medicine and wellness, nutrition education and physical training, from 0 to 9 years

my advice for health and well-being from 0 to 9 years    

my advice for weaning and natural nutrition

my advice for physical activity from 0 to 9 years


General Medicine

Clinical examinations and instrumental examinations

Every child has the right to have a family pediatrician who follows its growth through periodic health assessments and is the point of reference for every health problem also related to nutrition, behavior and development.

From the age of 6 you can choose to have the children followed by a General Practitioner.

Since the child's health depends on the parents' choices and lifestyle from birth, here are some behaviors that could be useful for his health:

• breastfeed exclusively if possible up to six months;

• do not expose it to smoke. It would be advisable for the mother not to smoke either during pregnancy or while nursing, avoiding the use of any product containing nicotine (electronic cigarettes, smokeless tobacco);

• ensure a sufficient number of hours of sleep;

• make him sleep on his stomach during the first year of life to prevent Sudden Infant Death Syndrome (SIDS), also known as cot death;

• help him as a child and from the first few months to move and, later, encouraged to play movement games;

• protect it from domestic and road accidents through appropriate safety measures;

• expose it regularly to sunlight with moderation and use the appropriate filters to protect it from sunburn, to ensure the activation of vitamin D;

• promptly remind him after every meal to take care of his oral hygiene;

• stimulate him by reading a book aloud to him;

• do not expose it early to long TV or tablet or other screens: never under 2 years and limit its exposure to no more than one hour in the 2 - 5 year range.


Vaccinations

Every child has the right to be protected from preventable infectious diseases. In Italy, the vaccination schedule includes the following vaccinations up to 10 years:

in the third, fifth and eleventh month: vaccines against diphtheria, tetanus, pertussis, poliomyelitis, hepatitis B, invasive infections with Haemophilus influenzae b, pneumococcus

in the third, fourth, sixth and thirteenth month: vaccine against meningococcus B

between the third and seventh month: rotavirus vaccine (with two or three doses depending on the type of vaccine)

between the thirteenth and fifteenth month: vaccines against measles, rubella, mumps, chicken pox, meningococcus C

at the age of six: second dose of measles, rubella, mumps, and chickenpox vaccines. Recall of vaccines against diphtheria, tetanus, pertussis and polio

From 0 to 16 years, vaccinations against diphtheria, tetanus, pertussis, polio, hepatitis B, Haemophilus influenzae b, measles, mumps, rubella and varicella (this only for those born from 2017 onwards) are mandatory, including subsequent recalls foreseen by national vaccination calendar.

Screening 

At birth and in the first years of life, screening can be carried out against various diseases to allow early diagnosis and timely treatment:

  • between 48-72 hours after birth: screening for various hereditary metabolic diseases (extended neonatal screening) in addition to the mandatory screening for congenital hypothyroidism, cystic fibrosis and phenylketonuria 
  • at birth: neonatal auditory screening for the early diagnosis of congenital deafness
  • at birth: neonatal visual screening for the early diagnosis of congenital cataract 


Nutrition and nutrition education

My advice is to entrust the natural weaning and subsequent feeding of your children to a medical professional (Pediatrician or General Practitioner) who knows how to set a varied and balanced diet containing all the nutritional principles necessary for regular and healthy growth.


Preventive and therapeutic physical training

Make sure your children take at least 60 minutes a day of moderate-to-vigorous physical activity and exercises to strengthen the musculoskeletal system at least 3 times a week.

Ideal physical activity for children should be predominantly aerobic, but let them choose to play as they like, as long as they do away from sofas and monitors!



Paola Micale 2019 - Contacts