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Scary baby episodes! (Part Two – Febrile Convulsions)

Saturday, July 10th, 2010

Febrile convulsions are, undoubtedly, one of the most frightening events you could experience with your baby.

Like the previous scary episode blog, breathe holding, febrile convulsions are:

  • relatively common
  • ultimately harmless
  • dreadfully frightening for parents

So what is a febrile convulsion? Simply, it is a fit or convulsion while your child has a fever. The convulsion will generally involve sudden twitching of your baby’s limbs, loss of consciousness, eye rolling, unresponsiveness and cyanosis (blueness of the skin). Hence the scariness of it for anyone present! Parents who have witnessed their baby having a febrile convulsion sometimes report they felt their child was going to die. Frightening indeed.

There is extensive, credible information on Febrile Convulsions for to examine here (scroll down to “Febrile Convulsions”), Q & A factsheets and a short section in my Baby Settling and Health Guide however below are the key factors to know.

Febrile convulsions:

  • are fairly common (occurring anywhere from 2 – 5% of children)
  • are related to age (most fits occurring in a child aged 6 months to 5 or 6 years)
  • generally only last 2-3 minutes (although your child may not wake up straight away and may be a little groggy or unbalanced afterwards)
  • do NOT cause long term neurological complications (such as learning difficulties or brain damage)
  • do not require you intervene other than rolling your baby onto their side afterwards (do not hold try to hold your baby still or put anything in their mouth)
  • have a 30% of a reoccurrence (however this figure diminishes as your baby gets older)
  • will look frightening and most likely scare you half to death! (That’s okay! Do your best to stay calm)

 

Even though febrile convulsions are harmless and result in an uncomplicated recovery, I do recommend a medical check afterwards. While the actual convulsion is harmless, finding the underlying cause of the fever is important – more important than both the fever and the febrile convulsion itself.

I also recommend a strong cup of coffee or chocolate injection for parents when everything has settled down. Febrile convulsions do not qualify as one of my top 3 Scary Baby Episodes for no reason!

 

Scary baby episodes! (Part One – Breath holding)

Thursday, July 8th, 2010

The job of parenting is both wonderful and difficult. Sometimes it’s hilarious and other times it can be downright scary!

Scary? Yes (and I’m not just talking about the contents of those nappies or diapers!). There are three events that you may experience as a parent that, while harmless, may scare the living daylights out of you. They are:

• Breath holding episodes
• Reflux and choking
• Febrile convulsions

In the next 3 blogs I will address each of these frightening occurrences. Firstly… episodes of breath holding.

A provocative stimulus, such as a fright or unexpected pain, may cause your baby to hold their breath. It will generally go like this:

• Your baby will cry vigorously
• They will expel all of the air from their lungs
• Your baby will hold his/her breath and go blue

And if that isn’t scary enough for you…
• They may lose consciousness and have a short seizure

Sounds dreadful doesn’t it? And if you have experienced one of these episodes with your baby then you’ll agree it’s mighty frightening.

Babies and young children (up to about 4 to 6 years of age) may experience an episode of breath holding and if they hold their breath long enough to pass out it will be frightening and worrying for all. The good news is that any loss of consciousness will immediately cause your baby to stop crying and breathe again. (Phew!)

Can I reassure you that episodes of breath holding are, by and large, harmless and will not result in any long term complications. A panic attack for you, yes, but harmful to your baby, no.

As breath holding more commonly occurs in your presence, you will undoubtedly feel compelled to do something (who wouldn’t?). However, apart from maybe rolling them on to their side, you really need take no specific action. One again, there is nothing to worry about as no baby or child is able to consciously hold their breath long enough to cause any harm.
While I hope you never witness a breath holding episode with your baby, can I reassure you that if you do, your baby will be fine. Always seek medical advice if you are unsure or need reassurance (there’s more good information from the Royal Children’s Hospital here) but remember that breath holding is harmless and will cause not complications (other than your jangled nerves!).

Crying Baby = parental guilt? NO WAY!

Tuesday, May 18th, 2010

We all know about the joys of parenthood. We have heard about them, read, seen and experienced the wonderful moments that children bring to our lives. What we often do not hear as much about are the difficulties and challenges. The side of being a parent that is not so wonderful. And particularly, how these not-so-great times make us feel.

As parents we have a tendency to blame ourselves when something goes wrong with our children. We believe we must have erred and we feel guilty. But this is not so. Often things are beyond our control, and we’ve actually done pretty well. We very rarely pat ourselves on the back for all the good we have done with our kids. However, it is time we reassured ourselves. Even though we are not perfect, we are in fact good enough.

The concept of a Good Enough Parent was introduced by Dr Donald Winnicott, a Paediatrician in the 1920’s. Winnicott carefully listened to and observed child and parent behaviour for many years. In the 1930’s he turned his attention to child psychology and for the following 30 years researched, amongst other developmental phenomena, the importance and effects of security objects. After decades of observation and experiential research he formed the view that parents need only be Good Enough for their children to be secure and happily develop and grow.

By Good Enough Winnicott referred to a parent who provides a secure, reasonably attentive environment for the child to grow and develop. Enough food, comfort, emotional warmth and love and yet the parent need not strive for perfection or anywhere near it. Winnicott asserted that children need to feel cared for and secure and do not look for faultlessness in their parents. Children look for love, acceptance, understanding and a sense of usefulness and belonging in their family and the world.

I support Winnicott’s assertions that Good Enough is good enough! Provided a home is safe and physical and emotional needs are met, our children do not need perfection. And yet, even when parents provide all of these basic needs (and more) they still feel guilt that they have not done enough.

The growth and development of children and babies is a complex and dynamic process. What others observe and judge from an external perspective tells very little of the truth and depth of an individual situation. Perhaps the scenarios below are familiar to you, your family or friends?

At her playgroup, a 3 year old girl seems to snob the adults and the other children. She won’t co-operate or engage with the other children and acts oddly. Her mother feels terrible, guilty and responsible for her daughter’s unsociable behaviour. Little do the other parents know that she has Asperger’s syndrome.

• When a father enters a supermarket with his 4 year old daughter, she starts running around and being extremely disruptive. People glare at the girl’s father as if it’s his fault. They assume poor parenting has resulted in a badly behaved child. They do not know the girl has had a sleepless night with a persistent cough, a fever and is overtired.

• When dropping her baby off at childcare, a mother is sad and worried as her son cries out for her. The baby’s cries get louder as he is handed over to staff. The mother feels all eyes are on her and that other parent’s blame her for her son’s apparent difficult behaviour. The fact is that separation anxiety is a normal developmental stage for babies and most children will experience at some stage.

It is easy to judge and make assumptions from the outside and equally as easy to assume responsibly from the inside. The scenarios above illustrate this quite simply.

And so as parents we experience doubt (am I good enough?) and responsibility (it’s my fault). This in itself is not bad, provided it is not too intense.

We need to recognise ourselves as good enough parents. Forget about any guilt. When we remember this, confidence in our parenting and ourselves will follow.

Intuition rules…

Thursday, October 15th, 2009

harry1I see hundreds of parents every year with young babies. Many of those parents are sleep deprived and exhausted. They look for rules in the attempt to find much needed sleep.

 

As health professionals we can give reassurance whether or not everything is okay in a health assessment. However, I am concerned that parents are being put under added pressure of UNDERSTANDING their baby’s cries and reading every conceivable publication to find the rules on what to do about it.

 

As a Paediatrician (and a dad of 4 who has been there!) I suggest parents trust their intuition more and expect less of the brain strain of processing a plethora of information. Don’t expect your head to translate responses that your instinct can do better. Follow your heart.

 

Sure, take in the interesting stuff presented in books, magazines and the media. If it strikes a chord within you, there is probably something relevant to you and your baby. It is good to identify and reflect, but not berate and feel pressed to absorb more. Experience and intuition will help you as much as all the information.

Seek guidance from a health care professional who you trust when you need to. Listen to guidance that is offered, but remember they are only guideposts. Nothing in parenting is concrete. Just when you think you have it worked out, something will change – baby’s illness; holidays; back to work; crises, both minor and major.

 

You will need to adjust and readjust your parenting barometer. To do this you need to trust your intuition. Yours…as a mother or father. You have known your baby 9 months longer than anyone else. Take a breath and feel confident in your understanding of what is right for you and your baby. But don’t flog yourselves with the imperatives, must-do’s and essential knowledge. You know your baby.

 

Parenting is an evolution from embryo to baby to child to adolescent and into adulthood. There are common threads of understanding and community norms, but no one rule or language. Trust your instinct during that evolution of physical, social, emotional, cultural needs. Trust that what feels right for you and your baby is the right way.

 

Intuition rules.