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Spidey's mom

Spidey's mom


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  1. Spidey's mom

    Are We Too PC?

    I agree. I'm 61 and grew up listening to these old songs. My parents were huge fans of Nat King Cole, Ray Charles, Johnny Mathis, and "The Rat Pack", Bing Crosby, etc. I prefer Dean Martin's version of this song. And yes, I agree with the posters who think we are too PC.
  2. Spidey's mom

    Injection Gone Wrong: Part 2

    After the MRI, Susan talked to the tech who told her that the machine kept wanting to scan her right shoulder instead of the left. "I'm sure we got some good pictures." She reassured Susan. Her words left Susan with a sinking feeling... It is the tech who puts in the scanner settings. The MRI doesn't have a mind of its own. Right? I'm still not sure how a MRI, on its own, kept wanting to scan her right shoulder instead of left shoulder. Confusion continues. . .
  3. Spidey's mom

    Injection Gone Wrong: Part 2

    I'm having some issues with this story as well. In my own experience, MRI's do not work that way. Can the OP explain how the MRI in this situation worked? Also, I did a google search for "flu shot injected into shoulder joint" and found numerous sites (telling this same story) that are dubious at best. Including Mercola (totally discredited pseudoscience site) and vaccine injury lawyers (aka ambulance chasers). Grasp the muscle between the thumb and fingers of your noninjecting hand. The needle should then be inserted perpendicularly (that is, at a 90-degree angle) into the thickest part of the muscle. Insertion should be quick yet firm and steady. After the needle is inserted (usually all the way down to the hub of the syringe), depress the plunger slowly so that the muscle can absorb the fluid.
  4. I think you are right. I've been out of L&D nursing for about 8 years. Anecdotal; I notice that some younger women seem to not understand that having a baby changes your life. You don't get much sleep because babies are hungry and newborns need to eat frequently. That is normal. I won't share personal family members who are like this just in case they are reading my posts here on AN. I have noticed the use of a pacifier to keep the baby from crying . . . and parents missing cues about hunger. It is just so odd that people think their lives will go on as usual after a baby joins the family.
  5. Just an FYI regarding SIDS; it isn't suffocation.
  6. Co-sleeping is on topic by the way as it has to do with breastfeeding as well. I'll link the older thread (2005! I've been here awhile) I found and one of the posts I had there. https://allnurses.com/ob-gyn-nursing/co-sleeping-112593.html SLEEPING SAFELY WITH YOUR BABY There has been a lot of media lately claiming that sleeping with your baby in an adult bed is unsafe and can result in accidental smothering of an infant. One popular research study came out in 1999 from the U.S. Consumer Product Safety Commission that showed 515 cases of accidental infant deaths occurred in an adult bed over an 8-year period between 1990 and 1997. That's about 65 deaths per year. These deaths were not classified as Sudden Infant Death Syndrome (SIDS), where the cause of death is undetermined. There were actual causes that were verified upon review of the scene and autopsy. Such causes included accidental smothering by an adult, getting trapped between the mattress and headboard or other furniture, and suffocation on a soft waterbed mattress. The conclusion that the researchers drew from this study was that sleeping with an infant in an adult bed is dangerous and should never be done. This sounds like a reasonable conclusion, until you consider the epidemic of SIDS as a whole. During the 8-year period of this study, about 34,000 total cases of SIDS occurred in the U.S. (around 4250 per year). If 65 cases of non-SIDS accidental death occurred each year in a bed, and about 4250 cases of actual SIDS occurred overall each year, then the number of accidental deaths in an adult bed is only 1.5% of the total cases of SIDS. There are two pieces of critical data that are missing that would allow us to determine the risk of SIDS or any cause of death in a bed versus a crib. How many cases of actual SIDS occur in an adult bed versus in a crib? How many babies sleep with their parents in the U.S., and how many sleep in cribs? The data on the first question is available, but has anyone examined it? In fact, one independent researcher examined the CPSC's data and came to the opposite conclusion than did the CPSC - this data supports the conclusion that sleeping with your baby is actually SAFER than not sleeping with your baby (see Mothering Magazine Sept/Oct 2002). As for the second question, many people may think that very few babies sleep with their parents, but we shouldn't be too quick to assume this. The number of parents that bring their babies into their bed at 4 am is probably quite high. Some studies have shown that over half of parents bring their baby into bed with them at least part of the night. And the number that sleep with their infants the whole night is probably considerable as well. In fact, in most countries around the world sleeping with your baby is the norm, not the exception. And what is the incidence of SIDS in these countries? During the 1990s, in Japan the rate was only one tenth of the U.S. rate, and in Hong Kong, it was only 3% of the U.S. rate. These are just two examples. Some countries do have a higher rate of SIDS, depending on how SIDS is defined. Until a legitimate survey is done to determine how many babies sleep with their parents, and this is factored into the rate of SIDS in a bed versus a crib, it is unwarranted to state that sleeping in a crib is safer than a bed. If the incidence of SIDS is dramatically higher in crib versus a parent's bed, and because the cases of accidental smothering and entrapment are only 1.5% of the total SIDS cases, then sleeping with a baby in your bed would be far safer than putting baby in a crib. The answer is not to tell parents they shouldn't sleep with their baby, but rather to educate them on how to sleep with their infants safely. Now the U.S. Consumer Product Safety Commission and the Juvenile Products Manufacturer's Association are launching a campaign based on research data from 1999, 2000, and 2001. During these three years, there have been 180 cases of non-SIDS accidental deaths occurring in an adult bed. Again, that's around 60 per year, similar to statistics from 1990 to 1997. How many total cases of SIDS have occurred during these 3 years? Around 2600 per year. This decline from the previous decade is thought to be due to the "back to sleep" campaign - educating parents to place their babies on their back to sleep. So looking at the past three years, the number of non-SIDS accidental deaths is only 2% of the total cases of SIDS. A conflict of interest? Who is behind this new national campaign to warn parents not to sleep with their babies? In addition to the USCPSC, the Juvenile Products Manufacturers Association (JPMA) is co-sponsoring this campaign. The JPMA? An association of crib manufacturers. This is a huge conflict of interest. Actually, this campaign is exactly in the interest of the JPMA. What does the research say? The September/October 2002 issue of Mothering Magazine presents research done throughout the whole world on the issue of safe sleep. Numerous studies are presented by experts of excellent reputation. And what is the magazine's conclusion based on all this research? That not only is sleeping with your baby safe, but it is actually much safer than having your baby sleep in a crib. Research shows that infants who sleep in a crib are twice as likely to suffer a sleep related fatality (including SIDS) than infants who sleep in bed with their parents. Education on safe sleep. I do support the USCPSC's efforts to research sleep safety and to decrease the incidence of SIDS, but I feel they should go about it differently. Instead of launching a national campaign to discourage parents from sleeping with their infants, the U.S. Consumer Product Safety Commission should educate parents on how to sleep safely with their infants if they choose to do so. Here are some ways to educate parents on how to sleep safely with their baby: Take precautions to prevent baby from rolling out of bed, even though it is unlikely when baby is sleeping next to mother. Like heat-seeking missiles, babies automatically gravitate toward a warm body. Yet, to be safe, place baby between mother and a guardrail or push the mattress flush against the wall and position baby between mother and the wall. Guardrails enclosed with plastic mesh are safer than those with slats, which can entrap baby's limbs or head. Be sure the guardrail is flush against the mattress so there is no crevice that baby could sink into. Place baby adjacent to mother, rather than between mother and father. Mothers we have interviewed on the subject of sharing sleep feel they are so physically and mentally aware of their baby's presence even while sleeping, that it's extremely unlikely they would roll over onto their baby. Some fathers, on the other hand, may not enjoy the same sensitivity of baby's presence while asleep; so it is possible they might roll over on or throw out an arm onto baby. After a few months of sleep-sharing, most dads seem to develop a keen awareness of their baby's presence. Place baby to sleep on his back. Use a large bed, preferably a queen-size or king-size. A king-size bed may wind up being your most useful piece of "baby furniture." If you only have a cozy double bed, use the money that you would ordinarily spend on a fancy crib and other less necessary baby furniture and treat yourselves to a safe and comfortable king-size bed. Some parents and babies sleep better if baby is still in touching and hearing distance, but not in the same bed. For them, a bedside co-sleeper is a safe option. Here are some things to avoid: Do not sleep with your baby if: You are under the influence of any drug (such as alcohol or tranquilizing medications) that diminishes your sensitivity to your baby's presence. If you are drunk or drugged, these chemicals lessen your arousability from sleep. You are extremely obese. Obesity itself may cause sleep apnea in the mother, in addition to the smothering danger of pendulous breasts and large fat rolls. You are exhausted from sleep deprivation. This lessens your awareness of your baby and your arousability from sleep. You are breastfeeding a baby on a cushiony surface, such as a waterbed or couch. An exhausted mother could fall asleep breastfeeding and roll over on the baby. You are the child's baby-sitter. A baby-sitter's awareness and arousability is unlikely to be as acute as a mother's. [*] Don't allow older siblings to sleep with a baby under nine months. Sleeping children do not have the same awareness of tiny babies as do parents, and too small or too crowded a bed space is an unsafe sleeping arrangement for a tiny baby. [*] Don't fall asleep with baby on a couch. Baby may get wedged between the back of the couch and the larger person's body, or baby's head may become buried in cushion crevices or soft cushions. [*] Do not sleep with baby on a free-floating, wavy waterbed or similar "sinky" surface in which baby could suffocate. [*] Don't overheat or overbundle baby. Be particularly aware of overbundling if baby is sleeping with a parent. Other warm bodies are an added heat source. [*] Don't wear lingerie with string ties longer than eight inches. Ditto for dangling jewelry. Baby may get caught in these entrapments. [*] Avoid pungent hair sprays, deodorants, and perfumes. Not only will these camouflage the natural maternal smells that baby is used to and attracted to, but foreign odors may irritate and clog baby's tiny nasal passages. Reserve these enticements for sleeping alone with your spouse. Parents should use common sense when sharing sleep. Anything that could cause you to sleep more soundly than usual or that alters your sleep patterns can affect your baby's safety. Nearly all the highly suspected (but seldom proven) cases of fatal "overlying" I could find in the literature could have been avoided if parents had observed common sense sleeping practices. The bottom line is that many parents share sleep with their babies. It can be done safely if the proper precautions are observed. The question shouldn't be "is it safe to sleep with my baby?", but rather "how can I sleep with my baby safely." The data on the incidence of SIDS in a bed versus a crib must be examined before the medical community can make a judgment on sleep safety in a bed.
  7. If you factor in the safe co-sleeping rules, those risk factors for SIDS are canceled out. Safe Cosleeping Guidelines // Mother-Baby Behavioral Sleep Laboratory // University of Notre Dame Go Ahead—Sleep With Your Kids Research on Safe Co-sleeping | Ask Dr Sears The reason I remember not to use a pacifier is the same idea behind not using a bottle -nipple confusion. Which I disagree with. (I did a search here on AN about co-sleeping/breastfeeding/SIDS as this subject has come up many times in the past and found some great old threads and links which I put up above).
  8. Thanks. Interesting comment regarding bedsharing . . . I'm a firm believer in co-sleeping IF the parents want to do that. And are given safety rules.
  9. Thanks for the link. I read the study. It seems inconclusive to me.
  10. Hi - I am not going to try to guilt-trip you into anything but wanted to add that as a L&D nurse, we relied on Dr. Thomas Hale and his book Medications and Mothers Milk. It was interesting because many OB docs didn't realize there were studies on medication and breastfeeding and some of the medications could safely be continued. I'm not saying your seizure medication is one of them but I really wish there was more in-depth information given to new moms. One mom was dedicated to breastfeeding and in order to do so was going to stop a medication she was taking which would have been unwise for mom. I emailed Dr. Hale and he called me back at work! He talked about the medication, the research/testing, and then sent me the information to give to the OB and new mom. She stayed on the medication and breastfed her child. One of the other things I added to new mom discharge orders was Safe Co-Sleeping Rules. I knew parents would be co-sleeping (I did) so wanted them to know the dangers and the safe way to do so. But that's another subject altogether. Medications and Mothers Milk Online InfantRisk Center Non-Drug Treatments for Depression | InfantRisk Center
  11. When I first started reading her blog, I was surprised to find a physician who had some of the same issues with Breast is Best that I have as a L&D nurse and mom who breastfed 4 kids; 3 into toddler-hood. But she is getting more militant and strident. Some nurses used to take the formula from the new baby bags given to us by formula companies. It was really more militant regarding pushing breastfeeding vs formula. Now it goes the other way. The pendulum swings . . .
  12. Hundreds of babies die each year as a result of the Baby Friendly Hospital Initiative | The Skeptical OB What do you all think about this?
  13. I disagree with some of the things Dr. Tuteur says about political things. But as a former L&D nurse who worked with a "Breast Is Best" lactation consultant, I really think we need to back off a bit from the idea that only breastfeeding is best. I think if you gave moms a chance, with supplementing formula, then they might succeed with breastfeeding. All my kids had a bottle in the hospital - back in 1983 the goal was to breastfeed for 6 months and I did that with the 1st one and then had a lot of trouble with my son having issues with formula. We ended up with a pre-digested protein formula. The other 3 kids were breastfed for 18 months, 3 years, 3.5 years. All were at times supplemented with formula. As a nurse, there were times when the baby just wouldn't latch and didn't get any nutrition for days. What is the harm in giving a bottle of formula?
  14. I've been following an OB doc on FB who had been writing about this for awhile. Her mantra is "Fed is Best" She isn't against breastfeeding but thinks we've gone to far in promoting it without considering repercussions. The lactivist lie that causes so many babies to suffer | The Skeptical OB
  15. Spidey's mom

    50 Random Acts of Kindness for Any Nurse

    Thanks for this. I have to admit I've never heard of "ding, dong, ditch".