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Childcare

Question

How can I keep my child healthy at day care?

Answer

It’s natural to be concerned about protecting your child as she’s exposed to new places and people. Maintaining a healthy immune system is her best natural defense.

During your child’s first 12 months, she develops immunities and strengthens her resistance. However, the immune system doesn’t fully develop until children are teenagers, so babies need extra care to keep them healthy.

Here’s what you can do to help:

  • Breastfeed your child throughout the first year of life. Breastfeeding also fosters an infection-fighting environment in your child’s digestive tract that some experts believe helps explain the reduced incidence of infections and allergies in breastfed babies.
  • Keep your child’s immunizations up-to-date. Take your child for regular checkups and make sure her immunizations stay on schedule. Talk to your health care provider about the best immunization schedule for her.
  • Allow for rest. Ask your day care provider about when and where your child will nap. Babies and young children generally get their sleep from a combination of nighttime sleep and naps. Without adequate sleep, the immune system weakens, and she becomes more vulnerable. Newborn babies need about 16 hours of sleep per day. After 6 months of age and until your child is 3 years old, the sleep requirement decreases slightly to 10 to 14 hours per day.
  • Keep your child's environment clean. Many day care providers successfully limit the spread of colds and flu by frequently washing their hands, as well as the children’s hands, faces, toys, and changing surfaces. Ask about your provider’s policies and adopt their routines.
  • Limit your child’s exposure to anyone who’s ill. Child care providers have policies about keeping ill children at home. You may want to monitor how closely this policy is enforced.
  • If you formula-feed, consider a formula with beneficial cultures. These beneficial cultures are like those found in breastmilk to help support your child’s healthy immune system.

Meet Our Experts

The START HEALTHY, STAY HEALTHY™ Resource Center panel of experts offers practical advice, answering many questions typically asked by parents and expecting parents.

Lillian M. Beard
Lillian M. Beard, M.D. Pediatric Health

Lillian M. Beard, M.D., is a fellow of the American Academy of Pediatrics and an associate clinical professor at the George Washington University School of Medicine and Health Sciences. She is a frequent guest expert and spokesperson on national TV programs, discussing issues related to children's health. Dr. Beard practices pediatrics in the Washington, D.C., area.

José M. Saavedra
José M. Saavedra, M.D., FAAP Pediatric Gastroenterology and Nutrition

José M. Saavedra, M.D., a fellow of the American Academy of Pediatrics, is a pediatric gastroenterologist with long-term experience and expertise in nutrition. Medical and Scientific Director of Nestlé Nutrition North America, Dr. Saavedra is board-certified by the American Board of Pediatrics, the Sub-board of Gastroenterology and Nutrition, and the American Board of Nutrition. He is also an Associate Professor in the Department of Pediatrics, Division of Gastroenterology and Nutrition, at the Johns Hopkins School of Medicine and the Johns Hopkins-Bloomberg School of Public Health.

Roy M. Pitkin
Roy M. Pitkin, M.D. Prenatal Health

Roy M. Pitkin, M.D. is professor of obstetrics and gynecology and is former chairperson of the ob/gyn department at the University of California, Los Angeles (UCLA), School of Medicine. He is a frequent advisor to national health agencies concerned with women's health issues and has received numerous international honors for this work.

Robert N. Hamburger
Robert N. Hamburger, M.D. Food Intolerances

Robert N. Hamburger, M.D. is professor of pediatrics emeritus and former head of the pediatric immunology and allergy division at the University of California San Diego (UCSD) in La Jolla, California. Professor Hamburger is a consultant and continues as an educator and clinician in the UCSD Free Clinics in San Diego and Tijuana, Baja California.

 
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