Showing posts with label sickness. Show all posts
Showing posts with label sickness. Show all posts

Monday, April 19, 2010

"Cry-it-out" when baby is sick = no

Night 6: PP had a cold and sleeps in her bathrobe. 
This is after the 4.40am wakeup call which we did picked her up, fed her and then had a mini "Cry-it-out" session. All in less than 30 minutes

"Cry-it-out" sleeping method weekend summary for night 4, 5 and 6. 

For night 4, PP slept well enough and woke up early. 7.30Am to be exact. I was too tired to listen to her cries, and i feed her. And then she refused to go back to sleep. AAaaaaaaargh. Have to wake up early as well. At least she's not waking up in the middle of the night anymore.

Night 5: PP had a very eventful day at Aiden's birthday bash. She caught a cold virus somewhere there and she was overwhelmed with everything. More about this when i get photoooos from PP's Aunty Alia :)

Since her day had been eventful, her bedtime rituals were not-so eventful.

PP was fed, given her bath, wanted milk, gave about 30 mins worth of feeding, played a little with her Tiyah and G-Na, tried to read her bedtime story, "milk please" she said, so gave PP her bedtime feeding on the rocking chair.  After 10 mins, she was gone to la-la land. Not sure whether she had enough of milk I continued to rock her while occasionally touching her face to see if she respond. She didn't so after 1 min, I put her in her cot. PP's head turned left, right, left, let out a whimper. And fall back asleep. ....Okay. Done! That was around 10.55pm. 

So not much "cry-it-out" method done there. Maybe my cry-it-out method is evolving. Maybe I'm not really practicing the right way to do "Cry-it-out" method. But what do you want me to do? wake her up just to let her cry herself to sleep to try out this method? If she sleeps while feeding. she sleeps while feeding. so long its not a 2 hour feeding marathon. The feeding have been shorter since I tried this method though. No more than an hour. Trust me, it used to go longer than that :P if she wakes up after a long feeding like she used to to want to play until 2am. then to the cot she goes to cry.

She woke up around 7.15am on Sunday morning. Not eventful at all. I felt pretty useless the rest of the night...suddenly  i have all this time with nothing to do.

Night 6: And then she got a cold. What do i do now?! continue? what? what?!

Instincts tells me, don't. Not when she is sick. We sticked to her bedtime ritual plus the added cold remedies. Gave her a long bedtime feeding...and I fell asleep next to her. Next thing i know she was crying beside me, she probably woke up because she can't breathe due to her blocked nose. Daddylicious came to the rescue! He picked her up, put some more menthol rub and rocked her back to sleep on the rocking chair and then moved her to her cot around 11pm (i was asleep so hubby said around then. ok) . So not much "cry-it-out" method done there.again. More soothing and rocking.

Until she woke up at 4.40am. Again. What do i do? Pick her up? NO? but she's sick. So i just sat and watched for a bit until Daddylicious gave me a look that spoke volumes. I really didn't know what to do. Follow the method? Or act on instinct? Daddylicious said PP is sick, it doesn't count.

I found a wonderfully written website that gave a good overview of how to get babies to sleep using cry-it-out. So new love of my life, Dr Greene.com. And he said

"No matter how hard it gets, you must follow the plan with two exceptions: 1) If your child is sick then, of course, you will want to take her out of her crib and give her the attention she needs. 2) If you are on vacation, or not in your own home, and your daughter is disoriented or afraid, you may want to hold her."

Done. Daddylicious then picked PP up after a minute or 2 of crying and tried to rock her back to sleep. No luck and then i noticed her lips were dry. She really is hungry then. Thirsty. Must be the low grade fever acting up. I fed her for around 10mins before she went back to sleep. As soon as i place her on the crib, she cried again. Soothe her without picking her up and let her cry a bit. Tired, whimpering cries. By 4.55am, she was fast asleep again until 10.30am. i conclude, even if baby is sick, let her cry a bit. not the fervent, outraged cries but tired cries and whimpers are accepted enough for me. I know she was not hungry and sleepy even though she is sick. but if i dont put her down. She wont get enough rest, and neither would Mummylicious. 

More Dr Greene's notes on how to put babies to sleep using this method

"If there is any question that she might be teething, getting a cold, or otherwise needing special attention on the night that you are going to initiate this process, wait to start it. If you are going to be successful, there is no turning back once you start. This is how it is done:
  • Prepare for bedtime as you normally would, making sure all of her physical needs are met.
  • Include all the things that she has learned to associate with going to sleep in her bedtime ritual, i.e. lullaby tape, special blanket or toy, etc.
  • When she gets sleepy, put her in her bed.
  • Position yourself so that you can gently pat her and make sure she remains lying down by gently applying pressure on her body if needed.
  • When she begins to cry, don't pick her up -- this will be extremely hard to do, but if you pick her up, she will learn to cry next time until you do again!
  • Continue to pat her, sing to her, tell her you love her --whatever it takes --even though she is crying. You will not be abandoning her, only teaching her to let go and fall asleep.
  • Ideally, you and her mother can do this together for mutual support.
  • When one of you can't take it anymore, that one should leave the room for a while.
  • Keep singing, patting, and comforting her until she falls asleep.
This will work, eventually. The first night it may take an hour-and-a-half or even more for her to go to sleep."

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Baby have a cold :(

PP wearing her hoodie cause she have the cold while playing in the air conditioned bedroom. 

Baby. have. a. cold.

There goes my plan to blog about separation anxienty as PP welcome Daddylicious home after 4 days of separation. 

Sigh. Yesterday PP and I went to a friend's child 1 year old birthday party where PP was picked up, carried around, kissed and touched by many many people. I believe somewhere there, is the source of the cold virus. The current hot-rain-hot-rain climate doesn't much either.

Fact no.1 about cold: Cold have NO cure. So really, unless other symptoms comes in, doctors can do nothing and nothing you can do will fasten baby recovery. Poor poor PP. To compensate and retaliate against modern medicine failure in curing the common cold, parents have to go for age-old, natural hollistic routes to at least lessen the suffering. Take that modern-medicine! tradition 1-modern-medicine 0. 

PP started to have clear runny nose today and started to sneeze. she have been coughing lately but i didn't think much about. Thank God only a low grade fever started being present later in the night.

One good thing about PP having a cold though is that's one cold virus strain down, a couple of hundreds more to go through. Yip.pee.
"although we never like to see our little ones sniffling and coughing, colds and many other kinds of infections generally do help people develop a degree of immunity. The more kinds of infections a person has had, the more they are protected." Dr Lynn Cates from Dr. Spock website

What does Mummylicious do when PP suddenly developed cold symptoms? Read books and Google. 


Dr. Miriam Stoppard doesn't help much in this area. Her advises on what to do mostly concerntrated for toddler's cold. I doubt my 6 months old baby could tell me "Mummy, my ears hurt" or I could teach her to blow her nose. Sorry Dr Stoppard, although your books are colourful, full of images and easy to read in regards of normal protocol in taking care of infants, ye suck at what to do when a parent having a panic attack over a teeny cold for infant. ye have lessen in thy eyes.

Dr. Spock had a lot to say in his book...naturally.  Since when he doesn't? Thy eyes loveth thee still. but his website doesn't touch much about alleviating cold symptoms in infants. 

BabyCenter gave a good coverage on what to look for and what to do. This is what I like about this website. Although i search through other parenting sites, i refer to this one the most as it is most comprehensive.

Babynology is a new site i haven't explored completely but it gave a brief summary of what to look out for and what to do

So what are cold symptoms in babies?

1. Mucus down the nose: watery clear mucus but will thicken to yellow-ish or green-ish mucus. Yup, noon today, watery clear mucus down the nose. 

2. Coughing before or after mucus discharge: Yup. she had slight cough for couple of days that i was monitoring. Not much to worry too much but enough to wonder. Now made sense.

3. Low-grade fever: BabyCenter wrote 103 degrees fahrenheit= 39.4 degree scelcius =go to hospital. Its more than a cold. PP have on-off low grade fever. sometimes she feels hot to the touch. sometimes just fine. This is what I have to monitor constantly. I gave PP some fever medication her Pead perscribed for after vaccinations shots, just in case as she was feeling fevering. Last temp. check before sleeping 36.5 degrees celsius. allergy means no fever.

4. Occasional sneeze: Prolonged sneeze is an allergy symptom. Yup, occasional sneezes it is. like cat sneezing. so adorable if it weren't for the watery mucus that comes down after. 

5. Plays and eat normally: this is where it can get confusing.

BabyCenter: "If he plays and eats normally (or almost normally — he might eat a bit less and drag a little), then it's probably a cold. If he acts ill even when his temperature drops, though, he may have something more serious than a cold."

Dr Cates from Dr Spock website: ""Looking sick." Children with allergies may be a bit more tired than usual, but they usually don't look very ill, whereas children with colds can appear sick and listless." But on another advise to parents, she said " Flu tends to cause a higher fever, be accompanied by more fatigue, and last longer than a cold."

  Does that look like a sick, listless baby to you? A chocolate box as a toy. Love.

PP does not look sick. She look...happy. Play happily. Eat happily. Not listless at all.  So maybe she was doing a comparison against flu? I don't know. But so long PP is eating and happily, I am not so worried. 

6. Swollen neck lymph gland: Not sure. PP have triple chin. Too hard to check. 

No watery itchy eyes = not an allergy. Plus, nothing new in diet and PP been out of the house with persistent runny nose so not allergy to anything in the house. 

No diarrhea or vomitting = possibly not flu based on that.  

But based on all those symptoms, she have a cold. for now.  
 

So now what should Mummylicious do to alleviate PP cold symptoms?

1. Plenty of rest and liquid. Continue feeding breastmilk/formula and slightly warm boiled water for over 4 months and since PP is more than 6 months = juice!

2. Menthol rub. on chest. on back. Good ol' menthol rub

3. Use rubber suction bulb aka nose clearer aka rubber bulb syringe to clear the mucus for easier breathing and feeding. If mucus is dry and thick, couple of drops of saline water before suctioning. and suction before feeding. Noted.

Our rubber suction bulb was a bit hard and we had no saline water. so a trip to the pharmacy was in order and me scolding Daddylicious for not knowing where the termometer was, for not buying the saline water waaay earlier, for not deciding the rubber suction bulb was not good enough. I digress. 

4. Use humidifier. dont have one. so steam up bathroom and stay with baby for 15 minutes. PP started to gasp after 5 minutes. or give baby a warm bath. ok. happy PP had a warm bath in a steamed room. and then Daddylicious did nose suction honours. 

5. Prop mattress up using a pillow under the mattress so baby's head is lifted up. Done

 See pillow under baby cot's mattress. A small pillow seems to be sufficient. Any bigger baby can slide down when sleeping.

6. Avoid draft of air and make sure baby kept warm. A light sweater  and pants that covers the whole body to keep baby warm, not hot. which means air-con to be kept low.

Hoodie got stained and wet after dinner. Changed to her new never worn baby bathroom. Adorable!

Feeding went well after that...until she fell asleep. Woke up screaming next to me. = she can't breathe again. Mummylicios was too tired so Daddylicious did the honours of rocking baby back to sleep, reapply menthol rub and put baby in her head-alleviated cot. Sleeping soundly now, so thank God!


So when should Mummylicious really panic and flee to see PP's Pead?

1. Fever increases to above 39.4 degrees celsius (103 degrees fahrenheit). Although I might still go if it gets to 38 degrees celcius (100.4 degrees farhenheit) because im paranoid that way.

"If your child is younger than 3 months, you should the doctor at the first sign of illness, particularly if your baby has a fever higher than 100.4 degrees Fahrenheit (taken rectally) or a cough.

If your baby is between 3 and 6 months, the doctor may want you to call if his temperature reaches 101 degrees F, and if he's over 6 months, 103 degrees F."
BabyCenter

2. Possible ear infection: Baby touches and rub ear constantly and difficulty in feeding. Also could be occupied with fever although not necessarily. (this got me paranoid coz PP  been touching her ears while feeding for this past week but she doesn't cry when she does it though, and then she starts touching my nose, mouth, boobies, her cheek, nose, mouth, foot, the little hair that she have.so maybe it's just like to touch-touch?)

3. Cough worsen to wheezing and rasping and last longer than a week. 2 possible not so good news: Pneumonia and respiratory syncytial virus (RSV). A common but serious illnesses for infants. Gee thanks BabyCenter for upping the paranoid factors. 

4. Blue lips and nails

5. Gets more listless and tired.

6. turn for the worse instead of starting to improve after five to seven days, or if his cold symptoms last for more than 14 days.

Just another experience to notch as a mother. 

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