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Neonatal neurodevelopmental follow-up recommendations: 12 month visitNNeonatal neurodevelopmental follow-up recommendations: 12 month visitNeonatal neurodevelopmental follow-up recommendations: 12 month visitEnglishDevelopmental;NeonatologyBaby (1-12 months)NANANon-drug treatmentAdult (19+) CaregiversNA2018-04-05T04:00:00ZJacqueline Jackson, MN, NP-Paediatrics, RN (EC) (original author);​​Andrea Riekstins, MN, NP-Paediatrics, RN (EC);Jane Brettschneider, M. Sc. (A), Reg. CASLPO;Linh Ly, MD, MEd, FRCPC, FAAP;​​Lori Burton, M.Ed., BSc, O.T. Reg (Ont.);​​Lynelle Phillips, MHealth (A-Z) - ConditionsHealth A-Z<p>This page provides recommendations to encourage development in babies aged 12 months who have spent time in the NICU or CCCU, or who require care a neonatal follow-up clinic.</p><p>Talking and playing with babies are two of the most important things parents and caregivers can do to help them develop. There are many ways to encourage development. The recommendations provided are general and not all inclusive. The recommendations provide strategies to help promote gross motor skills, fine motor skills, early language development, and socialization.</p><ul><li>Gross motor skills include big movements such as rolling, crawling, standing or walking.</li><li>Fine motor skills include hand movements such as reach and grasp.</li><li>Early language development includes cooing, babbling, and a baby’s first words.</li></ul><h2>Key points</h2><ul><li>Babies who have been in the NICU or CCCU may be at risk for developmental issues due to medical problems before delivery, during delivery or after birth.</li><li>Recommendations at 12 months focus on encouraging standing, developing more intricate fine motor skills, and further encouraging verbal communication.</li><li>Parents and caregivers should follow these recommendations to encourage neurodevelopment.</li></ul><h2>Neonatal neurodevelopmental recommendations at 12 months</h2><h3>Gross motor:</h3><ul><li>Practice standing at a stable surface (e.g. couch) to play. Encourage flat feet when baby is standing. Check to make sure the surface is low enough to promote flat feet.</li><li>Hold your child low on their body (pelvis, thighs, or lower) when practicing standing to help activate stomach muscles.</li><li>Encourage cruising on the floor using furniture as a support by putting toys at one end of the couch and your child at the other. Do this so that your child moves in both directions along the floor.</li><li>Your child benefits more by practicing cruising and early stepping without hand-holding. If you are holding hands, hold hands at or below shoulder level. You can also hold low on the body (pelvis or lower) when practicing stepping.</li><li>Practice gross motor skills, including coordination, on riding toys. In playgrounds practice coordination and climbing over small things on the small climbers and slides.</li><li>Practice ball games such as kicking and throwing. Do not expect catching yet.</li></ul><h3>Fine motor:</h3><ul><li>The high chair is an excellent place to finger feed or practice pincer grasp. Build it into your daily routine. You can sit opposite your child (face-to-face) and enjoy this time together. As you play, verbally label toys to encourage development of early language skills.</li><li>Provide opportunities for container play and introduce shape sorters and simple puzzles for play.</li><li>Practice stacking for refinement of release skills (e.g., nesting cups, rings on pole, small blocks).</li><li>Continue with cause and effect toys that have to be pushed, pulled or turned (e.g., pop-up toy).</li><li>Introduce thick crayons and encourage scribbling. Introduce connecting toys, blocks (e.g., “Duplo”) and a variety of objects with different textures, shapes, sizes for exploration with hands.</li><li>Handedness (left/right) – encourage use of non-dominant hand by presenting toys and objects to non-dominant side.</li></ul><h3>Communication/Social:</h3><ul><li>Be face to face with your baby. Use short phrases and lots of gestures to communicate. Repeat what you say and do.</li><li>Watch what your child is doing, wait, listen and respond. Imitate actions and keep the interaction going.</li><li>Play vocal turn-taking games.</li><li>Make sure there are reasons to communicate; avoid anticipating all of their needs.</li><li>Use simple picture books with real life photos, and books that have “patterns”. Try to read to your baby every day.</li></ul><h3>Play:</h3><ul><li>Functional play – introduce playing with toys/objects as they were intended to be used.</li><li>Encourage pretend play (e.g. feeding a doll or farm animals).</li><li>Provide opportunities for interaction with peers (e.g., Ontario Early-Years Drop-In Centres, library programs or community groups) for greater socialization and early language development.</li><li>Electronic media use by children younger than two years old is not recommended. This includes phones, television, computers, and tablet devices.</li></ul><h3>Feeding/Growth:</h3><ul><li>Continue regular visits to your family doctor/paediatrician to monitor growth.</li><li>Transition to homogenized milk at 12 months corrected age. Avoid juice.</li><li>Present a variety of cubed or chopped foods for finger feeding and introduce own spoon at mealtime.</li></ul><h3>Sleep:</h3><ul><li>Establish a regular sleep schedule and bedtime routine. Consider reading to your child as part of routine.</li><li>Practice safe sleep habits; back to sleep, on a separate, firm surface.</li></ul><p>For more information on neonatal neurodevelopmental recommendations at different ages, please see the links below:</p><ul><li> <a href="/Article?contentid=3031&language=English">Four month visit​</a></li><li> <a href="/Article?contentid=3200&language=English">Eight month visit</a></li><li> <a href="/Article?contentid=3202&language=English">Eighteen month visit</a><br></li><li> <a href="/Article?contentid=3203&language=English">Thirty-six month visit​</a></li></ul><h2>At SickKids</h2><p>For more information on the Neonatal Nevelopmental Follow-Up Clinic at The Hospital for Sick Children, please visit: <a href="http://www.sickkids.ca/neonatology/what-we-do/neonatal-developmental-follow-up-program/neonatal-developmental-follow-up-program%20.html">http://www.sickkids.ca/neonatology/what-we-do/neonatal-developmental-follow-up-program/neonatal-developmental-follow-up-program%20.html</a></p><h2>Resources</h2><p> <a href="http://www.caringforkids.cps.ca/">http://www.caringforkids.cps.ca/</a></p><h2>References</h2><p>Sinai Health Systems Neonatal Follow-Up Clinic recommendations</p><p>Neonatal developmental recommendations have been adapted with permission from Mount Sinai Hospital in Toronto.</p>
Recommandations de suivi sur le développement neurologique néonatal : visite de l’âge de 12 moisRRecommandations de suivi sur le développement neurologique néonatal : visite de l’âge de 12 moisNeonatal neurodevelopmental follow-up recommendations: 12 month visitFrenchDevelopmental;NeonatologyBaby (1-12 months)NANANon-drug treatmentAdult (19+) CaregiversNA2018-04-05T04:00:00ZJacqueline Jackson, MN, NP-Paediatrics, RN (EC) (original author);​​Andrea Riekstins, MN, NP-Paediatrics, RN (EC);Jane Brettschneider, M. Sc. (A), Reg. CASLPO;Linh Ly, MD, MEd, FRCPC, FAAP;​​Lori Burton, M.Ed., BSc, O.T. Reg (Ont.);​​Lynelle Phillips, MHealth (A-Z) - ConditionsHealth A-Z<p>Cette page fournit des recommandations pour encourager le développement chez les bébés de 12 mois qui ont passé du temps à l’UNSI ou à l’UCSI, ou qui ont besoin de soins dans une clinique de néonatologie.</p><p>Parler et jouer avec les bébés sont deux des choses les plus importantes que les parents et les soignants peuvent faire pour les aider à se développer. Il existe de nombreuses façons d’encourager le développement. Les recommandations fournies sont générales et non exhaustives. Les recommandations fournissent des stratégies pour aider à promouvoir la motricité globale, la motricité fine, le développement précoce du langage et la socialisation.</p><ul><li>La motricité globale comprend de grands mouvements tels que rouler, ramper, se tenir debout ou marcher.</li><li>La motricité fine comprend des mouvements de la main tels que tendre la main vers des objets et les saisir.</li><li>Le développement précoce du langage comprend le gazouillis, le babillage et les premiers mots d’un bébé.</li></ul><h2>À retenir </h2><ul><li>Les bébés qui ont été à l’UNSI ou à l’UCSI peuvent être exposés à des problèmes de développement en raison de problèmes médicaux présents avant l’accouchement, pendant l’accouchement ou après la naissance.</li><li>Les recommandations de l’âge de 12 mois priorisent la position debout, le développement d’une motricité fine plus complexe et la communication verbale.<br></li><li>Les parents et les soignants devraient suivre ces recommandations pour encourager le développement neurologique.</li></ul><h2>Recommandations sur le développement neurologique néonatal de l’âge de 12 mois</h2><h3>Motricité globale :</h3><ul><li>Exercez l’enfant à rester debout sur une surface stable (par ex., un divan) pour jouer. Encouragez-le à garder les pieds à plat lorsqu’il est debout. Assurez-vous que la surface est suffisamment basse pour favoriser les pieds plats.</li><li>Tenez le corps de votre enfant aussi bas que possible (pelvis, cuisses ou plus bas) lorsque vous exercez la position debout pour aider à activer les muscles du ventre.</li><li>Encouragez les déplacements au sol en utilisant des meubles comme support et en plaçant des jouets à une extrémité du canapé et votre enfant à l’autre. Faites en sorte qu’il se déplace dans les deux sens le long du sol.</li><li>Votre enfant tire plus de bénéfices en s’exerçant à se déplacer et à marcher tôt sans vous tenir la main. Si vous lui tenez les mains, tenez-les au niveau des épaules ou au-dessous. Vous pouvez également lui tenir le bas du corps (pelvis ou plus bas) lorsqu’il s’exerce à la marche.</li><li>Exercez sa motricité globale, y compris la coordination, à l’aide de jouets à enfourcher. Dans les aires de jeux, exercez sa coordination et faites-lui escalader les petites choses sur les petits grimpeurs avec glissoires.</li><li>Jouez avec des balles en lui faisant exercer son coup de pied et son lancer. Ne vous attendez pas à ce qu’il soit capable d’attraper la balle.</li></ul><h3>Motricité fine :</h3><ul><li>La chaise haute est un excellent endroit pour l’alimentation au doigt ou pour s’exercer à la prise de la pince. Intégrez-les dans votre routine quotidienne. Vous pouvez vous asseoir en face de votre enfant et profiter de ce temps ensemble. Pendant que vous jouez, nommez les jouets pour encourager le développement de compétences linguistiques précoces.</li><li>Offrez des possibilités de jeu avec des contenants et introduisez des trieuses de formes et des casse-têtes simples.</li><li>Faites-lui s’exercer à empiler des objets pour qu’il améliore ses capacités de les lâcher (par ex., tasses imbriquées, anneaux sur un poteau, petits blocs).</li><li>Continuez par les jouets reposant sur le principe de cause et d’effet qui doivent être poussés, tirés ou tournés (par ex., un jouet pop-up).</li><li>Introduisez les crayons épais et encouragez le gribouillage. Introduisez des jouets à assembler, des blocs (par ex., « Duplo ») et une variété d’objets avec différentes textures, formes et tailles pour l’exploration avec les mains.</li><li>Prévalence manuelle (gaucherie ou droiterie) : encouragez l’utilisation de la main non dominante en présentant des jouets et des objets du côté non dominant.</li></ul><h3>Communication et aptitudes sociales :</h3><ul><li>Soyez face à face avec votre bébé. Utilisez des phrases courtes et beaucoup de gestes pour communiquer. Répétez ce que vous dites et faites.</li><li>Regardez ce que fait votre enfant, attendez, écoutez et répondez. Imitez ses actions et continuez l’interaction.</li><li>Jouez à des jeux vocaux à tour de rôle.</li><li>Assurez-vous qu’il y a des raisons de communiquer; évitez d’anticiper tous ses besoins.</li><li>Utilisez des livres d’images simples comportant des photos de la vie réelle et des livres qui ont des « motifs ». Essayez de lire à votre bébé tous les jours.</li></ul><h3>Jeu :</h3><ul><li>Jeu fonctionnel : montrez-lui à jouer avec des objets et ses jouets en respectant le but dans lequel ils ont été conçus.</li><li>Encouragez les jeux de simulation (par ex., nourrir une poupée ou des animaux de la ferme).</li><li>Offrez des possibilités d’interaction avec ses pairs (par ex., centres d’accueil de la petite enfance de l’Ontario, programmes de bibliothèque ou groupes communautaires) pour une meilleure socialisation et un développement précoce du langage.</li><li>L’utilisation de médias électroniques (téléphone, télévision, ordinateur et tablette) par des enfants de moins de deux ans n’est pas recommandée.</li></ul><h3>Alimentation et croissance :</h3><ul><li>Continuez à visiter régulièrement votre médecin de famille ou votre pédiatre pour surveiller la croissance.</li><li>Faites-le passer au lait homogénéisé à l’âge corrigé de 12 mois. Évitez les jus.</li><li>Présentez une variété d’aliments en cubes ou hachés pour l’alimentation au doigt et introduisez sa propre cuillère au moment des repas.</li></ul><h3>Sommeil :</h3><ul><li>Établissez un horaire de sommeil régulier et une routine au coucher. Pensez à lire à votre enfant dans le cadre de la routine.</li><li>Adoptez de bonnes habitudes de sommeil : couchez le bébé sur une surface ferme séparée.</li></ul><p>Pour plus d’informations sur les recommandations sur le développement neurologique à différents âges, veuillez cliquer sur les liens ci-dessous :</p><ul><li> <a href="/Article?contentid=3031&language=French">Visite à l’âge de quatre mois</a></li><li> <a href="/Article?contentid=3200&language=French">Visite à l’âge de huit mois</a></li><li> <a href="/Article?contentid=3202&language=French">Visite à l’âge de dix-huit mois</a></li><li> <a href="/Article?contentid=3203&language=French">Visite à l’âge de trente-six mois</a><br></li></ul><h2>À l’hôpital SickKids</h2><p>Pour plus de renseignements sur la clinique de suivi néonatal de l’Hospital for Sick Children (SickKids), veuillez visiter <a href="http://www.sickkids.ca/neonatology/what-we-do/neonatal-developmental-follow-up-program/neonatal-developmental-follow-up-program%20.html">http://www.sickkids.ca/neonatology/what-we-do/neonatal-developmental-follow-up-program/neonatal-developmental-follow-up-program%20.html</a>.</p><h2>Ressources</h2><p><a href="http://www.caringforkids.cps.ca/">http://www.caringforkids.cps.ca/</a></p><h2>Références</h2><p>Recommandations de la Clinique de suivi néonatal de Sinai Health Systems</p><p>Les recommandations sur le développement néonatal ont été adaptées avec la permission de l’Hôpital Mount Sinai de Toronto.</p>

 

 

Neonatal neurodevelopmental follow-up recommendations: 12 month visit3201.00000000000Neonatal neurodevelopmental follow-up recommendations: 12 month visitNeonatal neurodevelopmental follow-up recommendations: 12 month visitNEnglishDevelopmental;NeonatologyBaby (1-12 months)NANANon-drug treatmentAdult (19+) CaregiversNA2018-04-05T04:00:00ZJacqueline Jackson, MN, NP-Paediatrics, RN (EC) (original author);​​Andrea Riekstins, MN, NP-Paediatrics, RN (EC);Jane Brettschneider, M. Sc. (A), Reg. CASLPO;Linh Ly, MD, MEd, FRCPC, FAAP;​​Lori Burton, M.Ed., BSc, O.T. Reg (Ont.);​​Lynelle Phillips, MHealth (A-Z) - ConditionsHealth A-Z<p>This page provides recommendations to encourage development in babies aged 12 months who have spent time in the NICU or CCCU, or who require care a neonatal follow-up clinic.</p><p>Talking and playing with babies are two of the most important things parents and caregivers can do to help them develop. There are many ways to encourage development. The recommendations provided are general and not all inclusive. The recommendations provide strategies to help promote gross motor skills, fine motor skills, early language development, and socialization.</p><ul><li>Gross motor skills include big movements such as rolling, crawling, standing or walking.</li><li>Fine motor skills include hand movements such as reach and grasp.</li><li>Early language development includes cooing, babbling, and a baby’s first words.</li></ul><h2>What is the Neonatal Follow-Up Clinic?</h2><p>The Neonatal Developmental Follow-Up Program is a specialized clinic for children who had medical complications related to, or immediately after, their birth. This clinic assesses gross-motor, fine-motor, social development, language and learning ability at specific ages to determine if the child is developing normally. </p><p>Babies who have been admitted to the Neonatal Intensive Care Unit (NICU) or Cardiac Critical Care Unit (CCCU) may be at risk for developmental issues due to medical problems before delivery, during delivery or after birth. However, not all babies followed in the Neonatal Developmental Follow-Up Clinic have been in the NICU or CCCU. These recommendations can be used to encourage development in babies who have not spent time in the NICU or CCCU. Talk to your child’s doctor to see if you should be following these guidelines with your baby. </p><p>Babies and toddlers are assessed at specific ages in the clinic and given recommendations that parents and caregivers can refer to at home to help their baby achieve their maximum potential. These recommendations are for corrected age, as most of the babies followed in the clinic were premature at birth.</p><p>If you are concerned about your baby’s development, speak with your primary healthcare provider. </p><h2>Key points</h2><ul><li>Babies who have been in the NICU or CCCU may be at risk for developmental issues due to medical problems before delivery, during delivery or after birth.</li><li>Recommendations at 12 months focus on encouraging standing, developing more intricate fine motor skills, and further encouraging verbal communication.</li><li>Parents and caregivers should follow these recommendations to encourage neurodevelopment.</li></ul><h2>Neonatal neurodevelopmental recommendations at 12 months</h2><h3>Gross motor:</h3><ul><li>Practice standing at a stable surface (e.g. couch) to play. Encourage flat feet when baby is standing. Check to make sure the surface is low enough to promote flat feet.</li><li>Hold your child low on their body (pelvis, thighs, or lower) when practicing standing to help activate stomach muscles.</li><li>Encourage cruising on the floor using furniture as a support by putting toys at one end of the couch and your child at the other. Do this so that your child moves in both directions along the floor.</li><li>Your child benefits more by practicing cruising and early stepping without hand-holding. If you are holding hands, hold hands at or below shoulder level. You can also hold low on the body (pelvis or lower) when practicing stepping.</li><li>Practice gross motor skills, including coordination, on riding toys. In playgrounds practice coordination and climbing over small things on the small climbers and slides.</li><li>Practice ball games such as kicking and throwing. Do not expect catching yet.</li></ul><h3>Fine motor:</h3><ul><li>The high chair is an excellent place to finger feed or practice pincer grasp. Build it into your daily routine. You can sit opposite your child (face-to-face) and enjoy this time together. As you play, verbally label toys to encourage development of early language skills.</li><li>Provide opportunities for container play and introduce shape sorters and simple puzzles for play.</li><li>Practice stacking for refinement of release skills (e.g., nesting cups, rings on pole, small blocks).</li><li>Continue with cause and effect toys that have to be pushed, pulled or turned (e.g., pop-up toy).</li><li>Introduce thick crayons and encourage scribbling. Introduce connecting toys, blocks (e.g., “Duplo”) and a variety of objects with different textures, shapes, sizes for exploration with hands.</li><li>Handedness (left/right) – encourage use of non-dominant hand by presenting toys and objects to non-dominant side.</li></ul><h3>Communication/Social:</h3><ul><li>Be face to face with your baby. Use short phrases and lots of gestures to communicate. Repeat what you say and do.</li><li>Watch what your child is doing, wait, listen and respond. Imitate actions and keep the interaction going.</li><li>Play vocal turn-taking games.</li><li>Make sure there are reasons to communicate; avoid anticipating all of their needs.</li><li>Use simple picture books with real life photos, and books that have “patterns”. Try to read to your baby every day.</li></ul><h3>Play:</h3><ul><li>Functional play – introduce playing with toys/objects as they were intended to be used.</li><li>Encourage pretend play (e.g. feeding a doll or farm animals).</li><li>Provide opportunities for interaction with peers (e.g., Ontario Early-Years Drop-In Centres, library programs or community groups) for greater socialization and early language development.</li><li>Electronic media use by children younger than two years old is not recommended. This includes phones, television, computers, and tablet devices.</li></ul><h3>Feeding/Growth:</h3><ul><li>Continue regular visits to your family doctor/paediatrician to monitor growth.</li><li>Transition to homogenized milk at 12 months corrected age. Avoid juice.</li><li>Present a variety of cubed or chopped foods for finger feeding and introduce own spoon at mealtime.</li></ul><h3>Sleep:</h3><ul><li>Establish a regular sleep schedule and bedtime routine. Consider reading to your child as part of routine.</li><li>Practice safe sleep habits; back to sleep, on a separate, firm surface.</li></ul><p>For more information on neonatal neurodevelopmental recommendations at different ages, please see the links below:</p><ul><li> <a href="/Article?contentid=3031&language=English">Four month visit​</a></li><li> <a href="/Article?contentid=3200&language=English">Eight month visit</a></li><li> <a href="/Article?contentid=3202&language=English">Eighteen month visit</a><br></li><li> <a href="/Article?contentid=3203&language=English">Thirty-six month visit​</a></li></ul><h2>At SickKids</h2><p>For more information on the Neonatal Nevelopmental Follow-Up Clinic at The Hospital for Sick Children, please visit: <a href="http://www.sickkids.ca/neonatology/what-we-do/neonatal-developmental-follow-up-program/neonatal-developmental-follow-up-program%20.html">http://www.sickkids.ca/neonatology/what-we-do/neonatal-developmental-follow-up-program/neonatal-developmental-follow-up-program%20.html</a></p><h2>Resources</h2><p> <a href="http://www.caringforkids.cps.ca/">http://www.caringforkids.cps.ca/</a></p><h2>References</h2><p>Sinai Health Systems Neonatal Follow-Up Clinic recommendations</p><p>Neonatal developmental recommendations have been adapted with permission from Mount Sinai Hospital in Toronto.</p>https://assets.aboutkidshealth.ca/AKHAssets/Neonatal%20neurodevelopmental_12.jpgNeonatal neurodevelopmental follow-up recommendations: 12 month visitFalse

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