Your Baby

Twitter Question from @GeenasMom

Jill writes:  Is it true that if a small child drinks too much milk it can deplete their body of iron?  I read that somewhere.

Dr. Sue says:  This true.  Too much milk can cause occult GI bleeding and loss of hemoglobin and subsequent anemia. While milk is great and wonderful for growing bones, you should limit a toddler’s intake to about 12 – 18 ounces per day. Thanks for the tweet!

Your Baby

Evenflo Recalls 1.3 Million Child Seat Buckles

1.45 read

Evenflo Company Inc. is voluntarily recalling 1.3 million convertible car seats and harnessed booster seats due to the risk that during an emergency a child may not be able to be removed quickly.

The buckles on the car seats and booster seats may become stuck in the locked position. The National Highway Transportation and Safety Administration (NHTSA) said the buckles used in the recall models were manufactured between 2011 and 2014.

Evenflo’s website states that “These select models use a harness crotch buckle which may become resistant to unlatching over time, due to exposure to various contaminants (like food and drinks) that are present in everyday use of the convertible car seat or harnessed booster by toddlers. This condition may make it difficult to remove a child from the vehicle. There is no such risk if the buckle is functioning normally. These convertible car seats and harnessed boosters meet all requirements for crashworthiness under the federal FMVSS 213 safety standard and can continue to be used to transport your child safely, if you are not experiencing difficulty unlatching the buckle. Importantly, Evenflo has received no reports of injuries to children in connection with the use of this buckle on the seats that are subject to this recall.”

The recall models include:  

  • Momentum – Model number prefix- 385
  • Chase - Model number prefix- 306, 329
  • Maestro – Model number prefix- 310
  • Symphony - Model number prefix-345, 346
  • Snugli All in One - Model number prefix- 345, 346
  • Titan - Model number prefix- 371
  • SureRide - Model number prefix- 371
  • Secure Kid & Snugli Booster - Model number prefix- 308

Evenflo is providing consumers a remedy kit, free-of-charge that includes a replacement buckle and instructions for installing the new buckle. The remedy kit is available by placing an order with Evenflo on their website at www.buckle.evenflo.com, or calling 1-800-490-7591.

Evenflo requests that consumers not return the convertible car seats or harnessed boosters to retailers.

The website also contains a link for instructions on cleaning the buckles.

The NHTSA is also investigating the safety of Evenflo’s rear-facing infant seats.

Source: http://www.mbtmag.com/news/2014/04/evenflo-recalling-13m-child-seat-buckles

http://safety.evenflo.com/cs/sc/cssc99_RD.phtml?rid=EFR36&src=WEB

Your Baby

No Link Between Vaccines and Autism

1.30 to read

A new study slated to appear in the Journal of Pediatrics, says that there is no association between the amount of vaccines a young child receives and autism. Some parents have worried that there may be a link and have opted out of having their child vaccinated or reduced the number of vaccines recommended.

The percentage of children diagnosed with autism spectrum disorder (ASD) has increased by 72% since 2007. Some experts believe that changes in the diagnostic criteria may account for some of the increase as well as better screening tools and rating scales.

According to a statement released from the journal, researchers from the Centers for Disease Control and Prevention and Abt Associates analyzed data from children with and without ASD.

Researchers examined each child's cumulative exposure to antigens, the substances in vaccines that cause the body's immune system to produce antibodies to fight disease, and the maximum number of antigens each child received in a single day of vaccination, the journal's statement said.

The antigen totals were the same for children with and without ASD, researchers found.

Scientists believe genetics play a fundamental role in the risk for a child developing autism (80-90%), but recent studies also suggests that the father’s age at the time of conception may also be a contributor by increasing risks for genetic mistakes in the sperm that could be passed along to offspring.

Parents have worried about a link between vaccines and autism for decades despite the growing body of scientific evidence disproving such an association.

Source: Luciana Lopez, http://www.reuters.com/article/2013/03/29/us-usa-health-autism-idUSBRE92S0GO20130329

Your Baby

Snoring Infants; Behavioral Problems Later

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Snoring is usually associated with adults, but even infants and toddlers can be prone to snoring. A new study suggests that snorers among this age group are more likely to develop behavioral problems by the age of seven.

The study, published online and in the journal Pediatrics, says that later in life behavioral issues such as hyperactivity and inattention, emotional problems such as anxiety and depression, conduct problems such as rule-breaking and aggressiveness and problems with peer relationship may be linked to snoring in infants and toddlers.

Researchers assessed more than 11,000 children in England and followed their progress for six years beginning when they were about 6 months old.

Parents were asked about snoring, mouth breathing and witnessed apnea -- when a child takes abnormally long pauses in breathing during sleep -- at various points throughout infancy and childhood. Taken together, those symptoms are called sleep-disordered breathing.

Parents also filled out questionnaires about their child's behavior at the ages of 4 and 7.

What they found was that the children with the worst snoring and sleep disturbed breathing were almost twice as likely to have behavioral problems by the age of seven than kids whose breathing was normal. Kids were considered to have behavioral issues if their parent's ratings were in the top 10 percent, relative to kids their age, for problem behaviors.

"Parents should pay close attention to their child's sleep, and if you think something is going on you should consult a pediatrician or a sleep specialist," said study author Karen Bonuck, a professor of family and social medicine at Albert Einstein College of Medicine of Yeshiva University in New York City.

The study did not show that snoring or sleep disturbed breathing actually caused the behavioral issues, only that there could be an association between the two. There may be several reasons for this. Just like in adults, a bad night’s sleep can affect how well children function through-out the day. By interfering with the quality of rest, sleep-disordered breathing leaves kids overtired. That may contribute to behavioral issues, such as being easily distracted, hyperactivity and irritability.

Other studies have shown that sleep -disordered breathing can cause a lack of oxygen to the brain, carbon monoxide buildup and abnormal gas exchanges. These can contribute to long-term health issues for children.

"We are sleeping to restore our brains, and sleep-disordered breathing interferes with that process," Bonuck explained. "For kids, these are critical periods in brain development."

Heidi Connolly, division chief for pediatric sleep medicine at University of Rochester Medical Center in New York, said the study adds to a growing body of research showing that snoring, mouth breathing and sleep apnea in children should be taken seriously.

"These findings echo many of the other studies that show having sleep apnea and symptoms of snoring are bad for neurodevelopmental outcomes in children," Connolly said.

While snoring is a symptom of sleep apnea, it can have other causes, such as nasal allergies. Other studies suggest that even snoring alone, without apnea, can cause kids to do worse developmentally, she added.

"We need to think of that in primary care settings, and screen children for snoring," she said. "Kids who snore need to be evaluated and treated promptly, as you would any other medical condition."

Snoring occurs when the palate and the base of the tongue vibrate against each other. In sleep apnea, the airway is blocked. When kids try to breathe, negative pressure squeezes the airway shut, Connolly explained. That causes kids to wake up partially to take a breath.

Obesity is a major risk factor for sleep apnea in children, but normal-weight kids can get it, too.

"If your child is snoring on a nightly basis, not just when they are exposed to tobacco smoke or they have a cold or they just hung out with the neighbors' cat that they're allergic to, those children need to be evaluated for sleep apnea," Connolly said.

Treatments can include removing the tonsils and adenoids; topical nasal steroids or other anti-inflammatory medications; weight loss; and continuous positive airway pressure (CPAP) devices.

If you notice that your infant or toddler is snoring, or doesn’t seem to be sleeping normally, talk to your pediatrician about it. Not only because of this study, but staying on top of this health issue is an important step to helping your child rest well and develop well.

Source: http://health.usnews.com/health-news/news/articles/2012/03/05/snoring-to...

Your Baby

Safer Baby Cribs

1.45 to read

Good News for Babies! After years of accidents- including some that were fatal- caused by unsafe baby cribs, the U.S. Consumer Product Safety Commission (CPSC) has strengthened the safety requirements for baby-crib production.There was excellent news from the U.S. Consumer Product Safety Commission for babies, parents and caregivers yesterday! Consumers will see a new generation of safer cribs for sale at local and national retail stores.

After years of accidents- including some that were fatal- caused by unsafe baby cribs, the U.S. Consumer Product Safety Commission (CPSC) has strengthened the safety requirements for baby-crib manufacturing. Safer cribs will mean a safer sleep for babies across the country. On December 15, 2010, the CPSC voted unanimously to approve new mandatory crib standards, establishing the most stringent crib safety standards in the world. Beginning immediately, all importers, distributors, manufacturers, and retailers must offer only cribs that meet the CPSC’s new and improved full-size and non-full-size crib standards. The new rules prohibit the manufacture, sale, or resale of traditional drop-side cribs. Mattress supports and crib slats will be strengthened, crib hardware will be made more durable and safety testing will be more rigorous. "A safe crib is the safest place for a baby to sleep. It is for this reason that I am so pleased that parents, grandparents and caregivers now can shop with confidence and purchase cribs that meet the most stringent crib standards in the world," said Chairman Inez Tenenbaum. "From the start, our goal has been to prevent deaths and injuries to babies in cribs, and now the day has come where only stronger and safer cribs are available for consumers to purchase." CPSC has recalled more than 11 million dangerous cribs since 2007. Drop-side cribs with detaching side rails were associated with at least 32 infant suffocation and strangulation deaths since 2000. Additional deaths have occurred due to faulty or defective crib hardware. The new standards aim to prevent these tragedies and keep children safer in their cribs. Starting on December 28, 2012, child care facilities, including family child care homes and infant Head Start centers, as well as places of public accommodation, such as hotels and motels, and rental companies must use only cribs that comply with the new crib standards. The Consumer Product Safety Improvement Act of 2008 (CPSIA) required the CPSC to update the old crib standards, which had not gone through a major revision in more than 30 years, to ensure that the standards provided the highest level of safety possible. If you already own a drop-side crib, contact the crib manufacturer to find out if your crib has been recalled or if it will send you a bracket that will immobilize the drop side. For more information on crib safety you can go to www.cpsc.gov/cribs

Your Baby

Manufacturers Move to Ban Drop-Side Cribs

A push is underway by some crib makers to ban drop-side cribs.A push is underway by some crib makers to ban drop-side cribs because of concerns over infant deaths, injuries and a series of recalls in recent months.

Officials familiar with deliberations of a committee that sets industry standards say the proposal would end production of drop-side cribs - where one side moves up and down. The proposal would require cribs to have four immovable sides. The officials spoke on condition of anonymity because the proposal has not been finalized. The Consumer Product Safety Commission says at least three children have died in drop-side cribs in the last 18 months. The agency knows of more than two dozen incidents in which drop-sides detached from cribs.

Your Baby

Recall: 600,000 Angelcare Baby Monitors After Two Deaths

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The U.S. Consumer Product Safety Commission (CPSC), in cooperation with Angelcare Monitors Inc.®, of Quebec, Canada, is announcing a voluntary recall to provide cord covers for 600,000 Angelcare Movement and Sound Monitors with Sensor Pads. The cord attached to the baby monitor’s sensor pad is placed under the crib mattress, which poses a strangulation risk if the child pulls the cord into the crib and it becomes wrapped around the neck. 

Angelcare and CPSC have received reports of two infant cord strangulation deaths. In November 2011, a 13-month-old female died in San Diego, California, and, in August 2004, an 8-month-old female died in Salem, Oregon.  In both fatalities, the infant pulled the cord from the sensor pads, into the crib. In addition, there have been two reports of infants who became entangled in cords of Angelcare baby monitor models, which did not result in fatalities. In these incidents, it could not be determined if the “sensor pad cord” or the “monitor cord” was involved in the incident. 

The recall involves the Movement and Sound Monitor manufactured by Angelcare. This design of baby monitor includes a unique sensor pad placed inside the crib, under the mattress, to monitor movement of the baby.  An electrical cord about 11 feet long is permanently connected from the sensor pad to the nursery monitor unit. A cord within reach of a baby inside the crib creates the hazard. The cord can be pulled into the crib and can wrap around the child’s neck. The recall involves ALL versions of Angelcare sensor monitors including model numbers that did not include rigid cord covers offered in the remedy, such as:

  • AC1100
  • AC201
  • AC300
  • AC401
  • AC601
  • 49255

To find the model number, look on the back of the nursery monitor unit. The monitors were manufactured between 1999 and 2013. 

Angelcare is providing consumers with a repair kit that includes rigid protective cord covers through which the sensor pad cords can be threaded, a new, permanent electric cord-warning label about the strangulation risk, and revised instructions. 

The recalled baby monitors were sold at Babies R Us/Toys R Us, Burlington Coat Factory, Meijer, Sears, Walmart, Amazon.com, Target.com, Overstock.com, and nearly 70 small baby specialty stores, from October 1999 through September 2013 for about $100to $300. 

Consumers should immediately make sure cords are placed out of reach of the child and contact Angelcare toll-free at (855) 355-2643 between 8 a.m. and 8 p.m. ET Monday through Friday or visit the firm's website at www.angelcarebaby.com to order the free repair kit.

Source: http://www.cpsc.gov/en/Recalls/2014/Angelcare-Recalls-to-Repair-Movement-and-Sound-Baby-Monitors-After-Two-Deaths/

 Angelcare Movement and Sound Baby Monitor

A hand holds the cord that can be pulled into the crib.

Your Baby

More “Dream On Me” Recalls

1.45 to read

Dream On Me is a popular maker of baby products that can’t seem to get it right. The company is now facing another recall by the Consumers Product Safety Commission (CPSC), adding to a growing list. The Dream On Me website now has 4 recalls. The latest is their Lattice Bed Rails. This is in conjunction with recalls on their Happy Swing II, Bistro High chair and Baby Bath Seats.

The Bed Guards (Models 420P & 420B) have been identified as a potential risk for injury. If the bed rail separates from the mattress, a child could become entrapped between the mattress and the rail, creating suffocation and strangulation hazards.

While there have been no incidents reported so far, the company and the CPSC recommends that if you own one of this product that you cease using it immediately. Currently there are about 900 units affected by this model.

Dream On Me products are sold online through Amazon and Wayfair.com and in some small department stores as well as Walmart. 

The Dream On Me Bed Rails are used to keep young children from falling out of bed. They have a white metal frame covered by blue or pink mesh fabric and metal arms that extend about 1 1/2 feet under the mattress. The bed rails measure 17 inches high x 41 inches long. "Dream on Me" is printed on the top rail. The bed rails were manufactured in China.

The Dream On Me website recommends that owners destroy all the recalled products and list ways to do that. They also suggest that you photograph the destroyed product and send an email to them for a refund of the amount on the proof of purchase.

If you own one of the recalled products, stop using them immediately.

For more information on the Dream On Me recalls you can visit their website at dreamonme.com.

Sources:  http://www.dreamonme.com

http://www.examiner.com/article/cpsc-announces-important-recall-on-bed-rails-and-more-1

Dream On Me Bed Rais

Your Baby

Arsenic In Fruit Juice

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There’s been a lot of media coverage about the pros and cons of giving children fruit juice to drink. Now a new study conducted by Consumer Reports says that 10 percent of juices tested by the magazine had arsenic levels higher than allowed in water by the Food and Drug Administration.

Brands including Apple & Eve, Great Value, Mott's, Walgreens and Welch's had at least one sample that exceeded the 10 parts per billion threshold, it said. Other juices with low arsenic levels include: America's Choice Apple; Tropicana 100% Apple; and Red Jacket Orchards 100% Apple.

One of the big concerns is that so many children drink fruit juice daily. Arsenic can accumulate in children’s bodies over time, and raise their risk for cancer, and other serious illnesses.

The 88 samples came from 28 apple and three grape juice brand products that were purchased by Consumer Reports. They included ready-to-drink bottles, juice boxes and cans of concentrate from different lot numbers at stores around New York, New Jersey and Connecticut.

The Juice Products Association responded to the report by saying that comparing juice to water was not appropriate.

The FDA has different guidelines for juice than it does water. While the guideline for water is 10 ppb of inorganic arsenic, juices are allowed higher levels at 23 ppb.

"Fruit juice producers are confident the juice being sold today is safe," said Gail Charnley, a toxicologist for the juice association.

“They showed that the juice samples they tested met the Food and Drug Administration’s limit on arsenic in juice,” Charnley said. “The toxicologists and the food safety experts at the FDA set that limit in a precautionary public health based kind of way. And the food industry is committed to meeting those limits.”

The FDA is willing to look at it’s fruit juice standards and possibly make some adjustments.

"We welcome the research that Consumer Reports has undertaken and look forward to reviewing the data that formed the basis for their story and their recommendations,” the agency noted. “We continue to find the vast majority of apple juice tested to contain low levels of arsenic, including the most recent samples from China. For this reason, FDA is confident in the overall safety of apple juice consumed in this country. By the same token, a small percentage of samples contain elevated levels of arsenic. In response, FDA has expanded our surveillance activities and is collecting additional data”

Consumer Reports also found about one-fourth of all juice samples had lead levels at or above the federal limit for bottled water, it said.

The advocacy arm of Consumer Reports, Consumer Union, said in the report these findings should be enough to prompt the federal government to establish arsenic limits for juice.

The FDA has conducted recent tests on fruit juice after Dr. Mehmet OZ talked about high levels of arsenic, in children’s fruit juice, on his television show. The FDA said its results showed very low level of total arsenic in the samples it tested.

One of the issues the FDA had with Oz’s study was its failure to separate out measurements of inorganic and organic arsenic. Studies have linked inorganic arsenic to a variety of cancers. But many consider organic arsenics – especially the types commonly found in seafood - to be safe.

As far as Consumer Reports is concerned, that’s not a proper way to evaluate arsenic in drinks and food.

“Questions have been raised about the human health effects of other types of organic arsenic in foods, including juices,” the magazine noted. “Use of organic arsenic in agricultural products has caused concern. For instance, the EPA in 2006 took steps to stop the use of herbicides containing organic arsenic because of their potential to turn into inorganic arsenic in the soil and contaminate drinking water.”

Beyond this, there’s evidence that organic arsenic converts into the inorganic form when chickens consume feeds that contain the compound, Consumer Reports researchers noted.

The American Academy of Pediatrics (AAP)  has also weighed in on giving kids fruit juice to drink.  Their website notes that drinking too much juice can contribute to obesity, the development of cavities (dental caries), diarrhea, and other gastrointestinal problems, such as excessive gas, bloating and abdominal pain.

The AAP suggests that:

  • When you give your child juice, it should be 100% pasteurized fruit juice and not fruit drinks.
  • Infants under 6 months of age should not be given juice, although many Pediatricians do recommend small amounts of juice for children that are constipated.
  • Infants between 6 and 12 months can drink up to 4 to 6 ounces of juice a day, but should do it only in a cup, not a bottle.
  • Younger children aged 1 to 6 years should have only 4 to 6 ounces of juice a day.
  • Older children should be limited to 8 to 12 ounces of juice a day.
  • Instead of juice, children should be encouraged to eat whole fruits.

The arsenic study will be featured in the January, 2012 issue of Consumer Reports magazine and is available online.

 

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Sources: 

http://today.msnbc.msn.com/id/45491242/ns/today-today_health/#.Tt6znZgzJnY

http://www.reuters.com/article/2011/11/30/us-arsenic-juice-idUSTRE7AT231...

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