Your Baby

40% of Parents Start Baby on Solid Foods Too Early

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When should babies be introduced to solid foods? Many physician groups and the American Academy of Pediatrics (AAP) recommend waiting till your infant is at least 6 months old before solid foods are introduced into his or her diet.

But a new study from the U.S. Centers for Disease Control and Prevention (CDC), reports that 4 in 10 parents start feeding their babies solid foods before their four-month birthday.

Why should parents wait? According to the AAP, it’s partly because early solid foods have been linked to obesity and other chronic conditions. Public health experts also agree that a mother’s breast milk or nutritionally fortified formula is best fed exclusively till the baby is about 6 months old.

"Introducing solid foods early means that the baby gets less breast milk over the course of their infancy, and that decreases the ability to get optimal benefits, like protection against infection," said Dr. Alice Kuo, from the UCLA Center for Healthier Children, Families and Communities.

Choking on solid foods is another concern experts have noted.

"Infants should be able to sit up (and) take food off the spoon," said the CDC's Kelley Scanlon, who worked on the research." Sometimes if they're not ready, if they get presented with the food, they might not open their mouth… or they might spit it back up."

The team’s research included 1,334 new moms who filled out questionnaires each month about what their baby had eaten in the past week. The surveys were conducted between 2005 and 2007, when AAP recommendations called for starting solid foods no earlier than four months of age. Just over 40 percent of parents reported their babies were eating solids, such as cereals and purees, before that point.

Why were the mothers feeding solid foods so early? They gave several answers. They thought their baby was old enough, their infant seemed hungry – even after being breastfed or given a bottle, and surprisingly many reported that their doctor or nurse had recommended they start introducing solid foods.

"There's not clear communication of the recommendations or the potential health impacts of early introduction," Scanlon told Reuters Health.

9% said they had actually introduced baby solid food before their child was one-month old according to findings published in the journal Pediatrics.

Women who reported exclusive breastfeeding during their baby's first couple of months were less likely to introduce solid foods earlier than recommended compared to formula-feeding mothers, the CDC researchers found.

Mayoclinic.com says that between 4 and 6 months old, babies begin to develop the coordination needed to close their lips around a spoon as well as move solid foods from the back of the their mouths for swallowing.

Starting solid food too early can:

- Pose a risk of aspiration — or sucking food into the airway — since most babies don't have the oral motor skills to safely swallow foods before age 4 months.

- Cause a baby to get too much or not enough calories or nutrients.

- Increase a baby's risk of obesity.

Kuo said the new findings are further evidence that pediatricians should tailor their messages about breastfeeding and solid foods to each particular parent and child - rather than always giving "the same spiel" about introducing solids at the four-month visit.

"The decision to start solid foods in babies has to be a compromise between what makes sense for the baby and what makes sense for the mom, who most likely is working," she said.

And what about the old wives tale of feeding a little solid food at night will help baby sleep better? Research has shown that it doesn't.

Genevra Pittman, http://news.yahoo.com/many-parents-introduce-solids-4-months-cdc-195553198.html

http://www.mayoclinic.com/health/starting-solids/AN02145

Your Baby

How Much Water Does Your Baby Need?

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Since most of the country is sweltering with summer heat and temperatures well into the upper 90’s and even over 100 degrees, I guess I can understand parents’ concerns about giving their babies water. It seemed like a strange question to me when I first started hearing, “Dr. Sue, how much water does my baby need to drink every day?”  I know I am continuing to talk about staying hydrated during the heat wave, but we are really talking about those children and adults who are spending time outdoors, especially when involved in physical activity.

I have actually been telling parents with newborns that there is really no reason to take that sweet new baby outside for any length of time. I think it is too hot to enjoy being outside, and an infant doesn’t miss going to the playground like a 2 or 3 year old would.

But, when you have young children you have to get out (or go crazy inside everyday), so everyone just suffers through the heat. Remember to take your sunscreen and fluids and head out for an hour or two, in the morning or later afternoon if at all possible. These children need lots of water breaks, as do their parents and caregivers.

So, back to the water and baby question. Infants in the first 6 months are getting fed breast milk or formula which is made up of free water, so therefore a baby is staying hydrated by eating every  2 -3 hours. A baby doesn’t “need” water every day for any particular reason.

With that being said, it does not mean that your baby cannot have a bottle of water. This is especially true for a breast fed infant whose mother may have run out for an hour but is coming back to breast feed.  But what if the baby awakens or gets hungry 30 min or so prior to mother getting home.  This might be a good time to “stall” by giving the baby a bottle of water, rather than formula. In this case it is fine to use tap water (yes bottled water is not necessary, unless you have a well or something) in a bottle and see if the baby will even take it. Most babies don’t just gulp down 8 ounces of water!

If you are out in the heat with an infant, just remember to feed them every 2 – 3 hours and make sure they have nice drool in their mouths and wet diapers. If you are concerned about hydration take along a bottle of water for both you and your baby. You will probably need it more than your baby!

That’s your daily dose for today.  We’ll chat again tomorrow.

 

 

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Your Baby

Rise in Infant Suffocations Tied to Bed-Sharing

Rates in the United States of sudden infant death from suffocation or strangulation have quadrupled in the past 20 years.

Rates in the United States of sudden infant death from suffocation or strangulation have quadrupled in the past 20 years, most apparently from parents sleeping with their babies, a new government study found. The trend is clear, despite successful campaigns to prevent SIDS by putting babies to sleep on their backs, the Centers for Disease Control and Prevention reported in Pediatrics. Black male babies are the most affected, but it is not clear why. "Infant mortality rates attributable to accidental suffocation and strangulation in bed have quadrupled since 1984," the CDC's Carrie Shapiro-Mendoza and colleagues wrote. "Prevention efforts should target those at highest risk and focus on helping parents and caregivers provide safer sleeping environments." Researchers looked at data from 1984 to 2004. It showed that sudden, unexpected infant deaths fell over the 20-year period. Rates of strangulation or suffocation, however, rose by 14 percent between 1996 and 2004. Evidence shows that babies should be laid to sleep alone, on a flat mattress, with no loose pillows or blankets and in a crib with bars designed to prevent entrapment.

Your Baby

Infant Medicine Recall

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“Out of an abundance of caution”, Perrigo Co. has issued a voluntary recall of 18 batches of their over-the-counter liquid acetaminophen that is used to treat fever and aches and pains in infants.

The recall is not because of a problem with the medicine itself, but because a small number of boxes may contain a dispensing syringe without dose markings.

The medicine is sold under a variety of brand names including Babies R Us and Care One.  The list of labels and batch numbers of the recalled product are listed below.

Label and Batches

BABIES R US- 3KK0606

CARE ONE -3HK0564

EQUALINE - 3HK0672

EQUATE - 3HK0672, 3JK0433, 3JK0594, 3JK0595, 3JK0653, 3JK0673, 3KK0815,

3KK0817

HARMON FACE VALUES - 3JK0594

HEALTH MART - 3HK0671

HEALTHY ACCENTS - 3HK0671, 3KK0606

HEB - 3KK0606

KROGER - 3GK0645, 3GK0704, 3HK0671, 3JK0433, 3JK0595, 3JK0653, 3JK0433,

3JK0595, 3GK0645, 3GK0704, 3JK0595

LEADER DRUG - 3JK0433, 3JK0594

MEIJER - 3JK0594, 3JK0597

PUBLIX - 3JK0595

RITE AID - 3GK0704

TOPCARE - 3KK0359, 3KK0494

UP & UP - 3HK0672

WALGREEN - 3GK0704, 3HK0564, 3HK0671, 3JK0433, 3JK0595, 3JK0610, 3KK0360

Giving infants the correct dose of acetaminophen is very important when treating them for an illness or injury. Too much acetaminophen can overload the liver’s ability to process the drug safely and can lead to a life-threatening condition.

According to Perrigo’s press release about the recall, if you have purchased a package that contains an oral dosing device that does not have dose markings, the consumer should not use the product and should call Perrigo's Consumer Affairs Department, toll free, 1-800-719-9260. Consumers should contact their physician or healthcare provider if they have any questions, or if they or their children experience any problem that could possibly be related to this drug product.

No injuries have been reported to Perrigo at this time.

Source: http://perrigo.investorroom.com/2013-11-01-Perrigo-Initiates-Nationwide-Voluntary-Product-Recall-Of-Acetaminophen-Infant-Suspension-Liquid-160-mg-5-mL-Due-To-A-Potential-Defect-With-The-Co-Packaged-Oral-Syringe

Michael Calia, http://online.wsj.com/article/BT-CO-20131101-711768.html?dsk=y&mod=dist_smartbrief

Unmarked syringe

Your Baby

Recall: Dream On Me Bath Seats

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Dream On Me Bath Seats are being recalled by the U.S. Consumer Product Safety Commission (CPSC) due to the product’s failure to meet federal safety standards and one near drowning of a 12-month-old baby girl. Consumers, who own this product, should stop using it immediately.

Name of Product: Dream On Me Bath Seats

Units: About 50,000

Importer: Dream On Me Inc., of South Plainfield, N.J.

Hazard: The bath seats fail to meet federal safety standards, including the requirements for stability. Specifically, the bath seats can tip over, posing a risk of drowning to babies.

Incidents/Injuries: CPSC and Dream On Me have received five reports involving these bath seats, including a report of a near drowning involving a 12-month-old baby girl. The baby did not require medical treatment.

Description: The recall includes all Dream On Me bath seats. Some of the seats have a Dream On Me label under or on the rear of the bath seats. Model numbers are also printed underneath the bath seats and on the product packaging and include the following product models and colors:

Model Name | Model Number | Color

Baby Bath Seat | 251B, 251O, 251P, 251Y | Green with orange tray, orange with beige tray or yellow with green tray Ultra 2 in 1 Infant Bath Tub and Toddler Bath Seat | 252B, 252P | Solid pink, blue or white body and a blue or pink bottom Niagra Baby Bath Seat | 253B, 253G, 253P, 253Y | White or blue body with a green, pink or orange insert

Sold at: Small retail stores and online retailers including Amazon.com and Wayfair.com from July 2012 through September 2012 for between $25 and $40.

Manufactured in: China

Remedy: Consumers should stop using the recalled bath seats immediately and contact Dream On Me to receive a free replacement bath tub.

Consumer Contact: Dream On Me toll-free at (877) 201-4317 from 9 a.m. to 5 p.m. ET Monday through Friday or online at www.dreamonme.com and click on Recalls for more information.

Source: http://www.cpsc.gov/cpscpub/prerel/prhtml13/13061.html

Dream on Me Bath Seat

Dream on Me Baby Bath Seats (model 251)

Dream On Me Recall

Dream on Me Baby Bath Seats (model 251)

Recall Dream on Me Bath Seat

 

Dream on Me Baby Bath Seats (model 252)

Dream on Me recall

Dream on Me Baby Baths Seats (model 253)

Your Baby

Chubby Baby = Obese Child?

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“Look at those cute little rolls of fat and chubby cheeks.” “It’s just baby-fat, he’ll grow out of it.” Common comments when people see a chubby baby. But, what was once thought of as a well-fed and healthy infant might prove to be just the opposite.

Researchers say they’ve found a way to determine if a rapid growing baby will become obese later in life. A new study says that if your baby has passed two key milestones, on a doctor’s growth chart by the age of two, then he or she has double the risk of being obese by the age of 5.  Rapid growers were also more likely to be obese at age 10, and infants whose chart numbers climbed that much during their first 6 months faced the greatest risks.

Children who grew more slowly were less likely to be obese by the same age.

That kind of rapid growth should be a red flag to doctors, and a sign to parents that babies might be overfed or spending too much time in strollers and not enough crawling around, said pediatrician Dr. Elsie Taveras, the study's lead author and an obesity researcher at Harvard Medical School.

Contrary to the idea that chubby babies are the picture of health, the study bolsters evidence that "bigger is not better" in infants, she said.

In an online article on healthland.time.com Dr. Michelle Lampl, director of Emory University's Center for the Study of Human Health, expressed concerns.

“It’s a bad idea that could backfire in the long run,” said Lampl.

"It reads like a very handy rule and sounds like it would be very useful _ and that's my concern," Lampl said. The guide would be easy to use to justify feeding infants less and to unfairly label them as fat. It could also prompt feeding patterns that could lead to obesity later, she said.

Lampl noted that many infants studied crossed at least two key points on growth charts; yet only 12 percent were obese at age 5 and slightly more at age 10. Nationally, about 10 percent of preschool-aged children are obese, versus about 19 percent of those aged 6 to 11.

Taveras said the rapid growth shown in the study should be used to raise awareness and not to put babies on a diet.

The study involved 45,000 infants and children younger than age 11 who had routine growth measurements during doctor checkups in the Boston area from 1980 through 2008.

Growth charts help pediatricians plot weight, length in babies and height in older kids in relation to other children their same age and sex. Pediatricians sometimes combine an infant's measures to calculate weight-for-length _ the equivalent of body-mass index, or BMI, a height-to-weight ratio used in older children and adults.

The charts are organized into percentiles. For example, infants at the 75th percentile for weight are heavier than 75 percent of their peers.

An infant whose weight-for-length jumped from the 19th percentile at 1 month to the 77th at 6 months crossed three major percentiles _ the 25th, 50th and 75th _ and would be at risk for obesity later in childhood, the authors said.

Larger infants were most at risk for obesity later on, but even smaller babies whose growth crossed at least two percentiles were at greater risk than those who grew more slowly.

About 40 percent of infants crossed at least two percentiles by age 6 months. An analysis of more than one-third of the study children found that 64 percent grew that rapidly by age 2.

Dr. Joanna Lewis, a pediatrician at Advocate Lutheran General Hospital in Park Ridge, Ill., said she supports the idea that infancy is not too young to start thinking about obesity.

Still, she emphasized that rapid growth in infancy doesn't mean babies are doomed to become obese. "It's not a life sentence," and there are steps parents can take to keep their babies at a healthy weight without restrictive diets, she said.

Lewis said many of her patients are large babies whose parents feed them juice or solid food despite guidelines recommending nothing but breast milk or formula in the first six months.

"The study reinforces what we try to tell parents already: Delay starting solids and don't put juice in a bottle," Lewis said.

Your Baby

Mom Slaps Baby On Flight

A mother slaps her baby on a flight and the flight attendant takes the away to console. Did the flight attendant act properly?There were a few tense moments on a Southwest Airlines flight this week.

According to witnesses on the flight from Dallas to Albuquerque, a mother slapped her crying baby’s face during the flight and a Southwest flight attendant took the baby away from the family to console the child. Southwest Airlines said “the family was visibly having some heated discussions.” The flight attendant returned the child to the parents just before the plane landed.  Police were waiting at the gate when the flight arrived and questioned the couple, flight attendant and witnesses.  The child was returned to the parents and they were neither cited nor charged. Did the flight attendant act properly?  What do you think?  How do you control a crying or fussy child on a flight? Let is know and leave your comments below!

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Your Baby

Oeuf Recalls 14,000 Sparrow Baby Cribs

1:45 to read

The Consumer Product Safety Commission (CPSC) is recalling 14,000 Oeuf Sparrow cribs.  The slats/spindles and top rail can detach from the cribs and pose an entrapment hazard to a child.

The recall includes four models of Oeuf Sparrow cribs. The cribs were sold in the colors birch, grey, walnut and white.

The recalled cribs were manufactured between July 2007 and January 2014 and have one of the following model numbers:

  • 1SPCR
  • 2SPCR
  • 4SPCR
  • 5SPCR

The manufacture date, in the MM-YYYY format, and the model number are located on the warning label attached to the crib's mattress support.

Oeuf received four reports of the slats/spindles and the top rail detaching from the crib. No injuries were reported.

As with all recalled products, consumers should immediately stop using the cribs and contact Oeuf to receive a free repair kit.

Information on obtaining a repair kit and instructions are available on the Oeuf website at www.oeufnyc.com, and also by calling the Oeuf toll-free number at (844) 653-8527 from 10 a.m. to 6 p.m. ET Monday through Friday.

The cribs were sold at independent juvenile specialty stores nationwide and online for about $800.

Source:http://www.cpsc.gov/en/Recalls/2014/Oeuf-Recalls-to-Repair-Cribs/#remedy

Sparrow crib recall

Sparrow crib model number

Your Baby

May Conception at Higher Risk for Premature Birth

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Is there ever really a perfect time to start a family? If you’re in the planning stage or wanting to grow your family you might want to rule out the month of May for conception. 

Why May you ask? According to a recent study, children conceived in the month of May have a 10% higher risk of being born premature.

The study authors believe that may be a function of the expectant mother's increased exposure to the seasonal flu during January and February, exactly when a baby conceived in May is nearing term.  

"We were surprised that the relationship between potential flu exposure and premature birth appears to be so evident in the data," said study author Janet Currie, director of the Center for Health and Wellbeing at the Woodrow Wilson School at Princeton University. "There has been some recent work suggesting that flu can induce premature labor in women late in pregnancy, and our results appear to corroborate this."

Currie also added that if mothers-to-be received a flu shot they might not be at risk for premature labor due to flu infection.  While the study did provide an association between conception in the month of May and premature births, it did not prove a direct cause-and-effect.

To explore the potential impact of conception timing on infant health, the researchers analyzed data on roughly 647,000 mothers in the northeastern region of the United States. All the women had given birth to more than one child.

In addition to dates of birth and lengths of pregnancies, the data included information on maternal weight changes, race, education and smoking history.

The research team noted that by looking solely at the conception-to-birth experience of more than 1.4 million siblings (as opposed to non-related babies), they were able to compare apples to apples, and sidestep other complicating factors that might influence prematurity risk, such as a family's wealth or educational background.

The result: The authors identified a "sharp trough" in the length of pregnancies that began in May.

In addition to reviewing month-by-month conception records, researchers studied post-1997 influenza data from the U.S. Centers for Disease Control and Prevention and found a correlation between May conceptions and a significant increase in flu exposure during the third trimester of those pregnancies.

If you’re thinking about conceiving in the summer months, the research team found that those babies tended to weigh little bit more at birth than babies conceived at other times of the year. In the world of newborn babies, even an ounce can make a positive difference in health.

"The birth weight results suggest that infants conceived during the summer have higher birth weight in part because mothers tend to gain more weight during pregnancy when they conceive in summer," Currie said. "It seems likely that this is because they have a better diet, though we cannot directly observe that in our data.”

"We cannot rule out other factors that might also be important for pregnancy outcomes," she said. "But we think the message of our paper is that parents should take steps to guard against known problems," suggesting that the most practical thing pregnant women can do is simply eat well and get a seasonal flu shot. "That would probably be a more sensible approach then trying to time conception to avoid May."

Too many mother’s-to-be avoid getting flu shots because they fear that the vaccine my cause their baby harm. Studies have shown that the vaccine is perfectly safe for pregnant women.

The take away from this study appears to be that if you’re planning on getting pregnant – make sure that you are protected from influenza infection by getting the flu vaccine.  If possible, you might want to avoid conceiving in the month of May, and if you want a little bigger baby- try for the summer months.

Source: Alan Mozes, http://www.webmd.com/baby/news/20130708/month-of-conception-might-raise-...

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