The Safe to Sleep Program, SIDS and SUID

Why are We Putting Babies to Sleep on Their Backs?

The Hong Kong Studies

In 1985 after retrospectively investigating only 15 deaths, researchers concluded that that Hong Kong had a much lower rate of unexplained infant deaths than that of Western countries. They cited a low incidence of preterm birth in Hong Kong (a known risk factor for unexplained infant death) and two significant differences in infant sleep environments — crowded living conditions and the traditional Chinese practice of putting babies to sleep on their backs. Given the absurdity of recommending crowded living conditions and the unlikelihood of reducing preterm birth, they went with the supine sleep recommendation in their conclusions. Read more

Eat

Parents ask me about solid food introduction all the time. Here’s my take on it.

Babies Need Iron

Babies store iron in their bodies while they gestate. Milk has next to no iron in it. At some point after birth, babies’ iron stores begin to diminish. This is often when they show signs of interest in iron-rich solid food. Hopefully, this occurs around the time they are developmentally ready in other ways. Unfortunately, some babies have their cords clamped and cut too soon after birth and don’t get all of their own iron-rich blood – some of which remains in the placenta or umbilical cord. This can lead to anemia down the road or a premature necessity for solids or supplements before the baby is otherwise ready. Read more

Cry Baby

I recently had a conversation with parents about crying babies and toddlers. They were apartment dwellers who were concerned about disturbing the neighbors.

CRYING! It is, after all, a distress call. It’s disturbing — like having a shrieking smoke alarm in your living room. It’s supposed to attract parental attention. Crying is one of the baby’s main survival skills. It helps a baby tell parents/caregivers that they have an unmet need. Sometimes crying is a pain-coping practice. Other times it is a form of release. Read more

The Developmental Derby

In 1975 I moved back to LA. My first husband and I had spent three years away while he fulfilled his military obligation. Army life was hard on me. We lived in officer’s housing on an Air Force base in an isolated desert location. My husband was a research engineer assigned to NASA. He never wore a uniform. I was a misfit among the officer’s wives in my neighborhood. I was glad to be done with it and so happy to be home. The first person I met in my new LA neighborhood was a woman named Susan. She had a two year old daughter. I had a two year old son. Read more

Things We Do (After Birth) to Prevent Babies From Moving

I can’t leave The Stuck Baby Series without describing baby immobilization and container lifestyle. In this article I outline the most significant ways in which we prevent our babies from moving after they are born. It seems like the perfect preparation for a sedentary life in a recliner in front of a screen. Read more

How Fetal Constraint Affects Babies: Things We Notice After Birth

This is part six of the six-part Stuck Baby Series. In part one, My Baby Dropped!, I explain why engagement is pathology. In part two, Why Did My Baby Get Stuck?, I describe the maternal factors that cause babies to get stuck. Part three is Fetal Factors: How Babies Get Themselves Stuck. Part four explores Fetal Constraint: How Culture Immobilizes Babies. Last week, in part five, I looked at How Fetal Constraint Affects Labor and Birth. Today I’m going to describe how fetal constraint or lack of Optimal Fetal Positioning adversely affects the babies themselves — the things we notice at birth and beyond. Read more

I Hate Podcasts

I guess I’m not an auditory type. However, I LOVED this podcast – every minute of it. I listened to ALL of it! I love James McKenna! I really do! I LOVED his books – especially his most recent one: Safe Infant Sleep: Expert Answers to Your Cosleeping Questions by James J. McKenna. Ph.D. Dr. McKenna hit another home run with this book. It’s geared toward a general audience – including families and health professionals working with families. Read more