Baby Cries For No Reason

Full tummy? Check. Clean diaper? Check. Fever-free? Check.

So why is your baby crying? Babies have their own good reasons. But even the wisest parents can't read their babies' mind – and babies don't have the words to tell us what's wrong. 

If you haven't already looked at 12 reasons babies cry and how to soothe them, you may want to start there. If you still need strategies, read on. Fortunately, you can offer comfort without knowing the cause of distress.

Here are some tried and true methods:
Something to suck on
Sucking can steady a baby's heart rate, relax his stomach, and calm flailing limbs. Offer a pacifier or a finger to clamp onto and let your baby go to town.
Snuggling and swaddling
Newborns like to feel as warm and secure as they did in the womb: Try swaddling your baby in a blanket, wearing your baby, or holding him against your shoulder to re-create that feeling. Some babies find swaddling or cuddling too constrictive and respond better to other forms of comfort such as rhythmic movement or sucking a pacifier.
Music & rhythm
Try playing music, singing a lullaby or your favorite song, and dancing around the room. Experiment with different kinds of music to see what your baby responds to.
White noise
The growl of a vacuum cleaner might not seem very soothing, but many babies are calmed by a steady flow of "white noise" that blocks out other noises – much like the constant whoosh of bodily sounds they heard in the womb.
Fresh air
Sometimes simply opening the front or back door and stepping outside with your baby stops the crying instantly. If it works, savor the moment: Look around, look up at the sky, talk to your baby about the world around your home – whether it's a quiet cul-de-sac or a busy city street.
Warm water
Like fresh air, warm water can soothe and put a stop to your baby's tears.
For a change from a bath, try holding your baby in your arms under a gently running shower. Don't push it if your baby doesn't like the noise or splashing water, but some babies really take to it. Just make sure your shower is slip-proof.
Motion
The movement involved in being carried in your arms or a carrier may be enough. Other ways to get your baby in motion: a rocking chair, swing, or bouncy seat; setting your baby in a car seat on the dryer while it's on (don't walk away, though – the dryer's vibrations can cause the seat to move and fall off!); a ride in the stroller or car. 
Give yourself a break
A crying baby who can't easily be soothed puts a lot of stress on parents. Thankfully, as your baby gets older, he'll be better able to soothe himself and much of the crying will stop.

In the meantime, don't feel guilty about taking care of yourself as well as your baby. It'll make you a more patient and loving parent. When you're reaching your limit, try these tips:

• Put your baby down in a safe place and let him cry for a while.
• Call a friend or relative and ask for advice
• Let someone you trust take over for a while.
• Put on quiet music to distract yourself.
• Take deep breaths.
• Remind yourself that crying in itself won't hurt your baby – and he may just need the release.
• Repeat to yourself, "My baby will outgrow this phase."
• Whatever you do, don't express your frustration by shaking your baby.

Advantage And Disadvatage Of Day Care

What are the advantages of daycare?

Many parents like daycare centers because they offer a formal, structured environment. Many daycare centers are inspected for licensing purposes, in some cases caregivers are supervised (many classrooms have more than one teacher), and a director oversees the entire operation.

"I didn't feel comfortable with the idea of hiring a nanny. I feel like I'd always want to check up," says Noelle Haland, a copy editor in Minneapolis, Minnesota, whose 13-month-old son Max is in daycare. "I know taking care of a child can be frustrating and a nanny can also find it stressful." Rather than worry about how a nanny might handle her son during particularly trying moments, Haland decided on daycare.

Another plus: Centers have clearcut rules for parents to follow (such as pickup and drop-off times) so you know exactly what is expected of you. A daycare center is usually more affordable than a nanny. Plus, parents have the opportunity to meet other parents who may be able to lend support and babysitting time.

Also, the arrangement is more stable (compared to, say, nanny or relative care) because the center agrees to watch over your child regardless whether a teacher is sick or tardy or even tired of working for you. Yvonne Matlosz, BabyCenter mom, agrees. "We chose a daycare center so we didn't have to work around someone else's sick days and vacation," she says.

Staff members at good centers are usually trained in early childhood education so they know what to expect from your child developmentally and are able to nurture his growing skills accordingly. If the center you're considering doesn't hire knowledgeable staff, keep looking.

Good daycare centers include a nice mix of activities during the day to teach different skills, such as singing, dancing, and storytelling. Scott Huber, whose 3-year-old daughter Lindsay has attended daycare in Portland, Oregon, since she was 2 months old, says he likes the fact that his daughter spends her day doing projects and honing skills in a structured setting.

"They're not just playing all day," he says, "they're learning new things." Huber says he feels especially good about his decision to put Lindsay in a center when he sees the projects she does. "Many of the instructional projects are a good mix of left- and right-brain activities, usually made of simple objects like blocks or beans or vinyl letters for creativity, but presented in an organized, structured, and methodical way," he says.

Ongoing research by the National Institute of Child Health and Human Development suggests that children in quality daycare centers may even have an intellectual edge over those in other kinds of care. When researchers compared kids in quality daycare to those in other, equally high-quality childcare situations, children in centers performed a little better on tests.

Finally, toddlers can benefit from the chance to socialize with other children, which they may not get to do as often or at all when a nanny or a relative cares for them at home.

What are its disadvantages?

One problem with daycare is that you're at the center's mercy. You may have to pay a costly fee for late pickups, scramble for backup care when the center is closed on holidays, and stay at home when your child is sick. And your child is more likely to catch diseases such as colds and pinkeye, since he's exposed to more germs. "My son Max never really had a serious illness before starting daycare," says Noelle Haland.

Children are also less likely to get the one-on-one care that you take for granted with astay-at-home mom or nanny. Babies, in particular, need a lot of love and attention to thrive and do well. Finally, moms and dads know that handling one baby, let alone three or more, is tough work, which is why some parents balk at the idea of a single teacher caring for more than one baby at a daycare center all day long.

The bottom line

It's true that quality of care dips when a person has to watch over too many children, but good centers make an effort to keep the teacher-child ratio as low as possible. Also, having a number of teachers at these centers means they can support each other when needed.

Quality daycare centers keep the number of children in each group low, too. "It's easier to give one-on-one attention and be responsive when there are fewer kids in a room," says Stephanie Glowacki, director of accreditation programs at the National Association for the Education of Young Children, a benchmark of quality.

The organization recommends:

• One caregiver for every three babies if there are six infants in a group, and one for every four if there are eight babies in a group. NAEYC says eight babies should be the maximum number in any group.
• One caregiver for three children in a group of six, a 1:4 ratio for eight children, 1:5 for ten, and 1:6 for 12. Groups should have no more than 12 kids.

daycare center doesn't have to follow these ratios unless it wants to receive NAEYC accreditation. But centers do have to at least meet state guidelines, which vary. Even so, you can use these ratios as a guide when you're evaluating centers; the closer they are to NAEYC standards, the better.

Introducing solid food

When should I introduce solid food to my baby?

You can introduce solids any time between 4 and 6 months if your baby is ready. Until then, breast milk or formula provides all the calories and nourishment your baby needs and can handle. His digestive system simply isn't ready for solids until he nears his half-birthday. 

The American Academy of Pediatrics recommends that babies be breastfed exclusively for at least six months – though parents will attest that some babies are eager and ready to eat solids earlier.

How will I know when my baby's ready?

Your baby will give you clear signs when he's ready to move beyond liquid-only nourishment. Cues to look for include:

• Head control. Your baby needs to be able to keep his head in a steady, upright position.
• Losing the "extrusion reflex." To keep solid food in his mouth and then swallow it, your baby needs to stop using his tongue to push food out of his mouth.
• Sitting well when supported. Even if he's not quite ready for a highchair, your baby needs to be able to sit upright to swallow well.
• Chewing motions. Your baby's mouth and tongue develop in sync with his digestive system. To start solids, he should be able to move food to the back of his mouth and swallow. As he learns to swallow efficiently, you may notice less drooling – though if your baby's teething, you might still see a lot of drool.
• Significant weight gain. Most babies are ready to eat solids when they've doubled their birth weight (or weigh about 15 pounds) and are at least 4 months old.
• Growing appetite. He seems hungry – even with eight to ten feedings of breast milk or formula a day.

Curiosity about what you're eating. Your baby may begin eyeing your bowl of rice or reaching for a forkful of fettuccine as it travels from your plate to your mouth.

How should I introduce solid food?

For most infants, you can start with any pureed solid food. While it's traditional to start your baby on solids with a single-grain cereal, there's no medical evidence to show that introducing solid foods in a particular order will benefit your baby. Good foods to start with include pureed sweet potatoes, squash, applesauce, bananas, peaches, and pears.

First, nurse or bottle-feed your baby. Then give him one or two teaspoons of pureed solid food. If you decide to start with cereal, mix it with enough formula or breast milk to make a semi-liquid. Use a soft-tipped plastic spoon when you feed your baby, to avoid injuring his gums. Start with just a small amount of food on the tip of the spoon.

If your baby doesn't seem very interested in eating off the spoon, let him smell and taste the food or wait until he warms up to the idea of eating something solid. Don't add cereal to your baby's bottle or he may not make the connection that food is to be eaten sitting up and from a spoon.

Begin with a once-a-day feeding, whenever it's convenient for you and your baby, but not at a time when your baby seems tired or cranky. Your baby may not eat much in the beginning, but give him time to get used to the experience. Some babies need practice keeping food in their mouths and swallowing.

Once he gets used to his new diet, he'll be ready for a few tablespoons of food a day. If he's eating cereal, gradually thicken the consistency by adding less liquid. As the amount your baby eats increases, add another feeding.

How will I know when my baby's full?

Your baby's appetite will vary from one feeding to the next, so a strict accounting of the amount he's eaten isn't a reliable way to tell when he's had enough. If your baby leans back in his chair, turns his head away from food, starts playing with the spoon, or refuses to open up for the next bite, he has probably had enough. (Sometimes a baby will keep his mouth closed because he hasn't yet finished with the first mouthful, so be sure to give him time to swallow.)

Do I still need to give my baby breast milk or formula?

Yes, your baby will need breast milk or formula until he's a year old. Both provide important vitamins, iron, and protein in an easy-to-digest form. Solid food can't replace all the nutrients that breast milk or formula provides during that first year. See how much breast milk or formula babies need after starting solids.

How should I introduce new food?

Introduce other solids gradually, one at a time, waiting at least three days after each new food. This way you'll get a heads-up if your baby has an allergic reaction to one of them (signs of an allergy may include diarrhea, vomiting, a swollen face, wheezing, or a rash). If there's a family history of allergies, or your baby develops an allergic reaction during this process, start waiting up to a week between new foods. 

Talk to your baby's doctor about which solids to introduce and when. To play it safe, the doctor may recommend that you hold off on feeding your baby more allergenic foods like soy, dairy, eggs, wheat, fish, and nuts.

Even though it's a good idea to get your baby accustomed to eating a wide variety of foods, it'll take time for him to get used to each new taste and texture. Each baby will have unique food preferences, but the transition should go something like this:

1. Pureed or semi-liquid food

2. Strained or mashed food

3. Small pieces of finger foods

If your baby is transitioning from cereal, offer a few tablespoons of vegetables or fruit in the same meal as a cereal feeding. All food should be very mushy – at this stage your baby will press the food against the top of his mouth and then swallow.

If you're feeding your baby from ready-to-eat jars of baby food, scoop some into a little dish and feed him from that. If you dip his feeding spoon into the jar, you won't be able to save the leftovers because you'll have introduced bacteria from his mouth into the jar. Also, throw away any baby food jars within a day or two of opening them.

Some parents may tell you to start with vegetables instead of fruits so your infant won't develop a taste for sweets. But babies are born with a preference for sweets, so you don't have to worry about introducing food in any particular order. Also, don't leave any food off his menu simply because you don't like it. And stay away from foods that might cause him to choke.

If your baby turns away from a particular food, don't push. Try again in a week or so. He may never like sweet potatoes, or he may change his mind several times and end up loving them.

Don't be surprised if your baby's stools change color and odor when you add solids to his diet. If your baby has been exclusively breastfed up to this point, you'll probably notice a strong odor to his formerly sweet-smelling stools as soon as he starts eating even tiny amounts of solids. 

This is normal. If his stools seem too firm (rice cereal, bananas, and applesauce can contribute to constipation), switch to other fruits and vegetables and oatmeal or barley cereal.

At about this time, you can also introduce your baby to water, which may help keep constipation at bay (although your baby will get all the hydration he needs from breast milk or formula). You can offer 2 to 4 ounces of water per day in a sippy cup.

How many times a day should my baby be eating solid food?

At first he'll eat solid food just once a day. By around 6 to 7 months, two meals a day is the norm. By around 8 months he should be eating solid food three times a day. A typical day's diet at 8 months might include a combination of:

• Breast milk or iron-fortified formula
• Iron-fortified cereal
• Yellow, orange, and green vegetables
• Fruit
• Small amounts of protein such as poultry, lentils, tofu, and meat

There are certain foods that you shouldn't give your baby yet. Honey, for example, can cause botulism in babies under a year old. For more details, see "Foods That Can Be Unsafe for Your Baby."

Do I need any special equipment?

It's helpful to have a highchair, plastic spoons to protect your baby's sensitive gums, bibs, and plastic dishes and bowls. A splat mat on the floor can help keep messes to a minimum. You may also want to introduce your baby to a sippy cup soon after you start solids.

If you're making your own baby food, you'll need a tool to puree the food, like a blender, food processor, or baby food grinder. You'll also want to have storage containers for refrigerating and freezing extra portions. (Some parents use ice-cube trays – or similar devices made just for baby food – to store and freeze individual portions.)

Where should I feed my baby?

You'll want a sturdy, stable, comfy place for him to sit, at a convenient height for you. To start out, that might be a bouncy seat or even a car seat. (Just make sure that he's upright enough to swallow well.) Once he can sit up by himself, though, a highchair at the table is your best bet. Your baby will be able to participate in family meals, and you'll be able to eat your own meal and feed him at the same time. It'll also be easier to clean up after he chows down.

How can I help my child develop healthy eating habits?

• Don't feel you have to stick to bland, boring baby foods. Instead, offer your child more adventurous options.
• Make your own baby food – or if you're buying jarred food, check the labels. The fewer ingredients, the better.
• See our new rules for feeding your baby and the old guidelines that still apply.

Choosing And Instructing Baby Sitter

Entrusting someone to care for your kids can be challenging. Finding a qualified babysitter requires time and effort, but your reward is assurance that your child is in capable hands. You'll want to find someone who is mature and friendly, has common sense, and a genuine fondness for children.

The recommendations of people you know and trust are your best bet for finding a reliable and capable babysitter. If you're new to the area and don't know how to go about finding a sitter, ask your neighbors or coworkers for recommendations, inquire at your place of worship, or ask staff in your pediatrician's office for suggestions. If your child is already enrolled in a daycare or after-school care program, staff members who are already familiar with your child may be willing to either babysit or provide sitter recommendations.

Interviewing sitters and checking their references will help you narrow down your choices. Prepare a list of questions to ask ahead of time. Ask about a sitter's experience caring for kids and whether he or she is certified in infant and child CPR or has taken a babysitter course. (Your local YMCA, community hospital, or American Red Cross chapter might have a list of babysitters who have completed their babysitting safety and infant and child CPR courses.)

Consider inviting a sitter over for a dry run while you're at home to familiarize him or her with your household and observe the interactions with your child.

Babysitter Instructions

• Go over your child's usual routine (homework, bedtime, mealtimes) and your general house rules, including any limits on TV, computer use, video games, playing outside, etc.
• Make sure the sitter knows where you will be and how to reach you at all times, and under what circumstances to call 911 before contacting you.
• Point out where the sitter can find the number for the poison control center, which is 1-800-222-1222 (it should be posted in a prominent location).
• Make sure the sitter knows whom to contact in an emergency. Provide an emergency phone list that includes neighbors, friends, relatives, and your doctor. Write your own phone number and address on the list, so that in case of an emergency, the sitter can give that information to the 911 operator.
• Show the babysitter where emergency exits, smoke detectors, and fire extinguishers are located. Demonstrate how to enable and disable security systems and alarms if you have them.
• Show the sitter where you keep the inside door keys in case a child locks himself or herself inside a room.
• Let the sitter know of any special problems your child may have, such as an allergy to bee stings, certain foods, or household products, or the need for medication at a specific time (explain and write down the directions).
• Review your first-aid kit with the sitter.
• Teach kids the meaning of 911 and how to call for help, so that if something happens to your babysitter, they know what to do.

Before you walk out the door, prepare the sitter with the following information:

Let your babysitter know your expectations before you leave. If you'd prefer that the sitter not leave the house with your child, make that clear. If the babysitter is a driver, let him or her know the rules about driving your kids. If the phone and visitors are off limits, discuss those restrictions.

Sitter Safety

• Don't give your child any medicine without your specific instruction.
• Don't leave kids alone in the house or yard, even for a minute.
• Don't leave kids unattended near water. Infants and small children can drown in only a few inches of water, even in a bucket or toilet.
• Don't feed kids under 4 years old popcorn, nuts, hard candy, raw carrots, or any hard, smooth foods that can block the windpipe and cause choking. Foods such as hot dogs or grapes should never be served whole and should be chopped into very small pieces (skin should also be removed from hot dogs).
• Don't let kids play with plastic bags, latex balloons, coins, or other small objects they could choke on.
• Don't let kids play near stairs, windows, stoves, or electrical outlets.

Make sure the sitter knows these safety rules:

After you return, ask your kids if they enjoyed the sitter's visit. When you find a reliable sitter they like, you're sure to have a more relaxing and enjoyable time away from home.

6 Reasons Day Care Is Great for Your Kid

Moms who work often face a dilemma: Use day care or hire a nanny or babysitter to watch the kids. There are a few lucky souls out there who are blessed with having close friends or family members watch their children, but for the rest of us, we have to choose. And that decision, like all things with parenting, doesn't come without guilt.

Although the prospect of having one-on-one care for your child with a nanny or babysitter is appealing to some, there are tons of reasons sending your little one off to day care can be a huge benefit -- not just to your wallet, but to your child.

Here are 6 reasons day care is awesome for your kid.

1. Your kids have a lower chance of being depressed. A recent study showed that moms who are depressed have less of a chance of passing down their depression to their kids if they spend some time in day care -- and it makes sense. Don't you have fun when you're surrounded by friends doing fun things?

2. Socialization. Kids who go to day care will, obviously, be used to being around other kids -- more so than kids who have one-on-one childcare. There are a million reasons your child will benefit from being around other kids -- they'll come out of their shell more easily; they'll be "used to" kids by the time preschool rolls around; and hey, they'll have friends.

3. Structure. When you send your child to day care, you know they are in for a structured day: Play, nap, eat, play, snack. Kids like this. We've heard time and again that children crave routine -- and it even improves their brain. Yes, you can instruct the babysitter or nanny to follow a specific schedule, but there are no guarantees it will happen every day. With day care, you know you're getting this.

4. Your child will never be bored. I believe that the older kids get, it's okay for them to be bored, but when they're little, they thrive on play and interaction with others. It's a lot easier to run out of things to do when it's just a babysitter and a child than if your kid is at day care, where there are tons of activities to do and people to interact with.

5. Academic readiness. Studies have shown that kids who go to day care may be more ready for school than their stay-at-home counterparts. No, your child won't learn physics at the day care center, but very basic math and language skills are often learned.

6. Your child is in good hands. When you send your little one off to day care, you know they're with trained professionals. You can't be just anybody and open up a childcare center.

Seven keys to creating a successful baby sleep, feeding, and play schedule.

Getting into a regular schedule for sleep, feeding, and activities can make life easier for you and your baby. But how to start? Below, find seven great guidelines for establishing a routine that works.

Get your baby used to a bedtime routine early on

Once you have a consistent bedtime worked out, a daytime routine will fall into place, says Tanya Remer Altmann, a pediatrician and editor-in-chief of The Wonder Years: Helping Your Baby and Young Child Successfully Negotiate the Major Developmental Milestones.

And the easiest way to establish a regular bedtime is to start a bedtime routine that you and your baby can depend on night after night.

"The bedtime routine is the most important thing to consider when establishing a schedule," says Altmann. "You can't force it in the first few months, but you can start practicing at around 2 months."

Altmann says to keep it simple: a warm bath, jammies, a feeding, then lights-out. It's fine if feeding lulls your baby to sleep in the early months, Altmann says, but by 3 or 4 months you may want to try putting him down awake so he'll learn to fall asleep on his own

Teach your baby the difference between night and day

Many babies mix up their days and nights at first, sleeping long stretches during the day only to perk up once the sun goes down. Helping your baby learn to tell day from night is a key first step to getting into a workable routine.

Amy Shelley, mom to 8-month-old Alex, offers these tips: "During the day, keep the house bright. Do the exact opposite at night: Keep the house dim and quiet. Don't talk to your baby much during night feedings. Let him learn that night is for sleeping and daytime is for socialization and playtime."

Learn to read your baby's cues

Websites, books, your baby's doctor, and other parents can all help as you figure out an appropriate schedule for your baby. But your child will be an important guide, and he'll tell you what he needs – if you learn to read his cues.

"When parents take the time to be with their baby, the information they receive gets sifted through their own experience. 'Instincts' come from learning about your baby's temperament and what works for him," says pediatrician Daniel Levy, president of the Maryland chapter of the American Academy of Pediatrics and clinical assistant professor of pediatrics at the University of Maryland.

Mom Liana Scott says paying close attention to 9-month-old Keaton has helped her anticipate his needs, which makes life easier and more fun for both of them.

"Now I'm able to feed him before he's really hungry and put him to bed before he's overtired and fussy," says Scott.

Learning what your baby needs when takes time and patience. But you'll see patterns emerge over time. And if you log your baby's naps, feedings, playtime, and so on in a notebook or on the computer, you can use this record to come up with a timetable for doing things.

When starting out, put your baby's schedule first

If you're encouraging your baby to follow a schedule or observing his patterns to figure out a routine that works, make this process a top priority for at least the first couple of weeks. Avoid deviating from the routine with vacations, meals on the go, outings that push naptime back, and so on.

Once you establish a pattern for your baby's sleeping, awake, and feeding times, changing things for an afternoon isn't likely to undo his habits. But it's best to keep your baby's schedule as consistent as possible while he's getting used to it.

Expect changes during growth spurts and milestones

Your child accomplishes so much in the first year. He'll nearly triple his weight and achieve some major feats like sitting up, crawling, even walking.

During periods of growth or when he's working to achieve a new milestone, don't be surprised if your baby diverges from his usual routine. He may be hungrier than usual, need more sleep, or return to waking up several times a night. Hang in there – your baby may be back on schedule shortly, or this may be a sign that you need to adjust your routine.

Adjust your baby's schedule to suit his age

It may feel like just when you've gotten into a predictable groove with your little one, it's time to change it again. As your baby gets older, he'll need fewer daytime naps and moreplaytime and stimulation. He'll also need to eat solid foods – first just once a day, but eventually several times a day.

As these developmental shifts happen, your child's schedule will shift as well. Reading up on these milestones and checking out our sample schedules for babies of all ages can help you know what to expect.

Don't expect perfection

Some parent-led schedules set the expectation that your baby's routine will always run like clockwork. And though babies do like consistency, you can expect changes from day to day and as your baby grows.

Sometimes, for whatever reason, your baby will want to skip a nap, have an extra snack, wake up before dawn, and so on. And life happens as well – vacations, older siblings, plans with friends and family, errands you need to take care of, and other factors will all come into play in your daily life with your baby. Variation is okay, as long as your baby is getting the sleep, play, food, care, and love he needs to thrive.

When will my premature baby reach development milestones?

The BabyCenter Editorial Team

Whether a baby is premature or not, there's no way to predict exactly when she'll hit milestones. Instead, there's a "range of normal" that spans when most babies accomplish these big developmental goals.
For preemies, many pediatricians recommend using an "adjusted age" to determine this range. Adjusted age helps level the playing field by taking into account just how early your baby was born. After all, had your baby not been premature, she would have had a lot more time in your womb to get ready before she was expected to achieve milestones!
When you use an adjusted age, the range of normal gets shifted. For example, while most full-term babies will sit up between 4 and 7 months, a baby born two months early can be expected to do this between 6 and 9 months.
To find your child's adjusted age, count the number of weeks between her birth date and her due date, and subtract that amount of time from her current age.
For example, if you have a 4-month-old baby who was born 8 weeks early, her adjusted age would be 4 months minus 8 weeks, which comes to about 2 months. At 6 months old, her adjusted age would be 4 months, and at 12 months old, her adjusted age would be 10 months. 
According to Sessions Cole, a pediatrician and director of newborn medicine at St. Louis Children's Hospital, adjusted age may be more accurate for motor milestones (such as rolling over, sitting up, and walking) than for cognitive milestones (such as babbling and imitating sounds).
"Premature babies tend to be less delayed in their cognitive milestones, so the adjusted age may be slightly more helpful for the motor milestones," Cole explains.  "But remember that it's highly individual."
If you're concerned about your baby's development, even after adjusting for age, talk with her doctor. A referral for early intervention services (for children younger than 3) may be in order.
Research has shown that early intervention is extremely helpful. As Cole says, "Premature babies can benefit greatly from these services."
You'll probably find that your child's adjusted age becomes less and less relevant the older she gets. "We can't pinpoint an exact date to stop adjusting, but at some point it will become clear that it doesn't make that much difference – usually around age 2 to 3," says Mia Doron, associate professor of pediatrics at the University of North Carolina and coauthor of Preemies: The Essential Guide for Parents of Premature Babies. 
Some parents find it helpful to consider adjusted age as a child gets older, though – when approaching big life events like starting kindergarten or smaller ones like choosing a cabin at camp.  
If your child seems younger than her peers, you may want to group her with slightly younger kids. "Adjusting for age could still be appropriate" in cases like this, Doron says.
Finally, remember that while milestones are important, they don't provide a complete picture of your child. "Milestones are great for helping to keep track of how a baby is doing – but babies have strengths that milestones can't capture," says Cole. "We shouldn't deny these strengths, even if they aren't exactly 'fitable' into the milestone cubbyholes."
This advice makes good sense for the post-baby years, too. As Jeff Stimpson writes of his 5-year-old son in Alex: The Fathering of a Preemie,"He can do three forty-eight piece puzzles simultaneously. I can't do that."

10 Baby Care Tips

Congratulations! A baby is sure to light up any home, but knowing how best to accommodate your new son or daughter is key to a happy transition. Sure, your child is a little person, but don't expect Junior to pull up a beanbag and nosh on nachos with dad at all hours of the night. Not only will you need to put some thought into your child's feeding and sleeping routines, you've also got to make sure any siblings are ready to step up their game as well. And, oh yeah, did we mention the diapers? Well, hold on 

1:Travel 

Babies thrive on schedules. Even when traveling, do your best to stick to the regular routine and schedule to keep your little one in the best mood possible.

2:Sleep

Sleep begets sleep. First-time parents don't believe it, but a healthy nap-time routine makes for a better night's sleep. Overtired babies have a hard time falling asleep and wake more often in the nighttime. Begin establishing a healthy, sleeping pattern as early as two weeks. Your newborn might not be ready for a schedule, but keeping the routine demonstrates early on what you expect in terms of adequate baby rest.

3: Skin Care

Sunscreen isn't recommended for children under 6 months of age. Keep them in the shade until you can safely protect theirskin.

4: Siblings

Accentuate the positive. A new baby means a lot of changes for the family. Praise your older children for their help, patience and understanding, and they will adjust to the new family member with ease.

5: Play

There is nothing wrong with the basics: patty-cake and peekaboo are games that have been used for years to entertain babies, while helping their brains grow. Your child will respond to the stimulation and enjoy the interaction.

6: Pets

The family pet needs to adjust to the new family member. Bringing home a blanket or outfit the baby has worn is always helpful, but also keep Fido to his normal routines. Skipping the long morning walk is fine for a day or two, but lack of exercise and attention will only make the animal resentful. Find a routine that works and stick with it.

7: Feeding

Consider starting your child off with a vegetable rather than a sweet fruit. Introduce vegetables as soon as you start solid foods to get your child's nutrition off on the right foot.

8: Diapers

Most babies experience diaper rash in their lifetime. Whether it is caused by a new food, wet diaper or side effect from medicine, the red, chapped skin is painful to baby and worrisome for Mom and Dad. The best treatment? A dry bottom. Make sure your child is completely dry after a diaper change, even if it means going naked for a few extra minutes. Change diapers more frequently, and use one of the many over-the-counter products to soothe and calm the skin.

9: Crying

Babies cry. It's no secret. It's their only method of communication. After you check all the basics of hunger, diaper and noise, remind yourself that your child has been in a quiet safe womb for a long 40 weeks. Swaddle him or her in a blanket, hold them snugly and rock softly. Recreating that little nest will help calm a fussy newborn and hopefully, provide some much-needed sleep.

10: Bathing

You might need a daily shower to wake up, but baby needs a gentle bath every other day or so. Skip the soap, and use a gentle made-for-baby cleanser to protect baby's sensitive skin.

Right Diet In Pregnancy .

It is important to get the nutrients you need both before getting pregnant and during your pregnancy.

In addition, there are a few special considerations for breastfeeding mothers. For more information, please see Nutrition Tips for Breastfeeding Mothers.

Calories

• Preconception — Make sure you get enough calories to maintain a reasonable weight. Adjust the number of calories you eat as needed to attain your weight gain or weight loss goals.
• Pregnancy — Increase your diet by 300 calories per day starting in the second trimester. Monitor for appropriate weight gain and adjust your diet as needed.
• Breastfeeding — Add 500 calories a day to your normal pre-pregnancy diet.

Protein

• Preconception — Protein should account for 12 percent to 20 percent of your daily calories. Make sure to eat 0.8 grams of protein per kilogram of your body weight (to convert pounds to kilograms, divide the pounds by 2.2), with a minimum of 40 grams of protein a day. For example, if you weigh 120 pounds, you should eat roughly 44 grams of protein a day.
• Pregnancy — During pregnancy, you should get a minimum of 60 grams of protein a day, which will account for approximately 20 percent to 25 percent of your calorie intake.

Carbohydrate

• Preconception — The amount of carbohydrates you should eat varies from person to person and should be based on an individualized nutritional assessment. That said, for most people, carbohydrates account for approximately 50 percent to 60 percent of their daily calories.
• Pregnancy — Some women experience gestational diabetes, or diabetes during pregnancy, which may require them to limit their carbohydrate intake to 40 percent to 50 percent of their daily calories. To learn more, please seeDietary Recommendations for Gestational Diabetes.

Fat

• Preconception — The amount of fat you should eat varies from person to person and should be based on an individualized nutritional assessment. For most people, less than 10 percent of their daily calories should come from saturated fat and up to 10 percent from polyunsaturated fat. Eating monounsaturated fat is preferred.
• Pregnancy — During pregnancy your body needs more fat. Roughly 25 percent to 35 percent of your daily calories should come from fat, depending on your carbohydrate goals. Eating monounsaturated fat is preferred over saturated varieties.

Fiber

Both before and during pregnancy it is important to eat between 20 and 35 grams of fiber each day. This is the same as the guidelines for the general population.

Sodium

Sodium intake recommendations both before and during pregnancy are the same as those for the general population: 3000 milligrams a day. In some cases, there are medical reasons to restrict the amount of sodium in your diet. Talk with your doctor if you are unsure about your sodium intake.

Alcohol

It is important not to drink alcohol both if you are planning to get pregnant and if you are pregnant. Alcohol exposure during early fetal development can cause serious problems for your baby.

Artificial Sweeteners

• Preconception — It is safe to use any artificial sweetener on the market.
• Pregnancy — The Food and Drug Administration (FDA) has approved aspartame, acesulfame-K and sucralose for use during pregnancy. Check with your doctor before using other artificial sweeteners.

Folic Acid

• Preconception — It is important to get enough folic acid, or folate, before you become pregnant. Begin adding 400 micrograms a day prior to conception to reduce risks of neural tube defects, such as spina bifida and anencephaly.
• Pregnancy — During pregnancy, increase your folic acid consumption to 600 micrograms a day.
• Breastfeeding — While breastfeeding, make sure to get 500 micrograms of folic acid a day.

Iron

• Preconception — Between the ages of 14 and 18, you need 15 milligrams of iron a day. Between 19 and 50 years of age, you should get 18 milligrams of iron a day.
• Pregnancy — During pregnancy you need more iron and should get 27 milligrams a day. Some women suffer from anemia and need even more iron, up to 60 milligrams a day as directed by their doctor.
• Breastfeeding — While breastfeeding you don't need as much iron and can reduce your intake to 9 milligrams a day, 10 milligrams a day if you are 18 years or younger.

Do not take your prenatal vitamin or iron at the same time as calcium.

Zinc

• Preconception — Between the ages of 14 and 18 you need 9 milligrams of zinc a day. Between 19 and 50 years of age, you should get 8 milligrams of zinc a day.
• Pregnancy — During pregnancy you need more zinc and should get 11 milligrams a day, 13 milligrams if you are 18 years old or younger.
• Breastfeeding — While breastfeeding you should get 12 milligrams of zinc a day, 14 milligrams if you are 18 years old or younger.

Calcium

Before, during and after pregnancy while breastfeeding, you need the same amount of calcium, although it does vary slightly by age. If you are 18 years old or younger, you need 1300 milligrams a day. If you are between 19 and 50 years old, you need 1000 milligrams of calcium a day.

Do not take calcium at the same time that you take iron or your prenatal vitamin.

 Reviewed by health care specialists at UCSF Medical Center.

This information is for educational purposes only and is not intended to replace the advice of your doctor or health care provider. We encourage you to discuss with your doctor any questions or concerns you may have.