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Handling and Positioning your baby

  • Make use of a Baby Wrap or Carrier to keep your baby in an upright position. This will help to keep your baby more comfortable, reduce the Reflux episodes and enable you to do some chores or entertain older children at the same time.

     

  • Keep your baby upright for between 20-30 minutes after a feed to allow for the digestion process to begin, before lying them down.

     

  • Change your baby’s nappy before feeding and, if possible, lift the angle of the changing mat, ensuring you always put your baby’s safety first. Instead of lifting your baby’s legs to lift her bottom, which will squash her tummy and push the contents upwards, rather roll her gently from side to side to facilitate the changing.

     

  • Dress your baby in loose fitting clothes. Avoid putting the nappy on too tightly or clothes with tight elastic around the waist.

     

  • Tummy time is very important for your baby’s development, aim for 15-20 minutes a day. Time it away from feeds, so that it is done on an empty stomach. If your baby is very unhappy being placed directly on the floor, then roll up a towel or blanket and place it under her arms. This way you help to lift the baby a bit and take the pressure off her tummy.

     

  • Elevate the head of the changing mat, so that it reduces the chance of your baby vomiting when you are changing his nappy. Please ensure you never leave your baby unattended on a changing mat.

     

  • Lift the angle of the mattress, to the recommended 30 degree angle. This will help in reducing the efflux events. There are also some fabulous new Sleep Positioners that have just been launched on the South African Market- keep ckecking back as we hope to have them included on the Baby Calm webiste soon!
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  • Please note that when you angle the baby, do not place a pillow under the baby's head, as the the head may slump forward and tummy will be squashed, aggravating the reflux. Rather place old telephone books under the top legs of the cot so that the entire cot is angled a bit, or use a specially designed reflux wedge.

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The information in this article was reviewed for medical accuracy by, Paediatrician and Allergy Specialist, Dr Claudia Gray (MBChB (UCT), MRCPCH (London), MScClin Pharm(Surrey), DipPaedNutrition (UK), PostgradDipAllergy (Southampton), Certified Paediatric Allergologist (SA))

Dr Gray works at the allergy clinic at the Red Cross Children's Hospital in Cape Town, and has a private practice at Vincent Pallotti Hospital in Cape Town, contact 021 531 8013.