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Parenting

2012_0516_prom_drinking

Teen Season is upon us.... Proms, graduations, parties abound in June. And if you haven't already, now is a great time to engage in meaningful conversations with your teens about the dangers of alcohol and drug use.

The Riverhead Community Awareness Program and Mothers Against Drunk Driving (MADD) are co-sponsoring an interactive presentation called The Power of Parenting. This short, informal session which will be held on June 11 from 7 to 8pm in the high school auditorium, will provide parents with important information and resources to help start the conversation.

But if you'd like to get started before then, here is some key information you need to convey to your teenager.

- Alcohol is a central nervous system depressant, which means it slows your brain function. Acute intoxication can cause slowed reflexes, coordination and memory. Sleep, mood, cognition and memory can also be impaired. While natural defenses are uninhibited, teens are more likely to participate in risky behaviors such as practicing unsafe sex, driving or texting while intoxicated, and mixing drugs and alcohol. There is increased risk of injury, falls, accidents, drownings and burns. Furthermore, since judgement can be impaired, teens are more likely to engage in violence while under the influence.

- Consuming more than 5 drinks in one sitting, also known as binge drinking, can have detrimental effects to your health. Acutely, alcohol causes blood vessels to dilate which can lead to an unsafe drop in blood pressure. Alcohol poisoning is a medical emergency. Excess amounts of alcohol will suppress the central nervous system such that temperature, blood pressure and respirations can be affected. This increases the risk of seizures, coma and death.

- What may start as a socially accepted behavior, underage drinking can quickly turn to physiologic dependence and addiction. The long term effects of alcohol dependence affect almost every organ system. Because the adolescent body is still developing, early alcohol use can lead to severe brain, heart and liver damage.

- Alcohol negatively affects the electrical and mechanical function of the heart which can increase the risk of heart attacks, strokes and fatal arrhythmias. Chronic alcoholism can harden arteries and therefore cause problems with high blood pressure and its complications.

- Alcohol can be responsible for a form of brain damage that manifests as dementia. Because of its effect on atherosclerosis, drinkers are also at increased risk of stroke. Alcohol can also cause impaired vitamin absorption and therefore lead to a form of nerve damage called peripheral neuropathy.

- Liver function is essential for clearing the body of toxins. If the liver has to process and metabolize too much alcohol, its ability to function properly becomes impaired. It will no longer be able to make the chemical necessary for blood to clot, and be at increased risk of hepatitis, cirrhosis and ultimately liver cancer.

- Because of its effect on blood sugar, alcohol directly affects pancreatic function. Acute or chronic strain on the pancreas can lead to inflammation called pancreatitis which can lead to diabetes or even cancer.

- Alcohol increases the amounts of acids secreted by your stomach which can damage the stomach's protective lining. This can predispose an alcoholic to ulceration and bleeding. Combine that with the liver's inability to produce clotting factors and alcoholics are at very high risk for spontaneous bleeding.

- Alcohol acts a diuretic, increasing the amount of urine produced by the kidneys. Impaired kidney function can lead to dehydration and electrolyte disturbances, which can be fatal.

- Because of its effect on neurotransmitters, neurochemicals and hormones, alcohol use can cause psychiatric disorders such as anxiety, depression and sleep disturbances. As your body processes alcohol is turns to sugar affects sleep patterns. It also releases a hormone called norepinephrine which gives your body a boost of energy that will certainly inhibit sleep quality.

- Research indicates that alcohol increases the risk of several types of cancer including throat and esophageal, liver, colon and breast cancer.

There are also some startling statistics regarding the age at which a teen starts drinking. Studies indicate a five-fold increase in risk of chronic alcoholism if an adolescent is exposed to drinking before the age of 15.

Finally, parents should keep the following in mind. Although your children are coming of age and you may find it appropriate to offer alcohol to minors in your home, under New York State Law parents may be held liable for providing alcohol to minors. You may also be held responsible for any injuries or crimes that occur as a result of alcohol consumption that occurs in your home.

Avoid the temptation to offer alcohol to minors by organizing a substance-free pre- or post-prom party at a location other than your home. If alcohol isn't present, then no one will be tempted to imbibe. And most importantly, be a positive role model for responsible consumption of alcohol. If you drink, do so responsibly. There is never a better time than NOW to safeguard your teenagers and your home against underage drinking. Have informed discussions with your children about these dangers and how they can increase risk of illness, injury and death.

Alexis Hugelmeyer, D.O. is Administrative Director of Medical Education/Director of Traditional Rotating Internship at Peconic Bay Medical Center in Riverhead.


2012_0515_breastfeeding_columnTime magazine caused quite a stir this week with its cover featuring a three-year-old breastfeeding. The article is about a philosophy of parenting called attachment parenting and the controversy is two-fold.

The first issue surrounds the cover title, “Are you mom enough?”. This provocative title implies that if you do not breastfeed your child until he is three and do not practice attachment parenting then you are less of a mother.

While attachment parenting works for many, to imply that it is the only way to raise a well-adjusted child is misleading and inflammatory.

The second issue surrounds the cover photo and the concept of nursing a toddler. As a pediatrician and a breastfeeding medicine specialist the photo of a three-year-old standing up while nursing and looking at the camera should be easy for me to look at, and yet it is not.

Why does this photograph evoke such emotion?

Medically speaking, there is every reason for a child to continue nursing until he self-weans. In most societies that embrace self-weaning, children routinely breastfeed until well over two years old.

However, it is so rare to see a toddler in our society nursing that the image is unsettling. I ask myself, “Why am I uncomfortable looking at this picture when I am such a strong supporter of breastfeeding?" 

There is truly a societal and social expectation that is ingrained in all of us, and it works to the detriment of breastfeeding as a whole. As I think about my patients, I recognize a pattern.

Upon initiating breastfeeding, most women are proud to give their baby the best start to life and are proud of themselves for being successful in the first big parenting challenge. However, as mothers continue to breastfeed, there comes a point when they turn from proud to embarrassed.

I see the look on their faces or the tone in their voices when they tell me that the 15- or 18-month old is STILL nursing. The mother who was once confident and proud begins to feel like an outcast and a social deviant.

Many women at this point either force the baby to wean, secretly nurse (the “closet nurser”) or stand up for themselves as Jamie Lynne Gumet has done in this article. 

What can I say about this situation? This child is not being forced to breastfeed. He is not being abused and this is not pornography as some people suggest. Nobody can force a 3-year-old child to do most of anything that he doesn’t want to do, let alone breastfeed.
The problem with this image is that it is so contrary to what we accept as normal. The problem with this image is that we as a society cannot accept breastfeeding a toddler.

I know in my heart that this is normal but my gut reaction can’t easily be changed. Just as I know in my heart that gay couples should have the right to marry, yet when faced with two men kissing in front of me, I am uncomfortable.

The unsettled feeling that I get when looking at this picture is my own weakness. I applaud Jamie Lynne Grumet and Time magazine for helping me take one step closer to accepting what is biologically normal.

On Mother’s Day, we should be supporting ALL mothers. If we stop passing judgment on one another then we will truly be showing our children how to behave as adults.



Shaer_J
Dr. Jennifer Shaer is a pediatrician and a board certified lactation consultant (IBCLC). She is director of the Breastfeeding Medicine Center of Allied Pediatrics of New York. Dr. Shaer is dedicated to helping nursing mothers achieve their breastfeeding goals.

The Family Health and Wellness Program at Cornell Cooperative Extension of Suffolk County is hosting a series of parenting workshops in Riverhead in March, April and May.  The series includes two classes conducted in Spanish.
 
Topics will include toilet learning, parenting of teens, understanding temperament, positive discipline and eating healthy. All workshops, taught by CCE educators, will be held at 423 Griffing Ave. on weekday evenings from 7-9 pm. Fee varies per class.
 
For a calendar of specific classes and dates, call 631-727-7850, ext. 340, or go to www.ccesuffolk.org.
 
Cornell Cooperative Extension of Suffolk County is a non-profit educational agency dedicated to strengthening families and communities, enhancing and protecting the environment, and fostering countywide economic development.  Affiliated with Cornell University, and funded in part by Suffolk County government, Cornell Cooperative Extension of Suffolk County is part of the state and national extension system that includes the land-grant universities and the U.S. Department of Agriculture.
 
CCE’s sites and program areas include Agriculture, Marine, 4-H Youth Development, Family Health and Wellness, Suffolk County Farm and Education Center and Suffolk County Peconic Dunes Camp.

2011_0902_cribs_1

For the first time in almost 30 years, crib safety standards have been changed.

Beginning June 2011 new rules by the U.S. Consumer Product Safety Commission banned the sale and resale of drop-side rail cribs. The CPSC also required stronger slats, mattress supports and hardware as well as new standards of safety testing.

All child care facilities, family child care homes and places of public accommodation must replace their current cribs with new, compliant cribs before Dec. 28, 2012.

Drop-side cribs have long been responsible for crib injuries and fatalities. Since 2007, the U.S. Consumer Product Safety Commission has recalled nearly 7 million cribs. More than 6 million of those have drop sides.

What are drop-side cribs and how are they dangerous?

A drop-side crib is the popular choice in which one side slides down or folds over so adults can access the inside of the crib without having to reach up and over high or stationary sides. Drop-sides have been associated with a weaker basic structure and problems over time from constant movement.

Injuries can occur when slats separate from the crib or hardware becomes loose and babies get wedged in the crib. This can cause suffocation, strangulation, and even death.
According to the CPSC, cribs with sides that slide down have been responsible for more injuries than those that have sides that fold over.

What can parents do?

If you own a drop-side crib, the American Academy of Pediatrics recommends buying a new crib. If you are unable to, make sure all hardware is screwed in tightly that that your crib has no loose, broken or missing parts. Check CPSC’s recall list to make sure that your crib has not been recalled.

Consider buying an immobilizer. This will stop the side of the crib from moving outward as well as up and down. Not all immobilizers fit all cribs, so make sure you are buying the proper one for your crib.

How to choose a crib

The Juvenile Products Manufacturers Association certifies cribs to high safety standards. Certification by JPMA is not mandatory, and many manufacturers do not submit their cribs for certification. If you look for a crib whose manufacturer has voluntarily submitted and received certification, you will be buying a crib held to JPMA’s high safety standards.

The narrower the crib slats, the better. The American Academy of Pediatrics recommends slats that are less than 2-3/8 inches apart. Infants’ bodies can fit between wide slats, but their heads do not. This is very dangerous and can be fatal.

Make sure any paint on the crib is lead-free and smooth, and any wood is smooth and does not have splinters. All hardware should be original and not from a hardware store or a different crib.

The mattress should fit securely inside the crib. If there is extra space, a baby can get trapped between the mattress and the crib. Generally, if two adult-size fingers fit between the mattress and crib, the mattress is too small for the crib.


Use your crib safely

Periodically check the hardware on your crib to make sure all pieces are secure.

Other objects such as mobiles and bumper pads can be entertaining and promote safety, but be aware of when to move and remove them, and when to lower the crib mattress. Remove bumper pads when children can stand alone so they won’t use them as climbing steps. Lower the crib mattress when your child can sit alone, and lower it to its lowest position before your child can stand in order to avoid climbing or falling out. Mobiles should always be out of a baby’s reach in order to avoid strangulation, as should cords from window blinds and other household items.

Do not be afraid of your crib! Just remember that it is likely the only place in your home where your baby is left unattended and you want it to be as safe as possible. Follow the above steps, and you and your baby will enjoy safe and peaceful sleep.



Jennifer Senft is a freelance writer. She lives in Aquebogue.


2011_0510_summer_safety

Summer! It's finally here and kids are participating in more outdoor activities — but with the fun come concerns about how to keep your family safe.

Sun Safety
Sun safety is critical. Severe burns can result from sun exposure. The American Academy of Pediatrics recommends preventing sunburn by avoiding sun exposure in babies under 6 months and using sunscreen for all those over 6 months. Infants should be dressed in lightweight garments that have long sleeves and long pants. Wide-brimmed hats can shade the neck.

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