Neonatal neurodevelopmental follow-up recommendations: Six week visitNNeonatal neurodevelopmental follow-up recommendations: Six week visitNeonatal neurodevelopmental follow-up recommendations: Six week visitEnglishNeonatology;DevelopmentalBaby (1-12 months)NANANon-drug treatmentAdult (19+) CaregiversNA2018-11-19T05:00:00ZRanit Beck, MsOT Reg (Ont);Sandy Spence, MSc (OT);Sandy Tung, BSc PT;Lori Burton, OT9.9000000000000051.6000000000000889.000000000000Health (A-Z) - ConditionsHealth A-Z<p>This page provides recommendations to encourage development in babies aged six weeks, who have spent time in the NICU or CCCU, or who require care from a neonatal follow-up clinic.</p><p>There are many ways to encourage development. Talking and playing with babies are two of the most important things parents and caregivers can do to help them develop. These recommendations 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 intensive care unit may be at risk for developmental issues due to medical problems before delivery, during delivery or after birth.</li><li>Recommendations at six weeks focus on tummy time play, basic interactions with your baby and practicing safe sleep habits.</li><li>Parents and caregivers should follow these recommendations to encourage neurodevelopment.</li></ul><h2>Neonatal follow-up clinic recommendations at six weeks</h2><h3>Gross motor</h3><ul><li>Practice tummy time for a few minutes at a time, multiple times per day to improve head and trunk control. Practice when baby is awake and settled (not crying or fussy).</li><li>Tummy time can be across your lap, lying on your chest or on the floor.</li><li>Encourage side-lying position for play (left and right side-lying). A rolled towel can be placed at your baby’s back to prevent them from rolling over.</li><li>If your baby is demonstrating right or left-sided preference, present faces, toys, objects, and other stimulation to the opposite side your baby favours.</li><li>Practice floor time for play as much as possible. The bed is NOT a safe place for your baby to play. The floor provides a safe and firm surface for your baby to practice and learn movement.</li></ul><h3>Fine motor</h3><ul><li>Encourage your baby to bring hands and toys to their mouth to promote orientation to the midline (middle of the body).</li><li>Encourage open hands by stroking the back of your baby’s hand.</li><li>For babies with thumbs held across the palm, encourage holding thicker, round rattles or squishy toys.</li><li>Offer toys that allow two-handed exploration and play.</li><li>Use supported and reclined sitting to encourage early reaching and grasping of toys at the midline.</li><li>Present a variety of objects with different textures, shapes, and sizes for exploration with hands and mouth.</li><li>Give your baby toys that are black and white or have high-contrast colours, as well as ones that rattle, to help promote hand-eye coordination.</li></ul><h3>Communication/Social</h3><ul><li>Be face to face with your baby and be animated. Use lots of gestures as you interact.</li><li>Respond to communication; smile and engage when your baby makes sounds.</li><li>Play social communication games (i.e. peek-a-boo).</li><li>Repeat any sounds your baby makes.</li><li>Crying is a baby’s way of letting you know they need your attention, so respond by interacting with your baby to promote healthy attachment.</li><li>Sing and read books to your baby daily.</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>Growth</h3><ul><li>Continue regular visits to your family doctor/paediatrician to monitor your baby’s growth.</li><li>Head re-shaping — position baby on their side, lying off of the flattened side of their head.</li></ul><h3>Sleep</h3><ul><li>Start a bedtime routine (e.g. low lights and reading to baby before bedtime).</li><li>Practice safe sleep habits: position your baby on their back to sleep on a separate firm, flat surface in your room, at least for the first six months.</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=3201&language=English">Twelve month visit</a></li><li><a href="/Article?contentid=3202&language=English">Eighteen month visit</a></li><li><a href="/Article?contentid=3203&language=English">Thirty-six month visit</a><br></li></ul><p>For more information on the Neonatal Developmental Follow-Up Clinic at The Hospital for Sick Children, please visit:</p> <p> <a href="http://www.sickkids.ca/Neonatology/What-We-Do/Neonatal-Developmental-Follow-up-Program/Followup-Clinic/index.html">http://www.sickkids.ca/Neonatology/What-We-Do/Neonatal-Developmental-Follow-up-Program/Followup-Clinic/index.html</a></p><p> <a href="http://www.caringforkids.cps.ca/">www.caringforkids.cps.ca/</a></p>
Recommandations dans le cadre du suivi du développement neurologique du nouveau-né : visite la sixième semaineRRecommandations dans le cadre du suivi du développement neurologique du nouveau-né : visite la sixième semaineNeonatal neurodevelopmental follow-up recommendations: Six week visitFrenchNeonatology;DevelopmentalBaby (1-12 months)NANANon-drug treatmentAdult (19+) CaregiversNA2018-11-19T05:00:00ZRanit Beck, MsOT Reg (Ont);Sandy Spence, MSc (OT);Sandy Tung, BSc PT;Lori Burton, OTHealth (A-Z) - ConditionsHealth A-Z<p>Cette page fournit des recommandations pour favoriser le développement des bébés de six semaines qui ont séjourné à l’Unité néonatale de soins intensifs ou à l’Unité communautaire de soins aux enfants.</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>Il est surtout recommandé que votre bébé de six semaines joue sur le ventre, qu’il ait des interactions de base avec vous et qu’on lui fasse prendre de saines habitudes de sommeil.</li><li>Les parents et les soignants devraient suivre ces recommandations pour encourager le développement neurologique.</li></ul><h2>Recommandations du suivi néonatal en clinique à six semaines</h2><h3>Motricité globale</h3><ul><li>Couchez le bébé à plat ventre quelques minutes à la fois, plusieurs fois par jour afin qu’il apprenne à mieux contrôler les mouvements de la tête et du tronc. Exercez-vous à le faire lorsqu’il est bien éveillé et paisible (qu’il ne pleure pas et ne fait pas le capricieux).</li><li>Le bébé peut être posé de travers sur vos genoux, sur votre poitrine ou à plat sur le sol.</li><li>À l’heure du jeu, faites en sorte qu’il soit en position assise et appuyé sur le côté (droit ou gauche). Placez une serviette enroulée derrière lui pour l’empêcher de tomber.</li><li>Si le bébé semble plus habile d’un côté de son corps que de l’autre, présentez-lui des visages, des jouets, des objets ou quoi que ce soit d’autre pour le stimuler à faire usage de l’autre côté de son corps.</li><li>Jouez autant que possible sur le sol. Le lit N’EST PAS un endroit sécuritaire pour jouer avec le bébé. La surface ferme et sécuritaire du sol en fait l’endroit idéal où il peut s’exercer et apprendre à se mouvoir.</li></ul><h3>Motricité fine</h3><ul><li>Encouragez votre bébé à ramener ses mains et ses jouets à sa bouche afin de favoriser son orientation par rapport à la ligne médiane de son corps.</li><li>Encouragez-le à ouvrir ses mains en lui caressant le revers de la main.</li><li>Si ces pouces ont tendance à se placer au creux de sa paume, encouragez-le à tenir dans ses mains des objets plus gros et ronds qu’il pourra faire vibrer ou résonner en les secouant ou en les pressant.</li><li>Offrez-lui des jouets qui lui permettent d’explorer et de jouer avec ses deux mains.</li><li>Assoyez-le en position inclinée tout en lui procurant un appui latéral afin de l’encourager à saisir des jouets à sa portée directement devant lui.</li><li>Présentez-lui divers objets de textures, de formes et de tailles différentes qu’il pourra explorer avec ses mains et sa bouche.</li><li>Procurez-lui des jouets pour bébé noir et blanc et de couleurs contrastantes ainsi que des hochets pour favoriser sa coordination des mains et des yeux.</li></ul><h3>Communication et aspect social</h3><ul><li>Placez-vous face à votre bébé et soyez expressif. Faites beaucoup de gestes tout en lui parlant.</li><li>Soyez ouvert à la communication; souriez et animez-vous lorsqu’il émet des sons.</li><li>Jouez à des jeux qui favorisent la communication, comme à cache-cache.</li><li>Répétez après lui tous les sons qu’il émet.</li><li>Ses pleurs vous indiquent qu’il désire votre attention; c’est le moment d’en profiter pour avoir des interactions avec lui et vous en rapprocher sur le plan affectif.</li><li>Chantez et faites-lui la lecture chaque jour.</li><li>Il n’est pas recommandé aux enfants de moins de deux ans de se servir de médias électroniques, entre autres, des téléphones, de la télévision, des ordinateurs et des tablettes.</li></ul><h3>Croissance du bébé</h3><ul><li>Consultez régulièrement le médecin de famille ou le pédiatre afin de surveiller la croissance du bébé.</li><li>Forme arrondie de la tête – couchez le bébé sur le côté, la face la plus plate de sa tête reposant sur le matelas.</li></ul><h3>Sommeil</h3><ul><li>Établissez une routine pour le coucher (utilisation de veilleuses et lecture à haute voix avant le coucher).</li><li>Entraînez le bébé à de saines habitudes de sommeil. Couchez-le dans votre chambre, mais dans son lit, soit sur une surface ferme et plate, afin qu’il repose sur le dos pendant au moins ses six premiers mois.</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=3201&language=French">Visite à l’âge de douze 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></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/Followup-Clinic/index.html">http://www.sickkids.ca/Neonatology/What-We-Do/Neonatal-Developmental-Follow-up-Program/Followup-Clinic/index.html</a>.</p><p> <a href="http://www.caringforkids.cps.ca/">www.caringforkids.cps.ca/</a><br></p>

 

 

 

 

Neonatal neurodevelopmental follow-up recommendations: Six week visit3397.00000000000Neonatal neurodevelopmental follow-up recommendations: Six week visitNeonatal neurodevelopmental follow-up recommendations: Six week visitNEnglishNeonatology;DevelopmentalBaby (1-12 months)NANANon-drug treatmentAdult (19+) CaregiversNA2018-11-19T05:00:00ZRanit Beck, MsOT Reg (Ont);Sandy Spence, MSc (OT);Sandy Tung, BSc PT;Lori Burton, OT9.9000000000000051.6000000000000889.000000000000Health (A-Z) - ConditionsHealth A-Z<p>This page provides recommendations to encourage development in babies aged six weeks, who have spent time in the NICU or CCCU, or who require care from a neonatal follow-up clinic.</p><p>There are many ways to encourage development. Talking and playing with babies are two of the most important things parents and caregivers can do to help them develop. These recommendations 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 skills, fine-motor skills, social development, language and learning ability at specific ages to determine if the child is developing as expected.</p><p>The majority of patients seen in the Neonatal Follow-Up Clinic are referred from a Neonatal Intensive Care Unit (NICU) or a Cardiac Critical Care Unit (CCCU). Babies who have been admitted to the NICU or CCCU may be at risk for developmental issues due to medical problems before delivery, during delivery or after birth. These recommendations may be used to encourage development in babies who have not spent time in the NICU or CCCU, but still require care in the Neonatal Follow-Up Clinic. 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 are 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 some of the babies followed in the clinic were premature at birth. If your baby was premature at birth, these recommendations apply to them starting at six weeks corrected age.</p><p>If you are concerned about your baby’s development, speak with your primary health-care provider.</p><h2>Key points</h2><ul><li>Babies who have been in the intensive care unit may be at risk for developmental issues due to medical problems before delivery, during delivery or after birth.</li><li>Recommendations at six weeks focus on tummy time play, basic interactions with your baby and practicing safe sleep habits.</li><li>Parents and caregivers should follow these recommendations to encourage neurodevelopment.</li></ul><h2>Neonatal follow-up clinic recommendations at six weeks</h2><h3>Gross motor</h3><ul><li>Practice tummy time for a few minutes at a time, multiple times per day to improve head and trunk control. Practice when baby is awake and settled (not crying or fussy).</li><li>Tummy time can be across your lap, lying on your chest or on the floor.</li><li>Encourage side-lying position for play (left and right side-lying). A rolled towel can be placed at your baby’s back to prevent them from rolling over.</li><li>If your baby is demonstrating right or left-sided preference, present faces, toys, objects, and other stimulation to the opposite side your baby favours.</li><li>Practice floor time for play as much as possible. The bed is NOT a safe place for your baby to play. The floor provides a safe and firm surface for your baby to practice and learn movement.</li></ul><h3>Fine motor</h3><ul><li>Encourage your baby to bring hands and toys to their mouth to promote orientation to the midline (middle of the body).</li><li>Encourage open hands by stroking the back of your baby’s hand.</li><li>For babies with thumbs held across the palm, encourage holding thicker, round rattles or squishy toys.</li><li>Offer toys that allow two-handed exploration and play.</li><li>Use supported and reclined sitting to encourage early reaching and grasping of toys at the midline.</li><li>Present a variety of objects with different textures, shapes, and sizes for exploration with hands and mouth.</li><li>Give your baby toys that are black and white or have high-contrast colours, as well as ones that rattle, to help promote hand-eye coordination.</li></ul><h3>Communication/Social</h3><ul><li>Be face to face with your baby and be animated. Use lots of gestures as you interact.</li><li>Respond to communication; smile and engage when your baby makes sounds.</li><li>Play social communication games (i.e. peek-a-boo).</li><li>Repeat any sounds your baby makes.</li><li>Crying is a baby’s way of letting you know they need your attention, so respond by interacting with your baby to promote healthy attachment.</li><li>Sing and read books to your baby daily.</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>Growth</h3><ul><li>Continue regular visits to your family doctor/paediatrician to monitor your baby’s growth.</li><li>Head re-shaping — position baby on their side, lying off of the flattened side of their head.</li></ul><h3>Sleep</h3><ul><li>Start a bedtime routine (e.g. low lights and reading to baby before bedtime).</li><li>Practice safe sleep habits: position your baby on their back to sleep on a separate firm, flat surface in your room, at least for the first six months.</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=3201&language=English">Twelve month visit</a></li><li><a href="/Article?contentid=3202&language=English">Eighteen month visit</a></li><li><a href="/Article?contentid=3203&language=English">Thirty-six month visit</a><br></li></ul><p>For more information on the Neonatal Developmental Follow-Up Clinic at The Hospital for Sick Children, please visit:</p> <p> <a href="http://www.sickkids.ca/Neonatology/What-We-Do/Neonatal-Developmental-Follow-up-Program/Followup-Clinic/index.html">http://www.sickkids.ca/Neonatology/What-We-Do/Neonatal-Developmental-Follow-up-Program/Followup-Clinic/index.html</a></p><p> <a href="http://www.caringforkids.cps.ca/">www.caringforkids.cps.ca/</a></p>Neonatal neurodevelopmental follow-up recommendations: Six week visitFalse