WonderBaba

Healthcare by a Pharmacist mum!


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Is this heat rash?

heat rash wonderbabaHeat rash is also known as miliaria or prickly heat.  There’s a few different kinds and the rash can range from mild small pimples to deep red lumps.  Its generally a pink or red rash which can be made up of dots, spots or pimples – most often these affect the head neck and shoulders.  Heat rash occurs when your baby’s sweat glands become blocked and become swollen, itchy and generally uncomfortable! It often occurs under clothes where the heat is worst and the material rubs off it causing further irritation and friction. Continue reading


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Should you give your baby calpol or nurofen before vaccinations?

This is a question that crops up time and time again – especially now since new guidance has been given with the introduction of the MenB Vaccine to the primary immunisation schedule.  I’d like to clear it up to help parents understand when you should or should not give your baby calpol or nurofen as a preventative strategy before vaccinations.

  • Ibuprofen (Nurofen) should not be given to prevent pain or fever before any vaccination on the childhood schedule.
  • Paracetamol (Calpol or Paralink) should only be given as a preventative measure at the time of the MenB vaccines only.  This recommendation applies only to the vaccines given at two and four months of age.
  • Paracetamol is recommended before the two and four month vaccines only as a result of the introduction of the MenB vaccine which may put your child at a higher risk of fever when given with the other vaccines.
  • At your child’s two or four month vaccines three doses of paracetamol should be given – the first dose of 2.5mls infant paracetamol (60mg) should be given at the time of vaccination or just after.  The second dose should be given 4-6 hours later and then the third dose should be given 4-6 hours after the second.
  • Paracetamol (calpol) does not need to be given routinely at the 12 month vaccines as your baby is less susceptible to the side effects of the MenB vaccination.

So basically other than before the two and four month vaccines you should not routinely try to prevent side effects of vaccines by giving medication.

However, it is important to stress that if your child is over six months of age and develops a fever over 39 degrees celcius or pain, swelling, headache or irritability after receiving a vaccine you can then use either paracetamol (calpol or paralink) or ibuprofen (nurofen) to treat their symptoms.

hugsOn a personal note I would recommend breastfeeding or if not bottle feeding your baby during or just after their vaccinations – and LOTS AND LOTS of cuddles and hugs…they are shocked and horrified by whats going on and a little love and reassurance is sometimes the best medicine!

cropped-websitefeetlogo.pngI hope you have found this article helpful and if you have any questions at all please don’t hesitate to contact me by sending a private message to the WonderBaba facebook page (www.facebook.com/wonderbabacare) or by calling me (Sheena) at Milltown totalhealth Pharmacy in Dublin 6 on 012600262. I’m always happy to help!

 

References

http://www.hse.ie/eng/health/immunisation/hcpinfo/guidelines/

PSI Guidance 2017

 


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A Wonder Review Ear Band-Its!

There is nothing worse than trying to explain to a child that they can’t go swimming  or mess too much in the bath because they are not allowed to get water in their ears due to grommets or ear perforation due to a bad infection.  In addition to that consider the nightmare which exists when trying to bathe a child who hates to have water in their ears!  From both a parents and child perspective ensuring no water enters the ear canal is nothing short of a disaster!

From my experience there are two main situations which arise! One where a child is not allowed to get water in their ears for medical reasons such as infection or grommets and another where a healthy child hates the feeling of water in their ears and suggesting a bath makes you enemy number one!! In essence it involves a parent trying to explain or battle (let’s be honest here!) with a child who either wants to splash and dunk their head under the water or else coaxing and convincing a child that hates the bath that water in their ears is ok and there is no need to be afraid!  Well I don’t know about your WonderBaba’s but mine certainly seem to follow my logical arguments!!

I recently came across a genius little product which solves the problems associated with both of these ‘water’ issues!  May I introduce… Ear Band-Its! Continue reading


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Preparing to Breastfeed!

 

breastfeedingWhilst it is certainly true that breastfeeding is a natural and instinctive skill it is not always true that it will come ‘naturally’.  Personal experience has highlighted breastfeeding as one of the most rewarding experiences life has to offer, but it has also taught me that support and knowledge are key to a successful breastfeeding relationship.  It is most likely that you will have an easy and straightforward breastfeeding experience but it is also very possible that you may stumble across a few hurdles on your way.  With only 10% of Irish mums continuing to breastfeed after four months it is clear that our support networks are somewhat lacking.  Continue reading


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Why cant I get Dentinox cradle cap shampoo?

 

***Update*** 5/4/17 – New Information in BLUE!

I Spoke to the manufacturers of the product today who said a ‘reformulated’ Dentinox shampoo will be available at the end of October 2017.  They could not confirm the date and had no further information about what the difference in formulation would be but hopefully we will have more information soon!  I’m glad its coming back as it is a great product so I just hope the reformulation does not effect its efficacy!

cradle cap brushIn the meanwhile this cradle cap brush is brilliant to help gently work away patches of cradle cap!  http://www.milltownpharmacy.ie/p/pourty_cradle_cap_massage_brush

 

uriage shampooI use it with the gorgeous smelling Uriage 1Er Shampoo – http://www.milltownpharmacy.ie/p/uriage_1er_shampoo_200ml

 

 

Have you been left frustrated by the current shortage of Dentinox cradle cap shampoo?  I have, for personal reasons as well as professional!

I have spoken to the manufacturer of the product DDD Ltd in the UK who have assured me that it has not been discontinued – the problem relates to a production delay.  They have told me that it will be available for us to buy again but so far have not been able to offer any estimation of a date.  They have taken my details and will update me as soon as they have a date and I promise to update you all at that point too!

dentinoxIn  the meanwhile I would just like to say that there is no need to be stuck – there is an excellent alternative for this product available which is known as Capasal Therapeutic Shampoo.  It is suitable for use on cradle cap on children and is safe to use regularly.

We have this available online for all of you fellow frustrated mums so if you need it just CLICK HERE 

Dentinox and Capasal are excellent at treating persistent cradle cap but there is some more gentle options also available as described in my full cradle cap blog – CLICK HERE 

I hope this helps to clarify the current situation but if you have any questions don’t hesitate to contact me in Milltown totalhealth Pharmacy on 01-2600262 (Sheena) or by messaging me on the WonderBaba facebook page!


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Candida (thrush) infection of breasts – symptoms and treatment!

Nipple pain can occur in a breastfeeding mum for many reasons.  Obtaining a correct diagnosis is critically important for a successful continued breastfeeding realtionship. Breastfeeding is recommended exclusively for your baby’s first six months and then in combination with food right up until two years of age or beyond.  This article does not serve to prove the benefits of breastfeeding – it is universally accepted as the best source of nutrition for your baby and has many benefits for mum too.  No doubt I’ll write all about that at some other stage – today I am more focused on identifying those mums who are struggling with pain during feeding and would like to highlight thrush as a potential cause.  From experience I have found it is important to know the appropriate treatment when attending the doctors so that you can discuss the best treatment options available to you. Continue reading


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A WonderBaba Guide to Asthma in Children!

child-asthmaChildhood Asthma

Around 1 in 5 of Irish children are affected by asthma with boys being more likely to suffer than girls.  Happily the odds get a bit better with age but still approximately 1 in 10 adults are asthma patients  (470,000 people!) in Ireland.

Asthma is a chronic respiratory disease which is often not diagnosed and unfortunately uncontrolled which can lead to ill health in children.  The early detection and treatment of asthma in kids is essential to reduce illness and complications and to increase the quality of life of those affected and their families. Illness from asthma can be mild and cause moderate inconvenience such as missed days from school, however it can also present in a more severe form which can be serious and potentially life threatening. Modern medicine makes asthma an extremely well controlled condition in those with appropriate action plans and I can’t stress enough how important it is to work with your child’s doctor to ensure you are keeping their condition as well controlled as possible – this proactive attitude will help your child to lead a ‘normal’ life and reduce the number of doctor and hospital visits necessary. Continue reading


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WonderBaba Medication Record

We all know how important it is to give your child the right medication, at the right time, at the right dose.  I’m not writing this to give you a lecture – if you are reading this you are already interested in the responsible administration of medication to your child.  I’m writing this to help you find an easy and effective way of doing it – no matter what your family or childcare situation!

The most common reason for medication errors that I have come across is a simple lack of communication between adults. It’s so easily done, everyone is in a hurry and has an awful lot of information to provide during ‘handover’ of responsibility from one parent to another, from a parent to a childminder or from a parent to a creche or school etc.  It’s simple to forget to let someone know that you have given a dose of medication, in fact with tiredness and stress involved I’d say its near impossible to be perfect all of the time!

Rather than beat ourselves up about not being ‘WonderParents’ all of the time I feel it’s a lot more constructive to identify that everyone is only human after all, and to try and find a system to put in place to prevent any medication errors from occuring.

I have designed the following record so that it can be used in a home, childminders, creche or school environment.  Ideally it could be stored in the box of the medication so that it is easily found but can even wrapped around the bottle with an elastic band or hair bobbin if needs must!  I really hope you find it useful as the most important thing is the health and welfare of our fabulous WonderBabas and I know this is a system we will be using in our house from now on when one of our three is unfortunate enough to need medication.

The Record can be downloaded and printed off by clicking the following link:

WonderBaba Medication Record download!

wonderbaba medication record download! pic

 

 

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I hope you have found this article helpful and if you have any questions at all please don’t hesitate to contact me by sending a private message to the WonderBaba facebook page (www.facebook.com/wonderbabacare) or by calling me (Sheena) at Milltown totalhealth Pharmacy in Dublin 6 on 012600262.  I’m always happy to help!

 


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Updated Information on the Primary Immunisation Programme 2016!

Hi Mums and Dads of WonderBabas in Ireland!

There have been some recent announcements about the immunisations which your child will be offered.  It has been announced that the HSE intend to roll out a new Primary Childhood Immunisation Programme this year which will mean that all babies who are born on or after the 1st of October 2016 will receive two new vaccines as part of the programme.  The two new vaccines include MenB (at 2,4 and 12 months) and Rotavirus (at 2 and 4 months). The timing  if the 1st MenC vaccine will also change from 4 to 6 months and the timing of the third PCV will change from 12 to 13 months.  Currently Hib and MenC are given as two separate vaccines but will now change to one injection which combines the two vaccinations at 13 months.

I have updated my ‘Vaccination Schedule’ blog so that you have all of the information you need to answer any questions you may have relating to the changes and how they may or may not affect you and your baby.

The updated blog is available here:

https://wonderbaba.ie/2016/06/14/vaccination-schedule/

cropped-websitefeetlogo.pngI hope you find helpful and if you have any questions at all please don’t hesitate to contact me by sending a private message to the WonderBaba facebook page (www.facebook.com/wonderbabacare) or by calling me (Sheena) at Milltown totalhealth Pharmacy in Dublin 6 on 012600262. I’m always happy to help!


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Measles – A WonderBaba Guide!

Baby was receiving his scheduled vaccine injection in his left tMeasles is a contagious viral illness which is most common among children age one to four years of age.  The MMR vaccine is the most effective way to protect your child against measles and due to its success Ireland has a very low level of measles cases.  However in recent years controversy surrounding the vaccine which included an association with autism has resulted in some parents choosing not to vaccinate their children.  The World Health Organisation state that ‘no evidence exists of a causal association between MMR vaccine and autism or autistic disorders’.  In addition the HSE website shows a quote from Autism Speaks (2015), the world’s leading autism science and advocacy organisation has stated, “Over the last two decades, extensive research has asked whether there is any link between childhood vaccinations and autism. The results of this research are clear: Vaccines do not cause autism. We urge that all children be fully vaccinated”

The inaccurate link between autism and the MMR first came about in the late 1990’s and the children who were not vaccinated then would now be approximately 18 years of age….it seems no surprise to me that the current outbreak of measles in Ireland is affecting the 15-19 year age group mostly. The majority of the recent cases of measles were in patients who had not been vaccinated with the MMR.

The MMR vaccine should be given when your child is 12 months of age as a part of the childhood vaccination schedule and then a second dose is given when they are 4-5 years of age.  To read my blog all about the childhood vaccination schedule just click here!

Once you have had the vaccine or the virus it is very rare for you to get the infection as your body will then be immune and resistant to the virus.

 

What are the symptoms of the Measles?

  • Cold like symptoms including runny nose, sneezing, dry cough and sore eyes.
  • A mild to severe temperature which may last for several days.
  • Small white/grey spots in the mouth and throat.
  • Lack of energy and fatigue.
  • Lack of appetite.
  • measles rashA red-brown spotty rash which appears two to four days after the initial symptoms occur.  The rash can last for up to eight days and usually starts at the top of the head and works its way down the body.

It can be hard to differentiate measles rash from some other childhood rashes but the measles rash often starts as small spots which quickly get bigger and then join together.  Measles is not just defined by its rash but also by the symptoms that accompany it so if your child has a rash which sounds like this you should phone your GP to discuss it and arrange to visit at a time that other vulnerable patients will not be in the waiting room.

 

How is the measles virus spread?

WONDERBABA COUGHThe measles virus is spread by coughing and sneezing as it is present in the tiny water particles which are expelled by an infected person. If an infected person coughs or sneezes in close proximity to you, or you touch something which they have coughed or sneezed on, you may ingest the virus and thus become infected.  The measles virus can survive on surfaces for a couple of hours.  Symptoms of the measles start to appear about ten days after you have caught the infection.  You are contagious and can spread the virus from two to four days before the rash appears to about five days after.

How do I treat the measles?

The treatment of the measles simply involves the treatment of the symptoms.  The virus itself is self-limiting and will normally clear by itself within a couple of weeks.  To read my blog on managing a high temperature click here!

  • Paracetamol (calpol) or ibuprofen (nurofen) can be given in the case of a high temperature, aches or pains.
  • Soothe irritated eyes by cleansing with gauze dipped in boiled cooled water.  Use one piece of gauze as a single wipe from the inside of the eye outwards and then dispose of it.
  • To learn more about the treatment of coughs and what cough bottle can be used click here!
  • Ensure your child stays hydrated.  Tips on how to spot dehydration and how to prevent it can be found by clicking here!

doctor-logo-red-white-mdWhen to contact the doctor?

  • If measles is suspected phone your GP.
  • If you cannot alleviate the symptoms of measles using over the counter remedies.
  • If complications occur such as croup, bronchitis, a squint of the eye, ear ache, febrile convulsions, symptoms of meningitis, drowsiness, severe headache and vomiting.

 

websitefeetlogoI hope you have found this article helpful and if you have any questions at all please don’t hesitate to contact me by sending a private message to the WonderBaba facebook page (www.facebook.com/wonderbabacare) or by calling me (Sheena) at Milltown totalhealth Pharmacy in Dublin 6 on 012600262.  I’m always happy to help

 

References:

http://www.who.int/vaccine_safety/topics/mmr/mmr_autism/en/

http://www.hse.ie/eng/services/news/media/pressrel/furthermeasles.html

http://www.nhs.uk/conditions/measles/Pages/Introduction.aspx

https://www.hpsc.ie/A-Z/VaccinePreventable/Measles/Publications/MeaslesPublicationsArchive/File,938,en.pdf