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CARE
DURING EARLY INFANCY
 NORMAL
DEVELOPMENT
 Weight
doubles by 6 mo and triples by 1 yr
height
at 2 years is ½ the adult height
Social
smile at 1-2 mo
head
holding at 3-4 mo
rolling
over at 4-5 mo
reaching
for objects at 5-7 mo
sitting
at 7-9 mo
standing
with support at 9-12 mo
walking
at 12-18 mo
makes
meaningful sounds at 1 yr
speaks
few words at 1 & ½ yr
small
and big sentences between 2 & 3 yrs
 IMMUNIZATION
Birth
- BCG, OPV, HEP - B-1
6
weeks - DPT-1, OPV-2, HEP B-2
10
weeks - DPT-2, OPV-3
14
weeks - DPT-3, OPV-4
6
mo - OPV-5, HEP B-3
9
mo - Measles Vacc
15
mo - MMR
18
mo - DPT, OPV Booster-1
5
yrs - DPT, OPV Booster-2
10
yrs - TT, HEP B Booster,
12
years - MMR / R-VAC (girl)
16
yrs - TT
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Optional vaccines
are :
HIB
Vacc - 3 doses
Varicella
vaccine - 1 dose
Typhoid
vaccine - 1 dose every 3 yrs
Hepatitis
A Vacc - 2 doses 6 mo apart
MANAGING FEVER IN
A CHILD
 Fever
helps fight infection
Check
rectal temperature in an infant
Do
not cover or over clothe child
Keep
windows open for ventilation
Put
on the mother is confident fan
For
fever above 103 degrees f sponge whole body
with tap water or slightly warm ---water
Sponge
for 15 - 30 minutes till temp returns to less
than 100 degrees F
Medications
like Paracetamol / Nimesulide / Mefenemic acid
- give in correct
---dose
Treat
the cause - antibiotics etc
ORS FOR DIARRHEA
ORS
prevents and treats dehydration
ORS
should be started with the first loose stool
/ vomit
ORS
can be prepared at home: 
1
liter water + 8 tsp sugar + ½ tsp salt
Give
ORS frequently, as much as the child can take
Child
must pass urine frequently
ORS
must be given even if the child is vomiting
Rice
kanji, dal water, coconut water, buttermilk,
and barley --------water
Can also be given
Breastfeeding
should be continued
For
severe dehydration iv fluids may be required
Continue
ors till dehydration is better
Prepare
fresh solution each day.
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