#CPST

[the-method-of-madness-mom-blog]

Things you will need as a mom!

There is something that happens the moment you become a mom. Immediately we want the best for our children, and that includes providing them with the right tools and equipment to help them grow and thrive. Whether you are a first-time parent or have multiple children, it can be overwhelming & quite expensive deciding which items are essential for your child’s development and well-being. I’m going…

[jcrmhscasereports]

COMPLETE PENOSCROTAL TRANSPOSITION WITH MULTIPLE CONGENITAL MALFORMATIONS by Jafari B. Lutavi in Journal of Clinical Case Reports Medical Images and Health Sciences  

SUMMARY

Penoscrotal transposition (PST) is an extremely rare congenital anomaly of the external genitalia, characterized by malposition of the penis in relation to the scrotum. PST can be either complete or incomplete according to the positional exchanges between the penis and scrotum and both forms of PST are generally linked with hypospadias. Incomplete transposition is the common form of this entity and the penis lies in the middle of the scrotum, but complete transposition, the scrotum almost entirely covers the penis, which emerges from the perineum. Both forms are most often associated with a wide variety of other anomalies. We describe a case of a newborn with complete PST, with other associated malformations.

BACKGROUND

Penoscrotal transposition (PST) is a rare anomaly of the external genitalia, characterized by malposition of the penis in relation to the scrotum1,2,3. PST can be defined as either complete or incomplete according to the positional exchanges between the penis and scrotum and both forms of PST are generally linked with hypospadias. Incomplete transposition is the common form of this entity and the penis lies in the middle of the scrotum, but in complete transposition, the scrotum almost entirely covers the penis, which emerges from the perineum1. PST was first reported by Appleby in 1923. Patients with PST often have accompanying urological abnormalities, such as chordee, hypospadias, and vesicoureteric reflux4.

The etiology and embryological sequence abnormalities that occur in PST is still unclear. The genital tubercle and the labioscrotal swellings are the embryological origins of the penis and scrotum, respectively. During normal embryonic development, in the 9th–11th week, the scrotal swellings migrate infero-medially and fuse in the midline caudal to the genital tubercle that forms the penis by the 12th week of gestation. This is usually achieved under the influence of androgens and poor response or absence of androgens results in abnormal migration  of the scrotal swellings3. Somoza et al suggested that an abnormal positioning of the genital tubercle at the 6th gestation week (GA) concerning the scrotal swellings or a defective gubernaculum leads to PST2.

Complete penoscrotal transposition (CPST) is frequently characterized by major and often life-threatening anomalies involving the urogenital, cardiovascular, gastrointestinal, and skeletal systems2. Common genital anomalies include hypospadias and chordee, and 100% of cases have a renal defect.

CASE PRESENTATION

A gravida 5, para 1, living 1 with 3 abortions woman aged 27 years was referred from Mwananyamara Referral Regional Hospital and admitted to Obstetrics and Gynecology department at Muhimbili National Hospital- Mloganzila. She has a referral diagnosis of antepartum hemorrhage and severe oligohydramnious at GA of 30 weeks 2 days. She had three previous pregnancy loses: 1st and 2nd loses both at 12 weeks GA with 6 months between the loses; her 3rd loss was 2 years after she had a term healthy baby by normal delivery.

She had no histories of phenotypic genetic abnormalities in their families, illicit drug use, cigarette or alcohol consumption, no chemical, radiation exposure, or any chronic illness. She is married, and is a university graduate, working as a transportation officer. She attended antenatal clinic (ANC) five times and all her laboratory work-up such as blood count indices, blood grouping, urinalysis, stool examination, and microscopy, and fasting blood sugar were normal. She was HIV negative and blood film for malaria parasites came back negative. Record of the ultrasound scan taken at 6th -week gestation indicates early multiple pregnancy (two gestational sacs seen) and the next scan performed at 27th weeks GA show a normal single fetus with no anomaly. She was given iron and folic acid supplements, received Tetanus Toxoid vaccine twice, sulfadoxine-pyrimethamine (SP) tables twice as part of intermittent preventive therapy for malaria and she was dewormed using Mebendazole. With her history of pregnancy loss and complaints of abdominal cramps, she had been kept on bed rest at home from 16th week of gestation as recommended by her obstetrician at Mwananyamala Hospital.

After she was brought to our hospital she had active vagina bleeding. A bed side ultrasound revealed placenta previa grade 3 and she was planned for emergency hysterotomy. She delivered a male baby, 1750 gm, who did not initiate spontaneous breathing after birth. The baby was initially resuscitated with a bag and mask before intubation at age 5 minutes. He was assigned an Apgar score of 3, 1, 4 at 1st, 5th and 10th minute respectively. On examination, baby had severe pallor, occipital-frontal circumference – 29cm, communicating anterior and posterior fontanelle, low set ears, short neck, wide-spaced nipples, undescended testes (empty scrotum), inverted genitals (CPST) with hypospadias (Figure 1), rectal atresia, prominent heel, and bilateral talipes equinovarus.

https://jmedcasereportsimages.org/wp-content/uploads/2022/10/fig-1-2.jpg

Figure 1: (a) shows a horizontal view of complete penoscrotal transposition and (b) shows an oblique view of complete penoscrotal transposition.

DISCUSSION

Penoscrotal transposition (PST) is a congenital urogenital anomaly described first in 1923 by Appleby. The embryological sequence responsible for this malformation remains unclear; however, it has been suggested that an abnormal positioning of the genital tubercle in relation to the scrotal swellings during the critical fourth to the fifth week of gestation could affect the migration of the scrotal swellings2. In this case report, there is a complete exchange of position with the scrotum located superior to the penis, which is inferior to scrotum. (Figures 1(a) and 1(b)). Also, there presents a spiral and hypoplastic penis crooked toward the anal position. Ayamba et al reported the same findings whereby noticed complete transposition of the external genitalia with cryptorchidism, hypoplastic penis from the perineum just above the blind anal position, and caudal to the scrotum3. Somoza et al also noted at birth a newborn has a complete transposition of the external genitalia, a 3.5-cm-long, hypospadic, and hypoplasic penis arose from the perineum, just above the anus and beneath a normal scrotum1–3,5.

CPST is often characterized by major associated malformations. Our baby had also other multiple physical abnormalities such as short neck, low set ears and talipes equinovarus. Unfortunately, due to our limited resources, we could not complete imaging of internal organs. Previous reports of CPST have also noted presence of other malformation with 100% occurrence of renal anomalies. For example, Parida et al had noted major renal anomalies in the form of agenesis, horseshoe kidney, ectopic and dysplastic kidney, obstructive uropathy, and hydronephrosis. Other systemic abnormalities are mental retardation, anorectal malformations, central nervous system, skeletal and cardiological defects5.  In our case, we did not perform imaging to detect renal anomalies, but literature suggests most likely there were there. The detection of CPST should warrant careful clinical evaluation to rule out other anomalies.

Although some reported a family history and genetic basis for the incidence of PST6, we did not find any evidence of positive family history of phenotypic abnormalities. When associated with severe hypospadias, penoscrotal transposition necessitates a staged surgical repair for physiological and psychological reasons.

Our newborn required advanced resuscitation at birth, likely due to hypoxia in utero as a result of significant blood loss (placenta previa grade 3). This is supported by the findings that baby was very pale at birth. However, we cannot rule out the possibility of other anomalies such as fatal cardiac anomalies which are incompatible with life1,5.

OUTCOME

The newborn was transferred to the neonatal intensive care unit for further treatment and passed on after 4 hours. No any radiological or laboratory investigation were completed within this time.

LEARNING POINTS/TAKE HOME MESSAGES

Strengthening of antenatal care services in a primary health facility is a key for positive outcome of pregnancy. This is by early detection of abnormal development of fetus in utero by early ultrasound

Referring hospitals in low-income settings should be strengthened with well knowledgeable personnel (radiographers) and modern equipment. As we have notice in this case even a placenta praevia was detected after being received in a tertiary hospital despite the woman being scanned in late 2nd

There is a need of strengthening neonatal ICU by ensuring bedside radiological equipment’s is available also other ICU equipment’s are enough. As we have seen no any radiological investigation done to the baby due to the fact that the baby was in critical condition but based on critical care knowledge and experience this could possible by bedside equipment.

Learning culture must be strengthened in our institute; if we had good learning culture radiological investigations would have been done to the dead baby for learning purpose to detect if there is any other internal congenital anomaly and other cause of death to this newborn

PATIENT’S PERSPECTIVE

Am so thankful for the services I receive from all hospitals and I declare to have no any experience of having an abnormal baby in my family and even my husband’s family. This is my first time to give birth a newborn with congenital malformation and i wondered the way it was not even discovered early during the antenatal period. Also, I promise to attend the clinic early for the next pregnancy and follow all instructions that i will be given by health care providers for the sake of the good health of herself and next baby.  Am so happy about this publication because it will help other doctors to identify the condition and treat it accordingly also for those who are in learning schools will learn more about this condition.

Competing interests: None.

Patient consent: Obtained

For more information: https://jmedcasereportsimages.org/about-us/

For more submission : https://jmedcasereportsimages.org/

[enoshimastims]

Can we rq a judge Angel's stimboard? From the creepypasta "Judge Angels" with shimery black stims, angelic stims and if possible kidcore stuff?

[cpstproj]

IMPORTANT ANNOUNCEMENT REGARDING CLUB PENGUIN SMILE TEAM

Unfortunately, CPST will be going on an indefinite hiatus (maybe several months) due to difficulties, the creator (myself) being significantly less active on the Club Penguin community, busy with life and having lack of motivation to write. The release date for the webcomic will be changed into "Unknown" as well. I know this is a shame. But delaying it has to be done. Of course work towards CPST will resume in several months, so please don't worry. I promise to actively work on CPST again someday, but right now it's not 100% guaranteed because of the forementioned reasons. But I still hope to work on it again someday.

Here's also another announcement regarding CPST. Whenever I work on CPST again, the story and its format will be overwritten. Yes, it will NO LONGER be a plot and lore-oriented story. I will make it a slice-of-life-type of story. I know it might make it more boring and less engaging, but it also has to be done. This is to make writing easier and less messy for me (hopefully). I'm aware that I might have been plunging your excitement and anticipation down the drain. But again, it has to be done to reduce the stress from writing.

I'd also like to remind you that I'm just a human AND there are only two people working on the comic, one of which is myself. The other person provides advice and suggestions to the writing, while I'm in charge of basically everything else in the webcomic. We're just two people with a small following working on the comic.

I apologize for not actively giving away updates regarding Club Penguin Smile Team. Life has been difficult, I have one fandom that I am way more active on than Club Penguin, I have school, and I actually do NOT feel confident about writing - not just CPST, but also writing in general. Fortunately I plan to practice writing and hopefully build confidence, however I had to give it some thought before doing that.

I hope you understand. Thank you for the patience. Waddle on!

-Jiu

:)

[jiuzifake]

We will start working on updates to this site today! I'll let you know if it's finished.

In the meantime, here's the very first concept of the protagonist made in CPMountains's Playercard generator mentioned in Smith's concept art.

Website / Twitter / Bluesky / The Director

[karolgrass]

Wiosna tuż tuż... efekty działania nawozów można zobaczyć na murawie. Najwyższej jakości produkty bronią się same, nie potrzebują fajerwerków i pięknych słów. Na zdjęciu widać, jak po zimie roślina zmaga się z niedoborami głównie fosforu i potasu, mimo pseudo profesjonalnego nawożenia w ubieglym roku. Warto zastanowić się, jaki produkt się wybiera... nie zawsze otoczka wokół produktu jest odzwierciedleniem jakości produktu! #nawozy #jakość #murawa #boisko #stadion #boisko #osir #mosir #osrodeksportu #ekstraklasa #1liga (w: Warsaw, Poland) https://www.instagram.com/p/Cpst-Vqt05V/?igshid=NGJjMDIxMWI=

[luna-st0ries]

STOP TRYING TO GASLIGHT ME, CIPHER!

(OBZT AASJ QHZY TYCX HKDW WMVE ATXM HVQC AUFI SCBK QQWA CPST XBSA XPOE NHYR YFSB QRMN MINX RMHX LK...)

[jcsmicasereports]

Complete Penoscrotal Transposition With Multiple Congenital Malformations by Jafari B. Lutavi in Journal of Clinical Case Reports Medical Images and Health Sciences

SUMMARY

Penoscrotal transposition (PST) is an extremely rare congenital anomaly of the external genitalia, characterized by malposition of the penis in relation to the scrotum. PST can be either complete or incomplete according to the positional exchanges between the penis and scrotum and both forms of PST are generally linked with hypospadias. Incomplete transposition is the common form of this entity and the penis lies in the middle of the scrotum, but complete transposition, the scrotum almost entirely covers the penis, which emerges from the perineum. Both forms are most often associated with a wide variety of other anomalies. We describe a case of a newborn with complete PST, with other associated malformations.

BACKGROUND

Penoscrotal transposition (PST) is a rare anomaly of the external genitalia, characterized by malposition of the penis in relation to the scrotum1,2,3. PST can be defined as either complete or incomplete according to the positional exchanges between the penis and scrotum and both forms of PST are generally linked with hypospadias. Incomplete transposition is the common form of this entity and the penis lies in the middle of the scrotum, but in complete transposition, the scrotum almost entirely covers the penis, which emerges from the perineum1. PST was first reported by Appleby in 1923. Patients with PST often have accompanying urological abnormalities, such as chordee, hypospadias, and vesicoureteric reflux4.

The etiology and embryological sequence abnormalities that occur in PST is still unclear. The genital tubercle and the labioscrotal swellings are the embryological origins of the penis and scrotum, respectively. During normal embryonic development, in the 9th–11th week, the scrotal swellings migrate infero-medially and fuse in the midline caudal to the genital tubercle that forms the penis by the 12th week of gestation. This is usually achieved under the influence of androgens and poor response or absence of androgens results in abnormal migration  of the scrotal swellings3. Somoza et al suggested that an abnormal positioning of the genital tubercle at the 6th gestation week (GA) concerning the scrotal swellings or a defective gubernaculum leads to PST2.

Complete penoscrotal transposition (CPST) is frequently characterized by major and often life-threatening anomalies involving the urogenital, cardiovascular, gastrointestinal, and skeletal systems2. Common genital anomalies include hypospadias and chordee, and 100% of cases have a renal defect.

CASE PRESENTATION

A gravida 5, para 1, living 1 with 3 abortions woman aged 27 years was referred from Mwananyamara Referral Regional Hospital and admitted to Obstetrics and Gynecology department at Muhimbili National Hospital- Mloganzila. She has a referral diagnosis of antepartum hemorrhage and severe oligohydramnious at GA of 30 weeks 2 days. She had three previous pregnancy loses: 1st and 2nd loses both at 12 weeks GA with 6 months between the loses; her 3rd loss was 2 years after she had a term healthy baby by normal delivery.

She had no histories of phenotypic genetic abnormalities in their families, illicit drug use, cigarette or alcohol consumption, no chemical, radiation exposure, or any chronic illness. She is married, and is a university graduate, working as a transportation officer. She attended antenatal clinic (ANC) five times and all her laboratory work-up such as blood count indices, blood grouping, urinalysis, stool examination, and microscopy, and fasting blood sugar were normal. She was HIV negative and blood film for malaria parasites came back negative. Record of the ultrasound scan taken at 6th -week gestation indicates early multiple pregnancy (two gestational sacs seen) and the next scan performed at 27th weeks GA show a normal single fetus with no anomaly. She was given iron and folic acid supplements, received Tetanus Toxoid vaccine twice, sulfadoxine-pyrimethamine (SP) tables twice as part of intermittent preventive therapy for malaria and she was dewormed using Mebendazole. With her history of pregnancy loss and complaints of abdominal cramps, she had been kept on bed rest at home from 16th week of gestation as recommended by her obstetrician at Mwananyamala Hospital.

After she was brought to our hospital she had active vagina bleeding. A bed side ultrasound revealed placenta previa grade 3 and she was planned for emergency hysterotomy. She delivered a male baby, 1750 gm, who did not initiate spontaneous breathing after birth. The baby was initially resuscitated with a bag and mask before intubation at age 5 minutes. He was assigned an Apgar score of 3, 1, 4 at 1st, 5th and 10th minute respectively. On examination, baby had severe pallor, occipital-frontal circumference – 29cm, communicating anterior and posterior fontanelle, low set ears, short neck, wide-spaced nipples, undescended testes (empty scrotum), inverted genitals (CPST) with hypospadias (Figure 1), rectal atresia, prominent heel, and bilateral talipes equinovarus.

DISCUSSION

Penoscrotal transposition (PST) is a congenital urogenital anomaly described first in 1923 by Appleby. The embryological sequence responsible for this malformation remains unclear; however, it has been suggested that an abnormal positioning of the genital tubercle in relation to the scrotal swellings during the critical fourth to the fifth week of gestation could affect the migration of the scrotal swellings2. In this case report, there is a complete exchange of position with the scrotum located superior to the penis, which is inferior to scrotum. (Figures 1(a) and 1(b)). Also, there presents a spiral and hypoplastic penis crooked toward the anal position. Ayamba et al reported the same findings whereby noticed complete transposition of the external genitalia with cryptorchidism, hypoplastic penis from the perineum just above the blind anal position, and caudal to the scrotum3. Somoza et al also noted at birth a newborn has a complete transposition of the external genitalia, a 3.5-cm-long, hypospadic, and hypoplasic penis arose from the perineum, just above the anus and beneath a normal scrotum1–3,5.

CPST is often characterized by major associated malformations. Our baby had also other multiple physical abnormalities such as short neck, low set ears and talipes equinovarus. Unfortunately, due to our limited resources, we could not complete imaging of internal organs. Previous reports of CPST have also noted presence of other malformation with 100% occurrence of renal anomalies. For example, Parida et al had noted major renal anomalies in the form of agenesis, horseshoe kidney, ectopic and dysplastic kidney, obstructive uropathy, and hydronephrosis. Other systemic abnormalities are mental retardation, anorectal malformations, central nervous system, skeletal and cardiological defects5.  In our case, we did not perform imaging to detect renal anomalies, but literature suggests most likely there were there. The detection of CPST should warrant careful clinical evaluation to rule out other anomalies.

Although some reported a family history and genetic basis for the incidence of PST6, we did not find any evidence of positive family history of phenotypic abnormalities. When associated with severe hypospadias, penoscrotal transposition necessitates a staged surgical repair for physiological and psychological reasons.

Our newborn required advanced resuscitation at birth, likely due to hypoxia in utero as a result of significant blood loss (placenta previa grade 3). This is supported by the findings that baby was very pale at birth. However, we cannot rule out the possibility of other anomalies such as fatal cardiac anomalies which are incompatible with life1,5.

OUTCOME

The newborn was transferred to the neonatal intensive care unit for further treatment and passed on after 4 hours. No any radiological or laboratory investigation were completed within this time.

LEARNING POINTS/TAKE HOME MESSAGES

Strengthening of antenatal care services in a primary health facility is a key for positive outcome of pregnancy. This is by early detection of abnormal development of fetus in utero by early ultrasound

Referring hospitals in low-income settings should be strengthened with well knowledgeable personnel (radiographers) and modern equipment. As we have notice in this case even a placenta praevia was detected after being received in a tertiary hospital despite the woman being scanned in late 2nd

There is a need of strengthening neonatal ICU by ensuring bedside radiological equipment’s is available also other ICU equipment’s are enough. As we have seen no any radiological investigation done to the baby due to the fact that the baby was in critical condition but based on critical care knowledge and experience this could possible by bedside equipment.

Learning culture must be strengthened in our institute; if we had good learning culture radiological investigations would have been done to the dead baby for learning purpose to detect if there is any other internal congenital anomaly and other cause of death to this newborn

PATIENT’S PERSPECTIVE

Am so thankful for the services I receive from all hospitals and I declare to have no any experience of having an abnormal baby in my family and even my husband’s family. This is my first time to give birth a newborn with congenital malformation and i wondered the way it was not even discovered early during the antenatal period. Also, I promise to attend the clinic early for the next pregnancy and follow all instructions that i will be given by health care providers for the sake of the good health of herself and next baby.  Am so happy about this publication because it will help other doctors to identify the condition and treat it accordingly also for those who are in learning schools will learn more about this condition.

[ell-vellan]

-If baby is screaming/upset for long periods and you've Done All The Things, make sure a hair or thread has not wrapped around a finger, toe or other extremity. Hair Tourniquet syndrome is easy to miss bc those toes are ITTY BITTY.

-The leg bicycling thing for gas - watch a youtube video on how to do it right because I WAS NOT.

-Milk doesn't come in right away. It can take multiple days, though it's often quicker with subsequent babies. And it can take up to 6 weeks to regulate to baby's consumption needs.

-Be mindful of the latest research with regard to baby carriers and proper leg positions to lower hip dysplasia risk

-Rear face that baby in carseat as long as possible. No, it doesn't matter if their little legs look squished when they're two or three. As long as they fit within the height and weight requirements, it's vastly safer to rear face. "Most fire stations will check your carseat" or "hospitals will check your carseat" NO THEY WON'T, in the vast majority of cases, at least not properly. A CPST is who you want to go to for carseat education and installation. Carseats are a pain and they're all a little different, but they're so important.

-Unless your Boomer parent/grandparent has had a baby in the last 30 years, their advice will almost definitely be opposite of what it is now. They only started the Back to Sleep campaign in like '94. My nurse mother STILL thinks it's weird for babies to sleep on their backs because SHE didn't do that. "We did it this way and you survived" isn't good enough.

-Learn infant CPR and Heimlich. It's different than for adults. Take a class.

-Babies cry so much and there's often nothing you can do. For some reason, the 2nd day of life is just...the worst. As is the witching hour (a couple hours before bed.) running water is sometimes a magic solution, either listening to the shower or putting them in a bath. Or go outside.

-Sleep/nap schedules as early as possible. Just trust me. Newborns won't regulate sleep for weeks, but even just a tiny routine of clean diaper, song, rocking, and sleep sack/swaddle helps cue them in. Sleep hygiene, too - dark rooms, white noise, curtains drawn, short and calming sleep routine. You don't have to be strict with it, but it helps. Eventually. I promise. They don't know how to calm down to sleep. Don't let them get overtired; it will make sleep ironically harder. Read about wake windows and keep updating them by age.

-everything is a phase. the good and the bad. As soon as you think you have figured something out, it will change. It's frustrating feeling like you can never get it "right" but it's not you doing something wrong, it's a very fast-growing infant brain which needs very different things from week to week.

-Likewise it's normal and okay to not feel instant love. You don't know this new person yet. You're not a bad parent or broken if you don't feel a bond right away. It's normal and it will come with time. As they start to "wake up" and recognize you and learn to focus their eyes and smile, it gets a little easier.

-YOU CAN STILL GET PREGNANT EVEN IF YOU ARE BREASTFEEDING. you can get pregnant before your period even comes back. Take the 6-8 weeks of pelvic rest seriously and use whatever birth control you normally do after that. Regardless of birth method you will have a dinner plate sized wound from the placenta.

-baby steals the calcium right from your bones. It can take 2 YEARS to recover what you lost. Take calcium and go to the dentist, if you're able.

-You will sleep again one day. Until then, you might feel like you're losing your mind. You kind of are, and it's not your fault. The lack of sleep can make you hallucinate, lose patience, feel depressed, hate your partner, have poor memory and judgement. It's not safe. I've known people who fell asleep at red lights driving to work. Get help if you need it. Do whatever you can to get at least 4 uninterrupted hours.

seeing a lot of videos that are like “I didn’t know babies couldn’t have water” so here’s an incomplete list of things you need to know before having a baby

- the obvious, they can’t have water bc milk is incredibly high in water already so excess water leads to over hydration

- babies cannot have honey until 1

- if ur breastfeeding your kid and saving excess milk, make sure you label what you pumped in the morning vs at night bc your body produces different melatonin levels throughout the day and giving your baby daytime milk at night can make them more alert and fuck up their sleep schedule

- idk why ppl keep saying this but swaddling your babies or getting them those baby straight jacket things is not abuse. It chills them out cuz it reminds them of the womb

- babies have a dandruff like buildup on their head called cradle cap, and it’s very easy to deal with and remove with just some baby shampoo, a gentle scrub brush (MADE FOR BABIES!!) and a comb. It does need to be removed tho cuz it can be very painful after a while. This can also continue to happen late into toddlerhood it’s normal

- you have to clean out the creases of your baby’s skin and hands and feet they WILL collect dust😭😭

- you cannot bathe your baby until their umbilical cord naturally falls off. Use a warm damp rag until then

- tummy time is actually very important

- your baby might have a misshapen head at first (not all the time but sometimes) this will either sort itself out or they’ll need a corrective helmet ask your doctor

- I wouldn’t recommend having your baby leave the house very much until they’re at least 6 months old, especially if they’re born near cold and flu season cuz the common cold can kill a newborn

- you’re not an awful horrible person for having postpartum depression and it’s always a million times better to let your baby cry a few minutes longer than normal while you regain your composure than to freak out and give ur kid shaken baby syndrome

- you’re not an awful horrible person for giving your baby formula milk either

- don’t put shoes on your baby it’ll compromise their toe box and balance

- babies put every single thing in their mouths

- the easiest way to burp a baby is to hold them straight up (spine straight) and hold their head a bit higher

- always support their head they barely have necks

- if your baby fights away food, fights tummy time, vomits every single time you burp them, is gaining or losing an unreasonable amount of weight at a time, wheezes after eating, or goes red after eating, chances are they’re probably allergic to the type of milk they’re eating (again ask a doctor but these are just some signs it’s not just colic)

- they will wobble a lot when learning to do things but you gotta fight the urge to help them every single time cuz they gotta learn

- they’re not always spitting out baby food cuz they don’t like it they just don’t know how to eat. Like they don’t know how to push food down they only know how to stick their tongue out so be patient

- babies craniums are broken up into three parts at first that later fuse together, this is to help make birthing easier but it results in a small EXTREMELY sensitive spot in the top of their head that has no protection. This puts their brain at a high risk. Always protect their soft spot

- read to your baby!! Get cute bright colorful sensory books with sight words and read them to your baby it makes such a huge difference in their educational growth and will help them acquire a love for reading early on. And talk to them never shut up just say whatever comes to mind all the time this will strengthen their vocabulary growth also.

- babies poop like a lot. A lot. an unreasonable amount. Bring back up clothes and more diapers than you think

- no pillows or stuffies in the crib and only use a muslin blanket unless it’s especially cold to prevent suffocation

- babies kick reflexively until they’re out of their newborn scrunch (they stay womb shaped for a while) and if your baby is crying and pushing at the swaddle try letting them flail around for a minute

- consoling your baby is not spoiling them ! They need comfort and they will learn to self soothe on their own

- singing lullabies actually works, they can recognize your voice a consistent place of comfort from the womb and the cadence of lullabies is literally engineered to create a calm headspace

- for the love of god do not get boring ass beige toys. Colors are important for their neurological development

- babies are very responsive to praise from a young age so be as supportive of them as you can

- babies get constipated a lot and you have to do like tummy massages to help ease their pain the easiest way is to lay them on their backs and hold one foot in each hand, kick their feet like bicycles, scrunch up, and then stretch their legs out

- holding them on your hip too much will not cause bow legged-ness if your baby is bow legged that was always gonna happen

- they drool so so much and you have to get bibs for them so they don’t get chest eczema

- don’t use scented products on their skin cuz their skin is sooo much thinner than ours

- when your baby first starts sitting on their own never walk away from them without setting up a nest of pillows and blankets around them. Even minor head trauma can mess them up sometimes

- this one is kinda morbid and scary but sometimes babies just die out of nowhere and it’s no one’s fault or anything it’s called sudden infantile death syndrome(SIDS) and it’s about 1.3k deaths on average per year in America so not super common but still very real. 90% of these deaths happen during the first four months however edit: apparently it’s bc of an enzyme deficiency which at the very least you can take steps to try and prevent

- smoking and drinking during pregnancy WILL affect your baby and your breast milk and also might contribute to SIDS cases

- babies sometimes have a big red mark on them somewhere called a stork bite immediately after birth but typically it goes away

- babies can’t see very well for a while after birth and they’re VERY wobbly so they’ll typically bonk their head into your chest and face a lot while trying to support themselves

- female babies might have smth similar to a period the first few days after birth, this is because of the hormone transfer that happens during the birthing process and the days leading up to it

- male babies get random erections for the first few days after birth(hormone transfer again) literally do not be weird about this it’s a baby

- things like weaning your baby onto solid foods, potty training, weaning off pacifiers etc, can actually be directed by the baby and will happen naturally will minimal guidance from the parent(some guidance is still necessary) although I would do individual research into baby led weaning for food to prevent choking

- get those chewy feeding pouches to help with weaning

- the most random things will scare the hell out of your baby don’t take it personal 😭

- baby carriers are life savers (tulas are one of my favorites)

- once babies hit toddlerhood they’re tougher than you think, and a lot of their reaction is based on YOURS. they’re always going to be looking to you for how to react to a situation. Remain calm and if they’re ok they’ll calm down but if they’re genuinely hurt they’ll keep crying

- babies will most likely get ridiculously attached to an inanimate object and you have to keep this thing intact at all costs until they’re old enough to abandon it or they will throw a FIT. I got a lemur plushie from a zoo once and every single one of the kids has bonded their soul with it until about 6 years old and once a month I have to stitch him back up

- don’t compare yourself to other parents. Maybe your kid isnt getting grass fed wild caught north Atlantic cheerios but at least they’re fed. If your kid is alive and healthy and happy you’re doing a good job

- you will need 3 car seats, an infant seat, a grow with me toddler seat, and a booster seat

- getting a good diaper bag is a MUST

- the hair a baby is born with will most likely all fall out or they’ll get a bald spot on the back of their head where they sleep cuz their hair is so fragile and thin but once it grows back it grows back thick

- get like 20 muslin blankets so you always have a backup when the main ones are covered in spit up

- the babies grip IS stronger than yours (keep your hair up and keep pets away best you can)

- your best bet for your teething baby is a pacifier you can put your finger in so you can massage their gums and some chewing toys numbing cream can be dangerous and should be used sparingly

- go ahead and come to terms with the fact you’re gonna have to use a Frida Baby to manually remove snot

- babies can get hair and thread wrapped around their toes and fingers that can cut off their circulation try to make a habit of checking

- don’t hit your kid please it’s nothing but trauma and fucked up coping mechanisms from there pls empathize with your child they’re a person too

- be careful not to pull too hard on their arms and legs(like during play or holding their hand while they walk) and NEVER pick them up by their hands this will very easily cause dislocation

- they might have a little tooth like callous on their lip from their pacifier. This does not hurt them and it will go away but it may hurt during breastfeeding

- breastfeeding will make your boobs different sizes

Yeag that’s all I can think of rn but yk i Will add as I remember stuff ppl are also adding things I forgot in the tags in case you’d like to look thru that as well <3

[purgedwasteful]

Favorite songs :]

CPST-Nero’s Day At Disneyland

Never There-CAKE

Most MSI specifically Disappoint and Big Poppa

Fuck Me(IDKHTS)-Crawlers

Craze-KMFDM

Just Lay Still-JCATNN

That’s it. I have others but it’s late and my head hurts.

[truck-fump]

More say violence could be necessary to restore <b>Trump</b> to White House: survey | The Hill

New Post has been published on https://www.google.com/url?rct=j&sa=t&url=https://thehill.com/homenews/campaign/4119386-more-say-violence-could-be-necessary-to-restore-trump-to-white-house-survey/&ct=ga&cd=CAIyGjUzM2UwMTY5ZmFhZTIwMGQ6Y29tOmVuOlVT&usg=AOvVaw0aeRNAWaGAb9MLFbskl4Hk

More say violence could be necessary to restore Trump to White House: survey | The Hill

The report, titled “Dangers to Democracy” and released by the Chicago Project on Security Threats (CPST) earlier this month, found that 7 percent of …

[enoshimastims]

💅

- 🦊

[cpstproj]

This is Pierce! He is Smith's best friend and co-leader of the Smile Team. He represents "Peace" (Smith represent "Smiles" btw) and likes doing raps despite not being skilled with it.

Design not final.

(Lol I forgor to post this here)

Main / Website / Twitter / Bluesky / The Director

[jiuzifake]

Obligatory Introduction Post

(Not pictured in fandom list: Mario, Club Penguin, Analog Horror, Len'en)

Yo it's Jiuzi and I'm some lazy 16 year old girlfail weirdo from Hell the Philippines who draws anime for no reason, procrastinates a lot, and has interest in some things that nopony knows about. Just a quirky autistic girl who does stuff ig. I play rhythm games, maybe a few bullet hells, and other stuff.

Current hyperfix atm is Len'en Project. Yabusame is love, Yabusame is life.

Other fandoms: Club Penguin, Super Mario, Idolmaster, Kirby, Pretty Series, Rhythm Games, Show by Rock, Animator vs Animation, Battle for Dream Island, the OSC in general, Analog Horror, Gravity Falls, Touhou.

I am NotMimyun on NewCP and Jiuzi on other CPPS. The CPPS I am active on the most is CPJourney.

I am currently working on Club Penguin Smile Team, some stupid webcomic project expected to start in 2025. Here is the project's Tumblr: @cpstproj Old CPST content is in my personal account (you're here!) and tagged with "Club Penguin Smile Team".

I'm also a yumejoshi/selfshipper, and my F/O is my lovely fillyfriend DJ Cadence. If you're uncomfy with that, best not to interact lol.

My list of favorite characters:

If you like Len'en or Club Penguin or other things I like, pls talk to me. Thank you

My mid asf website: https://jiuzi.neocities.org It has stuff like DNI, my portfolio, my other socials, me yapping about myself, etc.

Ty for reading!!!!

🍉

[47of74]

#Hipstamatic #MattyALN #Float (at YMCA of the North) https://www.instagram.com/p/CpsT-Z_O_MR/?igshid=NGJjMDIxMWI=

[beeshirtsbrasil]

Já cansaram de memes do #calvodocampari ? https://www.instagram.com/p/CpSt-5rOqeL/?igshid=NGJjMDIxMWI=