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BABYBEBA

BATHKUPANJE

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NAPSPAVANJE

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MHA Immigrant, Refugee & Translation Services Steering Committee, 2004Care for Baby BosnianAugust 2004


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KUPANJE BATHING

Vau bebu ne trebate kupati svaki dan (2-3 puta sedmi no je dovoljno). Ukoliko jebebina koa suha, nastojte da bebu ne kupate tako esto. Perite lice i vrat Vae bebesvaki dan i oistite previjena mjesta sa svakim presvlaenjem. Odaberite vrijeme kupanja

koje Vama odgovara. Odaberite mjesto koje je toplo i isto.

Your baby does not need a bath every day (2-3 times a week is enough). If your babysskin is dry, try bathing less often. Wash your babys face and neck every day and cleansethe diaper area with each change. Choose a bath time that is convenient for you. Select anarea that is warm and free from drafts.

Zatita prilikom kupanjaZatita je najvanija osobina. Unaprijed pripremite sve to vam je potrebno za kupanjebebe, kao to je rukavica za kupanje, pekir, ampon i vata. Nikada ne ostavljajte Vaubebu ili dijete bez nadzora, ak ni sekundu. Provjerite temperaturu vode laktom. Voda bi

trebala biti topla a ne vrua.

Bath Time SafetySafety is the most important feature. Gather everything you will need for the bathbeforehand such as washcloth, towels, baby soap or cotton balls. Never leave your babyor child unattended, even for a second. Test the temperature of the water with your elbow.The water should be warm, not hot.

Spuva ili kada za kupanjeVau bebu kupajte spuvom sve dok obrezano mjesto ne zaraste a pupana vrpca neotpadne. Nakon toga, bebu moete kupati u kadi. Dok je Vaa beba jo mala, lake je

ako koristite malu kadu za kupanje ili lavor.

Sponge vs. TubGive your baby sponge baths until the circumcision is healed and the umbilical cord is off.Your baby may be bathed in the tub after this time. It is easier to use a small bathtub orbasin while your baby is small.

KosaKosu i tjeme Vae bebe perite po potrebi. Kosu Vae bebe eljajte mekanom etkomnajmanje jednom na dan da bi ste otklonili suhu kou. Ova suha koa se takoer zove"kolijevska kapica".

HairWash your babys hair and scalp as often as needed. Brush your babys hair with a softbrush at least once a day to loosen any dry skin. This dry skin is also referred to ascradle cap.

MHA Immigrant, Refugee & Translation Services Steering Committee, 2004Care for Mother BosnianAugust 2004

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OiOperite oi Vae bebe prije nego to stavite sapun u vodu. Koristite ist pekiri ili vatu ioistite iz unutranjeg prema vanjskom uglu. Koristite posebnu vatu ili drugi diopekiria za svako oko.

EyesWash your babys eyes before there is any soap in the water. Use a clean cloth or a cottonball and wash from the inside to the outer corner. Use a separate cotton ball or differentpart of the cloth for each eye.

UiPerite vanjski dio uha mekanim pekiriem. Nemojte koristiti tapie za ienje uiju.Ne pokuavajte istiti unutar bebinih uiju jer bi ste mogli potisnuti vosak jo dublje dounog bubnja. Budite sigurni da dobro osuite dio iza bebinih uiju.

Ears

Wash the outer part of the ear with a soft cloth. Do not use Q-tips. Do not attempt toclean the inside of your babys ears as you may push wax up against the eardrum Be sureto dry thoroughly behind babys ears.

NosPumpica se moe koristiti za ienje sluzi iz bebinog nosa. (Pogledajte "Isisavanje")

NoseA bulb syringe may be used to clear mucus from your babys nose. (Refer toSuctioning.)

LicePerite istom vodom.

FaceWash with clear water.

VratBudite paljivi dok perete pregibe na bebinom vratu i dobro ih osuite.

NeckBe careful to wash the creases in your babys neck and dry well.

TijeloPerite blagim sapunom. Ne zaboravite pregibe koe. Izbjegavajte koristiti ulja i pudere.Pomalo guljenje koe je oekivano u prvim danima ivota. Losion za bebe bi mogaopomoi za suhu kou kao i za kou koja se guli.


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BodyCleanse with a mild soap. Do not forget the folds of the skin. Avoid using oils andpowders. Some peeling is expected the first few days of life. Baby lotion may be helpfulfor dry or peeling skin.

Spolni organiPrljave pelene promijenite to je prije mogue. Oistite vodom i blagim sapunom nakonsvake velike i male nude. Kreme poput Desitin-a, A&D ili Vazelina mogu pomoi usprijeavanju osipa od pelena.

GenitalsChange soiled diaper as soon as possible. Cleanse with water and mild soap after eachbowel and bladder movement. Ointments such as Desitin, A & D or Vaseline may behelpful in preventing diaper rash.

DJEACI:Obrezana dojen

adVidite pod "Njega obrezanog mjesta." Kupajte dojenad spuvom sve dok mjesto ne

zaraste.

Males:

Circumcised InfantsSee Circumcision Care. Give sponge baths until the circumcision is healed.

Dojenad koja nisu obrezanaSvaki put kada mijenjate pelenu, operite obrezano mjesto. Nemojte zatezati koicu.Operite samo povrinu.

Non-Circumcised InfantsWash with every diaper change. Do not pull back the foreskin. Wash only the surface.

DJEVOJICE:Njeno rairite stidne usne. Obriite od sprijeda prema nazad. Vernix (bijela sluz kojaostaje u labiji) ne treba se odstraniti.

Females:

Gently spread labia apart. Wipe form front to back. Vernix (the white cream remaining inthe labia) does not have to be removed.

NoktiOdravajte ih istim i kratkim. Nokte Vae bebe je najlake sijei kada Vaa beba spava.Koristite tupo zaobljene makazice.


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FingernailsKeep clean and short. Your babys fingernails are easiest to trim when your baby issleeping. Use blunt tip nail scissors.

TEST KRVI BLOOD TESTZakon drave Missouri zahtijeva da sva novoroenad imaju testove krvi da bi seustanovilo da li imaju neke medicinske poremeaje.

A Missouri state law requires that all newborns have blood tests to screen for certainmedical conditions.

1. PKU (Phenylketonuria)PKU je neuobiajena bolest koja ukoliko se ne tretira moe voditi ka mentalnojretardaciji. Ovaj test se moe obaviti najranije oko drugog ili treeg dana ivota.

Beba treba da ima najmanje 24 sata ishrane na dojci ili formulu prije negoto sepokau tani rezultati.

PKU (Phenylketonuria)PKU is an uncommon disorder which leads to mental retardation if not treated. Thetest can be done as early as the second or third day of life. The baby needs to have atleast 24 hours of breast feeding or formula feeding before the test is accurate.

2. T4 TestOvaj test se koristi da se ocijeni rad titne lijezde. Ukoliko titna lijezda nefunkcionie kako treba, moe doi do mentalne retardacije ili usporenog rasta.

T4 TestThis is a test to evaluate the function of the thyroid gland. If the thyroid gland is notworking properly, mental retardation or stunting of growth can occur.

3. GalaktosemiaOvaj test pokazuje ukoliko je bebin sistem u stanju da koristi jedan od vrste eera umlijeku. Ukoliko se ne tretira na vrijeme, moe doi do oteenja jetre, katarakta,mentalne retardacije ili smrti.

GalactosemiaThis test determines if the babys system is able to utilize one of the sugars in milk. Ifnot treated early, liver damage, cataracts, mental retardation, or death can occur.

4. Deformacija krvnih zrnacaOvaj test moe pronai da li Vaa beba nosi trag deformacije krvnih zrnaca i/ili nekedruge rijetke bolesti krvi.


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Sickle CellThis test can determine whether or not your baby carries the sickle cell trait and/orcertain other rare blood disorders.

5. Kongenitalna adrenalna hyperplasia

Ovo je vrsta testa pomou kojeg se procijeni izlu

ivanje enzima koji su potrebni zapravljenje kortizola. Kortizol je steroid hormon koji ima vie razli itih funkcija

Kortizol utie na e er u krvi, tjelesne te nosti i nivo elektrolita.

Congenital Adrenal HyperplasiaThis is a test to evaluate the secretion of enzymes needed to make cortisol. Cortisol isa steroid hormone that has many functions including a role in blood sugar, bodyfluids and electrolyte levels.

Za sve ove testove, krv se vadi sa tankom iglicom, i to najee na dan otputanja. Unekim sluajevima je potrebno ponavljanje testa.

Blood for all of these tests is obtained from the infant by a heel stick, usually on the dayof discharge. In some cases a repeat test may be necessary.

Sve ove nepravilnosti se mogu rano otkriti i lijeiti da bi se sprijeili budui problemi.Ukoliko pretrage za ovim nepravilnostima daju pozitivne rezultate, Va doktore uraditijo testova. Veoma je vano da pratite savjet doktora.

All of these disorders can be detected early and treated to help prevent future problems. Ifthe screenings for these disorders are positive, your physician will do more tests. It isvery important to follow the physicians advice.

NJEGA OBREZANOG MJESTA CIRCUMCISION CARE

Bolovi obrezanog mjesta

Obrezivanje je bolno ako se vri bez upotrebe lijekova. Lijekovi koji su na raspolaganjusu sigurni i efikasni za smanjenje bolova. The American Academy of Pediatricspreporuuje da se koriste lijekovi za smanjenje bolova. Lokani anestetici mogu bitiubrizgani u penis da bi se smanjili bolovi kod novoro en eta. Tako er postoje kremekoje se mogu koristiti. Razgovarajte sa doktorom i odlu ite koje je sredsto najbolje zaVaeg sina. Problemi zbog koritenja lijkova su rijetki i nisu ozbilji. Drugi metode e

biti koritene da bi se smanjili bolovi Vaoj bebi. Poslije obrezivanja Vaa beba edobiti Taylenol.


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Circumcision Pain ConsiderationsCircumcision is painful when done without pain medicine. There are pain medicinesavailable that are safe and effective. The American Academy of Pediatrics recommendsthat they be used to reduce pain from circumcision. Local anesthetics can be injected intothe penis to lower pain and stress in infants. There are also topical creams that can help.

Talk to your health care provider about which pain medicine is best for your son.Problems with using pain medicine are rare and usually not serious. Additionally, non-medication pain relief measures will be used to help manage your babys pain. Followingthe circumcision, your baby will receive Tylenol.

Postoje dvije (2) vrste obrezivanja:

There are two (2) types of circumcision.

1. Bell obrezivanjeOno se sastoji od ostavljanja plastinog prstena oko glave penisa. Prsten e

otpasti za pet do deset (5-10) dana. Nemojte koristiti nikakvu kremu u ovoj vrstiobrezivanja.

The Bell CircumcisionInvolves leaving a plastic ring over the head of the penis. This ring will fall off infive to ten (5-10) days. Do not use ointments with this type of circumcision.

2. Mogan/Gomko obrezivanjePotrebno je tri do pet (3-5) dana da ova vrsta zaraste. Poprilino namaitevazelinskom kremom preko vrha penisa svaki put kada promijenite pelenu u prvih24 sata.

The Mogan/Gomco CircumcisionTake three to five (3-5) days to heal. Apply Vaseline generously over the head ofthe penis with each diaper change for 24 hours.

Kupajte bebu spuvom sve dok obrezano mjesto ne zaraste. Vrh penisa e imati krastavdio i malo ukastog gnoja. Obavijestite doktora o oteknuu, krvarenju, neugodnommirisu ili ukoliko beba ne mokri.

Give sponge baths until the circumcision is healed. The tip of the penis may have ascabbed area and some pale yellowish drainage. Notify your babys physician of swelling,bleeding, odor or if the baby is not urinating.

Briga oko neobrezanog mjestaU ovom sluaju ne postoji posebna briga za Vau bebu. Operite penis svaki put kadamijenjate pelene. Nemojte povlaiti koicu. Koica se ne moe povui sve dok Va sinne napuni etiri (4) godine ivota.


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Uncircumcised CareThere is no special care needed for your baby. Wash the penis with diaper changes. Donot pull back the foreskin. It is not retractable until your son is about four (4) years old.

NJEGA PUP

ANE VRPCE CORD CAREPupana vrpca Vae bebe poinje da se sui im se beba rodi. Pupana vrpca bi trebalaotpasti za otprilike dvije do tri (2-3) sedmice. Vrpcu odravajte istom, suhom iprozraenom.

Your babys umbilical cord starts to dry as soon as the baby is born. The umbilical cordshould fall off in approximately two to three (2-3) weeks. Keep it clean, dry and exposedto air.

Operite ruke prije nego to dirate pup anu vrpcu.

Wash your hands before touching the cord.

Spuvom kupajte bebu sve dok vrpca ne otpadne.Sponge bathe your baby until the cord has fallen off.

Savite pelenu ispod pupka. Izlaganje zraku e pomoi procesu isuivanja.Fold the diaper below the cord. Exposure to air will help the drying process.

Ako se vrpca natopi sa urinom ili stolicom ocistite vrpsu toplom vodom.If the cord becomes soiled with urine or stool, clean it with warm water.

Kada vrpca otpadne, moda e nastati malo krvaranje.When the cord falls off, there may be a small amount of bleeding.

Ukoliko se javi uto-zeleni gnoj, neprijatan miris ili crvenilo koe oko pupka, stupiteu kontakt sa bebinim doktorom.If there is a yellow-green drainage, foul odor or redness of skin near the cord, contactyour babys doctor.

SIGURNOST U KREVETU I KOLIJEVCI CRIB AND BASSINET SAFETY

Kada stavljate bebu na spavanje, stavite je na lea. Nemojte stavljati bebu da spavana njen/njegov stomak. Kada je beba budna stavite je da le i na stomaku.When you lay your baby down for sleep, place the baby on his or her back. Do notput your baby down to sleep on his or her tummy. Let your baby have some tummy-time when awake.


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Drite ogradu podignutu sa strana.Keep side rails up.

Uvjerite se da su reetke dovoljno blizu jedna kraj druge da se Vaa beba ne bi moglaprovui kroz njih i zaglaviti (2 1/4 ini razmaka najvie).

Be sure bars are close enough so that your baby cant slide through or get stuck (2-1/4inches wide at most).

Uvjerite se da leaj dobro stane u krevet da se Vaa beba ne bi zaglavila izmeujogija i strane kreveta.Be sure the mattress fits snugly so your baby cant slip between the mattress and thesides.

Nemojte koristiti obini krevet.Dont use a pillow.

Nemojte koristiti kaieve ili stege u kolijevci.Dont use a harness or straps in the crib.

Pokretne igrake koje se stavljaju na kanap trebaju biti van bebinog domaaja inikada se ne bi trebale stavljati preko kolijevke.Mobiles that hang by a string should be out of babys reach and should never bestrung across the crib.

Nemojte stavljati igrake ili punjene ivotinje u krevet ili kolijevku sanovoroenetom.Dont place toys or stuffed animals in the crib or bassinet with the newborn.

PLA CRYINGPla je normalan. To je bebin jedini nain da komunicira. Pla moe znaiti da je Vaabeba gladna ili treba da se promijeni pelena. Bebe takoer plau kada su umorne ili kadatreba da podrignu. Pokuajte da smirite Vau bebu tako to ete prvo obaviti slijedee.esto e dranje i grljenje smiriti Vau bebu. Novoroene se ne moe razmaziti. Vaabeba e nauiti da vjeruje Vaoj sposobnosti da ispunite njene potrebe.

Crying is normal. This is the babys only way to communicate needs. Cries may mean

your baby is hungry or needs a diaper change. Babies also cry when they are tired or needburping. Try to calm your baby by meeting these needs first. Often times holding andcuddling will comfort your baby. A newborn baby cannot be spoiled. Your baby willlearn to trust in your ability to meet his needs.


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Neki dodatni savjeti za smirivanje ukljuuju:

Some additional suggestions for calming your baby include:

Umotajte Vau bebu u dekicu. Mnoge bebe vole sigurnost koju ona daje.

Wrap your infant snugly in a receiving blanket. Many babies love the security thisprovides.

Ponudite bebi cuclu. Ukoliko dojite, dajte bebi dojku. Bebe se smire kroz sisanje.Offer your baby a pacifier. If you are breast feeding, let him suckle at the breast.Babies are comforted through sucking.

Pustite muziku ili pjevajte bebi.Play music or sing to your baby.

Pokuajte sa ljuljakom, kaievima za noenje na prsima, povojem ili sa etnjom u

kolicima. Bebe vole pokrete.Try a swing, rocker, front pack or sling or a walk in the stroller. Babies love motion.

Ukoliko Vaa beba nastavi da plae, onda to moe znaiti da je bolesna ili je u bolovima.Ukoliko se plaini bolnim ili traje dui vremenski period, ne zaboravite da budete mirnii da nazovete doktora.

If your baby continues to cry this may mean he is sick or in pain. If the cries soundpainful or continue for long periods, remember to remain calm and call your health careprovider.

POVIJANJE VRENJE NUDE DIAPERING/ELIMINATION

Bebine pelene se trebaju esto mijenjati. Nije neobino da koristite od 8 do 12 pelenadnevno. Veina novoroenadi mokri pet do et (5-6) puta svaki dan u prvoj sedmici inakon toga est do deset (6-10) puta.

Your babys diaper needs to be checked frequently. It is not uncommon to use eight (8) totwelve (12) diapers a day. Most newborns wet five to six (5-6) times each day the firstweek and increase to six to ten (6-10) times thereafter.

Prve stolice se zovu meconium, crne su, ljepljive i bez mirisa. U sljedeih nekoliko danaboja stolice e se promijeniti u zeleno-crnu boju, pa u smeu, pa u smekasto-utu.Novoroenad koja se hrane na dojku najee imaju utu stolicu. Neke bebe imajustolicu svaki dan, neke etiri do est (4-6) puta na dan, dok neke imaju stolicu svaka dvado tri (2-3) dana. Sve ovo je normalno. Ukoliko su stolice vodene, sadre sluz ili krv,obavijestite bebinog doktora.


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The first stools called meconium are black, sticky and odorless. The next few days thestools will change to greenish-black, to brown, to a brownish yellow. Breast fed infantsusually have yellow stools. Some babies have a bowel movement every day, others fourto six (4-6) times per day, and some infants have a bowel movement every two to three(2-3) days. All of the patterns are normal. If stools are excessively watery, contain mucus,

or blood, notify your babys health care provider.Promijenite pelene koje su prljave. Oistite bebinu stranjicu od naprijed prema pozadasa vodom i blagim sapunom kako bi odstranili urin ili izmet. Ovo pomae da se sprijeiosip od pelena. Kreme kao to su Destin, A&D or Vazelin takoer mogu biti od velikepomoi. Izbjegavajte koritenje pudera. Vaa beba moe udisati puder to moe izazvatiinfekciju.

Change soiled diaper as soon as possible. Cleanse bottom from front to back with waterand mild soap to remove any urine or stool. This helps prevent diaper rash. Ointmentssuch as Desitin, A&D or Vaseline may also be helpful. Avoid the use of powder. Your

baby may breathe the powder into his or her lungs which may cause an infection.Bebe se nateu, gunaju i lice im postane crveno kada vre veliku nudu. Ukoliko Vamse ini da se beba mui, moete saviti bebina koljena sve do stomaka.

Babies strain, grunt and become red in the face when they are having a stool. If your babyseems to be working hard, you can bend the knees up to the tummy.

HRANJENE VAEG DOJENETA FEEDING YOUR INFANTUvijek operite ruke prije hranjenja bebe.

Always wash your hands before feeding your baby.

DojenjeDojenje je najbolje za ishranu i najprirodniji je nain da hranite Vau bebu. Iako jedojenje "prirodan proces", zahtijeva uenje i vjebu. Budite strpljivi sa sobom i sa Vaimdojenetom. Nema odreene koliine koju e Vaa beba uzeti za vrijeme svakog obroka.Nekim danima e Vam se beba initi neobino gladnom i htjeti e da jede ee. Vaabeba vjerovatno prima dovoljno mlijeka ukoliko pomokri najmanje est pelena na dan,izvri najmanje tri (3) velike nude i jede osam do dvanaest (8-12) puta u 24 sata. Bebenaglo porastu kada imaju sedam do deset (7-10) dana i ponovo kada su 28-30 dana stare.Vaa beba e jesti ee dan ili dva i onda e se vratiti na svoj normalni nain. Ukolikodojite, dobiete dodatne informacije.


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Breast FeedingBreast feeding is the best nutritionally and the most natural way to feed your baby.Although breast feeding is a natural process, it requires learning and practice. Bepatient with yourself and your newborn. There is no set amount that the baby will take ateach feeding. Some days your baby may seem unusually hungry and want to nurse more

frequently. Your baby is probably getting enough milk if he is wetting at least six diapersin a day, having at least three (3) bowel movements and eating eight to twelve (8-12)times in 24 hours. Babies have a growth spurt at seven to ten (7-10) days and again whenthey are 28-30 days old. Your baby will eat more often for a day or so, then return to aregular pattern. If you are breast feeding, you will receive additional information.

Ishrana na formuluDojenad koja se hrane na formulu trebaju jesti svaka tri do etiri (3-4) sata. Vaa bebabi trebala jesti najmanje est (6) puta na dan. Grljenje i blizak kontakt je potreban zanormalan rast i razvoj. Kada hranite, postavite Vau bebu u ruke drei glavu u maloveem nivou od prsa. Nikada ne bi ste smjeli poduprijeti bocu ili ostaviti Vau bebu

samu za vrijeme hranjenja. Vjerovatnoete dobiti i savjet od Va

eg doktora dasterilizirate boce i cucle ili da ih dobro operete sa vruom sapunjavom vodom.

Formula FeedingBottle fed infants need to eat every three to four (3-4) hours. Your baby should eat atleast six (6) times per day. Cuddling and close contact is necessary for normal growth anddevelopment. When feeding, cradle your baby in your arms holding the head slightlyhigher than the chest. You should never prop a bottle or leave your baby alone whilefeeding. You may be advised by your health care provider to sterilize bottles and nipplesor to wash them thoroughly with hot soapy water.

Bebin doktore Vam re

i koju vrstu formule da koristite. Formula se prodaje u tri (3)razliite pripreme:

Your babys doctor will tell you what type of formula to use. Formula is sold in three (3)different preparations:

1. Spremna za hranjenjeReady to Feed

2. Koncentrat (dodajte vodu)Concentrated (add water)

3. Puder (dodajte vodu)Powder (add water)

Pripremite dovoljno formule za dvadeset etiri (24) sata pratei upute na formuli.Pripremljena formula ili otvorene konzerve se moraju staviti u friider i iskoristiti u rokuod 24 do 48 sati. Nemojte koristiti vodu iz esme za pripremanje formule. Formula bi


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trebala biti na sobnoj temperaturi ili malo toplija prije nego to je date bebi. Stavite bocuu posudu vrue vode nekoliko minuta. Uvijek provjerite temperaturu formule prijehranjenja. Nikada nemojte koristiti mikrovalnu pe za grijanje formule.

Prepare enough formula for twenty-four (24) hours following the instructions on the

formula label. Prepared formula or open cans must be refrigerated and used within 24-48hours. Do not use well water for formula preparation. Formula should be at roomtemperature or slightly warmer before being fed to your baby. Place the bottle in acontainer of hot water for several minutes. Always test the temperature of the formulabefore feeding. Never use a microwave for heating formula.

Koliina formule koju Vaa beba uzima e se mijenjati. Neke bebe trae samo jedan dodva (1-2) aunca po hranjenju na poetku, dok druge bebe mogu traiti vie. Kada Vaabeba stalno zavrava jedan obrok, onda je vjerovatno spremna na dodatak jo jednogaunca u bocu. Dozvolite Vaoj bebi da esto podrigne za vrijeme i nakon obroka.Odbacite neuprotrebljenu formulu nakon jednog (1) sata. Nemojte je uvati za slijedei

obrok.The amount of formula your baby takes will vary. Some babies require one to two (1-2)ounces per feeding at first, others may require more. When your baby consistentlyfinishes his/her feedings he may be ready to have another ounce added to his bottle. Burpyour baby frequently during and after the feeding. Discard any unused formula after one(1) hour. Do not save it for the next feeding.

PodrigivanjeOmoguite da Vae novoroene podrigne u toku svakog obroka. Vaa beba e seosjeati bolje i moda e moi vie i da pojede. Ukoliko dojite, saekajte da beba

podrigne kada promjenite dojku. Beba koja se hrani na formulue mo

da trebati dapodrigne svakih pola aunca formule. Naslonite bebin stomak preko Vaeg ramena i

njeno tapkajte po njegovim ili njenim leima nekoliko minuta. Kada je Vaa bebazavrila sa jelom, pokuajte da beba opet podrigne. Da bi Vaa beba podrignula usjedeem poloaju, stavite bebu na Vae krilo tako da se on ili ona njeno naginjenaprijed. Podrite bebina prsa i glavu sa jednom rukom a drugom tapkajte po leima.

BurpingBurp your newborn during each feeding. Your baby will feel better and may be able toeat more. If you are breast feeding, burp your baby when you change breasts. A bottle fedbaby may need burping after about every half-ounce of formula. Hold the babys belly

against your shoulder and gently pat his or her back for a few minutes. When your babysdone eating, try burping again. To burp your baby in a sitting position, place the baby onyour lap so he or she leans slightly forward. Support the babys chest and head with onehand and pat or rub the back gently with your other hand.


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BOLOVI KOD NOVOROENETA INFANT PAIN

ta je bol?Bol izaziva neugodan osjeaj koji je povezan sa poremeajem tkiva. To je znak dapostoji povreda. Svako novoroene moe osjeati bolove. Poto bebe ne mogu priati,

moe biti veoma teko za osobe koje bebi pruaju njegu ili za roditelje da odrede kadabeba daje znakove da je neto boli. Moete primjetiti razliku ako posmatrate bebinereakcije svakodnevno i kada ima bolove.

What is pain?Pain is an uncomfortable feeling associated with tissue damage. It is an early warningsign of injury. All infants can feel pain. Since babies cant talk, it may be difficult forcaregivers and parents to decide when babies are showing signs of pain. A babyscomfort level can be assessed by observing his responses on a regular basis, and morefrequently after painful events.

Razlog za bol?U bolnici, zdrava beba moe imati bolove prilikom manjih medicinskih zahvata, tretmana.ili posije obrezivanja. Beba moe imati bolove ako se vadi krv iz pete ili vene.

Sources of painIn the hospital, a healthy newborn baby may have pain from minor procedures such asmedical tests, treatments, and after circumcision. Needles used to take blood samplesfrom the babys heel or vein may produce pain in the infant.

Mjerenje bola kod bebe?Bolovi kod bebe se mjere tako to se prate promjene otkucaja srca, disanje, i izrazi lica,nain na koji beba plae i nain na koji se beba pomjera. Kada Vaa beba ima bolove,tehnika koja djeluje umirujue, lijekovi, ili oboje moe biti koriteno za smanjenje bolova.

Measuring pain in babiesMeasuring pain in babies is done by looking at changes in heart rate, breathing patternsand facial expressions, listening to their cry, and looking at their movements. When yourbaby is in pain, soothing techniques, medication, or both can be used for pain relief.

Kada beba ima bolove, moda ete primjetiti:

When a baby is in pain, you may notice:

Zategnute miice lica, brazde na obrvama, bradi ili viliciTight facial muscles, furrowed brow, chin or jaw

Glasan, konstantan plaLoud continuous cry


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Neujednaeno disanje, davljenje ili zadravanje zrakaIrregular fast breathing, gagging or breath holding

Zategnute miie na nogama i rukama, naglo pomjeranje ruku i noguTight leg and arm muscles, rapid movement of arms and legs

Beba je nemirna i baca se po krevetiuRestless, thrashing

Smanjenje bolova (bez lijekova)Posmatraemo Vau bebu svakodnevno i poslije svakog medicinskog zahvata kako biutvrdili da li ima bolove. Umirujue tehnike kao to su ljuljanje, noenje, dodirivanje,umotavanje, muzika, dojenje ili prianje moe pomoi da bi se ublaili bolovi. Roditeljimogu koristiti iste tehnike u bolnici ili kod kue. Saharoza (mjeavina vode a eera)efikasno djeluje protiv bolova i moe biti koritena tokom medicinskih zahvata zavrijeme bebinog boravka u bolnici.

Pain Relief Measures (non-medication)We will observe your baby for any signs of pain on a regular basis and after everyprocedure. Soothing techniques like rocking, holding, touching, swaddling, music,suckling and talking to the baby will be used to relieve his/her pain. Parents can comforttheir child using these same comfort measures while in the hospital or at home. Sucrose(concentrated sugar water) has been shown to decrease a babys pain during proceduresand may be given while the baby is in the hospital.

Lijekovi protiv bolova?Va doktor moe naruiti lijekove kako bi se bebi smanjili bolovi. Razliite vrste

lijekova se mogu koristiti za smanjenje bolova. Poslije otputanja iz bolnice nemojtedavati bebi lijekove prije nego to provjerite sa bebinim doktorom.

Medications for Pain ReliefYour babys doctor may order medication to relieve his/her pain. Different kinds of painmedication are available. When you go home, you should not give your baby anymedication without checking with your babys doctor first.

Na ciljDoktori i osoblje SSM bolnice ozbiljno shvataju bolove. Uiniemo sve to je u naojmogunosti kako bi zaustavili bolove koje Vaa beba ima. Ako imate bilo kakavih

pitanja o bolovima koje Vaa beba ima, nemojte se ustruavati da pitate bebinumedicinsku sestru ili doktora.


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Our GoalThe health providers at the hospital take pain seriously. We will do our best to stop anypain your baby is having. If you have questions about the pain your baby may experience,please ask your babys nurse or doctor.

UTICA JAUNDICE

utica se ee pojavljuje kod beba koje se doje. Evo par stvari koje vam mogu pomoi:

Jaundice is more common in breast fed babies. Here are a few things for you to know.

Kada vaa beba pije male koliine mlijeka, on/ona nema stolicu i bilirubin nemoe biti odstranjen iz stolice.When your baby only drinks small amounts of breast milk, his/her bowels arentmoving and the bilirubin cant be removed in the stools.

Doktori preporuuju esto dojenje, najmanje 8 do 10 puta u toku 24 sata.Doctors encourage continued and frequent breast-feeding (at least 8 to 10 timesevery 24 hours).

Ako dajete bebi vodu, kao dodatak za mlijeko, to nee smanjiti njegov/ njenbilirubin.Giving your baby water, in addition to breast milk, will not decrease his/herbilirubin level.

U nekim sluajevima e doktor preporuiti da se dojenje zamjeni sa hranjenjm

na flaicu ili da se privremeno prestane dojiti a da se koristi flaica.In some cases, your babys doctor may encourage supplementation with formulaor the temporary interruption of breast-feeding with substitution of formula.

Ako trebate koristi drugi metod hranjenja na 1 ili 2 dana, moete koristitipumpicu za mlijeko svaka 3 sata i mlijeko moe stajati u friideru kao to vamje medicinska sestra pokazala.If you are asked to use a different method of feeding for 1 to 2 days, continue topump every 3 hours and store your breast milk as your nurse has taught you.

utica je u veini sluajeva normalna, bezopasna i nestane nakon prvih 10 dana ivota.

Ako se utica pojavi u jaem obliku, moe izazvati oteenje mozga. Ako vaa bebabude izgledala kao da ima uticu prije izlaska iz bolnice, nivo bilirubina se moeprovjeriti i termin sa bebinim doktorom se moe zakazati 2-3 dana nakon izlaska izbolnice. Veoma je vano da odete sa bebom na taj termin. Bilirubin se moe ponovoprovjeriti na ovom terminu.


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Jaundice, in most instances, is normal, harmless and usually goes away by the tenth dayof life. If jaundice is severe, however, brain damage can occur. If your baby is beginningto look jaundiced before your baby goes home from the hospital, a bilirubin level may bedrawn and a follow-up phone call or appointment with your babys doctor may bescheduled for 2-3 days after discharge. It is important to keep this appointment. A repeat

bilirubin level may be drawn at this time.Ako primjetite bilo koji od ovih simptoma kada beba izae iz bolnice, trebate se javitibebinom doktoru:

If you notice any of the following signs after your baby is discharged home, you shouldnotify your babys doctor.

Ako je bebina koa uta. Ako se uta boja koe pomjera od glave premaprstima. Beba sa blagom uticom moe izgledati uto samo u licu a bebasa jaim oblikom utice e biti uta po cijelom tijelu.

Babys skin is becoming yellow in color. The color change moves fromhead to toe, so the infant with mild jaundice may look yellow only in theface while one with severe jaundice will be yellow all over the entire body.

Ako beba ne jede flaicu ili ne moe da sisa mlijeko.Poor feeding or lactation difficulties.

Promjene u ponaanju ili smanjena aktivnost, ukljuujui spavanje ukojem beba prespava 2 ili vie obroka.Changes in your babys behavior or decreased activity, including sleepingthrough 2 or more feedings.

Bijela stolica (uta stolica je normalna za bebe koje se doje)White stools (yellow stools are normal for breast fed infants).

Tamna mokraa ili ako primjetite suhe pelene vie od 8 sati.Dark urine or no wet diapers for greater than 8 hours.

utice nije bolest, nego je znak. Uzorak krvi moe biti izvaen kako bi se izmjerio nivobilirubina u bebinom organizmu. Poslije toga e bebin doktor odluiti koji tretman jenajbolji za bebu. Tretman moe ukljuiti stavljanje bebe pod specijalna svjetla koja sezovu ''bililights'' ili photo therapy . Ova svjetla e pomoi odstranjenje bilirubina.

Ovisno o nivou biliburina u bebinom tijelu, svjetla se mogu koristiti u bolnici ili kod kue.

Jaundice is not a disease, but a sign. A small blood sample may be taken to measure yourbabys bilirubin level. Your babys doctor will then decide if treatment is necessary.Sometimes treatment requires the baby to be put under special lights, called bililights


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or photo therapy. These lights will help the body remove the bilirubin. Dependent uponyour babys bilirubin level, bililights can be used in your home as well as the hospital.

Ako imate pitanja, molimo vas da nazovete bebinog doktora.If you have any questions or concerns, call your babys doctor.

KARAKTERISTIKE NOVOROENETA NEWBORN CHARACTERISTICSSlijedi lista normalnih karakteristika koje bi mogli da primjetite kod Vaegnovoroeneta.

Below is a list of normal characteristics you may notice in your newborn.

OiEyes

Oi Vae bebe mogu biti napuhane ili nateene dva do tri (2-3) dana.Your babys eyelids may be puffy or swollen for two to three (2-3) days.

Oi mogu imati krvave dijelove. To je normalno i moe nestati u prvih mjesec dana.The eyes may have blood-shot areas. This is normal and may clear within the firstmonth.

Veina beba su roene sa plavim/sivim oima. Oi Vae bebe e se promijeniti ustalnu boju oko osmog mjeseca starosti.Most babies are born with blue/gray eye color. Your babys eye color will change to

the permanent color by eight months of age.

Novoroenad najee izgledaju razroka. Tokom koritenja oiju, miii oijupostaju jai i razrokost e nestati.Infants often appear cross-eyed. As babies use their eyes, the eye muscles becomestronger and this will disappear.

Vaa beba najbolje vidi stvari 12-18 ini udaljene od lica.Your baby sees things best 12-18 inches from their face.

Bebe vole da gledaju u lica vie nego u druge stvari. Crno bijeli dezen je bebin drugi

omiljeni izbor.Babies like to look at faces more than other things. Black and white patterns are theirsecond choice.


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MiliaMilia su male bijele takice na licu, posebno po nosu. One e nestati za otprilike est (6)sedmica.

Milia

Milia are small white spots on the face, especially across the nose. They will go away inabout six (6) weeks without any special treatment.

LanugoLanugo je tanka mekana dlaka koja se nalazi na bebinim ramenima i leima. Ona enestati za otprilike sedmicu dana.

LanugoLanugo is a fine downy hair that is found on babys shoulders and back. It will go awayin about a week.

VerniksVerniks je bijela sirkasta substanca. Slui kao lubrikant.

VernixVernix is a white cheesy substance. It serves as a lubricant.

Koa na grudimaKoa na grudima najee izgleda nateena i kod djeaka i kod djevojica. Ova oteklinae spasti u prvoj sedmici.

Breast Tissue

Breast tissue often appears swollen in both boys and girls. This swelling will decrease inthe first week.

GenitalijeSpolni organi Vae bebe e moda izgledati nateeni zbog maminih hormona. Oteklinee spasti u prve dvije (2) sedmice. Djevojice mogu imati verniks, sluz, ili male koliineizcjetka iz vagine. Nema potrebe za neku posebnu njegu, samo operite od sprijeda premanazad sa istom vodom svaki put kada mijenjate pelenu.

GenitalsYour babys genitals may also appear swollen because of moms hormones. The swellingwill disappear in the first two (2) weeks. Baby girls may also have vernix, mucus, or asmall amount of bloody discharge from the vagina. There is no need for extra care, justwash from front to back with clear water at each diaper change.


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Fontanels - (mekane take)Vaa beba ima dvije (2) mekane take na glavi, jednu na vrhu glave i manju u pozadiniglave. Namjena ovih mjesta je da omogui bebinoj glavi da raste. Mozak Vae bebe erasti brzo u prve dvije (2) godine ivota. Mekana taka u pozadini glave e se zatvoritikada beba bude imala dva do tri (2-3) mjeseca ivota a taka na vrhu bebine glave e se

zatvoriti 12-18 mjeseci starosti. Nema potrebe za posebnu njegu mekanih taki.

Fontanels (soft spots)Your baby has two (2) fontanels on his head, one on top and a small one on the back. Thepurpose of the fontanel is to allow the babys head to grow. Your babys brain will growquickly in the first two (2) years of life. The fontanel at the back will close at around twoto three (2-3) months of life and the fontanel on the top of the babys head will closearound 12-18 months of age. There is no need for special care of the fontanels.

Ruke i nogePrsti u rukama i nogama Vae bebe mogu biti plavkaste boje. Bebe nisu u stanju da

kontroliraju temperturu svoga tijela, tako da se ovo moete primijetiti ukoliko je bebihladno. Vaa beba e moda trebati dodatnu odjeu ili dekicu.

Hands and FeetYour babys hands and feet may have a bluish color. Babies arent able to control theirbody temperature, so you may see this if the baby gets cold. Your baby may needadditional clothing or covers.

PROVJERA SLUHA KOD NOVOROENADI NEWBORN INFANTHEARING SCREENING

Odjel za bebe prua test za sluh za svako novoroene koje se rodi o ovoj bolnici kao diozakonske dunosti u dravi Missouri i Illinois. Sluh vae bebe e biti provjeren veomabrzo, na bezbolan nain.

The nursery department provides hearing screening for every infant born at this hospitalas required by law. Your babys hearing will be screened using a quick, harmless andpainless method of assessing hearing.

Vi i bebin doktore te dobiti rezultate testa. Vaa beba e proi test ili e trebati dodatnetestove. Voema su male mogunosti da Vaa beba im jako oteenje sluha. Ako seustanovi da Vaa beba ima problme sa sluhom, veoma je vano da ponovo doete napregled kod doktora. Dobar sluh je veoma vaan za razvoj govora i jezika.

You and your babys doctor will receive results of the screening. Your baby will eitherpass the screening or will require further testing. It is unlikely that your baby has severehearing loss. However, if the results suggest that your baby has trouble hearing, it is


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important that follow-up is obtained as soon as possible. Good hearing is extremelyimportant for the development of speech and language.

Ako beba proe test za sluh, to znai da je beba imala dobar suh za vrijeme testa. Ako sebrinete i mislite da beba ima problem sa sluhom, govorom ili jezikom, konsultujte se sa

bebinim doktorom i zakaite novi termin za provjeru sluha.Passing the hearing screening shows that your baby hears at the time of the test. If at anytime you have concerns about your babys hearing, speech or language development,consult your babys doctor and arrange to have a hearing evaluation.

Za dodatne informacije obratite se vaem doktoru, medicinskoj sestri ili osobi koja radina provjeri sluha.

For additional information, you may talk with your doctor, nurse or a hearing screentechnician.

ZATITA SAFETY1. Da bi ste sprijeili padanje, ne ostavljajte Vau bebu samu na Vaem krevetu,

kauu ili na stolu.

To prevent falls, do not leave your baby on your bed, the sofa, or a tableunattended.

2. Svi bi trebali prati ruke prije nego to dirate ili drite bebu.

Everyone should wash their hands before touching or holding the baby.

3. Sjedala za auto su jako vana za sigurnost i zdravlje Vae bebe. Vaa beba morasjediti u odobrenom djeijem sjedalu. Drava Missouri ima Zakon za vezanjedjece ispod etiri (4) godine starosti.

Car seats are very important to the safety and health of your baby. Your babymust ride in an approved car seat. The State of Missouri has a Child RestraintLaw for children under (4) years of age.

4. Sjedala, visoke stolice i ljuljake imaju kaieve. Koristite ih da bi ste sprijeilimogui pad.

Seats, high chairs and swings have safety straps provided. Use them to protectfrom falls.


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5. Bebe ne bi smjele spavati na vodenim krevetima, koama od ovce ili jastucima.

Babies should not sleep on waterbeds, sheepskins or pillows.

6. Bebe trebaju spavati u ograenom krevetu ili kolijevci, a ne sa braom, sestrama

ili sa odraslima.Babies should sleep in a crib or bassinet alone, not with a sibling or adult.

7. Pomjerite grija vrue vode na 120F da bi ste sprijeili da se Vaa beba ne opee.

Turn your hot water heater to 120 F to prevent your baby from getting burned.

8. Postavite alarm za dim na svakom spratu Vae kue. Testirajte baterije kadapomjerate satove u proljee i na jesen.

Have a smoke alarm on every level of your house. Test your batteries when youset the clocks in the spring and fall.

9. Hodalice za bebe nisu sigurne. Ne kupujte i ne koristite hodalice za bebe.

Infant walkers are not safe for babies. Do not buy or use infant walkers.

10. Uvijek drite Vau bebu dok ga/je hranite. Formula ne prestaje izlaziti iz bocekada Vaa beba prestane sisati, tako da se beba moe zagrcnuti i formula moeotii u plua ukoliko je boca previe nagnuta.

Always hold your baby to feed him or her. Formula does not stop coming out ofthe bottle when your baby stops sucking, so babies choke and may get formula intheir lungs if the bottle is propped.

11. Skratite zavjese ili zastore na prozorima da bi ste sprijeili davljenje.

Shorten curtain or window blind cords to prevent strangulation

12. Odaberite igrake koje su previe velike da bi se mogle progutati, previe jake dabi se mogle slomiti, bez malih djelova i bez otrih ivica ili krajeva.

Select toys that are too large to swallow, too tough to break, with no small partsand no sharp points or edges.

13. uvajte igle, dugmad, sitni novac, plastine kese i balone van bebinog domaaja.


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Keep pins, buttons, coins, plastic bags and balloons out of babys reach.

14. Kapije za bebe se trebaju koristiti na dnu i na vrhu svih stepenica.

Baby gates should be used at the top and bottom of all stairways.

15. Nikada nemojte ostaviti bebu samu pokraj vode (kao na primjer: pored kante savodom, klozetske olje sa podignutim poklopcom, bazena, itd.).

Never leave a baby unattended with standing water nearby (i.e., a bucket of water,a toilet with lid in the upright position, a pool, etc.).

16. Nikada ne ostavljajte fotelju na rasklapanje u otvorenom poloaju ili da dopustiteda se dijete igra ili da skae na fotelju, jer se bebina glava moe zaglaviti u otvoruna fotelji.

Never leave a reclining chair in an open position or let a child play or jump onrecliner, as the baby may get their head trapped in opening.

PUENJE SMOKINGNemojte nikome dopustiti da pui u okolini Vae bebe. Bebe koje su okruene dimomcigareta imaju vee anse da dobiju astmu i prehlade. Takoer postoji vea mogunostda beba dobije Sudden Infant Death Sindrom (SIDS), u prevedenom znaenju Iznenadnisindrom koji izaziva smrt kod novoroenadi.

Do not allow anyone to smoke around your baby. Babies who are around cigarette smokehave a greater chance of getting asthma and colds. There is also a greater chance ofcausing Sudden Infant Death Syndrome (SIDS).

SPAVANJE SLEEP

Ne postoje pravila koja kau kada beba treba a kada ne treba spavati. Vaa beba moespavati 16-18 sati dnevno, ali on ili ona moe spavati u kratkim intervalima. Dui periodete bebu morati hraniti par puta u toku noi. Neke bebe ponu spavati cijelu no kada su6 nedjelja stare, a neke spavaju cijelu no kada su 5-6 mjeseci stare.

There are no rules for when a baby sleeps, or doesnt. Your newborn may sleep for 16-18hours a day, but he or she may not sleep for long stretches. You can expect several nighttime feedings for awhile. Some babies may sleep through the night as early as 6 weeks,while many do not reach that milestone until they are 5-6 months old or older.


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Nekada moete podesiti spavanje bebe. Pokuajte koristiti ove savjete:

You can sometimes adjust patterns of sleep to fit a night-day cycle. Try these tips.

Nou stavite bebu da spava u krevetiu ili beici. Kada se beba probudi, nahranite

i presvucite je brzo. Svjetlo u sobi treba biti prigueno tako da bi beba moglaponovo zaspati.

At night, put your baby to sleep in a bassinet or crib. When your baby awakens,feed and change him or her quietly. Keep lights dim and limit distractions so thatyour baby will go back to sleep sooner.

U toku dana, stavite bebu da spava stolici za bebu. Probudite bebu kada jevrijeme za hranjenje, priajte i igrajte se sa vaom bebom. Pravite smijene facena Vau bebu. to je vie beba budna u toku dana vee su mogunosti da e boljespavati u toku noi.

During the day, put your baby in a cradle or infant seat to sleep. Wake your babyfor feedings, and talk and play with your little one. Make funny faces for yourbaby. The longer your baby is awake during the day, the better he or she is likelyto sleep at night.

U prvih nekoliko sedmica, moda e Vam biti lake ako beba spava u vaoj sobi. Akoete se bolje odmoriti ako je beba u drugoj sobi, i to je u redu. Elektronski monitor zabebe Vam moe pomoi da ujete da li je beba budna. Iz sigurnosnih razloga beba ne bitrebala spavati s Vama u krevetu.

During the first weeks after birth, you may find it easiest if your baby sleeps in your room.If you will rest better with baby in another room, thats okay too. An electronic babymonitor can help you hear whether your baby is awake. For safety reasons, your babyshould not sleep in the bed with you.

Evo nekoliko prijedloga koji mogu pomoi da beba bre zaspe:

Here are some suggestions for helping your baby to fall asleep.

Beba treba biti nahranjena i treba provesti malo vremena na Vaim rukama prijenego to je stavite u krevet.

Make sure your baby is fed and has spent quiet time in your arms before being putto bed.

Bebe uglavnom vole pokrete koji imaju ritam. Ljuljajte bebu ili ljuljajte kolijevku.Most babies like rhythmic motion. Rock your baby or gently push the cradle.


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Pokuajte masirati bebin stomak i noge.Try massaging your babys stomach and feet.

Pjevajte tiho ili sluajte uspavanke sa kasete.Sign softly or play lullaby tapes.

Imajte rutinu prije spavanja, ako to je kupanje, itanje ili pjevanje.Begin to set a bedtime routine, such as bathing, reading, singing.

POTREBA ZA SISANJEM SUCKING NEEDS

Mogue je da e ponekad Vaa beba plakati i ponaati se kao da je gladna a ustvari samotreba da sisa. Sisanje moe pomoi bebi koja je uznemirena. Dozvolite bebi da sisanjegovu ili njenu aku, palac ili cuclu.

There may be times when your baby may act hungry and cry but just needs to suck.Sucking may calm a fussy baby. Allow the baby to suck his or her fist, thumb or pacifier.

IENJE BEBINOG NOSA SUCTIONING YOUR BABYS NOSE

Prvih nekoliko mjeseci ivota, bebe diu kroz nos. Ukoliko Vaoj bebi curi iz nosa, ilibeba kalje, ili ima sluzi u nosu, moete koristiti pumpicu da to otklonite.

The first few months of life, babies breathe through their noses. If your baby has a runnynose, cough, or drainage in his or her nose, you may use a bulb syringe to remove it.

Your baby will breathe and eat easier if you remove the mucus from the nose.

1. Istisnite zrak iz pumpice; sa stisnutom pumpicom u Vaoj ruci, njeno stavite vrhpumpice u jednu (1) nosnicu i polako popustite "stisak" tako da se pumpica ispunizrakom.

Squeeze the air out of the bulb syringe; with bulb still squeezed in your hand, gentlyplace the tip of the bulb syringe into one (1) nostril and slowly release your squeezeallowing the syringe to fill with air.

2. Izvadite pumpicu iz nosa. Stisnite vrh da otklonite sluz na maramicu.

Remove the syringe from the nose. Squeeze the bulb to remove any mucus into atissue.

3. Ponovite isto sa drugom nosnicom.


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Repeat with the other side of the nose.

4. Moete ponoviti ukoliko je potrebno.

You may repeat if needed.

5. Nakon to ste zavrili sa isisavanjem, operite pumpicu u sapunjavoj vodi, stiuinekoliko puta i onda isperite istom vodom.

After you finish suctioning, wash the bulb syringe in soapy water, squeezing severaltimes, then rinse with clear water.

SIMPTOMI KOJE TREBATE JAVITI BEBINOM DOKTORU SYMPTOMSTO REPORT TO BABYS HEALTH CARE PROVIDER

Ukoliko Vaa beba ima bilo koji od slijede

ih simptoma, stupite u kontakt sa doktoromVae bebe:

If your baby experiences any of the following symptoms, contact your babys health careprovider.

Pomona (ispod pazuha) temperatura je iznad 99.4 F i ispod 97 F.Axillary (under arm) temperature above 99.4 F or below 97 F.

Odoje je letargino (ne budi se lako) i /ili ne jede dobro.Infant is lethargic (doesnt easily awaken) and/or is not eating well.

Obrezano mjesto se ini da ne zarasta kako treba; pojava otekline, krvarenja iliplikova.Circumcision does not appear to be healing properly; swelling, bleeding or blistersappear.

Plastini prsten oko obrezanog mjesta nije spao u roku od 10 dana.Plastic ring on the Bell circumcision has not fallen off within10 days.

utozelena tekuina, neprijatan miris ili crvenilo na koi blizu pupka.Yellow-green drainage, foul odor, or redness of the skin near the cord.

esto povraanje ili proliv.Persistent vomiting and/or diarrhea.


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utica (uta boja koe) se poveava ili se ponovo javi nakon to ste napustili bolnicu.Jaundice (yellow skin color) increased or recurs after you leave the hospital.

Manje od 5-6 mokrih pelena dnevno.Less than 5-6 wet diapers per day.

MJERENJE TEMPERATURE TEMPERATURE TAKING

Mjerenje temperatureSlijede upute kako da izmjerite bebinu pomonu (ispod pazuha) i rektalnu temperaturu.Uvijek stupite u kontakt sa doktorom kada Vaa beba ima temperaturu veu od 99.4 Fpomone ili iznad 100.4 F rektalne. Trebali bi ste mjeriti bebi temperaturu podpazuhom ukoliko doktor ne preporui mjerenje rektalne temperature.

Taking Your Babys Temperature

The following are instructions to take your babys temperature both axillary (under thearm) and rectally. Always contact your doctor when your baby has a temperature of 99.4F or above axillary or 100.4 F or above rectally. You should take your babystemperature under the arm unless your doctor recommends a rectal temperature. Whenusing your digital thermometer, always follow the manufacturers directions.

Mjerenje pomone (pod pazuhom) temperatureNormalna temperatura pod pazuhom je 97.6 F, sa temperaturom u normalnom razmakuod 97 do 99.4 F.

Taking an Axillary (under the arm) Temperature

Normal temperature under the arm is 97.6 F, with a normal range of 97 to 99.4 F.

1. Provjerite da li je bebino pazuho suho. Ukoliko beba nosi majicu, izvucite ruku izmajice.

Make sure the babys armpit is dry. If a shirt is worn, slip the arm out.

2. Stavite vrh toplomjera ispod bebine ruke.

Place tip of the thermometer under the arm.

3.

Drite bebinu ruku uz njegovo ili njeno tijelo.

Hold babys arm against his or her body.

4. Drite toplomjer na jednom mjestu i pratite instrukcije kompanije koja je proizvela tajtoplomjer.


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Hold thermometer in place as directed by the manufacturer.

5. Otklonite toplomjer i oitajte temperaturu.

Remove thermometer and read.

6. Nakon to ste oitali temperaturu, oistite toplomjer kao to je to navedeno uinstrukcijama kompanije koja je proizvela tomplomjer.

After you have read it, clean the thermometer as directed by the manufacturer.

Kako izmjeriti rektalnu temperatutuNormalna rektalna temperatura je 99.6 F, sa normalnom temperaturom u razmaku od98 F do 100.4 F. Toplomjer koji se koristi za mjerenje rektalne temperature se ne bitrebao koristiti za mjeranje oralne temperature.

How to Take a Rectal TemperatureNormal rectal temperature is 99.6 F, with a range of 98 to 100.4 F. A thermometer usedfor rectal temperatures should not be used for oral temperatures.

1. Pregledajte toplomjer da se uvjerite da nije slomljen.

Look at the thermometer to be sure it is not broken.

2. Namaite vrh toplomjera petrolejskom kremom.

Lubricate the end of thermometer with petroleum jelly.

3. Stavite bebu na stomak u krevetu ili preko Vaeg krila. Rairite stranjicu tako da biste mogli jasno vidjeti rektum.

Place baby on stomach in crib or across your lap. Spread buttocks so rectum is easilyseen.

4. Stavite toplomjer njeno u rektum tako da se ne vidi srebrenasti vrh, u prosjeku 1/2ina.

Insert the thermometer gently into rectum so the silver bulb is not visible,approximately 1/2 inch.

5. Nikada ne pomjerajte toplomjer kada mjerite temperature. Ostavite toplomjer najednom mjestu kao to je to navedeno u instrukcijama kompanije koja je proizvelatomplomjer.


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MHA Immigrant, Refugee & Translation Services Steering Committee, 2004

Always hold the thermometer in place while taking temperature. Leave thethermometer in place as directed by the manufacturer.

6. Nikada ne ostavljate Vau bebu samu sa toplomjerom.

Never leave your baby alone with a thermometer.7. Izvadite toplomjer i oitajte temperaturu.

Remove the thermometer and read.

8. Nakon to ste oitali temperaturu, oistite toplomjer kao to je to navedeno uinstrukcijama kompanije koja je proizvela tomplomjer.

After you have read it, clean the thermometer as directed by the manufacturer.

POSJETIOCI VISITORS

Dobra je ideja da ograniite broj gostiju sa kojima beba dolazi u kontakt 4-6 sedmica.Svako ko ima simptome prehlade, proliva, povraanja, temperature ili osipa bi trebaopriekati da vidi bebu sve dok ne ozdravi.

It is a good idea to limit the number of people your baby comes in contact with for thefirst 4-6 weeks. Anyone with cold symptoms, diarrhea, vomiting, fever or a rash shouldwait to see your baby until they are well.

VODA WATER

Bebin doktore Vas savjetovati ukoliko Vaa beba treba vodu. Beba prima dovoljnovode preko formule ili majinog mlijeka. Nemojte koristiti vodu iz esme.

Your babys doctor will advise you if your baby needs water. The baby receives enoughwater in formula or breast milk. Do not use well water.

PITANJA ZA DOKTORA QUESTIONS FOR YOUR DOCTOR

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