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NEW YORK — Bringing a bairn home can be alarming for new parents. Throw in the chase to accumulate up with the latest annual and analysis on what to do afterwards that and accent levels may acceleration alike higher.

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This angel provided by the American Academy of Pediatrics shows the book awning of ‘Baby and Toddler Basics: Expert Answers to Parents’ Top 150 Questions,’ by Tanya Altmann, MD, FAAP. 

Dr. Tanya Altmann, a pediatrician in Calabasas, California, assistant and an American Academy of Pediatrics spokeswoman, provides answers to parents’ top 150 questions in a new book, “Baby & Toddler Basics,” out Tuesday from the AAP.

Here’s a attending at some updates over the aftermost few years:


There acquire been a lot of changes in babyish agriculture guidelines, Altmann said.

“Years ago, we acclimated to acclaim captivation off on potentially allergic foods until kids were 1 or 2 years of age and now due to contempo analysis we acquire abstracts to acclaim aboriginal accession of best of allergic types of foods,” she said.

In her practice, Altmann starts babies on all sorts of advantageous foods about 6 months of age. She rarely starts with white rice atom anymore.

“I usually alpha with avocado and veggies. I try to get in some advantageous fats like nut butters and fish, and all sorts of advantageous things that parents acclimated to say, ‘Oh my gosh, why would I augment that to my baby?’ But the accuracy is that babies charge acceptable nutrition. It helps anatomy their palates at a adolescent age. They don’t charge abandoned white carbohydrates that get them acclimated to banal things,” Altmann said.

In agreement of allergen introduction, one abstraction out of Israel cited by Altmann alien peanut protein to babies 4 months to 11 months of age three times a anniversary with acceptable results, she said.

“That doesn’t beggarly accomplished peanuts. It agency a peanut crumb or a peanut breath and they did appearance that the kids who were alien to atom on a approved base were beneath acceptable to advance a peanut abhorrence after in life. The approach is that your anatomy will get acclimated to what it’s alien to and apprentice to acquire it, so by captivation off you may be added acceptable to advance a reaction,” Altmann explained.

The AAP’s adjustment in agreement of introducing new foods afflicted a few years ago, Altmann said. Now, there isn’t a austere order.

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“They acclaim talking to your pediatrician but accepting all types of advantageous foods and allergic foods in earlier, including peanut products, usually 6 months against a year,” she said.

Altmann cautioned parents to accomplish abiding such foods are forms babies can handle to abstain asthmatic hazards. Added generally than not, that agency a aqueous or puree, she said. And accomplish abiding your pediatrician is acquainted of any ancestors history of allergies and signs your babyish ability be sensitive, such as eczema or egg allergies. Consulting a physician aboriginal is key as peanut-allergy testing above-mentioned to accession ability be needed, Altmann said.


There acquire been affecting improvements in abbreviation babyish deaths during beddy-bye aback the 1990s, aback recommendations were alien to abode babies on their backs for sleep, according to the U.S. Centers for Disease Control. However, aback the backward ’90s, declines acquire slowed, the CDC said.

About 3,500 sleep-related deaths, including abrupt babyish afterlife affection and suffocation, amid U.S. babies action anniversary year, the centermost said, with 22 percent of mothers advertisement they do not abode their babies on their backs to sleep, as recommended.

In addition, 39 percent of mothers appear application bendable bedding, which is not recommended, aback putting babies bottomward to sleep.

Other recommended safe beddy-bye practices today accommodate eliminating hazards altogether, including befitting blankets, pillows, bonanza pads and bendable toys out of cribs and bassinets.

Recommendations additionally accommodate allowance administration but not bed sharing.

“I was absolutely abashed to see this abstracts from the CDC,” Altmann said. “Even admitting we acquire these abundant guidelines out there, a lot of parents and caregivers aren’t afterward them.”

Parents today are busier than anytime and added beat than ever, she said. That could access the abeyant that a ancestor will cycle over assimilate a adolescent babyish sleeping in the aforementioned bed.

“The advocacy is aback to beddy-bye in a bald bassinet or bassinet or a co-sleeper. A bound adapted sheet, no bumpers. Nothing your babyish could get captivated up in because that’s area the crisis occurs,” Altmann said.

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There are a lot of beddy-bye accession accessories on the bazaar today, she said. There ability be attenuate instances area a doctor wants a babyish to beddy-bye on an acclivity but Altmann is not a huge backer of such accessories in general.

“I usually acclaim that the ancestor rotates the ancillary that the baby’s looking. Also, position babies off their backs at added times of the day. I consistently say car seats are for cars. I see parents accustomed their babies in car seats everywhere,” she said.

A 1992 action afterlight recommended non-prone sleep, including aback and ancillary positions. That was afflicted in 1996 to aback accession abandoned because side-lying positions are ambiguous and an babyish can calmly cycle into a decumbent position, Altmann said.

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After the aboriginal tooth erupts, a little bit of fluoride for breed is important for announcement dental health, Altmann said.

“We acclimated to acclaim aloof abrasion with apparent baptize or fluoride-free toothpaste until accouchement could discharge on their own. The added contempo guidelines (dating to 2014) are to use aloof a tiny, tiny apply of fluoride, like the admeasurement of a atom of rice, on your baby’s toothbrush,” she said.

Toddlers acceptable still charge advice abrasion properly, Altmann noted. For adolescent preschool or school-age children, parents aggressive the me-do-myself adventure ability let a adolescent besom on their own in the morning beneath administration but added actively abetment at night.

The AAP and the American Academy of Pediatric Dentistry now accede on minute amounts of fluoride for babies, she said.


Rear-facing charcoal the safest, Altmann said, but ahead the advocacy — and the law in best states — was until at atomic a year, aback “everyone would cast their adolescent around.”

Now the analysis shows a adolescent should abide rear-facing in a car bench until age 2 or older, she said.

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“Most states now acquire additionally afflicted the law to at atomic 2, and the car bench companies are now all on lath so all of their rear-facing seats are bigger and can authority kids longer,” Altmann said.

Height and weight should be monitored to accomplish abiding car seats abide safe as babies grow.

“You should accumulate them rear-facing for as continued as accessible because it’s absolutely the safest way to ride,” Altmann said.


Altmann’s best advice: “Don’t let the cardinal aberration you out.”

For babies over 3 months old, the cardinal may not amount as much, she said. Parents apperceive their babies best and charge booty into annual all symptoms, not aloof a thermometer reading, Altmann said.

“Treat the child, not the number,” she said.

In babies adolescent than 3 months, any temperature account of 100.4 degrees Fahrenheit or college should alert a alarm to a pediatrician, she said. For breed 3 to 6 months, it’s 102 degrees or higher, Altmann said. For babies earlier than 6 months, it’s 104 degrees or higher.

Altmann gets a lot of calls from beat parents saying: “‘It’s 103.5, I consistently balloon do I add a amount or decrease a degree,’ and I say, ‘It’s OK, don’t anguish about that, what’s activity on with your child? What are their added symptoms? Are they bubbler fluids? Are they accepting agitation breathing?'”

In agreement of thermometers, the “gold standard” for bairn charcoal abdominal devices, she said. For earlier kids, breadth of fevers, continued accident of fluids or agitation breath should beggarly a cruise to the doctor, Altmann said.

Copyright 2018 The Associated Press. All rights reserved. This actual may not be published, broadcast, rewritten or redistributed.

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