14
Oct

Positional Asphyxia | Death Asleep in a Car Seat

Could a Baby Die Asleep in a Car Seat on the Floor?

Positional Asphyxia: Death Asleep in a Car Seat

Positional Asphyxia: Death Asleep in a Car Seat

Tragedy struck a North Dakota family when one of their twins died at daycare in his sleep.  The daycare workers usually took the babies out of their car seats.  At drop off, Linnea was taken out of her car seat.  But her twin brother, Anders Jungling fell asleep.  Just a few hours later, his mom, Rachel, got the phone call.  He died quietly in his sleep ... in his car seat.  Rachel didn't understand why he was still in his car seat.  The daycare workers didn't know that a baby could die in a car seat placed on the floor. So, they let him sleep.

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Why Does Any Mother or Caretaker Leave a Baby Asleep in the Car Seat? 

 

The reasons are many ... 

"I'm just so tired." 

"He finally fell asleep."

"He has such bad colic & has been crying all day. He needs the sleep."

"I'll leave him there for just 30 minutes."

"If I take him out, it'll take forever to get him back to sleep."

"I've always heard to let sleeping babies lie."

And many, many more.

 

 

How Many of Us Have Left Our Baby Asleep in a Car Seat? 

 

I've been guilty of that.  I remember constantly checking, every 2-5 minutes if my sleeping son was okay in the car seat.  Then, it finally dawned on me that the little bit of sleep he would get in his car seat was causing me extreme stress and additional mental unrest.  Why was I doing that to myself?  He had horrible colic.  He was only getting a maximum of 3 hours daily.  In the end, I couldn't reconcile his much-needed sleep with my ever-increasing madness.  I'm sure my sleep deprivation made me think unclearly.  Mentally, I just couldn't take the risk anymore.  And so, I took him out of his car seat.  And he cried.  A lot.  I hated it.  Praying he would just fall back asleep each time, but he didn't.  So, many a night, I would drive with him until he slept in the car.  I can understand why anyone would leave a baby in a car seat.  However, we just can't because they could die of positional asphyxia.

 

 

 

What is Positional Asphyxia?

Positional asphyxia happens when an infant stops breathing when they are either placed or fall asleep in an unsafe sleeping environment or an unsafe position.

 

 

How Can Positional Asphyxia Occur in a Car Seat?

A baby can sleep safely in a car seat placed in a car because the car seat is placed at an angle.  when the car seat is at an angle, a baby's heavy head remains backward and their airways remain open.  On the floor, the baby's head tilts forward and closes their airway.   The baby will not fight the asphyxiation.  They will die quietly in their sleep.  

 

 

What are Some Unsafe Environments for Baby's Sleep?

Car Seat

Bed-sharing

Objects in the bed, such as blankets, pillows, stuffed animals

Sofas

Waterbed

Beanbag Chair

 

 

What are Some Unsafe Positions for Baby's Sleep?

Side sleeping

Sleeping facedown

Sleeping with the head covered (in a car seat)

Face against a soft surface (bed bumpers, parent's chest)

 

What are the ABCs of Safe Sleep?

Alone – Babies need to sleep alone in a crib without anything that could suffocate them (bed bumpers, blankets, pillows, stuffed animals, pacifiers made with attached plushies).
Back – Babies need to sleep on their backs (no side sleeping or face down sleeping).
Crib – Babies need to sleep in a crib or a flat bassinet (not a car seat, swing, adult bed, etc).

 

Is This Rare?  Why Change if Nothing Bad Has Happened to Anyone I Know?

 

You may not hear or know someone whose baby died of positional asphyxia, but it's not worth taking the risk.  In my pediatric career, in over 20 years, I've had 3 children that I've cared for die from positional asphyxia.  If it happens to you or someone you know, it's life-changing.  You have to live with the pain and regret, forever wondering, if you had only changed, would life have been different?  It's just not worth it.  

 

12
Dec

Best Christmas TV Show Guide

Christmas, Christmas TV, 25 Days of Christmas, tv guide, Christmas TV Guide, show, family time, family fun, Chirstmas TV Shows, holidays, family, family time, movies, Netflix,
Rudolph the Red Nosed Reindeer

Christmas Television Shows - Rudolph the Red Nosed Reindeer

Best Christmas TV Variety 2018

The best Christmas TV shows are a great time for family time. There are multiple opportunities to get together, share, and talk about family values and learn some valuable life lessons while watching them.  There are many options to choose from: Freeform's 25 Days of Christmas, ABC, NBC, Disney Channel, Hallmark channel's Countdown to Christmas, AMC, Lifetime & even Netflix has stunning Christmas original programming!  With so many options, where do you start?  Which are age appropriate?  Moreover, Common Sense Media does great review that includes their recommendations for age appropriate viewing.  Therefore, I've included those links for many of the best Christmas TV shows and movies below.  Here's my guide!       

Netflix

The Christmas Chronicles

Netflix

Netflix

I'm going to start by telling you our first watched Christmas TV show for 2018.  I happened to see Netflix had a new Christmas show called The Christmas Chronicles starring a very entertaining Kurt Russel as Santa Claus.  I figured we'd take a chance with something new.   Plus it was an older brother & younger sister story.  Frankly, this was right up our alley as that is exactly our household sibling dynamic.  We LOVED it!  Why?  For instance, Santa rocks in the jailhouse while he has the brother-sister duo help save the very Christmas that they accidentally set on a course to be the Christmas that might not happen!  These siblings helping Santa while coming to some personal revelations about growing up & making us laugh along the way. 

Angela's Christmas

Then, there's Angela's Christmas.  It's a tear jerker about the family, loss, poverty & the chaos created when a little girl tries to warm the Baby Jesus, taking it from the church.  She had good intentions, but things go awry.  Above all, her family is there to help and support her.  My little girl really loved this one.  That is to say, she connected with special little Angela's her big heart and fierce determined personality.  

Other Netflix Christmas TV Originals

Likewise, some other entertaining Netflix originals include The Princess Switch and A Christmas Prince: The Royal Wedding.  

Freeform's 25 Days of Christmas

Above all, Freeform has the best Christmas TV show schedule that is includes Christmas movies too!  I really like that there is a great variety of non-Christmas shows & movies.  They are shown on the Freeform Channel, ABC & the Disney Channel.  What programming do they offer?  Here's a sampling with some of our family's favorites!  On December 11, 2018 they are showing Mickey's Once Upon a ChristmasMickey's Twice Upon a Christmas, & Disney's A Christmas Carol.  On December 12, 2018, there are some repeats & a few different options such as Call Me Claus, Deck the Halls & The Santa Clause.  To sum it up, their schedule is great with a lot of variety aside from the Holidays, such as Disney's Finding Nemo, Brave & Tangled.  The whole family has an opportunity to pick a couple of favorites.  

ABC

Elsa & Anna, Best Christmas movie, Olaf's Frozen Adventure, Christmas TV show

Elsa & Anna

ABC has their Christmas TV show  schedule that includes some very special kid shows that are great to re-watch.  Here's a sampling are some of my family's favorites!  On December 19, 2018, the Disney geek in me is happy to see Olaf's Frozen Adventure!  There will also be Dreamworks' Shrek the Halls.  On December 20, 2018 there will be the classic A Charlie Brown Christmas.  On December 23, 2018, they will air Disney's Prep & Landing and Prep & Landing 2: Naughty vs. Nice.  To sum it up, I  can't resist those two elves.  One is funny & anxiety ridden & the other a bit of a daredevil in my opinion!                                                                          

NBC

It's a Wonderful Life, Christmas movie, family time

It's a Wonderful Life

How the Grinch Stole Christmas is another absolute best Christmas TV show that NBC is scheduled to air on Christmas Day! To be honest, we own the cartoon original & the movie.  As a child, I was scared of the Grinch.  Then, my son came along.  As a result, I love the Grinch now.  Therefore, we plan to go see The Grinch movie soon too!  On December 24, 2018, NBC will also air It's a Wonderful Life.  This is the best Christmas show in Black & White.  And it never gets old!  It teaches so much about life, love, struggle, self-worth, self belief, community & that one person really makes a HUGE difference in so many unknown ways.  I grew up watching this one.  

Tampa Theatre

Ultimately, this year we're going to watch It's a Wonderful Life at the Tampa Theatre with showtimes are from Friday, December 14th through Thursday December 20th.  The Tampa Theatre is a wonderful experience is known as Tampa's Non-Profit Movie Palace & a National Historical Landmark.  My kids haven't been there yet, so this will be an extra special magical treat.   

AMC

Elf, Christmas movie, family time

Elf

This year, AMC has achieved a great trifecta!  They are exclusively showing ElfNational Lampoon's Christmas Vacation, & The Polar Express.  My family favorite filled with the magical ride to the North Pole is definitely The Polar ExpressElf is one of the best Christmas TV movie comedies that makes me laugh and laugh!  AMC has a Christmas movie lineup of over 40 movies sure to satisfy the Christmas movie fan!                                                                                                                                                    

Hallmark & Lifetime Original Movies

Hallmark's Countdown to Christmas lineup does not disappoint either!  They have a Christmas movie lineup of 22 new original movies!  Lifetime's Christmas movie lineup has 14 new original movies!   While I wouldn't call these the best Christmas TV shows, I would say they have some ice entertainment value.  In addition, they are family friendly which is a plus!

The Original Christmas Specials

Rudolph, Rudolph the Red Nosed Reindeer, Christmas movie, family time

Rudolph the Red Nosed Reindeer

Three of the best Christmas TV shows are Rudolph the Red Nosed ReindeerSanta Claus Is Comin' To Town (on Freeform Christmas lineup) & Frosty the Snowman.  A classic, Rudolph is the longest running Holiday special in TV history, broadcasting for 54 years!  I loved these every year since I was a little girl.  It was always special because I didn't get a chance to spend much time with my dad since he worked nights.  Christmas movies with my dad will never be forgotten!  They give my inner child a special warmth and a lifetime memories.      

FX

Christmas movie, Rise of the Guardians

Jack Frost from Rise of the Guardians

Rise of the Guardians is another one of the best Christmas TV movies.  However, it seems the FX channel is the only one playing it.  Magic is in the air when Jack Frost, the Easter Bunny, the Tooth FAiry, the Sandman and Santa Claus need to save the world from Pitch Black, the Boogeyman, who is the nightmare maker.  Will the children still believe?  There are scary parts for the little ones.  Consider this before allowing to children to watch.  However, at the coreof the movie is Jack's search for his center  Santa's is his sense of wonder.  While watch, it made each of us think, 'What's my center?'

Family Time

In conclusion, what matters most about Christmas TV shows & movies is not just their content or quality.  Most importantly, too much TV is not a good thing.  Certainly, a few good shows is all it takes to have some memories & some good times.  The family time is the best part!  We have movie nights with popcorn, blankets, and all lights off, except for the Christmas tree. How do you create Christmas TV & movie memories?  Do you still believe?  While you're at it ... What's your center?  Please share it with yourself, your loved ones, and here as well.

18
Nov

Healthy Eating & Steps at Holidays

Thanksgiving healthy eating, teps, active, fit

Thanksgiving Steps & Eating Photo by Element5Digital

Healthy Eating & Steps During Holidays are important during Thanksgiving.  This is a time for eating and family, so it's important to be healthy on this holiday too!  Many people are trying to have a healthier lifestyle.  Then, Thanksgiving comes along and seems to ruin it all.  Then, before you know it, you're making yet another New Year's resolution to lose weight.  So how about starting your New Year's resolution early?  And how about not focusing on weight loss?  Rather, focus on your steps and healthy eating.

Tips on Staying Fit & Healthy Eating

Be Thankful

Extra Steps & Healthy Eating is great to remember on Thanksgiving.  Also, being thankful helps us to savor the food at a good pace.  The slower you eat, the sooner you'll feel full.  A Thanksgiving Affirmation will help you to remember how to be thankful on Thanksgiving.

Drink Water

Water helps your stomach feel full.  In addition, sometimes we feel hungry, meanwhile we are actually thirsty.  Our body will confuse thirst for hunger.  In addition, holiday time can mean eating rich foods and drinking alcohol, all of which has lots of calories.  Water helps flush out a lot of preservatives & sodium from our system.  Remember to drink lots of water every day you indulge.

4 Ways to Squeeze in More Steps Over the Holidays:

https://blog.myfitnesspal.com/4-ways-to-squeeze-in-more-steps-over-the-holidays

“A Stumble May Prevent a Fall”

Author Gretchen Rubin cites this as one trap that can send you into a cycle of negative thinking.  In other words, if you slipped up or had a day where healthy eating wasn't the priority, then you may be hard on yourself.  You may give yourself a harder time, ignoring all the good healthy steps and eating you have done.  So, don't forget the good.  Don't let a slip up erase all the good habits you have accomplished, formed, or develeoped.  A slip up is just that,  a slip up.  It doesn't have to be a slide or downward spiral.  In fact, the slip up may make you feel physically uncomfortable, thereby reminding you to go back to your good habits.  

Ways to Add More Steps to Your Day

  1. Set a Reminder to Walk – If you can add 15 min of walking during lunch & after work, then you’d be surprised at many extra steps you add into your week.
  2. Walk & Talk – Make a phone call during your walk time.  You’d be amazed at how quickly your walking time flies by, allowing you even to add extra steps too!
  3. Walk & Listen – While walking, download a podcast, an audiobook, etc.
  4. Walk Wherever You Can – Park the car farther away when you shop, pick up kids, run errands, etc.
  5. Partner Up – Walk with a Walking Buddy.
  6. Walk During Commercials – Walk around the room, the house, etc until the commercials are over.  You will gain steps & not be a coach potato.
  7. Make Things Inconvenient – Return the shopping cart to the store.  Skip the drive-thru.  Take the stairs.
  8. Cook – Standing & moving around while cooking burns calories.  Add steps in the kitchen while waiting for that water to boil, oven timer or the microwave timer to go off.  You’ll save money by eating at home.
  9. Clean – Even everyday household chores will add steps every time.  And your home will be cleaner

 

Cooking Healthy Sides

There are many ways that sides can add a lot of calories.  All the starches, all the butter, all the extra yummy pies - all add extra calories.  Try these tasty sides that are each under 250 calories.  They're a healthy and tasty alternative, especially if you're going for sceonds!

https://blog.myfitnesspal.com/13-thanksgiving-sides-under-250-calories/

28
May

Positive Talk With Children

Positive Talk with Children

Positive talk with children can be elusive.  Often, we get lost in the busy "to do list' of our lives.  When our children don't follow directions or listen to us, we fall into the usual negative talk.  "Stop that now."  "Don't touch that." "Leave me alone." Arguments, yelling, and fighting can take place. 

 

positive talk with children, listen, ask questions, feelings, alone time, praise, apologize, parenting, children

Positive Talk with Children
- Photo by Anna Kolosyuk

It's impossible to stop all the frustrating times with our children.  However, remembering that sometimes we can change our reaction or approach, can prevent us from feeling bad.  And positive talk prevents some of the negative feelings our children develop from constant negative talk.  In addition positive talk with children involves the crucially important skill of listening.  Other important aspects of positive talk with children include remembering that you're talking with a child, asking questions, acknowledging feelings, teaching alone time, giving praise, and making apologies.

 

Remember That You're Talking with a Child

Talk to children at eye level.  When children are always looking up, especially when they've done something wrong, this is intimidating to them.  Plus talking at eye level shows your children you have some respect for them.

 

Speak simply.  A short sentence can go a long way.  Responding to questions or misbehavior with one simple sentence will help a child stay on task and understand more clearly.  Avoid a lecture.  Avoid going on and on.  At some point, they aren't listening.

Offer two choices, either of which you approve.  When children are given options, it encourages independence.  When you approve of either of the two choices that you offer, it creates an opportunity for happiness and not frustration.  For example, "Would you like to eat peaches or pears?"  They still may want chocolate chip cookies, but you have not asked them, "What do you want to eat?"  which incorrectly leads them to believe they can pick their meal or snack.

 

Ask questions only if you want your child's opinion/answer.  Asking, "Are you ready to go now?" gives a child the impression that if they are not easy, then you will wait.  If you are not willing to wait, then tell them, "It's time to go now," so that there is no confusion.  This allows them to know that there are times when their opinion matters.  Accordingly, it lets them know that other times you are the one in charge, making the decisions.

 

Listen To Your Child

Stop and listen.  We are often busy.  Day in day out, there's a lot to do.  There's laundry, meals, dishes, hosehold cleaning, work outside the home, family needs, and more keep us busy.  However, none of those tasks help us to listen.  Intentionally making the time to listen to our children can have a huge impact.  There are techniques on how to listen to your child that can be learned easily.  Our children can learn they are important by our interactions with them, not just what we do for them.

 

Set aside a time to listen.  When we don't have the time to talk, then it's good to be honest. We can let our children know that, "Right now is not a good time for me to talk with you.  I want to hear what you have to say.  I'll make some time to talk with you later."  Remember to tell your child a specific time when you will talk.  then stick to your word.  That way they will respect your time.  And they will still feel important.

 

Repeat or restate what you heard.  Often, we hear what our children said, but we interpret it incorrectly.  Other times, when we repeat it to them, and they realize that they misspoke.  This encourages our children to develop great communication skills.

 

Ask Questions

Ask open-ended questions.  "How are you feeling?" allows our children to express whatever is on their mind.  "You didn't like that, did you?" limits what they will say.  sometimes we need to hear all aspects of what their thinking, so that we can best help them.

 

Ask specific questions.  If there is a specific issue, open-ended questions may not give a parent the answer needed.  "What was your favorite part of today?"  "What upset you the most?" "Did you understand what you learned in math class today?"  These are some examples of questions that allow our children to narrow the conversation enough so that they know their specific positive or negative emotions and experiences are important.  You are less likely get short answers, such as "Good," "Okay,"  "Bad," which are conversation enders.

 

Feelings Are Important

Encourage all feelings.  It's okay to feel sad.  We often say, "Don't be sad," as if it's a bad thing.  This is hard to watch.  Sometimes children just need to be held until the emotion passes and/or they express their feelings.  Instead of pushing away unpleasant feelings, they will learn how to deal with their emotions, making them healthier children.  Encouraging our children to feel their emotions gives them mental strength as adults too.  

 

Share your feelings.  "You made me sad when you lied to me."  "I had a hard day at work today."  This teaches them to think of others.  It also shows them you are human too.  However, make sure you keep this simple, as a child can easily be overwhelmed by adult emotions and their wish to please their parents.  You want to share your feelings without making them feel responsible for your complete happiness.

 

Teach Alone Time

Teach our children to play by themselves. This will encourage independence which is essentially for their growth and development.  It will also allow parents to act independently while getting our own tasks done.

 

Teach children that parents need alone time too.  If you've ever been interrupted while on the toilet by your child, then you know the importance of your alone time.  Shouting, "Leave me alone!" is not pleasant.  Our children don't like it, sometimes getting their feeling hurt.  And we don't feel good about ourselves afterwards.  Explaining to our children that we need "alone time" for a certain amount of time and to carry out a specific task is important.  Our children will model after what we do, not just what we say.  They will learn from us that our time is valuable which will lead to the eventual realization that their time is valuable too.  It also teaches them that they are not the center of the universe.  We will not stop to fulfill their every need every moment of the day.  It teaches them that there is a time and place for everything.  Lastly, it also teaches them to appreciate everyone's need for alone time.  In addition, this helps teach them to be considerate of other people's time.  This form of positive talk with children explains actions and validating our children.

 

Praise Children

General praise is good.  "Good job!" is a form of positive talk.  However, it leaves some room for interpretation.  What exactly made it a good job?

 

Specific Positive Praise is better because it is an improved form of positive talk with children.  Let them know exactly what behavior or speech that did that you liked and why you like it.  This helps encourages positive behavior, and decreases negative behavior, improve self-esteem, and improves the parent-child relationship.  "I like how you sat quietly and completed your homework," is more likely to result in the child repeating the same specific behavior.  

 

Apologize

Admit when we are wrong.  There are times that we have gone too far.  We have said something that we shouldn't have said or did something we shouldn't have done.  Children seem to know exactly how to overwhelm us when we are already overwhelmed.  Simply saying, "I'm sorry.  I was wrong to say/do that specific behavior."  Then offer the change you'll make next time.  "I'm sorry I yelled at you.  Next time, I will tell you to stop playing video games or else I will turn off your device."  In addition, consider asking our children what consequence they would like for their behavior.  Usually kids know what they've done wrong.  They will come up with an appropriate consequence.  This is self empowering because they came up with the consequence.  This helps our children know what to expect and the consequences of their action if they don't listen.

 

Apologize simply.  "I'm sorry.  You were right and I was wrong.  And I'm so sorry."  This validates our children.  They learn that they have good behaviors.  Then learn their parents are human, make mistakes, and apologize when appropriate.  They also learn that it's okay to make mistakes.  No one is perfect.  In addition, parents are role models on how to apologize when we make a mistake.

 

Additional Resources

Winning Ways to Talk with Young Children by Virginia State University, Cooperative Extension Service - Dr. Valia Vincell, Child Developmental Specialist.

 

• 25 Ways To Talk So Children Will Listen by Dr. Sears

• 20 Ways To Talk So Your Kids Will Listen by Robert Myers, PhD

 

• This blog also has information on Children & Affirmations and Daily Affirmations & Quotes that are helpful in general.

 

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