September 2010

In South Africa, children can start “big” school when they are 5 years old, provided that they turn 6 before the end of June the same year.  Most children start Grade 1 the year they turn 7.  Unfortunately we cannot only judge if my child is school ready by age, my child’s development should be on par with the development of other children of the same age. When we talk about development we have to look at the different aspects thereof: emotional, social, physical, intellectual and language development should be considered before deciding that she is ready to get into a uniform and attend school.

We expect the following skills from a child that should be able to cope in a public school classroom:

Language Development:

  • She should know some nursery rhymes
  • Can use expressive and receptive language
  • Can follow instructions
  • Able to produce the different sounds of a language, in other words have command of a language
  • Can put sentences together to make herself understood
  • Able to take turns in a conversation.

Pre-reading Skills:

  • Can name basic colours
  • Know the letters of the alphabet
  • Know the names and sounds of letters
  • Be able to recognize their written name
  • Have print awareness (She knows how to hold a book and that we read from left to right)
  • Have an interest in books and reading.

Cognitive Skills:

  • Understand the concept of size – bigger and smaller
  • Know opposites
  • Can build jigsaw puzzles
  • Can master sequencing cards
  • Can pay attention and plan the execution of an activity
  • Know different shapes
  • Can copy patterns
  • Know position in space – above, below, in front, behind, etc.
  • Can persist in challenging task
  • Able to categorize objects
  • Have a degree of intellectual curiosity.

Numeracy:

  • Can count up to at least 10
  • Understand the concepts of counting, sorting and grouping
  • Know the different times of day – morning, afternoon and night

Social Skills:

  • Knows how to ask for something
  • Can share
  • Can take turns
  • Able to listen quietly
  • Can relate appropriately to adults and peers.

Physical Skills:

  • Can use the bathroom on her own
  • Can blow her nose
  • Can wash her hands
  • Able to catch and throw a ball
  • Can balance on 1 foot for a certain time
  • Able to walk up and down stairs
  • Able to use scissors, pencils and crayons
  • Able to stack blocks
  • Can hop
  • Can use a knife and fork to eat
  • Able to cross her midline.

Emotional Skills:

  • Can ask for help
  • Realize that she cannot always get her own way
  • Able to manage anger and frustration
  • Can work independently
  • Can cope with criticism and failure
  • Able to separate from a caregiver
  • Able to effectively express her feelings and needs
  • Hold her own in a group activity
  • Able to postpone the need for immediate gratification.

This checklist should give you an indication if your child is school ready.

A child’s first year in school is extremely important, because it is the first building block for the following 11 years. I believe that it is important that it should be a positive experience, where the child is adequately equipped to manage in the classroom, with many success experiences. When they are able to do something, it becomes enjoyable to do it.

Good luck for Grade 1!

Your baby receives an Apgar score at one minute and at 5 minutes after birth.  This score determines how doctors will treat your baby from that moment on to ensure that he gets the best medical care possible.

The higher the score out of a possible 10, the better is your baby’s general health condition. The score usually changes from the first to the second rating.  Doctors look at the following:

Appearance/ Color :

  • 0 = blue or pale
  • 1 = body is pink, limbs are blue
  • 2 = completely pink

Respiratory Effort:

  • 0 = absent
  • 1 = slow, irregular, weak cry
  • 2 = strong cry

Heart Rate:

  • 0 = absent
  • 1 = slow, less than 100
  • 2 = over 100

Muscle Tone:

  • 0 = limp
  • 1 = some bending of the limbs
  • 2 = active movement

Reflex Response to Flicking Foot:

  • 0 = absent
  • 1 = facial grimace
  • 2 = cry

A baby who scores 7 or higher on the first scoring is considered in good health. A low score however is not necessarily an indication that your baby is unhealthy, it may just indicate that he needs some immediate special care, for example suctioning. The majority of babies score 7 or higher at the 5 minute scoring.

Remember this scoring is no indication of your baby’s long term health.  It is just a tool for doctors to decide how to treat your baby.

When your baby is three months old, she should be able to:

  • Lift her head 45 degrees when she is lying on her stomach.

She will probably be able to:

  • Laugh out loud
  • Lift her head 90 degrees when she is on her tummy
  • Squeal when happy
  • Bring hand together
  • Smile spontaneously at you
  • Follow an object held about 15 cm above her face and moved 180 degrees, from one side to the other whilst watching all the way.

She may possibly be able to:

  • Hold her head up when lifted up
  • Raise her chest, supported by her arms , when on her tummy
  • Roll over
  • Grasp a rattle
  • Pay attention to very small objects.

She may even be able to:

  • Bear some weight on her legs when held up
  • Reach for a toy
  • Keep her head level with her body when she is pulled into a sitting position
  • Turn her head in the direction of a voice
  • Make vowel-consonant sounds
  • Razz – that is wet razzing sound.

Always remember that your baby’s rate of development is normal for your baby – you will cause yourself much distress by constantly comparing your baby to other babies in your friendship group. Remember as well that the skills babies perform from the tummy position can only be mastered if they get the opportunity to practice these skills.

By month 2 your baby should be able to:

  • Smile in response to your smile
  • Respond to a bell in some way for instance being startled, crying or quieting.

She will probably be able to:

  • Vocalize in more ways than just crying
  • When on her tummy she can lift her head 45 degrees.

She may even be able to:

  • Hold her head upright when picked up
  • When on her tummy raise her chest supported by her arms
  • Roll over (one way)
  • Grasp a rattle with finger tips
  • Pay attention to small items
  • Reach for an object
  • Make vowel-consonant combinations for example “ah-goo”

She may possibly be able to:

  • Smile spontaneously
  • Bring her hands together
  • Lift her head 90 degrees when on her tummy
  • Laugh out loud
  • Squeal in delight
  • Follow an object with her eyes about 15 cm above her head when it is moved 180 degrees.

If we look at what a baby should be able to master within her first month, we should remember that babies develop at different rates and that how quickly a baby reaches her milestones is not an indication of a more intelligent baby.  Babies who are born prematurely might reach the milestones later than their counterparts.

During the first month it is extremely important to give baby enough supervised playtime on her tummy.  This gives her ample opportunity to strengthen the different muscles that will help her to sit, crawl and walk.

Baby should be able to:

  • She should be able to lift her head briefly when put on her tummy on a flat surface.
  • She should be able to focus on your face.

Baby would probably be able to:

  • Respond to a bell by either being startled, crying or quieting.

Baby could possibly be able to:

  • Lift her head 45 degrees when on her tummy.
  • Vocalize by other means than crying (Eg. cooing)
  • Smile in response to your smile.

Baby might be able to:

  • Lift her head up 90 degrees.
  • Hold her head steady when held upright.
  • Bring both hands together.
  • Smile spontaneously.

If you do not have the luxury of having grandparents, aunts, uncles or good friends who are willing to baby sit, you might need to make use of a baby sitting service for a much deserved break occasionally.  Even if we know and trust the person we are asking to look after your baby, they might not be familiar with baby’s routine and personality.  In order to lower your stress levels, boost the baby sitter’s confidence and make baby as comfortable as possible, make sure to address the following issues:

  • Make sure that the sitter knows what calms your baby – rocking, a song, the mobile or maybe a stroll in the pram.
  • She has to know what your baby’s favourite toy is.
  • Make sure that they know that your baby should always sleep face up with no pillows or duvet.
  • Show them the way your baby is easiest burped – over the shoulder, sitting up, after feedings or during feeds.
  • How to change and clean your baby, whether you use wipes or cotton wool, a nappy rash ointment and where all the supplies are kept.
  • Show the sitter where extra clothes are kept in case of a serious mess.
  • How to prepare a bottle of formula, or where to get the expressed milk.  Very important to give exact instructions on heating the milk.
  • Make sure that the sitter knows what your  baby can and cannot eat/drink.
  • The sitter should no not to administer any medication without consulting with you first.  If you are not available she must consult with a doctor.  Always leave your doctor’s number, because she is familiar with your baby’s medical history.
  • If the babysitter has to bath your baby, make sure she will never leave baby unattended and that the water temperature should be perfect. Have everything she will need ready for her – clean nappy, cream, cloth, soap, towel and clean set of clothes.
  • Make sure the babysitter knows your baby’s habits – eg. cannot fall asleep in the dark, spits up a lot, cries when wet, etc.
  • The babysitter should know where the first aid kit is.
  • Where a torch or candles can be found.
  • The sitter should know who may and may not visit when you are not at home and what to do in case someone who is not cleared makes an appearance.

You should leave the following for your babysitter:

  • Telephone numbers:  Yours, your partner’s, where you can be reached, a neighbour,  grandparents, poison control centre and the doctor.
  • The address of the nearest emergency room and how to get there.
  • A signed consent form authorizing medical care within specific limits, if you cannot be reached.

All this information can be used as your babysitter checklist.

Myth 1: You cannot breastfeed if you have small breasts or flat nipples.

Fact: Outward appearance of your breasts does not affect a mother’s ability to produce and dispense milk to her baby. Breasts of all shapes and sizes can feed a hungry baby.

Myth 2:  Breastfeeding is a lot of effort

Fact: Once you get the hang of breastfeeding it is a lot easier that bottle feeding a baby.  Breast milk is ready when a baby needs it – it does not have to be measured or heated to the right temperature.  You do not have to pack sterilized bottles and teats and enough formula to keep your baby going for a day when you go on outings.

Myth 3:  Breastfeeding ties you down

Fact: Yes, breastfeeding is more suited for moms who plan to spend most of the time with their baby.  This does not mean, though, that working moms cannot express milk for their babies or supplement with formula feeds when she is not around.

Myth 4:  Breastfeeding will be the end of beautiful breasts

Fact: Pregnancy and not breastfeeding is to blame for the change in the shape of your breasts.  Breasts prepare for lactation whether you prepare to breast feed or not. Excessive weight gain, genes, poor support of your breasts during pregnancy and your age can add to the changes in your breasts.  Breastfeeding is not the culprit.

Myth 5:  It did not work the first time, therefore will not work the second time

Fact: Research proves that with a second child a mother will produce more milk and have an easier time breastfeeding than the first time around. Try and try again!

Myth 6:  Breastfeeding excludes the father

Fact: A father does not have to breastfeed a baby to bond with him.  Bottlefeeding, bathing, nappy changing, holding, rocking and playing provides enough opportunities for a dad to form a strong bond with his baby.