PediaCast 134 * Crying, Belly Buttons, Immunity * 347-404-5437

Posted by Dr Mike on Sep 29 2008

3 Responses to “PediaCast 134 * Crying, Belly Buttons, Immunity * 347-404-5437”

1. on 30 Sep 2008 at 12:56 am 1 Tony said …

   
   

   “Balance baby’s needs with family’s needs.” My child is part of my family, my child’s needs ARE my family’s needs. It is developmentally inappropriate to expect a child to understand that they can’t be close to the person upon whom they rely completely for all their needs. Rather than attribute the characteristic of manipulation to the child as is typical of CIO proponents, it is much more developmentally appropriate and rational to attribute confusion and fear of abandonment to the crying child.

   Child development research reveals that during the first few months, the infant has no concept of a separate self. The child and its environment are one. Believing that an infant is manipulating the parent is ridiculous and only perpetuates the “spoiled child” myth. If anything, CIO is the parent manipulating the child in order to get what the parent wants.

   Just because there is no research showing harm does not make it safe. Nor just because it appears to “work” should it be used. When it’s reported “there is no evidence” it could very well mean that it hasn’t yet been studied; one should not conclude safety.

   For a research based review of CIO please see:

   http://www.talaris.org/research_july2007.htm
   http://www.talaris.org/pdf/research/CIOPoster.pdf

   Highlight:
   “there is very little research to support its (CIO) use and science does not yet know how safe this method is or what its long term effects are. Science does tell us, though, about the importance of being responsive to a crying infant. Parents have a natural inner drive to respond to a crying infant. Follow what is in your heart and what you feel is right for you and your baby.”

2. on 13 Oct 2008 at 12:39 pm 2 Tony said …

   
   

   Parents deserve better than this:

   Medical Error Disclosure Among Pediatricians
   Choosing Carefully What We Might Say to Parents

   David J. Loren, MD; Eileen J. Klein, MD, MPH; Jane Garbutt, MB, ChB; Melissa J. Krauss, MPH; Victoria Fraser, MD; W. Claiborne Dunagan, MD; Dena R. Brownstein, MD; Thomas H. Gallagher, MD

   Arch Pediatr Adolesc Med. 2008;162(10):922-927.

   Objective To determine whether and how pediatricians would disclose serious medical errors to parents.

   Design Cross-sectional survey.

   Setting St Louis, Missouri, and Seattle, Washington.

   Participants University-affiliated hospital and community pediatricians and pediatric residents.

   Main Exposure Anonymous 11-item survey administered between July 1, 2003, and March 31, 2004, containing 1 of 2 scenarios (less or more apparent to the child’s parent) in which the respondent had caused a serious medical error.

   Main Outcome Measures Physician’s intention to disclose the error to a parent and what information the physician would disclose to the parent about the error.

   Results The response rate was 56% (205/369). Overall, 53% of all respondents (109) reported that they would definitely disclose the error, and 58% (108) would offer full details about how the error occurred. Twenty-six percent of all respondents (53) would offer an explicit apology, and 50% (103) would discuss detailed plans for preventing future recurrences of the error. Twice as many pediatricians who received the apparent error scenario would disclose the error to a parent (73% [75] vs 33% [34]; P

3. on 13 Oct 2008 at 12:46 pm 3 Tony said …

   
   

   Medical Error Disclosure Among Pediatricians
   Choosing Carefully What We Might Say to Parents

   Read full summary here:

   http://archpedi.ama-assn.org/cgi/content/short/162/10/922

Leave a Reply

Name (required)

Mail (will not be published) (required)

Website