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Jaundice in newborn babies

As a new parent, you’re understandably eager and excited to leave the hospital and settle into your new routine with your baby. Sometimes, that routine is delayed due to the baby’s blood test confirming hyperbilirubinemia, also known as jaundice.

Jaundice in newborns is caused by an excess of red blood cells. Jaundice is seen as a yellow color to the skin, appearing first at the head (skin and sclera – or “whites of the eyes”) then progressing to the feet. As it decreases, it lessens in reverse. Before birth, the placenta removes bilirubin from the baby’s system; after birth, the baby’s liver takes over. In breast-fed babies, an imbalance between mother’s milk supply and baby’s feeding can lead to a higher-than-expected bili level. In addition to ensuring the baby is feeding well and having enough wet/stool diapers, phototherapy or “bili lights” may be needed. Bili lights help speed up the process by breaking down the bilirubin in the skin.

For phototherapy, your baby will be ...

Why pregnant women should receive flu vaccine and pertussis booster

Why do we recommend that pregnant women receive both the flu vaccine and the pertussis booster during pregnancy? Here are a few reasons:
 
The influenza virus, better known as the flu, has been proven over and over to have the potential to cause serious disease in pregnancy.  That includes an increased risk that when pregnant women “catch” the flu, they may require admission to the intensive care unit, require a ventilator and, less commonly, even death.  It’s serious.   Babies of women who are infected with the flu during pregnancy are more likely to be born prematurely and are at increased risk for stillbirth.

We recommend the flu vaccine at any point in pregnancy and offer the single dose, preservative free vaccine in our office to all pregnant women (with the exception of those who have a medical reason not to get it.)  A common misconception is that the vaccine causes the flu - it does not.  Another misconception is that it is not safe for the developing baby to be exposed to the vaccine itself or the immune response it generates.  There is no evidence to support this fear in almost 50 years of administrating this vaccine and close follow up of those receiving it.

We recommend the flu shot, which is an inactivated virus. The Flumist is a live attenuated virus that is not recommended in pregnancy.

Your family members should also receive the vaccine as they can pass the flu on to a newborn who has not yet gotten the vaccine.  Babies can suffer severe complications if they are infected with the virus before they can receive the vaccine.
 
The other vaccine we recommend during pregnancy is the Tdap booster.  The benefit of the pertussis booster outweighs any perceived risk.  Pertussis, or the whooping cough, is at epidemic levels especially on the west coast including Washington State.  That may be  ...

Swedish Babies in 2013

Odds are that if you live in or around Seattle, either you or your children were born at a Swedish hospital. And after last year, those odds are even greater after our nurses and doctors delivered a record 9,014 babies in 2013.

Last year included a record number of births at Swedish Issaquah (1,149) and Swedish Ballard (1,022).

We attribute last year’s growth to our excellent reputation in the community as well as our outstanding ability to provide our patients with a safe, convenient and comfortable birthing experience. Last year we expanded our range of offerings for families when we opened our new Lytle Center for Pregnancy & Newborns and our Level II nursery at Swedish/Issaquah.

Now for some fun facts:

  • August saw ...

Infants with Milk Allergy

A 4 week-old infant and his mother came to my office last week.  The mother had started seeing small flecks of blood and stringy mucous in the infant’s diapers a week prior.  The baby was fine in every other way, breast feeding normally, and looked quite healthy when I examined him.

I diagnosed the infant as having cow’s milk protein-induced proctocolitis, the term referring to allergic inflammation of the lower gastrointestinal tract from exposure to cow’s milk. 

This is a diagnosis I make often. Here's what you should know about infants with milk allergies:

  1. It’s more common than you think. 2-3% of infants in the U.S. are allergic to cow’s milk protein. It is even more common in infants with eczema or who have parents or siblings with allergies.
  2. It’s seen in breast fed babies.  Over 50% of infants with this condition are breast milk-fed infants.  But remember, the babies are allergic to the dairy in their moms’ diets, not to their mothers’ breast milk per se!
  3. Switching to soy or goat’s milk doesn’t work.  Over two-thirds of infants with cow’s milk protein allergy “cross-react” to soy protein (which means that they may not be truly allergic to soy protein, but their immune systems are just too “immature” to know the difference between the two).  Similarly, if a mother switches from drinking cow’s milk to goat’s milk, it won’t help, because the source is still a “different species”; the infant’s immune system will still respond to the “foreign” protein.
  4. Treatment takes time. The inflammation resolves when all traces of cow’s milk (and soy), are  removed from the infant’s diet.  In the case of formula-fed infants, we switch to special hypoallergenic formulas.  Typically after a successful switch, the bleeding stops within a week.  However, with breast fed infants, the improvement can be a little slower.  Since it can take up to 2 weeks for the dairy in a mother’s diet to circulate into her breast milk, the full effects may not been seen for up to a couple weeks.
  5. Allergy testing is not recommended.  The type of allergy that ...

How to give safe gifts to children during the holidays

As the holidays approach, parents often wonder what toys are safe for their little ones.  When making your list and checking it twice, here are some tips to ensure that toys are appropriate for the age and developmental stage of your giftees.

For younger children/infants:

  • Make sure all parts are larger than the child’s mouth.  Most children age 3 and under consistently put toys in their mouth, and some older children do as well.  A small-parts tester, or “no-choke tube” is about the size of a small child’s airway and can be purchased to test parts if you are unsure.  If a part or toy fits inside the tube, it’s too small to be safe.
  • When buying stuffed toys, look for embroidered or secured parts rather than pieces (such as eyes or noses) that could be removed and swallowed.  Remove all loose strings and ribbons.  Avoid animals with stuffing made of small pellets or material that could cause choking. Be aware that stuffed toys given away at carnivals, fairs, or in vending machines are not required to meet safety standards, so be especially careful with these!
  • When buying hanging toys for cribs, ensure that the child cannot grab any portion, and that strings or wires are short.  These types of toys should be removed when the infant can push up onto his or her hands and knees.
  • Keep plush toys and loose, soft bedding out of the cribs of infants and young children as these can cause suffocation.

For all children:

  • Look for labeling on the package that indicates what ages the toy is appropriate for.  Remember that this doesn’t have to do with how smart your child is, it is based on physical and developmental skills for his or her age group and should be followed.
  • Ensure that batteries are  ....

Piper's first birthday honors Swedish Neonatal Intensive Care Unit

Listening to Stephanie Baily talk about her daughter, Piper, turning one year old, you can’t help but hear the pride and gratitude in her voice. Piper was born seven weeks early due to complications with Stephanie’s pregnancy and spent 25 days in the Swedish NICU before she could go home.

Because of the excellent care they received at Swedish, Stephanie and her husband Jonathan wanted to do something special to honor their daughter’s first birthday. They also wanted to give back to the place that helped Piper during those first and fragile weeks of life. So they asked family and friends, in lieu of gifts of toys and clothes, to make a donation to the Swedish NICU.to the Swedish Neonatal Intensive Care Unit.

“Swedish has such a special place in our hearts. We wanted to show our appreciation for those who helped us, and to help make things better for the next babies and parents,” said Stephanie. “It’s so important that parents know they can trust their child to the care of a nurse or doctor, especially here in the NICU. I had such a hard time leaving Piper and going home without her, but the little things the nurses did made me realize they were treating her as if she was part of their family. They let me call any time, 24/7, answered all our questions, and accepted all our emotions. They were always nice and reassuring, which is so important to a first-time parent.”

Stephanie explained that every morning she would come to the hospital and find Piper...

Infant and Child Development is not about ‘stuff’

When we are bombarded by information and products, how are we as new parents supposed to decipher what is in the best interest of our child when it comes to their development? 

Parents can quickly become bombarded with information about everything they need to do to optimize the first months of their child’s very impressionable life. A new, overwhelmed, sleep deprived parent can find everything from music for math skills, swaddling positioners for longer sleep, bottles for better speech development, and even multiple equipment options to speed up a child’s progression for walking.  Today there are so many items available for purchase that if a person wanted to, they could  go through an entire day never having to hold, cuddle, snuggle, whisper, sing, gaze, laugh, or touch their baby…..and that is exactly the point.  When it comes right down to it, the best things that we can provide for our babies development has nothing to do with the “stuff”!

Here’s what advertisements for most baby products don’t tell you:

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