You - Croydon Health Services NHS Trust

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Your baby
& You
Croydon University Hospital
NHS Trust
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Your baby
and you
Published by:
Burrows Communications Limited
Cantium House, 2nd Floor, Railway Approach, Wallington SM6 0DZ
Tel: 020 8773 3000 • Fax: 020 8669 0301
email: [email protected] • www.burrows.co.uk
Our Advertisers:
We gratefully acknowledge the support of all the firms whose advertisements appear
in these pages. Without their help we would not be able to produce this guide.
As a reciprocal gesture we have pleasure in drawing the attention of our readers to
their announcements, but wish to make it clear that the Maternity Service at Croydon
University Hospital NHS Trust can accept no responsibility for their products or
services advertised.
your baby and you
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Aerodrome Children’s Centre
We are a friendly Children’s Centre based in Waddon.
Aerodrome Children's Centre aims to offer local families and
children a variety of advice, support, courses and activities
to help keep your family safe and meet your needs. Free
sessions include stay and play sessions, baby PEEPs,
breast feeding support, health clinics, speech and language
support and dads’ sessions. Courses include parenting
courses; First Aid and English as an additional language;
reading schemes and a range of sessions to support children
and families bond and learn together.
The centre has indoor and outdoor play space; a sensory
room and soft play room.
Qualified early years and family support staff can help you
to use and find services and activities that will support and
help families and children.
We look forward to welcoming you at Aerodrome.
For full programme details and times please drop into
the big red building on Violet Lane, CR0 4HN or call:
020 8688 7710.
www.aerodromeprimary.co.uk
www.familyspacecroydon.co.uk
3034424
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Contents
Going Home from Hospital
7 Going Home
Discharge Arrangements
Croydon Maternity Unit
Car Safety
Going Home after a Caesarean section
Community Midwives
Supervisor of Midwives
Signs & Symptons
Requiring Medical Attention
13 Post-natal Check up
13 Personal Child’s Health
Record (the Red Book)
13 Outstanding Appointments
7
8
8
8
9
10
11
Physical & Emotional Wellbeing
17 Physical Changes & Advice
17
17
18
18
19
19
20
20
21
23
Blood loss (lochia)
Bladder (passing urine)
Bowels (passing faeces/motions)
Perineal care
Breasts
Care after a Caesarean section
Infection
Legs (thrombosis)
Diet
Alcohol
Looking After Your Baby
41 Feeding Your Baby
42
42
44
44
Top Tips for Breastfeeding
How to tell if breastfeeding is going well
Where to get help with breastfeeding
Bottle Feeding
45
45
45
46
47
48
49
Baby Care
Registering
52 A guide to registering
your baby’s birth
52
52
52
52
52
53
53
53
54
27 Emotional Wellbeing
27 “Baby Blues” & emotional support
Sex & Contraception
30 Sex & Contraception
Exercising
34 Getting back into shape
35
36
37
37
37
Pelvic floor exercises
Stomach exercises
Exercise after a Caesarean section
Problems
Postnatal classes
Newborn Spot Screening
Nappies
Reducing the risk of cot death
Jaundice
Baby skin and cord care
Vaccines & Immunisations
55
55
How to find Croydon Register Office
How to register your baby’s birth
When should I register my baby’s birth?
Will I need an appointment to
register by baby’s birth?
Who can register baby’s birth?
What information will the registrar need?
What documents will the registrar give me?
Is there a charge for registering a birth?
If I am not married to the father,
can I add his details later?
Can I change the names on my
child’s birth certificate?
Most Popular Names for babies in England
and Wales in 2013
Useful contact details
58 Local & National Services
59 References
your baby and you
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BIRDHURST
NURSERY
❖ Ofsted “Good”- Registration number: EY411750
❖ All food cooked in-house
❖ Large outdoor area
❖ Excellent transport links with bus routes outside and South
Croydon train station less than 5 minutes walk away
❖ Close relationships with local schools
❖ Education and care planned for each individual child
3 months-2 years
2-3 years
3-5 years
Full Day
8am-6pm
£53
£50
£46
Morning Session
8am-1pm
£28
£26.50
£24.50
Afternoon Session
1pm-6pm
£26.50
£25
£23
VISIT OUR WEBSITE:
www.birdhurstnursery.org.uk
OR
CALL US ON: 0208 681 3187
❖ 2 and 3 year old funding available.
3035122
3035173
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Going home
from hospital
your baby and you
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LaDel’s
Day Nursery Ltd
3 months to 5 years • 7.30am to 6pm
Provides a joyful and rewarding
experience through creative learning
in a homely environment
(T) 020 8764 4343 (M) 07782 128568
(F) 0560 205 7418
[email protected]
www.ladelsdaynursery.co.uk
Highbury Community Centre, Highbury Avenue,
Thornton Heath CR7 8BQ
3035149
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Going home
We want things to go smoothly when you leave hospital.
For this reason, making plans to leave should start at the
beginning of your stay in hospital. You and your partner
should also think about transport home.
Discharge Arrangements
When you go home you will be given details of your birth record to give to
your Midwife, GP and Health Visitor. The Midwife will also give you the baby’s
Red Book and contact numbers. Please make sure that the midwife knows the
address you are going home to and your contact number as we will be arranging
for the community team to visit you.
Depending on the type of delivery you have, if you and your baby are both
well, it is possible to go home between two and twelve hours after the birth.
If you have a Caesarean section it is more usual to stay in hospital for 2-3 days
after the birth.
Before you go home it is important that you:
• Try and arrange for someone to be at home with you to help.
• Remember that you will need a baby car seat, even if you go home by taxi.
• Tell the midwife if you are not returning to your normal home address. This
is important so that the community midwife can continue your postnatal care.
• If you are not breast feeding, arrange for someone to set up the sterilising
kit at home.
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Croydon Maternity Unit:
530 London Road, Croydon, Surrey CR7 7YE
Telephone No:
0208 401 3000
Labour Ward:
0208 401 3179 or 3180
Postnatal Ward:
0208 401 3182
Community Midwives: 0208 401 3171
Birth Centre:
0208 401 3169
In an emergency please contact Labour Ward
Some families will have a discharge planning meeting with professionals, to
ensure that all the right support is in place for you and your baby to be safe
at home.
Car Safety
We strongly recommend that you use an approved car restraint or a car seat to
take your baby home. This is now a legal requirement. Always use these when
your baby travels in the car. The first journey home is just as important as any
other journey.
Inflatable bags are fitted to the seats of many cars. These are designed to fill
with air automatically in the event of a crash and create a protective cushion
for travellers. However, airbags are considered dangerous for babies and small
children. Babies and young children should always travel in an appropriate car
seat. Never use a rear- facing car seat in the front of a car when an airbag is
fitted (unless it is turned off).
Going Home After a Caesarian Section
Women generally stay in hospital for 2–3 days after a Caesarean section. But
if you and your baby are well, and if you wish to go home early, you should be
able to go home earlier than this (after 24 hours) and have follow-up care at
home. In addition to routine postnatal care, you will need advice about
recovering after a Caesarean section and possibly about other complications if
you had these during pregnancy or childbirth.
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Community Midwives and Community Maternity Support Workers
Our community team work in the hospital and in the community at various
locations including Children Centre’s and GP surgeries. A Community Midwife
will visit you or contact you the day after you leave hospital and will arrange
future visits with you according to your specific needs. These future visits will
usually be at home for the first visit, and after that may be at a postnatal
clinic or at the children’s centre, but visits may continue at home. Some
families may require extra support and the community midwife in these cases
may visit you more frequently, or stay involved in your care up to 28 days.
This will be decided at discharge from the ward.
At one of these visits a screening blood test will be offered to your baby,
details of which are in the screening booklet given to you when your care was
initially booked, and also your baby will be weighed. At the final review, care
will be handed over to the health visitor: this is usually around the tenth day,
but may be longer if necessary.
If you have any problems or wish to ask advice e.g. about breastfeeding, please
phone at any time and speak to a midwife for further assistance. The community
midwives can be contacted on 0208 401 3171, leave your name and number
and a midwife will call you back within 24 hours. The messages are checked
daily between 8am – 9am. If you are from out of area please contact your
local maternity hospital and ask to be put in contact with your local midwife.
You may also wish to consider contacting support groups such as Croydon
Breastfeeding Team, the Association of Breastfeeding Mothers or the La
Leche League (details of which are available in the Useful Numbers section
of the booklet).
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Supervisor of Midwives
A Supervisor of Midwives (or SoM) can offer guidance and support about any
aspect of midwifery care. This includes
• creating a comfortable and confidential environment for you to discuss your
care with your midwife (for example, whether you would prefer to have your
baby at home, in a birthing centre or in hospital)
• providing advice about the various options of care available to you and any
support you may need during your pregnancy and birth
• monitoring the ability and behaviour of your midwife to ensure that she
meets the standards set by the Nursing and Midwifery Council (NMC)
• listening to any concerns you may have about the level of care you have
received from your midwife (for example, you may have concerns about your
birthing experience) and then discussing these concerns with the midwife if
appropriate
To contact your Supervisor of Midwives please call 0208 401 3000 and ask the
switchboard to contact the Supervisor on call with your details and they will
call you back.
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Signs & Symptoms Requiring Medical Attention
Although severe complications are rare after having a baby it is important
that you are aware of the signs and symptoms for which you should seek
medical attention. If you have any of the following you should contact your
midwife, GP or local maternity unit immediately on local numbers. You can
contact your nearest maternity unit any time of day or night.
Emergency action – see a doctor urgently
(Consider dialing 999 for an ambulance)
You
• You suddenly experience very heavy vaginal bleeding or pass blood clots
• You experience fainting, breathlessness, palpitations or chest pain
• You has a severe, persistent headache
• You are experiencing severe anxiety, paranoia, extreme depression or bizarre
thoughts (or your relatives have noticed any of the above changes in your
behaviour)
Baby
Dial 999 and ask for an ambulance if your baby:
• Stops breathing, goes blue or changes colour
• Is unresponsive and shows no awareness of what is going on
• Has glazed eyes and does not focus on anything
• Cannot be woken
• Has a fit, even if the baby recovers without medical attention
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Urgent action – call midwife, or NHS direct for advice
or see your GP within 24 hours
You
• Severe perineal pain
• You feel unwell, with a high temperature with or without shivers
• You have a very smelly vaginal discharge
• You experience dizziness, fainting
• You have severe abdominal pain
• You have visual disturbances/ nausea or vomiting
• You experience pain in one of your calves with redness or swelling
• You are unable to pass any urine at all in the hours immediately following
the birth.
Baby
• If your baby is not feeding
• If your baby has no wet nappies
• If you baby does not have a bowel motion
(dirty nappy) for more than 24 hours
• If your baby is ‘floppy’, difficult to wake and difficult to feed
• If your baby is jaundiced (yellow colouring of the skin)
and is sleepy and not feeding
• If there are any blisters on your baby’s skin
• If your baby has a high pitched cry that continues and
you are unable to settle him/her.
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Non-urgent action – call your midwife for advice, ‘wait and see’ whilst taking
simple measures or see your GP
You
• Perineal discomfort
• Constipation
• Persistent fatigue
• Cracked or painful nipples
• Engorged breasts, mastitis
Baby
• Has got thrush
• Has nappy rash
• Has colic/windy baby
Post-natal Check Up
To be sure that your body is recovering normally after having your baby, a
postnatal check at 6-8 weeks is available to ensure that all is well; if this is to
be with your GP you will need to make that appointment. If you need to be
seen at the hospital, an appointment will be sent to you. Your community
midwife will advise you which type of appointment is necessary. You GP will
advise you if you need a cervical smear.
Personal Child Health Record (Red Book)
The Red Book is a way of keeping track of your baby’s progress. Your baby’s
details at birth are recorded as well as the first examination.
Your baby’s weight and immunisations are recorded as well as other details
about childhood illnesses and milestones. This is your record; take it with you
whenever you see anyone about your child’s health. You can also add your
own information such as when your child does something for the first time.
Information about the screening tests offered to your baby (newborn and six
to eight week infant physical examinations) can be found in the “Screening
Tests for You and Your Baby” leaflet.
Outstanding appointments
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your baby and you
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Bodhi Tree Counselling Services
Are you finding it difficult to cope?
Does life seem overwhelming at times?
Many people choose therapy when they are experiencing an upheaval or difficult, upsetting time
in their lives. You may be feeling depressed, anxious, or dissatisfied with life. Even with the support
of family and friends it can be difficult to communicate your feelings to them. Sometimes it’s easier
to talk to a person separate from your everyday life. Counselling gives you a time and place to
talk about, and explore how you are feeling.
Please contact me by phone or email for more information or to make an initial appointment.
Call Carrie Best MBACP Psychodynamic counsellor
07526762072 • [email protected] • www.bodhitreecounselling.co.uk
3035401
All Abilities Pilates is a company that runs Pilates exercise
sessions for people from all walks of life in the Carshalton,
Banstead, Surrey area.
Why not try Pilates as an excellent and gentle way of getting
into shape? Take a look at our website for your nearest session.
Please do come and join us! www.allabilitiespilates.com
3035244
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Physical and
emotional
wellbeing
your baby and you
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My name is Shirley Iacovou and I am an experienced
therapist who is passionate about both holistic massage
and reflexology.
Holistic therapies such as massage and reflexology help
to promote total relaxation and enhance wellbeing.
If you would like to experience some of these benefits
for yourself or want to find out more about these
wonderfully relaxing therapies, please visit my website
or contact me using the details below.
All treatments are confidential and carried out in private,
comfortable surroundings.
3035403
3035217
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Physical changes
and advice
Looking after yourself is just as important as looking after
your baby. The following information may help to
answer some of your questions.
Blood loss (lochia)
Vaginal bleeding straight after delivery is normal. At first it is bright red, and
then it becomes more watery and pink, then turns brown, and finally turns to
a cream colour. At first it may be quite heavy, but it should become lighter;
therefore if sanitary pads are soaked, you are passing fresh red blood or clots,
have abnormal pain or notice an offensive smell, or you are concerned,
contact the 24 hour emergency line for advice.
Bladder (passing urine)
Soreness after the birth can make passing urine painful initially, but it should
resolve quickly. Drinking plenty of fluids to keep the urine diluted helps. For
the first couple of days following birth you may not realise that your bladder
needs emptying. It is therefore important to pass urine approximately every
2-4 hours for the first few days, when awake. Sometimes leakage of urine may
occur on coughing or sneezing, this is known as stress incontinence. Some
women may need to wear protective pads.
If so, let your midwife or GP know. They can refer you to a continence adviser,
once other underlying causes such as infection have been excluded. You can
help yourself to improve your bladder control by doing your pelvic floor
exercises (explained later in this booklet).
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Bowels (passing faeces/motions)
Constipation is very common after childbirth. This can be made worse by
haemorrhoids (piles). Piles can be treated using good hygiene, preparatory
creams, and stool softeners. Pain relief medication can help. A high fibre diet
is important including fresh fruit and vegetables, and drinking plenty of fluids
can help prevent constipation. Occasionally some women have difficulty
getting to the toilet in time and may have an accident. This is not normal
and you can get help. Discuss this with your midwife or GP for referral to a
specialist if any of these problems occur.
Perineal care
It is normal for your perineum, (the area between your vagina and your anus),
to be sore and uncomfortable in the days following your baby’s birth. If you
need pain relief, you can take two paracetamol tablets every 4 to 6 hours, up
to a maximum of 8 tablets in 24 hours. If you are taking any other medication,
please check that you are also able to take paracetamol. It is important to
keep your perineum clean as it is a common area for infection.
Daily baths or showers are very important and you should change your
sanitary pads frequently, washing your hands before and after doing this.
If you have had stitches, these should dissolve over two weeks, as your
perineum heals. If you have any worries about your perineum or your
stitches, please see your GP or midwife. Ensuring a good diet and fluid
intake will help relieve constipation, which may be adding to the discomfort.
Cold gel pads may relieve some discomfort. Tampons should not be used
until at least 6 weeks after birth to reduce the risk of infection.
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Breasts
All new mothers produce milk in their breasts whether they are breastfeeding
or not. After two to three days the breasts may become full and tender but
this generally resolves itself. If at any time you should notice a tender palpable
lump or a redness of the skin over a lump or area of the breast, or you
develop flu-like symptoms, you should seek immediate help and contact your
midwife. In the meantime if breastfeeding, it is important to “move the milk”,
sometimes you may need to express your milk after a feed until your breasts
are comfortable; gentle massage of the affected area during the feed and
whilst expressing can help. If your nipples or breasts are sore you need to
seek advice on positioning.
Care after a Caesarean section
If you have had a Caesarean section, you should continue to take regular
pain-killers for as long as you need them. You should be given advice about
how to look after your wound. Advice should cover wearing loose, comfortable
clothes and cotton underwear, gently cleaning and drying the wound daily,
and looking out for possible wound infection (such as more pain, redness or
discharge) or fever.
You should tell your midwife or doctor if you : have symptoms such as pain on
passing urine, or leaking urine; your vaginal bleeding increases, or becomes
irregular or painful; develop a cough or shortness of breath, or swelling and
pain in your legs, so that they can make sure that these symptoms are not
caused by a blood clot.
There may be some things that you are not able to do straight after the birth,
such as driving a car, lifting heavy things and some exercises. If you are
unsure, discuss any concerns or problems with your midwife or GP. Check
with your car insurance cover about driving. Some insurance companies
require your GP to certify you are fit to drive.
Just because you have had a Caesarean birth this time, it does not mean you
will have to have another one next time. It will depend on the reason for the
Caesarean. You can talk to your midwife or GP about the reason you had a
Caesarean this time and your options for future pregnancies. Many women go
on to have a vaginal birth after having had a Caesarean.
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Infection
Your community midwife may check your temperature and pulse, if you
report concerns. It is advisable for you to have a thermometer at home for
yourself and for your baby. A high temperature, together with other signs,
may indicate infection. Other signs may include feeling feverish, or having
pain on passing urine, a painful perineum, or painful, red abdominal wound,
or abdominal tenderness.
Legs (thrombosis)
All pregnant women are at an increased risk of developing blood clots
(thrombosis) during pregnancy and in the first weeks after the birth. This
risk is increased if you are over 35 years of age, overweight, a smoker or
have a family history of thrombosis. It is important for you to do regular ankle
exercises, and women who have had a Caesarean are encouraged to wear
special stockings. You are advised to report it straight away to the hospital,
your midwife or GP if you have any of the following symptoms: pain, redness,
heat or swelling in your legs. These can be signs of DVT (deep vein thrombosis).
If you have pain in your chest, or sometimes in the back or shoulders, with
shortness of breath or coughing up blood, this may be a sign of pulmonary
embolism (blood clot in the lung) and you should inform your doctor or
midwife immediately, as this is a very serious condition.
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Diet - Healthy eating and drinking
A healthy diet is essential for both you and your baby. This doesn't mean you
have to follow a very strict diet - just that you try to eat a variety of healthy
foods every day. You may be entitled to get Healthy Start vouchers to spend
on milk, fruit and veg and free vitamins. Ask your midwife about the Healthy
Start Scheme. It is recommended that all breastfeeding women take a daily
supplement of 10mcg of Vitamin D.
For further information visit www.healthystart.nhs.uk or call 0300 123 1002
Here are some things you should try to eat every day:
• five portions of a variety of fruit and vegetables
• at least one serving of a high-protein food
(meat, fish, poultry, eggs, beans, dhal, lentils or other pulses)
• some kind of dairy product such as milk, hard cheese,
yoghurt or fromage frais - preferably low-fat versions
• carbohydrates (bread, cereal, potatoes, rice, pasta, chapatti, green
banana or cous-cous) -these should make up the main part of your meals
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And here are some things you should avoid having too much of:
• fatty food (margarines and spreads, cooking oil, crisps)
• sugar (chocolate, sweets, cake, fizzy drinks)
• caffeine (tea, coffee, cola)
• oily fish (mackerel, sardines, trout, fresh tuna) - oily fish is very good for you
and your baby, but don't have more than two portions a week. Oily fish has
high levels of mercury, so although it is good for you, the DOH Food
Standards Agency does not recommend that you eat this more than twice a
week whilst breastfeeding.
Breastfeeding mothers don’t need to eat anything special, but like everyone,
they should be encouraged to include foods from each of the food groups,
have a variety of fruits and vegetables and to include some milk as part of a
healthy balanced diet.
However there are a few foods you should avoid altogether if you are
breastfeeding:
• soft cheeses
• liver and food made with liver (like liver pâté)
• raw eggs - so make sure the yolk is cooked through when you cook eggs
• shark, marlin and swordfish
If your urine is dark and has a strong smell, this is also a sign that you are not
drinking enough.
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Alcohol
Drinking alcohol is something that most of us do as part of our everyday lives
relaxing with friends, celebrating, or winding down after work. You do not
have to miss out on drinking while you are breastfeeding because even
though it passes quite freely into your milk in small amounts, it’s very unlikely
that having an occasional drink will harm mother or baby if breastfeeding.
So breastfeeding women are advised to keep drinking within the boundaries
recommended by DOH (Department of Health). This is to limit it to two units
of alcohol once or twice a week – and avoid getting drunk.
If a breastfeeding mother regularly drinks more than this amount it may
affect baby in a number of ways:
• The milk may smell different and put baby off feeding
• It can reduce the amount of milk you are producing
• The alcohol may make the baby too sleepy to feed
• The baby may have difficulties with digestion and problems with his or her
sleeping patterns.
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Helpful tips on breastfeeding and alcohol
• Drink after you have breastfed your baby, not before.
• Do not fall asleep with your baby on a sofa – especially if you have been
drinking.
• If it is a special occasion and you know you are going to be drinking,
consider expressing milk in advance.
• If unexpectedly one drink leads to another and you become inebriated
- Try and find someone else to take care of your baby during this time
- ‘Pump & Dump’ – If your breasts become full and uncomfortable whilst you
are feeling the effects of alcohol, express and discard this milk. Generally
once you feel fine, your breast milk will be OK to feed to baby, as your body
has processed the alcohol from your whole system including the breast milk.
One unit of alcohol =
• A single (25ml) measure of spirits at 40% ABV (alcohol by volume)
• Half a pint of beer at 3.5% ABV
• Half a 175ml glass of wine at 11.5% ABV
Binge drinking or getting drunk is defined as more than 7.5 units on a
single occasion.
For more advice on alcohol and unit information
Visit www.nhs.uk/units or drinkaware.co.uk, or call Drinkline on 0300 123 1110
For more information on breastfeeding and alcohol
visit www.breastfeedingnetwork.org.uk
or call the National Breastfeeding Helpline, 0300 100 0210
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Croydon North Locality of Children’s Centres
Ecclesbourne: Atlee Close, CR7 7FA
Kensington Ave: Kensington Avenue, CR7 8BT
Winterbourne: Winterbourne Road, CR7 7QT
020 8683 7760
020 8765 8128
020 8689 0978
We offer FREE services to all families
with children under 5.
To find out more please call us or drop in.
For a copy of our current timetable, please visit
www.familyspacecroydon.co.uk
CROYDON
CHILDREN’S CENTRES
3035215
3035351
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Ania Rherri Photography
Maura Cripps
Baby Massage
Vocational International Award
I.I.H.H.T
Massage is an excellent way of bonding
with your baby. Most of us respond to touch,
it is comforting and gives us all a sense of security.
Massage has the physical effects of:
Boosting the immune system • Aiding circulation
Aiding digestion • Nourishing the skin
Increasing suppleness and general well being
It may also help with:
Sleeping problems •Constipation •Colic
Teething problems •Dry skin
To discuss your individual needs as to how
massage can have a positive affect on both babies
and parents, please contact me for an informal
discussion, without obligation.
Baby and family special
offer: photo session at the
chosen location, digitally
edited images on a USB
key and online protected
gallery for only £150.
Please call Ania on 07903731443 or e-mail
[email protected] for further details and
also visit my website www.aniarherri.com
Tel: 020 8657 3562
Mob: 07752 057676
3035243
3035094
Reiki is a natural form of healing suitable for
everyone from young to old. It is a safe and
gentle therapy that can relax, balance and help
to heal the whole person including the mind,
body, emotions and spirit.
Sue Toomey
07882 327275
www.reikiandbeyond.co.uk
3035216
Teething
A child’s first teeth, also known as milk teeth, usually develop in the womb. But these teeth
only start to cut through the gum at the age of around six to nine months. When a baby's
teeth start to emerge through the gum, this is called teething. It typically takes until the child
is two-and-a-half for the full set of teeth to come through.
Teething won't make your baby ill, but if symptoms persist or
your baby has a high temperature, seek medical advice.
This is a new sensation for your baby so they will need lots of reassurance and hugs.
A full set of primary (baby) teeth (24 in all) should have come through by their third birthday.
26
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27
Emotional wellbeing
The majority of women will experience some level of ‘Baby
Blues’ in the days following the delivery of their baby,
normally peaking around three or four days after the birth.
“Baby Blues” and emotional support
This is a normal response to changing hormones combined with loss of sleep
and discomfort as your body recovers from giving birth. This normally resolves
after a few days, but it is very important during this time to rest and receive
extra support with baby. Adjusting to parenthood can be draining, particularly
in the first few weeks when your sleep patterns are disturbed. Keeping meals
simple, sleeping when your baby sleeps, spacing visitors and asking for support
when needed are all important during this time. If you are breastfeeding,
your partner can help by bathing, changing and dressing baby, so including
both parents in the care of their newborn. Having plenty of skin-to-skin
contact with your baby can help by working on hormone levels, raising those
that bring positive feelings.
It is important that if the ‘Baby Blues’ do not disappear after a week or so,
that you discuss this with your midwife, GP or health visitor. 10 to 15% of new
mums will experience some level of postnatal depression. This is a real illness
that may be helped considerably by talking about your feelings, expanding
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your social network and obtaining support from family, friends and professionals.
Your partner can play an important part in noticing small symptoms such as
anxiety, loss of confidence, sleeping and eating difficulties, difficulty coping
with everyday tasks, tearfulness and irritability, feeling hopeless or
despondent. Should you be concerned about your feelings at anytime, please
do not be afraid to discuss them with your midwife, GP or health visitor, as it
is something we are used to helping with.
If you labour did not go to plan and you would like to discuss what happened,
please contact the maternity department and we will arrange for you to be
able to discuss your birth experience with a member of our team via the main
switchboard on 0208 401 3000.
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29
3
Sex and
Contraception
your baby and you
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Contraception may be the last thing on your mind when
you have just had a baby, but it is something you need
to think about if you want to delay or avoid another
pregnancy soon after this baby.
A lot of unplanned pregnancies happen in the first few months after childbirth,
so even if you’re not interested in sex at the moment, it is better to be prepared.
How soon can I have sex again?
You can have sex as soon as you and your partner want to. However, having
a baby causes many physical and emotional changes for both partners, and it
may take some time before you feel ready to have sex. It is common to feel
nervous, but there is usually no reason why you should not enjoy sex just as
much as before. It can help if you and your partner talk about any worries you
have. If you have any discomfort which might affect your enjoyment of sex,
such as stitches which have not healed, discuss this with your midwife, GP,
practice nurse, or health visitor.
When will my periods start again?
If you bottle-feed, or combine bottle and breastfeeding, your first period could
start as early as five to six weeks after the birth. If you are breastfeeding,
your periods may not come back until you stop. However, you can be fertile
before you get your first period. This is because you ovulate (release an egg)
about two weeks before a period so you are able to become pregnant without
having had a period.
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How soon do I need to use contraception?
You can become pregnant again quickly after the birth whether you are
breast or bottle feeding, therefore you must use contraception every time you
have sex. Don’t wait for your periods to return, or until you have your postnatal check before you use contraception, as you could become pregnant again
before then.
When can I start to use contraception?
You can use male and female condoms as soon as you want to. Other methods
of contraception will need to be discussed with your GP. If you are going to
use a hormone contraceptive then you need to start after 21 days following
your baby’s birth. Your GP will make sure you are given the correct type.
Which contraceptive method will be suitable for me?
This depends on what you and your partner prefer, your medical history,
any problems you had in the pregnancy and if you are breastfeeding.
Your GP should be able to advise you on this. There are three main methods
of contraception:
• Hormonal methods, such as oral contraceptive
pills, patches, implants, and injections.
• Barrier methods include the diaphragm and condoms.
Male and female condoms are easy over-the-counter choices.
• The IUD, intrauterine contraceptive device.
Will breastfeeding act as a contraceptive?
Breastfeeding is not 100% effective in preventing pregnancy.
Can I use emergency contraception after the birth?
Yes. If you have unprotected sex you can use emergency contraception.
If you are breastfeeding, using the emergency pill will not harm the baby or
affect the breast milk. Your GP or pharmacist will be able to provide further
information on this.
Where can I get advice?
You and your partner can visit your doctor, practice nurse, family planning
clinic or sexual health clinic.
Will contraception protect me from sexually transmitted infections?
Most methods of contraception do not protect you from sexually transmitted
infections. Male and female condoms, when used correctly and consistently,
can help protect against sexually transmitted infections. Diaphragms and caps
may also protect against some sexually transmitted infections.
your baby and you
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Pools also in
Coulsdon
Caterham,
Selsdon and
Whyteleafe.
Pool
sites now in
South Croydon
and
Croydon
3035242
Silverstone Osteopathic Clinic
At the Silverstone Osteopathic Clinic osteopaths offer experience
backed by formal training* in treating a range of concerns
experienced by expectant mothers and during the early weeks
following giving birth. We also address some of the health needs
of new born babies and of children. We usually find that the gentle
osteopathic approach known as “cranial”, or, “cranio-sacral therapy”,
is the ideal to aid diagnosis and for treatment.
89, Brighton Road, Purley, Surrey CR8 4HD
Please call with enquiries: 020 8660 6632
website (under construction):
www.myosteopath.co.uk
(* formal post-graduate training at the Osteopathic Centre for Children takes
place over two years. See: occ.uk.com)
3035189
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4 Exercising
your baby and you
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Getting back
into shape
Mothers that breastfeed can burn an extra 500 calories a
day. Now you have given birth, you may be wondering
how to begin exercising safely to help your body return to
its pre-pregnancy condition.
It is important that after having a baby you continue to take good care of
yourself and restarting a few simple exercises early on can increase your
energy levels and help to improve your fitness. However, it is important that
you start gently with a few safe exercises and only do what feels comfortable.
Going out for a walk with your baby in the pram is a good way of getting
exercise and fresh air for you both. Start at an easy pace, gradually increasing
the time to 30 minutes and building up the pace to a brisk walk.
The effect on your ligaments becoming more flexible in pregnancy means
that joint problems can be made worse by excessive stretching or high impact
exercise. These effects continue for up to 5 months after birth. It is a good
idea to wait until 3 months postnatal to return to high impact exercise to
reduce the risk of injury. High impact exercise is any exercise when both feet
leave the floor at the same time. Swimming is a low impact exercise and you
can start when you are 7 clear days free of vaginal bleeding, and when any
scarring is fully healed. If you have had a Caesarean section you may prefer
to wait until your GP appointment.
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Pelvic Floor Exercises
In women, pelvic floor muscles support the bladder, bowel and womb and
therefore have been affected both by the pregnancy and the delivery,
regardless of how your baby was born. It is important that these muscles
are exercised following the birth of your baby in order that they continue to
support these organs in later life. Women with strong pelvic floor muscles are
less likely to suffer from prolapse or leakage from their bladder or bowel.
Toning these muscles in the short term can also reduce swelling and soreness.
Pelvic floor exercises are quick and simple and can be done anywhere as
long as you maintain good posture, as the pelvic floor muscles function much
better this way. You should feel a gentle lift and squeeze around your front
and back passages. This is the basic exercise that will tone these muscles.
Every woman is different and it is important that you don’t strain yourself.
Start gently by holding this ‘squeeze’ for five seconds. Rest and repeat the
exercise up to ten times.
Gradually increase the length of time you can hold it for (up to a maximum of
ten seconds) as the muscles become stronger.
Next try to squeeze and lift more quickly and release slowly (up to ten times).
This will help to reduce leaking urine when you cough, sneeze or laugh. It is
important that if you have any problems with your bladder that you discuss it
with your GP.
DO NOT:
Hold your breath • Tighten your tummy excessively • Tighten your buttocks
REMEMBER:
Start gently and increase the strength and frequency of the exercises, as
feels comfortable. Try to repeat these exercises four to six times everyday.
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Stomach Exercises
The deep stomach muscles are the most important stomach muscles to
exercise in the first six weeks after your baby is born. They help to support
the spine and pelvis and exercising them will help to flatten your tummy.
Starting sit ups too soon can further damage your tummy muscles and should
be avoided for 6 months.
• Lie on your side with a pillow or cushion
between your legs and your knees slightly bent
• First relax and let your tummy sag, then breathe in gently
• As you breathe out again gently pull in the lower part of your tummy
and your pelvic floor together and then slowly release
Rest for a few seconds and then try again. Repeat four or five times with a
short rest in-between each one. Build up until you are able to hold each one
for a maximum of ten seconds and only repeat up to ten times.
You can also choose a different position. Try lying on your back with a pillow
underneath your head.
General Advice
Make sure that you are very careful in the first few weeks at home. Avoid
lifting anything heavier than your baby as much as possible. Avoid leaning
down to pick objects up off the floor, bend your knees and keep your back
straight instead. As you pick things up, tighten your pelvic floor and stomach
muscles to help you.
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Exercise after a Caesarean Section
The advice after Caesarean section is no different- you can do the same
activities and exercises as anyone after your baby is born. However you have
just had an operation, with several layers of stitches in the lower abdomen,
so you will be more tired. Listen to your body and go at your own pace.
• To reduce pain with coughing or sneezing, support your scar with your
hands or a pillow.
• Make sure your insurance company covers you before driving.
This is normally 4-6 weeks postnatal.
Problems
If you have any persistent pain, loss of bladder or bowel control or difficulties
with sexual intercourse, you should contact your GP who may refer you to see
a physiotherapist.
Postnatal Exercise Classes & Fitness Training
Specialist exercise classes can be a really great way to meet others and
develop new friendships as well as safely regain your strength and fitness.
When booking a postnatal exercise class or training session always ask the
instructor if she/he has a specific postnatal qualification. If they don’t it’s best
to avoid their class until you are at least 6 months post natal and your pelvic
floor and core abdominal muscles are really secure and reliable.
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Oasis Academy Shirley Park Children’s Centre
Malling Close, Croydon CR0 7YD
0208 655 5686 • 07983326201
Ages 6 months to 5 years
Open 8am - 6pm, Monday to Friday, 48 weeks per year
Free sessions available for funded children - 15 hours 3+ years
plus competitive price discount available for siblings.
Breakfast, lunch and after school service available
138 Addington Road, South Croydon CR2 8LA
0208 657 4300 • 07544567641
Ages 2 years - 5 years
Mon 9:00am - 1:00pm Tues - Fri 9:30am - 12:00noon
(open term time only)
Qualified, mature and experienced staff. Do come and
see us in action or phone us for an appointment
or prospectus.
3035218
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39
5
Looking after
your baby
your baby and you
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★ Bright & friendly Day Nurseries offering care for children 0-5 years
★ We have large, secure & peaceful gardens
★ Baby lunches are 100% organic & nursery lunches are 50% organic
★ We offer all children five portions of fruit & vegetables every day
★ PURLEY - Meadow Hill 020 8660 2340 OFSTED GOOD 2014
★ CROYDON - The Colonnades, Purley Way 020 8667 0687 OFSTED GOOD 2013
★ OLD COULSDON - Homefield Road 01737 552646 OFSTED OUTSTANDING 2014
★ SELSDON - Sandpiper Road 020 8651 3191 OFSTED GOOD/OUTSTANDING 2014
Call us or visit www.brightsparksdaynurseries.co.uk
3035316
Parchmore pre-school is situated in Thornton
Heath at Parchmore Methodist Church,
Parchmore Road.
Parchmore pre-school is open to all children
aged 2-5 yrs old.
For a list of current prices
and to book a viewing
please contact Emma
Payne on 07833 364676.
We are open Monday to Friday 9-3pm
(Term time only).
All staff hold a level 3 or above qualification,
as well as First aid and safeguarding training.
All staff hold a current DBS certificate.
Parchmore Pre-school
3035402
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Feeding your baby
Croydon University Hospital is working towards becoming
a unit accredited with a breastfeeding quality standard
from UNICEF UK Baby Friendly initiative.
Whether you are breastfeeding or formula feeding, prior to going home you
will be given support to ensure you feel confident with all aspects of feeding
your baby, that you are able to recognise that the baby is feeding effectively,
and where to seek further infant feeding support should you need it.
Top Tips for Getting Breastfeeding off to a good start
1
2
3
4
5
6
7
8
9
Feed baby whenever he/she shows signs of hunger (feeding cues)
No restrictions on timing or duration of feeds, responsive feeding
Positioning & attachment effective
Avoid supplements, nipple shields and teats
Keep baby close. Lots of skin contact
Frequent feeds (commonly babies feed often at night at first)
Learn to recognise feeding cues and respond early
Seek support whenever needed
Try to relax
Although breastfeeding is natural, it has many learned aspects for you and
your baby.
Breastmilk is the perfect food for your baby and gives all the nutrients he or
she needs for the first six months. Colostrum is the name given to the milk
produced in the first few days. It is a concentrated form of breastmilk, packed
full of nutrients and antibodies, but smaller in volume so that your newborn
baby can easily digest it.
Breastfeeding also helps to protect your baby from infections and other diseases.
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Breastfeeding should be responsive to the needs of both you and your baby;
you can never overfeed a breastfed baby. The baby will want to feed at least
8 – 10 times in 24 hours. Don’t be afraid to ask for support or advice with
breastfeeding. When you leave hospital you will receive a “Who can Help”
leaflet which tells you about breastfeeding cafés and drop in clinics in your area.
‘Off to the Best Start’ is a leaflet that gives lots of useful information on
breastfeeding. Please ask your midwife for a copy if you do not have one.
How to tell if breastfeeding is going well
Going well if:
• Your baby has 8 feeds or more in 24 hours
• Your baby is feeding for between 5 and 40 minutes at each feed
• Your baby has normal skin colour
• Your baby is generally calm and relaxed whilst feeding and is content after
most feeds
• Your baby has wet & dirty nappies (see page 45)
• Breastfeeding is pain free
• When your baby is 3-4 days old & beyond you should be able to hear your
baby swallowing frequently during the feed
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43
Talk to your midwife if:
• Your baby is sleepy and has had less than 6 feeds in 24 hours
• Your baby consistently feeds for 5 minutes at each feed
• Your baby always falls asleep on the breast and/or never finishes the feed
• Your baby appears jaundiced
• Your baby comes on and off the breast frequently
during the feed or refuses to breastfeed
• Your baby is not having wet and dirty nappies
• You are having pain in your breasts or nipples,
which doesn’t disappear after the baby’s first few sucks.
• Your nipples come out of the baby’s mouth
looking pinched or flattened on one side
• You cannot tell if your baby is swallowing any milk
before your baby is 3-4 days old and beyond
• You think your baby needs a dummy
• You feel you need to give your baby formula milk
This information can also be found on the Croydon University Hospital NHS
Trust website: www.croydonhealth.nhs.uk/services/breastfeeding_support
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Where to get help with Breastfeeding
Contact Numbers for National &
Voluntary Breastfeeding Support Organisations
• National Breastfeeding Helpline
0300 100 0212 • www.nationalbreastfeedinghelpline.org.uk
• NCT Breastfeeding Line
0300 330 0771 • www.nct.org.uk
• La Leche League
0845 120 2918 • www.laleche.org.uk
• The Breastfeeding Network
0300 100 0210 • www.breastfeedingnetwork.org.uk
• The Association of Breastfeeding Mothers
0300 330 5453 • www.abm.me.uk
Bottle Feeding
If you have chosen to feed formula, you will need to decide which brand to use.
Formula milk is based on cow's milk and then modified to be safe for babies.
Ensure that you check the expiry date on the packaging and follow the
instructions for making up the feed exactly as stated on the label. It is
important that both the water and formula milk powder are measured
accurately to ensure that your baby's feed is not too diluted or too strong.
If you don't do this, your baby could become seriously unwell. As powdered
formula milk is not sterile, it is important to make a fresh bottle for each
feed and to use it within 1 hour.
The free NHS leaflet “Bottle Feeding” gives detailed instructions on how to
prepare formula fee, sterilizing and safety advice. This leaflet can be obtained
from your midwife.
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45
Baby care
Newborn Blood Spot screening
Between days 5 to 8 following the baby’s birth you will be offered a blood
spot screening test for your baby. The newborn blood spot screening
identifies babies who may have rare but serious conditions; thyroid disease,
sickle cell disease, cystic fibrosis and six inherited metabolic disorders.
Screening means that early treatment can improve the health of these babies.
The midwife will take a small amount of blood from your baby’s heel using a
special device to collect some drops of blood onto a card. You can find more
information about this test in the information leaflet ‘Screening Tests for
You & Your Baby’ given to you in early pregnancy or you can discuss this test
further with your midwife.
Nappies
The content of your baby’s nappies will change during the first week. These
changes will help you know if feeding is going well. Speak to your midwife if
you have any concerns.
Baby’s age
Wet nappies
Dirty nappies
1-2 days old
1-2 or more per day
1 or more dark green/black ‘tar
(urates may be present*) like substance’ called meconium
3-4 days old
3 or more per day
nappies feel heavier
2 or more, changing in colour &
consistency - brown/green/yellow,
becoming looser (‘changing stool’)
5-6 days old
5 or more heavy wet**
2 or more yellow;
may be quite watery
7-28 days old
6 or more heavy wet
2 or more at least the size
of a £2 coin, yellow and watery,
‘seedy’ appearance
* Urates are dark pink/red substances that many babies pass in the first couple of days. At this age
they are not a problem, however if they go beyond the first couple of days you should tell your midwife
as that may be a sign that your baby is not getting enough milk
** With new disposable nappies it is often hard to tell if they are wet, so to get an idea if there is
enough urine, take a clean nappy and add 2-4 tablespoons of water. This will give you an idea of what
to look/feel for.
It is common for baby girls to have some mucus and blood from the vagina;
this is like a mini period and is due to the changes of her hormones, you do
not need to worry as this is completely normal.
your baby and you
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Reducing the risk of cot death
In a small number of cases, babies die suddenly for no apparent reason,
from what is called cot death or Sudden Infant Death Syndrome (SIDS). There
are some factors which are associated with SIDS and the advice listed below
provides guidance on how you can help to reduce the risk to your baby.
The advice below should be followed at all times.
• Breastfeeding reduces your baby’s risk of cot death.
• Place your baby on its back to sleep.
This is the safest position for your baby to sleep in.
• Never sleep with your baby on an armchair or sofa.
• Do not let anyone smoke in the same room as your baby. Better still, do not
permit any smoking in the house. Ideally, encourage those concerned to give
up smoking altogether!
• Keep your baby’s head uncovered - place your baby with their feet to the
foot of the cot, to prevent wriggling down under the covers.
• When you check your baby, if they are sweating or their tummy feels hot to
the touch, take off some of the bedding. Don’t worry if hands or feet feel
cool, this is normal.
• Use lightweight blankets. If your baby feels too warm, reduce the number of
layers. Do not use a duvet, quilt or pillow for babies under twelve months.
• Babies should never sleep with a hot water bottle or electric blanket, next to
a radiator, heater or fire, or in direct sunshine.
• Remove hats and extra clothing as soon as you come indoors or enter a
warm bus, train or shop, even if it means waking your baby.
• Do not share a bed with your baby if you have been drinking alcohol, taking
recreational drugs, smoking or taking medication that makes you feel sleepy.
• Do not let your baby get too hot or too cold. Ideally room temperature
should be between 16 and 20 degrees centigrade. (See table on next page).
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47
As a general rule baby should have one more layer of covering than you when
you feel comfortable in the same room; when indoors their heads should not
be covered.
Room temp
Amount of bedding
24˚C
Sheet only
21˚C
Sheet plus one blanket, or a 1 tog sleeping bag
18˚C
Sheet plus two layers of blanket, or a 2.5 tog sleeping bag
16˚C
Sheet plus three layers of blanket, or a 2.5 tog sleeping bag
plus a blanket
Bedding guidelines for babies wearing a nappy, vest and babygro.
Source: www.babycentre.co.uk
Jaundice
Most jaundice in babies is not harmful; however, it is important to check your
baby for any signs of yellow colouring particularly during the first week of life.
The yellow colour will usually appear around the face & forehead first & then
spread to the body, arms & legs. A good time to check is when you are changing
a nappy or clothes.
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Baby skin and cord care
Babies are born with very delicate skin and are less able to withstand the
sensitising effects of modern detergents. Maintenance of the skin’s natural
protective barrier is paramount. In order to do this you should use water only
for baby skincare for at least the first month of life. When carrying out any
baby care you should wash your hands before and after. It is currently advised
not to overload your washing machine as this will help to avoid a build up
of chemical residues on clothing from washing powders. You should use
non-biological washing powder and make sure that your baby’s clothes are
thoroughly rinsed. If you use a fabric conditioner, try to use products that are
free from colours and perfumes. You may be considering using cloth nappies
for your baby. They are just as efficient as disposables and do not present a
higher risk of nappy rash. They are also kinder to the environment. You may
also be concerned about your baby having dry skin. This can be resolved by
using vegetable based oils - (olive oil is recommended) - not nut - which are
free from minerals, perfume and colours.
Your baby’s cord will dry and fall off between five and ten days after birth.
There are some basic rules about cord care to follow to reduce the risk
of problems:
• Hand washing before and after all baby care
• Leave cord open to air or cover with clean, loose clothing
• Fold nappy down below the cord until it falls off
• Leave alone unless contaminated by faeces or urine
• Clean, if necessary with plain water and keep dry
• Observe for signs of infection – redness, offensive smell
Contact your healthcare professional if you have any concerns about the cord area.
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49
Vaccines & immunizations
All vaccines and immunizations are recorded in the Red Book so remember to
take it whenever you see any health professional about your child's health.
Your baby’s weight and immunizations are recorded as well as other details
about childhood illnesses and milestones. Information about the screening
tests and other immunizations offered to your baby (newborn and six to eight
week infant physical examinations) is available from your GP or Health Visitor.
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Your baby's Tongue-tie
and Breastfeeding in safe hands.
Babies with Breastfeeding difficulties
treated aged 7 days to 26 weeks.
Competetive fees.
All variants of Tongue -tie treated,
including surgical revision of
recurrent Tongue-tie.
Surgery undertaken by a Consultant
Paediatric Surgeon, with Lactation Consultant support.
Follow up appointments included in the cost of the surgery
East Croydon Medical Centre, 59-61 Addiscombe Road, Croydon CR0 6SD
Mr S Patel B.Sc. (Hons) MBBS, FRCS (Eng) FRCS (Edin) FRCS (Paed), Consultant Paediatric Surgeon
Katherine Fisher MSc BSc IBCLC Lactation Consultant
Appointment bookings 07949 176 776
www.londontonguetieclinic.co.uk
[email protected]
3035172
Selsdon Primary & Nursery School
Addington Road, South Croydon CR2 8LQ
[email protected] • www.selsdonprimary.com • 020 8657 4038
Selsdon Primary & Nursery School offers children from aged 3 – 11 an
excellent education in a caring and exciting environment. The school is set
in lovely grounds on the 64 bus route and close to both the tram and 412
bus stops.
Our Nursery offers 15 hours of free education each week for three
year olds in their own separate unit with outside space. There is
also the possibility of topping up the free sessions.
Academic achievement is rapidly improving and our 2014
KS2 SATs results were outstanding.
Selsdon Primary is an excellent choice for your child.
We have some places available in most year groups.
Come and see for yourself! Ring or email the school to
make an appointment to visit. We’d love to see you!
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6 Registering
your baby and you
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A guide to registering
your baby’s birth
Babies born in the London Borough of Croydon need to
be registered at a Register Office within the district. Legally,
registration must take place within 42 days of the birth.
How to register your baby’s birth
After your baby is born you will need to register the birth at Croydon Register
Office. You can book an appointment by telephone or you can now use an
online facility to book an appointment to register the birth.
Opening times: Monday – Friday 9.30am to 4.00pm (closed on the first
Thursday of every month for training, mornings only)
Croydon Register Office
Ground Floor Offices, Croydon Town Hall, Fell Road, Croydon CR0 1NX
Telephone: 0208 726 6300 • Fax: 0208 726 5633
Email: [email protected]
When should I register my baby's birth?
You must register the birth within 42 days.
Will I need an appointment to register my baby’s birth?
Yes
Who can register the birth?
The following people can register the birth:
• baby's mother.
• baby's father who was married to the baby's mother at the time of the birth.
• both parents together, if they are not married to each other and they want
the father's details to be recorded in the register. If the parents are not
married and the father cannot attend, the mother can register the birth but
only her details will be added to the register
Please remember one of the parents must register the birth in person.
They cannot ask a friend or relative to register the birth on their behalf.
If it is not convenient for you to visit Croydon Register Office, you can go to
any other register office and give them the details of the birth. They will in
turn send the information to us on your behalf. We call this registering a birth
by declaration. Please remember that if you do register this way, the birth
certificate will be posted to you a few days later.
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What information will the registrar need?
The registrar will see you in private and record the baby's and parents' details.
You will be asked for the following information about your baby's birth:
• The date of the birth.
• Where the baby was born.
• The baby’s full name.
• The mother's full name.
• The mother's name before she was married.
• The mother's date and place of birth.
• The mother's occupation.
• The mother's address.
If the father's details are to be included, the registrar will need to know:
• The father's full name.
• The father's date and place of birth.
• The father's occupation.
• The father's address.
If the parents are married to each other, the registrar will also ask for:
• The date of their marriage.
• The number of any other children.
You will be asked to check the information recorded very carefully and sign to
say that it is correct. It is important that the registration is accurate, as any
correction of errors or mistakes discovered after the register has been signed
may cause you a lot of inconvenience to put right. We strongly recommend
that you bring forms of ID (passport etc) for each of the parents so that we
can make sure the names are recorded correctly.
Do also take care on deciding your child's name. This is particularly important
if the mother and father have different surnames as the surname given at
the time of registration cannot be changed at a later date other than by
re-registration or adoption.
What documents will the registrar give me?
The registrar will give you a short birth certificate free of charge.
Is there a charge for registering a birth?
There is no charge for registering a birth. However, it is recommended that
you purchase a full birth certificate, which includes the parents’ details. Most
organisations, including the Passport Office, now require this type of birth
certificate. The fee for a full certificate at the time of registration is £4.00.
You can purchase any number of certificates. If you apply after registration
the fee will be more.
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If I am not married to the baby’s father, can I add his details at a later date?
If your baby's birth was registered without including the natural father's details
in the register, you can apply for the birth to be re-registered at a later date.
You have two options:
• If you and your partner have married each other since the baby’s birth, you
can re-register the birth so that a new birth record can be made to show
your son or daughter as a child of your marriage. To do this, you will need
to complete a form LA1 which can be obtained from the register office.
Once completed, you can make an appointment for either parent to visit the
register office to sign the new birth registration. You will need to bring a
copy of your marriage certificate along with you when you attend.
• If you are unmarried and would like the natural father’s details added to the
birth record you can apply for a re-registration to be made by completing a
form GRO185 which is available from the registrar. Both parents must sign
this form and attend together to sign the new birth registration.
After the birth has been re-registered you can obtain birth certificates for
the new registration. There is a very useful website called "Married or Not"
which can be found at www.marriedornot.org.uk which provides at-a-glance
information on the legal differences between married and unmarried couples,
It also has direct links to other sources of information and expert advice.
It was created as part of the Government-backed campaign, Living Together,
to dispel the common law marriage myth and to better inform cohabiting
couples in England and Wales of their legal rights.
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Can I change the names on my child’s birth certificate?
You can change your child's first name(s) on the birth certificate within 12
months of the date of the original registration. You will need to complete a
simple form which is available from the registrar. The new forename(s) will
appear in space 17 of the Birth Certificate.
Alternatively, if the child has been baptised in the Christian faith within 12
months of the date of the original registration you can obtain a form from
the Register Office to take to the Minister of the Church in which the child
was baptised. Once this form has been completed the registrar will add the
new name(s) to space 17. This process can be done at any time after the
birth as long as the baptism took place within 12 months of the registration.
You can then purchase certified copies from this amended registration.
Please remember that surnames (Family Name) cannot be changed except
through re-registration and adoption.
Most Popular Names for babies in England and Wales in 2013
Boys
Girls
Boys
Girls
1
Harry
Amelia
6
Thomas
Ava
2
Oliver
3
Jack
Olivia
7
Alfie
Mia
Jessica
8
Riley
Isla
4
Charlie
Emily
9
William
Sophie
5
Jacob
Lily
10
James
Isabella
Source: Office of National Statistics, www.ons.gov.uk
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Little Pandas Pre-school for
2-5 year olds
(Ofsted registered) 020 8680 1924
Monday to Wednesday (term time)
9.30-12.00; 12.30 – 3.00 (all day option)
Thursday term time
9.30 – 12.00
BabySong
Music, songs and movement for babies and
toddlers 0-3 yrs
Fridays 10.00 – 11.30
The Salvation Army,
Croydon Citadel
Booth Road,
Croydon, CR0 1XY
Tel: 020 8680 9924
The Salvation Army
Christian Church
and Registered
Charity No 214779;
in Scotland SCO09359
3035095
3035093
You don’t need to bathe your
baby every day but you
should wash their face, neck,
hands and bottom carefully
every day. This is often
en ca
called
‘topping and tailing’.
56
Bathtime!
hen your
Choose a time when
con
ontent.
baby is awakee and content.
he room is warm.
warm
Make sure the
ing ready
Get everything
beforehand. You’ll need
m wate
a bowl of warm
water,
ol, a
a towel, cotton wool,
d, if
fresh nappy and,
hees
necessary, clean clothes.
Source: www.nhs.uk
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57
8
Useful
contacts
your baby and you
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Ameda Egnell breast pump hire
01823 336 362
www.ameda.co.uk
Association for Postnatal Depression
020 7386 0868
www.apni.org
Association of Breastfeeding Mothers
0870 401 7711
www.abm.me.uk
BLISS premature baby charity
01933 318503
www.bliss.org.uk
Breastfeeding Network
0870 900 8787
www.breastfeedingnetwork.org.uk
Breastfeeding Support Team
020 8714 2985
www.croydonhealthservices.nhs.uk/
services/breastfeeding_support
58
Disability, Pregnancy &
Parenthood Int (DPPI)
0800 0184730
www.dppi.org.uk
Family Planning Association
0845 310 1334
www.fpa.org.uk
FGM (Female Genital Mutilation)
helpline 0800 028 3550
[email protected]
Foundation for Sudden Infant Deaths
020 7233 2090
www.sids.org.uk
Gingerbread
(advice for single parents)
0808 802 0925
www.gingerbread.org.uk
Giving up smoking
www.gosmokefree.co.uk
Child & Working tax credit
0845 3003909
www.gov.uk/browse/benefits/
tax-credits
Healthy Start vouchers
0845 607 6823
www.healthystart.nhs.uk
Child Benefit
0845 3021444
www.gov.uk/child-benefit
La Leche League
0845 120 2918
www.laleche.org.uk
Child Maintenance
0845 713 3133
www.csa.gov.uk
Maternity Grant
0345 603 6967
www.gov.uk/sure-start-maternity-grant
Contact a Family
0808 808 3555
www.cafamily.org.uk
Maternity/Paternity rights
www.gov.uk/maternity-pay-leave
www.gov.uk/paternity-pay-leave
Cry-sis
08451 228 669
www.cry-sis.org.uk
Medela breast pump hire
0161 776 0400
www.medelarental.co.uk
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Meet A Mum Association (MAMA)
0845 120 3746
www.mama.org.uk
Rights & return to work
0300 123 1100
www.acas.org.uk
Mothers for Mothers
(Postnatal depression support group)
0117 975 6006
www.mothersformothers.co.uk
Twins and Multiple Birth Association
(TAMBA)
0800 138 0509
www.tamba.org.uk
National Breastfeeding Helpline
0300 100 0212
www.nationalbreastfeeding
helpline.org.uk
UNICEF UK Baby Friendly Initiative
020 7375 6052
www.babyfriendly.org.uk
National Childbirth Trust (NCT)
0300 330 0700
NCT Breastfeeding Line
0300 330 0771
www.nct.org.uk
Postnatal Exercise
www.postnatalexercise.co.uk
Women’s Aid National Domestic
Violence Helpline
0808 2000 247
www.womensaid.org.uk
Further advice can be found on:
NHS Choices www.nhs.uk
Information For Parents
www.nhs.uk/start4life
Real Nappy Network
0845 850 0606
www.goreal.org.uk/finder
REFERENCES
Further information
NICE Postnatal guideline 2006 www.guidance.nice.org.uk/CG37/PublicInfo/pdf/English
Screening tests for your baby www.screening.nhs.uk/getdata.php?id=7888
UK Newborn Screening Programme Centre (English version)
- http://view.vcab.com/showvcab.aspx?vcabid=hcSplprSeejec
- Translations for UK Newborn Screening Programme Centre www.newbornbloodspot.screening.nhs.uk/cms.php?folder=2544
Reduce the Risk of Cot Death (English version) www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/
documents/digitalasset/dh_096299.pdf
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There is plenty for all the family at our centres in Caterham and Oxted. Centre
opening hours are 6/6.30am-9.30/10pm weekdays and 8/9am-5pm weekends.
Members and Non-members are welcome. (Premier Members only at the
Village Health Club.)
For little ones, Gentle Splash pool sessions, with hourly wave rides,
provide an exciting new experience. Toddler Play Panels and Pirate Peril
small slide in our lagoon pool keep little ones amused and entertained.
Child and adult swimming lessons start from 5 months.
Family swim pool sessions at both de Stafford Sports Centre (pool
inflatable and toys) and Tandridge Leisure Centre (wave rides, water
cannons, Pirate mast, Pirate Peril slide, Bucket of Doom, 70 m slide and
pool inflatable.)
For mum we offer a range of group classes such as 'wellbeing workout'
which re-energises, re-focuses and re-tunes the body to give a full
sense of wellbeing; ideal for beginners and those returning to exercise.
Childcare facilities are available Monday, Wednesday and Friday
mornings and relaxation sessions utilising the sauna/steam and
bubble pool at Tandridge Leisure Centre are a great way to unwind.
At The Village Health Club our therapists offer 15% discount on treatments
for Tandridge Trust members.
www.tandridgetrust.co.uk
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Shirley Children’s Centre
Greetings from Shirley Children’s Centre. For some
of you it may have been a while since you have
visited or heard the name. Shirley Children’s Centre has undergone
some exciting changes in the past year. It is now run by Forest
Academy School who have taken over what was Spring Park
Primary School. Forest Academy is passionate about children and
families in the area so taking over the children’s centre was an
important move for the school.
So what do we do?
Shirley Children’s Centre runs a varied activity programme
for families within its catchment or ‘reach area’. All
activities are free and are for anyone in the Shirley area
who has a child under the age of 5 years. Some of the
activities we run are:
• Stay and Play (play session for all under 5s)
• Musical Bumps (music and movement session for
children and parents)
• Parenting Courses (helping parents along the sometimes
bumpy road of parenthood)
• Specialist Courses (help and support for families living
with and surviving domestic abuse)
• Mind Body and Fitness (Yoga/Pilates blend of gentle
exercises and stretches)
• Translation Services (helping families where English is an
additional language with documents and forms)
• Welfare Advice Service (help and support to discuss and
complete benefit forms)
• Access to Work (help with getting individuals back into
work, training, apprenticeships or volunteering)
• Health Visitors (Well baby clinic and support from health
visitors)
• Midwives Clinic (antenatal appointments for expectant
mums and dads)
If you would like more information about what we
do, would like to sign up to any of our current
courses or would like to see what future courses we
have, please pop into the children’s centre and see
Nicky Cook – Centre Administrator or Eyullahemaye
Henry-Miller – Centre Manager who can give you
more information and sign you up.
Shirley Children’s Centre is also on Facebook.
‘ Like’ our page for upcoming courses and events.
Alternatively give us a call on 020 8777 2119 or visit the website at
www.shirleychildrenscentre.org.uk
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If you are a mum to be or a new mum, our friendly staff can
guide and advise you on the best way to feel healthier
and stronger.
We manage three centres in Caterham and Oxted (just
18-24 minutes from central Croydon) offering ample
parking and a wide range of family friendly activities.
Tandridge Leisure Centre, with its sloping lagoon
pool and toddler features is ideal to get baby used
to the water, with a 70m slide and pool inflatable
for older children.
Childcare facilities are available with Little Beans drop in
toddler play café and Kiddi Kafe swim & chat mornings.
Children’s holiday activities from 2 yrs. At our Caterham
centre we offer beauty therapy with indulgent mum-to-be
treatments and spa days.
Family Centre Membership £69 for the year
provides discounted admission.
Pop in and have a look around -
www.tandridgetrust.co.uk