Can You Strap a Babies Head to Stop It Crying
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>Answers to "Fault Monday" 3/15/ten
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ANSWERS :
(please encounter bottom of page for teaching points & a printable version of the American Academy of Pediatrics' tips for positioning newborns and preemies in motorcar seats)
MISUSE
– **The baby'southward mentum is on his breast**
– There is an aftermarket infant head support used (the white product behind the child'southward head)
– Harness straps are also loose
Note: The buckle hardware resting on the infant'southward abdomen is not dangerous.
INJURY PATTERNS ASSOCIATED WITH THE MISUSE
The Baby Stops Breathing !
Unlike our other mistake Mondays, the biggest error in this motion picture – the baby'south chin on his chest – is likely to impairment the baby without a crash fifty-fifty occurring. The recent remember of thousands of babe slings highlighted this same issue – that newborns can stop breathing if their chin rests on their chest.
Small infants have very brusk necks, so when the neck flexes the chin falls forward onto the chest and the infant's ain breast presses on the chin. Until babies are at least a month old, the connection between the jaw (mandible) and the skull bones (temporal bone) is not formed, which means that pressure upwards and backwards on the jaw, as happens when the chin rests on the chest, pushes the jaw backwards. The tongue sits inside the jaw bone and is pushed into the back of the mouth and onto the soft palate. The tongue thereby completely blocks the flow of air from the nose into the lower parts of the airway. Babies Simply breathe through their nose (except when crying and gasping). Babies can not switch and breathe through their rima oris as older kids and adults can – so if the menstruation of air is blocked betwixt the nose and the lower airway, the baby will cease breathing.
The ironic office is that U-shaped infant caput supports, which by the mode have no safety regulations or crash testing that they must conform to, really make matters worse. Head supports, like the ane in the flick, which try to preclude the infant'southward caput from turning to the side often make matters worse. The back of an infant'south head (occiput) is very prominent. Forcing the head to residuum straight forward, as these infant caput supports try to practice by preventing the head from turning to the side, simply encourages the head to fall forrard and the chin to balance on the chest. Having the baby's head turned slightly to the side (just with the chin far above the chest) is a much more natural position for the infant'southward large head.
TEACHING TIPS –
3 Steps to Keeping an Baby's Caput in a Safe Position
1. Make sure the harness straps are snug
- Snug straps keep the body & head straighter by preventing the baby from slumping over
- Some babe seats are too big for preemies & pocket-sized newborns – check to see if yours is appropriate here
2. Brand sure the machine seat is equally reclined as the manufacturer allows
- For about babe seats, the most reclined the seat tin be is so that the part where the baby's head & dorsum rests makes a 45 degree angle to the ground. Most seats take a level indicator – be it a bubble level, pendulum gauge, or but a straight line – to help you lot know how reclined the seat can be when in the vehicle.
- Image from AAP – showing a rolled towel under the base to help acheive the 45 degree angle
iii. Do Non place anything backside or in front of the babe's head & neck
- Do Non use an baby head/trunk positioner that did not come with the car seat. Such "aftermarket" products are not tested for safety – either in a crash or just general safety – and often make the state of affairs worse past tipping the caput forrad and changing how the straps fit on the kid's body. In add-on, the use of an "aftermarket" production in a machine seat will void the car seat manufacturer's warranty. Please see the lesser of this post for more specific information from each auto seat manufacturer – forth with an easy-to-print handout on the topic.
- Most infant seats come with removable baby caput rests. Of the babe car seats currently on the market with removable head rests, all tin can be safely removed EXCEPT for the one in the Britax Chaperone (every bit this ane is part of the side impact protection of the seat). Except for the one in the Britax Chaperone, these baby head rests are NOT safe features of the seat – then if yous call back that the caput remainder is either not improving, or worsening, the infant's caput position we would recommend removing it.
- If you exercise not similar how information technology looks with the baby's head turned to the side, you can roll two modest diaper cloths and place them alongside the babe's caput.
Tonkin SL. Airway of babies in auto seats. The New Zealand Medical Journal. 1998 Sep 25;111(1074): 372
Aftermarket Products: What Exercise The Car Seat Manufacturers Recollect of Them??
**For an easy-to-print handout of this information, click hither ***
Fleece bunting – NOT SAFE for the machine seat
Y'all've seen them – the baby caput inserts, the fleece buntings, the shoulder strap covers – they line several aisles in nearly Babies R Us. They are made to be used with the car seat – but didn't come with the car seat.
Did y'all know that unlike your child's motorcar seat which must pass rigorous crash testing, these "aftermarket products" have no crash testing or other crash safety standards they must meet? Most parents buy these products thinking they volition make the automobile seat safer and more comfortable for their infant – non realizing that these products usually turn a prophylactic machine seat into an unsafe i.
But don't take our give-and-take for information technology, hither is what the car seat manufacturers take to say about aftermarket products. These excerpts were taken directly from the kid safety seat educational activity manuals.
* Baby Trend
o Practice Non dress your child in beefy clothing or other garments that will hinder the harness from being snug around your baby and properly latched betwixt your child's legs.
o Accessory products for use with the Safety Seat are acceptable for utilise provided that they do not interfere with the harness assembly, or the proper aligning of the harness such that it remains tight on the child'due south shoulders at all times. Thick, soft, or other compressible fabric in backlog of 1/4 inch thick should not exist placed backside or under the child or between the child and harness straps. Examples of accessory products are head support pillows or rolled blankets to add together boosted caput back up.
* Britax
o The use of not-Britax Kid Rubber, Inc. covers, inserts, toys, accessories, or tightening devices is not approved by Britax. Their use could cause this restraint to fail Federal Safe Standards or perform worse in a crash. Their use automatically voids the Britax warranty.
* Chicco
o NEVER use clothing or blankets that interfere with fastening or tightening the harness. An unsecured child could be ejected in a sudden stop or crash! To keep kid warm, place a blanket over kid and restraint After you accept properly secured child in harness.
o Exercise NOT employ whatever accessories, pads or products supplied by other manufacturers with this Child Restraint. Items not tested with this restraint could injure your kid.
* Dorel (Maxi Cosi, Cosco, Eddie Bauer, Safety 1st):
o Dorel Juvenile Grouping does non recommend the employ of whatever child restraint accessories except those recommended by DJG.
* Evenflo
o In cold conditions, Do NOT dress the child in bulky article of clothing like snowsuits if the child is riding in a kid restraint. Beefy coats/ snowsuits make information technology difficult to properly tighten the harness to the kid, which may permit the kid to exist ejected from the restraint during a crash.
* Graco
o DO NOT employ accessories or parts other than those provided past Graco. Their use could alter the operation of the car seat.
* Orbit
o Do not change your Infant Car Seat or Base of operations. Only use products and accessories canonical by Orbit Baby to ensure the safety of your child. This express warranty does not utilise to: defects resulting from use with covers, inserts, accessories, tightening devices, or other components not supplied by or expressly approved in writing by Orbit Baby.
* Peg Perego
o Employ but approved parts. Use of unapproved parts can affect the safety of the car seat and crusade serious injuries in an accident.
* Sunshine Kids
o Using any non-Sunshine Kids production with this restraint; or any product non specifically approved by Sunshine Kids for employ with this restraint is non allowed. Use of such products voids manufacturer's warranty and may seriously touch the products ability to perform properly in an accident.
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Source: https://thecarseatlady.com/answers-to-mistake-monday-31510/
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