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Is Cold Air Bad For Babies? Experts Weigh In

Winter Weather

Pixabay

In some parts of the world babies are known to nap in the freezing cold.

Updated: Dec. 9, 2020

Originally Published: November 3, 2017

For plenty of parents, keeping your little one protected from chilly temperatures is second nature. But is cold air good for babies, actually? Some parents start acclimating their youngsters to wintery temps from a very young age.

There's even a tradition of Nordic parents permitting babies to nap outside in freezing temps, as reported by the BBC. It's seen as a healthy way for the little ones to nap longer, and the babies are of course well-bundled against the subzero temperatures. But does this mean most all babies would benefit from exposure to cold air? "The BBC article was interesting, but I hesitate to generalize the results. I have not found research touting the positive effects of cold air exposure on infants," pediatrician Tiff Jumaily M. D. tells Romper. For the most part, there does not appear to be a great deal of information on this topic. "This is a very interesting report by BBC and very a unique practice to have a young infant sleep outside in the cold with warm clothing bundle. After brief literature search, I did not find any peer review paper suggesting that this practice is beneficial," pediatrician Dr. Powen Hsueh, M.D., tells Romper.

However, this isn't to say that the parents who follow the tradition of letting babies sleep outside are doing anything wrong. "The study focused specifically on babies raised in Nordic countries. These infants might be genetically tolerant to cooler temperatures," says Dr. Jumaily. And to be fair, the parents who let babies nap outside in the cold often include safety measures such as thermometers, sleeping bags, or even insulated strollers, according to an Insider article.

Still, for the most part, the agreed-upon ideal temperature for babies is much closer to regular room temp. "As a pediatrician, the standard recommendation to parents is that the child to should remain in a comfortable ambient temperature at all times (between 68-72 F) because both heat and cold stress can often do harm to a young infant," says Dr. Hsueh. "Moreover, younger children have poor ability to thermal regulate because they have less body fat." Dr. Jumaily agrees that indoor temps above 65 degrees are the ideal for infants. In other words, don't feel pressure to have your baby sleep outside like Nordic kids if that's not your own family's tradition.

This doesn't mean you have to keep the baby stowed away inside for all of the autumn and winter months, either. "It is important for babies and their families to have some fresh air and sunshine each day, especially as the days get shorter. I recommend bundling the little one up and limiting the time spent outside. It is important that parents check the temperature of their baby's exposed skin and ensure that it remains pink and warm to touch," says Dr. Jumaily. There are plenty of different ways for your baby to safely enjoy colder temps, whether you're in Norway or North America.

Experts

Dr. Powen Hsueh, a pediatrician at Weed Army Community Hospital

Pediatrician Tiff Jumaily MD, of Integrative Pediatrics and Medicine Studio City

This article was originally published on November 3, 2017

Emergencies

Cough

Cough is probably the most common problem parents face. Very often, a cough, even if it sounds scary, has a harmless cause and goes away on its own. Sometimes coughing is a serious symptom. Let's try to figure out how to behave when a child coughs and when to start sounding the alarm.

What is a cough?

Cough is a protective reflex designed to clear the airways. During a cough push, the air abruptly leaves the lungs and forces everything that interferes with breathing - sputum and foreign bodies - to come out. If you think about the mechanism of coughing, it becomes clear that it is far from always necessary to “suppress” it.

What causes and what does a cough look like?

The most common cause of cough is a viral infection. Viruses can cause damage to the respiratory tract at different levels - from the nose (with a common cold) to the bronchi, bronchioles and lungs, and coughing is a common symptom in all these diseases. For example, sore throat and nasal discharge flowing down the back of the throat irritate the mucous membrane of the upper respiratory tract and stimulate the cough reflex. Due to irritation of the mucous membrane of the pharynx, a dry, hacking cough occurs, which will definitely pass without treatment, but in the acute period it can be quite frequent and painful, and even disrupt night's sleep. A runny nose and discharge along the back of the throat provoke a wet cough, while the child begins to cough when changing position of the body, especially in the morning and at night when he gets up, lies down or rolls over. If the virus infects the mucous membrane of the larynx, a false croup develops, that is, swelling and, as a result, narrowing of the lumen of the larynx, which is accompanied by a "barking" cough, hoarseness, and a characteristic noisy breath (the so-called stridor). With inflammation of the bronchi, bronchioles and alveoli - bronchitis, bronchiolitis and pneumonia, respectively - sputum accumulates in the lumen of the respiratory tract, swelling of the mucous membrane occurs, resulting in cough and shortness of breath. Unlike viral bronchitis and bronchiolitis, pneumonia is more commonly caused by bacteria and is accompanied by fever in addition to coughing and shortness of breath. In bronchial asthma, bronchospasm and accumulation of thick sputum in them occur after contact with an allergen, which also provokes a cough.

When should an ambulance be called for a child with a cough?

the child's lips turned blue.

If the child does not have the most severe symptoms, but the child is concerned, see a doctor. An important sign of trouble is the appearance of the child - if he is lethargic, looks sick and if you cannot attract his attention and catch his eye. Shortness of breath, that is, rapid breathing, accompanied by an effort of the respiratory muscles and retraction of the intercostal spaces and the jugular fossa (depression above the sternum), is a sign that indicates damage to the lower respiratory tract. If you notice shortness of breath in a child, be sure to consult a doctor. Increased body temperature, especially fever above 39- 40 ° C, also requires that the child be examined by a doctor, as cough and fever can be symptoms of pneumonia.

Special attention should be given to children in the first months of life, because in young children, serious illnesses can be erased, and the condition may worsen suddenly. If you have a fever (that is, if the child's rectal temperature is > 38 ° C) in children under three months old, you should definitely consult a doctor.

Should yellow or greenish sputum cause concern?

Yellow or green sputum does not always indicate a bacterial infection. With viral bronchitis and bronchiolitis, the yellow-green color of sputum is associated with the fact that cells of the mucous membrane of the respiratory tract, which the virus has damaged, enter the sputum. As a new mucous membrane is formed, the desquamated cells come out with sputum, so there is no need to be scared if the child coughs up yellow or even greenish sputum, since in most cases this is a normal manifestation of a viral infection that does not require antibiotics.

What should I do if my child coughs at night?

Most often, nocturnal cough is associated with the fact that when the child lies in bed, discharge from the nose and paranasal sinuses drain into the throat and cause a cough reflex. When a child rolls over in bed or gets up from a horizontal to an upright position, a coughing fit occurs. In such cases, the doctor will prescribe a topical treatment for the child to reduce the runny nose and, as a result, reduce the cough.

Night cough also occurs with pathology of the lower respiratory tract. Therefore, if your child is concerned about a nighttime cough, consult a doctor.

What if the child coughs to vomit?

If your child has a paroxysmal cough before vomiting, contact your pediatrician as this may be a symptom of whooping cough. Whooping cough is especially dangerous for children in the first months of life. Sometimes whooping cough develops even in children who were vaccinated against it, but a lot of time has passed since the last revaccination.

Some children have a very easy gag reflex and may vomit when they cough, even if the cough is simply due to a runny nose. If vomiting occurs against the background of coughing, feed the child more often, but in small portions.

Prolonged cough

It is not uncommon for a prolonged cough to be caused by several successive viral infections. The child does not have time to recover from one infection and picks up another. In this case, the cough can last for several weeks and greatly frighten parents, although its cause is trivial.

However, a prolonged cough may be associated with allergies, including bronchial asthma, as well as whooping cough and other diseases of the respiratory tract and ENT organs (a chronic cough may even be due to earwax plugs in the ears!), so in case of persistent cough, consult your doctor.

How to treat a cough?

Cough can have many causes, and each case is treated differently. Show the child to the doctor to understand what the cough is connected with and how to help the child.

If the cough is accompanied by sputum production (wet, productive cough), sputum production should be stimulated to facilitate expectoration. Give your child more fluids (for example, apple juice or warm chicken broth can be given if age-appropriate and not allergic to these foods). If the air in the children's bedroom is dry, install a humidifier.

Fight nonproductive (dry) cough by reducing upper airway irritation. To soften the cough and soothe the airways, give the child a drink of water or apple juice, this also helps with a coughing fit. Avoid giving carbonated drinks or citrus drinks as they can irritate inflamed mucous membranes. If the child is intolerant of honey, try giving it. Children over 6 years old can suck on cough drops. If a cough interferes with sleep, going to kindergarten and school, consult a doctor, he will prescribe an antitussive.

Steam in the bathroom can help with a fit of coughing. Go into the bathroom, close the door, turn on the hot shower and wait a few minutes. After the bath is filled with steam, go there with the child, sit for about 20 minutes. Try reading a book or playing with the child so that he is distracted.

Smoking is strictly prohibited at home! This contributes to frequent respiratory infections in the child and aggravates their course.

Medicines such as antibiotics and inhaled bronchodilators, anti-inflammatory and mucolytic drugs are prescribed only by a doctor and are not required in every case.

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Fever

Fever is an increase in body temperature of more than 38 ºС. Some symptoms and laboratory and instrumental studies help to understand the cause of the fever and prescribe the necessary treatment.

If the fever is accompanied by a runny nose, cough, and "red throat", the most likely cause is a viral infection. Since antibiotics have no effect on viruses, antibiotic therapy in case of a viral infection is not prescribed.

High fever (greater than 39°C) with chills should alert. Other symptoms that require immediate medical attention are the refusal of the child to eat and drink, severe lethargy, lack of "eye" contact with the child.

Parents should know how to help a child with a fever .

Only ibuprofen (10 mg/kg per dose) and paracetamol (15 mg/kg per dose) are allowed for use in children. From drugs based on ibuprofen in a pharmacy, you can buy nurofen, and from drugs based on paracetamol - panadol, cefecon, efferalgan. Metamizole sodium (or analgin), including as part of a "lytic mixture", can cause severe blood complications, and nimesulide (nimulide, nise) can cause life-threatening liver damage. If the child does not have a severe background pathology, such as heart disease or epilepsy, and if he satisfactorily tolerates fever (is interested in others, does not refuse to drink, does not complain of pain), antipyretic drugs are given at a temperature of 38.5 - 39ºС and above.

And there is no need to achieve a decrease in body temperature immediately to 36. 6 ºС! A good effect is considered to be a decrease in fever to 38 ºС. Safe and effective methods of physical cooling are rubbing with water at room temperature (not alcohol or vinegar!), which allows you to reduce body temperature by 0.5 - 1.0 ºС in a few minutes. However, if the child has chills, if he has cold hands and feet, rubbing will not be effective. In such cases, massage of the hands and feet helps, which reduces vasospasm and improves peripheral circulation, and antispasmodic drugs, such as no-shpa, are also used.

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False croup

In babies, false croup occurs quite often, so mothers need to know about it. Only parents can notice the first signs of narrowing of the larynx in time and help the child in time. The reason is viral infections. In children under 5 - 6 years of age, the airways are narrower than in adults, and therefore croup develops much more often.

If a baby with a cold has a "barking" cough and a hoarse voice, it is necessary that he breathe steam over hot water in the bathroom. If this does not help, and the breath becomes noisy and difficult, call an ambulance without stopping the inhalation of steam.

What is false croup?

Croup is difficulty in breathing due to constriction of the larynx. To feel where the larynx is, you can put your hand on the front of the neck and make any sound - the larynx will vibrate.

This part of the airway is quite narrow, and if the mucous membrane swells, it can completely block the lumen of the larynx, and air will not enter the lungs. In children under 5 - 6 years of age, the airways are narrower than in adults, and therefore croup develops much more often.

Unlike false, true croup begins with diphtheria, when the lumen of the larynx is blocked by dense films. Thanks to vaccinations (DPT, ADS-M), this disease, fortunately, has become rare.

Pseudocroup is caused by acute viral infections (eg parainfluenza virus or respiratory syncytial virus). The mucous membrane becomes inflamed, swells, and although films do not form, as in diphtheria, the result is the same - it is difficult for the child to breathe.

How does it all start?

Usually, the usual symptoms of acute respiratory infections appear first, i.e. runny nose, cough, fever. The first signs of the proximity of a false croup appear or intensify in the evening - this is a growing dry "barking" cough and a hoarse voice.

Then the breath becomes "noisy" - at first only during crying or anxiety, that is, when the baby breathes deeper and faster. After a while, these symptoms persist even in a calm state.

With croup, it is difficult for the baby to inhale exactly, that is, the inhalation turns out to be noisy, with effort, and the exhalation remains normal. During inhalation, you can notice how the jugular fossa (depression in the lower part of the neck between the collarbones) is drawn inward.

Is it possible to prevent false croup?

There are pathogens that most often cause croup: parainfluenza virus, influenza virus and respiratory syncytial virus. If a child has contracted this particular infection, the risk of developing croup is high, and, unfortunately, there are no remedies that protect against it.

There are children who get colds without this complication, but in some the mucous membrane is more prone to swelling, and if one episode of difficulty breathing with acute respiratory infections has already been, it is likely that such conditions will recur. Parents need to be ready for them - until the child grows up, and the croup ceases to threaten him.

What to do with false croup?

If you notice its signs, first of all, you need to calm yourself and the child, because when you are excited, the muscles of the larynx contract, and it becomes even harder to breathe.

For a "barking" cough, as long as breathing is silent and not labored, steam inhalation may help. Turn on hot water in the bathroom, let the child breathe in moist air for a few minutes.

If this does not help and breathing becomes difficult (noisy breathing, indrawing of the jugular fossa), call an ambulance and continue to do steam inhalation until it arrives. The doctor will prescribe special inhalations with a local hormonal preparation for croup. Don't let the word "hormonal" scare you, because this drug works only in the respiratory tract, eliminating inflammation, and no other medicine for false croup will not be so effective. In severe cases, the doctor will inject a hormone (prednisolone or dexamethasone) intramuscularly. Don't worry about side effects because short cycles of hormones are safe and life-saving in these situations.

If you are offered to hospitalize your child, do not refuse, because after temporary relief, breathing problems may recur.

There are conditions that can be confused with false croup, such as inflammation of the epiglottis (cartilage that closes the larynx when swallowing). This disease is called epiglottitis: the child's temperature rises above 39 degrees, there is a severe sore throat, the mouth is difficult to open, and hormonal preparations do not help the child.

If the epiglottis is inflamed, the child is admitted to the hospital and treated with antibiotics. But this disease is rare, and false croup is caused by viruses, so it makes no sense to take antibiotics.

Is it possible to stop an attack of croup on your own?

If it is not the first time that a child has false croup, you can take home a special device for inhalation - a nebulizer (choose a compressor model, since ultrasound can destroy drugs used for croup). Your doctor will tell you what medication to have at home and how much to use if needed.

The child can return to kindergarten as soon as the body temperature returns to normal and the child feels well.

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Vomiting and diarrhea

Acute gastroenteritis is characterized by an increase in body temperature (from subfebrile condition to high fever), vomiting, stool thinning. Rotavirus is the most common cause of gastroenteritis. The most severe is the first episode of rotavirus gastroenteritis in children from 6 months to 2-3 years. The peak incidence of this infection occurs in the winter - spring.

The danger of viral gastroenteritis is associated with rapid dehydration and electrolyte disturbances due to loss of water and salts in loose stools and vomiting. Therefore, feeding the child is of fundamental importance. In order not to provoke vomiting, you need to drink fractionally (1 - 2 teaspoons), but often, if necessary, every few minutes. For convenience, you can use a syringe without a needle or a pipette. In no case should you drink the child with just water, this only exacerbates electrolyte disturbances! There are special saline solutions for drinking - rehydron (optimally ½ sachet per 1 liter of water), Humana electrolyte, etc.

The daily need for fluid is presented in the table:

Weight weight Daily need for liquid
2 - 10 kg 100 ml/kg
10 - 20 kg + 50 ml/kg per kg of more than 10 kg
> 20 kg 1500 ml + 20 ml/kg for each kg over 20 kg

In addition, current fluid losses with loose stools and vomiting are taken into account - for each episode of diarrhea / vomiting, an additional 100 - 200 ml of fluid is given.

Intravenous rehydration (fluid replenishment with drips) is done only for severe dehydration and persistent vomiting. In all other cases, you need to drink the child - it is safe, effective and painless.

Smecta (but do not give smecta if it induces vomiting), espumizan or Sab simplex are used as adjuvants. Enterofuril is not recommended for use, as it is not effective either in viral infections or in invasive bacterial intestinal infections. In the diet during the acute period, fresh vegetables and fruits (except bananas), sweet drinks are excluded, and whole milk is limited only in older children.

Parents need to be aware of the first signs of dehydration - a decrease in the frequency and volume of urination, thirst, dry skin and mucous membranes. With increasing dehydration, the child becomes lethargic, stops urinating, thirst disappears, the skin loses turgor, and the eyes “sink”. In this case, there is no time to waste, it is necessary to call a doctor and hospitalize the child.

The appearance of blood and mucus in the stool in a child should be alerted, because this is typical for bacterial enterocolitis. Stool with such infections is not large (in contrast to copious watery stools with rotavirus infection), false urge to defecate and abdominal pain may be noted. Drinking water in such cases may not be enough, and, as a rule, antibiotics are required.

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Pneumonia

One of the serious diseases in children is pneumonia, or pneumonia. Pneumonia can pose a threat to a child's life. Fortunately, modern medicine has learned to cope well with pneumonia, and this disease can be completely cured in most cases. Therefore, if your baby gets sick with fever and cough, contact your pediatrician. If pneumonia is suspected, a doctor may order an x-ray of the lungs to confirm the diagnosis.

What is pneumonia?

Pneumonia is an inflammation of the lung tissue, that is, the deepest part of the respiratory system. Normally, gas exchange occurs in the lungs, that is, oxygen from the air enters the blood, and carbon dioxide is released from the blood into the environment. When part of the lung is inflamed, the breathing function in the affected lung is affected and the child develops shortness of breath, that is, rapid and labored breathing. Substances produced during the immune system's fight against bacteria cause fever (if the body temperature rises above 38 ° C, this is called a fever). The accumulation of sputum in the alveoli and bronchi and swelling of the mucous membrane stimulate the cough reflex, and a cough occurs. If the focus of pneumonia is near the lining of the lung, called the pleura, chest pains may occur when breathing and coughing.

What causes pneumonia?

There are many infections that can cause pneumonia. Streptococcus pneumoniae is the most common cause of so-called "typical" pneumonia. Pneumococcal pneumonia is accompanied by fever, cough, shortness of breath, lethargy, and decreased appetite. Less commonly, pneumonia is caused by other pathogens - hemophilus influenzae (Haemophilus influenzae) type b, pyogenic streptococcus (Streptococcus pyogenes) and Staphylococcus aureus (Staphylococcus aureus). "Atypical" pneumonia, which is usually milder and quite contagious, is caused by mycoplasmas and chlamydia. Less commonly, pneumonia is caused by viruses (adenovirus, RS virus) - such pneumonias are rare and can be very difficult. Pneumonia can develop suddenly or be a complication of the flu.

What are the symptoms of pneumonia?

The most important symptom of pneumonia is fever. In a young child, fever may be the only manifestation. Fever above 39.5°C with chills and fever that is poorly reduced after taking antipyretic drugs should be especially alert. Although not always a high fever that does not respond well to antipyretics is a symptom of pneumonia. This may be a manifestation of a respiratory viral infection.

The second important symptom of pneumonia is a cough. The nature of the cough matters. Particularly alarming are the "deep" cough, cough at night and cough before vomiting.

Severe pneumonia is usually accompanied by shortness of breath, that is, rapid and labored breathing. Sometimes a symptom of pneumonia is pain in the abdomen, which occurs due to irritation of the pleura (lung membrane) during inflammation of the lung area adjacent to the pleura and due to frequent coughing and, accordingly, tension in the abdominal muscles.

Very important signs that speak in favor of pneumonia are symptoms of intoxication, such as fatigue, weakness, refusal to eat and even drink. At the same time, unlike pneumococcal pneumonia, with mycoplasmal pneumonia, the child may feel well.
Coughing and wheezing in the lungs are symptoms not only of pneumonia, but also of bronchitis. It is very important that the doctor distinguishes pneumonia from bronchitis, since antibiotics are not always required for bronchitis and only if its mycoplasmal etiology is suspected.

What can happen if pneumonia is not treated?

This is fraught with complications that are more likely to occur if pneumonia is left untreated. Complications of pneumonia are inflammation of the pleura (pleurisy) and the formation of a cavity in the lung filled with pus (lung abscess). In such cases, a longer course of antibiotics will be required, and sometimes the help of a surgeon.

How to treat pneumonia?

If you have bacterial pneumonia, your doctor will prescribe an antibiotic. The doctor will decide which antibiotic to choose depending on the suspected cause of the pneumonia. In most cases, the child can be given the antibiotic by mouth (as a suspension or tablets) rather than by injection. The effect of the antibiotic occurs within 24-48 hours. If after 1 - 2 days the child does not feel better and the temperature rises, consult a doctor again.

Usually a child with pneumonia can be treated at home. Hospitalization is required for severe and complicated pneumonia, when the child needs intravenous antibiotics, supplemental oxygen, pleural punctures, and other serious medical interventions.
Give the child an antipyretic (ibuprofen or paracetamol) if the body temperature rises above 38.5 to 39°C. Antitussives, such as butamirate (Sinekod drug), are contraindicated in pneumonia.

Can pneumonia be prevented?

There are vaccines designed to protect against pneumococcus and Haemophilus influenzae, which cause the most severe forms of pneumonia (against pneumococcus - vaccines "Prevenar", "Pneumo 23", against Haemophilus influenzae - "Act-HIB", "Hiberix", a component against Haemophilus influenzae sticks are part of the Pentaxim vaccine, components against pneumococcus and Haemophilus influenzae are simultaneously part of Synflorix). Since pneumococcal pneumonia often develops as a complication of influenza, influenza vaccination is useful. It is very important that parents do not smoke in the presence of a child, as secondhand smoke makes the lungs weak and vulnerable.

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Let's go for a walk! - articles from the specialists of the clinic "Mother and Child"

WHY SHOULD YOU WALK?

Purely theoretically, all parents understand that walking is fresh air and health, but let's look at what gives us the exit from a warm apartment or house. By and large, any walk is a contact with nature (unless, of course, walking not along busy streets, but at least in a park) and an attempt to get away from the harmful factors of civilization. What does it mean? Each city apartment (and a country house too) accumulates a huge amount of harmful substances. First of all, it is dust and a variety of allergens (particles of household chemicals, varnishes, paints), which are always found in furniture, books, carpets and, in general, in any items of our house. Plus all that street rubbish that flies through the windows if it's a city apartment. But there is no or very little fresh air in our homes, because in winter it is difficult to keep the windows open and constantly ventilate the room. There is no sunlight in our homes - useful UV radiation, which is necessary for the growth of all living things. And finally, sitting at home, we sharply limit our physical activity. Therefore, it is clear that everyone, including children, needs to go out into the fresh air and walk. Of course, walking in summer is more pleasant than in winter: it's warm, the birds are singing, the grass is green, the flowers are blooming, it somehow becomes immediately clear that walking is both pleasant and useful. What about in winter? Cold, snow, monotonous landscape - all this is uncomfortable, so what is the use of winter walks? 91. Health. In cold weather, the air becomes cleaner and more oxygenated, and all the dust is trapped in the snow. Fresh air will cleanse the lungs of everything that the baby inhales in the apartment, the mucous membranes of the respiratory tract will begin to work better, and the blood and, accordingly, all organs will be enriched with oxygen. Walking, the child will grow better and physically develop.

2. Hardening. The air temperature during a walk in winter is significantly different from the air temperature in the room - all this will harden the baby's body.

3. Vitamin D. In winter there is very little sun and a walk is the only opportunity for a child to get a "portion" of ultraviolet radiation. Namely, under its influence, our body produces vitamin D, which is necessary for the prevention of rickets. Of course, in order to prevent rickets, it will be necessary not only to walk, but still it is worth taking advantage of this simple and natural “medicine”.

4. Physical activity. Walking in winter, when we wear a lot of clothes, especially if we move actively, we spend more effort and energy. The baby also spends it, even if he just moves his legs along the road, digs snow, rolls over a snowdrift or rolls down a hill with his parents. So a winter walk willy-nilly gives us physical activity, and it in turn stimulates the work of the cardiovascular and immune systems. It turns out that again there are health benefits.

5. Development and socialization. On the street, the world is completely different than in an apartment or house familiar to a child. It is full of all sorts of amazing things for children: it is snowing or the sun is shining, a dog is running, a crow is croaking, a car is passing by. Moreover, all this changes very quickly: the baby sees a new picture all the time and receives new information, studies the properties of different objects. While walking, children learn to establish different connections: the dog barks, the bird flies, and the snow is white and beautiful. Plus communication with other children and new contacts. Well, yes, in the warm season there are more street entertainments, but do not sit in the apartment until the snow melts!

Of course, not all of these factors will work on every walk: the sun does not always shine, and as for infants, they often sleep outside and they do not have any movement and special acquaintance with the outside world. But winter walks give health and hardening for sure, unless, of course, walking in the fresh air, and not along gassed streets or shops full of people.

WHY THEY DO NOT WALK

True, no matter how much they talk about the benefits of winter walks, anyway, at this time of the year, many mothers and fathers with their children do not walk or walk rarely or for a short time. Adults understand that this is wrong, but the reasons for staying at home seem convincing to them. What Parents Assure Themselves:

The child will get sick in the cold. This is a typical horror story, which mothers and grandmothers especially love: they say that a child will inhale air in the cold and he will start coughing, runny nose or sore throat . But cold air does not cause illness - this is a myth.

Actually. A person gets sick from bacteria or viruses, not from cold. On the contrary, many viruses die in the cold, so walking in sub-zero temperatures is safer than in positive ones. Another thing is that hypothermia (frozen feet, for example) can contribute to the fact that a virus or microbe that has entered the body begins to develop. Well, it (hypothermia) simply should not be allowed.

Only infections in the street . Now, when a flood of various negative information has hit us, in particular about all sorts of viruses and diseases, many anxious mothers are generally afraid to go outside with a small child once again. Especially in the first weeks and even months after childbirth if the child was born in autumn and winter. It is believed that a baby can be sneezed on the street, or a virus will remain in the entrance after a sick person, and the child will pick it up. The endless media horror stories about new and horrific strains of the flu, the daily news about severe complications from illness, and other horror stories only add fuel to the fire. So mothers with a child sit at home all winter and walk only on the balcony.

Actually. An apartment will not protect against diseases - dad, grandmother, mother herself can bring a virus into the house: a family does not live in complete isolation from the world. But a walk in the fresh air, on the contrary, will strengthen health and immunity.

Walking in winter is so difficult and boring. In winter, you have to dress for a long time: first by yourself, and then dress the child in several layers of clothing. And you need to dress according to the weather, otherwise you will quickly freeze and have to return. The question is: why did they leave at all? And you also have to not forget anything (the same mittens), otherwise, again, you have to return home, and this is always inconvenient with a small child. In addition, many babies do not tolerate the dressing process well: they scream so much that it is easier to spit on a walk and stay at home. It’s cold in winter, you can’t sit on a bench with a stroller, you can’t read a book, you have to walk all the time. Plus, many parents are generally bored with walking with a stroller or by the hand with a child, even if the weather is good and the baby is calm.

Actually. These are all excuses and banal laziness. Today, there are so many high-tech and comfortable clothes (for both adults and children) that you can dress for a walk easily and comfortably. Children very quickly get used to the process of dressing or simply put up with it. If you try a little, then even in a walk with a stroller you can find something interesting (listen to audio books, music, communicate in the company of the same mothers).

The child will get cold or overheated . In winter, you need to put a lot of clothes on the baby, and it’s difficult to understand exactly whether the legs are cold or, on the contrary, whether the baby has mated.

Actually . Usually, parents dress the child so warmly that he definitely does not freeze. Even if the baby is in the stroller, you can always feel his arms and legs and determine if they are cold. Much more often, a child is hot on a walk, and you can find out about this by his appearance and behavior. The baby's face turns red, he begins to worry (naughty or crying), asks for water. Then you need to put your hand behind the baby's collar and feel his back (whether she was sweating).

The child will want to eat, but in the winter you will not breastfeed . Therefore, it is better not to go out for a walk, especially since if you go out, you still won’t leave for a long time.

Actually . The child can be fed before the walk. Then you are guaranteed to have 1–1.5 hours to go outside and get some fresh air. And this is quite enough for a winter walk. In general, on the street in winter, children quickly fall asleep and then sleep for a very long time. So there is usually enough time to walk between feedings.

Bad weather in winter - if not a blizzard, then ice, if not frost, then slush.

Actually. Bad weather in winter, if a person does not really live in difficult climatic conditions, still happens infrequently. Blizzards do not sweep all winter, and severe colds are replaced by a light and pleasant frost, so most often the same parental laziness is hidden under the words “bad weather”. Or the lack of habits of a healthy lifestyle and walks in particular. Plus, at home we are anchored by the usual benefits: a soft sofa, TV, computer.

It turns out that there are no particularly serious reasons not to walk in the winter with a child. But here, too, it is necessary to observe the measure. You don’t have to perform feats and walk for the sake of the baby’s health if you don’t have the strength, the food for yourself or your husband is not ready, the weather is bad outside, or something just went wrong today. Nothing bad will happen if the child stays at home for one or even a couple of days. But as soon as the weather improves and strength appears, we must go outside. But what about the balcony? To be honest, everyone understands that a walk on a balcony is not the same as a walk in a park or forest. This is a way out for those who live in a house without an elevator, who don’t even have a public garden nearby, if it’s very cold and bad weather outside, their mother feels unwell or is very busy with household chores or work.

GOING STREET

When to start. If a child was born in winter or cold spring or autumn, then in the first days after birth, he does not need to walk. And not only because it's cold outside, it's just that the baby needs to first adapt to the outside world, and he and his mother need to enter a new rhythm of life. In general, the opinions of pediatricians about when to start walking with a newborn differ. Some doctors believe that a healthy child can be taken outside in winter already a week after birth, others recommend walking from the 10-14th day of life, and others generally advise waiting up to three to four weeks. Here it will be necessary to look at everything: the weight of the child (underweight children are advised to start walking later in winter), his condition, the weather, the possibilities of the family (mother may not have the strength, dad works, and there are no grandmothers nearby).

At what temperature and how long to walk. Here, too, you need to focus on the weather. Doctors recommend taking a newborn out for the first walk if the temperature outside the window is not lower than minus 5 ºС. At first, you can not even go outside, but “walk” with a dressed baby in a room with a wide open window or sit on the balcony. Then go out with the baby from the house holding him in his arms, and then walk in the stroller.

Every day the walk is increased by about 5-10 minutes, and it turns out that after going outside for an average of 10 days, by the month a child can already walk for an hour, and then 1.5-2 hours. But here again it is necessary to look at the climate. It can be 0 ºС or even plus on the street, but a strong north wind will blow - walking in such weather is unpleasant and not necessary. Or maybe the frost is below minus 15 ºС, and the day will be sunny, the weather will be mild - then the numbers on the thermometer will not interfere with taking a walk in the fresh air.

How to dress your child . As mentioned earlier, with clothes now everything is simple. Woolen leggings that still need to be pulled on, numerous handkerchiefs under a hat, heavy children's fur coats, one socks, and on top of the second socks, scarves so as not to blow, and other grandmother's tricks for warmth are a thing of the past. It's simple: a child walks in a stroller - cotton overalls (slip) to the body, fleece on top, and then overalls or an envelope with insulation. A cotton helmet is put on the head, on top of it - a woolen or the same fleece (or you can put on a “2 in 1” helmet). On the feet - socks, on the hands - mittens. Who is very scared - take a blanket (just in case). If the child is already walking, everything is the same, but instead of an envelope there will already be overalls and plus winter children's shoes. And no extra buttons, ties and everything that irritates both mother and child. Sleepsuits with comfortable buttons, jumpsuits (envelopes) with zippers, instead of a stuffy scarf, a hat-helmet will cover your neck, prickly wool is replaced by soft and pleasant fleece - you can get ready for a walk in such comfortable clothes, like in the army, in a few minutes! Before you go for a walk, you must first collect all the necessary things (napkins, nipples, toys), then get dressed yourself, and last but not least, dress the child (otherwise he will quickly become hot).

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