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Live chat: Caring for infants; women's health
 
12:03
Admin -  Hello and please help me welcome two medical experts from Baylor for our live chat today. Dr. Sara Rizvi is a pediatrician and an assistant professor in the Department of Pediatrics at Baylor College of Medicine.

Dr. Jeff Steinbauer is a family medicine physician and medical director at Baylor Clinic.

Hello Dr. Rizvi and Dr. Steinbauer.
12:04
Dr. Sara Rizvi -  Hello everyone!
12:06
[Comment From Heather]
At 5 months, my little one is taking forumla and eating rice cereal. Is it OK to mix in apple sauce or a banana or should we wait until 6 months of age?
12:09
Dr. Sara Rizvi -  

In general most pediatricians recommend starting solids at 6 months of age as most children are developmentally ready to do so by then.     If your child is already eating rice cereal and tolerating it well then its ok to move on to other ingredients. A good rule of thumb is to give single ingredients at a time for a few days and if your child tolerates them well without problems, then you can feel comfortable mixing them.   So I'd give the applesauce by itself for 2-3 days and then you can feel comfortable mixing them if the child is taking it well.

12:09
[Comment From Francisca]
Here at MomHouston we've had quite a debate going about using spanking as discipline. Can you tell us your views on when--or if-- it is appropriate as a form of discipline?
12:10
[Comment From Newbie]
About to switch from formula to whole milk and cereal. Should I be adding anything as a vitamin supplement?
12:11
Admin -  If you'd like to read the text of this live chat again, this window will automatically become a transcript immediately after we're done. Just click the Replay button.
12:12
Admin -  Find other parents to chat with
12:13
Dr. Sara Rizvi -  

In answer to Newbie's question:
The right time to switch from formula to whole milk is 12 months of age.   In general infants don't need any specific vitamin supplementation as long as they are eating solids and formula or breastfeeding. The ONE exception is that babies who are solely breastfed MAY need vitamin D supplementation. You should consult your pediatrician to discuss this.   But in the question you posed, NO, your child does not need any specific vitamin supplementation. Just make sure to offer a variety of foods, fruits, vegetables and other items in their diet each day!

12:13
[Comment From MaMa]
When do babies stop spitting up? What can I do to assist in stopping this unpleasant reaction?
12:14
Dr. Steinbauer -  Dear Francisca:   My views on spanking are that it can be an important part of child development.   However, spanking should not be viewed as the first, or only method of disciplining your child.   Preferably, it is used as a last resort after reasoning, warning, time out and other forms of communication about behavior.   In my opinion, spanking should never be aimed at causing "real" pain.   It may "hurt" because it is dsicipline and the child knows you are unhappy, but it should not be physically painful, should not be administered with any device (belt or board, etc).   I also believe spanking should only be administered by a parent.  
12:14
[Comment From Francisca]
Thank you Dr. Steinbauer
12:16
[Comment From Hackparent]
My child just turned 2. He's pretty active, and since summer's here, I'm sure we'll be spending some good time outdoors at the playground and maybe in the pool. Advice on protecting little ones from the sun?
12:17
[Comment From Francisca]
Another complaint we get a lot here at MomHouston is sleep deprivation among new parents. What do you suggest parents who are struggling with lack of sleep do to keep themselves healthy and sane?
12:19
Dr. Sara Rizvi -  It is normal for MOST babies to spit up occasionally, often as they are getting rid of gas. We call these wet burps.   Some young infants may have very mild relfux and also spit up with every feeding but as long as they are not losing weight this is not a problem and they will usually outgrow it by the age of 6 months or so.  
To help prevent or minimize spitting up it is useful to keep the infant upright for 30 minutes after a feeding (avoid laying them down flat immediately after), and avoid overfeeding them with excessively large volumes of feeding.   This will help minimize spitting up episodes and keep them manageable until your infant outgrows them! Consult your pediatrician if your baby is losing weight however as this could be a sign of a more serious condition needing further evaluation or treatment.
12:23
Dr. Steinbauer -  

Dear Francisca:

The good news about sleep deprivation as a new parent, is that eventually it will get better!   For new mom's (assuming they can stay home with the baby), I suggest adopting the baby's sleeping pattern.   If you are breast feeding, it is best for you to rest and nap during the day (if at all possible).   While an uninterrupted 8 hours of sleep is the golden goal for us all, frequent, smaller periods of sleep can sustain your health.   For new fathers, I suggest being sure that you help the baby's mother by sharing in night time duties. Getting enough rest is impossible unless team work is involved.   It's a good chance for you to work as a "couple team" to be sure neither of you gets too fatigued.  

Dr. Steinbauer

12:23
[Comment From Mykidsacrier]
I've got a toddler who sometimes likes to rebel in the parking lot. I don't know why, but sometimes he just pulls away (we hold hands) for no reason. When I stop him, he lays down and cries. My question: At what age does reasoning with kids generally begin to work. Cuz it isn't so far....
12:23
Dr. Sara Rizvi -  

To Hackparent:

Summertime is a great time to spend outdoors with your child....but practicing a few simple tips will keep them safe from the sun.   Avoiding sun exposure between the hours of 10 to 3 pm when the suns rays are strongest helps minimize exposure. Young infants will benefit from the use of light protective clothing and small caps with a wide brim to help shield their faces from sun exposure.   Try baseball caps in boys or a small sunvisor or hat in young girls as well.   You can also use a baby sunblock with zinc oxide or titanium dioxide for your child's skin. These are usually very mild and nonirritating to the skin. Avoid ones that contain PABA as these can irritate sensitive young skin.   Look for at LEAST spf 15 or higher and reapply often, especially after swimming or sports where water or sweat may wash the product away and decrease its effectiveness. Be sure to apply it liberally and reapply often...and have a great summer!

12:24
[Comment From Margaret]
My son had pyloric stenosis surgery at 3 weeks (found early) and has been battling severe reflux since birth.
12:24
[Comment From Margaret]
Sorry - can I expect the "spitty" to hopefully lessen as we increase his solid foods? (he is on oatmeal cereal and orange veggies now) - 5 mons. old.
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