Baby in belly for toddlers

Tummy Time (for Parents) - Nemours KidsHealth

Reviewed by: Mary L. Gavin, MD

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What Is Tummy Time?

Tummy time is laying babies on their stomachs for brief periods while they're awake. It's an important way to help babies strengthen their neck and shoulder muscles, and improve motor skills.

Be sure to stay with your baby and watch closely during tummy time.

What Can Tummy Time Help With?

Tummy time is good for:

Newborns and infants 1–3 months old who are just developing neck control. Tummy time helps develop the muscles they'll need to roll over, sit up, crawl, and walk. Always stay with your baby during tummy time.
Older babies, 4–7 months old. They should still spend some supervised time on their bellies, even if they can roll over and sit with some help. Tummy time helps them practice lifting their head and chest further by straightening their arms. This strengthens arm, chest, and back muscles.
Newborns who have a neck condition called torticollis (tor-ti-KOLL-iss). Tight neck muscles keep the baby from turning their head. Tummy time encourages babies to look around, and along with exercises your doctor will show you, can help your baby's neck muscles relax.
Babies with flat head syndrome (positional plagiocephaly). This happens when babies spend too much time on their backs in the first few months of life. This can cause a flat spot, either on one side or the back of the head.

How Do I Do Tummy Time?

Newborns

Start newborns on tummy time by placing them belly-down on your chest or across your lap for a few minutes at a time, two or three times a day. While lying on their belly, they can practice lifting their head and strengthening the neck and shoulder muscles. As your baby gets used to it, you can go for a little longer.

Older Babies

Place a blanket down in a clear area on the floor. Place your baby on their stomach on the blanket for 3–5 minutes to start, several times each day. Your baby may get fussy and frustrated in this position. Keep the first sessions of tummy time brief and gradually lengthen them. It's also a good idea to do tummy time when your baby is fed, changed, and happy.

As your baby gets used to it, place your little one belly-down more often or for longer periods of time. Experts recommend that babies work up to about 1 hour of tummy time a day by the time they're 3 months old.

Make some noises or shake a rattle to get your child to look up and push up. Place a favorite toy in front of your baby to encourage reaching and forward movement.

Babies With Torticollis or a Flat Spot

This exercise is good for babies with torticollis and/or a flat spot, and can help treat both problems:

Lay your baby on your lap for tummy time. Position your baby with their head turned away from you. Then, talk or sing to your baby. Encourage your little one to turn and face you. Do this exercise for 10–15 minutes.

What Else Should I Know?

Always stay with your baby during tummy time.
Always place babies on their backs (never on their bellies) to sleep to help prevent SIDS (sudden infant death syndrome).
Do tummy time on a low, safe surface. Don't put your baby on a sofa or bed, where they could roll off or suffocate on pillows or a soft surface.

If your baby doesn't seem to enjoy tummy time, add some variety. Sing songs, keep colorful toys nearby, get down on the floor and eye-to-eye with your baby, and have others join you. Don't give up! Tummy time is important, and some babies just need a little extra time to get used to it.

Reviewed by: Mary L. Gavin, MD

Date reviewed: October 2019

Gastroschisis (for Parents) - Nemours KidsHealth

What Is Gastroschisis?

Gastroschisis is when a baby is born with the intestines sticking out through a hole in the belly wall near the umbilical cord. Sometimes other organs also stick out. Gastroschisis (gast-roh-SKEE-sis) is a life-threatening condition that needs treatment right away.

What Happens With Gastroschisis?

In normal prenatal development:

As the organs inside an unborn baby's belly form, the intestines push out through a hole in the belly wall.
Later, they twist and move back inside the belly, and the hole closes.

When a baby has gastroschisis:

The intestines stay outside of the belly, keeping the hole in the belly wall from closing.
When the baby is born, the intestines are visible. Often, they're damaged from weeks of soaking in the amniotic fluid in the womb (uterus). The baby needs treatment right away.

What Are the Signs & Symptoms of Gastroschisis?

A baby born with gastroschisis will lose heat and water very quickly from the intestines, causing:

too much water loss (dehydration)
a body temperature that gets too low (hypothermia)

Other organs may stick out along with the intestines, including the baby's:

stomach
gallbladder
uterus
ovaries
testes
bladder

What Causes Gastroschisis?

Doctors don't know why gastroschisis happens. It is probably due to a combination of genetic and environmental factors. During pregnancy, the intestines grow correctly at first, but then do not go back inside the belly as they usually do.

Gastroschisis is more likely when the mother:

is under age 20
smokes during her pregnancy
drinks alcohol

Gastroschisis is more common now than it has been in previous decades, but doctors don't know why.

How Is Gastroschisis Diagnosed?

A pregnant woman doesn't have any symptoms during pregnancy when her baby has gastroschisis. But doctors might find gastroschisis before the baby is born when the mother has a:

routine screening ultrasound scan (prenatal ultrasound)
blood test for a protein called alpha-fetoprotein, which usually runs at a higher level than normal when a fetus has gastroschisis

If the mother did not have prenatal tests, the doctor will diagnose gastroschisis at birth because part of the intestine is outside the baby's body.

How Is Gastroschisis Treated?

In most cases of gastroschisis, the care team includes:

a high-risk pregnancy specialist (called a maternal-fetal medicine specialist or perinatologist)
a neonatologist (a pediatrician specializing in complex newborn care)
a pediatric surgeon
delivery and neonatal intensive care unit (NICU) critical care nurses

When a baby is diagnosed with gastroschisis, the parents and care team make a plan with several steps:

They choose a location for the baby's birth that has an advanced NICU.
They decide whether vaginal delivery or cesarean section (C-section) is best for the mother and baby.
If needed, they arrange for surgery soon after birth. In some cases, doctors must repair gastroschisis with surgery for the intestines to survive.
If the mom doesn't go into labor on her own, doctors will give medicines to induce labor.

A baby with gastroschisis is fed through an intravenous (IV) line because the intestine:

is swollen
can't fit in the baby's belly because of the swelling
doesn't absorb nutrients well when it's outside of the body
may have been damaged during pregnancy or birth

The care team puts the baby's lower half and the intestines in a special plastic bag to:

keep the intestines from losing too much water
reduce heat loss

Often, the intestines don't fit in the belly because they're swollen. If so, the surgeon usually arranges the intestines in a bag called a silo to:

let the water move out of the intestines so they shrink to normal size
allow the intestines to slowly move into the belly

The care team gradually tightens the silo as the intestines return to normal size. Putting the intestines back into the belly with a silo usually takes about 3–4 days, but may take longer.

What Problems Can Happen?

The intestines of a child with gastroschisis may not work well even after they're returned to the belly. So moving a baby from IV feeding to feeding by mouth can take a long time. It may be a month or longer before the intestines can absorb nutrients well enough to support the baby without help from the IV.

After the pediatric surgeon returns the intestines to the belly, the newborn:

may need help breathing because the intestines and other organs in the belly push up on the breathing muscle ( diaphragm)
usually stays in the hospital for several weeks
gets IV feeding until the intestines heal
slowly begins to digest pumped breast milk or formula, which can be given through:
- a nose-to-stomach (nasogastric, NG) feeding tube
- mouth-to-stomach (orogastric, OG) feeding tube
- a bottle

A baby whose healthy small intestine is much shorter than usual can have a rare condition called short gut syndrome (or short bowel syndrome). This means the baby can't absorb enough nutrition from digested food to grow and thrive. This can happen if:

The gastroschisis abdominal wall defect partially closes and restricts blood flow to the intestine.
The intestine twists and cuts off its own blood supply.

A baby with short gut syndrome needs extra nutritional support and other medical care.

What Else Should I Know?

Almost all babies born with gastroschisis survive if they receive prompt treatment.

The medical challenges of gastroschisis can be stressful for your child and you. But you're not alone. The care team will work together to help manage problems, and to support your family.

You also can find more information and support online at Avery's Angels.

What does a child do while it is in the mother’s stomach

August 17, 2018

In 9 months, a child goes a long way from a tiny embryo to a chubby baby and already in the womb acquires some features that will remain with him for life: for example, you can understand whether he will become right-handed or left-handed and what kind of food he will prefer. In a fairly short period of time, a lot of interesting things happen to a child, and today we invite you to go through the path from birth to birth with your baby. nine0005

1st trimester of pregnancy
1st–2nd week

So the long journey began. For the first 4 days, the future person is smaller than a grain of salt - its size is only 0.14 mm. However, starting from the 5th day, it begins to grow and by the 6th it almost doubles - up to as much as 0.2 mm. On the 4th day, the embryo "comes" to where it will spend the next 9 months - into the uterus, and on the 8th day it is implanted in its wall.

3rd–4th week nine0003

Embryo at the 4th week of pregnancy.

Around the 20th day of pregnancy, a very important event occurs: the neural tube appears, which will then turn into the spinal cord and brain of the child. Already on the 21st day, his heart begins to beat and all important organs, such as the kidneys and liver, begin to form. The eyes have not yet taken their usual position - the bubbles from which they will then take shape are located on the sides of the head. By the end of the 1st month, the embryo has a circulatory system, and the spine and muscles begin to develop. nine0003

5th–6th week

At the 5th week, the hands appear in the embryo, however, the fingers are still very difficult to distinguish, but in the joints the arms and legs are already bent. It was at this time that the external genitalia begin to form, but it is not yet possible to see on an ultrasound whether it is a boy or a girl. By the way, since its appearance, the embryo has grown a lot - it has increased by as much as 10 thousand times. Already now, the baby's face is beginning to form, and the eyes, which will be closed for a very long time, darken, becoming more human-like. nine0003

7th–8th week

The 7th week of pregnancy is the time when the baby begins to move, however, so far completely unnoticed by the mother, and the fingers and toes become almost the same as in adults. At this stage, the rudiments of milk teeth appear in the embryo and the reproductive system develops, and the kidneys begin to produce urine. Despite the fact that the growth of the fetus is only 2.5 cm, it acquires its own facial expressions, it has eyelids, and the tip of the nose becomes more defined. nine0003

9th–10th week

© lunarcaustic/wikimedia

Baby at 9-10 weeks of gestation.

By this time, the baby has already grown well - its weight is 4 grams, and its height is 2-3 cm. Despite its tiny size, the brain is already divided into two hemispheres, and milk teeth and taste buds are beginning to form. The baby's tail and membranes between the fingers on the hands disappear, he begins to swim in the amniotic fluid and move even more actively, although still unnoticed by the mother. It was at this time that the child's individual facial features appear, and hair begins to grow on the head. nine0003

11–12 weeks

At this time, the genital organs are formed in the child, so it is already possible to find out his sex on an ultrasound scan, although the probability of an error is still high. The child still looks a little alien: he has a big head and a small body, but his face is more and more like an adult. The ears are almost in the right position, eyebrows and eyelashes appear. The cartilage that makes up the skeleton gradually ossifies, new blood vessels appear, and hormone production begins. By the way, the baby has already grown up to 6 cm and weighs about 20 grams. nine0003

13th-14th week

Baby at 14 weeks pregnant.

Despite the fact that the child's head is half the length of the entire body, the face is more and more reminiscent of an adult, and the rudiments of all 20 milk teeth have already been formed in the oral cavity. The child is already able to put his finger in his mouth, but he will learn to suck a little later. Due to the active formation of blood vessels, the baby's skin is red and very thin, so vellus hair appears on the body - lanugo, which is necessary to maintain a special lubricant that protects against hypothermia. nine0003

2nd trimester of pregnancy
15th–16th week

By the 15th week, the baby has grown to 10 cm and is gaining weight - now he weighs about 70 grams. Despite the fact that the eyes are still quite low, the face is already quite recognizable, moreover, the child begins to “make faces”, since the facial muscles are well developed. By this time, he already knows how to suck his thumb, and the sebaceous and sweat glands begin their work.

17th–18th week nine0003

And finally, the child's auditory canals are formed, so he begins to distinguish sounds well and hears the mother's voice, moreover, he is able to recognize it. In addition to the milk teeth, the embryos of the molars also appear, the bones are finally formed and begin to harden. By the way, the bones of the skull will remain mobile until birth - when passing through the birth canal, they will overlap each other to make it easier for the baby to be born. But the mother is finally beginning to feel the movements of the child, who has grown to 14 cm and 190 grams.

19th-20th week

Baby at 20 weeks pregnant.

Despite the fact that the child's eyes are still closed, he is already well oriented in the surrounding space. Moreover, now you can understand whether the child will be right-handed or left-handed, because right now he begins to use his dominant hand more actively. Fingerprints appear on the baby's fingers - another unique sign of each of us. By the way, the child is already beginning to gradually distinguish day from night and is active at a certain time. nine0003

21–22 weeks

The 21st week is the time when the baby begins to gain weight due to the formation of subcutaneous fat. Soon, the folds that newborns have will appear on his arms and legs. On the 22nd week, those neurons are formed in the brain that will be with a person all his life. Very soon the child will open his eyes, he is already trying to do this, and the eyeballs move almost like an adult.

23–24 weeks

At 23 weeks, the baby may begin to dream, and his face is so formed that an ultrasound can determine whose facial features he has inherited. His skin becomes opaque, his eyes open, and the child can already react to light, moreover, bright flashes can scare him. By the 24th week, the baby grows to almost 30 cm, and its weight reaches 0.5 kg.

25th–26th week

At this time, the taste buds of the child are finally formed and, tasting the amniotic fluid, he can frown if he does not like it. By the way, this is how eating habits are formed - already in the womb we have our favorite and unloved foods. Very soon the child will learn to blink and can already see a little, however, so far it is very, very vague. nine0003

3rd trimester of pregnancy
27th–28th week

Baby at 27–28 weeks of gestation.

If you do an ultrasound at this time, you can see how the baby smiles and intensively sucks his thumb. At this time, the baby has the first "toy" - his own umbilical cord, and he actively studies his body. At the end of the 7th month of pregnancy, the child develops an individual metabolism, which he will have all his life. The baby is already quite large - his weight reaches 1.2 kg, and his height is 35 cm.

Baby at 30 weeks pregnant.

The layer of subcutaneous fat is increasing, and the baby is becoming more and more plump and well-fed. In addition, he already knows how to cry, cough, and even sometimes hiccups - this happens, most likely, when he swallows too much amniotic fluid. By the 30th week, the baby's brain is already so developed that it is quite capable of remembering and even analyzing information. nine0003

31–32 weeks

At this time, a person has all 5 senses, and his daily routine is more and more reminiscent of the one he will follow after birth. The child hears the work of all the organs of the mother, knows her voice perfectly, thanks to which, immediately after birth, he is able to distinguish her from all other people. The baby's immune system begins to produce antibodies that will protect him from all kinds of infections that may lie in wait in the first days and months after birth. nine0003

33–34th week

And finally, subcutaneous fat is already formed, and lanugo disappears from the body of the fetus. By this time, the baby has grown a lot - the length of his body reaches 40 cm, and the weight is very close to or even exceeds 2 kg. The baby's nervous system is already fully formed, but the lungs are still developing.

The child yawns. 3D ultrasound at 36 weeks pregnant. nine0003

At this time, the child looks almost exactly the same as when he was born. He is still quite thin, but the layer of subcutaneous fat is increasing more and more intensively. However, his hair and nails are already fully developed, and he himself becomes so big that he has almost no room to maneuver, so he can move less than in earlier stages.

37–38th week

And finally, the process of forming a person has finally ended - now he is completely ready for birth, and obstetricians consider the pregnancy to be full-term. Lanugo completely disappears from his body and can only sometimes remain on his arms and legs. Since there is almost no space left in the uterus, it may seem to the mother that the child has begun to move more intensively, but in fact the force of the blows has increased, because the child's muscles have already completely formed and strengthened. nine0003

The first minutes after birth.

The lungs of a child continue to form until the very birth, and only at the time of birth they release the right amount of surfactant - a substance that prevents the alveoli from sticking together after the first independent breath. Very soon, the baby will announce its birth with the first cry and begin its long journey through a large and interesting world. nine0003

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Child development by week | Regional Perinatal Center

Expectant mothers are always curious about how the fetus develops at a time when it is awaited with such impatience. Let's talk and look at the photos and pictures of how the fetus grows and develops week by week.

What does the puffer do for 9 whole months in mom's tummy? What does he feel, see and hear? nine0003

Let's start the story about the development of the fetus by weeks from the very beginning - from the moment of fertilization. A fetus up to 8 weeks old is called embryo , this occurs before the formation of all organ systems.

Embryo development: 1st week

The egg is fertilized and begins to actively split. The ovum travels to the uterus, getting rid of the membrane along the way.

On the 6th-8th days, implantation of eggs is carried out - implantation into the uterus. The egg settles on the surface of the uterine mucosa and, using the chorionic villi, attaches to the uterine mucosa. nine0003

Embryo development: 2-3 weeks

Picture of embryo development at 3 weeks.

The embryo is actively developing, starting to separate from the membranes. At this stage, the beginnings of the muscular, skeletal and nervous systems are formed. Therefore, this period of pregnancy is considered important.

Embryo development: 4–7 weeks

Fetal development by week in pictures: week 4

Fetal development by week photo: week 4

Photo of an embryo before the 6th week of pregnancy.

The heart, head, arms, legs and tail are formed in the embryo :) . Gill slit is defined. The length of the embryo at the fifth week reaches 6 mm.

Fetal development by week photo: week 5

At the 7th week, the rudiments of the eyes, stomach and chest are determined, and fingers appear on the handles. The baby already has a sense organ - the vestibular apparatus. The length of the embryo is up to 12 mm. nine0003

Fetal development: 8th week

Fetal development by week photo: week 7-8

The face of the fetus is determined, you can distinguish the mouth, nose, auricles. The head of the embryo is large and its length corresponds to the length of the body; the fetal body is formed. All significant, but not yet fully formed, elements of the baby's body already exist. The nervous system, muscles, skeleton continue to improve.

Fetal development in the photo already sensitive arms and legs: week 8

The fetus developed skin sensitivity in the mouth area (preparation for the sucking reflex), and later in the face and palms.

At this stage of pregnancy, the genitals are already visible. Gill slits die. The fruit reaches 20 mm in length.

Fetal development: 9–10 weeks

Fetal development by week photo: week 9

Fingers and toes already with nails. The fetus begins to move in the pregnant woman's stomach, but the mother does not feel it yet. With a special stethoscope, you can hear the baby's heartbeat. Muscles continue to develop. nine0003

Fetal development by weeks photo: week 10

The entire surface of the fetal body is sensitive and the baby develops tactile sensations with pleasure, touching his own body, the walls of the amniotic sac and the umbilical cord. It is very curious to observe this on ultrasound. By the way, the baby first moves away from the ultrasound sensor (of course, because it is cold and unusual!), And then puts his hands and heels trying to touch the sensor.

It's amazing when a mother puts her hand to her stomach, the baby tries to master the world and tries to touch with his pen "from the back". nine0245

fetal development: 11–14 weeks

Development of the fetus in the photo of the legs: Week 11
In the baby, the arms, legs and eyelids are formed, and the genitals become distinguishable (you can find out the floor child). The fetus begins to swallow, and if something is not to its taste, for example, if something bitter gets into the amniotic fluid (mother ate something), then the baby will begin to frown and stick out his tongue, making less swallowing movements. nine0003
Fruit skin appears translucent.

Fruit development: Week 12

Photo of the fetus 12 weeks on 3D Ultrasound
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DEVELOPMENT OF NEXTS Photo: Week 140150 9000 9000 urine. Blood forms inside the bones. And hairs begin to grow on the head. Moves more coordinated.

Fetal development: 15-18 weeks

Fetal development by weeks photo: week 15

The skin turns pink, the ears and other parts of the body, including the face, are already visible. Imagine, a child can already open his mouth and blink, as well as make grasping movements. The fetus begins to actively push in the mother's tummy. The sex of the fetus can be determined by ultrasound.

Fetal development: 19-23 weeks

Fetal development by week photo: week 19

Baby sucks his thumb, becomes more energetic. Pseudo-feces are formed in the intestines of the fetus - meconium , kidneys begin to work. During this period, the brain develops very actively.

Fetal development by weeks photo: week 20

The auditory ossicles become stiff and now they are able to conduct sounds, the baby hears his mother - heartbeat, breathing, voice. The fetus intensively gains weight, fat deposits are formed. The weight of the fetus reaches 650 g, and the length is 300 mm.

The lungs at this stage of fetal development are so developed that the baby can survive in the artificial conditions of the intensive care unit. nine0003
Fetal development: 24-27 weeks

Lungs continue to develop. Now the baby is already falling asleep and waking up. Downy hairs appear on the skin, the skin becomes wrinkled and covered with grease. The cartilage of the ears and nose is still soft.

Fetal development by week photo: week 27

Lips and mouth become more sensitive. The eyes develop, open slightly and can perceive light and squint from direct sunlight. In girls, the labia majora do not yet cover the small ones, and in boys, the testicles have not yet descended into the scrotum. Fetal weight reaches 900–1200 g, and the length is 350 mm.

9 out of 10 children born at this term survive.

Fetal development: 28-32 weeks

The lungs are now adapted to breathe normal air. Breathing is rhythmic and body temperature is controlled by the CNS. The baby can cry and responds to external sounds.

Child opens eyes while awake and closes during sleep.

The skin becomes thicker, smoother and pinkish. Starting from this period, the fetus will actively gain weight and grow rapidly. Almost all babies born prematurely at this time are viable. The weight of the fetus reaches 2500 g, and the length is 450 mm. nine0003
Fetal development: 33–37 weeks

Fetal development by week photo: week 36

The fetus reacts to a light source. Muscle tone increases and the baby can turn and raise his head. On which, the hairs become silky. The child develops a grasping reflex. The lungs are fully developed.

Fetal development: 38-42 weeks

The fetus is quite developed, prepared for birth and considered mature. The baby has mastered over 70 different reflex movements. Due to the subcutaneous fatty tissue, the baby's skin is pale pink. The head is covered with hairs up to 3 cm.

Fetal development by weeks photo: week 40

The baby perfectly mastered the movements of his mother , knows when she is calm, excited, upset and reacts to this with her movements. During the intrauterine period, the fetus gets used to moving in space, which is why babies love it so much when they are carried in their arms or rolled in a stroller. For a baby, this is a completely natural state, so he will calm down and fall asleep when he is shaken.

The nails protrude beyond the tips of the fingers, the cartilages of the ears and nose are elastic. In boys, the testicles have descended into the scrotum, and in girls, the large labia cover the small ones. The weight of the fetus reaches 3200-3600 g, and the length is 480-520 mm. nine0003

After the birth, the baby longs for touching his body, because at first he cannot feel himself - the arms and legs do not obey the child as confidently as it was in the amniotic fluid. Therefore, so that your baby does not feel lonely, it is advisable to carry him in your arms, press him to you while stroking his body.

And one more thing, the baby remembers the rhythm and sound of your heart very well .
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