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WHY SHOULD MY CHILD REAR-FACE PAST 1 YEAR AND 20 POUNDS?

 Every milestone in a child’s life is exciting!  First steps, first word, first day of school.  Even car seat milestones seem exciting, but the truth is, they should be looked at with a certain sense of dread, not longing.  Every step in car seat “advancement” is actually demoting the protection your child receives.

Many parents have the misconception that children are uncomfortable or at risk for leg injury by having their legs up on the vehicle seat or bent when kept rear-facing.  These concepts are completely incorrect.  First, children are more flexible than adults so what we perceive as uncomfortable is not so much so for the children.  Second, there is not a single documented case of children’s legs, hip, etc. breaking in a crash due to longer rear-facing.  Even if a leg were broken, it can easily be fixed.  A damaged spinal cord (from forward-facing too soon) cannot be repaired and subjects the child to lifelong disability or death.

Any expert will tell you that rear-facing is DEFINITELY safer.  The National Highway Traffic Safety Administration (NHTSA) says that rear-facing seats are 71% safer than nothing and forward-facing seats are 54% safer than nothing.   Other experts say that “Crash studies have shown that, in a front-end collision, injury rate is reduced by 30-60% if a passenger is rear-facing rather than front-facing.”

Child safety seats:  Rear-face until at least one year discusses the reasons why children should remain rear-facing for a FULL year and 20 pounds.  In it, Kathleen Weber states “In the research and accident review that I did a few years ago, the data seemed to break at about 12 months between severe consequences and more moderate consequences…”  This does not mean that there are NO consequences.  The consequences may no longer be death from a completely severed spinal cord, but simply life-long injury, including complete paralysis.  Research studies suggest that until children are at least four, they are incapable of withstanding crash forces as well as adults – and should remain rear-facing.

In a crash, life-threatening or fatal injuries are generally limited to the head and neck, assuming a child is in a harnessed seat. 

In a forward-facing seat, there is tremendous stress put on the child’s neck, which must hold the large head back.  The mass of the head of a small child is about 25% of the body mass whereas the mass of the adult head is only 6%.  A small child’s neck sustains massive amounts of force in a crash.  The body is held back by the straps, while the head is thrown forward, stressing, stretching or even breaking the spinal cord.  The child’s head is at greater risk in a forward-facing seat as well.  In a crash, the head is thrown outside the confines of the seat and can make dangerous contact with other occupants, vehicle structures, and even intruding objects, like trees or other vehicles.

Rear-facing seats do a phenomenal job of protecting children because there is little or no force applied to the vulnerable areas.  In a rear-facing seat, the head, neck and spine are all kept fully aligned and the child is allowed to “ride down” the crash while the back of the restraint absorbs the bulk of the crash force.  The head is contained within the constraint, and the child is much less likely to come into contact with anything that might cause head injury.

SYNAGIS

If your infant was born very prematurely or has bronchopulmonary dysplasia (BPD) SYNAGIS may help prevent RSV infection (a lung infection) which can cause wheezing in infants.

Call us to see if this is recommended for your child

 

Think About Protecting Your Teen.

Think Meningococcal Vaccination.

Information for Adolescents and Their Parents About Meningococcal Disease

What is meningococcal disease?

Meningococcal disease is a rare, but potentially fatal bacterial infection that can cause meningitis-severe swelling of the brain and spinal cord or meningococcemia- serious blood infection.  Meningococcal disease is caused by a bacterium called Neisseria meningitidis.

How is the disease spread?

The disease is spread through the exchange of fluidsfound in the respiratory system and throat (such as saliva or "spit"), usually through close, personal contact with someone who is infected. It is thought that certain social behaviors involving close personal contact such as sharing drinking glasses or water bottles, kissing, smoking (active or passive), or being in crowded situations may put young people at greater risk for getting meningococcal disease.

 

Knowing the warning signs of meningococcal disease is critical and potentially lifesaving.

Signs and Symptoms of Meningitis

bulletHeadache
bulletFever
bulletStiff neck
bulletExtreme tired ness
bulletVomiting
bulletSensitivity to light
bulletRash of small purplish black-red dots

Remember:

Time is critical when it comes to treating meningococcal disease. Contact your doctor or seek medical attention if you suspect meningococcal disease.

Why is it so dangerous?

Meningococcal disease often begins with symptoms that look like other common viral illnesses such as the flu. However, unlike more common infections, meningococcal disease can get worse very rapidly, and it can kill an otherwise healthy person in 48 hours or less. In fact, up to 1 in 5 people who get meningococcal disease will die. Of those who survive, 1 in 5 will suffer from permanent disabilities such as limb amputation, severe scarring, brain damage, and hearing loss.

Who is at risk?

Data from the Centers for Disease Control and Prevention (CDC) indicate that meningococcal disease rates begin to rise during adolescence and peak between the ages of 15 to 24 years.  Moreover, death rates from meningococcal disease are up to 5 times higher among adolescents and young adults (15 to 24 years old) compared with younger populations.

Can meningococcal disease be prevented?

Yes. Although meningococcal disease is serious and potentially life threatening, up to 83% of the cases in adolescents and young adults are potentially vaccine preventable. The meningococcal vaccine has been demonstrated to be safe, and offers protection against 4 of the 5 most common strains of bacteria that cause the disease.
 

Where can I get more information?
 
bulletCDC at www.cdc.gov
bulletNational Meningitis Association at www.nmaus.org
bulletNational Foundation of Infectious Diseases at
www.nfid.org/ncai
bulletwww.meningococcaldisease.com



Be aware that there are risks associated with all vaccines. Vaccines should not be given to those with known hypersensitivities to any vaccine component. Additionally, vaccination may not protect 100% of individuals.

 

   
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