the 2nd newsletter, May 2006

The second child

 
Not too early, not too late. Deciding when to tell the first-born that you are expecting another child will need good sense and far-sightedness. Often there is a small child, if not really small, waiting for the arrival of his newborn brother or sister that is not capable of understanding all the aspects of a complex event, full of waiting and that involves mummy and daddy so much. It is up to them to conciliate their enthusiasm of the second pregnancy with the need of reassuring attention that a child has, in any case, the need to feel "unique" even in a large family.

 
The first step to take is with no doubt to not deny the existence of the event: attempt, until the very end, to hide it from the child can only have negative consequences. This does not mean telling the child at your first pregnancy test. One must consider that a child, especially if he is young, is not capable of imagining a long waiting period, while, when your belly starts to grow and with the baby's first movements, the pregnancy will become more evident and so, even for him, more "understandable". Let's keep in mind that, once it is "absorbed", the news becomes a reason of expectation even for the child, and these expectations can not be suddenly "disappointed". Before facing the subject it is best to wait until the end of the third month, when the routine check-ups will have verified with no doubt the correct development of the pregnancy.

 
Once the good health of the baby is ascertained there is no reason to postpone the news: by immediately speaking with the first-born will avoid that he finds out the news by himself or by others, dramatizing his imagination of abandonment. Jealousy is legitimate and inevitable, though facing the problem in the right way in any case will help to make the change more acceptable. The strategy to use mostly depends on the child's age.

 
At 9-10 months old the arrival of a sibling is really not understandable. Nevertheless, a sense of change in their surrounding environment being quite clear, it is possible that the child still feels a sense of discomfort, easily comforted by showing your love with cuddles and caresses.

 
At 12-24 months old explanations must obviously be more tangible. Tell him the facts clearly and with a language that is the closet possible to reality: "there is a baby growing in mummy's belly, but we do not know if it is a boy or a girl yet".

 
After 2 years old the first-born is perfectly capable of recognizing in the "happy event" his loss of "uniqueness". And so it is necessary to immediately alleviate and as much as possible his inevitable sufferance. Even in this case tell him things with extreme clarity "a baby is growing in mummy's belly and when he gets here you will be able to play together. You are older and so you will surely know how to do more things than him. For this reason you can teach him new games, how to colour, and draw". Take some time and some attention to dedicate only to him. If you have the possibility, hang out with friends and relatives that have just had a baby, so that the child can see a newborn and understand what his little brother or sister will be like.

 
Age difference of more than 5-6 years, can at first create positive expectations in the first-born, but after the birth it is not rare that their feelings are ambivalent with a dominating jealousy. It is easy in these cases to give wrong explanations. The most common, especially if the first-born is a girl, is to give her an adult role, obviously premature. "Mummy is expecting a baby. Now that you are older you will have to help me". Though when the child is born the little girl will soon discover that she doesn't want to be older, that, on the contrary, she wants to be younger to win back all of mummy and daddy's attention. Always explain the situation clearly but above all involve the firstborn in the preparation. For example, let him take part in name choosing . If you are thinking about putting both of the children in the same room change the position of the furniture way before the birth of the second so that the older child has time to get used to and accept the change, without associating the arrival of their brother or sister to a reduction of space. Make him part of all the occurrences of the pregnancy: if you take him to some of your check-ups, the obstetrician could let him hear his brother or sister's heartbeat.

 
At last make sure, that the child, at any age, is participant in the transformations of your body: tell him that you faced the same nine months of waiting with him, let him touch and "listen" to your belly. The emotion of his first kick is a precious memory, capable of changing even the most jealous brothers and sisters into tenderness.

 

Resemblance is a...game

 
"His hair is dark like his mother's, his nose is just like his father's and his light-coloured eyes, surely, are his grandfather's". Standing behind the window of the nursery recognizing in the child the certain resemblance with a member of your family is for the parents and relatives an indefeasible game. But, it is a game. Because to understand who he really looks like, you will have to wait a while: the definite colour of his eyes, like his hair, is delineated permanently only after 6 months from birth. The initial certainty of a recognized resemblance initially depends only by an understandable desire to find in that newborn a sign of "belonging", a detail that confirms his family origin. But nature is more complex than desires.

 
Every child inherits, in fact, only half of each parents' genes. The genetic patrimony that is transmitted to every child comes from maternal and paternal grandparents' chromosomes. And this is the reason that children can look like grandparents and even great-grandparents. In this exchange of genes some characteristics are dominating.
The dark colour of eyes, for example, prevails on light coloured ones. This means that in the case in which the mother has dark eyes and the father has light-coloured ones it is more probable that the baby is born with dark eyes. More probable, but not certain. Because, even in the case in which both parents have common characteristics - for example, dark eyes – the child could have light-coloured eyes. Just like his grand-father!

 
In any case one must keep in mind that hair and eyes go through remarkable changes over the months. At the beginning all children have light-coloured eyes but the permanent colour is acquired later, when the pigment has the necessary time to spread in a uniform way in the eye. The same happens for hair that regularly is lost during the third month of life: it will be the re-growth after the sixth month to determine if the child will keep those tender blond "curls".

 
Then there are characteristics that do not depend only on the hereditary patrimony but are influenced by some "external" elements, like, for example, eating habits. It is the case of height. A child, destined to inherit a short height from his parents, as an adult can discover that he is taller than mummy and daddy. And the same thing occurs, most of the time, to his face, that is modified over time by recurring movements. Sometimes it can happen to see the resemblance in a child to one of his parents only for a behaviour or smirk, it has become so usual to change the original facial expression.

 
No dramas if, in a few months, his little face has nothing to do with his mother or father's. There will be time and manner to see yourself in your child. Often resemblance is "hidden" all in his personality . When facing his first educational battles it will not be difficult to discover that he is really "like his father".

Small steps towards weaning

 
Gradualism and patience. It is all you need to help and stimulate a child to peacefully face the passage between the sweet taste of milk to the "bitter" taste of baby food. The food world of the children that face weaning is a reality of tastes to discover, a universe of foods that the child will experiment a little at a time, with no hurry, with the knowledge that that baby food that seems unacceptable to us is not for him for he does not have any terms of comparison. The elements that impress for the good result of this "task" are many. But, among these, the respect of personal timing of every child like the gradual introduction of new foods are with no doubt the first rules to follow. This is true also for all foods and in any case it is up to the paediatricians to decide what diet to give the child and when to vary it.

 
The World-Wide Health Organization recommends only breastfeeding until the sixth month of life, to allow the child to have the complete and lasting benefits of maternal milk. For a fact some paediatricians tend to anticipate the beginning of weaning, because already at the fifth/sixth month a child's organism begins to need a major quantity of calories to assimilate different foods that are full of other nutritional values. The beginning almost always consists in substituting one of the meals (generally the one closest to noon) with their first baby food, prepared with vegetable broth made of carrots and potatoes. As the months pass, the meal can be enriched with courgettes, green beans, spinach and pumpkin, while you will have to wait a while for tomatoes to avoid risks in children that have a tendency to allergies.
If everything goes well, after about a month his second meal is introduced, continuing though to integrate some meals with breast milk or formula. It is important, from the beginning of weaning, to give the child fruit after the meal or for snack, it is full of vitamins (apples, pears or bananas), baby food or freshly smashed. Even grated cheese is suggested that, especially if aged it is an excellent source of calcium and proteins, they are essential for a child's growth. To dress baby food, you can use a tablespoon of extra virgin olive oil, it is particularly full of necessary fatty acids. In the first year of age it is best to not add salt or sugar to the child's food, so that he gets used to the natural taste of food. For what "desserts" are concerned, at the beginning of weaning the only "sweet" that is given is a granular biscuit to put in milk. Between the seventh and eighth month, besides introducing biscuits with gluten, until then not recommended for the high risks of allergies, you can give your child a plain or fruit yogurt, especially in the apple, pear and banana varieties. But from the tenth month you can give him pudding made of milk and fruit, made for children. With fruit flavour there is also, around their first birthday, the discovery of ice-cream. At the bottom of the list, as late as possible after 12 months, there are sweets with cream, cocoa and beloved chocolate.

 
In any case, and for all foods, it is necessary to keep the right consideration of the child's needs, that often needs time to accept and appreciate a new taste. Introducing new foods a little at a time, by giving him small tastes, seems to also be a good way of preventing the risk of allergies: by proposing a type of food at a time and in small quantities it will be easier to understand what food it is that provokes a possible allergic reaction in the child and then suspend it. Trying to hurry the regular process of the child's adaptation to new foods could also end up being counterproductive even under a psychological profile. It is with weaning that a child must face his first separation with his mother, abandoning a habit and shared pleasure. So, it is important that the passage occurs in a peaceful way and that in any case personal taste and timing of every child must be respected: seconding his limits and desires will help him discover the pleasure of seating and guaranteeing above all the satisfaction of finding in food, one day, the intact and reassuring taste of his childhood.


The food battle is over from the beginning

 
No wars at meals. To be sure that you will win the "conflict" the only road is...avoiding it. Especially when on the other side there is a child that wants to interpret his role of "little rebel" to conquer his independence: the danger of losing the battle – and in consequence credibility and authority – is very high. Even facing the most stubborn refusal the situation requires, from parents, the ability of finding a balance between the need to confirm some common living rules and the need of not turning the relationship with the child into a constant conflict. Even more if the conflict regarding food in this phase of development hides the risk of compromising the relationship that the child will have with food in the future. Eating well is learnt as children.
And, to learn, it is necessary that adults, know how to teach. This does not mean to impose, but simply have them "cohabit" with the indispensable firmness a right dose of understanding and respect for you child's real needs.

 
The mechanism of children's nutrition self regulation works better than we might think. Most of the time for example the child does not "eat very little", though, simply, he doesn't eat what mummy and daddy expect. Often portions that are too abundant are given to children compared to their possibilities and needs. In other cases the problem is hidden in the bad food habits: not rarely does the child, that sitting at the table seems to not be hungry, has already eaten snacks of every kind. It is important on the contrary that the child gets to lunch or dinner time with a discrete appetite. This does not mean to "overestimate" his "hunger": even for children that eat more it is best in any case to avoid increasing single portions but, on the contrary reduce them, to widen the variety of foods to give and to be able to reach an overall increase and at the same time a more balanced nutrition.

 
Then there are little strategies to use. Children, for example, get bored chewing: so instead of a cutlet give him minced meat. Then let's try to involve the child in preparing the meal, allowing him to participate. Even taking him grocery shopping can be useful: discovering shapes and colours of a kind of food can be an invitation to choose. And it will help the child to get tempted in tasting different foods. Have your meals together, with no television, can be a way to assign to meals the value of an awaited ritual that, besides being necessary from a nutrition point of view, it represents a chance to share your daily experiences with the family. Nevertheless let's not forget that for a child it is difficult to understand the motivation of a rule if it is not associated with an example that legitimizes it. The education of a child goes through and above all through imitation. And to be able to imitate it is necessary that adults give the first correct ex ample, even when this means sacrifice: try not to be tempted by inviting and damaging "snacks", always finish what is in your plate and be available to taste new dishes this will surely be an invitation for the child to "do as grownups do".

 
What is sure is that, even when strategies do not reach the desired result, embittering the conflict will always be a failure. For children meal time often turns into a conflict field only to conquer attention and where he can affirm his independence. What better chance than lunch or dinner time to say no? A child learns quickly that mummy and daddy worry about his nutrition and he quickly understands that a "no" in front of the nth plate will be stronger than many other "no's". Scoldings, forcing, blackmails ("Eat this for mummy's love"), promising presents, not only do they take to occasional results, but, the worst thing, they generate anxiety in the child highlighting the problem and increasing the level of interest of the "challenge". The behaviour that children have at meal time is often simply an index of their "personality". A personality that is made up through small attempts of emancipation. Knowing how to accept them and learning to manage them i s up to us.

When nights are...wet

 
"Now you're big, you shouldn't be wetting the bed anymore". This sentence is a classic. It is an understandable reaction from a parent facing a child that, regardless of his age, still cannot control his stimulus and ends up wetting himself. A situation that is quite common, that includes about 27% of children between the ages of three and five years old. It is not always possible to remove the causes that determine the discomfort, but, in any case, it is best to not deny to yourself or your child the existence of the problem, that is present and must be faced together. With tranquillity, determination and patience. But with all the respect and understanding needed by the child to find the necessary confidence to become big again.

 
The ability of contain peepee during his sleep is acquired slowly and, generally, it is completed by the fifth year, an age in which the child reaches the neurological maturity necessary to manage his stimuli independently.
Until then "accidents" are still considered "legitimate". It is only when the child has turned five years old that, generally, one can suspect the existence of a problem, scientifically defined with the term "enuresis". Nevertheless, even before then, one must establish if "wetting the bed" is only an isolated episode, a small "defeat" in the regular learning process, or if the phenomenon tends to happen again regularly. In this case it is necessary to intervene, but above all understand the physical causes, but often psychological, that determine the discomfort.

 
First of all it is important to clarify that "wetting the bed" is not a disease. And it is not a genetic discomfort either even if it is possible, in some cases, to trace back a family tendency of the problem. Normally it is only an involuntary flaw: the child cannot perceive the urge and so he doesn't even notice he has wet the bed. Other determining physical factors are the imbalance between night time and daytime production of urine, the poor ability of the bladder to resist to stimulus and the difficulty of the child to wake up. Nevertheless, in most cases, the discomfort hides a psychological nature, that has nothing to do with a normal growth path. Wetting the bed often represents a clear sign of inside uneasiness, shown by the child in an uncontrolled and unconscious way. What starts this discomfort are all the causes that can trouble the emotional balance of a child: the birth of a brother, the beginning of day-care, parents divorcing, the death of a loved one... Every anxiety, every fear, every aggressive impulse is "discharged" wetting the bed, so regressing, back to being a baby, that receives more attention, to whom it is not required to understand and accept adults' choices, that no one expects them to suddenly become "big".

 
Surely scoldings, punishments and grounding are inefficient and counterproductive, because they only increase anxiety and embarrass the child and make him feel guilty. In the same way you must avoid making fun of him, humiliations or public derisions that mortify the child. It is important that the parents are understanding and that they give the child the necessary love reassurances, trying to explain that many children have the same problem and de-emphasize with love his little "regression". It is best to consult a paediatrician to establish if a therapy is necessary. In the more difficult cases the support of a specialist that can clearly identify the causes of the discomfort can be suggested. Under the practical profile it is suggested to limit the quantity of water that the child drinks before going to bed and make him go to the toilet before bedtime. There is no reason to wake the child up in the middle of the night and take him to the toilet, or make him wear a nappy. If anything it is useful, during the day, to teach him to train his bladder to contain more urine: a diary and a sippy cup will allow the child to verify and record his retention ability each time it is reached. And after every dry night make sure he does not lack your warmth and encouragement: they will be more efficient than a thousand scoldings.

The importance of a shared education

 
The education of a child also regards sharing: when deciding rules and having them be respected. Because without sharing, there is no coherence and with no coherence there can only be uncertainty. But rules can not be "experienced" by children with uncertainty.

 
To be able to give rules to children we must "give ourselves" rules. Beginning right with the need to share decisions, bans and grants with our partner. A parent that allows and one that denies the same thing makes the child insecure and they hinder to experiment that the value of a rule is not negotiable or conditional. The child facing a denial can answer "Mummy said I could", with that sentence he affirms much more that what appears. "Mummy said yes" means "so I can", it means "it is not wrong if mummy said yes", it could mean "mummy loves me more because she said yes". Because it is not easy to make a child understand that love is not proportional to the grants obtained. The parent that denies easily turns into the "bad guy" that is feared and neglected at the same time.

 
The situation then is complicated even more when mummy or daddy tend to delegate each other with choices and decisions: "Ask your mother", "Ask your father". Even when the child's request comes up before the subject has been discussed the correct answer is "I have to speak with mummy", "I have to speak to daddy". Only in this way a child will have the possibility to discover that in making a decision there is an open, peaceful and sharing dialogue between his parents and that both decide for his well-being. Both on the same level of commitment and authority. Appearing to be the weakest in the couple, submissive facing the other's will, is never useful. And even a common sentence like "tonight I'm going to tell your father" risks marking his educational path in a negative way. The awaited "showdown", besides being tormenting for the child, confines the "weakest" parents in a position of "lieutenant" of principal authority. It obligates him/her to a role of supervisor with no respect and credibility.

 
So we must make a small effort and not be overwhelmed by "damaging" guilt and fatigue of imposing some nos. Above all we must not fall in the understandable desire of feeling "privileged" in our child's eyes for our indulgence. If mummy says no daddy must in any case second her decision in front of the child. And vice versa. There will be time to discuss that decision if it was not a shared thought. Speaking, without the child, of the rules to establish. Children need to reflect in limpid behaviours. They need adults that can build their authority on sharing.
They need parents that, with maturity, know how to walk "together" towards their child's future.