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Infant

An infant or baby is the very young offspring of human beings. Infant (from the Latin word infans, meaning 'unable to speak' or 'speechless') is a formal or specialised synonym for the common term baby. The terms may also be used to refer to juveniles of other organisms. A newborn is, in colloquial use, an infant who is only hours, days, or up to one month old. In medical contexts, a newborn or neonate (from Latin, neonatus, newborn) is an infant in the first 28 days after birth;[1] the term applies to premature, full term, and postmature infants.

A newborn infant being held by an adult man

Before birth, the offspring is called a fetus. The term infant is typically applied to very young children under one year of age; however, definitions may vary and may include children up to two years of age. When a human child learns to walk, they are called a toddler instead.

Other uses

In British English, an infant school is for children aged between four and seven.

As a legal term, infancy is more like being a minor, and continues until a person reaches 18 years of age.[2]

Physical characteristics

A newborn's shoulders and hips are wide, the abdomen protrudes slightly, and the arms and legs are relatively long with respect to the rest of their body.

Head

 
Eight-month-old infant; as a common feature, eyes are usually large in relation to the face.

A newborn's head is very large in proportion to the body, and the cranium is enormous relative to his or her face. While the adult human skull is about one seventh of the total body length, the newborn's is about 14. Normal head circumference for a full-term infant is 33–36 cm at birth.[3] At birth, many regions of the newborn's skull have not yet been converted to bone, leaving "soft spots" known as fontanels. The two largest are the diamond-shaped anterior fontanel, located at the top front portion of the head, and the smaller triangular-shaped posterior fontanel, which lies at the back of the head. Later in the child's life, these bones will fuse together in a natural process. A protein called noggin is responsible for the delay in an infant's skull fusion.[4]

During labour and birth, the infant's skull changes shape to fit through the birth canal, sometimes causing the child to be born with a misshapen or elongated head. It will usually return to normal on its own within a few days or weeks. Special exercises sometimes advised by physicians may assist the process.

Hair

 
Thin brown hair of a one-year-old infant girl

Some newborns have a fine, downy body hair called lanugo. It may be particularly noticeable on the back, shoulders, forehead, ears and face of premature infants. Lanugo disappears within a few weeks. Infants may be born with full heads of hair; others, particularly caucasian infants, may have very fine hair or may even be bald. Amongst fair-skinned parents, this fine hair may be blonde, even if the parents are not. An infant's hair color and texture can change: red can give way to blond, curly can go straight, and thick, dark hair could reappear a lot sparser and lighter.[citation needed] The scalp may also be temporarily bruised or swollen, especially in hairless newborns, and the area around the eyes may be puffy.

Length

In developed countries, the average total body length of a newborn is 35.6–50.8 cm (14.0–20.0 in), although premature newborns may be much smaller.

The way to measure a baby's length is to lay the baby down and stretch a measuring tape from the top of the head to the bottom of the heel.

Weight

In developed countries, the average birth weight of a full-term newborn is approximately 3.4 kg (7+12 lb), and is typically in the range of 2.7–4.6 kg (6.0–10.1 lb).

Over the first 5–7 days following birth, the body weight of a term neonate decreases by 3–7%,[5] and is largely a result of the resorption and urination of the fluid that initially fills the lungs, in addition to a delay of often a few days before breastfeeding becomes effective. After the first week, healthy term neonates should gain 10–20 grams/day.[5]

Skin

 
A newborn infant, seconds after delivery. Amniotic fluid glistens on her skin, and the umbilical cord is still attached.

Immediately after birth, a newborn's skin is often grayish to dusky blue in color. As soon as the newborn begins to breathe, usually within a minute or two, the skin's color reaches its normal tone. Newborns are wet, covered in streaks of blood, and coated with a white substance known as vernix caseosa, which is hypothesised to act as an antibacterial barrier. The newborn may also have Mongolian spots, various other birthmarks, or peeling skin, particularly on the wrists, hands, ankles, and feet.

Umbilical cord

The umbilical cord of a newborn is bluish-white in color. After birth, the umbilical cord is normally cut, leaving a 1–2 inch stub. The umbilical stub will dry out, shrivel, darken, and spontaneously fall off within about 3 weeks. This will later become a belly-button after it heals.

The umbilical cord contains three vessels: two arteries and one vein. The two arteries carry blood from the baby to the placenta while one vein carries blood back to the baby.

Genitals

A newborn's genitals are enlarged and reddened, with male infants having an unusually large scrotum. The breasts may also be enlarged, even in male infants. This is caused by naturally occurring maternal hormones and is a temporary condition. Females (and even males) may actually discharge milk from their nipples (sometimes called witch's milk), or a bloody or milky-like substance from the vagina. In either case, this is considered normal and will disappear with time.

Care and feeding

 
A crying infant in Japan in the Naki Sumo Crying Baby Festival

Infants cry as a form of basic instinctive communication.[6] A crying infant may be trying to express a variety of feelings including hunger, discomfort, overstimulation, boredom, wanting something, or loneliness.

Breastfeeding is the recommended method of feeding by all major infant health organizations.[7] If breastfeeding is not possible or desired, bottle feeding is done with expressed breast-milk or with infant formula. Infants are born with a sucking reflex allowing them to extract the milk from the nipples of the breasts or the nipple of the baby bottle, as well as an instinctive behavior known as rooting with which they seek out the nipple. Sometimes a wet nurse is hired to feed the infant, although this is rare, especially in developed countries.

Adequate food consumption at an early age is vital for an infant's development. The foundations of optimum health, growth, and neurodevelopment across the lifespan are established in the first 1000 days of life.[8] From birth to six months, infants should consume only breast milk or an unmodified milk substitute. As an infant's diet matures, finger foods may be introduced as well as fruit, vegetables and small amounts of meat.[9]

As infants grow, food supplements can be added. Many parents choose commercial, ready-made baby foods to supplement breast milk or formula for the child, while others adapt their usual meals for the dietary needs of their child. Whole cow's milk can be used at one year, but lower-fat milk is not recommended until the child is 2 to 3 years old. Weaning is the process through which breast milk is eliminated from the infant's diet through the introduction of solid foods in exchange for milk.[10] Until they are toilet-trained, infants in industrialized countries wear diapers. The transition from diapers to training pants is an important transition in the development of an infant/baby to that of a toddler. Children need more sleep than adults—up to 18 hours for newborn babies, with a declining rate as the child ages. Until babies learn to walk, they are carried in the arms, held in slings or baby carriers, or transported in baby carriages or strollers. Most industrialized countries have laws requiring child safety seats for babies in motor vehicles.

Common care issues

Benefits of touch

 
A baby being hugged by a soldier

Experiments have been done with infants up to four months of age using both positive touch (stroking or cuddling) and negative touch (poking, pinching, or tickling). The infants who received the positive touch cried less often and vocalized and smiled more than the infants who were touched negatively. Infants who were the recipients of negative touch have also been linked with emotional and behavioral problems later in life. A lower amount of physical violence in adults has been discovered in cultures with greater levels of positive physical touching.[11]

Language development

 
An infant holding a space-themed baby book

Caregivers of an infant are advised to pick up on the infant's facial expressions and mirror them. Reproducing and empathizing with their facial expressions enables infants to experience effectiveness and to recognize their own actions more easily (see mirror neurons). Exaggeratedly reproduced facial expressions and gestures are recommended, as they are clearer forms of expression. The baby's babbling should also be picked up and repeated. By imitating each other's sounds the first simple dialogues are initiated.[12] Accentuated pronunciation and melodic intonation make it easier to recognize individual words in a sentence.[13] However, it is not advisable to use simplified "baby talk" (e.g. "Did you 'ouch'?" instead of, "Did you hurt yourself?").[14]

Even if parents cannot yet understand infants' babbling, a timely response by parents to babbling leads to faster language acquisition.[15] This was confirmed by researchers who first studied mothers' behavior towards 8-month-old infants and later tested the infants' vocabulary when they were 15 months old.[16] A first important development of infants is the discovery that they can influence their parents through babbling (development of intentional communication).[16] Parents can encourage this by engaging with their infants in babbling. This in turn promotes further language development, as infants then turn to their parents more often.[15]

Previous studies have shown that the infant's speech is encouraged when parents, for example, smile in the infant's direction or touch the infant every time the infant looks at them and babbles. It also helps if parents respond to what they think their baby is saying (for example, giving a ball or commenting when the baby looks at the ball and babbles).[15] Responding to sounds produced when the baby looks at an object (object-directed vocalizations) thus provide an opportunity to learn the name of the object. In this way, babies also learn that sounds are associated with objects.[16] However, language development is only achieved if parents react positively (e.g. smile) in response to the infant's babbling. A high response rate without a connection to the infant's utterances does not lead to language promotion.[16] It is detrimental to language development if a mother instead tries to divert the infant's attention to something else.[17]

Sleep

 
A sleeping infant

A 2018 review analysed 146 studies on infant sleep behavior and listed several factors that show an effect on sleep duration and the number of night wakings. For example, stimulating daytime activities, reading aloud before sleeping, early bedtime, a sleep routine, and avoiding television and media exposure before bedtime are associated with longer sleep duration and fewer nighttime awakenings.[18]: S. 24 

Furthermore, strong parental involvement at falling asleep is associated with shorter sleep duration, slower falling asleep and more frequent night-time awakenings in the studies analysed. Strong parental involvement is understood to include parental presence, cradling, or breastfeeding at bedtime, as well as carrying the infant to sleep and then putting the infant down. Strong parental involvement has a negative effect on infant sleep because the infant cannot develop the ability to self-soothe. On the other hand, low parental involvement at bedtime gives the infant room to learn self-soothing and self-regulation.[18]: S. 24 

In 2020, a Finnish study established (according to the research leader) for the first time a reference value for infant sleep quality based on a large data set (about 5,700 babies).[19][20] Almost 40% of the participating parents with eight-month-old babies said they were worried about their sleep. In fact, sleep problems were common; however, children fall asleep faster, wake up less often during the night and stay awake less late at night the older they get. At the same time, total sleep time decreases.

The study was also able to determine reference values for normal sleep (see table). Children who sleep significantly less than average would usually benefit from supportive measures, for which a number of methods would be available (a discussion with the pediatrician or see, for example, the article on sleep training).[15]

Time until

falling asleep

Wakings

per night

Waking time

per night

12 months   0 – 30 min   0x – 2.5x   0 – 20 min
  30 – 40 min   2x – 4x   20 – 45 min
  > 40 min   > 4x   > 45 min
24 months   0 – 30 min   0x – 1x   0 – 8 min
  30 – 45 min   1x – 2x   8 – 15 min
  > 40 min   > 2x   > 40 min
  = normal sleep
  = Sleep hygiene should be improved
  = it is recommended to seek help (pediatrician, sleep counselling).

Maternal sensitivity

Maternal sensitivity plays a particular role in the relationship with the infant and for favorable emotional development. This means being attentive to the infant's behavioral expressions, not misinterpreting the infant's expressions because of one's own moods, reacting immediately to the situation and finding a response that is appropriate to the context and the expressed needs. A secure attachment is promoted through empathetic and adequate as well as prompt responses.[21][22][12] In accordance with their basic needs, infants show an inborn behavior of seeking closeness to the mother – or to another primary caregiver – and thus in turn foster an attachment. When separated from the mother, infants protest by crying and by body movements.

Other

 
An infant from Uganda playing with stoves

Wearing has a calming effect on infants. A 2013 study showed that infants placed in a cradle cried and kicked more often and had an increased heart rate (so the infants were stressed), while those picked up and carried by the mother while walking around calmed down significantly. The effect of being held motionless in the arm was intermediate between that of being carried around and that of being put down.[23] That carrying (e.g., in a baby sling) makes infants more content and makes them cry less had already been shown in a randomized study in 1986.[24]

For infant feeding, breastfeeding is recommended by all major infant health organizations.[7]

Many airlines refuse boarding for all babies aged under 7 days (for domestic flights) or 14 days for international flights. Asiana Airlines allows babies to board international flights at 7 days of age. Garuda Indonesia disallows all babies under the age of 14 days to board any flights.

Delta Air Lines allows infants to travel when they are less than 7 days old when they present a physician travel approval letter. Skywest will not allow an infant less than 8 days old on board.[25]

Behaviour

Emotional development

 
Eight-month-old sororal twin sisters

Attachment theory is primarily an evolutionary and ethological theory whereby the infant or child seeks proximity to a specified attachment figure in situations of alarm or distress for the purpose of survival.[26] The forming of attachments is considered to be the foundation of the infant/child's capacity to form and conduct relationships throughout life. Attachment is not the same as love or affection although they often go together. Attachment and attachment behaviors tend to develop between the age of 6 months and 3 years. Infants become attached to adults who are sensitive and responsive in social interactions with the infant, and who remain as consistent caregivers for some time. Parental responses lead to the development of patterns of attachment, which in turn lead to 'internal working models' which will guide the individual's feelings, thoughts, and expectations in later relationships.[27] There are a number of attachment 'styles' namely 'secure', 'anxious-ambivalent', 'anxious-avoidant', (all 'organized') and 'disorganized', some of which are more problematic than others. A lack of attachment or a seriously disrupted capacity for attachment could potentially amount to serious disorders.[28]

Infants develop distinct relationships to their mothers, fathers, siblings, and non-familial caregivers.[29] Beside the dyadic attachment relationships also a good quality of the triadic relationships (mother – father – infant) is important for infant mental health development.[30][31]

Response to sounds

Infants respond to the sound of snake hissing, angry voices of adults, the crackling sound of a fire, thunder, and the cries of other infants. They have a drop in heart rate, their eyes blinking, increased turning toward the speakers or parent, all of these indicating that they were paying more attention. This is believed to be an evolutionary response to danger. Babies' ability to accurately locate sounds is refined during their first year.[32]

Health issues

Diseases

The infant is undergoing many adaptations to extrauterine life, and its physiological systems, such as the immune system, are far from fully developed. Potential diseases of concern during the neonatal period include:

Mortality

 
An infant being immunized in Bangladesh

Infant mortality is the death of an infant in the first year of life, often expressed as the number of deaths per 1000 live births (infant mortality rate). Major causes of infant mortality include dehydration, infection, congenital malformation and SIDS.[33]

This epidemiological indicator is recognized as a very important measure of the level of health care in a country because it is directly linked with the health status of infants, children, and pregnant women as well as access to medical care, socioeconomic conditions, and public health practices.[34][35]

There is a positive relationship between national wealth and good health. The rich and industrialized countries of the world, prominently Canada, the United Kingdom, the United States, and Japan, spend a large proportion of their wealthy budget on the health care system. As, a result, their health care systems are very sophisticated, with many physicians, nurses, and other health care experts servicing the population. Thus, infant mortality is low. On the other hand, a country such as Mexico, which spends disproportionately less of its budget on healthcare, suffers from high mortality rates. This is because the general population is likely to be less healthy.[36] In the U.S., infant mortality rates are especially high in minority groups. For instance, non-Hispanic black women have an infant mortality rate of 13.63 per 1000 live births whereas in non-Hispanic white women it was much lower at a rate of 5.76 per 1000 live births.[37] The average infant mortality rate in the U.S. is 6.8 per 1000 live births.[38]

Babyhood

Babyhood is a critical period in personality development when the foundations of adult personality are laid.[39] In contrast toddler is used to denote a baby that has achieved relative independence, in moving about, and feeding.[40]

References

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  2. ^ "Infancy". Law.com Legal Dictionary. Law.com. from the original on 2015-09-05. Retrieved 2015-09-30.
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  17. ^ Smith J, Levickis P, Eadie T, Bretherton L, Conway L, Goldfeld S (January 2019). "Associations between early maternal behaviours and child language at 36 months in a cohort experiencing adversity". International Journal of Language & Communication Disorders. 54 (1): 110–122. doi:10.1111/1460-6984.12435. hdl:11343/284733. PMID 30387273. S2CID 54389163.
  18. ^ a b Cláudia Castro Dias, Bárbara Figueiredo (2019-03-06), "Sleep-wake behaviour during the first 12 months of life and associated factors: a systematic review", Early Child Development and Care, vol. 190, no. 15, pp. 1–33, doi:10.1080/03004430.2019.1582034, hdl:1822/59691, ISSN 0300-4430, S2CID 151246725, retrieved 2020-11-01
  19. ^ "New study provides criteria for good infant sleep for the first time – individual variations large – Press release – THL".
  20. ^ Paavonen EJ, Saarenpää-Heikkilä O, Morales-Munoz I, Virta M, Häkälä N, Pölkki P, Kylliäinen A, Karlsson H, Paunio T, Karlsson L (May 2020). "Normal sleep development in infants: findings from two large birth cohorts" (PDF). Sleep Medicine. 69: 145–154. doi:10.1016/j.sleep.2020.01.009. PMID 32087408. S2CID 211253429.
  21. ^ Kathrin Keller-Schuhmacher (2010) Bindung – von der Theorie zur Praxis: worauf kommt es an? Referat anlässlich der Fachtagung der AWO vom 8. November 2010 in Freiburg i.Br.,
  22. ^ Helmut Johnson (2006) Bindungsstörungen Material zur Systemischen Arbeit in Erziehung und Betreuung.
  23. ^ Esposito G, Yoshida S, Ohnishi R, Tsuneoka Y, Rostagno Mdel C, Yokota S, Okabe S, Kamiya K, Hoshino M, Shimizu M, Venuti P, Kikusui T, Kato T, Kuroda KO (May 2013). "Infant calming responses during maternal carrying in humans and mice". Current Biology. 23 (9): 739–45. doi:10.1016/j.cub.2013.03.041. PMID 23602481.
  24. ^ Urs Hunziker, Ronald Barr (1986-05-01), "Increased Carrying Reduces Infant Crying: A Randomized Controlled Trial", Pediatrics, vol. 77, no. 5, pp. 641–648, ISSN 0031-4005, PMID 3517799, retrieved 2020-02-02
  25. ^ Infant Age Restrictions 2016-03-26 at the Wayback Machine. Delta Airlines. Retrieved on 2013-04-27.
  26. ^ Tronick, Edward Z.; Morelli, Gilda A.; Ivey, Paula K. (1992). "The Efe forager infant and toddler's pattern of social relationships: Multiple and simultaneous". Developmental Psychology. 28 (4): 568–577. doi:10.1037/0012-1649.28.4.568. "Until recently, scientific accounts ... of the infant's early social experiences converged on the view that the infant progresses from a primary relationship with one individual... to relationships with a growing number of people... This is an epigenetic, hierarchical view of social development. We have labeled this dominant view the continuous care and contact model (CCC...). The CCC model developed from the writings of Spitz..., Bowlby..., and Provence and Lipton... on institutionalized children and is represented in the psychological views of Bowlby...[and others]. Common to the different conceptual frameworks is the belief that parenting practices and the infant's capacity for social engagement are biologically based and conform to a prototypical form. Supporters of the CCC model generally recognize that the infant and caregiver are able to adjust to a range of conditions, but they consider the adjustments observed to reflect biological variation. However, more extreme views (e.g., maternal bonding) consider certain variants as non adaptive and as compromising the child's psychological development. Bowlby's concept of monotropism is an exemplar of the CCC perspective...".
  27. ^ Bretherton, I. and Munholland, K., A. Internal Working Models in Attachment Relationships: A Construct Revisited. Handbook of Attachment:Theory, Research and Clinical Applications 1999 eds Cassidy, J. and Shaver, P., R. Guilford press ISBN 1-57230-087-6[page needed]
  28. ^ Cicchetti, Dante; Carlson, Vicki (30 June 1989). Child Maltreatment: Theory and Research on the Causes and Consequences of Child Abuse and Neglect. ISBN 9780521379694. Retrieved 21 December 2018.
  29. ^ Klitzing K von, Simoni H, Amsler F, Burgin D: The role of the father in early family interactions. Inf Mental Health J 1999; 20: 222–37.
  30. ^ von Klitzing K, Simoni H, Bürgin D (February 1999). "Child development and early triadic relationships". The International Journal of Psychoanalysis. 80 ( Pt 1): 71–89. doi:10.1516/0020757991598576. PMID 10216817.
  31. ^ von Klitzing K, Bürgin D (January 2005). "Parental capacities for triadic relationships during pregnancy: Early predictors of children's behavioral and representational functioning at preschool age". Infant Mental Health Journal. 26 (1): 19–39. doi:10.1002/imhj.20032. PMID 28682511.
  32. ^ Erlich, Nicole; Lipp, Ottmar V.; Slaughter, Virginia (2013). "Of hissing snakes and angry voices: human infants are differentially responsive to evolutionary fear-relevant sounds". Developmental Science. 16 (6): 894–904. doi:10.1111/desc.12091. PMID 24118715.
  33. ^ Garrett, Eilidh (2007). Infant Mortality: A Continuing Social Problem. Ashgate Pub Co. ISBN 978-0-7546-4593-1.[page needed]
  34. ^ Hertz E, Hebert JR, Landon J (July 1994). "Social and environmental factors and life expectancy, infant mortality, and maternal mortality rates: results of a cross-national comparison". Soc Sci Med. 39 (1): 105–14. doi:10.1016/0277-9536(94)90170-8. PMID 8066481.
  35. ^ Etchegoyen G, Paganini JM (April 2007). "The relationship between socioeconomic factors and maternal and infant health programs in 13 Argentine provinces" (PDF). Rev Panam Salud Publica (in Spanish). 21 (4): 223–30. doi:10.1590/S1020-49892007000300005. PMID 17612466. (PDF) from the original on 2018-04-21.
  36. ^ Brym, Robert (2007). Sociology: Your Compass for a New World. Wadsworth/Cengage Learning. p. 546. ISBN 978-0-495-09912-3.
  37. ^ Kuehn, B. M. (2008). "Infant Mortality". JAMA: The Journal of the American Medical Association. 300 (20): 2359. doi:10.1001/jama.2008.642.
  38. ^ Infant Mortality Rate (Deaths per 1,000 Live Births), Linked Files, 2006–2008 2012-06-12 at the Wayback Machine. statehealthfacts.org
  39. ^ Human Growth Development and Learning 2004 Ed. p. 50. ISBN 971-23-3911-4 2004 "... is mainly through prespeech forms of crying, babbling, gesturing, and emotional expressions. In babyhood, understanding comes from a combination of sensory exploration, motor manipulation, and, toward the end of babyhood, from questions to answers. Babyhood is regarded as a critical period in personality development because it is the time when the foundations of adult personality are laid."
  40. ^ Developmental Psychology. p. 121 ISBN 971-23-2463-X 1998 "However, Hurlock (1982) cites that infancy, compared to babyhood, is characterized by extreme helplessness. The word baby may likewise suggest a helpless individual; hence, the word toddler has been increasingly used to denote a baby that has achieved enough control of his body to permit relative independence, such as' moving about, feeding himself, etc. Characteristics of Babyhood The most important characteristics of babyhood are listed below: 1. It is the true foundation age .."

External links

  • American Academy of Pediatrics
  • Infant eyesight – University of Illinois
  • Simkin, Penny; Whalley, Janet; Keppler, Ann (1991). Pregnancy, Childbirth and the Newborn: The Complete Guide (Revised ed.). Meadowbook Press. ISBN 978-0-88166-177-4.
Preceded by Stages of human development
Infancy
Succeeded by

infant, baby, newborn, babyhood, redirect, here, other, uses, disambiguation, baby, disambiguation, newborn, disambiguation, babyhood, disambiguation, babies, disambiguation, infant, baby, very, young, offspring, human, beings, from, latin, word, infans, meani. Baby Newborn and Babyhood redirect here For other uses see Infant disambiguation Baby disambiguation Newborn disambiguation Babyhood disambiguation and Babies disambiguation An infant or baby is the very young offspring of human beings Infant from the Latin word infans meaning unable to speak or speechless is a formal or specialised synonym for the common term baby The terms may also be used to refer to juveniles of other organisms A newborn is in colloquial use an infant who is only hours days or up to one month old In medical contexts a newborn or neonate from Latin neonatus newborn is an infant in the first 28 days after birth 1 the term applies to premature full term and postmature infants A newborn infant being held by an adult man Before birth the offspring is called a fetus The term infant is typically applied to very young children under one year of age however definitions may vary and may include children up to two years of age When a human child learns to walk they are called a toddler instead Contents 1 Other uses 2 Physical characteristics 2 1 Head 2 2 Hair 2 3 Length 2 4 Weight 2 5 Skin 2 6 Umbilical cord 2 7 Genitals 3 Care and feeding 3 1 Common care issues 3 2 Benefits of touch 3 3 Language development 3 4 Sleep 3 5 Maternal sensitivity 3 6 Other 4 Behaviour 4 1 Emotional development 4 2 Response to sounds 5 Health issues 5 1 Diseases 5 2 Mortality 6 Babyhood 7 References 8 External linksOther usesIn British English an infant school is for children aged between four and seven As a legal term infancy is more like being a minor and continues until a person reaches 18 years of age 2 Physical characteristicsThis section needs additional citations for verification Please help improve this article by adding citations to reliable sources Unsourced material may be challenged and removed Find sources Infant news newspapers books scholar JSTOR March 2022 Learn how and when to remove this template message A newborn s shoulders and hips are wide the abdomen protrudes slightly and the arms and legs are relatively long with respect to the rest of their body Head Eight month old infant as a common feature eyes are usually large in relation to the face A newborn s head is very large in proportion to the body and the cranium is enormous relative to his or her face While the adult human skull is about one seventh of the total body length the newborn s is about 1 4 Normal head circumference for a full term infant is 33 36 cm at birth 3 At birth many regions of the newborn s skull have not yet been converted to bone leaving soft spots known as fontanels The two largest are the diamond shaped anterior fontanel located at the top front portion of the head and the smaller triangular shaped posterior fontanel which lies at the back of the head Later in the child s life these bones will fuse together in a natural process A protein called noggin is responsible for the delay in an infant s skull fusion 4 During labour and birth the infant s skull changes shape to fit through the birth canal sometimes causing the child to be born with a misshapen or elongated head It will usually return to normal on its own within a few days or weeks Special exercises sometimes advised by physicians may assist the process Hair Thin brown hair of a one year old infant girl Some newborns have a fine downy body hair called lanugo It may be particularly noticeable on the back shoulders forehead ears and face of premature infants Lanugo disappears within a few weeks Infants may be born with full heads of hair others particularly caucasian infants may have very fine hair or may even be bald Amongst fair skinned parents this fine hair may be blonde even if the parents are not An infant s hair color and texture can change red can give way to blond curly can go straight and thick dark hair could reappear a lot sparser and lighter citation needed The scalp may also be temporarily bruised or swollen especially in hairless newborns and the area around the eyes may be puffy Length In developed countries the average total body length of a newborn is 35 6 50 8 cm 14 0 20 0 in although premature newborns may be much smaller The way to measure a baby s length is to lay the baby down and stretch a measuring tape from the top of the head to the bottom of the heel Weight In developed countries the average birth weight of a full term newborn is approximately 3 4 kg 7 1 2 lb and is typically in the range of 2 7 4 6 kg 6 0 10 1 lb Over the first 5 7 days following birth the body weight of a term neonate decreases by 3 7 5 and is largely a result of the resorption and urination of the fluid that initially fills the lungs in addition to a delay of often a few days before breastfeeding becomes effective After the first week healthy term neonates should gain 10 20 grams day 5 Skin A newborn infant seconds after delivery Amniotic fluid glistens on her skin and the umbilical cord is still attached Immediately after birth a newborn s skin is often grayish to dusky blue in color As soon as the newborn begins to breathe usually within a minute or two the skin s color reaches its normal tone Newborns are wet covered in streaks of blood and coated with a white substance known as vernix caseosa which is hypothesised to act as an antibacterial barrier The newborn may also have Mongolian spots various other birthmarks or peeling skin particularly on the wrists hands ankles and feet Umbilical cord Main article Adaptation to extrauterine life The umbilical cord of a newborn is bluish white in color After birth the umbilical cord is normally cut leaving a 1 2 inch stub The umbilical stub will dry out shrivel darken and spontaneously fall off within about 3 weeks This will later become a belly button after it heals The umbilical cord contains three vessels two arteries and one vein The two arteries carry blood from the baby to the placenta while one vein carries blood back to the baby Genitals A newborn s genitals are enlarged and reddened with male infants having an unusually large scrotum The breasts may also be enlarged even in male infants This is caused by naturally occurring maternal hormones and is a temporary condition Females and even males may actually discharge milk from their nipples sometimes called witch s milk or a bloody or milky like substance from the vagina In either case this is considered normal and will disappear with time Care and feedingFurther information Newborn care and safety Further information Infant bathing A crying infant in Japan in the Naki Sumo Crying Baby Festival Infants cry as a form of basic instinctive communication 6 A crying infant may be trying to express a variety of feelings including hunger discomfort overstimulation boredom wanting something or loneliness Breastfeeding is the recommended method of feeding by all major infant health organizations 7 If breastfeeding is not possible or desired bottle feeding is done with expressed breast milk or with infant formula Infants are born with a sucking reflex allowing them to extract the milk from the nipples of the breasts or the nipple of the baby bottle as well as an instinctive behavior known as rooting with which they seek out the nipple Sometimes a wet nurse is hired to feed the infant although this is rare especially in developed countries Adequate food consumption at an early age is vital for an infant s development The foundations of optimum health growth and neurodevelopment across the lifespan are established in the first 1000 days of life 8 From birth to six months infants should consume only breast milk or an unmodified milk substitute As an infant s diet matures finger foods may be introduced as well as fruit vegetables and small amounts of meat 9 As infants grow food supplements can be added Many parents choose commercial ready made baby foods to supplement breast milk or formula for the child while others adapt their usual meals for the dietary needs of their child Whole cow s milk can be used at one year but lower fat milk is not recommended until the child is 2 to 3 years old Weaning is the process through which breast milk is eliminated from the infant s diet through the introduction of solid foods in exchange for milk 10 Until they are toilet trained infants in industrialized countries wear diapers The transition from diapers to training pants is an important transition in the development of an infant baby to that of a toddler Children need more sleep than adults up to 18 hours for newborn babies with a declining rate as the child ages Until babies learn to walk they are carried in the arms held in slings or baby carriers or transported in baby carriages or strollers Most industrialized countries have laws requiring child safety seats for babies in motor vehicles Common care issues Baby colic Bassinet crib Cradle cap Day care Diaper rash Infant massage Immunization Pacifier Paternal bond Swaddling Teething Benefits of touch A baby being hugged by a soldier Experiments have been done with infants up to four months of age using both positive touch stroking or cuddling and negative touch poking pinching or tickling The infants who received the positive touch cried less often and vocalized and smiled more than the infants who were touched negatively Infants who were the recipients of negative touch have also been linked with emotional and behavioral problems later in life A lower amount of physical violence in adults has been discovered in cultures with greater levels of positive physical touching 11 Language development An infant holding a space themed baby book Caregivers of an infant are advised to pick up on the infant s facial expressions and mirror them Reproducing and empathizing with their facial expressions enables infants to experience effectiveness and to recognize their own actions more easily see mirror neurons Exaggeratedly reproduced facial expressions and gestures are recommended as they are clearer forms of expression The baby s babbling should also be picked up and repeated By imitating each other s sounds the first simple dialogues are initiated 12 Accentuated pronunciation and melodic intonation make it easier to recognize individual words in a sentence 13 However it is not advisable to use simplified baby talk e g Did you ouch instead of Did you hurt yourself 14 Even if parents cannot yet understand infants babbling a timely response by parents to babbling leads to faster language acquisition 15 This was confirmed by researchers who first studied mothers behavior towards 8 month old infants and later tested the infants vocabulary when they were 15 months old 16 A first important development of infants is the discovery that they can influence their parents through babbling development of intentional communication 16 Parents can encourage this by engaging with their infants in babbling This in turn promotes further language development as infants then turn to their parents more often 15 Previous studies have shown that the infant s speech is encouraged when parents for example smile in the infant s direction or touch the infant every time the infant looks at them and babbles It also helps if parents respond to what they think their baby is saying for example giving a ball or commenting when the baby looks at the ball and babbles 15 Responding to sounds produced when the baby looks at an object object directed vocalizations thus provide an opportunity to learn the name of the object In this way babies also learn that sounds are associated with objects 16 However language development is only achieved if parents react positively e g smile in response to the infant s babbling A high response rate without a connection to the infant s utterances does not lead to language promotion 16 It is detrimental to language development if a mother instead tries to divert the infant s attention to something else 17 Sleep Main article Infant sleep A sleeping infant A 2018 review analysed 146 studies on infant sleep behavior and listed several factors that show an effect on sleep duration and the number of night wakings For example stimulating daytime activities reading aloud before sleeping early bedtime a sleep routine and avoiding television and media exposure before bedtime are associated with longer sleep duration and fewer nighttime awakenings 18 S 24 Furthermore strong parental involvement at falling asleep is associated with shorter sleep duration slower falling asleep and more frequent night time awakenings in the studies analysed Strong parental involvement is understood to include parental presence cradling or breastfeeding at bedtime as well as carrying the infant to sleep and then putting the infant down Strong parental involvement has a negative effect on infant sleep because the infant cannot develop the ability to self soothe On the other hand low parental involvement at bedtime gives the infant room to learn self soothing and self regulation 18 S 24 In 2020 a Finnish study established according to the research leader for the first time a reference value for infant sleep quality based on a large data set about 5 700 babies 19 20 Almost 40 of the participating parents with eight month old babies said they were worried about their sleep In fact sleep problems were common however children fall asleep faster wake up less often during the night and stay awake less late at night the older they get At the same time total sleep time decreases The study was also able to determine reference values for normal sleep see table Children who sleep significantly less than average would usually benefit from supportive measures for which a number of methods would be available a discussion with the pediatrician or see for example the article on sleep training 15 Time until falling asleep Wakings per night Waking time per night12 months 0 30 min 0x 2 5x 0 20 min 30 40 min 2x 4x 20 45 min gt 40 min gt 4x gt 45 min24 months 0 30 min 0x 1x 0 8 min 30 45 min 1x 2x 8 15 min gt 40 min gt 2x gt 40 min normal sleep Sleep hygiene should be improved it is recommended to seek help pediatrician sleep counselling Maternal sensitivity Maternal sensitivity plays a particular role in the relationship with the infant and for favorable emotional development This means being attentive to the infant s behavioral expressions not misinterpreting the infant s expressions because of one s own moods reacting immediately to the situation and finding a response that is appropriate to the context and the expressed needs A secure attachment is promoted through empathetic and adequate as well as prompt responses 21 22 12 In accordance with their basic needs infants show an inborn behavior of seeking closeness to the mother or to another primary caregiver and thus in turn foster an attachment When separated from the mother infants protest by crying and by body movements Other An infant from Uganda playing with stoves Wearing has a calming effect on infants A 2013 study showed that infants placed in a cradle cried and kicked more often and had an increased heart rate so the infants were stressed while those picked up and carried by the mother while walking around calmed down significantly The effect of being held motionless in the arm was intermediate between that of being carried around and that of being put down 23 That carrying e g in a baby sling makes infants more content and makes them cry less had already been shown in a randomized study in 1986 24 For infant feeding breastfeeding is recommended by all major infant health organizations 7 Many airlines refuse boarding for all babies aged under 7 days for domestic flights or 14 days for international flights Asiana Airlines allows babies to board international flights at 7 days of age Garuda Indonesia disallows all babies under the age of 14 days to board any flights Delta Air Lines allows infants to travel when they are less than 7 days old when they present a physician travel approval letter Skywest will not allow an infant less than 8 days old on board 25 BehaviourEmotional development Eight month old sororal twin sisters Attachment theory is primarily an evolutionary and ethological theory whereby the infant or child seeks proximity to a specified attachment figure in situations of alarm or distress for the purpose of survival 26 The forming of attachments is considered to be the foundation of the infant child s capacity to form and conduct relationships throughout life Attachment is not the same as love or affection although they often go together Attachment and attachment behaviors tend to develop between the age of 6 months and 3 years Infants become attached to adults who are sensitive and responsive in social interactions with the infant and who remain as consistent caregivers for some time Parental responses lead to the development of patterns of attachment which in turn lead to internal working models which will guide the individual s feelings thoughts and expectations in later relationships 27 There are a number of attachment styles namely secure anxious ambivalent anxious avoidant all organized and disorganized some of which are more problematic than others A lack of attachment or a seriously disrupted capacity for attachment could potentially amount to serious disorders 28 Infants develop distinct relationships to their mothers fathers siblings and non familial caregivers 29 Beside the dyadic attachment relationships also a good quality of the triadic relationships mother father infant is important for infant mental health development 30 31 Response to sounds Infants respond to the sound of snake hissing angry voices of adults the crackling sound of a fire thunder and the cries of other infants They have a drop in heart rate their eyes blinking increased turning toward the speakers or parent all of these indicating that they were paying more attention This is believed to be an evolutionary response to danger Babies ability to accurately locate sounds is refined during their first year 32 Health issuesDiseases Further information Neonatology The infant is undergoing many adaptations to extrauterine life and its physiological systems such as the immune system are far from fully developed Potential diseases of concern during the neonatal period include Neonatal jaundice Infant respiratory distress syndrome Neonatal lupus erythematosus Neonatal conjunctivitis Neonatal tetanus Neonatal sepsis Neonatal bowel obstruction Benign neonatal seizures Neonatal diabetes mellitus Neonatal alloimmune thrombocytopenia Neonatal herpes simplex Neonatal hemochromatosis Neonatal meningitis Neonatal hepatitis Neonatal hypoglycemiaMortality Main article Infant mortality An infant being immunized in Bangladesh Infant mortality is the death of an infant in the first year of life often expressed as the number of deaths per 1000 live births infant mortality rate Major causes of infant mortality include dehydration infection congenital malformation and SIDS 33 This epidemiological indicator is recognized as a very important measure of the level of health care in a country because it is directly linked with the health status of infants children and pregnant women as well as access to medical care socioeconomic conditions and public health practices 34 35 There is a positive relationship between national wealth and good health The rich and industrialized countries of the world prominently Canada the United Kingdom the United States and Japan spend a large proportion of their wealthy budget on the health care system As a result their health care systems are very sophisticated with many physicians nurses and other health care experts servicing the population Thus infant mortality is low On the other hand a country such as Mexico which spends disproportionately less of its budget on healthcare suffers from high mortality rates This is because the general population is likely to be less healthy 36 In the U S infant mortality rates are especially high in minority groups For instance non Hispanic black women have an infant mortality rate of 13 63 per 1000 live births whereas in non Hispanic white women it was much lower at a rate of 5 76 per 1000 live births 37 The average infant mortality rate in the U S is 6 8 per 1000 live births 38 BabyhoodBabyhood is a critical period in personality development when the foundations of adult personality are laid 39 In contrast toddler is used to denote a baby that has achieved relative independence in moving about and feeding 40 References Neonate Merriam Webster online dictionary Merriam Webster Archived from the original on 2007 03 11 Retrieved 2007 03 27 Infancy Law com Legal Dictionary Law com Archived from the original on 2015 09 05 Retrieved 2015 09 30 Wallace Donna K Cartwright Cathy C 2007 Nursing Care of the Pediatric Neurosurgery Patient Berlin Springer p 40 ISBN 978 3 540 29703 1 Warren SM Brunet LJ Harland RM Economides AN Longaker MT 2003 04 10 The BMP antagonist noggin regulates cranial suture fusion Nature 422 6932 625 9 Bibcode 2003Natur 422 625W doi 10 1038 nature01545 PMID 12687003 S2CID 4331659 a b Neonatology Considerations for the Pediatric Surgeon at eMedicine Chicot Dr Rebecca 2015 12 03 The Calm and Happy Toddler Gentle Solutions to Tantrums Night Waking Potty Training and More Random House ISBN 978 1 4735 2759 1 a b Gartner LM Morton J Lawrence RA Naylor AJ O Hare D Schanler RJ Eidelman AI February 2005 Breastfeeding and the Use of Human Milk Pediatrics 115 2 496 506 doi 10 1542 peds 2004 2491 PMID 15687461 Innocenti UNICEF Office of Research The first 1 000 days of life The brain s window of opportunity UNICEF IRC Retrieved 2019 03 28 Wells Dilys January 1995 Infant Feeding Nutrition amp Food Science 95 2 42 44 doi 10 1108 00346659510078312 Marriott and Foote L D and K D 2003 Weaning of infants Review 88 6 Academic OneFile ISBN 978 1 4129 0475 9 Field T 2002 Infants Need for Touch Human Development 45 2 100 103 doi 10 1159 000048156 S2CID 144155181 a b Hartmut Kasten Entwicklungspsychologische Grundlagen der fruhen Kindheit und fruhpadagogische Konsequenzen PDF in German Kostenloser Volltext Erik Thiessen Emily Hill Jenny Saffran January 2005 Infant Directed Speech Facilitates Word Segmentation Infancy vol 7 no 1 pp 53 71 doi 10 1207 s15327078in0701 5 PMID 33430544 a href Template Citation html title Template Citation citation a CS1 maint multiple names authors list link Gehirn amp GeistSerie Kindesentwicklung No 1 February 2014 Puppi muttu AA machen Archived 2020 02 02 at the Wayback Machine p 63 a b c d Parents listen next time your baby babbles 2014 08 27 a b c d Julie Gros Louis Meredith J West Andrew P King July 2014 Maternal Responsiveness and the Development of Directed Vocalizing in Social Interactions Infancy vol 19 no 4 pp 385 408 doi 10 1111 infa 12054 a href Template Citation html title Template Citation citation a CS1 maint multiple names authors list link Smith J Levickis P Eadie T Bretherton L Conway L Goldfeld S January 2019 Associations between early maternal behaviours and child language at 36 months in a cohort experiencing adversity International Journal of Language amp Communication Disorders 54 1 110 122 doi 10 1111 1460 6984 12435 hdl 11343 284733 PMID 30387273 S2CID 54389163 a b Claudia Castro Dias Barbara Figueiredo 2019 03 06 Sleep wake behaviour during the first 12 months of life and associated factors a systematic review Early Child Development and Care vol 190 no 15 pp 1 33 doi 10 1080 03004430 2019 1582034 hdl 1822 59691 ISSN 0300 4430 S2CID 151246725 retrieved 2020 11 01 New study provides criteria for good infant sleep for the first time individual variations large Press release THL Paavonen EJ Saarenpaa Heikkila O Morales Munoz I Virta M Hakala N Polkki P Kylliainen A Karlsson H Paunio T Karlsson L May 2020 Normal sleep development in infants findings from two large birth cohorts PDF Sleep Medicine 69 145 154 doi 10 1016 j sleep 2020 01 009 PMID 32087408 S2CID 211253429 Kathrin Keller Schuhmacher 2010 Bindung von der Theorie zur Praxis worauf kommt es an Referat anlasslich der Fachtagung der AWO vom 8 November 2010 in Freiburg i Br PDF 111 kB Helmut Johnson 2006 Bindungsstorungen Material zur Systemischen Arbeit in Erziehung und Betreuung PDF 72 kB Esposito G Yoshida S Ohnishi R Tsuneoka Y Rostagno Mdel C Yokota S Okabe S Kamiya K Hoshino M Shimizu M Venuti P Kikusui T Kato T Kuroda KO May 2013 Infant calming responses during maternal carrying in humans and mice Current Biology 23 9 739 45 doi 10 1016 j cub 2013 03 041 PMID 23602481 Urs Hunziker Ronald Barr 1986 05 01 Increased Carrying Reduces Infant Crying A Randomized Controlled Trial Pediatrics vol 77 no 5 pp 641 648 ISSN 0031 4005 PMID 3517799 retrieved 2020 02 02 Infant Age Restrictions Archived 2016 03 26 at the Wayback Machine Delta Airlines Retrieved on 2013 04 27 Tronick Edward Z Morelli Gilda A Ivey Paula K 1992 The Efe forager infant and toddler s pattern of social relationships Multiple and simultaneous Developmental Psychology 28 4 568 577 doi 10 1037 0012 1649 28 4 568 Until recently scientific accounts of the infant s early social experiences converged on the view that the infant progresses from a primary relationship with one individual to relationships with a growing number of people This is an epigenetic hierarchical view of social development We have labeled this dominant view the continuous care and contact model CCC The CCC model developed from the writings of Spitz Bowlby and Provence and Lipton on institutionalized children and is represented in the psychological views of Bowlby and others Common to the different conceptual frameworks is the belief that parenting practices and the infant s capacity for social engagement are biologically based and conform to a prototypical form Supporters of the CCC model generally recognize that the infant and caregiver are able to adjust to a range of conditions but they consider the adjustments observed to reflect biological variation However more extreme views e g maternal bonding consider certain variants as non adaptive and as compromising the child s psychological development Bowlby s concept of monotropism is an exemplar of the CCC perspective Bretherton I and Munholland K A Internal Working Models in Attachment Relationships A Construct Revisited Handbook of Attachment Theory Research and Clinical Applications 1999 eds Cassidy J and Shaver P R Guilford press ISBN 1 57230 087 6 page needed Cicchetti Dante Carlson Vicki 30 June 1989 Child Maltreatment Theory and Research on the Causes and Consequences of Child Abuse and Neglect ISBN 9780521379694 Retrieved 21 December 2018 Klitzing K von Simoni H Amsler F Burgin D The role of the father in early family interactions Inf Mental Health J 1999 20 222 37 von Klitzing K Simoni H Burgin D February 1999 Child development and early triadic relationships The International Journal of Psychoanalysis 80 Pt 1 71 89 doi 10 1516 0020757991598576 PMID 10216817 von Klitzing K Burgin D January 2005 Parental capacities for triadic relationships during pregnancy Early predictors of children s behavioral and representational functioning at preschool age Infant Mental Health Journal 26 1 19 39 doi 10 1002 imhj 20032 PMID 28682511 Erlich Nicole Lipp Ottmar V Slaughter Virginia 2013 Of hissing snakes and angry voices human infants are differentially responsive to evolutionary fear relevant sounds Developmental Science 16 6 894 904 doi 10 1111 desc 12091 PMID 24118715 Garrett Eilidh 2007 Infant Mortality A Continuing Social Problem Ashgate Pub Co ISBN 978 0 7546 4593 1 page needed Hertz E Hebert JR Landon J July 1994 Social and environmental factors and life expectancy infant mortality and maternal mortality rates results of a cross national comparison Soc Sci Med 39 1 105 14 doi 10 1016 0277 9536 94 90170 8 PMID 8066481 Etchegoyen G Paganini JM April 2007 The relationship between socioeconomic factors and maternal and infant health programs in 13 Argentine provinces PDF Rev Panam Salud Publica in Spanish 21 4 223 30 doi 10 1590 S1020 49892007000300005 PMID 17612466 Archived PDF from the original on 2018 04 21 Brym Robert 2007 Sociology Your Compass for a New World Wadsworth Cengage Learning p 546 ISBN 978 0 495 09912 3 Kuehn B M 2008 Infant Mortality JAMA The Journal of the American Medical Association 300 20 2359 doi 10 1001 jama 2008 642 Infant Mortality Rate Deaths per 1 000 Live Births Linked Files 2006 2008 Archived 2012 06 12 at the Wayback Machine statehealthfacts org Human Growth Development and Learning 2004 Ed p 50 ISBN 971 23 3911 4 2004 is mainly through prespeech forms of crying babbling gesturing and emotional expressions In babyhood understanding comes from a combination of sensory exploration motor manipulation and toward the end of babyhood from questions to answers Babyhood is regarded as a critical period in personality development because it is the time when the foundations of adult personality are laid Developmental Psychology p 121 ISBN 971 23 2463 X 1998 However Hurlock 1982 cites that infancy compared to babyhood is characterized by extreme helplessness The word baby may likewise suggest a helpless individual hence the word toddler has been increasingly used to denote a baby that has achieved enough control of his body to permit relative independence such as moving about feeding himself etc Characteristics of Babyhood The most important characteristics of babyhood are listed below 1 It is the true foundation age External links Wikiquote has quotations related to Babies Wikibooks has a book on the topic of Baby care and evolution Wikimedia Commons has media related to Babies Look up infant in Wiktionary the free dictionary American Academy of Pediatrics The World Health Report 2005 Make Every Mother and Child Infant eyesight University of Illinois Simkin Penny Whalley Janet Keppler Ann 1991 Pregnancy Childbirth and the Newborn The Complete Guide Revised ed Meadowbook Press ISBN 978 0 88166 177 4 Preceded byFetus Stages of human developmentInfancy Succeeded byToddlerhood Retrieved from https en wikipedia org w index php title Infant amp oldid 1135361747, wikipedia, wiki, book, books, library,

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