Welcome to parenthood! This is the start of an exciting journey for you and your family. In this section, we hope to cover some of the questions that you might have as parents and to partner with you on this new journey.


  • Newborn & Well baby checks

    Well baby checks allow your doctor to ensure that your childs growth and development is on track and that your child is getting the nutrition he or she needs. These visits also educate parents in terms of developmental milestones of the child and what to look out for, helping the parents to care better for their child.

  • Childhood Immunization Routine and Optional Childhood Vaccinations

    What is childhood immunization and why is it important?
    Childhood immunization is when your child is given a vaccine to protect them against an infectious disease. The vaccine encourages the bodys immune system to produce antibodies against the infectious disease such that your child can fight the disease if they are exposed to it.

    Childhood immunization protects your child against serious infectious diseases which can otherwise lead to lifelong complications and occasionally be fatal. If enough children are immune to a particular disease, the risk of it spreading is lowered and might eradicate the disease entirely.

    Childhood Immunization Schedule

    Vaccination Schedule
    Suggested Age Vaccines Immunisation Against Medisave Payable
    At birth BCG Tuberculosis Yes
      Hep B1 1st dose Hepatitis B Yes
    2 Months 6-in-1 (1st dose) Diphtheria, Tetanus, Pertussis, Poliomyelitis, Haemophilus influenza type B, Hepatitis B Yes
      Rotavirus 1st dose Rotavirus No
    4 Months 5-in-1 (1st dose) Diphtheria, Tetanus, Pertussis, Poliomyelitis, Haemophilus influenza type B Yes
      Rotavirus 2nd dose Rotavirus No
      PCV 1st dose Pneumococcal diseases Yes (< 6 years)
    6 Months 6-in-1 (2nd dose) Diphtheria, Tetanus, Pertussis, Poliomyelitis, Haemophilus influenza type B, Hepatitis B Yes
      PCV 2nd dose Pneumococcal diseases Yes (< 6 years)
    12 Months PCV booster Pneumococcal diseases Yes (< 6 years)
      MMRV 1st dose Measles, Mumps, Rubella, Varicella No
      Hep A 1st dose Hepatitis A No
    15 – 18 Months 5-in-1 booster Diphtheria, Tetanus, Pertussis, Poliomyelitis, Haemophilus influenza type B Yes
      MMRV 2nd dose Measles, Mumps, Rubella, Varicella No
    18 – 21 Months Hep A 2nd dose (six months from first dose) Hepatitis A No
     
    9 years onwards HPV: 2 doses or 3 doses depending on the age Human Papillomavirus Yes
    10 – 11 Years TdAP Tetanus, Diphtheria, Pertussis Yes
      OPV/IPV second booster Polio Yes

    What are optional vaccines?
    Optional vaccines include vaccines for Rotavirus, Influenza and Chicken Pox. Consult the doctor if you are considering these vaccines for your child.

  • Childhood conditions

    Asthma

    Asthma is a very common childhood illness and it affects about 20% of the children in Singapore. As parents, it is worrying to hear when your child has been diagnosed with asthma. However, your child is still able to remain health and be physically active with this condition.
    Asthma is a condition whereby there is chronic inflammation of the airways. Inflamed airways are more sensitive than normal airways and when exposed to a trigger, chemicals are released resulting in narrowed airways.
    Common symptoms of asthma include:
    • Chest tightness: May be felt in older children especially after intense physical activity.
    • Shortness of breath: May be severe enough to interfere with normal daily activities, sleep or exercise.
    • Cough: Varies from child to child. Some children may have a dry cough while others may have a wet cough that comes with whitish or yellowish phlegm.
    • Wheezing: A whistling sound that occurs when the child breathes out. This symptom might not be present in all children.
    Every child is different and thus, the presentation of asthma varies from one child to another. Do consult your paediatrician on how to better manage the specific symptoms for your child.
    Common triggers of asthma include:
    • Allergies: Common allergens are dust, animals (i.e. fur, saliva), pollen and mould. Food allergy is not common but peanuts, egg or dairy products and birds nest may trigger asthma symptoms.
    • Irritants: Air pollution can trigger asthma and asthmatic children have more symptoms during hazy periods. It is best to avoid outdoor activity during these periods. Cigarette smoke is also highly detrimental for children with sensitive airways.
    • Sudden weather changes: Cold and dry air is a trigger to sensitive airways.
    • Viral infections: Viral respiratory infections (e.g. a cold) in young children can result in asthma. The child can start off with a mild cold which then develops into a cough and asthma symptoms can persist for the next one to two weeks.

    Atopic Dermatitis

    Atopic dermatitis is a recurrent itchy skin condition and affects at least 20% of school-going children in Singapore. Many patients with atopic dermatitis have dry skin which is easily irritated, causing the skin to flare up. Atopic dermatitis appears as red and scaly rashes. Most children with this condition improve as they grow older. However, there is no cure and the condition can recur from time to time.
    Common parts of body that can be affected by atopic dermatitis:
    • Neck
    • Elbows
    • Behind the knees
    • Face
    • Limbs
    How to manage atopic dermatitis?
    Lifestyle changes:
    • Avoid stuffed toys, pets, carpets, thick curtains in the home to reduce the level of house dust mites.
    • Avoid harsh soaps and soaps which are scented.
    • Avoid hot baths.
    • Moisturize regularly with fragrance-free moisturizers.
    Targeted treatments:
    • Topical steroids: Apply thinly on the red and itchy areas. Frequency of application is two to three times daily, depending on the doctors instructions. Prolonged usage of topical steroids can lead to side effects, such as, thinning of the skin and increased hair growth.
    • Non-steroid creams: Applied in the same way as topical steroids. Some patients may experience a burning or stinging sensation. Inform your doctor if these symptoms occur.
    • Anti-histamines: Medication to relieve itch.
    • Oral antibiotics: May be prescribed if there are signs of skin infection worsening the atopic dermatitis.

    Colic

    What is Colic?
    Colic is a condition whereby a healthy infant (less than 4 months old) with no known medical conditions cries incessantly for an extended period of time.
    Symptoms of Colic:
    • Crying that lasts for several hours
    • Crying occurs at the same time every day, usually in the late afternoon or early evening
    • Crying seems to be without reason (e.g. infant is not hungry, clean diaper, etc.)
    • Infant may more his arms and legs more, i.e. clenching his fists, drawing up his legs and may also expel gas
    • Infant is well at other times
    Causes of Colic
    There is no evidence to determine the root cause of colic.
    Some speculated causes include:
    • Allergy If the infant is formula-fed, he/she may be allergic to certain proteins in the formula.
    • Lactose malabsorption The infants inability to digest certain sugars may lead to poor absorption of these sugars from milk.
    • Overstimulation With many new sensations (i.e. light, sound) surrounding infants, some become overwhelmed, especially at the end of the day. In response to the overstimulation, they cry and are not easily soothed.
    Should I bring my infant to see the doctor for colic?
    Yes, it is a good idea to talk with a doctor about your infants crying. Your doctor can also rule out other potential causes, such as, intestinal problems or urinary infections and to check that your infant is feeding and growing normally.
    If your infant has colic, your doctor would be able to advise you on your next course of action as well.

    Hand, Foot & Mouth Disease (HFMD)

    What is HFMD?
    HFMD is an infectious disease caused by a family of viruses called Enteroviruses. It can occur in people of various age groups, the most common being young children.
    What are the symptoms of HFMD?
    • Blister-like or pimple-like rashes on their hands, feet and buttocks.
    • Mouth ulcers
    • Fever
    • Sore throat
    • Runny nose
    • Vomiting and diarrhoea
    How does HFMD spread?
    HFMD can be spread through direct contact with nose discharge, saliva, faeces and fluid from the blisters.