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An infant or baby is the very young offspring of human beings. ''Infant'' (from the Latin word ''infans'', meaning 'unable to speak' or 'speechless') is a formal or specialised synonym for the common term ''baby''. The terms may also be used to refer to juveniles of other organisms. A newborn is, in colloquial use, an infant who is only hours, days, or up to one month old. In medical contexts, a newborn or neonate (from Latin, ''neonatus'', newborn) is an infant in the first 28 days after birth; the term applies to premature, full term, and postmature infants. Before birth, the offspring is called a fetus. The term ''infant'' is typically applied to very young children under one year of age; however, definitions may vary and may include children up to two years of age. When a human child learns to walk, they are called a toddler instead.


Other uses

In British English, an '' infant school'' is for children aged between four and seven. As a legal term, ''infancy'' is more like being a
minor Minor may refer to: * Minor (law), a person under the age of certain legal activities. ** A person who has not reached the age of majority * Academic minor, a secondary field of study in undergraduate education Music theory *Minor chord ** Barb ...
, and continues until a person reaches 18 years of age.


Physical characteristics

A newborn's shoulders and hips are wide, the abdomen protrudes slightly, and the arms and legs are relatively long with respect to the rest of their body.


Head

A newborn's head is very large in proportion to the body, and the
cranium The skull is a bone protective cavity for the brain. The skull is composed of four types of bone i.e., cranial bones, facial bones, ear ossicles and hyoid bone. However two parts are more prominent: the cranium and the mandible. In humans, the ...
is enormous relative to his or her face. While the adult human skull is about one seventh of the total body length, the newborn's is about . Normal head circumference for a full-term infant is 33–36 cm at birth. At birth, many regions of the newborn's skull have not yet been converted to bone, leaving "soft spots" known as fontanels. The two largest are the diamond-shaped anterior fontanel, located at the top front portion of the head, and the smaller triangular-shaped posterior fontanel, which lies at the back of the head. Later in the child's life, these bones will fuse together in a natural process. A protein called noggin is responsible for the delay in an infant's skull fusion. During
labour Labour or labor may refer to: * Childbirth, the delivery of a baby * Labour (human activity), or work ** Manual labour, physical work ** Wage labour, a socioeconomic relationship between a worker and an employer ** Organized labour and the labour ...
and birth, the infant's skull changes shape to fit through the
birth canal In mammals, the vagina is the elastic, muscular part of the female genital tract. In humans, it extends from the vestibule to the cervix. The outer vaginal opening is normally partly covered by a thin layer of mucosal tissue called the hymen. ...
, sometimes causing the child to be born with a misshapen or elongated head. It will usually return to normal on its own within a few days or weeks. Special exercises sometimes advised by physicians may assist the process.


Hair

Some newborns have a fine, downy body hair called
lanugo Lanugo is very thin, soft, usually unpigmented, downy hair that is sometimes found on the body of a fetus or newborn. It is the first hair to be produced by the fetal hair follicles, and it usually appears around sixteen weeks of gestation and is ...
. It may be particularly noticeable on the back, shoulders, forehead, ears and face of premature infants. Lanugo disappears within a few weeks. Infants may be born with full heads of hair; others, particularly
caucasian Caucasian may refer to: Anthropology *Anything from the Caucasus region ** ** ** ''Caucasian Exarchate'' (1917–1920), an ecclesiastical exarchate of the Russian Orthodox Church in the Caucasus region * * * Languages * Northwest Caucasian l ...
infants, may have very fine hair or may even be bald. Amongst fair-skinned parents, this fine hair may be blonde, even if the parents are not. An infant's hair color and texture can change: red can give way to blond, curly can go straight, and thick, dark hair could reappear a lot sparser and lighter. The scalp may also be temporarily bruised or swollen, especially in hairless newborns, and the area around the eyes may be puffy.


Length

In developed countries, the average total body length of a newborn is , although premature newborns may be much smaller. The way to measure a baby's length is to lay the baby down and stretch a measuring tape from the top of the head to the bottom of the heel.


Weight

In developed countries, the average birth weight of a full-term newborn is approximately , and is typically in the range of . Over the first 5–7 days following birth, the body weight of a term neonate decreases by 3–7%, and is largely a result of the resorption and urination of the fluid that initially fills the lungs, in addition to a delay of often a few days before breastfeeding becomes effective. After the first week, healthy term neonates should gain 10–20 grams/day.


Skin

Immediately after birth, a newborn's skin is often grayish to dusky blue in color. As soon as the newborn begins to breathe, usually within a minute or two, the skin's color reaches its normal tone. Newborns are wet, covered in streaks of blood, and coated with a white substance known as vernix caseosa, which is hypothesised to act as an antibacterial barrier. The newborn may also have Mongolian spots, various other birthmarks, or peeling skin, particularly on the wrists, hands, ankles, and feet.


Umbilical cord

The umbilical cord of a newborn is bluish-white in color. After birth, the umbilical cord is normally cut, leaving a 1–2 inch stub. The umbilical stub will dry out, shrivel, darken, and spontaneously fall off within about 3 weeks. This will later become a belly-button after it heals. The umbilical cord contains three vessels: two arteries and one vein. The two arteries carry blood from the baby to the placenta while one vein carries blood back to the baby.


Genitals

A newborn's genitals are enlarged and reddened, with male infants having an unusually large scrotum. The breasts may also be enlarged, even in male infants. This is caused by naturally occurring maternal hormones and is a temporary condition. Females (and even males) may actually discharge milk from their nipples (sometimes called witch's milk), or a bloody or milky-like substance from the vagina. In either case, this is considered normal and will disappear with time.


Care and feeding

Infants
cry Crying is the dropping of tears (or welling of tears in the eyes) in response to an emotional state, or pain. Emotions that can lead to crying include sadness, anger, and even happiness. The act of crying has been defined as "a complex secreto ...
as a form of basic instinctive communication. A crying infant may be trying to express a variety of feelings including hunger, discomfort, overstimulation, boredom, wanting something, or loneliness. Breastfeeding is the recommended method of feeding by all major infant health organizations. If breastfeeding is not possible or desired, bottle feeding is done with expressed breast-milk or with infant formula. Infants are born with a sucking reflex allowing them to extract the milk from the nipples of the breasts or the nipple of the baby bottle, as well as an instinctive behavior known as ''rooting'' with which they seek out the nipple. Sometimes a wet nurse is hired to feed the infant, although this is rare, especially in developed countries. Adequate food consumption at an early age is vital for an infant's development. The foundations of optimum health, growth, and neurodevelopment across the lifespan are established in the
first 1000 days The first 1000 days is a concept in child development that public health interventions which support children during their first 1000 days of life are especially effective. Good nutrition at this time affects many health outcomes. There are vario ...
of life. From birth to six months, infants should consume only breast milk or an unmodified milk substitute. As an infant's diet matures, finger foods may be introduced as well as fruit, vegetables and small amounts of meat. As infants grow, food supplements can be added. Many parents choose commercial, ready-made baby foods to supplement breast milk or formula for the child, while others adapt their usual meals for the dietary needs of their child. Whole cow's milk can be used at one year, but lower-fat milk is not recommended until the child is 2 to 3 years old. Weaning is the process through which breast milk is eliminated from the infant's diet through the introduction of solid foods in exchange for milk. Until they are toilet-trained, infants in industrialized countries wear
diaper A diaper /ˈdaɪpə(r)/ (American and Canadian English) or a nappy ( Australian English, British English, and Hiberno-English) is a type of underwear that allows the wearer to urinate or defecate Defecation (or defaecation) follows dig ...
s. The transition from diapers to training pants is an important transition in the development of an infant/baby to that of a toddler. Children need more sleep than adults—up to 18 hours for newborn babies, with a declining rate as the child ages. Until babies learn to walk, they are carried in the arms, held in slings or baby carriers, or transported in baby carriages or strollers. Most industrialized countries have laws requiring
child safety seat A child safety seat, sometimes called an infant safety seat, child restraint system, child seat, baby seat, car seat, or a booster seat, is a seat designed specifically to protect children from injury or death during vehicle collisions. Most c ...
s for babies in motor vehicles.


Common care issues

* Baby colic * Bassinet/ crib *
Cradle cap Cradle cap or cradle hat causes crusty or oily scaly patches on a baby's scalp. The condition is not painful or itchy, but it can cause thick white or yellow scales that are not easy to remove. Cradle cap most commonly begins sometime in the fir ...
* Day care *
Diaper rash Irritant diaper dermatitis (IDD, also called a diaper/nappy rash) is a generic term applied to skin rash in the diaper nappy area that are caused by various skin disorders and/or irritants. Generic irritant diaper/nappy dermatitis is characteriz ...
*
Infant massage Infant massage is a type of complementary and alternative medicine, complementary and alternative treatment that uses massage therapy for babies. Evidence is insufficient to support its use in either full term or preterm babies to achieve physical ...
* Immunization * Pacifier *
Paternal bond A paternal bond is the human bond between a father and his child. Father-infant bonding Infants can become attached to their fathers. Mother-infant bonding has been a common focus in household research; however, more studies in the United Sta ...
* Swaddling * Teething


Benefits of touch

Experiments have been done with infants up to four months of age using both positive touch (stroking or
cuddling A hug is a form of endearment, universal in most human communities, in which two or more people put their arms around the neck, back, or waist of one another and hold each other closely. If more than two people are involved, it may be referred ...
) and negative touch (poking, pinching, or tickling). The infants who received the positive touch cried less often and vocalized and smiled more than the infants who were touched negatively. Infants who were the recipients of negative touch have also been linked with emotional and behavioral problems later in life. A lower amount of physical violence in adults has been discovered in cultures with greater levels of positive physical touching.


Language development

Caregivers of an infant are advised to pick up on the infant's facial expressions and mirror them. Reproducing and empathizing with their facial expressions enables infants to experience effectiveness and to recognize their own actions more easily (see mirror neurons). Exaggeratedly reproduced facial expressions and gestures are recommended, as they are clearer forms of expression. The baby's babbling should also be picked up and repeated. By imitating each other's sounds the first simple dialogues are initiated. Kostenloser Volltext Accentuated pronunciation and melodic intonation make it easier to recognize individual words in a sentence. However, it is not advisable to use simplified " baby talk" (e.g. "Did you 'ouch'?" instead of, "Did you hurt yourself?"). Even if parents cannot yet understand infants' babbling, a timely response by parents to babbling leads to faster language acquisition. This was confirmed by researchers who first studied mothers' behavior towards 8-month-old infants and later tested the infants' vocabulary when they were 15 months old. A first important development of infants is the discovery that they can influence their parents through babbling (development of intentional communication). Parents can encourage this by engaging with their infants in babbling. This in turn promotes further language development, as infants then turn to their parents more often. Previous studies have shown that the infant's speech is encouraged when parents, for example, smile in the infant's direction or touch the infant every time the infant looks at them and babbles. It also helps if parents respond to what they think their baby is saying (for example, giving a ball or commenting when the baby looks at the ball and babbles). Responding to sounds produced when the baby looks at an object (object-directed vocalizations) thus provide an opportunity to learn the name of the object. In this way, babies also learn that sounds are associated with objects. However, language development is only achieved if parents react positively (e.g. smile) in response to the infant's babbling. A high response rate without a connection to the infant's utterances does not lead to language promotion. It is detrimental to language development if a mother instead tries to divert the infant's attention to something else.


Sleep

A 2018 review analysed 146 studies on infant sleep behavior and listed several factors that show an effect on sleep duration and the number of night wakings. For example, stimulating daytime activities, reading aloud before sleeping, early bedtime, a sleep routine, and avoiding television and media exposure before bedtime are associated with longer sleep duration and fewer nighttime awakenings. Furthermore, strong parental involvement at falling asleep is associated with shorter sleep duration, slower falling asleep and more frequent night-time awakenings in the studies analysed. Strong parental involvement is understood to include parental presence, cradling, or breastfeeding at bedtime, as well as carrying the infant to sleep and then putting the infant down. Strong parental involvement has a negative effect on infant sleep because the infant cannot develop the ability to self-soothe. On the other hand, low parental involvement at bedtime gives the infant room to learn self-soothing and self-regulation. In 2020, a Finnish study established (according to the research leader) for the first time a reference value for infant sleep quality based on a large data set (about 5,700 babies). Almost 40% of the participating parents with eight-month-old babies said they were worried about their sleep. In fact, sleep problems were common; however, children fall asleep faster, wake up less often during the night and stay awake less late at night the older they get. At the same time, total sleep time decreases. The study was also able to determine reference values for normal sleep (see table). Children who sleep significantly less than average would usually benefit from supportive measures, for which a number of methods would be available (a discussion with the pediatrician or see, for example, the article on sleep training). : = normal sleep : =
Sleep hygiene Sleep hygiene is a behavioral and environmental practice developed in the late 1970s as a method to help people with mild to moderate insomnia. Clinicians assess the sleep hygiene of people with insomnia and other conditions, such as depression, ...
should be improved
: = it is recommended to seek help (
pediatrician Pediatrics ( also spelled ''paediatrics'' or ''pædiatrics'') is the branch of medicine that involves the medical care of infants, children, adolescents, and young adults. In the United Kingdom, paediatrics covers many of their youth until the ...
, sleep counselling).


Maternal sensitivity

Maternal sensitivity Maternal sensitivity is a mother's ability to perceive and infer the meaning behind her infant's behavioural signals, and to respond to them promptly and appropriately. Maternal sensitivity affects child development at all stages through life, fr ...
plays a particular role in the relationship with the infant and for favorable emotional development. This means being attentive to the infant's behavioral expressions, not misinterpreting the infant's expressions because of one's own moods, reacting immediately to the situation and finding a response that is appropriate to the context and the expressed needs. A secure
attachment Attachment may refer to: Entertainment * ''Attachments'' (novel), a 2011 novel by Rainbow Rowell * ''Attachments'' (TV series), a BBC comedy-drama that ran from 2000 to 2002 Law * Attachment (law), a means of collecting a legal judgment by lev ...
is promoted through empathetic and adequate as well as prompt responses.Kathrin Keller-Schuhmacher (2010) ''Bindung – von der Theorie zur Praxis: worauf kommt es an?'' Referat anlässlich der Fachtagung der AWO vom 8. November 2010 in Freiburg i.Br.
(PDF; 111 kB).
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Helmut Johnson (2006) ''Bindungsstörungen Material zur Systemischen Arbeit in Erziehung und Betreuung''
(PDF; 72 kB).
/ref> In accordance with their basic needs, infants show an inborn behavior of seeking closeness to the mother – or to another primary caregiver – and thus in turn foster an attachment. When separated from the mother, infants protest by crying and by body movements.


Other

Wearing has a calming effect on infants. A 2013 study showed that infants placed in a
cradle Cradle may refer to: * Cradle (bed) * Bassinet, a small bed, often on rockers, in which babies and small children sleep Mechanical devices * Cradle (circus act), or aerial cradle or casting cradle used in an aerial circus act * Cradling (paintin ...
cried and kicked more often and had an increased heart rate (so the infants were stressed), while those picked up and carried by the mother while walking around calmed down significantly. The effect of being held motionless in the arm was intermediate between that of being carried around and that of being put down. That carrying (e.g., in a
baby sling A baby sling or baby carrier is generally made of soft fabrics that wrap around the chest. They provide comfort and support for the baby and allow the parent or carer to keep their hands free as they go about their everyday tasks. There are a ...
) makes infants more content and makes them cry less had already been shown in a randomized study in 1986. For infant feeding, breastfeeding is recommended by all major infant health organizations. Many airlines refuse boarding for all babies aged under 7 days (for domestic flights) or 14 days for international flights. Asiana Airlines allows babies to board international flights at 7 days of age.
Garuda Indonesia Garuda Indonesia is the flag carrier of Indonesia, headquartered at Soekarno–Hatta International Airport. A successor of KLM Interinsulair Bedrijf, it is a member of SkyTeam and the second-largest airline of Indonesia after Lion Air, operat ...
disallows all babies under the age of 14 days to board any flights. Delta Air Lines allows infants to travel when they are less than 7 days old when they present a physician travel approval letter. Skywest will not allow an infant less than 8 days old on board.


Behaviour


Emotional development

Attachment theory is primarily an evolutionary and
ethological Ethology is the scientific study of animal behaviour, usually with a focus on behaviour under natural conditions, and viewing behaviour as an evolutionarily adaptive trait. Behaviourism as a term also describes the scientific and objective ...
theory whereby the infant or child ''seeks proximity'' to a ''specified attachment figure'' in situations of alarm or distress for the purpose of survival. "Until recently, scientific accounts ... of the infant's early social experiences converged on the view that the infant progresses from a primary relationship with one individual... to relationships with a growing number of people... This is an epigenetic, hierarchical view of social development. We have labeled this dominant view the continuous care and contact model (CCC...). The CCC model developed from the writings of Spitz..., Bowlby..., and Provence and Lipton... on institutionalized children and is represented in the psychological views of Bowlby... nd others Common to the different conceptual frameworks is the belief that parenting practices and the infant's capacity for social engagement are biologically based and conform to a prototypical form. Supporters of the CCC model generally recognize that the infant and caregiver are able to adjust to a range of conditions, but they consider the adjustments observed to reflect biological variation. However, more extreme views (e.g., maternal bonding) consider certain variants as non adaptive and as compromising the child's psychological development. Bowlby's concept of monotropism is an exemplar of the CCC perspective...". The forming of attachments is considered to be the foundation of the infant/child's capacity to form and conduct relationships throughout life. Attachment is not the same as love or affection although they often go together. Attachment and attachment
behavior Behavior (American English) or behaviour (British English) is the range of actions and mannerisms made by individuals, organisms, systems or artificial entities in some environment. These systems can include other systems or organisms as wel ...
s tend to develop between the age of 6 months and 3 years. Infants become
attached "Attached" is the 160th episode of the American science fiction television series '' Star Trek: The Next Generation''. The eighth episode of the seventh season. This explores the relationship between two cultures on an exoplanet and between Crush ...
to adults who are sensitive and responsive in
social interaction A social relation or also described as a social interaction or social experience is the fundamental unit of analysis within the social sciences, and describes any voluntary or involuntary interpersonal relationship between two or more individuals ...
s with the infant, and who remain as consistent caregivers for some time. Parental responses lead to the development of patterns of attachment, which in turn lead to 'internal working models' which will guide the individual's feelings, thoughts, and expectations in later relationships.Bretherton, I. and Munholland, K., A. Internal Working Models in Attachment Relationships: A Construct Revisited. ''Handbook of Attachment:Theory, Research and Clinical Applications'' 1999 eds Cassidy, J. and Shaver, P., R. Guilford press There are a number of attachment 'styles' namely 'secure', 'anxious-ambivalent', 'anxious-avoidant', (all 'organized') and 'disorganized', some of which are more problematic than others. A lack of attachment or a seriously disrupted capacity for attachment could potentially amount to serious disorders. Infants develop distinct relationships to their mothers, fathers, siblings, and non-familial caregivers. Beside the dyadic attachment relationships also a good quality of the triadic relationships (mother – father – infant) is important for infant mental health development.


Response to sounds

Infants respond to the sound of snake hissing, angry voices of adults, the crackling sound of a fire, thunder, and the cries of other infants. They have a drop in heart rate, their eyes blinking, increased turning toward the speakers or parent, all of these indicating that they were paying more attention. This is believed to be an evolutionary response to danger. Babies' ability to accurately locate sounds is refined during their first year.


Health issues


Diseases

The infant is undergoing many adaptations to extrauterine life, and its physiological systems, such as the immune system, are far from fully developed. Potential diseases of concern during the neonatal period include: * Neonatal jaundice *
Infant respiratory distress syndrome Infantile respiratory distress syndrome (IRDS), also called respiratory distress syndrome of newborn, or increasingly surfactant deficiency disorder (SDD), and previously called hyaline membrane disease (HMD), is a syndrome in premature infants c ...
*
Neonatal lupus erythematosus Neonatal lupus erythematosus is an autoimmune disease in an infant born to a mother with anti-Ro/SSA and with or without anti-La/SSB antibodies. The disease most commonly presents with a rash resembling subacute cutaneous lupus erythematosus and c ...
*
Neonatal conjunctivitis Neonatal conjunctivitis is a form of conjunctivitis (inflammation of the outer eye) which affects newborn babies following birth. It is typically due to neonatal bacterial infection, although can also be non-infectious (e.g. chemical exposure). I ...
*
Neonatal tetanus Neonatal tetanus (''trismus nascentium'') is a form of generalised tetanus that occurs in newborns. Infants who have not acquired passive immunity from an immunized mother are at risk. It usually occurs through infection of the unhealed umbilical ...
*
Neonatal sepsis Neonatal sepsis is a type of neonatal infection and specifically refers to the presence in a newborn baby of a bacterial blood stream infection (BSI) (such as meningitis, pneumonia, pyelonephritis, or gastroenteritis) in the setting of fever. Old ...
*
Neonatal bowel obstruction Neonatal bowel obstruction (NBO) or neonatal intestinal obstruction is the most common Surgery, surgical Emergency medicine, emergency in the Infant, neonatal period. It may occur due to a variety of conditions and has an excellent outcome based ...
*
Benign neonatal seizures Benign neonatal seizures include two disorders: benign idiopathic neonatal seizures and benign familial neonatal seizures. They are not classified as epilepsy. Anticonvulsants are not needed. And those affected do not develop epilepsy when they grow ...
*
Neonatal diabetes mellitus Neonatal diabetes mellitus (NDM) is a disease that affects an infant and their body's ability to produce or use insulin. NDM is a monogenic (controlled by a single gene) form of diabetes that occurs in the first 6 months of life. Infants do not pr ...
* Neonatal alloimmune thrombocytopenia * Neonatal herpes simplex *
Neonatal hemochromatosis Neonatal Hemochromatosis is a rare and severe liver disease of unknown origin, though research suggests that it may be alloimmune condition. Its characteristics are similar to hereditary hemochromatosis, where iron deposition causes damage to the ...
*
Neonatal meningitis Neonatal meningitis is a serious medical condition in infants that is rapidly fatal if untreated. Meningitis is an inflammation of the meninges, the protective membranes of the central nervous system, is more common in the neonatal period (infants ...
* Neonatal hepatitis * Neonatal hypoglycemia


Mortality

Infant mortality is the death of an infant in the first year of life, often expressed as the number of deaths per 1000 live births (infant mortality rate). Major causes of infant mortality include dehydration, infection, congenital malformation and
SIDS Sudden infant death syndrome (SIDS) is the sudden unexplained death of a child of less than one year of age. Diagnosis requires that the death remain unexplained even after a thorough autopsy and detailed death scene investigation. SIDS usual ...
. This epidemiological indicator is recognized as a very important measure of the level of health care in a country because it is directly linked with the health status of infants, children, and pregnant women as well as access to medical care, socioeconomic conditions, and public health practices. There is a positive relationship between national wealth and good health. The rich and industrialized countries of the world, prominently Canada, the United Kingdom, the United States, and
Japan Japan ( ja, 日本, or , and formally , ''Nihonkoku'') is an island country in East Asia. It is situated in the northwest Pacific Ocean, and is bordered on the west by the Sea of Japan, while extending from the Sea of Okhotsk in the north ...
, spend a large proportion of their wealthy budget on the health care system. As, a result, their health care systems are very sophisticated, with many physicians, nurses, and other health care experts servicing the population. Thus, infant mortality is low. On the other hand, a country such as Mexico, which spends disproportionately less of its budget on healthcare, suffers from high mortality rates. This is because the general population is likely to be less healthy. In the U.S., infant mortality rates are especially high in minority groups. For instance, non-Hispanic black women have an infant mortality rate of 13.63 per 1000 live births whereas in non-Hispanic white women it was much lower at a rate of 5.76 per 1000 live births. The average infant mortality rate in the U.S. is 6.8 per 1000 live births.


Babyhood

Babyhood is a critical period in
personality development Personality development encompasses the dynamic construction and deconstruction of integrative characteristics that distinguish an individual in terms of interpersonal behavioral traits. Personality development is ever-changing and subject to cont ...
when the foundations of adult personality are laid. In contrast toddler is used to denote a baby that has achieved relative independence, in moving about, and feeding.Developmental Psychology. p. 121 1998 "However, Hurlock (1982) cites that infancy, compared to babyhood, is characterized by extreme helplessness. The word baby may likewise suggest a helpless individual; hence, the word toddler has been increasingly used to denote a baby that has achieved enough control of his body to permit relative independence, such as' moving about, feeding himself, etc. Characteristics of Babyhood The most important characteristics of babyhood are listed below: 1. It is the true foundation age .."


References


External links


American Academy of Pediatrics

The World Health Report 2005 – Make Every Mother and Child

Infant eyesight
University of Illinois * {{Authority control Infancy hr:Novorođenče