
172(6)
Chickenpox
Diphtheria
German measles
Hib disease Hepatitis A
Hepatitis B
Flu (influenza)
Measles
Mumps Pneumococcal disease
Polio
Rotavirus
Tetanus
Whooping cough
Side effects of vaccines
178(1)
Weighing the risks and benefits
179(2)
Chapter 15 Child care
181(10)
Getting started
181(1)
Child care options
182(2)
In-home care
Family child care
Child care centers Relative or friend
Factors to consider
184(2)
Expectations
Budget
Evaluating your options
186(2)
Contact information
188(1)
Working together
189(2)
Chapter 16 Traveling with a little one
191(14)
Heading out
191(1)
Baby carriers
192(3)
Choosing a baby carrier
Baby carrier risks
Safety tips
Strollers
194(1)
Considerations
Safety tips
Car seats
195(3)
A good fit
Types of car seats
Other considerations
Used car seats
Safe car seat use
198(2)
Back seat is best
Installing and buckling
Stay together
Preemies and small babies
200(1)
Air travel
201(2)
Identification
Seat safety
Boarding
Keeping baby happy
Plan for success
203(2)
Chapter 17 Home and outdoor safety
205(12)
Nursery safety
205(2)
Kitchen safety
207(1)
Feeding safety
208(1)
Bathroom safety
209(1)
Garage and basement safety
209(1)
Front yard and backyard safety
210(1)
General safety tips
210(1)
Preventing burns
211(1)
Preventing falls
211(2)
Preventing drowning
213(2)
Be cautious, not panicked
215(2)
Chapter 18 Emergency care
217(11)
When to seek emergency care
217(1)
Bleeding
217(1)
Choking
218(2)
Cardiopulmonary resuscitation (CPR)
220(1)
Burns
221(1)
Electrical shock
222(1)
Animal or human bites
223(1)
Drowning
224(1)
Injury from a fall
224(1)
Swallowed poison
225(1)
Inhaled poison
226(1)
Poison on the skin
226(1)
Poison in the eye
227(1)
PART 3 Growth and development
228(171)
Chapter 19 Month 1
229(12)
Baby's growth and appearance
229(3)
Head
Skin
Umbilical cord
Breasts, genitalia
Legs and feet
Hair
Baby's movement
232(2)
Baby reflexes
Soothing by sucking
Baby's sensory development
234(1)
Sight
Sound
Smell
Taste
Touch
Baby's mental development
235(2)
Communication
Baby's social development
237(4)
Becoming attached
Building up to smile
Chapter 20 Month 2
241(8)
Baby's growth and appearance
241(1)
Growth spurts
Baby's movement
242(1)
Baby's sensory development
243(1)
Baby's mental development
243(3)
Cooing and gurgling
Crying at its peak
Baby's social development
246(3)
Spoil away
Big sisters and brothers
Chapter 21 Month 3
249(10)
Baby's growth and appearance
249(1)
Baby fat
Baby's movement
250(1)
Head and neck
Hands and arms
Legs
Baby's sensory development
251(2)
Vision
Hearing
Taste and smell
Baby's mental development
253(2)
Laying down tracks
Expanding communication
Baby's social development
255(4)
A real charmer
Returning to work
Wanting attention
Chapter 22 Month 4
259(10)
Baby's growth and appearance
259(1)
Skin rashes
Bedtime routine
Baby's movement
260(3)
Head and back control
Rolling over
Standing
Reaching and grasping
Baby's sensory development
263(1)
Mouthing
Keeping playtime safe
Hearing
Vision
Baby's mental development
264(1)
Language skills
Laughter
Baby's social development
265(4)
Distractions
Chapter 23 Month 5
269(12)
Baby's growth and appearance
269(2)
Introducing solid foods
Is your baby ready?
Tips for a successful meal
Baby's movement
271(3)
Rolling over
Reaching and grasping
Bouncing
Physical activity
Baby's sensory development
274(1)
Vision
Hearing
Baby's mental development
274(2)
Learning how things work
Language skills
Baby's social development
276(5)
Growing attachment
Emerging personality
Chapter 24 Month 6
281(10)
Baby's growth and appearance
281(1)
Teeth!
Caring for new teeth
Baby's movement
282(2)
Tripod sitting
Toes, toes, toes!
Picking up and letting go
Baby's sensory development
284(1)
Vision
Hearing
Touch
A lefty or a righty?
Baby's mental development
285(3)
Me, myself and I
Playing becomes serious business
Babbling
Baby's social development
288(3)
Playing with siblings
Chapter 25 Month 7
291(10)
Baby's growth and appearance
291(1)
Baby's movement
292(1)
Sitting
Hand and finger coordination
Baby's sensory development
292(2)
Baby's mental development
294(2)
The art of conversation
The science of experimentation
Baby's social development
296(5)
Stranger anxiety
Discipline in infancy
Baby screen time
Chapter 26 Month 8
301(10)
Baby's growth and appearance
301(1)
Establishing good eating habits
Introducing a cup
Baby's movement
302(2)
Sitting up
Getting around
Hand and finger coordination
Baby's sensory development
304(1)
Vision
Touch
Baby's mental development
305(1)
Attaching meaning
Object permanence
Language skills
Baby's social development
305(6)
Separation anxiety
Smoothing the way
Chapter 27 Month 9
311(10)
Baby's growth and appearance
311(1)
Baby's movement
311(2)
Crawling
Standing
Sitting
Hand skills
Baby's sensory development
313(1)
Vision
Hearing
Touch
Finger foods
Baby's mental development
314(2)
Language and understanding
Baby's social development
316(5)
Oh, the frustration
Making life easier
Family life
Chapter 28 Month 10
321(10)
Baby's growth and appearance
321(1)
Baby's movement
321(1)
Switching it up
Pulling to stand
Picking up, pointing and poking
Baby's sensory development
322(1)
Hearing
Touch
Baby's mental development
323(4)
First words
Conversation
Nonverbal communication
Baby's social development
327(4)
Mimicking
Sharing
Eyeing mom and dad
Chapter 29 Month 11
331(10)
Baby's growth and appearance
331(1)
Baby's movement
332(1)
Crawling
Standing
Cruising
Finger skills
Baby's sensory development
333(1)
Vision
Hearing and listening
Touch
Baby's mental development
334(2)
Capitalizing on body language
Increasing vocabulary
Baby's social development
336(5)
Increased assertiveness
Bilingual babies
Newfound fears
Chapter 30 Month 12
341(10)
Baby's growth and appearance
341(1)
Baby's movement
342(2)
Sitting, standing and walking
Managing stairs
Finger skills
Baby's sensory development
344(1)
Looking and listening
Touch
Baby's mental development
345(3)
Increasingly complex thinking
Understanding
Language
Baby's social development
348(3)
Veni, vidi, vici
Tantrums
Saying no
Relating to others
Chapter 31 Months 13 to 15
351(10)
Toddler's growth and appearance
351(1)
Toddler's movement
352(2)
Walking and climbing
Skilled hands
Toddler's sensory development
354(1)
Vision
Hearing
Toddler's mental development
354(3)
Imitation
Separation
Tantrum time
Judgment
Language
Toddler's social development
357(4)
Keeping the peace
Physical responses
Chapter 32 Months 16 to 18
361(8)
Toddler's growth and appearance
361(2)
Toddler's movement
363(1)
Multitasking
Need for speed
Fingers as tools
Getting dressed
Toddler's sensory development
364(1)
Taste test
Vision
Bladder and bowel functions
Toddler's mental development
364(1)
Learning through repetition
How does it work?
That's me! Language
Possessiveness
Toddler's social development
365(4)
Everyone has feelings
Renewed separation anxiety
Negative Nellies
Chapter 33 Months 19 to 24
369(10)
Toddler's growth and appearance
369(3)
Gender and sexuality
Toilet training
Toddler's movement
372(1)
Sophisticated skills
`I got this!'
Is it time for a bed?
Toddler's mental development
372(3)
Setting limits
Vocabulary
Toddlers and screens
Concept of time
Toddler's social development
375(4)
Little helpers
Playtime
Handling aggression
Chapter 34 Months 25 to 30
379(10)
Toddler's growth and appearance
379(3)
Height and weight
Toilet training
New baby arrival
Toddler's movement
382(1)
Skilled fingers and hands
Toddler's mental development
382(4)
Language and association
What's under the bed?
Ace problem solver
Toddler's social development
386(3)
Emerging emotions
Handling stress
Chapter 35 Months 31 to 36
389(10)
Toddler's growth and appearance
389(1)
Toddler's movement
390(1)
Circles and squares, oh my
Toddler's mental development
390(4)
Self-control
Language
Pretend play
Time
Imaginary friends
Toddler's social development
394(5)
Developing empathy
Exploring gender roles
Preschool
PART 4 Common illnesses and concerns
399(51)
Infants and medications
Taking your child's temperature
Caring for a sick child
Allergies
Anemia
Asthma
Bronchiolitis
Cold
Cough Constipation
Crossed eyes
Croup
Diarrhea
Ear infection
Earwax blockage
Fever
Febrile seizures
Fifth disease
Flu (influenza) Hand-foot-and-mouth disease
Hives
Impetigo
Insect bites and stings
Jaundice
Lazy eye
Pink eye
Pneumonia
Reflux
RSV Roseola
Stomach flu
Sty
Sunburn
Swollen scrotum
Teary eyes Teething
Thrush
Urinary tract infection
Vomiting
Whooping cough
PART 5 Managing and enjoying parenthood
450(48)
Chapter 36 Adapting to your new lifestyle
451(10)
Living on less sleep
451(2)
Sleep tips
When sleep becomes a struggle
Getting comfortable with chaos
453(2)
Coping strategies
Adjusting to your new role
455(3)
Juggling work and family
458(3)
Chapter 37 Parenting as a team
461(8)
A new bond
461(1)
New challenges
462(1)
Sharing the load
463(2)
Nurturing your team
465(1)
Rekindling romance
465(1)
Agreeing on child rearing
466(1)
A firm foundation
467(2)
Chapter 38 Single parenting
469(8)
Hard work, added pressure
469(3)
From surviving to thriving
472(3)
Rewards and strengths
475(2)
Chapter 39 Siblings and grandparents
477(12)
Siblings
477(1)
Introducing your new baby
Sibling reactions
478(2)
By age
Sibling rivalry
480(2)
Coping tips
If you have multiples
482(1)
Grandparents
482(5)
Changing relationships
Conflicting opinions
Holidays
Grandparents as child care providers
487(2)
Chapter 40 When to have another child
489(9)
Deciding on another child
489(4)
Added responsibilities
Your preferences
Impact on life
Second pregnancy timing
493(1)
Health issues
Family issues
Other issues
Spacing pros and cons
494(4)
PART 6 Special Circumstances
498(74)
Chapter 41 Adoption
499(14)
Supporting your child's health
499(3)
Find a medical provider
Immunizations
Medical history Post-adoptive care
International adoptions
Bonding
502(7)
Allow time for adjustment
Get acquainted
Identify your child's developmental stage
Get help when needed
Sharing your family story
509(1)
Handling difficult remarks
510(1)
Parenting is parenting
511(2)
Chapter 42 Caring for multiples
513(10)
Feeding
513(4)
Breast-feeding
Formula-feeding
Raising strong individuals
517(2)
One-on-one time
Parenting strategies
Logistics
519(1)
Buy in bulk
Check out supply stores
Join a parent group
Taking care of yourself
520(3)
Chapter 43 Premature baby
523(14)
Why premature birth happens
523(2)
Definitions
The NICU
Caring for a premature newborn
525(3)
Appearance
Medical team
Nutrition
Growth and development
Health issues
528(3)
Breathing
Heart
Brain
Gastrointestinal
Blood
Metabolism Vision
Hearing
Dental
SIDS
Corrected age
Taking care of yourself
531(1)
Bringing baby home
532(3)
Baby's checkups
535(2)
Chapter 44 Delayed development
537(6)
What is delayed development?
537(1)
How is a delay identified?
538(1)
Possible causes
539(1)
Diagnosing a developmental delay
539(1)
What can be done?
539(2)
Get support
541(2)
Chapter 45 Autism spectrum disorder
543(12)
Understanding autism
543(1)
Early signs of autism
544(2)
Identifying autism in early childhood
546(1)
Screening
Diagnosis
What happens after a diagnosis
547(6)
Early intervention services
Supporting your child
Beyond the first years
553(2)
Chapter 46 Other newborn conditions
555(17)
Blood disorders
555(1)
Low blood sugar
Polycythemia
Breathing disorders
556(3)
Bronchopulmonary dysplasia
Meconium aspiration
Pneumothorax Respiratory distress syndrome
Transient tachypnea
Central nervous system disorders
559(1)
Cerebral palsy
Hydrocephalus
Spina bifida
Digestive disorders
560(3)
Esophageal atresia
Hirschsprung's disease
Imperforate anus Intestinal blockage
Pyloric stenosis
Facial and extremity disorders
563(2)
Cleft lip and cleft palate
Clubfoot
Finger and toe abnormalities
Hip dysplasia
Genital disorders
565(2)
Ambiguous genitalia
Enlarged clitoris
Vaginal discharge Hydrocele
Hypospadias
Undescended testicle
Heart disorders
567(3)
Aortic stenosis
Atrial septal defect
Coarctation of the aorta Patent ductus arteriosus
Pulmonary stenosis
Tetralogy of Fallot Transposition of the great vessels
Ventricular septal defect
Other disorders
570(2)
Cystic fibrosis
Intrauterine growth restriction
Growth charts: Birth to 36 months572(2)
Pain reliever dosage by weight574(2)
Additional resources576(2)
Index578


A revised and updated edition of the top-selling reference shares practical guidelines for caring for a child's health from birth through age 3, covering subjects ranging from nutrition and sleep habits to bonding and discipline. (parenting). Original. 15,000 first printing.





Walter Cook, MD, is an award-winning pediatrician and Assistant Professor of Pediatrics at the Mayo Clinic&;s College of Medicine in Rochester, Minnesota, where he focuses on community pediatric and adolescent medicine research. He is the present course director for Mayo Clinic Pediatric Days, Mayo Clinic Summer Pediatric Review, and the Rochester-Mayo Clinic T. Denny Sanford Pediatric Symposium. As a father of three, including twins, Dr. Cook has placed a special emphasis on providing exceptional care for thousands of infants and children for more than 25 years, and has been recognized as a Best Doctor in America by Minneapolis/St. Paul Business Journal. 

 

Kelsey Klaas, MD, is a pediatrician in the division of General Pediatric and Adolescent Medicine at Mayo Clinic Children's Center in Rochester, Minnesota. She currently serves as the associate pediatric clerkship director for the Mayo Clinic Alix School of Medicine and as an advisor for the Mayo Medical School Advisory Program. Dr. Klaas&;s practice focuses on children with complex health conditions, like dysautonomia, POTS, neurodevelopmental disorders, and types of genetic disorders. She lives in Rochester, Minnesota with her husband and two young children.






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