Saturday, July 25, 2009

New ways to help prevent SIDS

New ways to help prevent SIDS

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About Infant Acid Reflux....




Symptoms of Infant Acid Reflux

How can you tell if your infant has acid reflux? Almost all babies spit up some, and this doesn't necessarily mean that your child has acid reflux. However, approximately one-half of all infants under the age of three months will suffer with this condition even if only for a short period of time.

Symptoms include:

  • spitting
  • coughing
  • vomiting
  • irritability
  • pooring feeding
  • blood in stools

What Causes Acid Reflux?

Acid reflux occurs when the contents of your baby's tummy back up into the esophagus, which is the tube connecting the mouth to the stomach. The lower esophogeal sphincter is a ring of muscle which is located at the bottom of the esophagus and allows food to enter and gas or air bubbles to escape. When this muscle is open, food can come back up through the esophagus and out of your infant's mouth. This can happen at virtually anytime, but it commonly occurs during a feeding or directly afterwards.

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Treatment of Acid Reflux

How can you treat your baby's acid reflux? First, you'll need to work closely with your pediatrician. He or she may want to change your baby's formula or readjust her feeding schedule. If you are breastfeeding, you may need to examine your diet to see if there are any foods that you are eating which could be upsetting your baby's tummy.

Problems

While most acid reflux isn't serious, problems can occur. If your baby experiences poor growth due to his inability to keep food in his stomach, then your doctor may need to prescribe medication. Some babies also refuse to eat because of the tummy pain they experience while feeding. Babies can also lose blood because of acid burning the esophagus. Breathing problems can also occur. If your infant experiences any of these problems, contact your doctor immediately.

Medications

For more severe cases of infant acid reflux, pediatricians often prescribe H2-blockers, such as Zantac, Pepcid, or Tagamet. Protone-pump inhibitors, such as Prevacid, Prilosec, and Nexium are also often prescribed. Surgery is sometimes needed, but your doctor should explore all options with you.

Help For Your Infant

You can help your infant be more comfortable by trying the following procedures.

  • Feed her more often, and make meals smaller.
  • Feed her in an upright position.
  • Attempt to burp her several times during her feeding.
  • Keep her upright for 30 minutes or so after feeding,
  • Do not overfeed your baby.

Saturday, July 18, 2009

Prevent SIDS Now! Products That Prevent SIDS


Crib death; SIDS

Prevention:

Revised American Academy of Pediatrics' (AAP) guidelines, released in October 2005, recommend the following:

Always put a baby to sleep on its back. (This includes naps.) DO NOT put a baby to sleep on its stomach. Side sleeping is unstable and should also be avoided. Allowing the baby to roll around on its tummy while awake can prevent a flat spot (due to sleeping in one position) from forming on the back of the head.

Only put babies to sleep in a crib. NEVER allow the baby to sleep in bed with other children or adults, and do NOT put them to sleep on surfaces other than cribs, like a sofa.

Let babies sleep in the same room (NOT the same bed) as parents. If possible, babies cribs should be placed in the parents' bedroom to allow for night-time feeding.

Avoid soft bedding materials. Babies should be placed on a firm, tight-fitting crib mattress with no comforter. Use a light sheet to cover the baby.

Make sure the room temperature is not too hot. The room temperature should be comfortable for a lightly-clothed adult. A baby should not be hot to the touch.

Let the baby sleep with a pacifier. Pacifiers at naptime and bedtime can reduce the risk of SIDS. Doctors think that a pacifier might allow the airway to open more, or prevent the baby from falling into a deep sleep. A baby that wakes up more easily may automatically move out of a dangerous position. However, do not force the infant to use a pacifier. Although pacifier use has been associated with dental problems and breast-feeding difficulties, researchers say the potential benefit (decreased SIDS risk) outweighs the risks. The AAP says that one SIDS death could be prevented for every 2,733 babies who suck on a pacifier during sleep.

Do not use breathing monitors or products marketed as ways to reduce SIDS. In the past, home apnea (breathing) monitors were recommended for families with a history of the condition. But research found that they had no effect, and the use of home monitors has largely stopped.

Other recommendations from SIDS experts:

  • Keep your baby in a smoke-free environment.
  • Breastfeed your baby, if possible -- breastfeeding reduces some upper respiratory infections that may influence the development of SIDS.
  • NEVER give honey to a child less than 1 year old -- honey in very young children may cause infant botulism, which may be associated with SIDS.

Until the nature of the disease is fully understood, complete prevention will not be a reality.

  • Reviewed last on: 12/1/2008
  • Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Task Force on Sudden Infant Death Syndrome. The Changing Concept of Sudden Infant Death Syndrome: Diagnostic Coding Shifts, Controversies Regarding the Sleeping Environment, and New Variables to Consider in Reducing Risk. Pediatrics. 2005 Nov;116 (5).

Hauck FR, Omojokun OO, Siadaty MS. Do Pacifiers Reduce the Risk of Sudden Infant Death Syndrome? A Meta-analysis. Pediatrics. 2005 Nov;116 (5).

Hunt CE, Hauck FR. Sudden infant death syndrome. Canadian Medical Association Journal. 2006 Jun;174(13).

Nelson EA, Yu LM, Williams S; International Child Care Practices Study Group Members. International Child Care Practices study: breastfeeding and pacifier use. J Hum Lact. 2005 Aug;21(3):289-95.

Kiernan MP, Beckerman RC. Is it sudden infant death syndrome or sudden unexpected infant death? Pediatrics. 2005 Sep;116(3):800-1.

Byard RW, Krous HF. Sudden infant death syndrome: overview and update. Pediatr Dev Pathol. 2003 Mar-Apr;6(2):112-27.

Committee on Fetus and Newborn. American Academy of Pediatrics. Apnea, sudden infant death syndrome, and home monitoring. Pediatrics. 2003 Apr;111(4 Pt 1):914-7.

Kemp JS, Unger B, Wilkins D, et al. Unsafe sleep practices and an analysis of bedsharing among infants dying suddenly and unexpectedly: results of a four-year, population-based, death-scene investigation study of sudden infant death syndrome and related deaths. Pediatrics. 2000 Sep;106(3):E41.


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The pillow is for the head of the infant or baby only, not the body of the baby or infant.


The baby's neck should be supported by the lower portion of the pillow and the upper portion of the pillow should provide support for the infant's upper portion of the head on the upper backside of the infant's head.



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