bsame en italiano

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Crianza con apego
Carlos González
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Hace un millón de años
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Pecho, brazos y llanto
Barr y Elias. Pediatrics 198881529
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Hunziker y Barr. Pediatrics 198677641
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Hunziker y Barr. Pediatrics 198677641
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Hunziker y Barr. Pediatrics 198677641
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Instrucciones para los padres...

• Procure no dejar nunca llorar a su hijo
• Para saber por qué llora, tenga en cuenta
• tiene hambre y quiere comer
• quiere chupar, aunque no tenga hambre
• quiere que le tomen en brazos
• está aburrido y quiere estimulación
• está cansado y quiere dormir

Taubman. Pediatrics 198474998
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...instrucciones para los padres

• Si sigue llorando gt 5 min., pruebe otra
• Decida usted mismo el orden
• No tema sobrealimentar a su hijo. Eso no va a
  ocurrir
• No tema malcriar a su hijo. Eso tampoco va a
  ocurrir

Taubman. Pediatrics 198474998
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Tratamiento del cólico
Taubman. Pediatrics 198474998
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Taubman. Pediatrics 198881756
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Llanto (horas/día)
En brazos (horas/día)
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0
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Dormir toda la noche

• 7 meses debe dormir 11-12 horas de sueño
  nocturnosin interrupciones (Estivill)
• 9 meses 78 de los lactantes duermen toda la
  noche (Anders)

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Dormir toda la noche
2 meses 9 meses

• En la cuna 1200 - 500 44 78
• En la cuna 10-11 horas 22 56
• Duerme toda la noche 6 16

Anders TF. Pediatrics 197963860
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Elias MF et al. Pediatrics 198677322
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Numero de tomas nocturnas
McKenna JJ et al. Pediatrics 1997100214
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Donde duerme el bebé
1.300 niños ingleses lt 1 año

• usualmente
• Otra habitación 32
• Habitación padres 63
• Cama padres 6

Blair PS et al. Br Med J 19993191457
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Donde duerme el bebé

• usualmente ayer
• Otra habitación 32 32
• Habitación padres 63 39
• Cama padres 6 29

Blair PS et al. Br Med J 19993191457
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Difícil de romper?

• colecho lt 15 meses 3 15 - 36
  meses 9 Curell N et al. Pediatr Catalana
  19995973
• 5 - 12 meses 51 13 meses - 3 años 28 3
  - 7 años Malo J et al. But Soc Cat
  Pediatr 19955545

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Colecho y cultura

• Colecho USA 15 Japón 59
• Problemas de sueño (³ 3 /semana)
• Japón USA
• Juntos 18 67
• Separados 4 17

Latz S et al. Arch Pediatr Adolesc Med 1999 153
339
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Colecho y muerte súbita

• Riesgo de muerte súbita (OR)
• fuma no fuma
• Juntos 12,35 1,08
• Separados 5,34 1

Blair PS et al. Br Med J 19993191457
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Colecho seguro

• Boca arriba
• Nunca en el sofá
• No fumar
• Ni alcohol ni somníferos
• Colchón duro
• Ni cojines, ni pieles, ni edredones
• Cama segura
• Nunca en otra habitación

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She was fond of all boy's plays, and greatly
preferred cricket not merely to dolls, but to the
more heroic enjoyments of infancy, nursing a
dormouse, feeding a canary-bird, or watering a
rose-bush. Indeed she had no taste for a garden
and if she gathered flowers at all, it was
chiefly for the pleasure of mischief - at least
so it was conjectured from her always preferring
those which she was forbidden to take.
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Such were her propensities - her abilities were
quite as extraordinary. She never could learn or
understand anything before she was taught and
sometimes not even then, for she was often
inattentive, and occasionally stupid. Her mother
was three months in teaching her only to repeat
the Beggar's Petition and after all, her next
sister, Sally, could say it better than she did.
Not that Catherine was always stupid - by no
means she learnt the fable ofThe Hare and Many
Friendsas quickly as any girl in England.
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Her mother wished her to learn music and
Catherine was sure she should like it, for she
was very fond of tinkling the keys of the old
forlorn spinner so, at eight years old she
began. She learnt a year, and could not bear it
and Mrs. Morland, who did not insist on her
daughters being accomplished in spite of
incapacity or distaste, allowed her to leave off.
The day which dismissed the music-master was one
of the happiest of Catherine's life.
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Her taste for drawing was not superior though
whenever she could obtain the outside of a letter
from her mother or seize upon any other odd piece
of paper, she did what she could in that way, by
drawing houses and trees, hens and chickens, all
very much like one another. Writing and accounts
she was taught by her father French by her
mother her proficiency in either was not
remarkable, and she shirked her lessons in both
whenever she could.
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What a strange, unaccountable character!- for
with all these symptoms of profligacy at ten
years old, she had neither a bad heart nor a bad
temper, was seldom stubborn, scarcely ever
quarrelsome,and very kind to the little ones,
with few interruptions of tyranny she was
moreover noisy and wild, hated confinement and
cleanliness, and loved nothing so well in the
world as rolling down the green slope at the back
of the house.
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