Episodi

  • About The Baby Manual Podcast

    About The Baby Manual Podcast
    Jan 21 2022

    New babies are difficult. Don't you wish they came with a manual? Well, now there is one! Hosted by a pediatrician mom, The Baby Manual will help guide you through everything you actually need to know to take care of a baby. Whether this is your first baby or your fifth, I bet you’ll hear something helpful in here that you didn’t know. Enjoy The Baby Manual podcast, and enjoy your new baby!

    --

    Dr Carole Keim MD: linktree | tiktok | instagram

    Win an awesome bundle of vegan hair dye and accessories.

    The Baby Manual Podcast is running a competition in collaboration with Arctic Fox where you could be in with the chance to win a FREE complete hair transformation kit.

    How to enter

    Entering the competition is easy:

    • Follow The Baby Manual podcast on YouTube (link here), Spotify (link here), or Apple (link here).
    • Fill in this form (link here)
    • We'll pick a winner at random.
    • We'll let the lucky winner know (with the email you've provided).
    • Arctic Fox will be in touch to arrange shipping of your PRIZE.

    Check out Arctic Fox's website - use code DRKEIM at checkout for 15% discount.

    Important information

    Your details will be shared with Arctic Fox so they can arrange shipping your prize.

    Arctic Fox don't ship to: Algeria, Argentina, Chile, China, Greece, Indonesia, Iran, Italy, Malaysia, Mexico, Peru, Russia, Spain, Republic of Türkiye, Ukraine, Uruguay, Vatican City, Venezuela, Vietnam, and International PO Boxes.

    ——

     Did you know an estimated 18 to 20 billion disposable diapers go into the landfills every year in the us? And those diapers take between 400 and 500 years to break down because of the plastic in them. HIRO Diapers is helping the planet and also helping parents out by not being any more expensive than regular disposable diapers.

    These diapers are made with no plastic. They also come with these packets of fungal spores that you can drop in the diaper. And when those go into the landfill, they grow into a fungus that eats the plastic around them so you can help the planet get healthier while also helping your baby.

    Check out the website. They also do a monthly diaper subscription. Use code DRCAROLEKEIM for a discount.


    Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
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    1 min
  • 101 - Essential Information Before The Baby Arrives

    101 - Essential Information Before The Baby Arrives
    Feb 23 2022
    In this episode, Dr. Carole Keim MD explains what you should expect when going into labor. Why she, as a pediatrician, recommends having your baby at the hospital vs a home birth. She also goes into great detail on what to expect from a c-section or vaginal birth. It's all here in this episode to make your life easier pre and post-delivery in an unfamiliar environment where you may feel overwhelmed by your new responsibilities.Knowing the right questions to ask and having the right answers before your baby arrives will decrease your stress during your labor and delivery. Why is a vitamin K injection important and how erythromycin ointment protects your newborn from pink eye. She even gives you advice and tips for breastfeeding success. Good luck with your new baby. You are going to do awesome!How to tell you’re in labor: (00:42)Water breaksContractionsWhen to go to the hospitalHow long you’re going to be in laborWhat happens at the hospital: (01:59)Delivery options (vaginal, c-section)Delivery staffWhat the pediatrician does, APGAR scoreNewborn screenWhat I recommend while still in the hospital: (08:41)Feeding: only breastfeed, push through the pain because it gets better. Start pumping while in hospital. Work with the nurses to check baby’s latch, learn how to listen for milk movement/swallowingWrite down every time your baby starts and stops eating, and every time they pee and poop. You’re going to be asked this by everyone who walks in the room so one less thing to have to remember.Vitamin K shotErythromycin ointmentHep B vaccine: get it in the hospital if you want your baby to have it. (explain why it’s safe for newborns)Bilirubin/jaundice checks: all babies get screened before discharge (either visually or with TCB or blood test)Blood sugar testing - for babies who are LGS or SGA; pros/consCatch up on your sleep because this might be your only chanceBuy a copy of The Baby Manual on Amazon so it’s waiting at home for youDischarge instructions: (17:49)Jaundice precautionsFeverCar seat safetyFollowup appointmentBaby development / what to expect before the next appt (weight loss and weight gain, length changes, sleep deprivation)Who to call if you need helpResources discussed in this episode:The Baby Manual - Available on AmazonDr. Carole Keim MD: linktree | tiktok | instagram Win an awesome bundle of vegan hair dye and accessories.The Baby Manual Podcast is running a competition in collaboration with Arctic Fox where you could be in with the chance to win a FREE complete hair transformation kit.How to enterEntering the competition is easy:Follow The Baby Manual podcast on YouTube (link here), Spotify (link here), or Apple (link here).Fill in this form (link here)We'll pick a winner at random.We'll let the lucky winner know (with the email you've provided).Arctic Fox will be in touch to arrange shipping of your PRIZE.Check out Arctic Fox's website - use code DRKEIM at checkout for 15% discount.Important informationYour details will be shared with Arctic Fox so they can arrange shipping your prize. Arctic Fox don't ship to: Algeria, Argentina, Chile, China, Greece, Indonesia, Iran, Italy, Malaysia, Mexico, Peru, Russia, Spain, Republic of Türkiye, Ukraine, Uruguay, Vatican City, Venezuela, Vietnam, and International PO Boxes.—— Did you know an estimated 18 to 20 billion disposable diapers go into the landfills every year in the us? And those diapers take between 400 and 500 years to break down because of the plastic in them. HIRO Diapers is helping the planet and also helping parents out by not being any more expensive than regular disposable diapers.These diapers are made with no plastic. They also come with these packets of fungal spores that you can drop in the diaper. And when those go into the landfill, they grow into a fungus that eats the plastic around them so you can help the planet get healthier while also helping your baby.Check out the website. They also do a monthly diaper subscription. Use code DRCAROLEKEIM for a discount. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
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    25 min
  • 102 - The First Week

    102 - The First Week
    Feb 23 2022
    The first week of having a new baby is full of surprises, but it's important that you know what to expect. In this episode, Dr. Carole Keim MD talks about what she wishes she knew the first week of having a new baby. She walks you through what is normal and what can be scary for a new mom. She also goes into detail on what moms can expect for themselves after welcoming home their adorable little one!Dr. Carole Keim MD covers hormones, postpartum depression and the use of the Edinburgh Postnatal Depression Scale. From the first diaper change, breastfeeding, skin care, right up to your baby's first doctor's visit, there is a lot of information in this episode. However, you are going to be glad to have it to make that first week less scary. Also, remember that it’s normal to feel a little sad, overwhelmed, and exhausted.At this age, your baby is doing a lot of things that seem scary but are actually normal.Emotions: (00:32)Bonding with babyBaby bluesSigns of postpartum depressionPooping: (01:33)MeconiumTransitional stool colorsSeedy yellow - what are the seeds?Number of poops: 1 in first 48h of life, a few times on days 3-4, then every feed once milk surgesPeeing: (02:35)Brick dust / rusty pipesPee once in the first 24h, 2-4x until milk surges, then by 1 week of age with each feedConcentrated urine x 3 daysNormal peeEating / breastfeeding: (03:22)Painful x 2 weeksTakes baby 2 weeks to really learn how to do itTongue ties, lip ties, cheek ties - when to fix them, baby has to re-learn how to eatFix if W shaped tongue, can’t stick out tongue past lips, inadequate weight gain. Some people fix due to nipple painSkin: (07:10)Bath x 9 mos, they’re going to peelCan use aquaphor/vaseline/unscented baby lotionNormal newborn rashDiaper rash: (08:32)Uncommon at first but can happenUse wipes for poop only, not for peeIf baby has a rash, could be irritation from wipes or diaper brandBaby girls vs. boys: (09:11)PseudomensesCircumcision after careIntact careBreathing patterns: (12:03)Fast then slowBelly button care and when it falls off: (12:30)The first two checkups: (13:19)Typically 2-3 days after going home, or DOL 3-5, f/up 1 week (earlier if concern for weight or jaundice)First Hep B vaccine if they didn’t get it in the hospitalCheck weight; often down from BWCheck if mom’s milk is in yet and what color poops are to assess jaundice riskCheck for signs of PPDPE: Look at skin for jaundice, rashes (some normal, some deadly). Heart, lungs, organs, eyes, genitals, sacral dimple, spina bifida, hip clicks, fontanels, sutures mobileNeuro/devel: grasp reflex, rooting/suckling reflex, moro reflex, turns towards parents voice, communicates needs (hungry/wet), fixes briefly on faces, lift head when prone / on parent’s chestAnticipatory guidance: (18:15)Eating - nothing but breast milk or formula for 4-6 monthsMom should eat a wide variety of foods and take PNV while breastfeedingSupplement with 400 IU of vit D daily, or mom can take 6400 IUSleep: back to sleep, nothing else in the crib. ABC = Alone, on Back, in CribFever and how to take tempJaundice precautions, why jaundice happens, when it’s dangerousNever leave baby on high surfaceRear facing car seat til age 2Avoid secondhand smokeBathing baby - wait til umbilical stump falls off; then once/wkSkin care / peeling skinTummy timeResources discussed in this episode:The Baby Manual - Available on AmazonEdinburgh Postnatal Depression Scale - Downloadable--Dr. Carole Keim MD: linktree | tiktok | instagram Win an awesome bundle of vegan hair dye and accessories.The Baby Manual Podcast is running a competition in collaboration with Arctic Fox where you could be in with the chance to win a FREE complete hair transformation kit.How to enterEntering the competition is easy:Follow The Baby Manual podcast on YouTube (link here), Spotify (link here), or Apple (link here).Fill in this form (link here)We'll pick a winner at random.We'll let the lucky winner know (with the email you've provided).Arctic Fox will be in touch to arrange shipping of your PRIZE.Check out Arctic Fox's website - use code DRKEIM at checkout for 15% discount.Important informationYour details will be shared with Arctic Fox so they can arrange shipping your prize. Arctic Fox don't ship to: Algeria, Argentina, Chile, China, Greece, Indonesia, Iran, Italy, Malaysia, Mexico, Peru, Russia, Spain, Republic of Türkiye, Ukraine, Uruguay, Vatican City, Venezuela, Vietnam, and International PO Boxes.—— Did you know an estimated 18 to 20 billion disposable diapers go into the landfills every year in the us? And those diapers take between 400 and 500 years to break down because of the plastic in them. HIRO Diapers is helping the planet and also helping parents out by not being any more expensive than regular disposable diapers.These diapers are made with no plastic. They also come with these packets of fungal spores that you can drop in the diaper. And when those go into the landfill, they ...
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    23 min
  • 103 - Two Weeks Old

    103 - Two Weeks Old
    Feb 23 2022
    Your baby is now two weeks old and they are changing so fast! In this episode, Dr. Carole Keim MD walks you through what to expect during your baby’s two-week check-up. Your baby will now be keeping their eyes open longer and the nighttime feeding schedule will change. She talks about tummy troubles that usually start to pop up over the next few weeks.There is so much happening in that little body. Your baby is learning to use their muscles and oh wow that ceiling fan is so wonderful to look at. From tummy time to bicycle legs and what is safe to give your baby to help them along. Baby is starting to be awake more during the day - awkward age: (00:23)Parents / emotions: (00:53)You’re getting a little more sleep - baby’s consolidating feeds, more awake during day, sleeping at nightDon’t overstimulateNarrate your dayEating: (01:54)8-12x per 24h; formula or EBM should be 12-24 oz per day (350-700ml)Peeing/pooping: (02:20)Baby pees and poops every time they eatTummy troubles: (02:55)gas, colic, refluxGas/colic: belly rubs, bicycle legs, up and downs, tiger in a tree pose, tummy time, simethicone drops, probiotic dropsReflux: Explain LES, normal spit ups. Signs of severe reflux: weight loss, spitting up more than half of their feed every time, arching back and screaming, aspirating (choking/coughing/sputtering)Pyloric stenosis: getting progressively worse, turns green (grass green)Reflux tx: smaller and more frequent feeds, hold upright for 20-30 mins after feeding, sleep in a reclined position (tilt the crib or bassinet with a phone book), NO pillowsSkin: (08:25)Umbilical stump is off - start baths. Once or twice per week, unscented soap or just plain water, pat them dry rather than rubbing, use lotion/cream/ointment right after the bathDiaper rash - if it lasts more than 2-3 days despite normal diaper cream (zinc-oxide-based like Desitin or petroleum-based like Vaseline or Aquaphor) it might be infected.Candida (yeast/fungal) - solid pink area with tiny pinpoint-sized pink dots around it (satellite lesions). Can try mixing apple cider vinegar and water 1:1, OTC antifungal cream, or call a doctor for a prescription for Nystatin.Bacterial infection: pimples or boils, often MRSA, can try applying Neosporin TID but if it doesn’t help, they need mupirocin TID. Treat the whole family - nails and nose.Checkup: (12:42)Check weight, should be above birth weight nowAsk about any feeding difficulties; should be better nowJaundice should be goneScreen for PPDPE: same head to toe exam as the first checkupNeuro/devel: Reflexes (grasp, suck, moro), calms to parents’ voices, communicates needs, lifts head in tummy timeSafety: (15:37)Fever over 100.4 (38c)Back to sleep, alone, in a crib or bassinet. Ok to stop swaddling and start sleepsack. NO blankets til age 1 and no pillows til age 2.Never leave baby on high surfacesAvoid secondhand smokeRear facing car seat til age 2 yearsBreastfeeding moms should be taking PNVSupplement baby with 400 IU vitamin DTummy time: 2x per day 15-30 minsWhat to expect in the next 2 weeks (before the 1mo checkup): (17:53)Awake more and more; start to notice things farther away like lights, windows, and ceiling fansDiscoordinate stoolingResources discussed in this episode:The Baby Manual - Available on Amazon--Dr. Carole Keim MD: linktree | tiktok |instagram Win an awesome bundle of vegan hair dye and accessories.The Baby Manual Podcast is running a competition in collaboration with Arctic Fox where you could be in with the chance to win a FREE complete hair transformation kit.How to enterEntering the competition is easy:Follow The Baby Manual podcast on YouTube (link here), Spotify (link here), or Apple (link here).Fill in this form (link here)We'll pick a winner at random.We'll let the lucky winner know (with the email you've provided).Arctic Fox will be in touch to arrange shipping of your PRIZE.Check out Arctic Fox's website - use code DRKEIM at checkout for 15% discount.Important informationYour details will be shared with Arctic Fox so they can arrange shipping your prize. Arctic Fox don't ship to: Algeria, Argentina, Chile, China, Greece, Indonesia, Iran, Italy, Malaysia, Mexico, Peru, Russia, Spain, Republic of Türkiye, Ukraine, Uruguay, Vatican City, Venezuela, Vietnam, and International PO Boxes.—— Did you know an estimated 18 to 20 billion disposable diapers go into the landfills every year in the us? And those diapers take between 400 and 500 years to break down because of the plastic in them. HIRO Diapers is helping the planet and also helping parents out by not being any more expensive than regular disposable diapers.These diapers are made with no plastic. They also come with these packets of fungal spores that you can drop in the diaper. And when those go into the landfill, they grow into a fungus that eats the plastic around them so you can help the planet get healthier while also helping your baby.Check out the website. They also do a ...
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    19 min
  • 104 - One Month Old

    104 - One Month Old
    Mar 9 2022
    You are starting to get into the groove of this new parenting thing and your baby is now 1 month old. You should start to see those smiles and the super cute cooing. In this episode, Dr. Carole Keim MD talks about what to expect from the 1 month check-up along with eating, peeing, pooping, sleeping, and skincare. She goes into great detail on gas, colic, reflux, and the benefit of a probiotic. It is also a good time for you to start thinking about your relationship again and enjoying a date night.This is the peak age for discoordinate stooling, reflux, and skin issues. Knowing the difference between learning bowel control and constipation or spit up vs green projectile vomit. Knowing what to watch for is half the battle when caring for your little one.Parents: (00:25)Finally feeling in the groove of thingsBaby has nights and days figured outDon’t overstimulateStill narrate your day, take turns talking with babyFind time for a date night!Eating: (02:04)8-10x per 24 hours, 24-30oz per 24hStarting to go from q2-3h to q4-6hPeeing/pooping: (02:40)Discoordinate stoolingGas/colic: belly rubs, bicycle legs, up and downs, tiger in a tree pose, tummy time, simethicone drops, probiotic dropsReflux: Explain LES, normal spit ups. Signs of severe reflux: weight loss, spitting up more than half of their feed every time, arching back and screaming, aspirating (choking/coughing/sputtering)Pyloric stenosis: getting progressively worse, turns green (grass green)Reflux tx: smaller and more frequent feeds, hold upright for 20-30 mins after feeding, sleep in a reclined position (tilt the crib or bassinet with a phone book), NO pillowsSkin: (10:11)Bathing 1-2x per weekCan use lotion or cream or ointment after bathsDiaper rash - if it lasts more than 2-3 days despite normal diaper cream (zinc-oxide-based like Desitin or petroleum-based like Vaseline or Aquaphor) it might be infected.Candida (yeast/fungal) - solid pink area with tiny pinpoint-sized pink dots around it (satellite lesions). Can try mixing apple cider vinegar and water 1:1, OTC antifungal cream, or call a doctor for a prescription for Nystatin.Bacterial infection: pimples or boils, often MRSA, can try applying Neosporin TID but if it doesn’t help, they need mupirocin TID. Treat the whole family - nails and nose.Checkup: (14:08)baby should have gained about 2 pounds from birth weight (based on 7 lb baby)Neuro/devel: grasp reflex, rooting/suckling reflex, moro reflex, responds to calming actions when upset, follows parents with gaze, recognizes familiar voices, communicates needs (hungry/wet), lift head when prone / on parent’s chest, fontanels open until 1 year of agepoAnticipatory guidance:Eating - nothing but breast milk or formula for 4-6 monthsMom should eat a wide variety of foods and take PNV while breastfeedingSupplement with 400 IU of vit D daily, or mom can take 6400 IUSleep: back to sleep, no blankets, stop swaddling. ABC = Alone, on Back, in Crib.Put baby to bed awake but drowsyFever and how to take tempNever leave baby on high surfaceRear facing car seat til age 2Avoid secondhand smokeSet water temp to 120 degrees to avoid scald burnsBathing baby 1-2x per weekSkin care / peeling skinTummy timeNext checkup is at 2 months: (21:48)First round of vaccines: DTaP, polio, HiB, Hep B, PCV, RotavirusNo need to pre medicate before shots, but DO buy some infants or children’s Tylenol / acetaminophen before the visitAsk doctor for the dose of Tylenol at the 2 month visitPooping will consolidate further: rule of 7’s at this age is that anything from once a week to 7x per day is normalShould keep peeing every time they eatStill need to wake them up once every 4h to eatResources discussed in this episode:The Baby Manual - Available on Amazon--Dr. Carole Keim MD: linktree | tiktok | instagram Win an awesome bundle of vegan hair dye and accessories.The Baby Manual Podcast is running a competition in collaboration with Arctic Fox where you could be in with the chance to win a FREE complete hair transformation kit.How to enterEntering the competition is easy:Follow The Baby Manual podcast on YouTube (link here), Spotify (link here), or Apple (link here).Fill in this form (link here)We'll pick a winner at random.We'll let the lucky winner know (with the email you've provided).Arctic Fox will be in touch to arrange shipping of your PRIZE.Check out Arctic Fox's website - use code DRKEIM at checkout for 15% discount.Important informationYour details will be shared with Arctic Fox so they can arrange shipping your prize. Arctic Fox don't ship to: Algeria, Argentina, Chile, China, Greece, Indonesia, Iran, Italy, Malaysia, Mexico, Peru, Russia, Spain, Republic of Türkiye, Ukraine, Uruguay, Vatican City, Venezuela, Vietnam, and International PO Boxes.—— Did you know an estimated 18 to 20 billion disposable diapers go into the landfills every year in the us? And those diapers take between 400 and 500 years to break down because of the plastic in ...
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    26 min
  • 105 - 2 Months Old

    105 - 2 Months Old
    Mar 23 2022
    Wow! It has already been 2 months since your baby made its way into this great big world. Now is the time to get that all-important 2-month checkup done along with mom's 6 week postpartum appointment, come find out what Dr. Carole Keim MD has in store for you today on The Baby Manual: vaccine protection against diseases like rotavirus; important questions answered about resuming pre baby activities work, etc., but don't worry she still covers eating, peeing, pooping, and skincare routines.The first vaccines: DTaP (Diphtheria, Tetanus, Pertussis), Polio, Hib (Haemophilus influenzae type B), Hep B(Hepatitis B), PCV (Pneumococcal conjugate), rota (Rotavirus). Again we cover the importance of tummy time and ways you can help your baby with their development.Parents (00:23)Starting to resume pre-pregnancy activities and interests, plan return to school or workGetting out with the baby Partner support? Family support?Mom should have had 6-week postpartum checkupTalk with partner about family planning Hold, cuddle, talk and sing to your babyDevelop strategies for crying Eating (02:48)6-8x per 24 hours, 24-30oz per 24hCan take 4-6oz at a time and be full 4-6 hoursPeeing/pooping (03:23)They have found their pattern: typical 1-2x per day, the rule of 7’s still applies: once per week up to 7x per day is normalPeeing with each feed, 6-8x per 24hSkin (04:06) Bathing 1-2x per weekCan use lotion or cream or ointment after bathsDiaper rash - if it lasts more than 2-3 days despite normal diaper cream (zinc-oxide-based like Desitin or petroleum-based like Vaseline or Aquaphor) it might be infected.Candida (yeast/fungal) - solid pink area with tiny pinpoint-sized pink dots around it (satellite lesions). Can try mixing apple cider vinegar and water 1:1, OTC antifungal cream, or call a doctor for a prescription for Nystatin.Bacterial infection: pimples or boils, often MRSA, can try applying Neosporin TID but if it doesn’t help, they need mupirocin TID. Treat the whole family - nails and nose.2 month checkup (08:27)Baby should have gained about 2lbs since last checkup (avg weight 11lb)First vaccines: DTaP, Polio, Hib, Hep B, PCV, rota (2-3 shots, one oral)Neuro/devel: diminishing grasp/tone/moro reflexes, attempts to look at parent, smiles, able to console self, begins to have different types of crying, coos, able to push up a little during tummy time, consistent head control while supported in upright positionAnticipatory guidance - Eating: nothing but breast milk or formula until 4-6 months; wait for our next visit before feeding anything else Sleep: back to sleep, no blankets, put baby to bed awake but drowsySafety: never leave baby on high surfaces, use rear-facing car seat until age 2, avoid secondhand smoke, set water temp to 120'F to avoid scald burns, don’t prop bottleDevelopment: tummy timeNext checkup is at 4 months of age and we will do all the same vaccines except they don’t need another Hep B at that time (17:43)Resources discussed in this episode:The Baby Manual - Available on Amazon--Dr. Carole Keim MD: linktree | tiktok | instagram Win an awesome bundle of vegan hair dye and accessories.The Baby Manual Podcast is running a competition in collaboration with Arctic Fox where you could be in with the chance to win a FREE complete hair transformation kit.How to enterEntering the competition is easy:Follow The Baby Manual podcast on YouTube (link here), Spotify (link here), or Apple (link here).Fill in this form (link here)We'll pick a winner at random.We'll let the lucky winner know (with the email you've provided).Arctic Fox will be in touch to arrange shipping of your PRIZE.Check out Arctic Fox's website - use code DRKEIM at checkout for 15% discount.Important informationYour details will be shared with Arctic Fox so they can arrange shipping your prize. Arctic Fox don't ship to: Algeria, Argentina, Chile, China, Greece, Indonesia, Iran, Italy, Malaysia, Mexico, Peru, Russia, Spain, Republic of Türkiye, Ukraine, Uruguay, Vatican City, Venezuela, Vietnam, and International PO Boxes.—— Did you know an estimated 18 to 20 billion disposable diapers go into the landfills every year in the us? And those diapers take between 400 and 500 years to break down because of the plastic in them. HIRO Diapers is helping the planet and also helping parents out by not being any more expensive than regular disposable diapers.These diapers are made with no plastic. They also come with these packets of fungal spores that you can drop in the diaper. And when those go into the landfill, they grow into a fungus that eats the plastic around them so you can help the planet get healthier while also helping your baby.Check out the website. They also do a monthly diaper subscription. Use code DRCAROLEKEIM for a discount. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
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    19 min
  • 106 - 4 Months Old

    106 - 4 Months Old
    Apr 6 2022
    Your baby is now super cute at 4 months old and are laughing, smiling, and doing happy feet. In this episode, Dr. Carole Keim MD talks about weaning your baby and the difference between the traditional purees method and baby-led feedings. With new foods comes how to handle food allergies and brushing your baby's teeth. She also talks about protecting your baby while outside and safely using sunscreen or bug spray. Bookmark this episode! This information will apply for the next two months.Just like previous episodes Dr. Carole Keim MD will go into detail about your baby’s development, sleep patterns, peeing and pooping, skin care, and what to expect at their 4-month check-up. As a new parent, you should be feeling a lot more confident about the overall care of your baby. Also a reminder those little hands are stronger than they look so if it is in grabbing distance be prepared.Parents: (00:24)Feeling more confident overallBaby is laughing and babbling, really interacting - this is when most parents fall in love with the babyStart wearing hair up / no jewelry - baby can grab objects!Development: (01:32)Social smile / laugh / happy feet Consoles selfBabblesDifferent types of cryingIndicates happy/sadResponds to affectionLift chest when prone, roll (typically front to back)Sleep: (03:02)Variable at this age; some have sleep regression, others are sleeping better than everSafe sleep: alone, on their back, in a crib. (Time to move to a crib!)Crib should be in parents’ room until 1 year of age, new studies show babies sleep better in their own room starting at 4mos but it’s not an official recommendation yetNo blankets until 1 year, no pillows til age 2 - very high risk at this age - starting to rollStart a bedtime routine; feed, brush teeth/gums with water, read, sing, set down awake but drowsy Things that can help, but only if they need it: blackout blinds, white noise machine, musicEating: (06:27)Primarily breastmilk or formula; starting to consider solids6-8x per 24 hours, 24-30oz per 24hCan take 4-6oz at a time and be full 4-6 hoursSigns of food readiness: showing interest in food, good head control while seated supported, loss of extrusion reflexHow to start solids: Baby-led weaning vs. purees (traditional)rice/oat cereal optional (pros/cons)progression green veggies - orange veggies - fruits; ok to give anything other than honey and cow’s milk (dairy products are ok)one new food every 3-4 days signs of food allergy: rash, vomitingWhen to start water (ounce per ounce with foods)Peeing/pooping: (17:11)They have found their pattern: typical 1-2x per day, the rule of 7’s still applies (until they start solids): once per week up to 7x per day is normal; after starting solids should be 1-3x per dayPeeing about 6x per 24hSkin: (17:54)Bathing 2-4x per week; wipe skin folds a few times per dayCan use lotion or cream or ointment after bathsSunscreen, insect repellant: any baby sunscreen is ok but not fully protective til >6mos, citronella works for insects and is safe Diaper rash and drool rash - might be infected if it lasts more than 2-3 days despite normal diaper cream (zinc-oxide-based like Desitin or petroleum-based like Vaseline or Aquaphor)Candida (yeast/fungal) - solid pink area with tiny pinpoint-sized pink dots around it (satellite lesions). Can try mixing apple cider vinegar and water 1:1, OTC antifungal cream, or call a doctor for a prescription for Nystatin.Teething: (22:25)Teeth can appear anytime; brush 2x per day with waterTeething toys, frozen washcloths, frozen fruit/breastmilk/formula in mesh bagsMedicines: tylenol (ask your doctor for the dose), topical teething gel like orajel4-month check up: (26:19)baby should have gained about 2-3lbs since last checkup, or should be about twice their birth weight (avg weight 14lb)Second round of vaccines: DTaP, Polio, Hib, PCV, rota (2 shots, one oral)Anticipatory guidance: Safety: never leave baby on high surfaces, use rear-facing car seat until age 2, avoid secondhand smoke, set water temp to 120'F to avoid scald burnsDevelopment: tummy time (30 mins twice a day), anticipate rolling, laughing, babbling. Can inspire rolling with toys placed just out of reach. They’re not sitting on their own yet or crawling (those are at 9 mos).Next WCC in 2 mos; same vaccines as the 2mo visit Resources discussed in this episode:The Baby Manual - Available on Amazon--Dr. Carole Keim MD: linktree | tiktok | instagram Win an awesome bundle of vegan hair dye and accessories.The Baby Manual Podcast is running a competition in collaboration with Arctic Fox where you could be in with the chance to win a FREE complete hair transformation kit.How to enterEntering the competition is easy:Follow The Baby Manual podcast on YouTube (link here), Spotify (link here), or Apple (link here).Fill in this form (link here)We'll pick a winner at random.We'll let the lucky winner know (with the email you've provided).Arctic Fox will be in touch to arrange shipping ...
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    32 min
  • 107 - 6 Months Old

    107 - 6 Months Old
    Apr 20 2022
    Did you know you can potty train your six months old infant? Dr. Carole Keim MD talks about potty training, babyproofing, routines, and stranger anxiety. Your six-month-old should be recognizing familiar faces and reacting to their own name. Now is also a good time to use your support network to help with tasks, get a babysitter and go on a date. It is ok to leave your infant for a few hours and ask for help when overwhelmed. Dr. Carole Keim MD goes into great detail about the power of routines. Routines for feeding, winding down, sleeping, and leaving the house. Your infant will start to recognize these patterns and know what you are doing. Check out this episode for more information about your six-month-old infant. Parents: (00:43)For many this is a “golden” age - you’ve got a good handle on things, sleeping fairly well, have routines down, parents show confidence with infant (it’s ok if you’re not! But also keep postpartum depression in mind.)Establish routines Interact with baby, respond to cues Talk/sing, read, play peek a booUse support networks, balance parent roles/responsibilities Date night with trusted babysitter Development: (02:25)Socially interactiveHappy feet Recognizes familiar faces BabblesTakes turns babbling / making sounds like squeals, blowing raspberries, rrrStarts to know own nameVisual and oral exploration to learn about environmentRolls over both ways Tripod sit / sit with support (baby seat, high chair)Stands and bounces (johnny jump up / activity center)“Swims” on land (pre-crawling)Turns while sitting to look at thingsRaking graspCan bring hands together, transfer hand to hand, and put objects in mouthNo object permanence yetToys: soft toys, crinkly toys, rubber/silicone toys, rattles no hard eyes/noses, no small parts (choking hazard)Sleep: (09:14)Safe sleep: alone, on their back, in a crib. Crib should be in parents’ room until 1 year of ageLower crib mattress (pull to stand)No blankets until 1 year, no pillows til age 2 - very high risk at this age - rollingMaintain a bedtime routine; feed, brush teeth/gums with water, read, sing, set down awake but drowsy Things that can help, but only if they need it: blackout blinds, white noise machine, musicNutrition: (11:48)Primarily breastmilk or formula; starting solidsHow to start solids: Baby-led weaning vs. purees (traditional)rice/oat cereal optional (pros/cons)progression green veggies - orange veggies - fruits; ok to give anything other than honey and cow’s milk (dairy products are ok)one new food every 3-4 days signs of food allergy: rash, vomitinggive water (ounce per ounce with foods)Start consolidating meal timesConsider 3-5 “meals” of breastmilk/formula with 1-3 “snacks” of baby foodExpect them to eat about 1-2oz of food at a sitting when starting out; soon will go up to 4oz, watch cuesGagging is normal, choking is notTeeth: (19:30)Teeth can appear anytime; brush 2x per day with water and soft toothbrushTeething toys, frozen washcloths, frozen fruit/breastmilk/formula in mesh bagsMedicines: tylenol (ask your doctor for the dose), topical teething gel like orajelFluoride: check if it’s in tap water, if not, can consider using fluoride toothpaste (grain of rice sized amount)Avoid laying them down with a bottle, never prop a bottlePeeing/pooping: (24:49)Peeing about 4-6x per 24hPoop is now more solid because they are eating foods; can consider starting potty training nowSkin: (26:40)Bathing 2-4x per week; wipe skin folds a few times per dayCan use lotion or cream or ointment after baths - watch those folds for rashes thoughSunscreen, insect repellant: any baby sunscreen is ok, citronella works for insects and is safe Diaper rash and drool/food/skin fold rash - might be infected if it lasts more than 2-3 days despite normal diaper cream (zinc-oxide-based like Desitin or petroleum-based like Vaseline or Aquaphor)Candida (yeast/fungal) - solid pink area with tiny pinpoint-sized pink dots around it (satellite lesions). Can try mixing apple cider vinegar and water 1:1, OTC antifungal cream, or call a doctor for a prescription for Nystatin.Cradle cap - olive oil / vaseline / aquaphor at night, soft baby brush in the morningThe 6 month checkup: (30:23)Baby should have gained about 2-3lbs since last checkup, should be more than twice birth weightThird round of vaccines: DTaP, Polio, Hib, Hep B, PCV, rota (2-3 shots, one oral)Anticipatory guidance: Safety: use rear-facing car seat until age 2, avoid secondhand smoke, set water temp to 120'F to avoid scald burns, no infant walkers, remember safe sleep, start baby proofing, bathroom and kitchen are most dangerous rooms (burns, sharp objects, poisons, drowning), choking hazards, avoid plastic bags / balloons, limit finger foods to those soft enough to crush easily with fingersDevelopment: Stranger anxiety can inspire crawling/rolling with toys placed just out of reach. Anticipate sitting on their own and crawlingNext WCC in 3 mos; no ...
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    42 min