Fetus & Newborn, September 2015

Quarterly Report September 2015
The Committee so far has been successful in inspiring neonatologists from Brooklyn, Queens, Nassau & Suffolk counties in networking, discussing policies and other neonatal issues through our annual meetings.
Goals:

  • Keep enthusiasm and increase membership
  • Encourage networking
  • Discuss policies
  • Invite renowned speakers to discuss state-of-the-art topics
  • Bring new research ideas through meetings
  • Encourage pediatricians to attend meetings to better understand neonatal issues in providing follow-up care to infants

Last meeting date – November 6, 2014
Topic: “Preventing Blindness from Neonatal Retinal Disease: Digital Imaging, Treatment and Beyond”
Understand anatomy and physiology of premature eye development, its morbidities and possible complications beyond the neonatal period.
Respectfully submitted,
Renu Aggarwal, MD, FAAP
Chair, Fetus and Newborn Committee

Breastfeeding

Lauren Macaluso, MD, FAAP, FABM

Lauren Macaluso, MD, FAAP, FABM

Challenges for Breastfeeding Mothers and How to Overcome Them

 

Breastfeeding is the normal way to feed our babies. A mother’s breast milk is considered the BEST nutritional option for babies according to the American Academy of Pediatrics. Medical contraindications to breastfeeding are rare. Women’s bodies are MADE for breastfeeding, initiating breast development in utero with continued growth through puberty, pregnancy and after delivery. Minutes-old newborn infants have feeding reflexes, the ability to root, suck, and swallow at the breast to attain optimal nutrition, growth and protection.

Though it is a natural process, it is common for women to run into barriers breastfeeding our infants. Mothers and infants may have medical issues that can interfere with breastfeeding. Even if both mother and infant are healthy, exclusive breastfeeding may not be successful and require extra help. As a pediatrician, mother, member of both the local and national American Academy of Pediatrics and a specialist in breastfeeding medicine, here are common challenges encountered by exclusively breastfeeding women and how to overcome them.

EXPECTATIONS

Mothers often have unrealistic expectations of the breastfeeding experience. Unforeseen medical issues such as delivery by Caesarian section, premature labor or difficulty with infant weight gain sometimes occur. Keeping expectations simple and making short term goals can be helpful. Taking one day at a time and having patience and perseverance are paramount. A positive outlook and a strong support team may improve breastfeeding. In certain cases, a breastfeeding specialist, working with your infant’s pediatrician may be helpful in setting reasonable goals for breastfeeding your infant and prevent discouragement.

SUPPORT TEAM

A support team is extraordinarily important. Surrounding yourself with a team that shares your support for breastfeeding is a powerful tool in reaching your breastfeeding goal. Discuss your feeding plan with your partner, close family members, and friends during pregnancy. Consider an obstetrician, midwife and a pediatrician who are supportive of breastfeeding. Some families may benefit from a doula and/or lactation consultant at home or in coordination with the hospital staff. A breastfeeding medicine specialist who does office visits for breastfeeding moms and babies upon discharge may also suit your needs. A breastfeeding support group in your community can provide help and a social network.

EDUCATION

Empower and educate yourself so you understand what is biologically normal. Read about basics: how often to breastfeed, normal urine and stool patterns in breastfed babies, normal weight loss and gain. Observe family members or friends breastfeed if possible. Take a breastfeeding class; query friends who have breastfeed previously. Have a prenatal office visit with a pediatrician or breastfeeding medicine physician to address any issues that can impact breastfeeding.

COMMUNICATE

Address potential breastfeeding challenges as early as possible and with positive communication. Let your workplace know you plan to breastfeed and will require space and time to pump breast milk upon your return. In certain cases, companies may be required to provide you with time and a private space for breastfeeding and/or expressing breast milk. Talk about breastfeeding with your other children and let them know this is how mothers normally feed babies. Read a book together about breastfeeding and encourage them if they imitate you with their dolls so they are empowered for the future.

BE HEALTHY

Have a healthy lifestyle. Eat healthy, low fat, whole grain, nutrient dense foods and emphasize fruits and vegetables. Work exercise into (or back into) your life once medically cleared and make sure exercise is fun. Get rest as often as possible. As a mother, YOUR JOB IN THOSE FIRST FEW WEEKS AFTER DELIVERY IS BREASTFEEDING. Have support team members cook, clean and do laundry. Relax, breathe deeply, meditate or write about your feelings and experiences in a journal.

Breastfeeding is a life changing experience that has its barriers and obstacles. A strong support team, managing expectations, communicating positively, having a healthy lifestyle, and educating yourself will help you achieve your goals.

Dr. Lauren Macaluso, MD FAAP FABM is a pediatrician, breastfeeding specialist and co-chairman of the Breastfeeding Committee of the New York State (District II), Chapter 2 (Long Island) of the American Academy of Pediatrics.

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President’s Newsletter, March 2015

Dear Chapter 2 Member,

Marc Lashley Photo

Greetings AAP NY Chapter 2!

Please read on for a short list of our top priorities and other important information:

 


ICD-10

Colin Powell once said: “There are no secrets to success.  It is the result of preparation, hard work and learning from failure.”  As ICD-10 transition approaches (205 days as of this writing), we must all prepare and do some hard work.  100 pediatricians attended the ICD-10 lecture given by Chapter 2 on March 2, 2015.  If you were not able to attend, please review the attached slides from the presenters to get a glimpse of some of the things we must start doing NOW to get ready.  This transition is sure to be painful, and is sure to disrupt cash flow in the average practice.  In addition, if you email our secretary (contact info below), he will send you additional files and links to help in your research.  Let us be prepared.

Click the link below for PowerPoint slides:


Anti-Vaccine Movement

Recently a parent in Rochester filed numerous complaints against area pediatricians who refused to accept her non-vaccinated child-alleging religious discrimination. The opinion of our lawyer at the firm of Kern Augustine Conroy and Schoppmann is that if the physicians can give a rational explanation – based upon clinical considerations, why they withdraw from treatment of a child whose parent refuses vaccination – the doctor can argue that the determination is based upon clinical considerations rather than upon religious discrimination.  I would like to remind our members that it is the official policy of the AAP not to refuse these patients, but to work with them to use any opportunity to educate them about the benefit of vaccines.  Also, here is a humorous clip from a recent episode of Jimmy Kimmel (Warning – some inappropriate language).


Know a physician who wants to become a member of chapter 2?  E-mail his or her name to our secretary below.

Sincerely,

 

Marc Lashley M.D.,FAAP

President AAP NY Chapter 2