{
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  "sources": ["ssg:https://framerusercontent.com/modules/xWUdgZl8XyllsRkMCPqP/Oc6LG0ODa5vKIoysnwlA/fCoJfe0sY-8.js"],
  "sourcesContent": ["import{jsx as e,jsxs as a}from\"react/jsx-runtime\";import{Link as n}from\"framer\";import{motion as i}from\"framer-motion\";import*as t from\"react\";export const richText=/*#__PURE__*/a(t.Fragment,{children:[/*#__PURE__*/e(\"h2\",{children:\"What is diabetes?\"}),/*#__PURE__*/e(\"p\",{children:\"Diabetes \u2014 formally known as diabetes mellitus \u2014 is a chronic medical condition that affects the body's blood sugar levels (or glucose levels). A \\\"chronic\\\" condition does not go away and typically lasts the rest of a person's life.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"When someone has diabetes mellitus, their body doesn't process sugars the right way. Sugars (glucose) enter the bloodstream when foods or drinks are broken down in the body. A hormone called insulin then helps move these blood sugars into the cells to be used for energy.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"In people with diabetes mellitus, their bodies either do not make insulin, don't make enough insulin, or cannot use insulin the way they should. This causes sugar to build up in the bloodstream, leading to high blood sugar and, eventually, diabetes.\"}),/*#__PURE__*/e(\"h3\",{children:\"Types of diabetes in children\"}),/*#__PURE__*/e(\"p\",{children:\"Two types of diabetes can affect children:\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Type 1 diabetes mellitus:\"}),\" Type 1 diabetes is an autoimmune condition that causes the body to attack the cells in the pancreas that produce insulin. By restricting their ability to make insulin, the body cannot regulate its blood sugar levels. Type 1 diabetes is the most common form of diabetes diagnosed in children.\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Type 2 diabetes mellitus:\"}),\" Type 2 diabetes used to be less common in children but is now diagnosed more often. Type 2 diabetes is often associated with lifestyle and obesity but can also be related to genetics or family history. Type 2 diabetes develops over time as the body stops responding to insulin the way it should (also known as insulin resistance) or doesn\u2019t produce enough insulin.\"]})})]}),/*#__PURE__*/e(\"h2\",{children:\"What are the signs and symptoms of diabetes in children?\"}),/*#__PURE__*/e(\"p\",{children:\"Many diabetes symptoms overlap with those of other common childhood conditions. Still, being aware of common signs and symptoms could lead to earlier diagnosis and better care if your child does have diabetes. Early diabetes diagnosis is critical for starting treatment, keeping blood sugar levels within a safe range, and preventing complications.\"}),/*#__PURE__*/e(\"p\",{children:\"Signs and symptoms of diabetes include:\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Frequent urination:\"}),\" Your child may suddenly start having accidents or use the bathroom more often than usual.\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Excessive thirst:\"}),\" You may notice your child drinking more fluids than usual and always thirsty.\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Unexplained weight loss:\"}),\" Even if they eat normally, some children may lose weight unexpectedly.\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Fatigue:\"}),\" An unexplained drop in energy levels, irritability, or appearing unusually tired can be related to diabetes.\"]})})]}),/*#__PURE__*/e(\"h2\",{children:\"How is diabetes diagnosed in children?\"}),/*#__PURE__*/e(\"p\",{children:\"If you or your pediatrician suspects your child may have diabetes, there are several tests to confirm the diagnosis:\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Blood sugar tests\"}),\" to measure your child's blood sugar levels at a specific point in time\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Hemoglobin A1C tests\"}),\" to determine their average blood sugar levels over a range of time\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Urine tests\"}),\" to check for the presence of glucose or ketones, which can indicate the body is not processing sugar correctly\"]})})]}),/*#__PURE__*/e(\"p\",{children:\"A doctor may also test for pancreatic antibodies to determine whether your child has type 1 or type 2 diabetes.\\xa0\"}),/*#__PURE__*/e(\"h2\",{children:\"Understanding type 1 diabetes (juvenile diabetes)\"}),/*#__PURE__*/e(\"p\",{children:\"Type 1 diabetes used to be called juvenile diabetes and is the most common type of diabetes mellitus in children. Because the body's immune system mistakenly attacks and destroys insulin-producing cells in the pancreas, children with Type 1 diabetes always need insulin therapy to help regulate their blood sugar levels. The exact cause of Type 1 diabetes is unknown, but genetic and environmental factors likely play a role.\\xa0\"}),/*#__PURE__*/e(\"h3\",{children:\"Managing type 1 diabetes in children\"}),/*#__PURE__*/e(\"p\",{children:\"As a caregiver, you'll need to monitor your child\u2019s blood sugar levels throughout the day using a glucometer or continuous glucose monitor (CGM) to avoid blood sugar highs (hyperglycemia) or lows (hypoglycemia). Insulin therapy is a key component of care, so you may need to help your child use an insulin pump to help regulate their blood sugar around the clock. Managing your child's food intake helps them keep their blood sugar levels in a safe range while meeting their nutritional needs for growth and development.\"}),/*#__PURE__*/e(\"h2\",{children:\"Understanding type 2 diabetes\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"Type 2 diabetes is becoming more and more common in children and teens. It is largely influenced by lifestyle factors, obesity, and family history.\\xa0\"}),/*#__PURE__*/e(\"h3\",{children:\"Managing type 2 diabetes in children\"}),/*#__PURE__*/e(\"p\",{children:\"For type 2 diabetes, the goal is to manage high blood sugar levels. Depending on their age, helping your child make healthy lifestyle choices, such as getting exercise and moving their bodies, and eating healthy foods is key. Even though these lifestyle choices make a positive impact, children diagnosed with type 2 diabetes will likely need medications to manage their blood sugar levels.\"}),/*#__PURE__*/e(\"p\",{children:\"Metformin is a common diabetes medication and is often the first choice for children who need diabetes medications. Depending on the level of your child's diabetes, metformin and/or insulin may be recommended upon diagnosis.\"}),/*#__PURE__*/e(\"h2\",{children:\"How will childhood diabetes affect my family?\"}),/*#__PURE__*/e(\"p\",{children:\"Managing a child\u2019s diabetes involves the entire family. Daily routines may need to be adjusted, as you\u2019ll need to measure blood sugar levels and administer or monitor insulin throughout the day. But it\u2019s important to remember that you\u2019re not alone and your child's condition is manageable. With the right support, children with diabetes can lead healthy, active lives.\"})]});export const richText1=/*#__PURE__*/a(t.Fragment,{children:[/*#__PURE__*/e(\"h2\",{children:\"What is separation anxiety?\"}),/*#__PURE__*/a(\"p\",{children:[\"Separation anxiety is a normal \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/baby-developmental-milestones-when-do-babies-sit-up\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"developmental phase\"})}),\" where babies or toddlers experience distress and worry when separated from their parents or caregivers. Separation anxiety occurs because kids form strong emotional bonds with parents or caregivers and feel uncomfortable and anxious when they aren't around.\"]}),/*#__PURE__*/e(\"h2\",{children:\"When do babies develop separation anxiety?\"}),/*#__PURE__*/e(\"p\",{children:\"You may notice separation anxiety when your baby is between 6 to 9 months old as they begin to understand the concept of object permanence\u2014that people and things still exist even when out of sight. Separation anxiety usually peaks at 10 to 18 months, but, like most developmental milestones, the timing can vary.\"}),/*#__PURE__*/e(\"h3\",{children:\"Duration\"}),/*#__PURE__*/e(\"p\",{children:\"Separation anxiety usually lasts for a few months. It fades when children reach 2 or 3 years old, as they become more independent and develop trust that their parents or caregivers will return. However, mild separation anxiety can persist beyond this age, particularly during big transitions or stressful situations.\"}),/*#__PURE__*/e(\"h2\",{children:\"Signs of separation anxiety in babies\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/baby-cries-and-colic-a-guide-for-worried-parents\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"Crying\"})}),\" or fussing when a parent or caregiver leaves the room\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Clinging to parent or caregiver \"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Refusing to be with other people\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Distressed and anxious around strangers\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/why-wont-my-baby-sleep-9-sleep-tips-for-newborn-slumber\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"Sleep disturbances\"})}),\", especially without a parent or caregiver nearby\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Severe distress in new places or unfamiliar environments\"})})]}),/*#__PURE__*/e(\"h2\",{children:\"Strategies to manage separation anxiety in babies\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Leave your baby with a trusted caregiver for short periods to help them adjust. Gradually increase the duration of these separations to help them build confidence that you will come back.\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Practice consistent and reassuring routines for a smoother parting, like a quick goodbye with a hug or a special phrase.\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[\"Offer your baby a favorite \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/when-can-you-put-blankets-in-the-crib\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"blanket\"})}),\", lovey, or toy to provide reassurance when you're away\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Stay calm and positive during goodbyes to reduce your child\u2019s anxiety.\"})})]}),/*#__PURE__*/e(\"h2\",{children:\"Why do toddlers have separation anxiety?\"}),/*#__PURE__*/e(\"p\",{children:\"Just like babies, toddlers experience separation anxiety as a natural part of their developmental growth. As they start exploring their world and gaining independence, they may feel insecure when separated from their parents or caregivers. Their strong emotional attachment and not understanding that their parent or caregiver will return can lead to anxiety while separating.\"}),/*#__PURE__*/e(\"h3\",{children:\"Duration\"}),/*#__PURE__*/a(\"p\",{children:[\"In toddlers, separation anxiety typically fades by age 3, but some kids continue to experience it into their preschool years. It often resurfaces during stressful life changes, such as \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/starting-your-baby-at-daycare\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"starting daycare\"})}),\", moving to a new home, or welcoming a new sibling. These transitions can reignite feelings of insecurity and anxiety about separation.\"]}),/*#__PURE__*/e(\"h2\",{children:\"Causes of separation anxiety in toddlers\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"More independent but still feels insecure\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"May not fully understand the concept of time or when a parent or caregiver will return\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Starting school, daycare, or being around new people \"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"New events like welcoming a new sibling, moving homes, or a drastic change in routine\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Past separations can resurface and bring back feelings of anxiousness \"})})]}),/*#__PURE__*/e(\"h2\",{children:\"Signs of separation anxiety in toddlers\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Crying or tantrums during moments of separation \"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Clinginess and refusal to separate\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Fear at bedtime, difficulty sleeping alone, or frequent wake-ups at night\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Refusing to go to school or daycare \"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[\"Reversion to earlier behaviors like thumb-sucking \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/pacifier-and-colic\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"pacifier use\"})})]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Physical complaints before separation, like stomach aches or ear hurting \"})})]}),/*#__PURE__*/e(\"h2\",{children:\"Strategies to manage separation anxiety in toddlers\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Discuss separation in simple terms. Validate your child's fears, worries, and feelings, like saying: \u201CYou\u2019re sad that I\u2019m leaving, and that\u2019s hard. I hear you.\\\"\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Establish a short and comforting routine that reassures them you'll return, like a special hug or a wave.\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Allow your toddler to have a favorite toy or blanket for comfort while you're away.\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Start with brief separations to help your toddler gradually adjust to separations. \"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Model confidence and stay calm and positive about the separation, as your emotions can influence how they react. \"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Praise small steps, like successfully playing alone or spending time with another caregiver, to build their confidence.\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Explore their feelings through picture books or engage in pretend play to help them process big emotions.\"})})]}),/*#__PURE__*/e(\"h2\",{children:\"Do kids outgrow separation anxiety?\"}),/*#__PURE__*/e(\"p\",{children:\"Most children outgrow separation anxiety by age 3 or 4 as they become more independent and confident. Separation anxiety may occasionally recur during transitions or stressful events.\"}),/*#__PURE__*/e(\"h2\",{children:\"When to call a pediatrician or child developmental expert\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"If your child\u2019s separation anxiety lasts beyond age 4 or 5 and interferes with daily activities like school or social interactions. \"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"If anxiety leads to significant distress for your child and family, such as frequent tantrums, excessive crying, or physical symptoms like headaches or stomach aches.\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[\"If there are signs of regression in other developmental areas, such as sleep, appetite, or \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/potty-training-your-toddler\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"toilet training.\"})})]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"If your child\u2019s anxiety worsens or doesn\u2019t improve with supportive strategies over time.\"})})]})]});export const richText2=/*#__PURE__*/a(t.Fragment,{children:[/*#__PURE__*/e(\"h2\",{children:\"Influenza vaccination: How flu vaccines help kids\"}),/*#__PURE__*/e(\"p\",{children:\"There are several reasons to consider vaccinating your child against the flu virus. The influenza vaccine can help:\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Lower your child\u2019s risk of severe complications from the flu virus\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Limit the spread of the flu in families, schools, and daycares\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Limit missed school time due to sickness from the flu\"})})]}),/*#__PURE__*/e(\"h3\",{children:\"Complications from the flu virus\"}),/*#__PURE__*/a(\"p\",{children:[\"Children under five are at\",/*#__PURE__*/e(n,{href:\"https://www.cdc.gov/flu/highrisk/children.html?CDC_AAref_Val=https://www.cdc.gov/flu/highrisk/children-high-risk.htm\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\" greater risk\"})}),\" for serious flu complications. The flu is a viral disease, but it can also increase a child\u2019s chance of getting a bacterial infection.\\xa0\\xa0\"]}),/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(n,{href:\"https://www.cdc.gov/flu/highrisk/children.html\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"Flu virus complications\"})}),\" include:\"]}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Dehydration\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Brain disease called encephalopathy\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Worsening of existing medical conditions like asthma or heart disease\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Bacterial ear infections\\xa0\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Lung infections (pneumonia)\\xa0\"})})]}),/*#__PURE__*/e(\"p\",{children:\"\\xa0In the most severe cases, the flu can lead to hospitalization and rarely, can be fatal.\"}),/*#__PURE__*/e(\"h2\",{children:\"How does the influenza vaccine work?\"}),/*#__PURE__*/e(\"p\",{children:\"The flu vaccine is an immunization that works by exposing the body to an inactive or severely weakened form of the influenza virus. The body then learns how to recognize and fight the virus when exposed to the actual flu virus in their daily lives.\"}),/*#__PURE__*/a(\"p\",{children:[\"Getting vaccinated against the flu is safer than waiting to be exposed to the actual flu virus since the flu can be\",/*#__PURE__*/e(n,{href:\"https://www.cdc.gov/flu/highrisk/children.html\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\" more serious\"})}),\" than the common cold in children under five years old. The flu vaccine is effective but doesn\u2019t work 100% of the time, so it\u2019s still possible for your child to get the flu even if they are vaccinated. But vaccination helps reduce the likelihood of your child getting seriously sick from the flu.\"]}),/*#__PURE__*/e(\"h2\",{children:\"Types of influenza vaccines available for children: flu shot and nasal spray\"}),/*#__PURE__*/e(\"p\",{children:\"There are several different types of flu vaccines. Two types that most children will get include:\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"The standard dose flu shot\\xa0\\xa0\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"The nasal spray flu vaccine\\xa0\"})})]}),/*#__PURE__*/e(\"p\",{children:\"The standard dose flu shot can be used in anyone six months or older and given as an injection. Eggs are used to develop some flu vaccines. However, research has shown that the vaccine's egg components do not affect children with egg allergies. Therefore, even if your child has an egg allergy, they may receive any age-appropriate version of the flu vaccine, as long as it\u2019s given in a medical setting.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"The nasal spray flu vaccine can be given to anyone 2 to 49 years old. If your child has certain underlying medical conditions \u2014 like asthma or a weakened immune system \u2014 the nasal spray flu vaccine may not be recommended for them.\"}),/*#__PURE__*/a(\"p\",{children:[\"Your pharmacist, local pediatrician, or\",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\" Summer Health pediatrician\"})}),\" can help you determine the best flu vaccine option for your child. You can text a Summer Health pediatrician with questions anytime.\"]}),/*#__PURE__*/e(\"h2\",{children:\"Flu vaccine recommendations for children\"}),/*#__PURE__*/e(\"p\",{children:\"Anyone six months of age or older should get a flu vaccine each year. Most people will only need one dose of the flu vaccine. If your child only needs one dose, they should ideally get vaccinated in September or October. However, if you are already in a medical facility that offers flu vaccines in July or August and it will be difficult for you to return in the fall, it is okay to get your child vaccinated earlier.\"}),/*#__PURE__*/e(\"h3\",{children:\"How do I know if my child needs two doses of the flu vaccine?\"}),/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(n,{href:\"https://www.cdc.gov/flu/professionals/vaccination/vax-summary.htm#:~:text=Available%20influenza%20vaccines%20include%3A&text=Several%20different%20brands%20of%20standard,as%20young%20as%206%20months.\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"Some\"})}),\" children need two doses of the flu vaccine in a single flu season. The CDC recommends two doses of the flu vaccine if your child is between six months and eight years old and:\"]}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Is getting their first flu vaccine ever\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Has never had more than one dose of the flu vaccine in their life\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Has an unknown flu vaccine history\\xa0\"})})]}),/*#__PURE__*/e(\"p\",{children:\"If your child needs two doses, the CDC recommends getting the first dose as soon as the flu vaccine becomes available, possibly in July or August. That\u2019s because the second dose should be given at least four weeks after the first. Since their maximum protection against the flu won\u2019t kick in until their second dose, getting the first dose as early as possible helps them complete both doses sooner.\"}),/*#__PURE__*/e(\"h2\",{children:\"What are the possible side effects of the flu shot and nasal spray flu vaccine?\"}),/*#__PURE__*/e(\"p\",{children:\"Common side effects of the standard dose flu shot include:\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Soreness, redness, or swelling in the area where the shot was given\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Fever\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Muscle aches\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Headache\"})})]}),/*#__PURE__*/e(\"p\",{children:\"Common side effects of the nasal spray flu vaccine include:\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Runny nose or nasal congestion\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Wheezing\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Headache\"})})]}),/*#__PURE__*/e(\"p\",{children:\"People who use the nasal spray vaccine can experience vomiting, muscle aches, fever, sore throat, or cough. These side effects are usually mild and go away quickly.\"}),/*#__PURE__*/a(\"p\",{children:[\"If your child appears to have an allergic reaction (signs such as hives, swelling of the face or throat, difficulty breathing, dizziness), call 911. Contact your local pediatrician or a\",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\" Summer Health pediatrician if any other reactions concern you\"})}),\".\"]}),/*#__PURE__*/e(\"h2\",{children:\"Getting vaccinated: Where can my infant or older child get an influenza vaccine?\"}),/*#__PURE__*/e(\"p\",{children:\"When your child gets vaccinated against influenza at the start of flu season, it helps them stay healthy and safe throughout flu season. Your child\u2019s local doctor, nurse, or pharmacist will be able to provide a flu vaccine. You can also use the CDC\u2019s search tool to find a local flu vaccine. Many families are eligible for free flu shots depending on their insurance coverage.\"}),/*#__PURE__*/e(\"h2\",{children:\"Getting vaccinated: As a parent, should I get an influenza vaccine?\"}),/*#__PURE__*/a(\"p\",{children:[\"It\u2019s\",/*#__PURE__*/e(n,{href:\"https://www.cdc.gov/flu/vaccines/vaccinations.html?s_cid=SEM.GA:PAI:RG_AO_GA_TM_A18_F-FLU-StayUpToDate-Brd:new%20flu%20shot:SEM00114&utm_id=SEM.GA:PAI:RG_AO_GA_TM_A18_F-FLU-StayUpToDate-Brd:new%20flu%20shot:SEM00114&gad_source=1\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\" recommended\"})}),\" that everyone six months of age and older get a flu vaccine every year. That includes parents like you and other adults in your household. Ensuring everyone in a household is vaccinated against the influenza virus helps limit the spread of flu to others, missed school or work time, and potential flu complications.\\xa0\"]}),/*#__PURE__*/e(\"p\",{children:\"There are many more flu vaccine options for adults, so talk to your doctor or pharmacist about which option is best for you. Adults only need one dose of the flu vaccine. Aim to get yours in September or October for maximum protection throughout flu season.\"})]});export const richText3=/*#__PURE__*/a(t.Fragment,{children:[/*#__PURE__*/a(\"p\",{children:[\"Centers for Disease Control and Prevention. Flu and Children.\",/*#__PURE__*/e(n,{href:\"https://www.cdc.gov/flu/highrisk/children.html\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\" https://www.cdc.gov/flu/highrisk/children.html\"})})]}),/*#__PURE__*/a(\"p\",{children:[\"Centers for Disease Control and Prevention. Inactivated Influenza Vaccine VIS.\",/*#__PURE__*/e(n,{href:\"https://www.cdc.gov/vaccines/hcp/current-vis/influenza-inactivated.html\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\" https://www.cdc.gov/vaccines/hcp/current-vis/influenza-inactivated.html\"})})]}),/*#__PURE__*/a(\"p\",{children:[\"Centers for Disease Control and Prevention. Possible Side Effects from Vaccines.\",/*#__PURE__*/e(n,{href:\"https://www.cdc.gov/vaccines/basics/possible-side-effects.html\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\" https://www.cdc.gov/vaccines/basics/possible-side-effects.html\"})})]}),/*#__PURE__*/a(\"p\",{children:[\"Centers for Disease Control and Prevention. Live, Attenuated Influenza Vaccine VIS.\",/*#__PURE__*/e(n,{href:\"https://www.cdc.gov/vaccines/hcp/current-vis/influenza-live-intranasal.html\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\" https://www.cdc.gov/vaccines/hcp/current-vis/influenza-live-intranasal.html\"})})]}),/*#__PURE__*/a(\"p\",{children:[\"Centers for Disease Control and Prevention. Flu Vaccines and People with Egg Allergies.\",/*#__PURE__*/e(n,{href:\"https://www.cdc.gov/flu/vaccines/egg-allergies.html\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\" https://www.cdc.gov/flu/vaccines/egg-allergies.html\"})})]})]});export const richText4=/*#__PURE__*/a(t.Fragment,{children:[/*#__PURE__*/e(\"h2\",{children:\"Feeding your baby\"}),/*#__PURE__*/a(\"p\",{children:[\"Your baby will probably \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/feeding-your-baby-birth-to-one-year\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"eat\"})}),\" frequently during the first week of life. A newborn\u2019s stomach is tiny, around the size of a grape at birth, so you\u2019ll need to feed them on demand. The sucking motion while they breastfeed or drink from a bottle helps relax and comfort them too. Remember, feeding is a new skill for you and your baby, and it might take time and practice for both of you to get it right. \\xa0\"]}),/*#__PURE__*/e(\"p\",{children:\"If you're breastfeeding, the thick breast milk that comes in during the first few days is called colostrum. Colostrum is rich in nutrients and has a viscous, thick consistency. Once your breast milk comes (usually 3 to 5 days after birth), it will have a thinner consistency and be closer to white.\"}),/*#__PURE__*/e(\"p\",{children:\"You may notice your newborn motioning with their heads. This reflex is called rooting and kicks in when the corner of their mouth is touched or stimulated, causing your baby to search for a breast or bottle nipple. Rooting is also a sign that your baby is hungry.\"}),/*#__PURE__*/e(\"h3\",{children:\"Breastfeeding\"}),/*#__PURE__*/e(\"p\",{children:\"Newborns must eat every 1.5 to 2 hours during a 24-hour period, which totals 10 to 12 feeds per day. As they grow, this changes to every 2 to 4 hours, with 8 to 10 nursing sessions each day, eventually transitioning to 4 to 6 sessions. Some babies can handle larger milk volumes less often, while others need smaller amounts more frequently. Newborns (birth to 1 month) should be fed on demand and typically don\u2019t need to follow strict feeding schedules.\"}),/*#__PURE__*/a(\"p\",{children:[\"It\u2019s impossible to measure exactly how much milk your baby gets during \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/breastfeeding-your-baby-according-to-a-lactation-expert\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"breastfeeding\"})}),\". If your pediatrician is concerned, they might weigh your baby before and after a nursing session or check how many ounces your baby drinks from a bottle of pumped breast milk. Generally, newborns will drink 1 to 2 ounces per feed. Over time, they\u2019ll gradually increase to 2 to 4 ounces and then 4 to 6 ounces per feeding.\"]}),/*#__PURE__*/e(\"h3\",{children:\"Bottle feeding with infant formula\"}),/*#__PURE__*/a(\"p\",{children:[\"Formula-fed babies should eat just as frequently as breastfed babies, and there are several types of \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/preparing-a-warm-bottle-breastmilk-vs-infant-formula\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"formula\"})}),\" available. Here are the options:\"]}),/*#__PURE__*/a(\"ol\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Standard formulas: These include intact proteins from cow\u2019s milk or soy. The carbohydrate source can vary and includes lactose, brown rice syrup, or corn syrup.\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Semi-elemental or partially hydrolyzed formulas: Proteins in these formulas are partially broken down for better tolerance and digestion. Dietary fats may also be modified for increased tolerance. Babies with poor reactions to standard formulas, such as feeding struggles, intolerances, diarrhea, blood in stools, vomiting, and poor weight gain, may benefit from partially hydrolyzed formulas.\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Elemental or hypoallergenic formulas: These formulas have proteins that are completely broken down. These are specifically designed for babies with food intolerances or sensitivities who cannot tolerate other formulas.\"})})]}),/*#__PURE__*/a(\"p\",{children:[\"If you have questions about breastfeeding or bottle-feeding, the \",/*#__PURE__*/e(n,{href:\"http://www.summerhealth.com/\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"Summer Health\"})}),\" lactation experts can provide personalized guidance and support. \"]}),/*#__PURE__*/e(\"h2\",{children:\"Driving with your newborn\"}),/*#__PURE__*/a(\"p\",{children:[\"When \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/what-to-expect-during-your-newborns-first-week\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"leaving the hospital\"})}),\", you must have a car seat installed correctly for the trip home to ensure your baby is safe, secure, and comfortable. The car seat must be rear-facing and installed correctly, and your baby should be dressed in minimal layers like a lightweight, snug onesie or bodysuit.\"]}),/*#__PURE__*/e(\"p\",{children:\"If possible, install the car seat a few weeks before your due date. The instructions can be confusing, and you\u2019ll avoid the stress of scrambling with the product manual during discharge. \\xa0\"}),/*#__PURE__*/a(\"p\",{children:[\"If you need a blanket for the car ride home, the American Academy of Pediatrics (AAP) recommends \",/*#__PURE__*/e(n,{href:\"https://www.healthychildren.org/English/ages-stages/prenatal/delivery-beyond/Pages/Bringing-Baby-Home.aspx\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"placing the blanket over the car safety seat straps\"})}),\". Secure the blanket underneath your baby, as loose blankets can cause suffocation.\"]}),/*#__PURE__*/e(\"h2\",{children:\"Safe baby sleep\"}),/*#__PURE__*/a(\"p\",{children:[\"Follow \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/how-to-practice-safe-sleep-for-babies\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"safe sleep practices\"})}),\" with your baby. Practically, your newborn should sleep alone on a firm, flat mattress that fits snugly inside the crib or bassinet with no gaps between the mattress and the frame. Use only a fitted sheet on the mattress; no flat sheets or loose blankets.\"]}),/*#__PURE__*/e(\"p\",{children:\"Your baby\u2019s sleep space should be free of any blankets, pillows, bedding, bumper pads, stuffed animals, or toys. Avoid attaching toys or pacifiers to the crib slats, as they can pose a suffocation or strangulation risk.\"}),/*#__PURE__*/e(\"p\",{children:\"Instead of a blanket, wrap your baby in a swaddle or use a sleep sack and put them down to sleep on their back. Loose blankets are dangerous as they can increase the risk of suffocation and Sudden Infant Death Syndrome (SIDS), as does placing them on their belly or sides.\"}),/*#__PURE__*/a(\"p\",{children:[\"Never bed share. Your baby should always go to sleep in their crib or bassinet. Multiples should each have their own sleeping space. Even though you should avoid bedsharing, the \",/*#__PURE__*/e(n,{href:\"https://www.aap.org/en/news-room/news-releases/aap/2022/american-academy-of-pediatrics-updates-safe-sleep-recommendations-back-is-best/\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"AAP suggests sharing a room\"})}),\" with your baby, ideally for the first six months, because it reduces the risk of SIDS. Placing your baby's crib or bassinet near your bed makes watching and hearing your baby during the night easier and makes middle-of-the-night feeds more manageable.\"]}),/*#__PURE__*/e(\"h2\",{children:\"Bathing and diapering your newborn\"}),/*#__PURE__*/a(\"p\",{children:[\"The umbilical cord stump shouldn\u2019t be fully submerged in water, so give your newborn a \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/the-new-parents-guide-how-to-bathe-your-newborn?promotion_code=SUMMERTIME\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"sponge bath\"})}),\" until the stump falls off, usually around the two-week mark.\"]}),/*#__PURE__*/e(\"p\",{children:\"When it\u2019s time to change your baby\u2019s diaper, you may notice a black, sticky substance. This is called meconium, and it\u2019s the poop your baby had in their intestines while in utero. After a few days and once your baby starts eating, their poop will become soft, seedy, or pasty and will turn various shades of yellow and brown.\"}),/*#__PURE__*/e(\"p\",{children:\"During the first few days, your baby may only have a few wet diapers, depending on whether they are breastfed or formula-fed. Between the third and fifth day, your baby should have about six to eight wet diapers every 24 hours.\"}),/*#__PURE__*/e(\"h2\",{children:\"Newborn crying\"}),/*#__PURE__*/a(\"p\",{children:[\"Newborns cry a lot, and while it can be tough to hear, \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/baby-cries-and-colic-a-guide-for-worried-parents\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"crying \"})}),\"is how they communicate. When your baby is crying, they might be telling you they\u2019re:\"]}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Hungry\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Tired\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Uncomfortable\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"In pain\"})})]}),/*#__PURE__*/e(\"h3\",{children:\"Tips for soothing a crying baby\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Swaddling your newborns will make them feel comfortable and remind them of their time spent in the womb. \"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Shushing sounds are a form of white noise that \\xa0are soothing to babies and help them fall asleep.\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Gently swinging your baby from side to side or rocking them back and forth can be relaxing and can soothe them to sleep.\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[\"Babies have a \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/your-newborns-reflexes\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"sucking reflex\"})}),\" and find sucking motions soothing. Whether they're nursing, drinking from a bottle, using a pacifier, or sucking on their fingers, this reflex helps them feel calm.\"]})})]}),/*#__PURE__*/a(\"p\",{children:[\"If you have questions about caring for your newborn, consult your local or \",/*#__PURE__*/e(n,{href:\"http://www.summerhealth.com/\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"Summer Health \"})}),\"pediatrician. \"]})]});export const richText5=/*#__PURE__*/a(t.Fragment,{children:[/*#__PURE__*/e(\"h2\",{children:\"What are sleep regressions?\"}),/*#__PURE__*/a(\"p\",{children:[\"A \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/understanding-sleep-regressions-according-to-a-sleep-specialist\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"sleep regression\"})}),\" is a temporary setback in a child\u2019s typical sleep patterns, often tied to \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/newborn-to-toddler-a-complete-guide-on-baby-milestones\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"developmental milestones\"})}),\" at certain ages. Common signs include frequent night wakings, nap refusal, and difficulty falling asleep.\"]}),/*#__PURE__*/e(\"h2\",{children:\"Six month sleep regression\"}),/*#__PURE__*/e(\"p\",{children:\"At six months, babies experience sleep regressions due to major developmental changes. During this phase, their brains are more active, and it can be difficult for them to settle down for sleep. At six months old babies become more aware of their surroundings and may be more sensitive to noise. Teething, which usually begins around this age, can contribute to difficulty falling or staying asleep between sleep cycles due to discomfort and pain. The six-month sleep regression usually lasts between two and six weeks. \"}),/*#__PURE__*/e(\"h3\",{children:\"Six month developmental milestones \"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/baby-developmental-milestones-when-do-babies-sit-up\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"Sitting up\"})})})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/safe-sleep-for-babies-side-sleeping-and-rolling-explained\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"Rolling over\"})})})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/solid-foods-101-introducing-first-foods\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"Starting solids \"})})})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Laughing \"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Brings items to mouth\"})})]}),/*#__PURE__*/e(\"h2\",{children:\"Signs of sleep regression at six months\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Frequent middle-of-the-night wake-ups with crying \"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Difficulty falling asleep\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Assistance falling asleep \"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Practicing new developmental skills, like rolling, during the night\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Refusing naps\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Shorter naps\"})})]}),/*#__PURE__*/e(\"h2\",{children:\"How can I tell if my baby is going through a sleep regression or if it's something else?\"}),/*#__PURE__*/e(\"p\",{children:\"Be sure to check for other signs and symptoms. If your baby is teething, look for excess drooling, red or swollen gums, and ear pulling. If they seem unwell, watch for irritability, fatigue, and frequent crying. Offer soothing options like teething toys or cool purees throughout the day to ease teething discomfort. If your baby isn\u2019t showing any additional signs, it\u2019s likely a sleep regression.\"}),/*#__PURE__*/e(\"h3\",{children:\"What's the difference between a sleep regression and a growth spurt?\"}),/*#__PURE__*/e(\"p\",{children:\"Growth spurts can cause sleep regressions but you\u2019ll also notice signs like your baby eating more and gaining weight. \"}),/*#__PURE__*/e(\"h2\",{children:\"Strategies for managing the six month sleep regression\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Address the underlying cause:\"}),\" If teething is the issue, provide plenty of opportunities for your baby to relieve their sore gums during the day. If it\u2019s related to developmental growth, ensure they have time to practice new skills during the day.\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Consistency is key:\"}),\" Establish a bedtime routine. Babies recognize sleep cues, which calm them before putting them down in their crib. If your baby underwent formal sleep training, reinforce those sleep habits and bedtime routines.\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Get fresh air: \"}),\"Whenever possible, take your baby outside during the day, which can help regulate their circadian rhythm and help them fall asleep.\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Monitor daytime sleep:\"}),\" Pay attention to how much sleep your baby gets during the day. Aim for \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/wake-windows-and-sleep-schedules-by-age\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"wake windows\"})}),\" of 2 to 3 hours. Keeping them up for longer or shorter can disrupt sleep cycles and make it harder for them to fall and stay asleep.\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Teach independent sleep skills: \"}),\"Help your baby develop independent sleep skills. Soothing them during your bedtime routine and placing them in their \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/5-tips-to-help-your-baby-to-sleep-in-a-crib-according-to-a-sleep-specialist\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"crib\"})}),\" while they\u2019re still awake can encourage them to fall asleep independently. Independent sleep skills, like self-soothing, also make it easier for babies to fall back to sleep between sleep cycles.\"]})})]}),/*#__PURE__*/e(\"h2\",{children:\"Soothing techniques for sleep\"}),/*#__PURE__*/a(\"p\",{children:[\"Soothing techniques are strategies that babies can use to help them fall asleep or return to sleep independently. One of the most effective ways to encourage self-soothing is by establishing a consistent and calm bedtime routine. A bedtime routine can include a warm bath, infant massage, breastfeeding or bottle feeding, reading a book, singing a song, and turning on a white noise machine. Allowing babies to suck their thumb or \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/how-to-soothe-newborn-without-pacifier\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"sucking on a pacifier \"})}),\"can also help babies soothe and resettle for sleep. \"]})]});export const richText6=/*#__PURE__*/a(t.Fragment,{children:[/*#__PURE__*/e(\"h2\",{children:\"What is the stomach flu? \"}),/*#__PURE__*/a(\"p\",{children:[\"The stomach flu refers to vomiting, diarrhea, and other gastrointestinal discomfort caused by \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/understanding-the-flu-virus-in-children\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"seasonal viruses\"})}),\". It\u2019s also known as viral gastroenteritis.\"]}),/*#__PURE__*/e(\"h2\",{children:\"Stomach flu symptoms\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Vomiting\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/what-to-do-when-your-baby-has-diarrhea\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"Diarrhea\"})})})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Nausea\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Abdominal cramping\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Bloating\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/your-questions-answered-your-childs-fever\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"Fever\"})})})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Discomfort and irritability \"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Poor appetite\"})})]}),/*#__PURE__*/e(\"h2\",{children:\"What causes the stomach flu in children\"}),/*#__PURE__*/e(\"p\",{children:\"The stomach flu is most often triggered by seasonal viruses like rotavirus, norovirus, or adenovirus. Less commonly, it can result from bacteria such as salmonella, shigella, campylobacter, E. coli, or C. difficile, as well as parasites like giardia, cryptosporidium, and cyclospora.\"}),/*#__PURE__*/e(\"h3\",{children:\"Rotavirus\"}),/*#__PURE__*/e(\"p\",{children:\"Rotavirus is highly contagious and is the leading cause of gastroenteritis in young children worldwide. Most children contract it between 6 and 24 months of age, but it can occasionally occur up until age 5 or older.\"}),/*#__PURE__*/e(\"h3\",{children:\"Norovirus\"}),/*#__PURE__*/e(\"p\",{children:\"Norovirus is another common cause of gastroenteritis and can occur year-round, though it\u2019s more prevalent in the winter. Outbreaks often occur in crowded places like restaurants, cruise ships, resorts, and childcare settings. You can also contract it by consuming contaminated foods like shellfish, frosting, melon, raspberries, and celery.\"}),/*#__PURE__*/e(\"h2\",{children:\"Is it common for children to get the stomach flu?\"}),/*#__PURE__*/a(\"p\",{children:[\"It\u2019s common for children to catch the stomach flu as their bodies are still building immunity to various seasonal viruses. Babies, toddlers, and young school-aged kids are more susceptible than older kids, particularly \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/starting-your-baby-at-daycare\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"when they start daycare\"})}),\" or school, where they\u2019re more likely to be exposed.\"]}),/*#__PURE__*/e(\"h2\",{children:\"How long does the stomach flu last?\"}),/*#__PURE__*/a(\"p\",{children:['Depending on the virus, the stomach flu can last anywhere from three days to a week. It\u2019s also highly contagious and typically spreads through the \"fecal-oral route,\" meaning the germs that cause illness are found in an infected person\u2019s feces and can be transmitted when someone else ingests them. This is why washing hands thoroughly after using the bathroom or ',/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/how-to-change-your-babys-diaper\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"changing diapers\"})}),\" is so important.\"]}),/*#__PURE__*/e(\"h2\",{children:\"Can the stomach flu cause dehydration?\"}),/*#__PURE__*/e(\"p\",{children:\"The stomach flu is a common cause of dehydration in children. They lose fluids quickly through vomiting and diarrhea, often faster than they can replace them, especially since their appetite tends to decrease when they\u2019re sick.\"}),/*#__PURE__*/a(\"p\",{children:[\"Encourage your child to take small, frequent sips of fluids to prevent dehydration. If your baby is breastfeeding, continue nursing as usual. If your baby isn't tolerating regular feedings, offer clear fluids like Pedialyte, diluted apple juice, or popsicles (for babies over six months). If you\u2019re concerned about dehydration, consult your local or \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"Summer Health\"})}),\" pediatrician for further guidance. \"]}),/*#__PURE__*/e(\"h2\",{children:\"What can a child eat when they have the stomach flu?\"}),/*#__PURE__*/e(\"p\",{children:\"A varied and nutritious diet can improve gut healing when your child can tolerate foods. Offer healthy and age-appropriate foods like complex carbs, lean meats, yogurt, fruits, and veggies. \"}),/*#__PURE__*/e(\"h2\",{children:\"Preventing the stomach flu\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Good handwashing with soap and warm water\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Proper diaper disposal\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Avoid going to daycare or school when sick\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Rotavirus vaccine, when appropriate\"})})]}),/*#__PURE__*/e(\"h2\",{children:\"Treating the stomach flu\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[\"For infants six months or older, offer clear fluids like water, diluted juice, and oral rehydration solutions like Pedialyte. Consult your local or \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"Summer Health\"})}),\" pediatrician for guidance on clear fluids, like Pedialyte, for younger infants. \"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Tylenol for a fever, as needed. Always consult a pediatrician if your newborn has a fever.\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[\"Continue \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/breastfeeding-your-baby-according-to-a-lactation-expert\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"breastfeeding\"})}),\" or bottle feeding as tolerated.\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Offer probiotics like yogurt or kefir \"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Prescribed anti-nausea medications can help if symptoms are severe\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Offer nutritious foods and avoid high-fat foods, sugary fluids, and simple carbs \"})})]}),/*#__PURE__*/e(\"h2\",{children:\"When to call a pediatrician\"}),/*#__PURE__*/a(\"p\",{children:[\"Call your local or \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"Summer Health\"})}),\" pediatrician if your child has abdominal pain or discomfort, projectile vomiting, blood or bile with vomiting, blood or mucus in stools, lethargy, irritability, poor feeding, decreased wet diapers, or other urgent symptoms. Call 911 or go to your nearest emergency room for any severe or urgent symptoms.\"]})]});export const richText7=/*#__PURE__*/a(t.Fragment,{children:[/*#__PURE__*/e(\"h2\",{children:\"When should you take your newborn to the emergency room? \"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Fever:\"}),\" \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/your-questions-answered-your-childs-fever\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"Fevers in newborns\"})}),\" are considered an emergency. If your baby has a fever, take them to the emergency room immediately.\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Infection:\"}),\" Newborns should receive medical care if there is a possible infection. Minor infections, like pink eye, can be managed by a pediatrician, but most others require evaluation in the emergency room.\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Vomiting:\"}),\" Small volumes of vomiting, like spit-up, may be a result of \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/infant-acid-reflux\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"infant reflux\"})}),\". If your baby experiences large amounts of vomiting (such as projectile vomiting), if it contains blood or bile, or is accompanied by signs of pain or discomfort, fever, lethargy, irritability, or poor feeding, seek immediate medical attention and take them to the emergency room.\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Lethargy or poor alertness:\"}),\" If your baby is lethargic, unusually sleepy, or less alert than normal, take your baby to the emergency room. \"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Poor appetite:\"}),\" During the first week, your baby is learning essential \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/feeding-your-baby-birth-to-one-year\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"feeding skills\"})}),\" like latching, sucking, and coordinating their \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/newborn-breathing\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"breathing\"})}),\" while feeding. It\u2019s normal for them to eat smaller amounts while in this learning phase. Over the next few weeks, their appetite should gradually improve, and they should \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/tracking-newborn-weight-and-weight-loss\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"regain their birth weight\"})}),\". If there\u2019s a sudden or significant drop in your baby\u2019s appetite, seek immediate medical attention with your local or \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"Summer Health\"})}),\" pediatrician to determine if they should be seen in the emergency room. \"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Fewer wet diapers:\"}),\" If your baby has fewer \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/how-to-change-your-babys-diaper\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"wet diapers\"})}),\" than normal, it could be a sign of dehydration, especially if they have associated symptoms like lethargy or irritability. Seek immediate medical attention and bring your baby to the emergency room.\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Breathing issues:\"}),\" Newborns can have nasal congestion from residual fluid from the birthing process. They can also have noisy breathing due to their immature anatomy. However, \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/newborn-breathing-fast?promotion_code=SUMMERTIME\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"unusual breathing patterns\"})}),\" are a concern and require immediate medical attention. Signs such as rapid breathing that makes the rib cage and stomach move like a seesaw, flaring nostrils, long pauses in breathing (lasting more than 10\u201320 seconds), or \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/what-is-acrocyanosis-why-are-my-newborns-hands-and-feet-turning-purple\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"blue discoloration of the skin\"})}),\" (except for the hands, feet, and around the mouth) indicate the need for an emergency room visit.\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Injuries:\"}),\" If your baby experiences a major injury, such as a bump or fall, take them to the emergency room for immediate evaluation.\"]})})]}),/*#__PURE__*/e(\"h2\",{children:\"What can you do before going to the emergency room? \"}),/*#__PURE__*/a(\"p\",{children:[\"If your baby has concerning symptoms but otherwise looks well, contact your local or \",/*#__PURE__*/e(n,{href:\"http://www.summerhealth.com/\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"Summer Health\"})}),\" pediatrician for guidance. If your baby appears unwell or has any breathing difficulties, go directly to your nearest emergency room for immediate care.\"]}),/*#__PURE__*/e(\"h2\",{children:\"Important items to keep at home\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/taking-your-childs-temperature\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"Thermometer\"})})})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Infant nasal saline drops \"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Nasal suction\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Vaseline or Aquaphor\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/newborn-belly-bloated?promotion_code=SUMMERTIME\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"Infant gas drops\"})})})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Humidifier\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[\"Infant Tylenol (contact your pediatrician before administering any \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/what-medicine-can-infants-take\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"medication\"})}),\")\"]})})]})]});export const richText8=/*#__PURE__*/a(t.Fragment,{children:[/*#__PURE__*/e(\"h2\",{children:\"Do toddlers need vitamins? \"}),/*#__PURE__*/a(\"p\",{children:[\"Toddlers should get \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/supplements-for-infants\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"vitamins\"})}),\" and minerals from their diet. When they eat a variety of foods from all food groups, supplements are usually unnecessary. However, some kids might need extra support due to challenges like:\"]}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Picky eating or restricted diet\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Poor appetite\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Feeding challenges \"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Poor weight gain or growth\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/allergies-in-infants-food-and-seasonal-allergies\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"Food allergies\"})}),\" or intolerances \"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Plant-based diets (vegan or vegetarian)\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Born prematurely \"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Chronic medical conditions, such as celiac disease or other digestive issues\"})})]}),/*#__PURE__*/e(\"p\",{children:\"If you are concerned about your child's eating habits, especially picky eating, a quality vitamin supplement can help fill nutritional gaps and support healthy growth.\"}),/*#__PURE__*/e(\"h2\",{children:\"Common vitamins and supplements for toddlers \"}),/*#__PURE__*/e(\"h3\",{children:\"Daily multivitamin\"}),/*#__PURE__*/e(\"p\",{children:\"A daily multivitamin can bridge nutritional gaps for picky eaters or kids with restricted diets. They contain a variety of essential vitamins and minerals like vitamin A, B vitamins, vitamin C, vitamin D, magnesium, and zinc. However, many kids multivitamins don\u2019t include any or sufficient amounts of calcium and iron. So, if your toddler is low in those nutrients, consider a separate supplement or find a multivitamin that includes them.\"}),/*#__PURE__*/e(\"h3\",{children:\"Iron \"}),/*#__PURE__*/e(\"p\",{children:\"Iron deficiency is the most common nutritional deficiency among children. While iron is found in many foods, it\u2019s especially rich in animal proteins, which many kids avoid. Picky eaters and kids following plant-based diets are at a higher risk for iron deficiency, which can lead to growth issues and cognitive delays.\"}),/*#__PURE__*/e(\"p\",{children:\"If your child isn\u2019t eating enough iron-rich foods or their blood tests show low iron levels, include an iron supplement in their diet. When introducing iron supplements, start with a low dose and gradually increase to the recommended dose, as tolerated. Calcium can inhibit absorption, so iron supplements should be taken separately from calcium-rich foods. Vitamin C enhances iron absorption, so pairing iron supplements with iron-rich foods like strawberries, broccoli, or citrus fruits is helpful. \"}),/*#__PURE__*/e(\"p\",{children:\"Daily requirement: 7 milligrams \"}),/*#__PURE__*/e(\"h3\",{children:\"Vitamin D\"}),/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/your-questions-answered-vitamin-d-drops-for-babies\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"Vitamin D\"})}),\" plays an important role in healthy bone development, and a deficiency can increase the risk of conditions like:\"]}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Rickets (soft, weakened bones)\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Broken and fractured bones \"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(n,{href:\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3166406/\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"Autoimmune disease\"})})})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(n,{href:\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3166406/\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"Infections\"})})})})]}),/*#__PURE__*/e(\"p\",{children:\"Food does not typically provide sufficient vitamin D. Even if your child drinks milk or dairy fortified with vitamin D, they will likely need a supplement to meet their needs. Most children's multivitamins include vitamin D, but you can also find liquid vitamin D drops that can be administered directly into their mouth or added to beverages or food.\"}),/*#__PURE__*/e(\"p\",{children:\"Daily requirement: 600 IU \"}),/*#__PURE__*/e(\"h3\",{children:\"Calcium\"}),/*#__PURE__*/e(\"p\",{children:\"Calcium is essential for strong bones and teeth and supports muscles and the nervous system. Children who don\u2019t eat enough dairy products are at risk for calcium deficiency, especially kids with allergies, lactose intolerance or who follow plant-based or vegan diets. Since most multivitamins don\u2019t include calcium or the recommended amount, you may need to purchase a separate supplement. \"}),/*#__PURE__*/e(\"p\",{children:\"Daily requirement: 700 milligrams\"}),/*#__PURE__*/e(\"h3\",{children:\"Fiber\"}),/*#__PURE__*/e(\"p\",{children:\"Most kids do not get enough fiber in their diet, which can contribute to constipation. Before considering a fiber supplement, try to incorporate more fruits, vegetables, and whole grains into your child's meals. If dietary changes aren\u2019t enough, fiber supplements can effectively bridge the gap between their intake and needs.\"}),/*#__PURE__*/e(\"p\",{children:\"Daily requirement: 19 grams \"}),/*#__PURE__*/e(\"h2\",{children:\"Considerations when purchasing vitamins for toddlers\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Safe swallow: Supplements can pose a choking hazard for children under 4. Avoid hard chewables, gummies, or chewy supplements. Instead, opt for liquid or mixable powder-based supplements.\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Avoid added sugar: Choose vitamins without added sugars. If the supplement has sugar, brush your child\u2019s teeth afterward.\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[\"Complete nutrient composition: Standard multivitamins may not contain adequate amounts of key nutrients like calcium and iron or may lack highly absorbable forms. Look for supplements that address the specific nutrient gaps in your child\u2019s diet with the correct dosage to meet their needs. If your child has a limited diet, consult your local or \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"Summer Health\"})}),\" registered dietitian for additional guidance. \"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Quality: Supplements don\u2019t require FDA approval so choose reputable brands that use independent, third-party testing for quality and purity.\"})})]}),/*#__PURE__*/e(\"h2\",{children:\"Supplement safety\"}),/*#__PURE__*/e(\"p\",{children:\"Many children\u2019s supplements are colorful and attractive to children. They often come as gummies or chewable tablets that appear to be candy. While this can help your child be excited to take their vitamin, it poses safety risks related to overconsumption. Never refer to any medication, including vitamins, as candy, and do not offer supplements as treats or rewards.\"}),/*#__PURE__*/e(\"p\",{children:\"Keep all medications, including vitamins and supplements, out of a child\u2019s reach. Taking too many vitamins can cause harmful toxicities or unpleasant side effects. If you are ever concerned that your child has eaten too many vitamins, contact your pediatrician and local poison center at 800-222-1222.\"}),/*#__PURE__*/a(\"p\",{children:[\"Always consult your local or \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"Summer Health\"})}),\" pediatrician before offering your child supplemental vitamins. \\xa0\"]})]});export const richText9=/*#__PURE__*/a(t.Fragment,{children:[/*#__PURE__*/e(\"h2\",{children:\"When can kids eat candy?\"}),/*#__PURE__*/e(\"p\",{children:\"Many candies, especially hard, sticky, or gummy ones, pose a choking risk for children under 5. For kids over age 2, you can introduce chocolate-based candies. Before you offer it, check the label since chocolates can contain large pieces of nuts that are potential choking hazards. \"}),/*#__PURE__*/a(\"p\",{children:[\"Unless it\u2019s a special occasion, avoid offering foods with added sugar for \",/*#__PURE__*/e(n,{href:\"https://www.healthychildren.org/English/healthy-living/nutrition/Pages/How-to-Reduce-Added-Sugar-in-Your-Childs-Diet.aspx\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"children under 2 years\"})}),\" to: \"]}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Promote healthy eating habits\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[\"Reduce \",/*#__PURE__*/e(n,{href:\"https://www.healthychildren.org/English/healthy-living/nutrition/Pages/How-to-Reduce-Added-Sugar-in-Your-Childs-Diet.aspx\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"health risks\"})}),\" like high cholesterol, high triglycerides, and type 2 diabetes\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Prevent issues like weight gain and obesity \"})})]}),/*#__PURE__*/e(\"h3\",{children:\"Safe Halloween treats for toddlers\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Chocolates\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Wafer-based treats like Kit Kats\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Peanut butter cups\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Animal crackers\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Mini cupcakes \"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Yogurt melts\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Popsicles\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Ice cream or ice cream bars\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Cookies\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Fruit leather\"})})]}),/*#__PURE__*/e(\"h3\",{children:\"Candy choking hazards for toddlers\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Small round candies like sucking candies, gum drops, jelly beans, candy corn, M&Ms, and Skittles\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Lollipops\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Gum \"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Hard candies\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Sticky candy like taffy and caramels\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Gummy candy \"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Chocolate with large pieces of nuts\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Caramel apples\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Popcorn \"})})]}),/*#__PURE__*/e(\"h2\",{children:\"How much candy should your toddler have on Halloween?\"}),/*#__PURE__*/e(\"p\",{children:\"Deciding how much candy to give your child is a personal choice and depends on your family and your child. What works for one family may not work for you or your child. Focus on moderation most days and be flexible on special occasions like holidays or birthday parties. \"}),/*#__PURE__*/e(\"p\",{children:\"Create a plan with your partner and caregivers in advance to ensure everyone is on the same page about handling treats in your family. This can prevent awkward conversations or negative discussions about treats in front of your child.\"}),/*#__PURE__*/e(\"h2\",{children:\"Tips for balancing Halloween candy and sugar\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Allow for more flexibility on special occasions like Halloween. Imposing too many rules and restrictions on Halloween candy can draw more attention to it, making it even more enticing. \"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"To keep your child full and satiated, offer a substantial snack that includes protein, healthy fats, and fiber before trick-or-treating. A hungry child is more likely to overindulge.\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Encourage regular hydration throughout the evening. Pack a small backpack with a water bottle and pause every few blocks for a quick sip as staying hydrated helps keep their stomach full.\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"After Halloween, do not discuss their candy stash and keep it out of sight. Many toddlers will forget about their candy and won\u2019t ask for it.\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"For children who are more likely to remember their candy haul, plan ahead together. You could agree to donate a portion of their treats or use a reward system where they can swap candy for a small toy or money. Depending on the type, you can also freeze some candy to enjoy later.\"})})]}),/*#__PURE__*/e(\"h2\",{children:\"How can parents promote positive exposure to treats and candy?\"}),/*#__PURE__*/e(\"p\",{children:\"Making small treats part of a child's diet is important to prevent unhealthy food fixations. When parents impose strict limits on candy or use treats as bribes or punishments, it can elevate the perceived value of treats and can be viewed as overly desirable and can lead to unhealthy obsessions. Kids can sense your anxiety, frustration, or negative feelings, so maintaining a positive attitude helps them avoid associating negative emotions with specific foods.\"})]});export const richText10=/*#__PURE__*/a(t.Fragment,{children:[/*#__PURE__*/a(\"p\",{children:[\"AAP: \",/*#__PURE__*/e(n,{href:\"https://www.healthychildren.org/English/healthy-living/nutrition/Pages/How-to-Reduce-Added-Sugar-in-Your-Childs-Diet.aspx\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"How to Reduce Added Sugar in Your Child\u2019s Diet: AAP Tips\"})})]}),/*#__PURE__*/e(\"p\",{children:\"\u200D\"})]});export const richText11=/*#__PURE__*/a(t.Fragment,{children:[/*#__PURE__*/e(\"h2\",{children:\"Is it safe to take your baby outside in the winter?\"}),/*#__PURE__*/a(\"p\",{children:[\"Yes, you may \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/can-you-take-a-newborn-outside\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"take your baby outside\"})}),\" in the winter as long as they are dressed appropriately and there is no extreme weather. \"]}),/*#__PURE__*/e(\"h2\",{children:\"How to dress your baby for cold weather\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Layered clothing\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Hats\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Mittens\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Blankets\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Socks or booties \"})})]}),/*#__PURE__*/e(\"h3\",{children:\"Dress your baby in layers\"}),/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/how-to-dress-a-newborn-for-safe-sleep\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"Dress your baby\"})}),\" in layers to ensure they stay warm. This can include a thin onesie under their shirt \\xa0with sweaters, socks, and mittens. If you plan to go outdoors on particularly cold days, use a blanket, winter cover, and footmuffs when placing your baby in the stroller.\"]}),/*#__PURE__*/e(\"p\",{children:\"\u200D\"}),/*#__PURE__*/e(\"p\",{children:\"Dressing your baby in layers makes it easy to adjust their outfit when moving indoors and outdoors and using a car seat. Remove or adjust these layers once they are indoors or in the car, as too many layers can cause overheating.\"}),/*#__PURE__*/e(\"h3\",{children:\"Prepare for rain\"}),/*#__PURE__*/e(\"p\",{children:\"If you live in a place that rains in the winter, keep rain gear accessible, such as a rain cover for the stroller and umbrella.\"}),/*#__PURE__*/e(\"h3\",{children:\"Consider babywearing\"}),/*#__PURE__*/a(\"p\",{children:[\"Wearing your baby in an \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/safety-tips-for-babywearing\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"infant carrier, baby wrap, ring sling, or baby sling\"})}),\" can keep them warm from your body heat. \"]}),/*#__PURE__*/e(\"h3\",{children:\"Dress your baby in breathable fabrics\"}),/*#__PURE__*/e(\"p\",{children:\"Cotton and bamboo fabrics are breathable and lightweight and are good layering options. \"}),/*#__PURE__*/e(\"h3\",{children:\"Snowsuit\"}),/*#__PURE__*/e(\"p\",{children:\"Your baby can wear a snowsuit outdoors in cold weather, but remove it before placing them in the car seat. \"}),/*#__PURE__*/e(\"h2\",{children:\"Signs your baby is cold\"}),/*#__PURE__*/a(\"p\",{children:[\"If you're unsure about your baby's temperature, watch for these \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/how-to-dress-a-newborn-for-safe-sleep\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"signs that they might be cold\"})}),\":\"]}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Face, neck, or chest appears red or feels cold to the touch\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Shivering\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Mottling - splotchy color changes to the skin\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[\"Blue-colored hands or feet only (any \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/what-is-acrocyanosis-why-are-my-newborns-hands-and-feet-turning-purple\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"blue color changes\"})}),\" to the rest of the baby's body is a medical emergency)\"]})})]}),/*#__PURE__*/e(\"h2\",{children:\"Safety considerations\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Avoid fully covering your car seat or stroller with a blanket or rain cover, as this can restrict airflow and increase the risk of suffocation and Sudden Infant Death Syndrome (SIDS).\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[\"Never put your baby to sleep with loose blankets, even in the winter. Loose \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/when-can-you-put-blankets-in-the-crib\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"blankets\"})}),\" can increase the risk of \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/how-to-dress-a-newborn-for-safe-sleep\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"suffocation and SIDS\"})}),\". \"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[\"If your baby is cold, add no more than one extra layer of clothing. One layer of clothing with a \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/my-baby-hates-to-be-swaddled-what-should-i-do\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"swaddle or sleep sack\"})}),\" over it is sufficient.\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Do not dress your newborn in a hat when sleeping. It can fall off and increase the risk of SIDS.\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/why-wont-my-baby-sleep-9-sleep-tips-for-newborn-slumber\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"Babies sleep\"})}),\" better in cooler environments, and temperature is important for safe sleep. Keep your baby\u2019s room temperature between 68\\xb0F and 72\\xb0F.\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[\"Signs of \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/hypothermia-in-newborns-signs-and-symptoms\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"hypothermia\"})}),\" include appearing sluggish, less active than usual, a weak cry, pale and cold skin, difficulty breathing, poor appetite, and low energy. If your baby shows any of these signs, call 911 or seek urgent medical attention at your nearest emergency room. \"]})})]})]});export const richText12=/*#__PURE__*/a(t.Fragment,{children:[/*#__PURE__*/e(\"h2\",{children:\"An overview of medications, lactation, and breastfeeding\"}),/*#__PURE__*/e(\"p\",{children:\"When it comes to medications, lactation, and breastfeeding, there are three main issues to consider:\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Does this medication lower milk production (or milk supply)?\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Does this medication pass through breast milk?\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"If this medication does pass through breast milk, can the amount that passes through affect my breastfeeding baby?\"})})]}),/*#__PURE__*/e(\"p\",{children:\"When deciding whether to take medications while breastfeeding, weigh the possible benefits against the possible risks by getting answers to these questions. Other important questions to ask include:\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"What am I using this medication for?\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"How old is my baby?\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"How much breast milk does my baby drink each day?\"})})]}),/*#__PURE__*/e(\"h2\",{children:\"Is it safe to breastfeed while I\u2019m sick?\"}),/*#__PURE__*/a(\"p\",{children:[\"Breastfeeding while you\u2019re ill is generally safe, as long as you are well enough to hold your baby safely and don\u2019t have a contagious illness or infection that could be dangerous to your baby.\",/*#__PURE__*/e(\"strong\",{children:\"\\xa0\"})]}),/*#__PURE__*/e(\"p\",{children:\"To maximize safety, wash your hands well each time you pick up your baby and before breastfeeding. You may also wear a mask while breastfeeding to avoid transferring germs.\"}),/*#__PURE__*/e(\"h2\",{children:\"What medicines are safe to take while breastfeeding?\"}),/*#__PURE__*/e(\"h3\",{children:\"Allergy medicines while breastfeeding\\xa0\"}),/*#__PURE__*/e(\"p\",{children:'If you have seasonal allergies and are breastfeeding, nasal sprays like oxymetazoline (Afrin) are a great option because they are topical medications, and very little gets absorbed into your body or your breast milk. \"Nondrowsy\" antihistamines that you take by mouth are also safe and include:'}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"cetirizine (Zyrtec)\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"desloratadine (Clarinex)\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"fexofenadine (Allegra)\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"loratadine (Claritin)\"})})]}),/*#__PURE__*/a(\"p\",{children:[\"Antihistamines that cause drowsiness like diphenhydramine (Benadryl) or chlorpheniramine could theoretically lower your milk supply, but there isn\u2019t strong clinical evidence that this happens. If you take either of these medications along with pseudoephedrine (Sudafed) or phenylephrine (Sudafed PE), your milk production is more likely to be affected. Diphenhydramine and chlorpheniramine\",/*#__PURE__*/e(n,{href:\"https://www.aafp.org/pubs/afp/issues/2001/0701/p119.html/1000\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\" may\"})}),\" also cause drowsiness and irritability in breastfed babies. Taking these medications after breastfeeding can help lower the risk of these side effects in your baby.\"]}),/*#__PURE__*/e(\"h3\",{children:\"Cough and cold medicines and breastfeeding\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"Over-the-counter (OTC) cough and cold medicines can be tricky because they often contain several ingredients. Your pediatrician or pharmacist can help you decide which OTC cough or cold medicines may be safest to take. These are the common ingredients found in cold and cough medications:\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Phenylephrine, a decongestant, may lower your milk production.\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Pseudoephedrine, a decongestant, may lower your milk production.\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Dextromethorphan, which reduces cough, is not likely to affect your baby.\"})})]}),/*#__PURE__*/a(\"p\",{children:[\"Codeine is an opioid medication that treats pain and cough. Codeine and other opioids can cause drowsiness in breastfed infants. Newborns are especially sensitive to the effects of opioids in breast milk and you should work closely with your doctor and pediatrician to ensure your infant isn\u2019t showing signs like breathing difficulties, increased sleepiness, or\",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/lethargic-newborns\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\" lethargy\"})}),\".\"]}),/*#__PURE__*/e(\"h3\",{children:\"Pain and fever medicines while breastfeeding\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"Acetaminophen (Tylenol) and ibuprofen (Advil, Motrin) are both safe to take while breastfeeding. While some of these medications do pass into breast milk, the amount is very small and the levels are typically less than a standard dose for infants. Both acetaminophen and ibuprofen are good pain relief options during breastfeeding.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"Naproxen and ibuprofen are both NSAIDs. Ibuprofen is considered more safe while breastfeeding since naproxen lasts longer in your body.\"}),/*#__PURE__*/e(\"h3\",{children:\"What antibiotics can you take while breastfeeding?\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"Penicillin antibiotics like amoxicillin and amoxicillin-clavulanate (Augmentin) are commonly prescribed for infants and children and are safe to take while breastfeeding.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"Clindamycin (Cleocin) and metronidazole (Flagyl) are two antibiotics that can lead to diarrhea and other side effects in breastfed babies, so discuss a lactation plan with your doctor before taking these medications.\"}),/*#__PURE__*/a(\"p\",{children:[\"There are many more types of antibiotics and while most are safe for breastfeeding, you should talk to your prescribing provider, pediatrician, or pharmacist for information about specific antibiotics and lactation. Summer Health\u2019s pediatricians and lactation consultants are \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"just a text away\"})}),\" and happy to answer your questions.\"]}),/*#__PURE__*/e(\"h2\",{children:\"What medicines can affect milk production?\"}),/*#__PURE__*/e(\"p\",{children:\"Several types of medicines can lower your milk production. Those already mentioned include the decongestants phenylephrine and pseudoephedrine. Clomiphene, a fertility medication, can lower milk supply, and so can forms of hormonal birth control that contain estrogen.\"}),/*#__PURE__*/e(\"h2\",{children:\"Safety tips for medications and lactation\"}),/*#__PURE__*/e(\"p\",{children:\"Here are a few suggestions to follow when trying to decide whether to use a medication while breastfeeding:\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Always speak to your doctor, your child\u2019s local pediatrician, or a Summer Health pediatrician before starting a new medication while breastfeeding. \"}),\"They will be able to give you specific advice about whether the medication is safe, how it may affect your milk production, and whether or how it may affect your baby.\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Ask your pharmacist. \"}),\"Your pharmacist is another helpful resource for information about medications and lactation.\",/*#__PURE__*/e(\"strong\",{children:\"\u200D\"})]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Check Lactmed for the medicine in question.\"}),/*#__PURE__*/e(n,{href:\"https://www.ncbi.nlm.nih.gov/books/NBK501922/\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"Lactmed\"})}),\" is a resource available online that includes detailed information about specific medications and lactation. Chances are, the medications you have questions about are included in this database. The \u201CSummer of Use during Lactation\u201D section of Lactmed will give you a summary of key information.\"]})})]})]});export const richText13=/*#__PURE__*/a(t.Fragment,{children:[/*#__PURE__*/a(\"p\",{children:[\"The Transfer of Drugs and Therapeutics Into Human Breast Milk: An Update on Selected Topics. \",/*#__PURE__*/e(\"em\",{children:\"Pediatrics \"}),\"(2013) 132 (3): e796\u2013e809. \",/*#__PURE__*/e(n,{href:\"https://doi.org/10.1542/peds.2013-1985\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"https://doi.org/10.1542/peds.2013-1985\"})})]}),/*#__PURE__*/a(\"p\",{children:[\"Codeine. Drugs and Lactation Database (LactMed\\xae) [Internet]. \",/*#__PURE__*/e(n,{href:\"https://www.ncbi.nlm.nih.gov/books/NBK501212/\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"https://www.ncbi.nlm.nih.gov/books/NBK501212/\"})})]}),/*#__PURE__*/a(\"p\",{children:[\"Centers for Disease Control and Prevention. Prescription Medication Use: Breastfeeding Special Circumstances. \",/*#__PURE__*/e(n,{href:\"https://www.cdc.gov/breastfeeding-special-circumstances/hcp/vaccine-medication-drugs/prescriptions.html\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"https://www.cdc.gov/breastfeeding-special-circumstances/hcp/vaccine-medication-drugs/prescriptions.html\"})})]})]});export const richText14=/*#__PURE__*/a(t.Fragment,{children:[/*#__PURE__*/e(\"h2\",{children:\"What is pertussis (whooping cough)?\"}),/*#__PURE__*/a(\"p\",{children:[\"Pertussis is a bacterial infection that affects the respiratory system (the parts of the body that help with breathing). The infection is named after the bacteria that causes it: \",/*#__PURE__*/e(\"em\",{children:\"Bordetella pertussis\"}),\". These bacteria attach to the insides of the nose, mouth, and throat and then release toxins that cause the airways to swell. Even though the bacteria only remains in the body for about 3 weeks, whooping cough symptoms can last for weeks to months because of the damage caused by this swelling.\"]}),/*#__PURE__*/e(\"p\",{children:\"Whooping cough is highly contagious, which means it spreads easily from one person to another. A person with pertussis may spread it in the air to others by coughing or sneezing. Or, if someone with pertussis coughs or sneezes onto a surface, someone else can get infected by touching that surface and then touching their nose or mouth.\"}),/*#__PURE__*/e(\"h2\",{children:\"Why is whooping cough so serious?\"}),/*#__PURE__*/e(\"p\",{children:\"Age and existing medical conditions are two risk factors that can make someone more likely to have a severe case of whooping cough. Babies under 12 months old have a higher risk of a severe case of whooping cough. Medical conditions that can increase the risk of severe whooping cough include illnesses that weaken the immune system and moderate or severe asthma.\"}),/*#__PURE__*/e(\"h2\",{children:\"What makes whooping cough so contagious?\"}),/*#__PURE__*/a(\"p\",{children:[\"Someone with whooping cough can be contagious from the time their symptoms start and can remain contagious two weeks after the cough begins. Many people with whooping cough don\u2019t know they have it since the early symptoms of pertussis are similar to a\",/*#__PURE__*/e(n,{href:\"http://www.summerhealth.com/blog/summer-colds-children\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\" common cold\"})}),\". This may increase the likelihood that they spread it to someone else. In many cases, babies catch pertussis from adults who don't know they have it, which makes getting your baby vaccinated important.\"]}),/*#__PURE__*/e(\"h2\",{children:\"What are the three stages of a whooping cough infection?\"}),/*#__PURE__*/e(\"p\",{children:\"Babies with whooping cough may not always follow this pattern, but in general, there are three stages of a whooping cough infection:\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Stage 1: early symptoms\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Stage 2: coughing spells\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Stage 3: recovery\"})})]}),/*#__PURE__*/e(\"h2\",{children:\"What are the stage-by-stage symptoms of whooping cough?\"}),/*#__PURE__*/e(\"h3\",{children:\"Stage 1 of whooping cough\"}),/*#__PURE__*/a(\"p\",{children:[\"The early symptoms of whooping cough may not appear until 5-10 days after exposure to \",/*#__PURE__*/e(\"em\",{children:\"Bordetella pertussis\"}),\". Per the\",/*#__PURE__*/e(n,{href:\"https://www.cdc.gov/pertussis/signs-symptoms/index.html\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\" CDC\"})}),\", those early symptoms can last 1 to 2 weeks and typically include:\"]}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Runny nose\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Stuffy nose\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Sneezing\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[\"Low-grade \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/your-questions-answered-your-childs-fever\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"fever\"})}),\" (less than 100.4\\xb0F)\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Mild cough\"})})]}),/*#__PURE__*/e(\"p\",{children:\"Not all babies will have severe whooping cough. Those with mild cases may have cold-like symptoms the whole time.\"}),/*#__PURE__*/e(\"h3\",{children:\"Stage 2 of whooping cough\"}),/*#__PURE__*/e(\"p\",{children:\"One of the reasons pertussis is called whooping cough is because of a common symptom that starts 1-2 weeks after the early symptoms begin: severe coughing spells. Coughing spells, or coughing fits, include a persistent, uncontrollable, hacking cough, followed by a sucking in of air that makes a \u201Cwhoop\u201D sound. These coughing spells can be so violent that a person may break a rib, vomit, or feel exhausted even after they are over. These coughing spells can last up to 10 weeks, but typically last 1-6 weeks.\\xa0\"}),/*#__PURE__*/a(\"p\",{children:[\"Many babies with pertussis will cough very little and may not have a fever. Babies may have a mild cough with choking spells or apnea (long, dangerous pauses in their breathing). A child with apnea may struggle to breathe or have cyanosis (skin turning blue). If you think your child may have pertussis, talk to a pediatrician right away. You can call your local pediatrician or\",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\" text your pediatrician at Summer Health\"})}),\".\\xa0\"]}),/*#__PURE__*/e(\"h3\",{children:\"Stage 3 of whooping cough\"}),/*#__PURE__*/e(\"p\",{children:\"Whooping cough recovery may take weeks or months because of the damage the bacteria causes in the airways. The coughing spells can continue during the recovery period, and if your baby gets sick with another infection, it can make the cough worse.\"}),/*#__PURE__*/e(\"h2\",{children:\"What are possible complications of pertussis in infants?\"}),/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(n,{href:\"https://www.cdc.gov/pertussis/signs-symptoms/index.html\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"One in three\"})}),\" babies under 1 year old who get pertussis will need to be hospitalized. Babies that do not receive their whooping cough vaccine on schedule are especially vulnerable.\"]}),/*#__PURE__*/e(\"p\",{children:\"Common complications include apnea and pneumonia (a lung infection). Rare but possible complications include uncontrolled shaking or convulsions and brain disease. Pertussis can be fatal.\"}),/*#__PURE__*/e(\"p\",{children:\"Pertussis is most serious in infants, but older children, teens, and adults may also have complications like pneumonia. These complications tend to be less serious at older ages and in people who are vaccinated.\"}),/*#__PURE__*/e(\"h2\",{children:\"Should my baby get the pertussis vaccine?\"}),/*#__PURE__*/e(\"p\",{children:\"The best way to prevent whooping cough in an infant younger than 2 months is for the child\u2019s mother to get the Tdap vaccine during pregnancy. The Tdap vaccine includes the pertussis vaccine, as well as vaccines for diphtheria and tetanus. Diphtheria and tetanus are serious bacterial infections.\"}),/*#__PURE__*/a(\"p\",{children:[\"Getting Tdap during pregnancy will offer your child some protection from whooping cough until they are old enough to get vaccinated on their own, starting at\",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/2-month-appointment-shots\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\" 2 months old\"})}),\". \",/*#__PURE__*/e(\"strong\",{children:\"\\xa0\"})]}),/*#__PURE__*/e(\"p\",{children:\"The pertussis vaccine is important since whooping cough is so contagious. Adults do not usually get seriously sick from whooping cough, so it\u2019s possible for whooping cough to be passed to your baby accidentally. If they have protection from the whooping cough vaccine, they are less likely to get seriously sick from whooping cough.\"}),/*#__PURE__*/e(\"h2\",{children:\"My child may have pertussis (whooping cough). How is it treated?\"}),/*#__PURE__*/e(\"p\",{children:\"Pertussis is a bacterial infection that can be treated with antibiotics. The earlier antibiotics are started, the better. Early treatment can make the pertussis infection less severe and help get rid of the pertussis-causing bacteria so that it is less likely to spread to others. If antibiotics are started later than 3 weeks after your baby gets sick, the antibiotics may not help.\"}),/*#__PURE__*/e(\"p\",{children:\"If your child has more severe symptoms or complications, they may need to be treated in the hospital. Hospitalization is needed if your child has:\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Trouble breathing\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Trouble swallowing, drinking, or eating\"})})]}),/*#__PURE__*/e(\"h2\",{children:\"What types of antibiotics treat a whooping cough infection?\"}),/*#__PURE__*/e(\"p\",{children:\"The preferred antibiotics used to treat pertussis are known as macrolide antibiotics, which include:\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"azithromycin\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"erythromycin\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"clarithromycin\\xa0\"})})]}),/*#__PURE__*/a(\"p\",{children:[\"According to the \",/*#__PURE__*/e(n,{href:\"https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5414a1.htm\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"CDC\"})}),\", recommended treatment varies by age:\"]}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Infants less than 1 month old: \"}),\"Azithromycin is the preferred antibiotic for treating pertussis. At this age, there is a risk that infants getting azithromycin or erythromycin could develop infantile hypertrophic pyloric stenosis (\",/*#__PURE__*/e(n,{href:\"https://medlineplus.gov/ency/article/000970.htm\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"IHPS\"})}),\"), an intestinal illness. The risks of pertussis and its potentially severe complications generally outweigh the possible risk of IHPS, but any young infant getting a macrolide antibiotic should be monitored for signs of IHPS.\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Anyone above 1 month of age: \"}),\"Macrolide antibiotics are the preferred treatment. Sulfamethoxazole-trimethoprim (Bactrim) is another antibiotic treatment option for people who cannot take macrolides.\"]})})]}),/*#__PURE__*/e(\"h2\",{children:\"Where can my child get the pertussis vaccine?\"}),/*#__PURE__*/e(\"p\",{children:\"Your local pediatrician can give your baby the tetanus, diphtheria, and pertussis vaccine (Tdap) according to the recommended vaccine schedule. You can contact a Summer Health pediatrician for any questions about the whooping cough vaccine and to ensure they are on schedule. Getting your infant vaccinated against whooping cough on schedule is an important step. \"}),/*#__PURE__*/e(\"p\",{children:\"\u200D\"})]});export const richText15=/*#__PURE__*/a(t.Fragment,{children:[/*#__PURE__*/a(\"p\",{children:[\"Centers for Disease Control and Prevention. About Whooping Cough. \",/*#__PURE__*/e(n,{href:\"https://www.cdc.gov/pertussis/about/index.html\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"https://www.cdc.gov/pertussis/about/index.html\"})})]}),/*#__PURE__*/a(\"p\",{children:[\"Centers for Disease Control and Prevention. Symptoms of Whooping Cough. \",/*#__PURE__*/e(n,{href:\"https://www.cdc.gov/pertussis/signs-symptoms/index.html\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"https://www.cdc.gov/pertussis/signs-symptoms/index.html\"})})]}),/*#__PURE__*/a(\"p\",{children:[\"Skoff TH, Deng L, Bozio CH, Hariri S. US Infant Pertussis Incidence Trends Before and After Implementation of the Maternal Tetanus, Diphtheria, and Pertussis Vaccine. \",/*#__PURE__*/e(\"em\",{children:\"JAMA Pediatr.\"}),\" 2023;177(4):395\u2013400. doi:10.1001/jamapediatrics.2022.5689\"]}),/*#__PURE__*/a(\"p\",{children:[\"CDC Morbidity & Mortality Weekly Report. Recommended Antimicrobial Agents for the Treatment and Postexposure Prophylaxis of Pertussis. 2005;54(RR14):1-16. \",/*#__PURE__*/e(n,{href:\"https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5414a1.htm\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5414a1.htm\"})})]}),/*#__PURE__*/a(\"p\",{children:[\"MedlinePlus. Pyloric stenosis in infants. \",/*#__PURE__*/e(n,{href:\"https://medlineplus.gov/ency/article/000970.htm\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"https://medlineplus.gov/ency/article/000970.htm\"})})]})]});export const richText16=/*#__PURE__*/a(t.Fragment,{children:[/*#__PURE__*/e(\"h2\",{children:\"What is newborn jaundice?\"}),/*#__PURE__*/e(\"p\",{children:\"Jaundice happens when a yellow substance called bilirubin builds up in your baby\u2019s bloodstream. In the body, red blood cells are constantly forming and breaking down. When they break down, they produce bilirubin. The liver breaks down bilirubin so that it can leave the body via urine and stool.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"If the liver isn\u2019t working well enough, bilirubin doesn\u2019t get removed and builds up in the bloodstream. This buildup of bilirubin causes jaundice and leads to a baby\u2019s skin or the whites of their eyes looking yellow.\\xa0\"}),/*#__PURE__*/e(\"h2\",{children:\"What causes newborn jaundice?\"}),/*#__PURE__*/e(\"p\",{children:\"If the liver doesn\u2019t break down and remove bilirubin from the body like it should, it will build up and cause jaundice. The liver may not work as well as it should for several reasons:\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Immature liver function:\"}),\" Most babies have high bilirubin levels at birth because their livers are still developing. This is especially true for preterm babies born before 37 weeks.\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"High breakdown of red blood cells: \"}),\"Babies make at least twice as much bilirubin as adults and remove bilirubin from the body more slowly.\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Breastfeeding-related jaundice in preterm newborns: \"}),\"Sometimes, jaundice happens if a baby doesn't get enough breast milk.\"]})})]}),/*#__PURE__*/e(\"p\",{children:\"There is also a more severe form of jaundice that is caused by liver disease, Rh disease, and some genetic conditions.\"}),/*#__PURE__*/e(\"h3\",{children:\"Jaundice, breastfeeding, and breast milk\"}),/*#__PURE__*/a(\"p\",{children:[\"There are two scenarios where breastfed babies may develop jaundice: \",/*#__PURE__*/e(\"strong\",{children:\"\\xa0\"})]}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"A baby is not getting enough breast milk:\"}),\" If your baby is having a hard time getting milk, they may lose more weight, which can lead to higher bilirubin levels. This tends to happen during the first week of life when your baby is still learning to feed. Making sure your baby is latching well and breastfeeding often can help address breast milk jaundice.\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"A baby is getting enough breast milk: \"}),\"A baby who is getting enough breast milk may have jaundice for similar reasons: their liver isn't fully developed. You do not need to stop breastfeeding if your baby is feeding well and gaining weight. This type of breast milk jaundice usually begins to resolve several weeks after birth.\"]})})]}),/*#__PURE__*/e(\"h2\",{children:\"What are the symptoms of jaundice in newborns?\"}),/*#__PURE__*/e(\"p\",{children:\"The main symptom of newborn jaundice is yellow-tinted skin or eyes, especially two to four days after birth.\\xa0\"}),/*#__PURE__*/a(\"p\",{children:[\"If your baby\u2019s jaundice is getting\",/*#__PURE__*/e(n,{href:\"https://www.uptodate.com/contents/jaundice-in-newborn-infants-beyond-the-basics/print\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\" worse\"})}),\", symptoms can include:\"]}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Yellowing of the skin below their knees or a stronger yellow-orange color\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Fever\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Having a hard time eating\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"More sleepiness than usual or having a hard time waking up\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Irritability\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Arching their neck or body backwards\"})})]}),/*#__PURE__*/e(\"h2\",{children:\"Can newborn jaundice cause complications?\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"Some babies with jaundice have severe hyperbilirubinemia \u2014 dangerously high levels of bilirubin in the blood. An infant can develop this condition as soon as the first day after birth and will need prompt treatment if they do. If bilirubin levels are too high, serious complications can happen. Bilirubin can enter the brain and cause reversible or permanent brain damage:\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Acute bilirubin encephalopathy causes reversible brain damage.\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Kernicterus, or chronic bilirubin encephalopathy, causes permanent brain damage.\"})})]}),/*#__PURE__*/e(\"h2\",{children:\"How is newborn jaundice diagnosed?\"}),/*#__PURE__*/e(\"p\",{children:\"Jaundice can be diagnosed by looking at your baby for visual signs of jaundice or by checking bilirubin levels with a blood test. Sometimes, your baby will be screened for high bilirubin levels in the skin to determine whether they need a blood test.\"}),/*#__PURE__*/e(\"p\",{children:\"Depending on your baby\u2019s health, a doctor may perform additional tests to better understand the cause of their jaundice.\"}),/*#__PURE__*/e(\"h2\",{children:\"What are the treatment options for newborn jaundice?\"}),/*#__PURE__*/e(\"p\",{children:\"In many cases, infant jaundice goes away on its own. A baby\u2019s liver may take a week after birth, or longer, to fully mature. If your baby has mild jaundice, you and your pediatrician should monitor it over the first few days to weeks after birth to ensure it is getting better.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"More severe jaundice may require the treatments listed below. Treatment options include:\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Breastfeeding often\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Phototherapy (light therapy)\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Exchange transfusion in severe cases\\xa0\"})})]}),/*#__PURE__*/e(\"p\",{children:\"Feeding more often\"}),/*#__PURE__*/e(\"p\",{children:\"Breastfeeding frequently is recommended since it helps speed up your baby\u2019s body\u2019s ability to remove bilirubin through urine and stool. Their bilirubin levels can also increase if your baby loses too much weight. So feeding often \u2014 or even supplementing feeds with formula, donor milk, or expressed breast milk \u2014 can help prevent this weight loss.\\xa0\"}),/*#__PURE__*/e(\"h3\",{children:\"Phototherapy\"}),/*#__PURE__*/e(\"p\",{children:\"Phototherapy or light therapy, is a common way to treat high bilirubin levels in infants. A blue light helps break bilirubin into smaller parts that are easier for your baby\u2019s body to get rid of through urine and stool. Your baby should be under the blue light nonstop unless they are being fed or are having skin-to-skin time. During this treatment, they will only wear a diaper and eye protection.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"Usually, babies get phototherapy in the hospital, but some healthy babies can get phototherapy at home. Once your baby\u2019s bilirubin levels are in a safe range, phototherapy treatment ends.\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"Possible side effects from phototherapy include rashes, loose stools, overheating, and dehydration if your baby doesn\u2019t get enough fluids. Feeding your baby often during phototherapy helps prevent dehydration and overheating. If your baby gets seriously dehydrated, they may be given IV fluids.\"}),/*#__PURE__*/e(\"h3\",{children:\"Exchange transfusion\"}),/*#__PURE__*/e(\"p\",{children:\"An exchange transfusion is an emergency procedure that rapidly lowers bilirubin levels. During the procedure, your baby\u2019s blood is replaced with donated blood. This procedure is only for babies whose bilirubin levels do not improve with phototherapy or other treatments and whose risk for brain damage is high.\"}),/*#__PURE__*/e(\"h2\",{children:\"Are there ways to prevent infant jaundice?\"}),/*#__PURE__*/e(\"p\",{children:\"Most jaundice cases resolve on their own, but it\u2019s critical to prevent severe hyperbilirubinemia as it can cause brain damage. Strategies to prevent severe hyperbilirubinemia include:\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Screening all newborns before they are discharged from the hospital\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Parents and healthcare providers monitoring the baby for signs of jaundice during the early days and weeks after birth\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Treating high bilirubin levels without delay\"})})]}),/*#__PURE__*/a(\"p\",{children:[\"If you have questions about your baby and jaundice, talk to your local pediatrician or \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"text a Summer Health pediatrician\"})}),\" anytime.\"]})]});export const richText17=/*#__PURE__*/a(t.Fragment,{children:[/*#__PURE__*/a(\"p\",{children:[\"March of Dimes. Jaundice in preterm and full-term babies. \",/*#__PURE__*/e(n,{href:\"https://www.marchofdimes.org/find-support/blog/jaundice-preterm-and-full-term-babies\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"https://www.marchofdimes.org/find-support/blog/jaundice-preterm-and-full-term-babies\"})})]}),/*#__PURE__*/a(\"p\",{children:[\"Mayo Clinic. Infant Jaundice. \",/*#__PURE__*/e(n,{href:\"https://www.mayoclinic.org/diseases-conditions/infant-jaundice/symptoms-causes/syc-20373865\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"https://www.mayoclinic.org/diseases-conditions/infant-jaundice/symptoms-causes/syc-20373865\"})})]}),/*#__PURE__*/a(\"p\",{children:[\"Woodgate, P., & Jardine, L. A. (2011). Neonatal jaundice. \",/*#__PURE__*/e(\"em\",{children:\"BMJ clinical evidence\"}),\", 2011, 0319. \",/*#__PURE__*/e(n,{href:\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3217664/\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3217664/\"})})]}),/*#__PURE__*/a(\"p\",{children:[\"UptoDate. Patient education: Jaundice in newborn infants. \",/*#__PURE__*/e(n,{href:\"https://www.uptodate.com/contents/jaundice-in-newborn-infants-beyond-the-basics/print\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"https://www.uptodate.com/contents/jaundice-in-newborn-infants-beyond-the-basics/print\"})})]})]});export const richText18=/*#__PURE__*/a(t.Fragment,{children:[/*#__PURE__*/e(\"h2\",{children:\"What is Hand, Foot, and Mouth Disease?\"}),/*#__PURE__*/e(\"p\",{children:\"HFMD is caused by the Coxsackievirus, and it spreads through direct contact with saliva, mucus, or stool. It's common in daycare centers and schools where children are in close contact. Although HFMD is generally mild, it can be uncomfortable and is highly contagious.\"}),/*#__PURE__*/e(\"h2\",{children:\"Symptoms to Watch For:\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Fever\"}),\": Often the first sign, sometimes followed by sore throat.\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Painful Sores\"}),\": Look for small red spots or blisters in the mouth, particularly on the tongue, gums, and inside the cheeks.\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Rash\"}),\": A red rash or small, fluid-filled blisters may appear on the hands, feet, buttocks, or diaper area.\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Fatigue and Irritability\"}),\": Children may feel unusually tired or cranky.\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Loss of Appetite\"}),\": Eating and drinking can be uncomfortable due to mouth sores.\"]})})]}),/*#__PURE__*/e(\"h2\",{children:\"How to Treat Hand, Foot, and Mouth Disease\"}),/*#__PURE__*/e(\"p\",{children:\"There is no specific treatment for HFMD, but symptoms can be managed at home:\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Hydration\"}),\": Encourage fluids to avoid dehydration, especially since mouth sores can make eating difficult.\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Fever Relief\"}),\": Use over-the-counter medications like acetaminophen or ibuprofen to relieve fever and discomfort (consult your pediatrician for children under 6 months).\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Sore Relief\"}),\": Cold foods like popsicles or ice cream can soothe sore mouths, while avoiding spicy or acidic foods.\"]})})]}),/*#__PURE__*/e(\"h2\",{children:\"Prevention Tips:\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Good Hygiene\"}),\": Encourage frequent hand washing with soap, especially after using the bathroom, changing diapers, or before meals.\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Disinfect\"}),\": Clean and disinfect surfaces, toys, and frequently-touched items regularly.\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(\"strong\",{children:\"Avoid Close Contact\"}),\": If your child has HFMD, try to keep them home from school or daycare to avoid spreading the virus to others.\"]})})]}),/*#__PURE__*/e(\"h2\",{children:\"When to See a Doctor\"}),/*#__PURE__*/e(\"p\",{children:\"While HFMD is usually mild, you should consult a healthcare provider if:\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Symptoms worsen or don't improve within a week.\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Your child shows signs of dehydration (less urination, dry mouth, lethargy).\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Sores in the mouth or throat prevent drinking.\"})})]}),/*#__PURE__*/e(\"p\",{children:\"If you're worried about symptoms or need advice on managing HFMD, please reach out to your Summer Health pediatrician for guidance.\"}),/*#__PURE__*/e(\"h2\",{children:\"Stay Safe!\"}),/*#__PURE__*/e(\"p\",{children:\"With a bit of care and early symptom recognition, most children recover quickly from HFMD. Stay prepared, practice good hygiene, and remember, Summer Health is here for you whenever you need.\"}),/*#__PURE__*/e(\"img\",{alt:\"__wf_reserved_inherit\",className:\"framer-image\",height:\"333\",src:\"https://framerusercontent.com/images/6vtBPChWTiyThJXHXwjVnaUdIo.png\",srcSet:\"https://framerusercontent.com/images/6vtBPChWTiyThJXHXwjVnaUdIo.png?scale-down-to=512 512w,https://framerusercontent.com/images/6vtBPChWTiyThJXHXwjVnaUdIo.png?scale-down-to=1024 1024w,https://framerusercontent.com/images/6vtBPChWTiyThJXHXwjVnaUdIo.png 1147w\",style:{aspectRatio:\"1147 / 667\"},width:\"573\"}),/*#__PURE__*/e(\"p\",{children:\"If you analyze Google Trends data for New York, you'll notice a consistent annual peak occurring in late September and early October.\"})]});export const richText19=/*#__PURE__*/a(t.Fragment,{children:[/*#__PURE__*/e(\"h2\",{children:\"Average baby\\xa0weight at birth\"}),/*#__PURE__*/e(\"p\",{children:\"The average weight for full term infants is 7.6 lbs (121.6 ounces).\\xa0 As soon as your baby is born, their weight will be checked. While all newborns are born at different weights, the\\xa0average weight range is between 5 pounds and 8 ounces to\\xa08 pounds and 13 ounces. Babies born outside of this range aren't necessarily unhealthy or experiencing abnormal growth, but they may require extra medical attention.\"}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"\\xa0\"})}),/*#__PURE__*/a(\"p\",{children:[\"According to Summer Health pediatricians, a baby's weight gain is an important developmental milestone to track. A \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/tracking-newborn-weight-and-weight-loss\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"newborn\u2019s weight\"})}),\" depends on factors including the baby's health, the length of the pregnancy, the mother's health and nutrition during pregnancy, and when the baby was born. Additional factors that can influence your baby's weight are:\"]}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"br\",{className:\"trailing-break\"})}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Genetics and parent size\\xa0\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Underlying genetic or metabolic conditions\\xa0\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Whether it's a single or multiple birth\\xa0\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Gender\\xa0\"})})]}),/*#__PURE__*/e(\"h2\",{children:\"Average baby weight gain by month\"}),/*#__PURE__*/e(\"p\",{children:\"During their first year, babies experience rapid growth and have important weight developmental milestones every month. Newborn babies\\xa0typically gain around 30 grams (1 ounce per day until they reach three months. From three to six months, a baby will gain about 20 grams (0.67 ounces) daily, and from six to twelve months, their\\xa0growth slows to approximately 10 grams (0.35 ounces) per day.\\xa0\"}),/*#__PURE__*/e(\"h2\",{children:\"Average length at birth\"}),/*#__PURE__*/e(\"p\",{children:\"A full-term baby is typically around 20 inches (50 cm) long at birth. In the first six months, babies grow about an inch per month. Between seven and twelve months, a baby's growth slows to roughly half an inch per month.\"}),/*#__PURE__*/e(\"h3\",{children:\"Factors that affect newborn\\xa0length\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Genetics/size of parents\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Prenatal and maternal nutrition\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Maternal health during pregnancy\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Maternal iron levels\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Maternal rest during pregnancy\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"History of smoking\\xa0\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Underlying genetic or metabolic conditions\"})})]}),/*#__PURE__*/e(\"h2\",{children:\"What are growth charts?\"}),/*#__PURE__*/e(\"p\",{children:\"During well-check visits, your pediatrician will likely provide information about your baby's growth based on an infant growth chart, an important developmental milestone. This chart tracks your baby's head circumference, weight and length, and pattern of growth at different ages.\"}),/*#__PURE__*/e(\"p\",{children:\"\\xa0\"}),/*#__PURE__*/e(\"p\",{children:\"At each well-visit, your pediatrician will track your baby's measurements and input them into a growth chart to compare their growth patterns with other babies. If your child falls into a higher percentile, they are larger than average. If they fall into a lower percentile, they are smaller than average. For example, if your child is in the 20th percentile for weight, it means they weigh more than 20% of kids their age and less than 80%.\"}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"\\xa0\"})}),/*#__PURE__*/e(\"p\",{children:\"Pediatricians use two charts: one by the World Health Organization (WHO) for babies under age 2 and another by the Center for Disease Control (CDC) for children aged 2 and up. The CDC growth chart specifically reflects the growth patterns of American children using data collected since 1977. More recently, the WHO growth chart includes additional factors that may affect growth like racial and ethnic background, body mass index (BMI), premature birth, and accounts for differences in breastfed and formula-fed babies.\"}),/*#__PURE__*/e(\"p\",{children:/*#__PURE__*/e(\"strong\",{children:\"\\xa0\"})}),/*#__PURE__*/e(\"p\",{children:\"As babies grow and develop, they typically follow a consistent growth curve. For example, a child in the 5th percentile will likely continue growing along the 5th percentile over time. Weight changes only become a concern if a child or baby experiences a sudden and significant drop or gain across multiple percentiles.\"}),/*#__PURE__*/e(\"h2\",{children:\"Newborn weight loss\"}),/*#__PURE__*/e(\"p\",{children:\"It's normal for newborns to lose weight in the first few days after birth. In fact, healthy babies typically lose 7% to 10% of their birth weight during that time. After a few days, babies usually begin to regain this weight and return to their birth weight within the first two weeks after birth.\"}),/*#__PURE__*/e(\"h3\",{children:\"Common causes of poor gain weight in a baby\\xa0\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Feeding difficulties or poor latch\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Food sensitivities\\xa0\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Milk protein intolerance\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Transient illness or infection\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Gastrointestinal issues like gastroesophageal reflux or celiac disease\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Swallowing problems, seen in children with cleft lip/palate or cerebral palsy\"})})]}),/*#__PURE__*/e(\"h2\",{children:\"Newborn growth spurts\"}),/*#__PURE__*/e(\"p\",{children:\"Newborns have growth spurts throughout their first year, usually between 2 to 3 weeks postpartum, and then at 6 weeks, 3 months, and 6 months.\"}),/*#__PURE__*/e(\"h2\",{children:\"When to call your pediatrician\"}),/*#__PURE__*/a(\"p\",{children:[\"If your child is experiencing poor feeding, has few wet diapers, seems lethargic, isn't gaining weight, or is losing a significant amount of weight, consult your local or \",/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"Summer Health\"})}),\" pediatrician for additional guidance.\\xa0\"]})]});export const richText20=/*#__PURE__*/a(t.Fragment,{children:[/*#__PURE__*/e(\"h2\",{children:\"What is neonatal hypoglycemia?\"}),/*#__PURE__*/e(\"p\",{children:\"Neonatal hypoglycemia occurs when newborns have low blood sugar levels, typically in the first few days after birth. Babies rely on glucose, or sugar, as their primary energy source. They get glucose from breast milk or infant formula and also produce some in their liver. If not managed, low blood glucose can be dangerous and lead to health complications.\"}),/*#__PURE__*/e(\"h2\",{children:\"Symptoms of neonatal hypoglycemia\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Jitteriness\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Tremors\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Irritability with high-pitched cry\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Poor sucking and feeding\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Hypothermia (low body temperature)\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Bradycardia (slow heart rate) or tachycardia (rapid heart rate)\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Lethargy\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Poor alertness \"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Tachypnea (rapid breathing)\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Apnea (prolonged pauses in breathing)\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Poor muscle tone\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/a(\"p\",{children:[/*#__PURE__*/e(n,{href:\"https://www.summerhealth.com/blog/what-is-acrocyanosis-why-are-my-newborns-hands-and-feet-turning-purple\",motionChild:!0,nodeId:\"fCoJfe0sY\",openInNewTab:!1,preserveParams:!1,relValues:[],scopeId:\"contentManagement\",smoothScroll:!1,children:/*#__PURE__*/e(i.a,{children:\"Cyanosis\"})}),\" (skin turns blue or purple in central areas of the body)\"]})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Can occur without symptoms \"})})]}),/*#__PURE__*/e(\"h2\",{children:\"Causes of neonatal hypoglycemia\"}),/*#__PURE__*/a(\"ul\",{children:[/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Reduced glucose supply, \\xa0history of intrauterine growth restriction, or babies who are small for gestational age.\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Impaired glucose production or availability after birth, common in infants of mothers with gestational diabetes or babies with metabolic disorders.\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Increased glucose use due to factors like perinatal stress, hypothermia, sepsis, or familial hyperinsulinism.\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Hormonal deficiencies, such as low levels of growth hormone or cortisol.\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Maternal medications taken during pregnancy, including some blood pressure medications, salicylates, or glucose-lowering drugs.\"})}),/*#__PURE__*/e(\"li\",{\"data-preset-tag\":\"p\",children:/*#__PURE__*/e(\"p\",{children:\"Excessive insulin production, related to conditions like alloimmune hemolytic disease, meconium aspiration syndrome, polycythemia, or Beckwith-Wiedemann syndrome.\"})})]}),/*#__PURE__*/e(\"h2\",{children:\"Treatment for neonatal hypoglycemia\"}),/*#__PURE__*/e(\"p\",{children:\"The pediatrician\u2019s primary treatment goal is to raise blood sugar levels. The first step is usually feeding the baby breast milk or infant formula right away or using an oral dextrose gel. If needed, intravenous glucose can be used. Further treatment may be required depending on the cause of the hypoglycemia.\"}),/*#__PURE__*/e(\"h2\",{children:\"How is neonatal hypoglycemia diagnosed?\"}),/*#__PURE__*/e(\"p\",{children:\"Diagnosis is made by taking a blood sample to check the baby\u2019s glucose levels. The specific glucose threshold for hypoglycemia depends on various factors, like symptoms and baby\u2019s age (in hours post birth). Based on the baby\u2019s symptoms, additional blood tests like serum electrolytes, blood counts, blood cultures, and hormone levels may also be ordered.\"}),/*#__PURE__*/e(\"h2\",{children:\"Normal glucose levels for newborns\"}),/*#__PURE__*/e(\"p\",{children:\"A normal blood sugar level depends on whether the baby has symptoms and the infant's age in hours. Generally, levels of 70 mg/dL or higher are considered normal. For a baby with neonatal hypoglycemia, glucose levels below 40 mg/dL in the first 4 hours of life, or below 45 mg/dL between 4 and 24 hours, are considered low. 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