Category: Breast feeding
*for home-use for healthy full term infants (Storing times may differ for premature or sick babies. Please check with us.)
We know new parents have a lot of things to worry about! At Willows, we believe that remembering breastmilk storage times shouldn’t be one of them. Here’s a quick reference for you to bookmark, download or print for easy access. Please keep in mind, these are guidelines – not strict rules. For more detailed information, please see the links in the references below. When in doubt, call one of our lactation consultants, Cathy and Dana, with any questions or concerns.
Academy of Breastfeeding Medicine. Clinical Protocol Number #8: Human Milk Storage Information for Home Use for Healthy Full Term Infants.
Centers for Disease Control and Prevention. Proper Storage and Handling of Human Milk.
A baby’s first tooth is something that most parents will always remember! From the way it changes that cute smile to the teething issues it causes, the eruption of a tooth is a pretty big deal. Yet, with all of the other things parents and caregivers must do to care for a baby or toddler, those tiny teeth are often neglected … sometimes with painful results. Today Willows Pediatrics wants to remind you to brush your child’s teeth.
Believe it or not, dentists across the nation report that they are seeing more preschoolers at all income levels with 6 to 10 cavities or more! And recently the Centers for Disease Control found that the number of preschoolers requiring extensive dental work has increased for the first time in forty years. Several factors may be at work here.
The first is too much snacking and the over-consumption of sugary snacks and drinks such as juices or sodas. Parents shouldn’t allow their child to snack or graze constantly. In addition, they should avoid gummy or sticky snacks—even fruit snacks—that can get lodged in the teeth and should be careful when giving their babies and toddlers juice – even watered down juice – in a bottle or a sippy cup, particularly as a means to help the child fall asleep. Dr. Stanley Alexander, chair of pediatric dentistry at Tufts University School of Dental Medicine in Boston noted that bedtime drinks are “especially problematic since children’s enamel is thin to begin with, and the mouth’s natural cleaning processes are less active when people sleep.” The same problem occurs when a child falls asleep while breastfeeding. Breast milk contains natural sugars that can erode teeth.
The second factor is a lack of daily dental care. Parents just simply aren’t brushing their children’s teeth twice a day. According to the American Academy of Pediatrics, it’s never too early to start brushing your baby’s teeth:
Starting at birth, clean your child’s gums with a soft infant toothbrush or cloth and water. As soon as the teeth begin to appear, start brushing twice daily using fluoridated toothpaste and a soft, age-appropriate sized toothbrush. Use a slight “smear” of toothpaste to brush the teeth of a child less than 2 years of age. For the 2-5 year old, dispense a “pea-size” amount of toothpaste and perform or assist your child’s tooth brushing. Remember that young children do not have the ability to brush their teeth effectively.
Moreover, by the time your child is one year old, he or she should have taken a trip to the dentist. Dr. Jennifer Epstein of Kids First Pediatric Dentistry & Orthodontics in Fairfield says that the American Academy of Pediatric Dentistry recommends that children establish a “dental home” no later than 12 months of age. The purpose of this is to create an ongoing relationship between the dentist and the patient that is inclusive of all aspects of oral health care in a family-centered way.
According to Dr. Epstein, “The 1 year old visit is an opportunity for new parents to familiarize themselves and their child with a dental office.” She notes that topics typically addressed at the first visit include tooth brushing technique and use of toothpaste (fluoride free), eruption of primary or “baby” teeth, and habits such as thumb sucking and pacifiers. Moreover, the dental hygienist and pediatric dentist also like to use this first visit to discuss a healthy diet. “Infant and child tooth decay is still a prevalent problem in our society,” she says, “so the earlier the discussion about good food choices and limited juice consumption begins, the better the chance children will have of avoiding cavities.”
We hope that all of our patients will take this advice and remember to care for those little pearly whites! Of course, if you have any questions about your child’s oral health, we are more than happy to answer them. We want all of our patients at Willows Pediatrics to have a lifetime of smiles!
Image by MomPOM/Jenn via Flickr.com
Willows Talks About The Family Bed & Co-Sleeping
Many families spend their days together. Others stay together at night too! The “family bed,” or co-sleeping is a common practice in many societies, and there are advocates for it here in the U.S. too. However, there are child safety concerns related to having adults and children share a bed. So, is it an acceptable practice?
A recent blog posted on CT Now (and written by former local mom Sarah Cody), asked the same question. She’d heard about the possible benefits of co-sleeping—better nursing and enhanced emotional security—but worried about the dangers to newborns and infants, including injury and suffocation.
She turned to Willows Pediatric Group physician Dr. Jeff Owens for his take on the issue. Dr. Owens rightly pointed out that ‘”The American Academy of Pediatrics still doesn’t recommend it.” He also noted that the dangers stem from two major concerns: soft bedding and impaired judgment. A baby should never sleep on a futon, couch or waterbed, and a parent should not drink, smoke or use drugs with the infant nearby. Moreover, twenty-four hour bonding can challenge a couple’s need for a healthy physical relationship and leave a mother drained and exhausted.
However, Dr. Owens did allow for some wiggle room. “If it’s a stark, firm [bed] and the baby is on his back, the baby is probably safe.” Dr. Owens believes we should also respect different cultures, some of which believe “the family bed” is the answer to peaceful nights and strong attachments.
In other words, “do what works for your family as long as it’s a safe situation.”
Welcome to our first Willows Pediatric Group blog! As part of our new website, we have decided to start publishing a weekly blog for our patients and their families.
Why a blog for a medical practice? First of all, it’s a quick and easy way for us to pass on new information to the families in our practice. So, if we see a new recommendation on the AAP website or read an interesting journal article, we’ll be able to share it with you—quickly—in a clear and concise manner. Read More