One in Ten Chidren will be Obese in the next Five Years!
New research has found that one in ten children will be obese in the next five years - what a staggering statistic! Research carried out at the University of London studied statistics between 1995 and 2007. The health survey for England provided the data which takes a sample of UK households.
If the trend continues, then researchers predicted that 1 in 10 boys aged between 2-10 will be obese by 2015, and approximately 1 in 9 girls. In lower income families the statistic was slightly worse. They said 'these increases will affect the lower social classes to a larger extent'.
The research was published in the Journal of Epidemiology and Community Health - let's hope the predictions don't become reality. It's so important to get kids up and moving from an early age.
Children who are overweight at a young age risk greater likelihood of health problems in later life, including diabetes and heart disease. Children who are more active in their first few years are statistically more likely to maintain an active lifestyle when they are older.
There is so much that parents and carers can do and its one area where you don't need to spend much money. Going to the local play park, setting off on nature walks round your neighbourhood, heading off the woods and climbing on fallen tree trunks, even walking or scooting to school instead of driving. Enjoy an active lifestyle with your children and they will benefit for years to come. Premium Members of ToucanLearn can search for 'Physical Development' activities 'Outdoor' and find lots of fun games and activities to do outside, specifically aimed at the capabilities of their children!
Neonatal Jaundice
Jaundice is a common condition that affects around half of newborn babies, usually coming on about two days after birth. Premature babies are more susceptible, 75% of premature babies go on to develop jaundice after birth. Jaundice is caused by too much of a naturally produced serum, bilirubin, in the body. Bilirubin is created by the body breaking down red blood cells, and is then converted into a form that the body can dispose of as waste by the liver. However, babies break down significantly more red blood cells than an adult, producing proportionately more bilirubin, and the organs of a newborn baby aren't fully developed. Their body may produce more bilirubin than their liver can handle.
The symptoms of jaundice are a yellow tinge to the skin and in the whites of the eyes; sometimes presence of jaundice must be confirmed through blood tests. Historically, and wrongly, it was believed that people with jaundice saw everything with a yellow tint, giving rise to the notion of having a 'jaundiced view' of things.
Jaundice is usually treated by placing a baby under ultraviolet light. The eyes must be protected as UV light is harmful to them, but other than that, the treatment is simple, painless and in most cases successful over a two or three day period. In severe cases, a blood transfusion may be offered.
Jaundice suffered in adults or older children is harmless, but in newborn babies the brain tissues are still forming. Bilirubin can build up in the grey matter of the brain causing irreversible brain damage (called kernicterus) - this may be unnoticeable but in rare cases the damage can be severe, leading to loss of hearing, delayed development and learning difficulties.
Late onset jaundice can arise several days after birth and is more common in breast fed babies. Late onset jaundice usually clears up on its own without treatment, but look out for the yellowing signs and raise it with your doctor or health visitor if you suspect that your newborn might be suffering from jaundice.
Role Play and Learning
Role play forms a natural part of childhood, before long your little ones will assume characters in different scenarios and act out the different parts. Often role play is based on what children have observed, such as caring for younger siblings, keeping a shop or playing doctors, families or schools. As their imagination grows, so they begin to play made up scenarios such as fairies or princesses, explorers or monsters!
Role play offers many lessons to a developing child; clearly pretend play extends language and social interaction as children play with one another, or with a parent. Make believe nurtures imagination and helps children to develop abstract thought where they can extend the rules of the physical world into their pretend world. As they play they are developing their understanding of the world, learning to solve problems and learning the ability to view the world from the perspective of others.
Many role play games reinforce gender stereotypes from an early age; this seems to be a natural part of early play. Doctors and nurses and mummies and daddies might seem politically incorrect in this day and age, but the lessons learned from free play are much more important than lessons enforced about gender stereotyping at this young age. Any separation along lines of gender simply mirrors their understanding of the world through their own observation, and is done entirely innocently.
Other role play games reinforce notions of good and bad; cops and robbers, fairies and witches, cowboys and indians or simply goodies and baddies all draw lines between the good side and bad side and children dividing themselves in such ways will conform to the expected behaviour.
Young children should be encouraged in their make-believe worlds. They might be asissted with dressing up clothes or large props such as play houses or camps, but at the end of the day, children will be children and will explore their imaginary worlds even without these!
Seeking Medical Advice
If you live in England or Wales, you have access to fantastic medical resources in NHS Direct and NHS Direct Wales - particularly useful for families with new babies and are uncertain as to whether a cough, splutter or wheeze is normal or the sign of an important medical condition!
NHS Direct was announced in 1997, and rolled out between 1998 and 2000, giving faster access to direct medical advice. Most enquiries are made by telephone (0845 4647), calls are switched to dedicatedcall centres staffed by trained medical staff. They will ask questions relating to the symptoms, and then advise on what action you should take. They will advise whether you should make an appointment with your doctor; if they perceive there to be a serious risk, they might advice you to seek urgent medical attention in a hospital or even to dial the emergency services.
The NHS Direct website contains a lot of valuable health advice and information, as well as a symptom checker to help you to diagnose your symptoms online.
Scotland is served by NHS 24 and Wales by NHS Direct Wales, Northern Ireland has its own NHS service but doesn't appear to offer a similar direct telephone service.
NHS Direct will give you immediate assistance and will funnel you to the correct service. Given that most of us don't have medical training, it is reassuring to know that help in assessing any medical situation is just a phone call away.
Why is the Sky Blue? Why do Fish Live in Water?
Children can be very inquisitive, often asking very good questions, and it's easy to brush off or ignore ones we can't answer, but if they ask a question that you don't know the answer to, seize the opportunity to explore the topic and both you and your children will learn something new!
The internet gives us the most amazing resource imaginable - at our fingertips are the answers to almost any question on the planet, and certainly to any questions that our children will pose! If a challenging question comes your way, take time to research the answer, and encourage the inquisitive, learning nature of your little ones.
The internet is not the only resource at hand. Perhaps a question might lead to a trip to the library, a museum or the zoo? You don't have to answer just a single question, take the time to explore the topic area more broadly and that way your children will learn so much more. Young children absorb facts in an astounding way, but they also need to hear the conceptual reasons behind something as they build up their knowledge and understanding of the world more broadly.
Of course, your children won't understand scientific reasoning behind complex answers, your job is to couch explanations in terms that they will comprehend. Reference things that they do understand, and explain things using examples and experiences from everyday life that your little ones will understand.
Well, why is the sky blue and why do fish live in water?
The sky appears to be blue because air molecules scatter more blue light than other colours, until the sun sinks on the horizon at which point the light is coming indirectly and more red, yellow and orange light is scattered, sometimes leading to glorious sunsets!
Fish don't have lungs, but gills - these have developed to filter oxygen out of water rather than taking oxygen from the air.
Now, try explaining those in terms that a four year old will understand!
Play Away!
Play is important for every child and for the first few years of their lives, babies and toddlers learn a huge amount during what they consider to be 'play'. This is why teaching through play is such a great way to guide and educate our children because the message gets through, they learn and yet it all happens while they are having fun, playing!
During play, children expand their understand of the world, their understanding of themselves, and indeed their understanding of other people. Once children play together, it is also a way to start communicating with other children and sharing ideas and games.
By six months, children have learned, through trial and error, various sequences that they practice. If they push a ball, it rolls! They see that something happens and they like the feeling of it happening. They are learning to grip and drop and use their hands.
By nine months they might push a ball, crawl to get it and push it again. They master new skills and make the play more interesting and complex for themselves. They use props more and gravitate towards toys they like.
By a year, they are able to be even more accurate with their props/toys. They know a rattle will rattle and can kick or throw or roll a ball.
Types of play
- Sensory play: As they gain confidence and control their games become even more complex. They enjoy the sensation of movement such as swings and slides. They will do things over again to relive the experience.
- Pretend Play: Children begin by being adult led and take the initiative from parents when starting out with pretend play. Once they see what they can do, they may take the lead. They may take familiar roles of doctor, or Dad when playing. They may need, props and costumes and will probably be happy making a dressing gown into a super hero cape or tying a scarf round their head to make a princess veil.
- By 4 or 5, pretend play becomes peer focused and they children will happy to share a pretend game together, working out what to do and who is going to be who in the game. They will discuss the rules of the game, how it will unfold. They may well guide behaviour by suggesting an action. "You'll need to drink your tea before you go to work, Dad." Pre-schoolers will also have to overcome conflict and negotiate.
- Constructive play: Blocks and boxes are used to create a pretend miniature world. This type of play, allows the child complete freedom to create a world of their own.
- Physical Play: Rough and tumble, running games, chasing games are all popular with pre-schoolers. They have more control at this age and can jump, run, climb and chase. Overly aggressive behaviour should be checked, but it's all about learning how to control their body and what they are capable of.
- Organised games: A more logical and formal game arrangement becomes popular between 4 and 5 years old. They can cope with and understand the idea of having rules and are able to follow those rules in order to have a fun game. The idea of competition is introduced and that of winner or loser! Teams are also introduced and the idea of working together for a common goal.
What's our role?
Observe and comment in a positive way to encourage them.
Play with them especially when they are young, It affirms the idea of playing and makes them feel worthwhile if you are willing to play too.
Create a playful atmosphere and allow them to play - give them permission to make some noise or a mess!
Make suggestions if they are stuck.
Ensure everyone plays safely ie. the equipment is safe and that the children behave properly too!
Dinosaurs and Asteroids
New research brings consensus to the idea that the dinosaurs were wiped out after a phenomenal asteroid collision sited at what is now the Yucatan Peninsular in Mexico - this is the stuff of boys' imagination, combining two fascinating boundaries of knowledge: dinosaurs and space.
Although your little ones are probably too young to comprehend the reality of either space or dinosaurs, why not at least introduce these ideas? No matter where you live you probably aren't that far from a museum that has exhibits on at least one, if not both, of these topical areas. Plan a visit and activities around one of these two areas!
Space
To foster an interest in space, take your little ones outside after dark to observe the moon and stars; explain that every star is like our sun but so far away that they appear to be tiny. Talk about concepts of near and far based on things you can see nearby, explain how further objects appear to be smaller than nearby ones.
Introduce the idea that we live on a planet called Earth and that there are lots of other planets in space but so far away that we can't see them. Look at a map of the world and describe how we have lots of countries and lots of sea, and perhaps name some of the countries that your little ones might have heard of.
Create a spaceship out of old bottles, boxes or cartons and encourage your kids to go off exploring the universe!
Dinosaurs
Time is a very confusing and abstract concept. Children struggle to distinguish 'today', 'tomorrow' and 'yesterday', so having them conceptiualise dinosoars roaming the land hundreds of millions of years ago is going to be a challenge! But you can explain that dinosaurs were like giant monsters and that there were lots of them a long, long time ago!
Find pictures of dinosaurs in a book, online, or best of all, in a sticker book, and look at the different creatures. Point out their different characteristics such the styles of their legs, tails, horns; maybe some of them have funny necks and small heads, others might have huge teeth; lots walk, some fly, others swim. Study the pictures and tell your children their names. See if they can pronounce the really tricky ones - to them the sounds may be no more alien than many of the other words and phrases they hear every day.
Why not make a dinosaur park? Draw and cut out your own dinosaurs, make more out of card or old bottles, and see if you can create a dinosaur menagerie.
Tell Granny What Happened...
It has been said that Grandparents are taking the lead when it comes to teaching our children traditional values and standards of behaviour. Over half of those questioned said they learned good manners and values from their grandparents. Many considered their grandparents to be like second parents, and said that they considered the parents to be confidants.
As the structure and dynamics of families change, it seems that grandparents are now playing an even greater role in children's lives. Grandparents provide more and more childcare, support in financial or emotional ways and seem tp play an increasing role in the family life.
However, the role of grandparent changes as the children grow. They may be carer in the beginning, baby sitter as they are older and friend and teacher as they grow up. Here are a few ideas of the roles a grandparent can play.
Respected ancestor: grandparents are our link with the past. They are the head of the family and living proof of the family's history. They can talk about 'the old days', share stories of how life used to be and create a whole new world for little ones who love to listen to their grandparents (often embellished!) tales.
Friend: children feel happy to discuss things with grandparents who often appear more relaxed and permissive than parents. Children seem more likely to discuss things freely with grandparents and even talk about injustices that they feel with their parents.
Hero: being older, wiser and having lived for so many years, children can see grandparents as their heroes, full of stories and experiences of days gone by.
Teacher of practical skills: they can teach how to polish shoes, how to skip, how to knit, how to do the washing-up. Grandparents have so many skills and the time to teach them! They therefore become a role model for children. They can can be a mentor and guide children in a spiritual way.
Constant, reliable focus: in a world where divorce and separation is becoming more and more common, children look to grandparents as a constant in their life. They provide a nurturing and reliable place to go and feel wanted and cared for in an unconditional way.
Teachers of social skills: teaching children how to behave in public, how to look after themselves and how to communicate with adults.
Playmate: the magic that a grandparent can bring to a little child's life is priceless! The simplest of tasks become an adventure with a bit of inspiration and the fresh take on a situation that a grandparent can have. Children adore the excitement that grandparents can create and the games they have together.
In short, the role of grandparent has many layers, and indeed changes over time. Being a grandparent is what you make it and with a bit of time and thought it can be such a positive inspiration and a vital part of a child's life.
You don't need fancy toys or equipment in order to be a good grandparent, though. You don't need lots of brilliant ideas and complicated activities lined up for a visit. You just need some time, a little creative thinking and be willing to listen to what your grandchildren ask you for. The most important thing a grandparent can offer is a friendly ear and someone to listen!
As Easy As Riding A Bike!
With a little bit of help, lots of determination and masses of praise you can get your little ones riding a bike even if you can't ride one yourself! It is astonishing how quickly children learn about balance, speed, peddling and brakes when they are inspired and excited about riding a bike for themselves.
The most important thing to arrange when teaching to ride a bike is to make sure a helmet is properly fitted and that it is worn at all times. Elbow and knee pads are a good idea too to mimimise scrapes. You may even get them to wear gloves in case they fall off and graze their hands...
A correctly sized bike is essential too. Riding a bike that is too big can be treacherous for little ones and will prevent successful learning. It may also damage their confidence if the bike is too big to handle. Make sure the saddle is at the right height too to ensure their feet can touch the ground. Obviously, check that everything is working correctly, especially the brakes!
Start by pushing the bike and encouraging your child to simply sit on the saddle and have a ride. Explain about balancing and show them how it feels when the bike is balanced and when it's not. Then, talk about steering and explain how to make the bike go in different directions.
The next step is to gently push the bike and get your child to propel it forward using the pedals. Try not to hold the handlebars as this will interfere with their grasp of balance. They need to master the bike and whether it stays upright or not.
To start, the best place is a slightly sloping area, that is covered with short grass. It's not difficult to ride on short grass. The incline will mean they are propelled forward slightly. And, the grass will mean a softer landing than stone paths.
Keep an eye on how they are sitting on the bike. It is common for children to sit too far forward and bend their body; encourage them to sit upright. Make sure they are not gripping the handlebars too much either. They need to just gently hold them.
Decide which is to be the leading foot (the one they push off on) and try to keep to the same one each time.
Learning to ride can be incredibly rewarding, but also frustrating. Be patient and keep practicing to get it right. Try for a couple of pedal pushes to start with. Give plenty of praise when they start to get the hang of riding. Keep a watchful eye and direct them rather than tell them off about things they may do wrong.
Once they get the hang of it, they will never look back and it will be the start of lots more fun!
Read More About World Book Day
The biggest annual celebration of books and reading is coming soon - 4th March will see the 15th World Book Day event in England and Ireland, but the origins can actually be found in Spain!
On 23rd April 1616 one of Spain's most famous authors, Miguel de Cervantes Saavedra, died. Better known simply as Cevantes, he wrote Don Quixote. On that same day in England, William Shakespeare, our most celebrated author also died.
But it's not just because of these two authors we celebrate 23rd April - it is also St George's Day which is very significant because in Spain on 23rd April it is customary for men to give roses to their lovers. Since 1925 it has become the custom for the women to give their men in return, a book. Many booksellers today still carry on the tradition is Spain, you'll often get a rose in your new book if bought on this day.
It is for these reasons that UNESCO deemed this date most appropriate to celebrate books in all their glory. Children especially are encouraged to take a book and read it! Children all over the world will do so each year!
In the UK the date was revised in order for World Book day to fall in March when children are mid term at school rather than on school holidays.
Nowadays it's an important part of the calendar and schools and children celebrate it all over the country. Some will wear costumes to school dressed as their favourite characters, others will dress in their pyjamas to stress the importance of the bedtime story. Whatever you do, just don't forget to do something with a book on 4th March - and make it fun!
Dramatic Play - How To Encourage Your Children to Be Creative
Dramatic play is a great way to encourage communication, teach your children about social behaviour and show them how they should respond in unfamiliar situations. It is a means by which children can imitate adults and act out various situations. But, remember even dramatic play, is still play! Don't make it arduous. It's just a way to re-enact situations or practice behaviour and use their imagination! Most of all, its a way to have some FUN!
When children dress up and do dramatic play, they can try out new roles, experiment with behaviour and watch for other people's reaction. It's a way to further understand their world.
How can you encourage this type of play? Here are a few tips.
Be a playmate. Don't just tell them what to do; get down there and play with them! If you become a playmate, an equal, it will seem that you are both on the same level and this may encourage dramatic play. Act out going shopping, going out for coffee, going to a library. Get your child to talk and act like the shopkeeper or librarian. Choose a situation that your child will relate to. Keep it casual, keep it simple and keep it fun.
Don't interfere. If you want to encourage creative, dramatic play try not in interfere too much or lead the game. Try not to suddenly announce all stop for lunch and spoil the flow. Why not have lunch in the underground cave or on the pretend plane? Play along with what they are doing. Welcome their ideas.
Space. Creative play needs space so try to create some space that can be used and not worry too much about it getting messy or untidy! A dining room table can become a cavern, the sofas can be moved round to create an indoor play house. It can all be tidied away afterwards! It helps the children be creative in their play and makes them feel they are a little in control of the game if their ideas of building a blanket rocket are not always met with a no!
Ideas. Use things you see or read about as ideas for imaginative play. Create a fairy cave or a vets on the moon in your living room and try and encourage any ideas your child has.
It's a good idea to have a collection of bits and pieces that you can use again and again for dramatic play. You could use an old cardboard container as a prop box and keep some useful props in there at the ready. Or, just gather the bits and pieces as you need them. Below are some ideas of things to put together to really make a bit of imaginative play into something really special - especially if you permit your child to use real, grown-up items!
Ideas for a prop box:
- At the Beach: Sunglasses, towel, sun cream, shells, play food, picnic rug, sun hats
- The Vets: Stuffed animals, cotton wool balls, doctor's kit, blanket, basket, money, boxes, real carrot for the rabbit
- Post Office: Pens, paper, paper clips etc. Paying-in slips and forms from a real post office/bank. Money, envelopes, junk mail, hole punch, stamper.
- Decorator (a good one for outside!): Buckets and pots of water, apron, different sized paintbrushes, child step to reach high, cap, rags and cloths.
Put a bit of thought into your dramatic play together and you'll find you both really enjoy it!
World Book Day Events
World Book Day 2010 falls on Thusday, 4th March (in the UK) and events all over the country are already underway to embrace and celebrate reading, why not attend an event in your area? The World Book Day website has a list of events largely focused on public libraries. If your children don't already borrow books from your library, then this offers the perfect opportunity to join up and introduce your children to the wonders of books!
World Book Day was designated by UNESCO as a worldwide celebration of books and reading. In the UK events are organised by a charity with financial backing from National Book Tokens, publishers and booksellers. The aim is to encourage children to explore the pleasures of reading and encourage book ownership. World Book Day is celebrated in over 100 countries, although most countries celebrate it on St. George's Day (April 23rd).
Even if there aren't any events local to you, you can always organsie your own World Book Day event in your own home! Why not dress your children as characters from their favourite books and have a special reading in the afternoon where you read their favourite books to them? Visit the shops and let them choose a new book to buy, or arrange with friends to lend your favourite stories to each other so that you can share the delights of your own library!
Bird Watching With Your Little Ones.
Birds are wonderful to watch and with a little encouragement can become part of your the family! If you don't fancy a dog or a cat as s pet, then, why not care for some wild birds instead? Children will love spotting them, naming them, watching them feed, looking at their different colours and you can even draw some together.
How to invite the birds into you garden
Fix a bird box into a hedge or tree depending on which sort of box you buy and what type of bird you wish to attract. There are some 5-6 million bird boxes in the country now and as birds' natural habitat declines they are relying more and more on our help.
Bird boxes
They need not be expensive. There are about 200 different types of bird box on the market. Some even have hidden cameras so you can spy on the resident of your bird box. However, you can pick up traditional boxes from garden centres or you can try and build your own if you are handy! Once in place, you then have to watch the box and see who moves in!
Bird feeders
There are all sorts of bird feeders available. If you have squirrels in your area, you may have to opt for a squirrel-proof feeder as they can be very crafty and manage to get away with all the bird feed! Many birds will come on to feeders even if situated close to you house. So if you don't have a garden, then put a couple of feeders at the window or on your balcony and you may still attract visitors!
Naming the birds
Once you are getting birds into the garden, you can start spotting them and finding out what they are called. You can go online and discover the breeds, or buy a children's spotter book or a sticker book. See how many different types of birds there are in your garden and keep a note of what you see.
Interesting facts about some common garden birds you'll see
1. Blackbirds
- Male are black and female are brown
- Blackbirds eat worms from the lawn and scratch around in leaf debris for insects
- They have a lovely tuneful song
2. Blue Tits
- Blue tits eat caterpillars, nuts and seeds
- They nest in trees and bird boxes
- They usually stay up in the trees rather than down on the ground
3. Robins
- Male and female both have red breasts, young are all brown
- They are normally found alone rather than with other robins
- They love to sing
- They eat worms, seeds and insects
4. Sparrows
- Brown, black and white feathers, if they have a black bib, they are male
- They live near humans and eat seeds and scraps
- They are less common now than they used to be
Out and About
Taking interest in birds is great for children. Even when you take them out and about, keep an eye of for birds you recognise and ones that are new to you! Try look at the colour of their feathers and then draw them together when you get home.
Problem Solving with Babies and Toddlers
It stands to reason that art and craft assists to develop fine muscle control in your babies, and that kicking, running and chasing games improve their physical strength and control, but how do you kick start your baby's ability to think and solve problems? Funnily enough, abstract thinking and analytical skills are the focus of many toys created for babies and toddlers. You may not have thought about it, but toys such as shape sorters, simple jigsaws starting with just two pieces per puzzle, old fashioned building blocks and musical instruments all help to develop analytical and thinking skills in babies and toddlers.
Walk into a toyshop and so many of the toys available today were available in a similar form in our own childhood - many were available in similar form during our parents and grandparents childhoods too! Science has long told us that interacting with such toys helps us explore the world and develop our thinking, perhaps what is more surprising is that there are so few innovations in childrens toys over the last two generations. That comes down to the fact that human development hasn't evolved in that time, and for a long time we have had a pretty good understanding of it.
When nurturing your chilren, or children that you work with, introduce a good balance of 'thinking' games and activities. This is only one area of child development, but it can be easy to overlook the importance of this area if you particularly enjoy more physical activities. That is one reason that the Early Years Foundation Stage is so important - by following the guidelines and ticking off boxes for areas that you have pursued, you will automatically be delivering a well balanced development plan to your little ones. If you aren't the most creative person and struggle for ideas in areas of EYFS, or you simply want ideas that you can adopt and develop, then sign up to ToucanLearn now! We offer hundreds of activities concentrating on key development skills, and for premium members we link them all to EYFS too so that you can track progress with your little ones. If you are toying with the idea of subscribing to ToucanLearn, then there are several hundred good reasons for doing so!
When To Call The Doctor
It's always alarming when your baby is unwell, especially if they are really tiny, but what signs should you look out for to determine whether calling the doctor is the right course of action?
Every baby is different and responds differently. For brand new parents it hard to know what is normal and what is not... here are some signs to look out for which might indicate you baby needs medical help. But remember, a baby's state can deteriorate quickly, so if you are concerned in any way, don't hang around, call for medical advice immediately if your baby or child...
- Is unresponsive: you know what they are normally like, so if they seem unresponsive to a favourite game or toy then they may be ill.
- Has a persistent high temperature: if they seem warm and the temperature won't reduce despite cooling them.
- Refuses feeds: if your baby is still feeding and refuses one feed and then refuses a second feed.
- Vomits: if they vomit up their feed twice in a row or the vomit seems discoloured in any way (ie is greenish or has blood in it).
- Has diarrhoea; if it is blood stained or persistent.
- Shows signs of lethargy: very tired all the time and weary.
- Has a rash: any kind of rash.
- Is irritable or restless: if they won't settle or relax or sleep.
- Has breathing difficulty: if they are struggling to breathe or are breathing in an unusual way.
- Is coughing: unusual or painful coughing
- Has a bulging fontanelle: if there is a bulge at the forehead.
You know your baby best. If in doubt, call the doctor or NHS Direct!
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