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Australian Breastfeeding Association 1800 686 268
www.breastfeeding.asn.au
Pregnancy, Birth and Baby Helpline (24 hours) 1800 882 436
healthdirect Australia (24 hours) 1800 022 222
Emergency (Ambulance, Fire or Police) 000
Crisis Care (after hours and weekends) 13 16 11
Mental Health Emergency (24 hours) 13 14 65
Poisons Information Centre (24 hours) 13 11 26
Child and Family Health Service (Mon-Fri) Appointments 1300 733 606 or www.cyh.com
Raising Children Network www.raisingchildren.net.au
Parent Helpline 1300 364 100
SA Dental Service 1300 008 222
Useful contacts
© Government of South Australia.All rights reserved. ISBN: 978-0-7308-7877-3Printed May 2018.DECD758
www.ausgoal.gov.au/creative-commons
Telephone Interpreter Service 13 14 50
My baby’s first weeksDuring the first days after birth, your baby has to adapt to life outside of the womb. This is a time of adjustment that most babies manage easily. Sometimes problems happen that can make your baby unwell. This guide will help you to recognise what is normal in a healthy baby, and also help you recognise if your baby is unwell or if they should be seen by a health professional.
Parent Helpline1300 364 100 (Local call cost within South Australia)
Telephone information and support any time, 7 days a week between 7:15am – 9:15pm
Health Direct1800 022 222 For 24 hour medical advice
Child and Family Health Service (CaFHS)1300 733 606 Appointments Monday to Friday 9:00am – 4:30pm
TURN OVER PAGE ‘When should I ask for advice?
> Many babies are sleepy for the first 12 hours after birth, but usually they will feed at least once by 6-8 hours after birth. After 12 hours of life most babies wake and demand a feed every 3-4 hours
> Breathes quietly and comfortably. When asleep the breathing rate is less than 60 breaths in a minute
> Moves arms and legs, opens eyes, and responds to touch or noises by startling or crying
> Has pink lips and tongue
> Passes wee and poo at least once in the first 24 hours, and then several times a day for the first week
> Babies often sneeze and have a snuffly nose. A snuffly nose can be normal if your baby can suck and feed comfortably
> For support with parenting, breastfeeding or settling your baby, contact CaFHS.
What does a healthy baby do?
EDU817_BlueBook2018_inside_updated.indd 1 25/6/18 12:42 pm
> Not waking up to feed for 8 or more hours
> Is floppy or not responding normally i.e. very sleepy or difficult to wake and not kicking or moving normally
> Has trouble feeding because of breathlessness
> Breathing is fast (more than 60 breaths a minute when asleep)
> You hear a grunting noise with each breath or baby is “sucking” in chest as though breathing is difficult
> Cry is weak or unusual
> Back arching or jerking of arms or legs
> Skin and possibly whites of eyes look yellow in the first 24 hours (jaundice)
> Frequent vomiting or vomit that is green or contains blood
> No wee or poo in the first 24 hours
> Baby is unusually warm (temperature > 38°C) or cold (temperature < 36°C) despite removing or adding clothing
> If you are worried about your baby
> If you or your partner are feeling overwhelmed
> Any of these findings may indicate a serious problem and urgent assessment by your midwife, hospital doctor or GP is recommended.
Call your midwife urgently
(Insert Local number)
Call your GP
(Insert Local number)
Call your local hospital
(Insert Local number)
Call an ambulance: Dial 000, if your baby: > Stops breathing or turns blue (meantime hold baby with head down and pat his/her back firmly)
> Has a fit/convulsion/seizure
> Is not responding to loud noises, a bright light shone in his eyes or a gentle pinch on the arm, when they are awake.
Dial 000 for an
ambulance
When should I ask for advice?The main problems a baby can have in the first days – week of life are infections, low blood sugar levels, heart problems, seizures, jaundice and bowel problems.
Call a doctor or midwife urgently if your baby has any of these:
EDU817_BlueBook2018_inside_updated.indd 2 25/6/18 12:42 pm
page 1
Congratulations on the birth
of your baby!
Dear parent / caregiverThe Child Health and Development Record, commonly known as the Blue Book, is given to all parents / caregivers of newborn babies in South Australia.
Please use this book as a place to record your child’s development and growth, and immunisations from birth until preschool age.
There is also information for parents on:
> the importance of keeping your baby safe
> safe baby sleeping
> feeding babies, toddlers and preschoolers
> settling your baby for sleep
> where to go for help.
2 About me
2 My family
3 Child’s birth details
4 Newborn examination
5 Newborn hearing screening
7 Developmental milestones
12 Family Health
13 Growth and weight record
25 Teeth and dental health
27 Immunisation
33 Health checks
39 Sleeping baby safely
41 Child safety
43 Sleep and settling
44 Feeding
47 Where to go for help
55 Appointments
Content
Please keep your Blue Book in a safe place. Bring it with you to your child’s health appointments to use when talking with a health professional about your child’s development and growth.
If at any stage you have any concerns about your child’s health and development, contact the Child and Family Health Service on 1300 733 606 or your family doctor.
EDU817_BlueBook2018_inside_updated.indd 1 25/6/18 12:42 pm
page 2
My familyWrite the names of the important people in your child’s life on the balloons around their name.
About me This book belongs to:
A photo, hand print or drawing can go here
EDU817_BlueBook2018_inside_updated.indd 2 25/6/18 12:42 pm
page 3
Completed by the birthing hospital
Your baby’s name Date of birth / /
Name of place of birth Time of birth Sex M / F
Parent / guardian’s name Parent / guardian’s name
Pregnancy complications Blood group
Labour spontaneous / induced – reason
Type of birth: (please circle) Vaginal Caesarean Breech Forceps Ventouse Other
Post-partum issues
Gestation Apgar 1 minute 5 minutes Birth Weight (gm) Length (cm) Head Circ. (cm)
Neonatal Screening Test (NNST) completed Y / N Vitamin K given Y / N Hepatitis B given Y / N HBIG given Y / N
Blood group (if required) Pentavite (if required) Y / N
Only breastmilk Y / N Infant formula Y / N Breastmilk + infant formula Y / N
Additional feeding information
Date of discharge / / Discharge weight (g) Discharge length (cm) Head circ. (cm)
Neonatal issues
Child’s birth details
EDU817_BlueBook2018_inside_updated.indd 3 25/6/18 12:42 pm
page 4
Newborn examination (completed by a medical officer in hospital)
Child’s name Date of birth / / Postnatal day Date of examination / /
Conducted by: Name Designation
Check Comment
Head shape
Neck
Eyes (red reflex)
Ears
Mouth and palate
Cardiovascular
Central colour
Femoral pulses R/L
Respiratory
Abdomen and umbilicus
Anus
Genitalia
Testes fully descended R/L
Limbs and spine
Hips
Skin
Neurological, including reflexes, responsiveness/tone
Neonatal hearing screening
Congenital heart disease oximetry screening
It’s important to check that your baby’s hearing and vision is developing from birth.
EDU817_BlueBook2018_inside_updated.indd 4 25/6/18 12:42 pm
Hearing and vision
Hearing and vision
EDU817_BlueBook2018_TABS_updated.indd 1 25/6/18 12:47 pm
Here are some stages of development that can help you identify if your baby is seeing correctly.
Babies (birth to 12 months) can:
> see from birth, but not clearly
> watch a speaker’s eyes and mouth
> recognise the faces of special people in their lives
> follow noiseless moving objects with both eyes
> search for dropped objects in late infancy.
Baby’s hearing and eyesight
Toddlers (1 to 2 years) can:
> see objects in the distance such as signs or logos
> point to objects in a book
> match shapes and objects by colour and size
> pick out small detail in pictures.
Preschoolers (3 to 5 years) can:
> begin to colour in within the lines
> look at a book without tilting their head
> look at a book without holding it too close or too far away.
See your doctor or optometrist if you have any worries about your child’s eyesight at any age. For advice on optometrists in your area, visit www.optometry.org.au
All children should be able to use their eyes
together, without them turning inwards or
outwards or wobbling.
EDU817_BlueBook2018_TABS_updated.indd 2 25/6/18 12:47 pm
page 5
All babies born in a hospital have a hearing screen soon after birth. Newborn (neonatal) hearing screening is quick, free and results are available straight away. It’s best to have the screen as soon as possible after your baby is born. This screening can be done up to 6 months of age, although younger is better.
Hearing screening results
Pass (P) Refer (R) Decline (D) No test (N)
Left ear Right ear Left ear Right ear
Date / / Date / /
Left ear Right ear Left ear Right ear
Date / / Date / /
Check to see if your baby has had a screen, and what the result was:
Pass Your baby showed a clear response to sound in both ears during the screening tests.
Refer Your baby did not show a clear response to sound during the screening tests.
Newborn hearing screening
If your baby did not show a clear response, the Child and Family Health Service will contact you to arrange follow-up screening. This will occur separately to any other services you may or may not have consented to receive from the Child and Family Health Service.
If your baby has missed a hearing screening, contact the Universal Neonatal Hearing Screening program on 8303 1585 (Mon-Fri 8:00am - 4:30pm).
It’s very important to find out early if your baby has
hearing problems. Early treatment is
best for their speech and language development.
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page 6
Hearing loss diagnosis Some children will be referred directly for further hearing assessment soon after birth if they have been diagnosed with a condition or infection known to be related to hearing problems.
These include:
> craniofacial abnormalities
> syndromes known to be related to hearing loss e.g. cleft palate, hydrocephalus
> microtia or ear canal atresia
> viral or bacterial meningitis
> TORCH infections in baby (Toxoplasmosis, Syphilis, Rubella, Cytomegalovirus (CMV), Herpes Simplex).
Please contact the Universal Neonatal Hearing Screening Program if you believe your child has one of these conditions and has not already been referred for assessment.
Hearing risk factors identified(recommended at 12 months)
Follow-up with the Hearing Assessment Service is recommended at 12 months of age if your child has any of the following risk factors, even if they have passed the neonatal hearing screening:
> a close relative (child’s parent, brother or sister or, child’s parents brothers or sisters or their children) has had a permanent hearing loss from birth
> a significant head injury
> any syndrome known to be related to persistent middle ear fluid, such as Down Syndrome
> admission to neonatal intensive care unit for more than 5 days
> assisted ventilation
> hyperbilirubinaemia requiring exchange transfusion (severe jaundice at birth)
> exposure to ototoxic medications (medications toxic to the ear of the newborn, eg Gentamicin, loop diuretics)
> parental concern about the child’s hearing.
For more information or to make an appointment, contact the Hearing Assessment Service on 8303 1530 8:00am - 4:30pm.
communication, thinking and problem solving, and social and
Follow-up hearing screening (if required)
EDU817_BlueBook2018_inside_updated.indd 6 25/6/18 12:42 pm
Development and growth
Development and growth
EDU817_BlueBook2018_TABS_updated.indd 3 25/6/18 12:47 pm
The first 5 years are very important for lifetime development as this is when the brain grows rapidly.
We know that all children develop differently, even those in the same family, and that development may be affected by being born prematurely or by illness.
No matter the developmental journey your child takes, they will get the best start in life if they feel loved, safe and secure.
For more information on caring for your baby and helping your child grow and learn, visit www.raisingchildren.net.au for written information, videos and picture guides. Find lots of useful information and a link to the Parent Easy Guides at www.cyh.com.
It’s important to give your child opportunities to practice new skills as they grow and develop. Checking your child’s development will help you notice if they are having any difficulties.
If you have any concerns about your child’s development, seek help early from your Child and Family Health Service nurse or your family doctor.
Developmental milestonesThe developmental milestones on the following pages relate to the main areas of child development: body movement and control, communication, thinking and problem solving, and social and emotional development.
Use them as a guide to what to expect at different ages. Tick off the check boxes or write the age your child first met this milestone.
Your child’s development
Responding to your child lovingly and quickly helps
develop their trust and security – it
does not mean you are spoiling them.
EDU817_BlueBook2018_TABS_updated.indd 4 25/6/18 12:47 pm
page 7
Learning to talk and connect
Babies (0 to 12 months) Toddlers (1 to 3 years) Preschoolers (4 to 5 years)
■ laugh or chuckle (2 to 3 months)
■ make sounds (such as ‘bub-bub-bub’) to people (4 to 7 months)
■ look for their family or pets when named (6 to 8 months)
■ recognise their name (9 to 10 months)
■ respond to simple requests like ‘where is the ball?’ (9 to 14 months)
■ use 1 clear word with a meaning such as ‘mama’ or ‘dada’ (11 to 14 months)
■ wave bye-bye (12 to 15 months)
■ point or gesture to what they want (12 to 19 months)
■ point to simple parts of their body such as a nose or tummy when asked (15 to 22 months)
■ use 15 words or more, name some objects and talk more clearly (17 to 21 months)
■ follow 2-step instructions such as ‘put on your shoes and get your hat’ (18 to 24 months)
■ put 2 words together such as ‘go bye-bye’, ‘push car’ (20 to 24 months)
■ say how objects are used, eg ‘a cup for drinking’ (26 to 32 months)
■ take turns when talking with others (36 to 50 months)
■ use sentences of about 6 words with mostly correct grammar (42 to 54 months)
■ speak clearly enough to be understood by anyone (42 to 54 months)
■ use language when playing with other children (48 to 60 months)
■ explain why something happens such as ‘mum’s car stopped because the petrol ran out’ (50 to 60 months)
■ follow 3 directions such as ‘stand up, get your bag and wait at the door’ (54 to 66 months)
Developmental milestones
EDU817_BlueBook2018_inside_updated.indd 7 25/6/18 12:42 pm
page 8
Learning to move and be active
Babies (0 to 12 months) Toddlers (1 to 3 years) Preschoolers (4 to 5 years)
■ kick their legs well (0 to 3 months)
■ lift their head and shoulders when lying on their tummy (2 to 4 months)
■ roll over from back to tummy (6 to 8 months)
■ sit on their own (8 to 9 months)
■ crawl forward on their knees or bottom shuffle (8 to 10 months)
■ move around holding onto furniture (9 to 13 months)
■ walk by themselves without support (13 to 15 months)
■ kick a ball forward (18 to 25 months)
■ jump with both feet off the ground at once (22 to 30 months)
■ ride a pedal bike or pedal toy (24 to 36 months)
■ walk upstairs using alternate feet (24 to 30 months)
■ jump off 2 steps and land with feet together (32 to 50 months)
■ hop 3 times on 1 foot (36 to 50 months)
■ run fast outdoors avoiding obstacles (36 to 50 months)
■ walk downstairs using alternate feet (36 to 50 months)
■ run to kick a medium-sized ball (40 to 50 months)
Developmental milestones continued
EDU817_BlueBook2018_inside_updated.indd 8 25/6/18 12:42 pm
page 9
Learning to use my hands
Babies (0 to 12 months) Toddlers (1 to 3 years) Preschoolers (4 to 5 years)
■ reach for a toy and hold briefly (4 to 5 months)
■ transfer a toy from 1 hand to the other (5 to 7 months)
■ practice dropping objects (8 to 10 months)
■ bang objects together (8 to 12 months)
■ put objects in containers (10 to 11 months)
■ pick up small crumbs or objects with their finger and thumb (10 to 12 months)
■ use their pointing finger to show what they are looking at (12 to 16 months)
■ place 2 blocks or objects on top of one another (12 to 16 months)
■ scribble going round and round (20 to 24 months)
■ feed themselves without help (24 to 28 months)
■ use child-safe scissors with an adult watching (24 to 36 months)
■ draw a circle and cross (24 to 36 months)
■ build a tower of 8 or more blocks (28 to 36 months)
■ hold a pencil with their finger and thumb (36 to 54 months)
■ put on shoes and socks without help (42 to 48 months)
■ copy a ladder and square (48 to 56 months)
■ wash face and hands without help (50 to 60 months)
■ begin to write the letters of their name (52 to 60 months)
■ draw a recognisable face with eyes, nose, mouth (56 to 64 months)
Developmental milestones continued
EDU817_BlueBook2018_inside_updated.indd 9 25/6/18 12:42 pm
page 10
Learning to work things out
Babies (0 to 12 months) Toddlers (1 to 3 years) Preschoolers (4 to 5 years)
■ get upset if their toy is taken from them (2 to 5 months)
■ begin to hold a spoon (4 to 5 months)
■ pick up a toy and put it in their mouth (4 to 7 months)
■ hold 2 objects at once (6 to 8 months)
■ find a hidden toy or object such as hidden under a cup or blanket (7 to 11 months)
■ pick up and drink from a lidded and closed feeder cup without help (10 to 14 months)
■ manage an open cup without help (15 to 18 months)
■ take off their shoes and socks (18 to 20 months)
■ point to at least 4 body parts on their doll or teddy – hands, hair, feet, eyes, nose and mouth (20 to 24 months)
■ ask for things they want (24 to 26 months)
■ name at least 6 different colours (40 to 48 months)
■ count 4 blocks, pointing to each block in order (40 to 48 months)
■ know proper place for own things (30 to 52 months)
■ state opposites such as ‘big’ and ‘little’, ‘high’ and ‘low’, ‘wet’ and ‘dry’ (36 to 60 months)
■ correctly repeat a number with 4 digits, such as 5816 or 4952 (46 to 50 months)
■ count 10 blocks, pointing to each block (48 to 60 months)
Developmental milestones continued
EDU817_BlueBook2018_inside_updated.indd 10 25/6/18 12:42 pm
page 11
Learning to be sociable
Babies (0 to 12 months) Toddlers (1 to 3 years) Preschoolers (4 to 5 years)
■ smile back when you smile at them (1 to 2 months)
■ keep hold of a toy being playfully pulled away (3 to 6 months)
■ get upset when separated from familiar people (6 to 10 months)
■ join in games such as peek-a-boo (8 to 10 months)
■ only like familiar people to feed, dress, change and comfort them (8 to 12 months)
■ play pretend games such as talk on the telephone and help with household activities (18 to 28 months)
■ start to undress and help with dressing themselves (21 to 24 months)
■ begin to cooperate in play with other children (22 to 26 months)
■ learn to share their toys (24 to 30 months)
■ know whether they are a boy or a girl (32 to 36 months)
■ say how old they are (42 to 46 months)
■ dress and undress themselves including buttons, shoes and socks, but not zips (44 to 65 months)
■ eat different types of foods (48 to 54 months)
■ use the toilet independently (48 to 56 months)
■ attend to a task for 10 minutes without supervision (49 to 60 months)
■ have special friends that they like to play with (50 to 60 months)
Developmental milestones continued
EDU817_BlueBook2018_inside_updated.indd 11 25/6/18 12:42 pm
Consider any family health issues which may affect your child, for example vision, hearing, dental, allergies, asthma and health during pregnancy.
Family Health
page 12
EDU817_BlueBook2018_inside_updated.indd 12 25/6/18 12:42 pm
page 13
Immunisation
Monitoring your child’s weight and length (height) helps you to check that they are growing well.
Record your child’s growth and weight in the table provided.
You can weigh your baby at your local Child and Family Health centre or at a pharmacy. Find the Child and Family Health centre nearest to you at www.cyh.com/centres (Monday to Friday 9.00am to 4.30pm).
> It’s normal for weight to vary from day to day, so no more than once every 1-2 months is enough in the first 6 months. Less often after this is fine.
> It’s a good idea to weigh your baby without clothes on during the first year to give a more accurate weight.
Date Age Weight Length / height
Growth and weight record
Growth and weight
EDU817_BlueBook2018_TABS_updated.indd 5 25/6/18 12:47 pm
page 14
> Plot your child’s weight on the growth charts on pages 15-24.
> If your baby was premature (born before 37 weeks gestation), plot their growth using their corrected age until they turn 2.
> The following could show concerning patterns of growth:
■ weight below the lowest percentile line on the graph
■ weight above the highest percentile line on the chart
■ weight increasing or decreasing across 2 or more percentile lines.
> It’s more important to look at how your child’s growth plots over time on the growth charts than where they sit at any one point in time.
> Check with your Child and Family Health Service nurse or your family doctor if you note any of the above or if you are in any way concerned about your child’s growth.
Using growth charts
EDU817_BlueBook2018_TABS_updated.indd 6 25/6/18 12:47 pm
page 15
Girls w
eight-for-age percentilesBirth to 24 m
onths
2 3 4 5 6 7 8 9 10 2010kg kg12 13 14 15 16 17 18 1911Birth 1
2 3
4 5
6 7
8 9
10 11
12 13 14
15 16
17 18
19 20 21
22 23
24
5th
25th
10th
50th
75th
90th
98th
Percentiles
2
3 4
5 6
7 8
9 10
11 12
13
SOU
RCE:W
orld Health O
rganisation Child G
rowth Standards http://w
ww
.who.int/childgrow
th/en
Age (m
onths)
EDU817_BlueBook2018_inside_updated.indd 15 25/6/18 12:42 pm
page 16
Girls length-for-age percentiles
Birth to 24 months
44 46 48 50 52 54 56 5842 64 66 68 70 72 74 76 7862 84 86 88 90 92 94 96 988260 80
100
40cm cm
Birth 1
2 3
4 5
6 7
8 9
10 11
12 13
14 15
16 17
18 19 20
21 22
23 24
5th
25th
10th
50th
75th
90th
98th
Percentiles
SOU
RCE:W
orld Health O
rganisation Child G
rowth Standards http://w
ww
.who.int/childgrow
th/en
Age (m
onths)
EDU817_BlueBook2018_inside_updated.indd 16 25/6/18 12:42 pm
page 17
SOU
RCE:W
orld Health O
rganisation Child G
rowth Standards http://w
ww
.who.int/childgrow
th/en
Girls head circum
ference-for-age percentilesBirth to 24 m
onths
32 33 34 35 36 37 38 3931 42 43 44 45 46 47 48 494140 5030cm cm
Age (m
onths)Birth
1 2
3 4
5 6
7 8
9 10
11 12
13 14
15 16
17 18
19 20
21 22
23 24
5th
25th
10th
50th
75th
90th
98th
Percentiles
EDU817_BlueBook2018_inside_updated.indd 17 25/6/18 12:42 pm
page 18
SOU
RCE:D
eveloped by the National C
enter for Health Statistics in collaboration w
ith the National
Center for C
hronic Disease Prevention and H
ealth Promotion (2000) http://w
ww
.cdc.gov/growthcharts
18
15 20 25 30 35 40 45 50 55 601050kg kg70 75 80 85 90 95
100
65
2
3 4
5 6
7 8
9 10
11 12
13 14
15 16
17 18
5th
25th
10th
50th
75th
90th
98th
Percentiles
2
3 4
5 6
7 8
9 10
11 12
Age (years)
Girls w
eight-for-age percentiles2 to 18 years
EDU817_BlueBook2018_inside_updated.indd 18 25/6/18 12:42 pm
page 19
SOU
RCE:D
eveloped by the National C
enter for Health Statistics in collaboration w
ith the National
Center for C
hronic Disease Prevention and H
ealth Promotion (2000) http://w
ww
.cdc.gov/growthcharts
80 85 90 95
100
105
110
115
120
125
7570cm cm
135
140
145
150
155
160
165
170
175
180
130
2
3 4
5 6
7 8
9 10
11 12
13 14
15 16
17 18
5th
25th
10th
50th
75th
90th
98th
Percentiles
2
3 4
5 6
7 8
9 10
11 12
13 14
Age (years)
Girls height-for-age percentiles
2 to 18 years
EDU817_BlueBook2018_inside_updated.indd 19 25/6/18 12:42 pm
page 20
2 3 4 5 6 7 8 9 10 2010kg kg12 13 14 15 16 17 18 1911
Boys weight-for-age percentiles
Birth to 24 months
Birth 1
2 3
4 5
6 7
8 9
10 11
12 13 14
15 16
17 18
19 20 21
22 23
24
5th
25th
10th
50th
75th
90th
98th
Percentiles
SOU
RCE:W
orld Health O
rganisation Child G
rowth Standards http://w
ww
.who.int/childgrow
th/en
Age (m
onths)
EDU817_BlueBook2018_inside_updated.indd 20 25/6/18 12:42 pm
page 21
Boys length-for-age percentilesBirth to 24 m
onths
5th
25th
10th
50th
75th
90th
98th
Percentiles
44 46 48 50 52 54 56 5842 64 66 68 70 72 74 76 7862 84 86 88 90 92 94 96 988260 80
100
40cm cm
Birth 1
2 3
4 5
6 7
8 9
10 11
12 13 14
15 16
17 18
19 20 21
22 23
24
SOU
RCE:W
orld Health O
rganisation Child G
rowth Standards http://w
ww
.who.int/childgrow
th/en
Age (m
onths)
EDU817_BlueBook2018_inside_updated.indd 21 25/6/18 12:42 pm
page 22
Boys head circumference-for-age percentiles
Birth to 24 months
32 33 34 35 36 37 38 3931 42 43 44 45 46 47 48 4941 5140 5030cm cm
Birth
1 2
3 4
5 6
7 8
9 10
11 12
13 14
15 16
17 18
19 20
21 22
23 24
5th
25th
10th
50th
75th
90th
98th
Percentiles
18
SOU
RCE:W
orld Health O
rganisation Child G
rowth Standards http://w
ww
.who.int/childgrow
th/en
Age (m
onths)
EDU817_BlueBook2018_inside_updated.indd 22 25/6/18 12:42 pm
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SOU
RCE:D
eveloped by the National C
enter for Health Statistics in collaboration w
ith the National
Center for C
hronic Disease Prevention and H
ealth Promotion (2000) http://w
ww
.cdc.gov/growthcharts
18
2 3
4 5
6 7
8 9
10 11
12 13
14 15
16 17
18
15 20 25 30 35 40 45 50 55 601050kg 70 75 80 85 90 95
100
105
65
kg
5th
25th
10th
50th
75th
90th
98th
Percentiles
Age (years)
Boys weight-for-age percentiles
2 to 18 years
EDU817_BlueBook2018_inside_updated.indd 23 25/6/18 12:42 pm
page 24
SOU
RCE:D
eveloped by the National C
enter for Health Statistics in collaboration w
ith the National
Center for C
hronic Disease Prevention and H
ealth Promotion (2000) http://w
ww
.cdc.gov/growthcharts
17
18
90 95
100
105
110
115
120
125
130
135
8580cm cm
145
150
155
160
165
170
175
180
185
190
140
2
3 4
5 6
7 8
9 10
11 12
13 14
15 16
17 18
5th
25th
10th
50th
75th
90th
98th
Percentiles
2
3 4
5 6
7 8
9 10
11 12
13 14
Age (years)
Boys height-for-age percentiles2 to 18 years
EDU817_BlueBook2018_inside_updated.indd 24 25/6/18 12:42 pm
Immunisation
page 25
Teeth
Teeth and dental health
Looking after your child’s first (baby) teeth helps give their adult teeth a good start.
Care for your baby’s teeth by:
> cleaning their teeth when they first appear with a small soft toothbrush or clean cloth
> brushing twice a day, after breakfast and before bed
> avoiding toothpaste until 18 months
> using only breastmilk, water or formula in their bottle – avoid fruit juice, cordial or fizzy drinks
> not putting your baby to bed with a bottle – this is the main cause of tooth decay in children under 5 years
> if your baby uses a dummy, cleaning it under running water (not in your mouth) to avoid the transfer of germs that cause tooth decay.
For your toddler or preschooler: > brush teeth twice a day, after breakfast and before bed
> use a low-fluoride children’s toothpaste and a small soft brush
> lift your toddler’s top lip once a month to check for early signs of tooth decay. White lines on the tooth near the gum line can be the beginning of decay. Visit the SA Dental Service if you are worried or see your dentist
> help prevent tooth decay by limiting how often your child has sugary food and drink, including juice.
Your baby can start to drink from a cup at 6 months old and after 12 months can have all drinks from a cup.
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This chart is a guide, but every baby is different. Your baby’s teeth may come through in a different order or at a different age. Don’t be concerned if their teeth do come through differently.
> First dental check-ups are recommended from 12 to 18 months.
> Dental care is FREE for all babies, children not yet at school and for most children under 18 at School Dental Clinics.
Your baby’s teeth chart
Dates when your child's teeth appeared
Date Notes
To find your local School Dental Clinic Visit www.sadental.sa.gov.au or phone 1300 008 222.
You can also take your child to a private dental clinic.
This material has been reproduced with the permission of the SA Dental Service.
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Vaccines save lives
Immunisation
is safeImmunise on time
for childcare, preschool
and school, and may
be needed for travel
and work
Immunisation records are
needed
ImmunisationImmunising your child is important
Immunisation
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Immunisation protects your child against harmful diseases before they come in contact with them.
Having all vaccines on time helps to keep them safe from disease.
At birth your child will be due an immunisation, and then immunisations are due at 6 weeks of age and at 4, 6, 12 and 18 months of age, with a booster due at 4 years of age.
Your child may be eligible for extra vaccines if they are Aboriginal, were premature or have a medical condition placing them at risk of some vaccine preventable diseases.
You can take your child to the local council clinic, community health service or family doctor to get their vaccines.
The vaccines your child will be given have been thoroughly tested and are very safe.
Your child may have some side effects after immunisation. They are usually mild and don’t last long.
Any serious side effects are extremely rare.
Your child will be due to have more vaccines when they are at high school.
It’s important to keep the immunisation records in a safe place.
For further information about immunisation, please ask your immunisation provider or see the following resources:
> Immunise Australia program www.immunise.health.gov.au for Your Guide To Understanding Childhood Immunisations booklet and the Immunisation Myths and Realities booklet
> National Centre for Immunisation and Research www.ncirs.edu.au for fact sheets on vaccine safety, vaccine preventable diseases and MMR (measles, mumps, rubella) decision aid
> The Australian Academy of Science www.science.org.au for The Science of Immunisation booklet
> SA Health Immunisation Section 1300 232 272 for South Australian immunisation information
> Australian Immunisation Register 1800 653 809 for your child’s immunisation history
> Immunise Australia Information Line 1800 671 811
Immunisation
There are additional vaccines, which are not currently funded under the Childhood Immunisation Schedule. e.g. Meningococcal B can be accessed through your GP at a cost.
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page 27
The National Immunisation Program is subject to change. Your immunisation provider will have the most current information.
Age Disease Vaccine
Birth (0-7 days) Hepatitis B HB Vax II® Paediatric or Engerix® B Paediatric
6 weeks Diphtheria, Tetanus, Pertussis, Haemophilus influenzae type b (Hib), Hepatitis B, Polio
Infanrix hexa®
Pneumococcal Prevenar 13®
Rotavirus Rotarix®
4 months Diphtheria, Tetanus, Pertussis, Haemophilus influenzae type b (Hib), Hepatitis B, Polio
Infanrix hexa®
Pneumococcal Prevenar 13®
Rotavirus Rotarix®
6 months Diphtheria, Tetanus, Pertussis, Haemophilus influenzae B (Hib), Hepatitis B, Polio
Infanrix hexa®
Pneumococcal (Aboriginal children and MAR only) Prevenar 13®
12 months Measles, Mumps, Rubella (MMR) M-M-R 11® or Priorix®
Meningococcal Conjugate ACWY Nimenrix®
Pneumococcal Prevenar 13®
Hepatitis B (< 32 weeks gestation or < 2000g at birth)
HB Vax II® Paediatric or
Engerix B® Paediatric
South Australian Childhood Immunisation Schedule July 2018
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Age Disease Vaccine
12 months Aboriginal children
Measles, Mumps, Rubella (MMR) M-M-R 11® or Priorix®
Meningococcal Conjugate ACWY Nimenrix®
Pneumococcal Prevenar 13®
Hepatitis A Vaqta® Paediatric
Hepatitis B (< 32 weeks gestation or < 2000g at birth)
HB Vax II® Paediatric or Engerix B® Paediatric
Haemophilus influenzae type b (Hib) Act-Hib®
18 months Diphtheria, Tetanus, Pertussis Tripacel® or Infanrix®
Measles, Mumps, Rubella/Varicella (chickenpox) Priorix-Tetra® or ProQuad®
18 months Aboriginal children
Haemophilus influenzae type b (Hib) Act-Hib®
Diphtheria, Tetanus, Pertussis Tripacel® or Infanrix®
Measles, Mumps, Rubella/Varicella (chickenpox) Priorix-Tetra® or ProQuad®
Hepatitis A Vaqta Paediatric®
4 years Diphtheria, Tetanus, Pertussis, Polio Infanrix IPV® or Quadracel®
Pneumococcal 23vPPV (MAR children only)
Pneumovax 23®
MAR - Medically At Risk. The term Aboriginal is inclusive of Aboriginal and Torres Strait Islander people.
South Australian Childhood Immunisation Schedule July 2018 continued
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Immunisation recordTo be completed by doctor or nurse.
Child’s name Date of birth / / Medicare number
Age Immunisation Site Batch number Date given Next due Provider signature/stamp
Birth (0 – 7 days)
Hepatitis B LL/RL
6 weeks Diphtheria, Tetanus, Pertussis, Haemophilus influenzae type b (Hib), Hepatitis B, Polio
LL/RL
Pneumococcal (13vPCV) LL/RL
Rotavirus Oral
4 months Diphtheria, Tetanus, Pertussis, Haemophilus influenzae type b (Hib), Hepatitis B, Polio
LL/RL
Pneumococcal (13vPCV) LL/RL
Rotavirus Oral
6 months Diphtheria, Tetanus, Pertussis, Haemophilus influenzae type b (Hib), Hepatitis B, Polio
LL/RL
Pneumococcal (13vPCV) (Aboriginal children and MAR only)
LL/RL
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Age Immunisation Site Batch number Date given Next due Provider signature/stamp
12 months Measles, Mumps, Rubella (MMR) LA/RA LL/RL
Meningococcal Conjugate ACWY LA/RA LL/RL
Pneumococcal (13vPCV) LA/RA LL/RL
Hepatitis B (< 32 weeks gestation or < 2000g at birth)
LA/RA LL/RL
12 months Aboriginal children only
Measles, Mumps, Rubella (MMR) LA/RA LL/RL
Meningococcal Conjugate ACWY LA/RA LL/RL
Pneumococcal (13vPCV) LA/RA LL/RL
Hepatitis A LA/RA LL/RL
Hepatitis B ( < 32 weeks gestation or < 2000g at birth)
LA/RA LL/RL
To be completed by doctor or nurse.
Child’s name Date of birth / / Medicare number
Immunisation record continued
To be completed by doctor or nurse.
Child’s name Date of birth / / Medicare number
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Immunisation record continued
To be completed by doctor or nurse.
Child’s name Date of birth / / Medicare number
Age Immunisation Site Batch number Date given Next due Provider signature/stamp
18 months Haemophilus influenzae type b (Hib)
LA/RA LL/RL
Measles, Mumps, Rubella / Varicella (chickenpox)
LA/RA LL/RL
Diphtheria, Tetanus, Pertussis LA/RA LL/RL
18 months Aboriginal children only
Haemophilus influenzae type b (Hib)
LA/RA LL/RL
Measles, Mumps, Rubella / Varicella (chickenpox)
LA/RA LL/RL
Diphtheria, Tetanus, Pertussis LA/RA LL/RL
Hepatitis A LA/RA LL/RL
4 years Diphtheria, Tetanus, Pertussis, Polio
LA/RA
Pneumococcal 23vPPV (MAR children only)
LA/RA
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Additional vaccinations (for example influenza, travel vaccines)
Age Dose No. Immunisation Site Batch number Date given Next due Provider signature/stamp
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My health checks
My health checks
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Health checksRegular health and development checks are recommended for all babies and young children to see that they are growing and developing normally, and to find health problems so that they can be treated early.
NewbornA newborn baby (1 to 4 weeks) health check is usually done by a Child and Family Health Service nurse as part of the ‘universal contact’ visit, which is offered to all parents or caregivers of newborns.
2 weeks and 6 weeksSee your doctor for your baby’s 2 weeks and 6 weeks health checks (a medical check is recommended within the first 6 weeks of birth).
6 to 9 months and 18 to 24 monthsCheck your child’s development against the developmental milestones on pages 7-11. If you have any concerns about your child’s health and/or development contact the Child and Family Health Service on 1300 733 606 to book an appointment for a health check for your child.
At 6 to 9 months and 18 to 24 months parents will be offered the Ages and Stages Developmental Questionnaire, which supports the identification of developmental delay.
PreschoolYou will be offered a preschool health check for your child when they attend kindergarten or preschool. The kindergarten or preschool will provide you with information about the health check and how to make an appointment.
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1 to 4-week health checkOffered by the Child and Family Health Service. Please tick boxes if checked.
Health check 1-4 weeksDate completed / /
Age
Weight g %
Length cm %
Head circumference cm %
Head shape, including fontanelles ■Eyes ■Ears ■Mouth/palate ■Skin ■Reflexes ■Femoral pulses ■Hips ■Limbs and spine; hands, feet, toes ■Abdomen and umbilicus ■Genitalia and inguinal area ■Testes fully descended R/L ■Hearing ■Immunisation (as per schedule) Y / N
Breastfeeding Y / N
Information for parents (include referrals if needed)
After this visit:
Health check completed by:
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2-week health checkSee your doctor for this check. Please tick boxes if checked.
Health check 2 weeksDate completed / /
Age
Weight g %
Length cm %
Head circumference cm %
Head shape, including fontanelles ■Eyes ■Ears ■Mouth/palate ■Skin ■Reflexes ■Femoral pulses ■Hips ■Limbs and spine ■Abdomen and umbilicus ■Genitalia and inguinal area ■Testes fully descended R/L ■Cardiovascular ■Hearing ■Immunisation (as per schedule) Y / N
Breastfeeding Y / N
Information for parents (include referrals if needed)
After this visit:
Health check completed by:
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6-week health checkSee your doctor for this check. Please tick boxes if checked.
Health check 6 weeksDate completed / /
Age
Weight g %
Length cm %
Head circumference cm %
Head shape, including fontanelles ■Eyes ■Ears ■Mouth/palate ■Skin ■Reflexes ■Femoral pulses ■Hips ■Limbs and spine ■Abdomen and umbilicus ■Genitalia and inguinal area ■Testes fully descended R/L ■Cardiovascular ■Hearing ■Immunisation (as per schedule) Y / N
Breastfeeding Y / N
Information for parents (include referrals if needed)
After this visit:
Health check completed by:
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6 to 9-month health checkOffered by the Child and Family Health Service. Please tick boxes if checked.
Health check 6-9 monthsDate completed / /
Age
Weight g %
Length cm %
Head circumference cm %
Head shape, including fontanelles ■Eyes ■Dental – Lift the lip ■Skin ■Hips (abduction) ■Limbs and spine ■Genitalia and inguinal area ■Testes fully descended R/L ■Development ■Immunisation (as per schedule) Y / N
Breastfeeding Y / N
Information for parents (include referrals if needed)
After this visit:
Health check completed by:
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18 to 24-month health checkOffered by the Child and Family Health Service. Please tick boxes if checked.
Health check 18-24 monthsDate completed / /
Age
Weight g %
Length cm %
Head circumference cm %
Eyes ■Dental – Lift the lip ■Gait ■Testes fully descended R/L ■Development ■Immunisation (as per schedule) Y / N
Breastfeeding Y / N
Information for parents (include referrals if needed)
After this visit:
Health check completed by:
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Health check 3 yearsDate completed / /
Age
Weight g %
Length cm %
Eyes ■Ears ■Dental – Lift the Lip ■Testes fully descended R/L ■Gait ■Development ■Immunisation (as per schedule) ■
Information for parents (include referrals if needed)
After this visit:
Health check completed by:
3 years and preschool health checksOffered by the Child and Family Health Service. Please tick boxes if checked.
Health check PreschoolDate completed / /
Age
Weight g %
Height cm %
Head circumference cm %
Distance vision ■Hearing (audiometer) ■Dental – Lift the Lip ■Development ■Immunisation (as per schedule) ■
Information for parents (include referrals if needed)
After this visit:
Health check completed by:
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Caring for baby
Caring for babyInformation for parents
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Information for parentsBecoming a parent changes your life and can be one of the most wonderful, but challenging, experiences.
It’s ok to ask for help if you need it. Seeking support and dealing with any issues or concerns early can stop things becoming worse.
Look under the ‘Where to go for help’ section on pages 47-53 for a list of contact details of services that are available to support your family.
This section provides information about keeping your child safe including safe sleeping habits, feeding your baby, toddler and preschooler, and settling baby.
For ideas on fun play activities for your child at every age, visit the websites www.raisingchildren.net.au and www.greatstart.sa.edu.au
Most importantly, ask for help if you need it.
Postnatal depression
More than 15% of women and 10% of men develop Postnatal Depression (PND). It is one of the possible complications of pregnancy and childbirth.
Signs include sleep disturbances, loss of appetite, feeling sad, unable to cope, irritable and/or anxious, loss of concentration, loss of confidence and self-esteem, feeling guilty and inadequate, or fear of being alone.
If you think you may be experiencing Postnatal Depression, contact your family doctor or the Child and Family Health Service on 1300 733 606.
Seek help early.
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page 39
New babies spend a lot of their time asleep. Some sleeping arrangements are not safe and can increase the risk of Sudden Unexpected Death in Infancy including SIDS, and fatal sleeping accidents.
Unfortunately, every year some babies still die while sleeping in an unsafe sleeping arrangement and most of these deaths are preventable.
Your Child and Family Health Service nurse/health worker can discuss this further with you. They will work with you to help find safe sleep habits for your baby.
Diagram developed by SIDS and Kids 2014
Sleeping baby safelyThere are a number of things you can do to help your baby sleep safely and reduce the risk of Sudden Unexpected Death in Infancy:
> put your baby to sleep on their back
> keep your baby’s head and face uncovered (no beanie, no hat, no hooded clothing)
> keep your baby ‘smoke free’ before and after birth
> create a safe sleeping environment for night and day sleeps (safe cot, mattress and bedding)
> sleep your baby in a safe cot next to your bed for the first 6 to 12 months
> check that the cot meets current Australian standards
> check that the mattress is firm, clean, well-fitting and flat
> make sure there is no loose bedding, quilts, doonas, pillows, cot bumpers, sheepskins or soft toys in the cot
> where possible, breastfeed your baby.
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Through discussion with you and seeing where your baby sleeps, the Child and Family Health Service nurse/health worker:
agrees you are doing everything you can to help your baby sleep safely
suggests some changes for your baby to sleep safely and reduce the risk of Sudden Unexplained Deaths in Infancy.
Date_____/______/______
Sleeping baby safely continued
Red Nose (previously SIDS and Kids National) Ph: 1300 998 698 www.rednose.com.au
SIDS and Kids SA Ph: 8322 1066 1300 799 656 (Emergency Crisis) www.sidssa.org
Red Nose Safe Sleeping app (available for iPhone or Android)
Child and Family Health Service Ph: 1300 733 606 www.cyh.com
Kidsafe SA Ph: 8161 6318 www.kidsafesa.com.au
Parent Helpline Ph: 1300 364 100
Keeping Baby Safe – A Guide To Infant And Nursery Products www.productsafety.gov.au
More information
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Smoking around your child can damage their health. One of the best things you can do for your child is to avoid exposing them to cigarette smoke, and if you can, to quit smoking. For help call Quitline on 13 78 48.
For more information about keeping your child safe, contact Kidsafe on 8161 6318 or go to www.kidsafesa.com.au
Babies and toddlers (from birth to 3 years)
Sleep » See pages 39-40.
Falls » Never leave babies unattended on the change table, bed, couch or any
raised surface – they may roll and fall off.
» Use a full harness with high chairs, swings and prams.
Cars and travelling » Use a correctly fitted car restraint for all children on every trip.
» Watch them in the driveway and garage. Make sure you know exactly where they are before moving the car.
» Never leave your baby / child unattended in a car, even if only for a short time.
Water » Watch them at all times when they are near water (including baths,
buckets, wading pools, swimming pools).
» Empty baths, buckets and wading pools after each use and make sure backyard pools are child-safe fenced. A child can drown silently in as little as 5cm of water.
Burns » Keep hot things such as tea, coffee, heaters and hot appliances out of
reach to prevent burns.
» Use a sunscreen and hat to protect your child from sunburn.
Animals » Supervise your child with animals and pets. All dogs have the potential to
bite a child. Keep cats and dogs out of your baby’s bedroom.
Home » Keep curtain and blind cords and other hazards up and well away from
the cot or floor.
» Keep all medicines and household chemicals (such as those used for cleaning) up high and out of reach in a locked cupboard.
» Check for items around your home that may contain coin-sized or smaller button batteries and place them out of sight and reach of young children.
» Secure TVs and heavy furniture such as bookshelves and cabinets so they don’t topple on children.
» Put a safety gate at the top and bottom of stairs to prevent falls and unsafe access.
Child safety
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Preschoolers (3 to 5 years)
» Set up play equipment on a soft surface and close to the ground.
» Teach your child their full name and address and get them to practise it.
» Always supervise your child crossing the road, in car parks and around garages and driveways – they can move so quickly.
» Always watch children around dogs (especially when the dog is eating).
» Supervise children when they are in the kitchen (keep them away from hot stoves, sharp knives, detergents).
» Make sure your child wears a helmet every time they ride a bike or scooter.
» Teach your child about safety and explain what it means to be safe and why we all need to stay safe. STOP!
Never leave your child unattended
in the car. It’s not safe.
page 42
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Newborns sleep off and on throughout the day and night. As they grow older they will sleep for longer periods at night and will be awake for longer periods during the day.
Responding to your baby’s signs of tiredness helps them to learn how to settle themselves to sleep. Look for signs that your baby is tired – these could include rubbing their eyes, closing their fists, yawning, arching their back – and settle them to sleep. Remember to put your baby to sleep on their back, not on their tummy or side (see pages 39-40).
Ways of settling include rocking, patting, singing and walking. Each child is different and you may need to try different settling techniques at different times.
Sleep and settling
For helpful videos on settling your baby to sleep visit www.raisingchildren.net.au
If your baby finds it hard to sleep and settle, parents can get overtired, anxious and stressed. If you are feeling tense, frustrated and upset, place your child safely in a cot, take a break and give yourself time to calm down or get someone else to help you.
For more information visit www.cyh.com, talk with your Child and Family Health Service nurse or call the Parent Helpline on 1300 364 100.
STOP!NEVER SHAKE A
BABY, it can damage their brain.
If wrapping your baby or using an infant sleeping bag to help them settle, make sure there is room for their legs to be able to bend with knees apart. This allows their hips to develop normally.
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Babies (0 to 12 months)Until around 5 to 6 months of age, breastmilk or infant formula meets all of your baby’s nutritional needs. Even after your baby has started on solid foods, breastmilk or infant formula is still an important source of nutrition.
Feed your baby whenever they seem hungry; this might be between 5-10 times per day. Signs your baby is feeding well include gaining weight, having plenty of wet nappies each day, and being alert and content at least for some of the time.
Breast feeding
> Every extra month that you feed your baby breastmilk is a bonus for their health and yours.
> Breastmilk is easily digested, safe and always ready when your baby needs it. It contains ingredients that lower the chance of your baby getting sick.
> For information and advice about breastfeeding, talk to your midwife, lactation consultant, Child and Family Health Service nurse or family doctor.
> If you are breastfeeding, avoid drinking alcohol.
For more information visit: www.cyh.com/breastfeedingservices, www.breastfeeding.asn.au or call 1800 686 268.
Bottle feeding
> If your baby is not drinking breastmilk, the only other safe choice is infant formula as the main drink for the first 12 months of life. Your Child and Family Health Service nurse can provide individual advice about formula preparation.
For more information visit: www.cyh.com/nutrition.
Feeding
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Starting with small tastes of food > It’s important to include at least 1 iron-rich food regularly in your baby’s first foods to prevent iron deficiency. Iron-rich foods include iron-fortified cereals (eg baby rice cereal), pureed meat and poultry dishes, cooked pureed tofu and cooked pureed legumes, lentils and beans.
> There are no strict rules on the order in which foods should be introduced or the number of new foods that can be introduced at a time. Aim to offer your child a variety of foods from all the food groups.
> Gagging is a normal part of learning to eat and it usually frightens the parents more than the baby. Keep offering lumpy foods to your baby, even if they gag, so they can learn how to eat them.
SolidsAt around 5 to 6 months of age solid foods are needed to meet your baby’s increasing nutritional and developmental needs. Signs that your baby is ready to start solid foods include:
> able to hold their head up and sit with support and control their tongue
> being interested in what others eat (looking, reaching and grabbing for food)
Learning to self-feed is an important but messy step in your baby’s development. Playing with food is part of the way babies learn about different foods.
Choking is a risk at any age. Children under 4 do not have back teeth to chew and grind food. It is important to supervise your child when they are eating. Make sure they don’t eat when they are running or playing, laughing or crying.
For more information visit www.cyh.com/nutrition (look under 'Safety and First Aid' for information on choking).
Babies (0 to 12 months) continued
Eat with your baby as much as you can - babies learn by watching what you do.
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Toddlers > After 12 months your toddler can be offered modified versions of family foods and meals.
> Toddlers have small tummies and appetites so need to be offered small regular meals and snacks. Offer 3 meals and 1 or 2 snacks each day.
> Children are good at knowing when they are hungry and full. They can easily lose this skill if they are pushed to eat more than they want to or are forced to finish everything on their plate.
> Toddlers like to do things for themselves – let them use their fingers or cutlery to feed themselves, even if it makes a mess.
> Most toddlers are easily distracted – turn off the television, put pets outside and tidy away toys so they can focus on the meal.
> Enjoy family meals together. Your toddler will learn by watching you eat and enjoy a healthy range of foods.
> The best drinks for toddlers are breastmilk, water, or full cream cow’s milk from a cup.
> Drinking too much milk will take up the tummy space they need for healthy food so limit their intake to no more than 500ml (about 2 cups) per day.
> At the age of 2 your child can be offered reduced-fat milk if you choose. Offer water from a cup as their main drink.
> Avoid fruit juice, cordial and other high-sugar drinks as they can cause tooth decay and excess weight gain. Tea and coffee should not be given to children as these drinks are low in nutrition and high in caffeine.
> Try to include foods from each of the 5 food groups in your child’s diet every day:
» grain (cereal) foods – mostly wholegrain and/or high-fibre varieties
» vegetables
» fruit
» milk, yoghurt, cheese and/or alternatives, mostly reduced-fat (after the age of 2)
» lean meats and poultry, fish, eggs, tofu, nuts and seeds and legumes/beans.
Try to keep relaxed at mealtimes and
remember a food may need to be offered
as many as 10 times before it is accepted.
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Where to go for help
Where to go for help
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Contact your Child and Family Health Service nurse if you are concerned about these or any other issues:
> breastfeeding
> infant feeding
> parenting information
> sleep and settling
> your child’s development
> your child’s growth.
Contact your doctor for help if you notice any of these signs or if you are worried for any other reason:
> drowsiness (less alert than usual)
> lethargic (less active than usual)
> breathing difficulties
> looks paler than usual
> not feeding well
> fever above 38 degrees celsius
> vomiting and diarrhoea
> unusual rash
> more crying than usual.
If you are unsure about seeing a doctor, contact healthdirect Australia (24 hours) on 1800 022 222 for advice.
Where to go for help
Domestic violenceDomestic and family violence is far too common and can have a major impact on families, including children. There is an increased risk of violence during pregnancy and birthing, and it is important to remember that victims are never to blame for someone else’s use of violence. Children and families flourish in respectful relationships and supports are available – please refer to page 50 for information about services that can help.
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page 47
Where to go for help Emergency
(Ambulance, Fire or Police) 000 or for hearing impaired 106
Child Abuse Report Line 13 14 78
Crisis Care(Mon - Fri 4.00pm to 9.00pm; 24 hours weekends and Public Holidays)
13 16 11
Mental Health Emergency (24 hours) 13 14 65
Domestic Violence Gateway Helpline (24 hours) Gateway between Violence and Helpline. For counselling, support, Information and referrals
1800 800 098
Domestic Violence and Aboriginal Family Violence GatewayAvailable 24 hours, 7 days
1800 800 098 or 13 14 50 (if interpreter needed)
1800RESPECT National Sexual Assault, Domestic and Family Violence Counselling Service
1800 737 732
Lifeline Australia (24 hours)Crisis support and suicide prevention
13 11 14
Breastfeeding
Australian Breastfeeding Association www.breastfeeding.asn.au
Breastfeeding Helpline (7 days) 1800 686 268
Baby Friendly Health Initiative Australia Information about baby friendly health services
www.midwives.org.au
SA Breastfeeding Support Services A list of all services available
www.cyh.com/breastfeedingservices
Lactation Consultants of Australia and New Zealand Find a lactation consultant of your choice
www.lcanz.org [email protected]
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Childcare
Child Care Access Hotline (free call) Free telephone service from landline to help you find a childcare service that meets your needs. (Mon - Fri 8.00am to 6.00pm).
1800 670 305
Care for kids Information on childcare services
www.careforkids.com.au
Child health and development
Child and Family Health Service (Mon – Fri 9.00 am to 4.30 pm)
1300 733 606 (for appointments)www.cyh.com/centres
Raising Children Network Information for parents, resources and activities for children
www.raisingchildren.net.au
Great Start Everyday learning activities for children
www.greatstart.sa.edu.au
Raising Literacy Australia Books for babies, toddlers and pre-schoolers including free resources
www.thelittlebigbookclub.com.au
Playgroup South Australia 1800 171 882www.playgroupsa.com.au
Speech and language fact sheets http://www.speechpathologyaustralia.org.au(click on Resources for the Public, then Fact Sheets)
National Disability Insurance Scheme (NDIS) 1800 800 110www.ndis.gov.au
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Child safety
Kidsafe SAFor information on how to prevent childhood injuries visit the Kidsafe Centre at the Women’s and Children’s Hospital (Mon – Fri 9.00am to 5.00pm)
8161 6318www.kidsafesa.com.au (click on Resources tab, then Information Sheets)
Kidsafe SA Home Safety Checklist www.kidsafe.com.au (click on Resources tab, then Information Sheets)
ACCC (Australian Competition and Consumer Commission) Information on product safety and consumer rights
www.accc.gov.au
Medicines and Drug Information CentreInformation on using medicines in pregnancy, while breastfeeding or for children
8161 7222
Poisons Information Centre 13 11 26
Red Nose (previously SIDS and Kids National) (Mon to Fri 9.00am to 5.00pm) Information on safe sleeping
1300 998 698www.rednose.com.au
SIDS and Kids SA For SA support (Mon to Fri 10.00am to 4.00pm) Information on safe sleeping
8322 1066 1300 799 656 (Emergency Crisis)www.sidssa.org
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Dental
SA Dental Service 1300 008 222www.sadental.sa.gov.au
Domestic Violence
Domestic Violence and Aboriginal Family Violence GatewayAvailable 24 hours, 7 days
1800 800 098 or 13 14 50 (if interpreter needed)
1800RESPECT National Sexual Assault, Domestic and Family Violence Counselling Service
1800 737 732
Eastern Adelaide Domestic Violence Service 8365 5033
Western Adelaide Domestic Violence Service 8268 7700
Northern Domestic Violence Service 8268 7700
Southern Domestic Violence Service 8382 0066
SA Regional Domestic Violence Services 1800 800 098
Culturally and Linguistically Diverse Domestic Violence ServicesMigrant Women’s Support Services
8346 9417
Aboriginal and Torres Strait Islander Services
Nunga Mi:Minar(Northern Region Domestic Violence Service)
1800 003 308 (free call)
Ninko Kurtangga Patpangga (Southern Region Domestic Violence Service)
8297 9644
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Health and wellbeing
Beyondblue Help with depression and anxiety, also Dad’s Handbook: A Guide To The First 12 Months
1300 224 636www.beyondblue.org.au
PANDA The National Perinatal Anxiety and Depression Helpline.Mon-Fri 9.00am to 7.30pm (AEST)Mon-Fri 8.30am to 7.00pm (SA time)
1300 726 306
Drug and Alcohol Services South Australia Prevention, treatment, information, education and community-based services
1300 131 340http://www.sahealth.sa.gov.au(click on Health Services tab, then Drug and Alcohol Services)
Child and Adolescent Mental Health Service (CAMHS)Free statewide community based mental health service forinfants, children, adolescents and perinatal women
www.wch.sa.gov.au/camhs
healthdirect Australia (24 hours)Telephone health advice
1800 022 222www.healthdirect.gov.au
MensLine AustraliaSupport for men with family and relationship issues
1300 789 978 (24 hours)www.mensline.org.au
QuitlineHelp to quit smoking
13 78 48
SHineSAInformation and resources on sexual health
1300 794 584www.shinesa.org.au
Women’s Health ServiceClinical, emotional health and wellbeing services for Aboriginal and Torres Strait Islander women, refugees and newly arrived migrant women, women living with HIV, women with challenging health/life issues who have significant difficulty accessing health services
www.whs.sa.gov.au Port Adelaide, Elizabeth and Hillcrest: 8444 0700
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Hearing and vision
Hearing Assessment Service 8303 1530
Universal Neonatal Hearing Screening 8303 1585
Optometry South AustraliaInformation on eye health and advice on optometrists in your area
8372 7814www.optometry.org.au
Parenting
Children’s centresService hubs for parents and children 0 to 8 years
www.childrenscentres.sa.gov.au
Parent Easy GuidesFact sheets with helpful information for parents and carers
www.parenting.sa.gov.au
Parent HelplineInformation on child health, behaviour, nutrition, parenting
1300 364 100
Child and Family Health Service www.cyh.com/parenting1300 733 606
Raising Children Network www.raisingchildren.net.au
Pregnancy, Birth and Baby National Helpline (24 hours) 1800 882 436 www.pregnancybirthbaby.org.au
South Australian Multiple Birth Association 8342 2330www.multiplebirthsa.org.au
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Other
Child Support HelplineIndependent legal advice on child support matters. Free initial telephone advice and follow-up interview if required(Mon - Fri 9.00am to 4.30pm)
1300 366 424facebook.com/ChildSupportUnitSA
Multicultural Health InformationHealth information including infant health in many languages
www.mhcs.health.nsw.gov.au
SA HealthInformation about services available in metropolitan and country areas, including Aboriginal health, drug and alcohol, GP Plus services and Centres, men’s health, mental health, youth health
www.sahealth.sa.gov.au8226 6000
TTY Users: 133 677, then ask for (08) 8226 6000 http://www.sahealth.sa.gov.au
Speak and listen users: 1300 555 727, then ask for (08) 8226 6000
Internet relay users Connect to the National Relay Service, then ask for (08) 8226 6000
National Health Services DirectoryDirectory of health and community services
www.nhsd.com.au
Your local council
Local Government AssociationFind out about the services and activities for children and families that your local council provides. Use the website to find out what council area you live in, if you are unsure
8224 2000www.lga.sa.gov.au
Feedback on the Blue Book is welcome Email [email protected] Phone 1300 733 606 (Mon-Fri 9.00am - 4.30pm)
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Notes and appointments
Notes and appointments
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NotesAge Date
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AppointmentsYour child health centre is: Opening hours If you are unable to attend, please let us know with as much notice as possible.
Phone: 1300 733 606 (please leave a message if calling after hours)
Date Time Appointment for:
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NotesAge Date
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Australian Breastfeeding Association 1800 686 268
www.breastfeeding.asn.au
Pregnancy, Birth and Baby Helpline (24 hours) 1800 882 436
healthdirect Australia (24 hours) 1800 022 222
Emergency (Ambulance, Fire or Police) 000
Crisis Care (after hours and weekends) 13 16 11
Mental Health Emergency (24 hours) 13 14 65
Poisons Information Centre (24 hours) 13 11 26
Child and Family Health Service (Mon-Fri) Appointments 1300 733 606 or www.cyh.com
Raising Children Network www.raisingchildren.net.au
Parent Helpline 1300 364 100
SA Dental Service 1300 008 222
Useful contacts
© Government of South Australia.All rights reserved. ISBN: 978-0-7308-7877-3Printed May 2018.DECD758
www.ausgoal.gov.au/creative-commons
Telephone Interpreter Service 13 14 50