Rourke Baby Record

Evidence-based infant/child health maintenance guide

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Changes in the 2009 Rourke Baby Record

Rourke Baby Record: 2009 edition - Summary of major changes from the 2006 RBR

General

  1. No major format changes.
  2. Same endorsement by the CFPC and CPS as for the 2000 and 2006 editions of the RBR.
  3. Web links updated.
  4. Paper hard copies are no longer being distributed by McNeil Consumer Healthcare. The 2009 edition of the RBR may be downloaded from the Rourke Baby Record website (www.rourkebabyrecord.ca) and from various organization websites such as the CFPC and CPS.
  5. See the Rourke Baby Record website (www.rourkebabyrecord.ca) for pending updates including proposed new section for literature review with levels of evidence and new section for parent resources.

Growth

  1. Change from the CDC 2000 growth charts to the WHO 2006 growth standards.
  2. Update in recommendations for correction of growth measurement for premature infants.

Nutrition

  1. Addition of suggested daily volumes of milk intake as an approximate guide at different ages.
  2. Update re vitamin D supplementation.
  3. Change in the recommended fat content in milk given to 2 to 5 year olds.
  4. New recommendations on the indications for using soy-based formula.

Education & Advice - Anticipatory Guidance

    Injury prevention issues

  1. Update in information/evidence regarding transportation in motor vehicles, bicycle helmets, hazards re choking and falls, aspects of water safety.
  2. Clarification of safe sleeping terminology.

    Behaviour/Family/Development issues

  1. New guidelines for screening for autism spectrum disorder including use of the MCHAT.
  2. Update in information/evidence regarding non-parental childcare, facilitating literacy, and crying and the risk of shaken baby syndrome.
  3. The inclusion of recommendations for infant swaddling and on parenting programs.

    Other issues

  1. Update in information/evidence regarding pacifiers, antipyretics, insect repellents, and dental care/oral health statements.
  2. New evidence and recommendations on OTC cough/cold medications and on serum lead levels <10 ug/dl.

Development Milestones

  1. External reviews of levels of evidence for various developmental milestone items with subsequent revision of some items.
  2. Update in recommendations for correction of developmental milestones for premature infants.

Physical Examination

  1. Revision in level of evidence for vision screening and for screening for developmental dysplasia of the hips.
  2. New evidence and statements on hearing screening including universal newborn hearing screening.
  3. Clarification of the expected norms for fontanelle examination.

Immunization

  1. Update of immunizations as per NACI recommendations.
  2. New evidence and statements on HPV and rotavirus vaccines.
  3. Updated schedule for meningococcal vaccine.
  4. New resources for parents regarding immunizations.

 

2009 Rourke Baby Record: National and Ontario versions
As in the 2006 edition, the only differences between the Ontario and National versions of the 2009 edition of the RBR are found on Guide IV and its reverse (Healthy Child Development Selected Guidelines/Resources)

  1. On the Ontario version, the 128 month visit development section includes the following statements not on the national version:
    "Enhanced inquiry after Nipissing Developmental Screen™ (NDDS™)**
    List NDDS™ items not yet attained: _______________"
  2. 2. The 2009 Early Child Development and Parenting Resource System found on the reverse of Guide IV (Healthy Child Development Selected Guidelines/Resources) are either national or Ontario specific.

 

Changes in the 2006 Rourke Baby Record

The major changes to the September 2000 version found in the May 2006 version of the Rourke Baby Record are as follows: