Tag Archive for: Sleep

INFANT NURSING SUPPORT PILLOWS SAFETY ALERT

Infant nursing support pillows are a great concept and can provide some much needed support for a nursing mother. As comfortable as they might look, however, a breastfeeding support pillow is never a safe place for babies to sleep. To date, misusage of them have been linked to over 160 infant deaths.

In this short video pediatrician Dr. Edith Branco, MD, FAAP talks about the ins and outs of using nursing support pillows:

If you’re considering a nursing support pillow for you and your baby, be sure to follow this criteria:

Pillows designed for breastfeeding should be firm and used only during feeding.

Some breastfeeding support pillows on the market already meet the following safety standards but the CPSC (U.S. Consumer Product Safety Commission) is currently considering safety rules that would ensure that all infant pillows meet standards for firmness, air flow, positional use, and shape to prevent injury or death.

WHY TUMMY TIME IS IMPORTANT FOR INFANTS

Did you know that with all the emphasis on back sleeping, it’s very important that  infants spend a short but regular amount of time on their stomachs? This allows your baby to strengthen their shoulder, neck, back and core muscles which lay the foundation for sitting up, rolling over and eventually crawling and walking.

Parents and caregivers can start this very early, even within days of birth.  

The American Academy of Pediatrics suggests 2 or 3 tummy time sessions every day.  

Each session should only be a few minutes long.  As the infant grows and their strength improves these sessions can be more frequent and for longer periods.

For those who aren’t sure how to get started here are some suggestions that will help:

  • Try short tummy time sessions after a diaper change or after the baby wakes up from a nap
  • Prop up young babies by placing a rolled-up towel or small blanket under their arms and chest
  • To encourage play, put toys or a small mirror within baby’s reach to enable them to interact with their surroundings
  • Join your baby on the floor at their eye level and interact with them by singing, holding objects and talking to them
  • Tummy time can also occur when an adult is on their back and baby is lying on them or across the parent’s lap

All family members can participate in tummy time, including grandparents, or older siblings as long as an adult is watching.

These moments not only encourage growth and development but also offer a change from the safest sleeping position…on their backs.

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THE BIGGEST MISTAKE YOU CAN MAKE WITH A CAR SEAT

The American Academy of Pediatrics (AAP) wants parents to know that sleeping in their car seats when not in transport has significant risk and has caused an alarming number of deaths nationwide.

Dr. Jeffrey Colvin, the lead author of a study looking at risk for infants in car seats, found that “most of the deaths occurred when the car seat was being used as a sleeping device.” He further noted “It really appears that the deaths in these car seats occurred in the context where the car seat wasn’t being used for its purpose in transporting a child, but instead it was being used as a substitute for a crib or bassinet.”

The AAP study further noted that “compared with other deaths, deaths in sitting devices had higher odds of occurring under the supervision of a child care provider or babysitter (our italics) compared with a parent.”

Dr. Colvin told Today that while there is no definitive reason for the number of deaths in car seats, he suggested the angled position of the device might be a factor, as well as the straps and side padding that could potentially be a strangulation or suffocation risk. He also stressed that “before there is widespread panic every time a child falls asleep in a car seat, parents should absolutely not be concerned if their baby falls asleep during the usual time in transit.” Various experts have opinions as to how long it is safe for them to be sleeping during a car trip. Please discuss this with your pediatrician for their expert advice.

IS CAR SEAT SLEEPING DANGEROUS?

We’re all accustomed to seeing infants and toddlers nod off when traveling in a car. The question is, how safe is it?

Safety experts have known for some time that prolonged sleep in a car seat poses the risk of impaired breathing. This is due to the amount of pressure that the infant’s head puts on the breathing passage in a “hyper-flexed” or head down position. Infants, in particular, have heavy heads and very little in the way of support from their neck muscles. Consequently, their head will usually fall forward during the ride.

There seems to be some disparity among experts as to just how long it’s safe for a baby to slumber in that position. Some suggest no longer than one hour while others extend that time closer to two hours.

Parents often ask us what precautions we suggest if they are taking a longer driving trip. Expert opinion suggests that you either have someone in the back seat with the child who can stimulate the infant periodically and/or make more frequent stops.

Be sure to pose the question to your pediatrician during your next well-baby visit.

In a related issue, Congressman Tony Cardenas (D-Panorama City) sponsored the passage of the Safe Sleep for Babies Act which passed both the house and senate. (Finally, something they can agree on!) The bill issues strict guidelines for crib safety that all crib manufacturers are now required to follow.

DO INFANT SLEEP PATTERNS AFFECT NORMAL GROWTH AND DEVELOPMENT?

This study, recently published in the Journal Pediatrics, attempted to examine the relationship between length of infant sleep and expected levels of growth and development in various aged infants and children. The phrase “sleeping through the night” has had different meaning depending on what era and/or whose criteria one used. The most current definition is… “the longest period of uninterrupted sleep without parental intervention.”

In the past, other criteria were considered, including “total nocturnal sleep” (total of hours slept during the night) or “total sleep duration” (number of hours slept in the last 24 hour period.)

Using their criteria of 6 to 8 hours of uninterrupted sleep, the authors discovered that 27.9% to 57% of infants (6 to 12 months old) did not sleep through the night. (Our italics) In addition, this study found that 43.4% of 12 month olds did not sleep through the night as well. Using well-developed study criteria, the authors found that, despite less than “optimal” sleep, these infants had normal physical and emotional development.

Maternal mood was another important consideration of this research as well.  These assessments were done in the 3rd trimester, at 6, 12 and 36 months postnatally. Items on the scale reflect frequency of symptoms in the previous week. Given the many differences in households, the research also looked at issues of maternal education, income and socioeconomic status. Issues of maternal depression, infant gender and breastfeeding were factored in as well.

Their conclusion states: “Considering that high proportions of infants did not sleep through the night and that no associations were found between uninterrupted sleep, mental or psychomotor development, or maternal mood, expectations for early sleep consolidation could be moderated.”

As always, we want you to seek the advice of your pediatrician on all issues of pre and postnatal care…for both your baby and yourself!