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#11
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Infant flat skulls can be avoided: U.S. doctors
On Wed, 9 Jul 2003 00:05:34 -0400, "CBI" wrote:
No - maybe they are employing them but they don't work 100%. I hear about kids that prefer to sleep with their heads to one side all the time but you and Roger are the only two parents I have ever heard claim their kids would not sleep well supine. Perhaps that is because I counsel my patients from early on and so the kids become accustomed to supine sleeping from early on whereas you and Rog never really bought into the whole concept (and probably took a perverse pleasure in not following the standard advice). I'd say I see about one family a year where the infant is put to sleep prone because of a dramatic difference in quality of sleep. I appropriately counsel the parents, who are generally well aware of the risk, and they make the decision, sometimes with great difficulty, to continue to allow the patient to sleep prone. The vast, vast majority of infants, on the other hand, who have any preference, hate being prone, and in fact many infants have to be coached to tolerate "tummy time." PF |
#12
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Infant flat skulls can be avoided: U.S. doctors
On Tue, 08 Jul 2003 18:22:47 GMT, "JG" wrote:
"PF Riley" wrote in message ... I'd say 48% sounds about right in my experience. What you fail to realize is that for most of them, the deformity resolves with time. Back to Sleep started in full force around 1994. Do you know many 9-year-olds with misshapen heads? I know a couple of teenagers with rather severe craniofacial abnormalities, but not because of supine sleeping. What I have difficulty understanding is why the parents of the 48% with misshapen heads either didn't notice the problem developing (!) or didn't take corrective action (e.g., the suggestions in the article) sooner... And yet again we revisit a common theme from you, JG. Either by arrogance or ignorance (or both?) you seem to way overestimate the average intelligence and common sense of the American public. As CBI has pointed out, your problem in this case is not with the AAP dispensing the advice, but with your perception that it shouldn't be necessary. I would say about half of the families to whom I point out the typical occipital flattening and even occasional rhomboidal deformity (unilateral occipital with contralateral frontal flattening) of positional plagiocephaly during the 4 month check-up genuinely had not noticed it themselves. How, then, would you expect these parents to have begun taking corrective action? PF |
#13
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Infant flat skulls can be avoided: U.S. doctors
"Jeff Utz" wrote in message ...
"Elizabeth Reid" wrote in message om... Millions spent on hat redesign, plunging us into an economic crisis? Hat redesign? If hats were flexible enough to fit around a kid's ears if he pulls it a little to far, I am sure they will conform to the shape of the skull well enough. But it does sound like a good niche market. Uh, Jeff? These were deliberately silly examples intended to illustrate my belief that head-flattening is not a major crisis. I understand that hat redesign will not be necessary. You may want to turn your sarcasm meter up a notch or two. Beth |
#14
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Infant flat skulls can be avoided: U.S. doctors
"Roger Schlafly" wrote:
Yes. Plus delayed development, less sound sleep, less sleep for the moms, etc. The BS campaign was a bad idea. Can you show evidence of the supposed delays in development, and less sound sleep? Tsu -- To doubt everything or to believe everything are two equally convenient solutions; both dispense with the necessity of reflection. - Jules Henri Poincaré |
#15
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Infant flat skulls can be avoided: U.S. doctors
"Jeff Utz" wrote:
Really? How is one going to tease a kid for a flat head when that part of the body is covered by hair and not visible from the front? When he goes totally bald at 70, of course. Or shaves his head and becomes a pro athlete or rap musician. Tsu -- To doubt everything or to believe everything are two equally convenient solutions; both dispense with the necessity of reflection. - Jules Henri Poincaré |
#16
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Infant flat skulls can be avoided: U.S. doctors
"Roger Schlafly" wrote in message . .. "Jeff Utz" wrote Gee, so whom should one believe for expert advice on the care of children? Not someone who thinks that deformed heads, poor sleep, and delayed development are all ok. When did anyone say that poor sleep, delayed development or deformed heads are ok? How about dead babies? Are they ok? Jeff |
#17
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Infant flat skulls can be avoided: U.S. doctors
"Tsu Dho Nimh" wrote
Yes. Plus delayed development, less sound sleep, less sleep for the moms, etc. The BS campaign was a bad idea. Can you show evidence of the supposed delays in development, and less sound sleep? Try this: The pattern of early motor development is affected by sleep position. (Stomach sleepers) attain several motor milestones earlier than (back sleepers). http://www.kids-md.com/Tipsheets/21_.../crawling.html |
#18
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Infant flat skulls can be avoided: U.S. doctors
"Roger Schlafly" wrote in message
. .. "Tsu Dho Nimh" wrote Yes. Plus delayed development, less sound sleep, less sleep for the moms, etc. The BS campaign was a bad idea. Can you show evidence of the supposed delays in development, and less sound sleep? Try this: The pattern of early motor development is affected by sleep position. (Stomach sleepers) attain several motor milestones earlier than (back sleepers). http://www.kids-md.com/Tipsheets/21_.../crawling.html OK - they walk a little later. That is not quite the same thing as any meaningful delay. As we have pointed out before - the kid who were born as the campaign took effect are now 9. Do you have any evidence of long term motor or cognitive defects? The sleep problems are rare and those parents do have a legitimate choice. Still not a common problem. Your whole argument is sound and fury signifying nothing. -- CBI, MD |
#19
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Infant flat skulls can be avoided: U.S. doctors
"Roger Schlafly" wrote in message et... "JG" wrote It seems obvious, but a lot of people have trouble distinguishing the good pediatrician advice from the ungrounded goofy opinions. Apparently: "Up to 48 percent of infants develop the deformity." This certainly doesn't bode well for our country's future, does it? My kid always slept face down. She slept much better that way. The Back to Sleep campaign never made much sense to me, as they didn't even seem to look at problems like misshapen heades. I don't know who they are, but the American Academy of Pediatrics seems to take the problem seriously (Pediatrics is one of the journals published by the Academy): Pediatrics. 2003 Jul;112(1 Pt 1):199-202. Related Articles, Links Prevention and management of positional skull deformities in infants. Persing J, James H, Swanson J, Kattwinkel J; American Academy of Pediatrics Committee on Practice and Ambulatory Medicine, Section on Plastic Surgery and Section on Neurological Surgery. Cranial asymmetry may be present at birth or may develop during the first few months of life. Over the past several years, pediatricians have seen an increase in the number of children with cranial asymmetry, particularly unilateral flattening of the occiput. This increase likely is attributable to parents following the American Academy of Pediatrics "Back to Sleep" positioning recommendations aimed at decreasing the risk of sudden infant death syndrome. Although associated with some risk of deformational plagiocephaly, healthy young infants should be placed down for sleep on their backs. This practice has been associated with a dramatic decrease in the incidence of sudden infant death syndrome. Pediatricians need to be able to properly diagnose skull deformities, educate parents on methods to proactively decrease the likelihood of the development of occipital flattening, initiate appropriate management, and make referrals when necessary. This report provides guidelines for the prevention, diagnosis, and management of positional skull deformity in an otherwise normal infant without evidence of associated anomalies, syndromes, or spinal disease. PMID: 12837890 [PubMed - in process] It seems Roger is making things up. Again. All the best, Jeff |
#20
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Infant flat skulls can be avoided: U.S. doctors
"Roger Schlafly" wrote in message . .. "Elizabeth Reid" wrote I tend to agree that the risk for a healthy term infant who has no other risk factors is pretty low. I also agree that if a child sleeps much better on his stomach, it may be worth considering. I had a co-worker whose child would literally only sleep thirty minutes at a strtech if put on his back. In that situation, I'd put a child on his stomach too. Tell the pediatricians. The AAP seems to lack common sense in this area. The NIH did: http://www.nichd.nih.gov/sids/sids_qa.htm: "Health professionals need to consider the potential benefit when taking into account each baby's circumstances." Sounds like the real professionals in health have already addressed the issue. All the best, Jeff |
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