pediatrics

A few recent studies with weak design sought a link between pediatric obesity and method of delivery: vaginal birth versus cesarean section.

Confirmation bias typically arises from seeking information that confirms your predetermined hypothesis. To simplify: what you seek, you shall find.

So gave birth to the notion that there could be causality or at a minimum a link between Cesarean Delivery (CD) and the development of childhood obesity. The reality is rates for both have been on the rise in recent decades which is why pursuing a magic bullet relationship holds appeal. 

However, a new longitudinal study just published in the journal Pediatrics undermines this...

For pediatricians, it is hard to imagine a week going by without a child accidentally or intentionally ingesting some random substance. The phone calls from concerned parents go something like this: “Umm, he ate the dog’s poop” or “he ate his own poop” or “she ate the dirt from a potted plant.” 

So, news that alcohol-based hand sanitizer made the list of such ingestions by children came as no big surprise. After all, it glistens, oozes, sometimes sparkles and seems to abound in homes, schools, offices, travel gear or key chains these days. 

What is of interest is the fact that the occurrence of such innocent, voluntary or mischievous misdeeds with respect to hand sanitizer happened enough times to warrant the ...

As a pediatrician, I always advise don’t be fooled by the cuteness. Urging parents to stay strong --especially in those vulnerable moments. See the big picture. Follow through with consequences for bad behavior. Easy to do in an office visit, but hard to achieve day in day out for twenty years— even with the best of intentions.

Sadly, the concept of withholding a lollipop for bad behavior isn’t necessarily transferable to media organizations when they under, over or inadequately inform the public with respect to science and health claims. Even though heightened public anxiety and co-opting of physician office visits to debunk medical myths perpetuated by such imprecise information are very tangible adverse effects, somehow the messenger continues to go unscathed.

Instant...

Co-Authored By Pamela Paresky, Ph.D.

The U.S. Food and Drug Administration (FDA) recently advised parents to stop using and immediately discard certain homeopathic teething products for infants because they contain belladonna, a toxic chemical in amounts that cannot be verified as safe. To medical professionals, this is no surprise. Despite the fact that many natural products contain harmful ingredients, the FDA has been playing catch-up ever since these “non-medical” products began to saturate the market after the Dietary Supplement Health and Education Act of 1994 was passed over the protests of the medical community, and allowed sale of almost anything with...

Babies inside the womb, as they exit and once out into the world —especially if breastfed—are influenced to varying degrees by their mother’s exposures, albeit illicit or prescription drug intake, food ingestion or smoking, to name a few.  

If a pregnant mother is chronically using opioids, for example, then birth with subsequent severing of the umbilical cord enacts an abrupt cessation of the substance to the baby.  The result is a newborn in withdrawal.  This is called neonatal abstinence syndrome (NAS).  It can be mild or happen upon a wide array leading to severe.

A new research letter in JAMA Pediatrics...

Kids are my favorite. They are way cooler than adults.  No giant leap there.  As a pediatrician whose coffee has yet to kick in this day before Thanksgiving, I shouldn't be too impressed with my own grasp of the obvious.

They see a world of wonder.  They, especially the littlest ones, view their environment with amazement replete with such an honesty and purity in their perspective.  This natural curiosity should be— in most situations— a nurtured and valued commodity. 

However, like what goes up must come down, this quality can be accompanied by a touch of mischief and consequent hazards.  So, instead of unloading an endless barrage of terrifying doctorate-level home and object child-proofing restrictions, enjoy this practical guide to surviving the holiday season. ...

Melania Trump and son Barron are to hold off on an immediate move into the White House.  According to The Wall Street Journal, President-elect Trump told reporters they would join him “very soon.  After he’s finished with school.”

And, the media onslaught began with imprecise headline clickbait aplenty.  

“Melania and Barron Trump won’t be moving to the White House” (The New York Post)… “Melania and Barron will move to D.C., eventually, but many Trump family questions remain” (NBC News)…”Melania and Barron Trump might not move to the White House” (Fortune)…  “Melania and Barron Trump will not move to the White House” (Daily Mail)

Regardless of your politics—when speaking of a ten year old child in the context of an...

The arbitrary nature of many school requirements always baffles me.  Cancel soft pretzel day out of caloric concern, but permit pie bake sales.  Have your doctor independently complete a formal asthma action plan in addition to the entire health form that already covers it; but, not one for other diseases like diabetes, for instance.  

Replace vending machine soda, but sell macaroni and cheese and pizza in the cafeteria.  Offer alternatives to physical education, but be concerned about health and well-being.  Make an entire school nut-free, but don’t teach basic emergency services, first aid and CPR. 

The world isn’t nut free, so arming our communities with essential tools to save lives seems a no-brainer as a requisite component to the formal education system’s mission...

The U.S. Centers for Disease Control and Prevention (CDC) is on a recent publishing push with respect to cancer prevention efforts, promotion of current statistics and encouragement of comprehensive plan implementations on all governmental, personal and public fronts.

Pediatrics’ — the official journal of the American Academy of Pediatrics — November issue included a companion supplement entitled “Opportunities for Cancer Prevention During Early Life.”  The cover disclosed its sponsorship by the CDC, an Agency of the Department of Health and Human Services under the Cooperative Agreement CDC RFA OT13-1302: Building Capacity of the Public Health System to Improve Population...

A new study published in the journal Pediatrics investigates a possible association between planned birth before 39 weeks gestational age and early childhood development.  It concludes that an early, scheduled delivery is linked to poor childhood development at school age.  

A population-based record linkage cohort study of those born in South Wales, Australia between 2002-2007 was performed on 153,730 live-born infants of greater than or equal to 32 weeks gestation with assessments of development in their first year of full-time school 2009 or 2012.  The five avenues interpreted: ...