Development & Behavior
How should my baby be developing?
Even though crying is still your baby’s strongest form of communication, they can begin to develop a sense of humor. They may start to laugh at pleasant surprises, such as your face appearing from underneath a blanket or a toy popping out of a box, provided it isn’t too loud or startling.
Encourage your baby’s laughs, giggles, and smiles by funny faces. Babies enjoy hearing a variety of sounds, and you don’t need special toys or instruments to create them. Simply click your tongue, whistle, or make animal noises – your baby will love it!
At the week 19, the baby can:
- Keep up with their straight body when sitting;
- Flip (in one direction);
- Attention towards voices, especially mother’s voice;
- Say a few simple words;
How to support my baby?
You can encourage them to laugh by laughing with your baby or making funny faces. The children also love to hear a variety of sounds. You can use your tongue to whistle, creating animal noises, kids will definitely enjoy it! Try to give your baby a shaking toy and you’ll see your baby express their interest when the toy is shaked to make sounds.
Please encourage your child to explore and play with different objects. You can observe your baby playing games and expressing curiosity with toys.
Health & Safety
What should I discuss with my doctor?
Each doctor will have general physical tests, as well as the quantity and type of techniques to diagnose. They can perform different procedures depending on the condition of each child. The doctor or nurse will check all or most of the followings:
- The second time of vaccination if the baby is healthy and the doctor has no other indication;
- Tell your doctor if your child has any reaction from previous injections.
What should I know?
At this stage, you should note a few things.
Acute respiratory virus (RSV)
Acute respiratory virus which is also known as acute respiratory virus often causes symptoms similar to a cold. This virus does not cause disease but it is too dangerous in causing ear infections, bronchitis, pneumonia, which can develop into asthma or other respiratory diseases. Most children under two years old are susceptible to this virus. However, this disease is especially dangerous for infants under six months of age, babies have health problems, premature babies or babies have weakened immune systems.
Initially, a baby may befine, but after a few days, thedisease can become severe and cause breathing difficulties. Signs indicating that your baby may have serious infection includes expanded nostrils, chest puffed, tighten abdominal muscles, wheezing, rapid shallow breathing (more than 60 beats per minute), green lip and nail and feeding problems.
If your child has acute respiratory viral infection, you need to call your doctor. Your doctor will probably ask you to take them to the clinic to check their breathing. Your doctor may prescribe inhaled bronchodilators to help your child breathe more easily. Antibiotics may not help treat acute respiratory virus. However, you can care for the baby at home by letting your baby drink enough water and stay away from secondhand smoke to prevent the baby from breathing difficulties.
Try nose drops or spray medicine for your baby to help them breathe easily. These medications can thin the mucus in the kid’s nose, thereby prevent breathing problems. At the same time, hold head high when they sleep. You can give acetaminophen (paracetamol) if the baby has a fever with directionfrom your doctor. The premature babies, babies with lung disease or congenital heart at RSV epidemic season should be vaccinated to help them fight the virus.
Heart is a life-sustaining organ, so any heart problems are very dangerous, especially for babies. However, most cases of heart murmurs are not serious and may go away on its own. You should not worry.
When the doctor say that the baby has a heart murmur, it means that the heart makes an abnormal sounds when the blood flows through the heart. Doctors usually can point out the cause of abnormal sound for you to know.
Most of the time, heart murmur is caused by the irregular shape of the heart as it is still developing. This sound is said to be harmless and can often be diagnosed by checking with a stethoscope. Your doctor may not need to perform more tests or treatments. Over half of the children suffer from this condition and this condition may persist throughout childhood. When children has developed a complete heart, heart murmur will automatically disappear.
If you are still worried, ask your doctor to know the exact status of the baby’s heart and whether it can impact your baby’s current and future condition.
What I am concerned about?
Here are some things you may be concerned about:
Massage is not just for adults. In recent years, massage is more common in infants and is seen as a very good therapy for health. With this therapy, the baby grows faster, sleep better, breathe better and is more alert .
If you want to learn how to massage your baby, look for buying books, watching video or taking a class with a therapist to learn. Or you can try infant massage according to the following steps:
- Choose a convenient time for you.
- Choose the appropriate time for the baby.
- Create a comfortable space.
- Use lubricant if you like.
- Follow your child’s reaction: they will help you know whether your baby loves a massage or not and you’ll know when to make, and when to stop based on the responses of babies .
- Test movements: Generally, babies love to be touched lightly. Here are a few ideas to get you started:
- Gently put both hands on either side of their head and hold for a few seconds. Then, stroke their face two parties, continue to claw down the body to the toes.
- Massage in circle with your fingers on their head. Forehead should be stroked by gently press their hands from between forehead then moving outward.
- Light caressing their chest from the inside out.
- Swipe up and down abdomen slightly by hand, then switch to edge by the other hand and form a circle. Then, let your fingers walk on the baby’s belly.
- Gently roll arms and legs in between your hands, stroke the arms and legs. Open palm and massage their fingers.
- Lift leg up and put down again. Massage, caress the toes which are straightened.
- Put the baby lie with face down and massage their back from side to side and from top to bottom.
- During the massage, you should speak or sing softly to your baby.
- Try a massage for your baby and you will be surprised with their reaction.
Hello Health Group does not provide medical advice, diagnosis or treatment.
Review Date: August 11, 2016 | Last Modified: March 26, 2019
Murkoff, Heidi. What to Expect, The First Year. New York: Workman Publishing Company, 2009. Print version. Page 289-309.