We all have heard that childhood obesity is a major health issue in our country. Children who are overweight will be more likely to be overweight adults and develop significant health issues. We hear so much in the media about what to eat, what not to eat, how to cook, how much exercise we all need, and frankly sometimes it is simply overwhelming to parents. We all are busy and many times the drive through at the fast food restaurant just calls our name at the end of a long day. We can develop healthy patterns as families to guide our children to healthy lifestyles. These healthy patterns can be simple…it is just getting started. So, parents….let’s get started!
Breastfeed when possible and no solid foods before 4 months of age…
- A recent study showed that when children were breastfed for at least four months, then the timing of solid food introduction did not affect the obesity rate of the child at age 3. Children who were never breastfed or who stopped breastfeeding before age 4 months and were given solid foods before the recommended 4 months of age were 6 times more likely to be obese by age 3.
Know where your child is…(know where you are too!)
- At your child’s 2 year old well child visit, your pediatrician will calculate his body mass index (BMI). This is a better indicator of weight issues than simply where your child is on the growth chart. A child with a BMI greater than the 85th percentile for his age and sex is overweight, a BMI greater than the 95th percentile determines that your child is obese.
- Children that have parents who are overweight have an increased risk to become overweight too.
Know what a serving size is….
Remember, children need child size portions! A tablespoon per year equals a serving. This is a simple guideline. For a child age 2 to 3:
- Grain Group: About 3 ounces of grains per day, half of them whole grains. That is about three regular slices of bread or one slice of bread plus 1/3 cup cold cereal and ¼ cup cooked rice or pasta.
- Vegetable Group: 1 cup raw and/or cooked vegetables per day. (no ketchup is not a vegetable J, but tomato pasta sauce counts!)
- Fruit Group: 1 cup fresh, frozen, canned, or dried. Juice should be kept at a minimum. Whole fruits are better than juice!
- Dairy Group: 2 cups per day. Whole milk is recommended for children younger than 2, low-fat after age 2.
- Meat and Beans Group: 2 ounces total per day. Options include one ounce of lean meat or chicken plus one egg or 1 ounce of fish plus ¼ cup of cooked beans (black, pinto, etc.).
- Oils: 3 teaspoons or less per day of liquid oil or margarine.
- For more information about eating plans and serving sizes for other aged children, visit MyPyramid.gov.
- Unhealthy snacks fill up small tummies so children don’t eat the nutrient dense foods they need. Try giving fruits and vegetables as snacks. These foods are low-calorie, high fiber, and full of vitamins and antioxidants. Giving these foods when your child is hungry encourages your child to give them a try.
- Juice should be at a minimum…and no soda at all!
- Keep healthy snacks in plain sight. A bowl of fruit on the counter, fresh cut up vegetables on the first shelf in the refrigerator, dried fruit and trail mix in the pantry.
- Don’t let your child eat because of boredom. If your child has eaten well and had a healthy snack but still is begging for more…then suggest another activity. Ask you child what he would like to do besides eat. Help your child distinguish between “I’m bored” and “I’m hungry.”
- Make snack time planned…no grazing throughout the day. Have your child sit on the floor or at the table for snack time. Mindless eating is an unhealthy habit!
- Serve whole-grain breads and cereals.
- Whole milk until age 2 and then low-fat or skim milk after age 2.
- Full fat yogurt until age 2 and then lower sugar and low-fat yogurt.
- Serve lean meats like chicken, turkey, fish and lean beef cuts and pork cuts. Remove fat and skin.
- Bake, broil, poach, grill, or steam when preparing meat, fish, and chicken.
- Use vegetable oils like canola, corn, olive, and sunflower.
- Encourage fresh fruits and vegetables in season, frozen next and canned last. Have fruits and vegetables at EVERY meal.
- Limit fast food to an occasional meal only.
- Treats can include frozen fruit bars, frozen yogurt, low-fat pudding, angel food cake, graham crackers, vanilla wafers, and of course…the occasional Oreo! Balance and moderation are important to teach children so they do not “binge” later.
Don’t force your child to be members of the “Clean plate club”…
- Forcing children to eat everything that is put on their plates often leads to overeating.
- Focus on the quality of the food your child eats and no the quantity. Let your child learn what it feels like to be full and what it feels like to be hungry.
Get your child excited about healthy food….
- Go to local Farmer’s Markets and let them pick out fresh produce.
- Start a garden and grow some vegetables of your own.
- Give them age appropriate jobs in the kitchen. Letting children help prepare healthy foods encourages healthy eating and excitement!
- Get creative and expand everyone’s palates. Try new foods!
Eat breakfast every day…
- Start every day out right with a healthy breakfast. Children often eat their best meal of the day in the morning. Include healthy grains, fruits and proteins to give your child a great start.
- Children and adults who eat breakfast are less likely to be overweight.
Establish good sleep habits…
- Making sure your child gets good sleep can help prevent obesity! Research has shown that people who sleep less than the recommended amount gain weight faster. One theory is that fatigue decreases activity or may increase appetite.
Get your child active…60 minutes of active play at least every day…
- Get outside every day.
- Choose developmentally appropriate activities. Be careful about organized sports too early…burnout can happen. Let your child just be a kid and play!!!
- Provide active toys. You should have balls, jump ropes, bikes and other active toys.
- Be a role model. Build physical activity into your daily life so you can keep up with your children and feel better!
- Turn off the TV and limit computer time. The American Academy of Pediatrics recommends no more than 1 to 2 hours of total screen time a day after age 2. That includes video games, TV, movies, and computers.
There is so much that parents can do to prevent childhood obesity and lifelong weight issues and medical problems. Outdoor play, limited TV, limited fast food, healthy food choices, teaching appreciation for good foods, and soon everyone in the house is feeling better, having fun, and living a healthier lifestyle. We can do this Moms and Dads!
Take a breath, enjoy the joyful moments of each day, and remember you don’t have to be perfect to be the perfect parent.
Halloween is just around the corner. As with everything in 2020, things might be a bit different this Halloween. Children have sacrificed greatly over the last 8 months with remote learning, loss of graduation celebrations, sports that have been cancelled, birthday parties that were different, play dates cancelled and so much more. Halloween celebrations are such fun for our children, what can we do safely? In my opinion….Halloween does not need to be cancelled, let our children have fun with costumes and Trick or Treating by adding just a few safety changes. I know I will be masking up and eating a few Snicker Bars! Don’t let Covid-19 take this fun from your child!
- Incorporate a cloth mask in your child’s costume. Super heroes wear masks….so does everyone else during 2020! Be careful adding decorations to the mask like paint because of the risk of harmful fumes.
- Masks which are part of a purchased costume should not replace a cloth mask for your child. Be careful about putting a costume mask OVER your child’s cloth mask, it may make breathing difficult.
- As always, be sure that your child’s costume allows your child to see well and for others to see them. Reflective tape/material, flashlights, and the use of face paint or masks that allow children the ability to see well are the safest!
Trick or Treating:
- Trick or Treating outdoors is best. Indoor haunted houses and parties are not as safe. Replace haunted houses with outdoor corn mazes or spooky outdoor scavenger hunts with prizes.
- Do not congregate in large groups on the street or on porches, maintain social distancing.
- Make sure your kids are washing hands/using hand sanitizer frequently.
- It is ALWAYS safer to check your child’s treats at home before they indulge. Have them wash hands or use hand sanitizer after opening treats and before eating or wipe the treats off before opening the packaging.
- When giving out treats, don’t forget your costume and mask! Wear a cloth face mask! Use hand sanitizer or wash hands before giving out treats.
- Place a bottle of hand sanitizer out on the porch for families to use.
- Consider sitting on your front porch and watching the kids walk up to your home and pick up their individually packaged treats. You can enjoy the Trick-or Treat parade of kids without close contact.
- I always love to have treat options for children who have food allergies such as bouncy balls, stickers, crayons, spider rings, etc. This year non- food items may be a great safe option for all trick or treaters!
If Trick or Treating is cancelled in your area or you are not comfortable participating, there are still many fun activities you can do with your child..
- Decorate or carve pumpkins
- Roast pumpkin seeds
- Decorate your yard with Halloween spookiness
- Have a scavenger hunt inside with family or outdoors with a few close friends with clues and hidden treats
- Watch Halloween movies
- Hold an outdoor Halloween movie night with social distancing
- Decorate Halloween themed treats such as sugar cookies and cupcakes
- Have hot cider and donuts at home or on your porch with a few friends who are distanced
- Have a virtual Halloween Parade via Zoom with friends and family
Share other ideas!
2020 has brought so many changes to our lives. Many celebrations have changed and there have been many disappointments for our children. Let’s not make Halloween be another….let our children celebrate safely…
I know I will be eating my share of chocolate and drinking some cider. Enjoy.
Take a breath, enjoy the joyful moments of each day, and remember you don’t have to be perfect to be the perfect parent.
From one day to one year, what a difference a year makes!
The first few months of my children’s lives sometimes felt like a blur. Parents get VERY little sleep and are just trying to get to know their baby. I can remember feeling that the first year just flew by and all of a sudden I would have a toddler on my hands! There are so many changes that come so quickly with your baby that first year!
During that first year, your baby is learning that he or she will be loved and cared for. It is important to foster that development of trust. Don’t let your baby cry for long periods of time, especially in the first 6 months. Crying is your baby’s way of communicating. Soon you will learn what different cries mean, like “I’m tired”, “I’m hungry”, “I’m wet”, “I need to be held”, “I am bored”….Responding to your baby’s needs helps your little one develop trust in you and the world. You cannot spoil a baby! Older children can be spoiled, but not infants, so just enjoy catering to their needs and loving your baby.
Growth and development should be steady and progressive. That is more important than comparisons with other children. It is common for new parents to look at other babies and start to worry and compare. Try not to compare, just know what important milestones your baby should be reaching.
How big your baby is at birth is a poor predictor about the size of your child by adulthood. The size at birth has more to do with the conditions of uterine development. Most children will find their growth curve and stay at that curve. A child that is smaller than 75 percent of other babies his or her age can be perfectly healthy, that may just be the growth curve that child has. By the end of the 2nd year, the size of your child will more truly reflect his or her adult size.
We parents know that our children are special! However, reaching developmental milestones faster than other children does not necessarily predict your child’s intelligence. As long as your child is reaching his or her developmental milestones on target, there are no worries!
By the end of the 2nd month your baby should:
- Look at you!
- Start to try to self soothe. May bring hands to mouth and suck
- Begin to smile at people
- Start to coo
- Turn towards sounds
- Follow things with eyes
- Pay attention to faces
- Hold up head and begin to push up during tummy time
Activities for parents:
- Talk to your baby
- Show simple objects
- Give your baby different looks at the world, change his or her scenery!
- Play the silly face game, open and close your eyes, stick out your tongue etc.
- Start the routine of a daily walk weather permitting
- Help baby with tracking objects, babies love mobiles, shapes and movements
- Imitate your baby’s sounds and expressions as your baby starts to learn to communicate
Your baby’s growth:
- Growth will be about an ounce per day in the first 2 months
- Growth will continue at about a pound a month after the first couple of months
- Birth weight doubles by 5 months
- Birth weight triples by one year
By the end of the 4th month your baby should:
- Like to play and interact with you!
- Copy some movements and even facial expressions like smiling
- Babble even with expression
- Cry in different ways for different needs like hunger, or being tired, or lonely
- Reach for a toy or rattle
- Track with eyes well side to side
- Be able to roll from tummy to back
- Push up on elbows during tummy time
- Like colors now and be drawn to them
- Continue to talk, talk, talk
- Build reading into your daily routine
- Respond to your baby’s coos and babbles…carry on a conversation!
- Continue to show your baby the world!
By the end of the 6th month your baby should:
- Recognize a familiar face and begin to have some stranger anxiety
- Like to look at self in the mirror
- Use vowel sounds when babbling and takes turns in a “conversation” with you!
- Begin some consonant sounds when babbling
- Respond when you say his or her name
- Transfer things from hand to hand, easy to hold toys are important
- Try to get things that are out of reach
- Roll over in both directions
- Sit with support
- Like to “stand” with you holding and might bounce
- Start to push up and may rock back and forth on hands and knees
- Start to scoot and move arms like a swimmer
- Sometimes show frustration if he can’t reach something he wants
- Teething may begin with the average baby cutting their first tooth by the end of the 6th month
- Should start the “dropping game” between 7 and 8 months (helps your baby learn object permanence)
- Should begin clapping between 7 and 8 months
- Remember stranger anxiety starts at about 6 months and peaks at about 9 months. This is normal. Help your baby by gradually introducing strangers. A stranger is someone your baby does not see everyday! Never force a situation quickly when your baby is afraid of a new face. Hold your baby, sit on the floor and let your baby explore with you holding him or staying near at first.
- Start to teach finger games like “so big”, waving “bye-bye”, playing patty cake
- Continue to read and talk to your baby
- Make sure you are establishing routines, especially bed time and nap time routines
By the end of the 9th month your baby should:
- Begin to have favorite toys
- Understand the word “no”
- Copy sounds you make and gestures you make
- Pick up small things with thumb and index finger “pincer grasp”
- Play peak a boo
- Look for hidden items
- Look where you point
- Sit well without support
- Start to scoot and crawl
- Start to pull up to stand between 9 and 12 months
- Continue to play finger games like “Itsy Bitsy Spider”
- Continue waving bye-bye
- Build things for baby to crawl under and over
- Let your baby play with every day objects like pots, pans, plastic containers
- Encourage your baby to imitate your behavior like brushing hair, talking on the phone
- Encourage pretend play with keys, phones, dolls, chunky trucks etc.
- Play with pop up toys, a jack-in-the-box is a great way to teach object permanence
- Play in and out games
- Let your baby hold your fingers to walk
By the end of the 12th month your baby should:
- Point at items
- Pull up to stand and may walk
- Cruise around furniture
- Squat and stoop to pick up things
- Throw a ball
- Understand one step directions from you
- Turn pages of a toddler board book
- Look for missing objects in last seen location
- Say Ma Ma and Da Da and maybe a few other words like ball, dog
- Start to show fear, will cry when you leave
- “Help” get dressed by holding out arms etc.
- Put things in a container, takes things out, likes to dump items
- Help baby with push toys, wide based push toys that children can walk behind are fun!
- Play games that the baby has a part in like puffing up your cheeks and letting her push the air out
- Look at books and make up stories about the pictures
- Teach body parts Where is your nose? Where is your tummy?
- Play with musical instruments that shake and bang
- Play music your baby loves to move and dance
If you are a kid…then play is your work! If you are an adult…then learn to play!
Sit for a moment and watch your child. Just watch…don’t jump in and give your child something to play with…just watch what your child will do. Children, if left alone and given the opportunity, will play happily with whatever is there. We parents don’t have to do anything or buy anything! Wew! One less thing on your “to do” list! As a matter of fact, parent led play or very organized play is not as valuable as your child playing on his own!
There has been a decrease in the amount of free play time our children have over the last 50 years. Our children now have less recess time at school, go to preschool at an earlier age, have more toys than children of years ago, watch more TV and play video games, play on more organized sports teams and at a younger age…all of this combined has resulted in less true free play time. Much of our children’s play has become adult led and organized. So, why is this a problem? Child led free play is so much more valuable! Free play is a child’s work and it…
- Helps children learn how to work in groups, share, negotiate
- Helps children build a foundation for problem solving
- Helps children figure out the world they live in
- Helps children develop decision making skills
- Helps children find their interests and passions
- Helps develop imagination
- Helps children try on different roles, learn empathy for others
- Helps increase language skills
- Helps foster creativity
- Helps children learn about nature and their environment
Adult led organized play can stifle all of this child’s work. Adult led play forces children to play according to adult rules and this decreases their creative play and their development of leadership skills. Watch your child, they often play with a toy much differently than the way a toy is “supposed” to be used! If left alone, a child will create all kinds of ways to play with a simple toy, if it is not a “one button wonder”. So many of the newer toys do one thing with a push of a button, these types of toys leave little to a child’s imagination or creativity. Going back to some of our basic toys like blocks, puzzles, stacking cups, books and dress up clothes may be much more valuable to our children’s development. Research also shows us that a child really only needs 30 minutes of adult led play a day but at least 60 minutes of child led play a day. So often we parents feel like it is our responsibility to lead our child in play! Child led play is also better than play that is “entertainment” based like TV, video and computer games, and movies. The less screen time a child has before the age of 2 the better! This type of “play” decreases creativity and active play which may be part of the reason we are struggling with an increase in childhood obesity.
Play at every stage of development in childhood is more than just fun, it is a child’s right and a necessity. As a society, I think we underestimate the importance of play. Do you want your child to be happy and successful? Don’t tell your child to just “hit the books” but tell him to “go play.”
Take a breath, enjoy the joyful moments of each day, and remember you don’t have to be perfect to be the perfect parent.
It is “back to school” time. Honestly, I have always met this time with very mixed feelings. I was excited for my kids and their new experiences ahead and I loved shopping with them for new notebooks and pencils and the coolest folders and pencil pouches. The first day of school pictures of our kids scrubbed and smiling are treasures, but I also was a bit melancholy as I thought about the ending of summer and our relaxed schedule and the family fun of the season.
This year as I listen to the conversations of parents I hear the fear in their voices, I see masks on the school supply lists, I hear about distancing during lunch and recess, and no hugs from teachers; my heart just feels sad. What will these children feel like the first day of school? How will they feel wearing masks? Do they feel safe? How will they continue to grow and learn if their lessons are remote? Will there still be the excitement of the First Day of School?
Then I stop and tell myself, kids are resilient. Kids are pliable…their little hearts and brains adapt. It is easier for them than me.
We as parents cannot control the circumstances of our child’s world, but we can help him or her build resilience to be able to handle the bumps in the road.
Resilience is more than hanging on just hoping that things will get better, it is teaching your child to be adaptive and accept challenge. Resilience is also the ability to appreciate all that is good in life right now instead of concentrating only on the negative. This virus is a challenge, a big one, but there are always challenges in life and supporting our child’s resilience is one of the keys to a happy, successful life. So, what can we do as parents to support our children as they navigate their new world?
Control your emotions
- Your child will follow your lead. If you are anxious, your child will be anxious. Taking care of yourself is key to handling your anxiety. Exercise, eat well, establish a sleep routine, connect with others, and take time to just be. We can’t control the outside world, but we can control our home. Create calm, be sure your child feels safe.
Concentrate on the positive
- Talk in terms of what is good right now. I am a firm believer that every child should end the day on a positive thought. What has been good today? Resiliency focuses on the good even in times of challenge.
Help your child with self -regulation
- When a child reacts with tantrums, whining, acting out, or defiance, many are experiencing powerful feelings or emotions they can’t control. Be patient and work with your child on addressing the emotion:
- Name the emotion or feeling.
- “Change is difficult, are you feeling angry or frustrated with all the changes with school?”
- Ask your child about what he or she feels.
- Defining this helps your child realize when he or she needs to work on self -calming.
- “When you are upset do you feel your heart pounding or your tummy feeling funny? That is what it feels like when you are very upset.”
- Model what your child can do to stop the escalation.
- Take a deep breath, take a step away, separate until he or she feels calmer.
- Encourage talking about the feelings with you or a trusted friend.
- Move on, find something positive to do.
- Give your child some control or choices.
- When a child is asked to do something he or she is not happy about, giving choices or some control will result in more cooperation.
- “I am sorry that we have to wear masks to school for safety, why don’t you come with me to choose one that you like the best.” “I know it is disappointing that your soccer team has been cancelled. Would you like to kick the ball in the yard for practice every day or should we head to the park? You choose how to spend your time.”
- Plan a few minutes every day to simply be with your child.
- This is time to talk, play, laugh, just be. Your child needs this time to know that no matter what is happening, or how he or she is feeling or reacting, he or she is loved.
Don’t try to remove all stress or challenge from your child
- Placing your child in a bubble or rescuing him or her from all stressors, results in a less resilient child. Exposure to stress and challenge with loving support from parents helps a child develop coping skills.
So as my heart feels heavy as I see our children put on their masks, distance themselves from large groups of friends, navigate the disappointments of sports and other activities being cancelled, celebrate birthday parties with drive by parades….I still see children smiling, accepting the changes, spending more time with family, learning how to wash their hands and stay healthy, learning through technology, reading more books, having more quiet time and yes becoming more resilient. Maybe I can learn from them. Smile Mom and Dad, your child is resilient
Our daughter, Kaitlyn, the picture of toddler pickiness!
Why is it that we parents worry so much about how much our child is eating? I can remember thinking that how well Kaitlyn ate that day, determined how well I had parented. Not true! Children under the age of one usually nurse or formula feed well, and are eager for the introduction of solid foods. But seemingly over night, our toddlers start to have an opinion about what we feed them! I can remember being very frustrated because I was providing her with this wonderfully healthy meal, and often all she wanted was bananas! To make it more confusing, the next day she may have thrown all those bananas off her tray! My darling daughter was a typical toddler, and with toddlers, meals are often a challenge. Why?
1.Toddlers have slowed down in growth.
The first year of life a child grows very quickly, between birth and a year most children triple their birth weight! A toddler grows much more slowly and seems less hungry.
2. Eating interrupts a toddler’s activity.
Toddlers are busy…any parent can tell you that. Sitting for any length of time just isn’t on the toddler’s agenda!
3. You can’t force a toddler to eat.
A parent’s job is to present a toddler with a wide taste pallet of healthy foods every day. It is up to the child to eat them! The more you force, the more most toddlers turn up their noses. A healthy child offered healthy food will NOT starve themself! A parent’s job is to provide a healthy diet a toddler’s job is to decide!
4. Toddlers usually eat one good meal a day.
Often toddlers will eat a good breakfast, an OK lunch and pick at dinner. Toddlers only need about 40 calories an inch. (Now don’t get that calculator out for your child!) Most will only need about 1000 to 1200 calories a day. By dinner, many toddlers have eaten their required calories for the day!
5. Toddlers like to binge on one food.
Food jags are common in toddlers. One day you can’t fill them up on green beans, and then two days later it is bananas. Some days a toddler may eat only fruit, the next day they may fill up on protein. What a toddler eats over a week is a better picture of their diet intake.
So what is a parent to do….
- Offer food frequently! Toddlers need 3 meals and at least 2 snacks offered each day. Toddlers behave better when they are eating frequently. Their tummies are small and temper tantrums increase when blood sugars are low. Try planning snacks from at least 2 food groups 2 to 3 times a day.
- Dip it! Toddlers like to dip everything. It is fun, and it is messy…two essentials for toddler eating! Humus, yogurt, cottage cheese, guacamole, melted cheese, salsa, peanut butter and even ranch dressing are some essential dips for toddlers.
- Hide it! Hide the broccoli under cheese sauce, shred the veggies and mix them in humus or cream cheese and spread on a tortilla and cut into pin wheels, puree veggies and add them to pasta sauce, lasagna, meatloaf. Make “orange ” pancakes with sweet potato puree or carrot puree and a dash of cinnamon. Get sneaky! When you hide vegetables, make sure you include some on your child’s plate so they learn what a balanced diet looks like.
- Be creative! Kids like fun. Make faces on sandwiches, use cookie cutters and cut shapes in pancakes and bread, make shish-ka-bobs with fruit and pretzel sticks, make party bananas with sprinkles, serve fruit and yogurt in an ice cream cone, try smoothies….
- Remember the toddler serving size! A serving size is a tablespoon per year. One serving of vegetables for a 2-year-old is two tablespoons! Many times we are trying to serve our toddlers adult size portions! The American Academy of Pediatrics has a great “sample” daily meal plan. Take a look!
- Don’t let your toddler “drink” his calories. A toddler should only have 16 to a maximum of 24 ounces of milk a day. That is much less than the 28 to 32 ounces most were drinking before becoming toddlers! If your child drinks too much cow’s milk, he will not eat solid food calories! Too much milk provides too little iron and other needed nutrients! Juice should be limited to only 4 to 6 ounces a day after age 1, better to have the whole fruit than just the juice!
- Let your child “shop” for food. Give your child a few dollars and let them “shop” in the produce section. Your child will be more likely to eat the food he or she “buys”! You might learn to cook and eat a new fruit or vegetable too….you never know what your child may pick out! (this is how I learned to fix spaghetti squash!)
- Let your child “help” prepare food. A child who watches a parent make dinner and “helps” will often be more likely to eat! Let your child have a few choices, control is important for toddlers.
- Let your child be messy. Toddlers explore food with their mouths, taste buds, and hands. They smash food, throw food, spread food, “paint” with food and generally need a bath after most meals. You must allow your toddler to feed himself. You must introduce spoons and forks, and be patient with the fact that it takes time and messes to learn how to use them!
- Don’t battle…try a “No thank you bite”. Toddlers have opinions, and sometimes they are very strong! The more battle there is in a meal, the more likely you will lose! Offer healthy foods and a variety of foods. If your toddler refuses to try something, introduce a “no thank you bite”. One bite and then he can refuse more. You might even ask your child to “kiss” the food, not even take a bite. This may provide just a small enough taste to convince your child to take a bite! Remember, it takes 15 to 20 introductions to a food before your child will develop a definite like or dislike!
Remember, a parent’s job is to PROVIDE healthy meals and snacks….a toddler’s job is to DECIDE what he or she will eat that day. If left alone, toddlers will usually balance their own diet if we just provide good choices. Relax….
Parents must be sure that their child’s car seat is being used correctly…we all have precious cargo!
I read an study recently in the Journal of Pediatrics which really shocked me.
A total of 291 families (81% of those eligible) participated. Nearly all (95%) CSSs were misused, with 1 or more errors in positioning (86%) and/or installation (77%). Serious CSS misuse occurred for 91% of all infants. Frequent misuses included harness and chest clip errors, incorrect recline angle, and seat belt/lower anchor use errors. https://www.jpeds.com/article/S0022-3476(15)01459-6/fulltext
95% had errors in car seat installation of positioning! That is such a scary thought since car accidents are the leading cause of death for children. But to be honest, car seats are not easy to install correctly! The manuals are long and sometimes confusing, there are different recommendations by auto manufacturers, and I know the installation of a car seat has caused many an argument between Moms and Dads!
The newest recommendations from the American Academy of Pediatrics state that until at least age 2 your child should sit in a rear facing seat and preferably a child should be rear facing until they reach the highest weight or height allowed by the car seat manufacturer (that means your child most likely will be older than age 2 and still rear facing). Children over the age of 2 may sit in a front facing seat with a 5 point harness until their weight and height exceeds the car seat’s recommendation for the seat. A booster seat should be used until a child is 57 inches tall, which is the average height of an 11-year-old (wow…bet you didn’t realize that!) No child should sit in the front seat until age 13! www.healthychildren.org
Types of car seats:
- Rear facing only
This seat is used for infants up to 22 to 40 pounds depending on the seat. They are small and have handles to carry the seat. Some have a base that can be left in the car.
- Convertible seats that can be used for rear facing
These seats can be used rear facing and then “converted” to forward facing when your child is older. They are bigger than infant seats and do not have handles or a separate base. They often have a higher rear facing weight and height limits which is great for larger babies. They should have a 5 point harness.
- 3 in 1 seats
These seats can be used rear facing, forward facing and as a booster. They may be used longer by your child. (But remember every seat has an expiration date…about 5-6 years)
Installation for rear facing
- The shoulder straps should be at or below your baby’s shoulders.
- The straps should be snug (you shouldn’t be able to pinch any slack) and the chest clip should be at the nipple line.
- The seat should be tight in the car. You should not be able to move it more than an inch side to side or front to back.
- Never put a rear facing seat in the front seat of a car!
- Make sure the seat is at the correct angle so your baby’s head does not flop down. Many seats have an angle indicator or adjusters that can help with this.
- I recommend having a certified car seat technician help install the car seat. This will help with the many questions parents have and may even prevent Mom and Dad from having an argument! 🙂 Check out this website for great information on car seats, car seat recommendations and locations of car seat technicians in your area. It is an excellent resource! http://www.nhtsa.gov/cps/cpsfitting/index.cfm
Common questions parents have about car seats:
Rear Facing Seats
- What if my child’s feet touch the back of the car seat?
No problem…your baby will cross his legs and find a comfortable position. There are few reports of leg injuries from a crash with a baby in this position, but a leg injury is a much less severe injury than a head and neck injury which you are helping to prevent by keeping your child backward facing until age 2 or older.
- What do I do if my baby is slouching in the seat?
You may put blanket rolls on both sides of your baby and a small cloth diaper or blanket between the crotch strap and your baby for a while until your baby grows a bit. Do not ever put padding or blankets or anything behind your baby or add any car seat insert unless it came with the seat or was made by the manufacturer of the car seat. Any additions to a seat may make it work a bit differently and provide less protection for your baby!
- What do I do about winter coats?
Remember that thick winter coats, blankets, or clothing should not be put under the car seat harness or straps. Dress your baby in thin layers and then tuck a blanket around your baby over the harness straps if necessary.
Installation of forward facing seats
- Always know the restrictions of your model. Know the maximum weight and height limits for your seat!
- The shoulder straps should be in the slots that are at or above your child’s shoulders. (This is the opposite from the rear facing position)
- You may need to adjust the angle of the seat when you turn it to forward facing, check your car seat manual.
- Choose to use the LATCH system if your car or van has it OR the seat belt. Do not use both. Check your car or van manual and your car seat manual for proper installation with the LATCH or seat belt. Latch does have a weight limit of 65 lbs total, meaning the weight of the car seat plus your child. If the car seat and your child together weighs over 65 lbs, then you must use the seat belt to secure the seat.
- Use a tether strap. This is a strap that attaches to the top of the seat. It is often on the seat back of the car or van. This gives extra protection by not allowing the car seat and your child’s head to move too far forward in a crash. All vehicles manufactured from 2000 on have them. Check the weight limit for the use of the tether anchor.
Common questions about forward facing car seats
- Where is the safest spot for the car seat in the back?
The safest spot is where the seat can be installed properly, it is convenient for you to use safely every time. Some LATCH systems are only on the sides of the back seat. Some car seats only fit well in the middle. It depends on your car seat, your vehicle and the number of children you have on where is best for the car seat!
- Should we use a car seat on a plane?
Most infant and convertible car seats can be used on planes. The seat must have a FAA (Federal Aviation Administration) approval label on it. The FAA and the AAP recommend that children use car seats when flying until age 4. This keeps your child safer during takeoff and landing and in turbulence.
So much information…but so important to keep your child safe. We will continue the conversation over the next few days with more tips. What car seat do you use? Why do you like it?