Are You Infant-Ready?
How to prepare yourself, your house, and the children.
By Laura Reese

laurakids.gif (30413 bytes)When the parents of a cherished two-year-old ask you to care for their newborn infant, are you prepared to answer? Your days have been running smoothly because the toddlers in your care are more or less independent. You enjoy providing "pre-school-type" activities and you are always on the go. You know, however, that you have the patience, gentleness, and nurturing nature required to work well with children of any age, including babies.

But young infants must be attended to carefully. A safe and secure environment is essential to their development. And because of their vulnerability and relative helplessness, you must be prepared to attend to each infant individually. As the infants’ increasing motor skills lead them into new areas, you must also anticipate new hazards that may arise. This new baby on the go demands a new level of vigilance along with a new schedule, different equipment and modified activities. Is it worth the trouble?

Financial Benefits

For many providers the arrival of an infant means an increase in income. At last year’s Save the Children conference in Atlanta, Rose Mary Cumberland led a session on "Why Every Home Needs and Infant."

"Each provider may choose to do it differently. The infants in my care require more of my time and attention, so I charge more," she explained. "But toddlers they go through my equipment faster, which means a bigger overhead for me. So I charge more for infants initially, but I keep the rate the same as the child gets older. I think of it as my raise."

A participant at the conference commented that "in most places the parent is prepared to pay more for infants because that seems to be, especially in commercialized centers, the rule of thumb. They have to have a higher staff ratio in the infant rooms. And most parents will be prepared for higher rates, although some may expect a sibling discount." Other fee structures may work better. It is ultimately up to you.

More Equipment

Adding an infant also means adding to your equipment. You need cribs, playpens, swings, highchairs, and infant seats along with age-appropriate toys and safety supplies like gates and cabinet locks.

If you only plan to care for one infant for a limited time, it might be a good idea to have parents provide the necessary equipment, to be returned when the infant grows out of it. But if you plan to care for infants in the future, you will want to consider making the investment yourself. For more information on age-appropriate equipment consult Holly McDonough- Abunassar’s book, Making Home-Based Child Care Work For You.

Encouraging Active Play

Although you should have infant equipment like swings, bouncy chairs, and exersaucers to give you the breaks you need, it is important to encourage active play as well. Infants begin all learning through physical movement, taste, touch, smell, sight, and sound. By moving their arms, hands, legs, and other body parts, by touching and being touched, infants develop an awareness of their bodies and their ability to move and interact with their environment. By using their mouths to explore, hands to reach and grasp, and their whole bodies to roll over and sit up, they master the necessary skills needed for developmental stages that follow.

According to research done by Stephen Porges, Ph.D. of the University of Maryland, "opportunities to be active are vitally important for the development of motor competence and awareness of an infant’s own body and person; the development of his sensory motor intelligence; the ability to perform physical and mental initiative; and the feelings of mastery and successfulness." A baby confined to a swing for hours is developmentally confined as well.

For maximum development, experts recommend keeping infants confined for no more than 20 minutes at a time. To encourage the healthy physical and motor development, a provider should give infants a safe opportunity to practice these new skills—which means baby-proofing. The more you baby-proof, the less you’ll have to say "No, no!" and limit their exploration. Therefore, you need to consider whether you can juggle the baby’s need for closely-watched free time with older children’s activities.

Here are some ideas for getting infants involved:

1. Circle time can include infants. Use a swing, bouncy chair, or if they can sit independently, place them in the circle. Help them clap. Give felt pieces to feel or instruments to play (make sure they don’t contain small pieces or toxic paint).

2. When painting, give the baby a fresh clean paintbrush to explore. Or if using finger paints, try letting the infants use pudding and gelatin instead of paint. They will love the mess!

3. Teach the baby about different faces. Tell the older children to stand in front of the infant while you call out "silly" face or "scared" face or "angry" face. The infant will get a kick out of it. Take pictures and hang them up to show the children how funny they look.

Temperament

You also need to gauge how well you can handle the baby’s emotional needs. Unfortunately, you cannot choose the temperament of the baby any more than it can choose to be in your care.

Each infant is a unique individual who has already developed likes and dislikes before coming to your care. You may have the kind of baby you find easy to understand, sympathize with and handle, or the kind of baby who needs constant handling that does not come naturally to you.

You are also a unique individual with years of complex experience behind you. If the ways of handling infants that come naturally to you happen to suit the baby, then the interaction between you will be comparatively smooth and easy from the beginning. But if these things do not match, you and the baby will have to do much more adjusting to each other. You have to be able to accept the infant for what he is today, but keep an open mind: he may be something quite different next month or next year. All these things play a part in how the new infant will react to you and the new world at day care.

Responding

It may take time to learn what the infant is trying to communicate through crying. But establishing a personal relationship and secure attachment early will benefit both you and the infant. The infant will begin to feel comfortable with the kinds of cuddling, stroking, talking, and playing you provide. And you will be able to settle him quickly, allowing you to attend to other children.

Since infants can’t use words to communicate their moods, preferences, or needs, they send many signals. Among the cues and clues they send are sounds, movement, facial expressions and how they make (or avoid) eye contact. When you try to read these signals and respond with sensitivity, you are helping to form a healthy, secure attachment. The infant will begin to trust that when she smiles, someone will smile back; that when she’s hungry, someone will feed her; and when she’s upset, someone will comfort her.

All the baby learns when there is no response from you or others is that her needs are not being met. The baby whose needs are met consistently and warmly develops a sense of basic trust of the world. Studies have found that babies with parents ( or caregivers) who are responsive to their crying in the first six months actually cry less from six to twelve months, compared with babies whose parents were less responsive.

Yet even if you are putting out every last effort to meet the baby’s needs, he may still choose to cry. It also doesn’t mean you must respond to every peep. If a baby is not very distressed when trying to go to sleep, often she can learn to calm down if given the chance—which is an important skill. If you were to rush in at the first sound of her cries, you might only stimulate her more and postpone her return to sleep. However, Althea Solter, Ph.D., and contributing expert writer to www.parenthood.com advises, "If you are not sure, it’s better in the first year to err on the side of being more responsive."

The Crying Baby

It is a skill to know how to respond to infants. For some it may come naturally and years of experience may have taught them a few tricks of the trade. But a crying baby can be difficult to handle for both you and the other children. It may bring up feelings of anxiety, helplessness, frustration, incompetence, and even anger and hostility. Fortunately, there are also plenty of courses available to update and refresh your infant care skills.

Obviously, you need to comfort and infant who is distressed, and attend to an infant who may be teething, ill with fever, or having indigestion pains. You’ll need a strategy for times when the baby is crying incessantly even though it has been fed, changed, rocked, hugged, cuddled, and loved. Allowing an infant to cry briefly when settling into sleep may be difficult at first, and you may never decide to let her cry herself to sleep. But there comes a time when you need to let the infant settle herself.

Family child care provider Holly McDonough-Abunassar suggests feeding and rocking until the infant is almost asleep. Then putting the infant in a crib, if possible, in a quiet room. "At first it’s likely that he will re-awaken and protest since this may not be what he has come to expect. But if you persist and add some gentle words of comfort, you will eventually teach him how to put himself to sleep." She adds that you may have to start the process over a few times if he becomes fully aroused after being put in the crib. But eventually "you will learn when the time is just right for moving him from your arms to the mattress." Check out awarepar@sbnet for additional medical advice on how to handle a crying baby.

Are The Older Children Infant-Ready?

Being able to settle a crying infant quickly also allows a speedy return to the older children. Don’t forget that bringing an infant into the group doesn’t just affect you. Older children will notice the crying and other changes too.

Some may have younger siblings at home, but for others this will be their first close encounter with a baby. To help them adjust, start communicating about the changes a few weeks before the new infant’s arrival. Start with discussing and practicing appropriate behavior around infants. Give children time to practice using a baby doll. Place the doll on a blanket on the floor and let the children know they need to be careful around it. You don’t need to deter them from interacting with the infant. The children will be sure to want to kiss, hug, and play with the new baby. But you can help them learn how to do it gently and know when to stop.

You can also let children help you pick out toys for the new baby. Explain to them how babies can choke on small objects and you can even get out the toilet paper roll and have them test toys to see if they fit through the roll. If they do, they are too small for baby!
Children of different ages stand to gain a number of benefits from the presence of infants and vice versa. PathFinders Unlimited of Florida suggests the following as benefits of mixed-age groups in their pamphlet, "Parents, Children & Family Child Care."

Mixed Age Groups:

Are Developmentally Appropriate-A mixed-age environment is a very normal and natural setting. The real world is full of people of all ages similar to the child’s family, neighborhood, and community.

Offer Provider Stability-Children are not moved to a new classroom and new teachers when they have a birthday or master a certain skill.

Ensure Individual Attention-Caregivers in family child care tend to be more accepting of uneven development. They are able to focus on each child as an individual due to the lower ratios.

Offer Family and Sibling-like Relationships-These relationships can best be fostered when children can interact throughout the day and are sources of affection and comfort.

Let Children Experience Different Roles-Children have the opportunity to play various roles such as the youngest, middle, or the oldest of the group and therefore have exposure to different learning experiences.

Enhance Social Development-Children have the opportunity to interact with a variety of behaviors and continuously practice cooperative work and play skills (sharing, taking turns, expressing feelings, etc.)

Build Leadership Skills and Self-Esteem-The older children have the opportunity to lead, instruct assume responsibility, nurture others and to strengthen their own skills and knowledge already acquired in the process of tutoring other children.

Let Children Learn from Other Children-The younger children are exposed to more complex play, advanced language, and educational activities by observing and imitating the older children. They often learn better from children than adults.

Are Therapeutic for "At-Risk" Children-Children with difficulty following rules are encouraged to remind the younger ones of the rules and therefore learn to obey and control their own behavior. Also, children with low self-esteem have an opportunity to refine their social skills and interact in a non-competitive way around the younger children.

Minimize Competitive Pressures-The children are at various levels and will have age-specific needs at different times. They will not be compared with or need to compete with their same-age peers.

*To find out more about the benefits of caring for mixed-age groups and other family child care issues contact Brenda Ives at PathFinders Unlimited (954) 587-6735.

A recent study conducted at the National Institutes of Health confirms the benefits of a mixed-age environment for the infant. The researchers concluded that children cared for in settings with other youngsters had fewer behavior problems that those cared by a nanny alone.

A loving caregiver is a "home base" who is readily available and provides warm physical comfort and a safe environment for an infant to explore and master. The emotional stability provided by a high-quality, mixed-age, safe, stimulating caregiver can contribute significantly to the development of self-confidence as well as language, physical, cognitive, and social growth.

So are you prepared to test your infant-readiness? Take time to quiz yourself—you may like what you find! Circle how inclined you may be to do the following:

Baby-Proofing Your House

You must prepare yourself for infant care, but you also need to prepare your house. You can't eliminate every speck of dust from the baby's life, and you don't need to. But to keep your active baby safe and healthy, make your house baby-proof:

  1. Install gates to block off stairways (indoor and out) and other dangerous areas.
  2. Remove from baby's reach anything breakable or anything small enough to pass through a toilet paper roll.
  3. Lock cabinets that contain household cleaners or other dangerous items. (Your local poison control center can provide a complete list of dangerous compounds. Keep the poison control center number near the phone. And while the pharmaceutical and vitamin companies have done a fine job of child-proofing their containers, we'd like to see the manufacturers of cleaners—especially bleaches and ammonias—to follow suit.
  4. Make sure sharp corners on furniture are padded or otherwise protected.
  5. Tie back drapery cords and move electrical cords. Insert dummy plugs in electrical outlets.
  6. Learn infant (and child) CPR/First Aid in an established course.
  7. Avoid putting baby in a walker. (The American Academy of Pediatrics now recommends not using walkers because they have been involved in a number of accidents.) Use stationary "saucers" playpens or swings (but only minimally, to give the baby a chance to explore.)
Ten Tear-Taming Techniques
  1. Swaddle her in a receiving blanket, so she feels snug, safe, and warm.
  2. Rock her gently in a carriage or swing.
  3. Grab the stroller and go for a walk.
  4. Gently massage or stroke her abdomen.
  5. Lay her on her stomach across your knees and gently rub her back. (You might also try covering a warm hot-water bottle with a towel and placing it on your knees, under the baby's belly.)
  6. Lay her in a quiet room apart from other children.
  7. Introduce different sounds such as rhythmic music, the whirring of a clothes dryer, or the whining of a vacuum cleaner.
  8. Carry her in a sling, right next to your body.
  9. Step outside for a change of scenery.
  10. Feed her: she may just be hungry again.

Are You Infant-Ready? Take This Handy Quiz

(Source: State of Maryland guidelines for infant care)
[ Never = 1 ] [ Almost Never = 2 ] [ Frequently = 3 ] [ Almost Always = 4 ] [ Always = 5 ]

Clean with sanitizing solution all toys and objects used and mouthed by infants? ( 1 2 3 4 5 )
Make provisions for sanitary diaper changing and disposal. ( 1 2 3 4 5 )

Support mothers who wish to continue to breast-feed infants. ( 1 2 3 4 5 )

Follow a sanitary procedure for preparing, storing, and labeling baby bottles. ( 1 2 3 4 5 )

Respond to infant’s individual rhythms, while working toward regularity in feeding & sleeping. ( 1 2 3 4 5 )

Manage group so as to be able to concentrate on the individual feeding of infants and hold infants for bottle feedings. ( 1 2 3 4 5 )

Recognize conditions that cause tooth decay in infants and take measures to prevent them.
( 1 2 3 4 5 )

Work cooperatively with parents and share information frequently concerning nutrition, weaning, and introducing solid foods, while showing them respect for different practices and values. ( 1 2 3 4 5 )

Gradually offer children opportunities to feed themselves, providing finger foods and adequate
time for pleasurable feeding. ( 1 2 3 4 5 )

Work well with parents to prevent skin irritations and rashes. ( 1 2 3 4 5 )

Change infants position and location often during the day and respond to the child’s developmental skills such as sitting up, rolling over, and reaching for objects.
( 1 2 3 4 5 )

Provide learning environment for nonmobile infants that encourages mouthing reaching, batting, grasping, etc. ( 1 2 3 4 5 )

Talk to, sing, play with, and read to mobile infants and give them more space to explore.
( 1 2 3 4 5 )

Frequently carry infant in arms or sling. ( 1 2 3 4 5 )

Take infants outdoors to experience light variations, temperature differences, and sights and sounds of other living things, animals, humans and plants. ( 1 2 3 4 5 )

Make caregiver-child interaction the base of the infant’s learning environment. ( 1 2 3 4 5 )
Arrange room so that mobile infants have an area for free movement protected from older children. ( 1 2 3 4 5 )

Baby-proof environment and take necessary Infant CPR/First Aid courses to ensure safety.
( 1 2 3 4 5 )

Adjusts routines, activities and materials, supportively understanding that intense feelings, rapid changes in mood, and energy influence the infants’ response to the environment.
( 1 2 3 4 5 )

Provide basic physical care (feeding, diapering, bathing) gently and pleasantly, respecting the tempo and sensitivities of babies. ( 1 2 3 4 5 )

SCORING
Add up the all the circled numbers to get your total score.

85-100 =Ready Set Go. You will go the extra mile to make safety, health, and an optimal learning environment a priority and will respond to the infant’s individual needs on a daily basis. You also will work closely with the parents to establish consistency in care.

70-85=Ready As I’ll Ever Be. You have more practical expectations of infant care. You are eager to provide a happy, healthy, safe, and stimulating environment and set realistic goals.

60-70=Ready . . . or Not? You think infants are a good idea, but may not be ready to commit to the extra daily effort it takes to have them in your care.

60 or below = NOT Ready, Freddie. You are not inclined to accommodate an infant’s individual needs and you may want to rethink if the duties entailed in caring for an infant are reasonable for your situation.

For further information on infant care and infant activities consult the following resource guide or check amazon.com keyword = infant care:

Jackie Weissmall, Games to Play with Babies. Miss Jackie Music Company. 10001 El Monte, Overland Park, Kansas 66207.

Penelope Leach, Your Baby and Child: From Birth to Age Five. New York: Alfred A. Knopf, 1995.

Elaine Martin, Baby Games: The Joyful Guide to Child's Play from Birth to Three Years. Philadelphia: Running Press, 1988.