Hi Anna,
I’m hoping you can help me with some guidance on how to keep my baby safe in the summer sun. I read online that I can’t use sunscreen until she is six months old but I am not sure what else I can use to keep her from getting a sunburn.
- Joey in Lexington KY
Hi Joey,
This is a wonderful question and I’m so glad you asked it! Your internet sleuthing is absolutely correct. Sunscreen should not be used on infants less than six months of age because their skin is so sensitive. Due to this sensitivity, they are also at a much higher risk of sunburn so you need to work a little harder to keep them out of the direct sun.
The American Academy of Pediatrics gives us some wonderful suggestions on how to help protect our littlest ones from the harmful rays of the sun.
Have more questions? Reach out to our team at any time! Email info@yourvillageky.comor send us a message on facebook or Instagram @yourvillageky.
Ask Anna
Hi Anna, my two month old really struggles with reflux, especially after drinking a bottle, so I’ve been using a sleeping wedge in her crib to help keep her from spitting up at night. I recently saw an article that said this wasn’t a good idea and could be dangerous. Can you help me figure out how to balance out her reflux while also keeping her safe at night?
~Ruth in Lexington, KY
This is a great question and I am so glad you asked it! Reflux is something is incredibly common in infants and can be endlessly frustrating for parents to try and get a handle on. Let’s start by looking at some statistics and definitions:
What is reflux?
Gastroesophageal reflux (GER) is defined as “the involuntary retrograde passage of gastric contents into the esophagus with or without regurgitation or vomiting.” This is sometimes known as “silent reflux” because there aren’t always visible outward signs. It usually happens a few times a day, mostly after baby drinks a bottle or breastfeeds. These babies are called “happy spitters” because they don’t seem bothered by the spitting up.
GER turns into GERD (Gastroesophageal Reflux Disease) when the reflux begins to affect baby’s quality of life or causes pathologic complications, like failure to thrive, feeding or sleeping problems, respiratory issues, or apparent life-threatening events.
70-85% of infants have reflux within the first two months of their lives and it resolves without intervention 95% of the time by their first birthday.
Typically lifestyle changes and parent education are the best way to treat GER in infants, although if it gets severe enough there are some medications that your pediatrician can prescribe that may help.
How to handle GER/D to ensure safe sleep?
The very best thing you can do for your infant is place them on their back to sleep in a crib or pack n play. It might seem counterintuitive to an adult, but baby has built in reflexes that help them swallow or expel their spit up. This is part of the reason that they have such an active gag reflex. It helps keep them safe! Putting baby on their side or their stomach increases the likelihood that they will choke on their spit up and aspirate it into their lungs, as well as increases the potential of SIDS.
We see a lot of companies that sell wedges or positioning devices that are designed to keep baby inclined to prevent reflux and on the surface it is easy to see the merit in them and I totally understand the urge to purchase them. However, none of these devices are approved by the AAP and have no safety standards that they are required to meet. Remember when the Rock N’ Plays were all recalled a few years ago? Before that they were lauded as this amazing device that keeps baby inclined and resulted in miracle sleep, however they were not regulated or safe, and were recalled because of multiple infant deaths due to positional asphyxiation. I’m ashamed to admit that once upon a time before I was a sleep coach and knew better I used positioners and even recommended them to parents. Now that I know better I realize how bad my advice was and make sure to discuss with parents the safety issues that come with positioners.
A crib wedge or similar positioning device is designed to incline one end of a crib with the goal that baby’s head stays above their belly, helping their stomach contents to stay down. However, what usually happens is that as baby squirms around at night they end up snoodled down at the foot of their crib, all squashed up and not safely on their backs. Positional asphyxiation is a real danger here, which is why the AAP says absolutely nothing in or under their crib mattresses.
So on to your question Ruth:
If you can’t use a wedge in your baby’s crib how can you help alleviate their reflux symptoms while they sleep?
The first thing to remember is that reflux is something that your baby will most likely grow out of, so make sure to view this as a short-term problem that won’t last forever. It isn’t easy or fun while you’re right in the middle of it, but it will come to a natural end.
The second thing to do is talk to your pediatrician. They may recommend dietary changes if you’re breastfeeding or adjusting the formula if baby is bottle fed. Medication for mild to moderate reflux in infants isn’t proven to be helpful, so don’t be surprised if your pediatrician doesn’t recommend it.
The easiest changes you can make to help with discomfort and sleep is to hold your baby for up to 30 minutes following a feed to allow their milk to fully settle into their little bellies. This is definitely more difficult at nighttime, because at 3am all you want to do is pop them back into their crib so you can get back to sleep, but giving them some time for milk to settle before placing them on their backs can really make a difference.
Having a baby who has reflux can be really difficult but it is really important that you remember that even though positioning devices may be marketed as miracle cures for reflux, they aren’t considered safe by the AAP and baby has no business sleeping in them.
With that being said, reflux can make things painful for baby and really hard for parents so make sure that you are tracking your own mental health and taking care of your own needs as well. Having a baby who spends a lot of time crying from reflux pain can really run you down and it’s important that you lean on your support system and allow your village to help you through a difficult time.
Your Village believes in using scientific-backed research from well-credentialed sources for our information. If you're curious where our info came from for this question pop on over here and here.
Have more questions? Reach out to our team at any time! Email info@yourvillageky.comor send us a message on facebook or Instagram @yourvillageky.
Hey Anna, I have an 18 month old who loves being in the water. How can I keep her safe this summer?
- Emily L. in Indianapolis
This is a great question and a really important one because drowning is a leading cause of death for kids age 1-14. Water play can be one of the most exciting things you can do with your child this summer as long as you are taking precautions and keeping your eyes open.
My number one recommendation is to put a coastguard-approved life jacket on your child anytime they are near the water, even if they aren't actively swimming. One of my favorite flotation devices for children over 30lbs is a Puddle Pal, Puddle Jumper, or a Little Dipper, which are all Coast Guard approved and work pretty much the same way. My person preference is the Puddle Pal because I like that it has fabric that goes over the shoulders as opposed to the Puddle Jumper which just goes around a child's chest. My preferred infant life jacket for kiddos under 30 lbs is this Full Throttle Infant Baby-Safe Vest.
If you are looking for guidance as you choose a floatation device for yourself or your child the US Coast Guard has this handy PDF filled with lots of additional information.
My next recommendation is to avoid swimsuits and life jackets that are blue. You want to be able to easily see your child when they are in the water and a blue suit or life jacket can easily blend in the lining of a pool. It might not be as cute or fashionable, but there is a reason that life jackets come in neon green and bright orange. When your child is in the water every second counts and you want to be able to spot them immediately.
You also want to make sure that you are ALWAYS watching! It only takes seconds for a child to slip under the water. No matter how much you trust your child's ability to swim or think that they know the pool rules about staying away from the edge, you need to have your eyes on them every single minute. I find it to be much more enjoyable when I go to the pool or lake with a second adult who can help me keep an eye out. This way I can look away for a few minutes and know that my son is safe.
Talk with them frequently about the rules for being in the water and make sure to repeat them before you go to the pool each and every time. Even young toddlers can learn water safety rules! If you need some help with teaching your kids water safety the Red Cross has a great website for helping you create rules and for helping your children learn them.
Playing in the pool, lake, or at the beach is a quintessential part of childhood and, as long as the grownup in charge is ensuring safety, can be a great way to keep cool in the summer!
Hey Anna, I have a two year old sensory seeker who gets into everything and has run away a couple times. How do I keep him safe this summer? He also hits, bites, and head butts me when he gets upset or overwhelmed. Do you have any suggestions to help minimize his physical aggression towards me? -Cara, New York
This is a great question and one that I answer over and over because so many parents and caregivers find themselves in a similar situation.
Before I dive in to this answer, let me give a quick explanation of what a sensory seeker is so that we are all on the same page. Many children have difficulty processing the sensory input that they get from the world around them and as a result they are constantly moving, talking, shouting, or jumping as their bodies and brains try to handle all of the stimulation they are getting (or not getting, if they are understimulated). The reason they seem to never slow down is because their little bodies are telling them that they need to keep moving, even if they are in a place where that movement is dangerous or not allowed. Kids who have difficulties with sensory processing may also have decreased awareness of vestibular and/or proprioceptive input. They often have poor balance and coordination and struggle with awareness of how their body is oriented in space. To help compensate for this, they will often engage in sensory seeking behaviors which helps give more input to their body systems. Sensory seeking behaviors include jumping, spinning, crashing, running, yelling, throwing things, swinging, biting, head banging, etc.
I like to use the environment for behavior modification when possible, so that you as a parent or caregiver don’t have to spend every single second watching your child and telling them “no”. If you set up the environment in a way that allows as much freedom and independence as possible while keeping the child safe, then you can let your brain rest and don’t have to constantly be on high alert. Using the environment as another adult (like in the Reggio Emilia philosophy with the Third Teacher) allows you to give your child freedom to explore SAFELY, which lets you focus on spending happy time together playing and enjoying each other’s company. You have a thousand things to worry about and watch for, and if preparing your environment specifically for your little seeker allows you to set one burden down then it is worth the time and money invested. Not only does this apply to safety, but also to sensory needs. You can help ensure that your child’s sensory needs are being met by very carefully curating your physical space. It might not meet your needs as an adult, but you aren’t the priority here, they are. You might not be able to have that perfect Pinterest-worthy home that we all want, but instead you could be able to coexist peacefully with your kids and not worry about getting head butted in the face due to constant overstimulation.
Safety is going to be your number one priority when it comes to a child who is a sensory seeker. Different kids have different levels of safety awareness and it is important to make sure that you don’t leave anything up to chance because you never know when a new interest or impulse may lead to a dangerous situation.
Okay, moving past safety and on to meeting his sensory needs.
After you have your physical space boring, empty, and neutral you can start to work on helping him get the sensory input that he needs. It’s important to remember that kids this young don’t really know what’s going on with their bodies and their behavior might look aggressive, violent, or downright mean, but we need to remember to look for the need behind the behavior. All behavior is communication and your child is communicating with you, not trying to hurt you just for fun (even though sometimes it feels like it). He’s not giving you a hard time, he’s having a hard time. When a behavior happens I want you to take a deep breath and pause before you respond. I know how easy it is to get angry and yell but all that does is cause him to feel ashamed of the way he is feeling. He doesn’t have control over his body and your job as a parent is to help him regain that control, not make him feel shameful or embarrassed or scared. Talk about what you’re feeling as concretely as possible when things happen and eventually he will start to pick up on that. “When you hit me with your hand it hurt my body. I feel angry when you hurt my body. When you hit me I don’t want to sit next to you. My body is going to sit over here on the chair instead of next to you on the couch.” It’s hard, really really hard, to help him understand that what his body feels isn’t what everyone else’s body feels but talking about how your body feels will eventually get him there.
Some specific things you can do to help him meet his sensory threshold and get as much input as his body is looking for:
My last bit of advice is to find a babysitter who is experienced with kids who have sensory challenges and use them. Give yourself a break! Parenting in general is hard, and parenting a child who is a sensory seeker is on a whole other level. Leaving him with your husband while you run errands doesn’t count. Find someone you trust and give yourself a mental break where you can focus on something fun just for you. I know this is easier said than done and finding a baby sitter like this is can sometimes feel like finding a unicorn in a forest, but they are out there! Reach out to your local university’s department of education and see if they have a place where you can post your help wanted ad that will be seen by all those bubbly 20 year old education students who have the energy to keep up with your little tornado.
Our online content contributor has a four year old who is Autistic and a sensory seeker and this is how she summarizes what it is like to raise a non-stop seeker: everything he does is bigger, louder, and faster. He runs faster, he talks louder, and he finds the biggest thing in the room so he can climb to the very top. His brain moves faster than mine, his opinions are louder than mine, and his emotions are definitely bigger than mine. His heart is bigger, he tells me he loves me at the top of his voice, and he falls in love with people faster than anyone I know. It is easy to look at him and at our life and see the difficulties and the challenges of life with a non-stop seeker, but if you look a little harder you will see that the joy is multiplied in everything he does. He doesn’t just like someone, he LOVES them. He doesn’t just have a favorite toy that he prefers to play with, he has toys that he holds while he eats, sleeps, and breathes. He doesn’t just smile with his mouth, he smiles with his entire body. His joy is transcendent and his laughter is infectious. The same energy that causes him to jump on the couch non-stop and be unable to sit completely still also motivates him to explore new things as he tries to figure out the world around him. He is a human tornado and you can track his movements by the path he leaves behind but it’s not a path of destruction, it’s a path of excitement, curiosity, and exploration.
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