• Sfaturi pentru parintii veniti cu puii la vaccinat!

    Sfaturi pentru parintii veniti cu puii la vaccinat!

    • For reducing immunization pain in infants you may use different numbing creams and patches , but they are not always available .In Romania they do not exist in pharmacies, but the lucky ones of you can have them from France, Italy, Poland, Netherlands, Germany, UK, America, in products like Emla cream 2,5% +2, 5%, or Emla medicated plaster 25+25 mg, or Anesderm cream.
    • Breastfeeding your baby before, during and after the immunization shot is going to relax him and he will feel less the needle pain . Breastfeeding during a painful procedure effectively reduces the response to pain in newborn infants, in toddlers and the analgesic properties of breast- feeding are at least as potent as the combination of sweet solutions and a pacifier .
    • For the mothers who do not breastfeed, they may use the sucrose solution, 1-2 milliliters given by mouth to the baby,with a spoon or a syringe, immediately before the vaccine, and this will help , especially in combination with a pacifier, reducing pain in the baby.
    • In babies 18 months old and older , cuddle your child in an up-right seated position, firmly in your lap or put your child in a seated position in front of you, head against your shoulder. Tell him/her that this is going to look like a mosquito bite and I’ll do it fast!
    • You can also distract him during the injection, and take your baby’s attention away from the needle with activities or toys .You may bring your baby’s favorite blanket, toy or book to your appointment and you can also talk or sing to your baby.
    • Be calm and encourage the child, because your anxiety passes towards the child,and this can make him more frightened than usual.
    • Before leaving the doctor office, it is best to wait for about 15-20 minutes, in case of allergic reaction to the vaccine ( very rare situation but possible, like in any other medicine product) , so the doctor or the nurse will rapidly treat the baby’s allergic reaction.

    What to do next?

    • Verify the temperature of your child, using a rectal thermometer in very young children, and in case of fever(the temperature above 38°C), give them to drink small amounts of water, tea, or fruit juice ( particularly in older children) , always in small quantities,of 10-20 ml approximately, to maintain a good hydration .
    • Don’t worry,the fever after vaccination is very common , and the first 2 days after the vaccine is almost a rule in children under 2 years and, yes, it becomes rarer in older children, but always possible.
    • You may give the baby some medicines that contain paracetamol or ibuprofen,depending on his age and weight , but only after speeking to your doctor about this, and only if the baby is not allergic to these medicines. So, remember to ask the doctor when you’re at the office about this!!!!
    • Call your paediatrician or see the doctor to the closest hospital when the baby has a very high fever, over 40°C, that doesn’t go away after medication (paracetamol ), unusual high-pitched or inconsolable crying , changes of skin colour ,floppines ,if the child becomes very sleepy , if he starts to have convulsions or paralysis the next days after the vaccine.

    Good luck!

    By Dr Genoveva Hiastru, the 15 October 2013

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