resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
September, 2013, Vol. 13, Issue 09
Educate Your Clients: The Advantages of Baby Wearing
By Claudia Anrig, DC
Since the beginning of the "Back to Sleep" program, which recommended that babies be placed on their backs in order to reduce the risk of SIDS, babies spend more time on their backs than ever.When we add in the time spent in baby carriers, it's no wonder there has been a significant increase in the number of babies with "flat head syndrome."1 However, the bigger concern here is not cosmetic, but instead the issue of cranial distortions potentially resulting in compromised neurological function.1 If you have a clients thinking about or just beginning to add to their families, you can encourage them to educate themselves and look into the reasons why infants should spend less of their awake time on their backs and the alternative ways available to accommodate improved baby positioning.
Why to Encourage Baby Wearing
The benefits of baby wearing are vast. For instance, research has shown that babies who are carried cry 43 percent less than those who aren't and 54 percent less during the evening hours, when colicky babies may be the most fussy.2
Babies that are worn while awake also spend much more time in a quiet and alert state, which is ideal for learning. Since they feel safe and secure, they are more open to outside stimuli, which is the world from their carrier's point of view, not the limited view available from their crib, car seat or stroller. Since they are closer to people and can study facial expressions, carried infants also are more socialized and will typically learn to speak sooner and be more familiar with body language, becoming independent at an earlier age.3
Carried or worn infants are also calmer because all their needs are being met, both their primal and survival needs. They can see, hear, smell, touch and even taste their primary caregiver. According to Dr. William Sears, the pediatrician who coined the phrase, "attachment parenting," being in this position for most of an infant's waking hours provides a motion that has shown to be beneficial for neural development, as well as gastrointestinal and respiratory health. The parental rhythms (walking, heartbeat, etc.) have a balancing and soothing effect on the infant.3 Due to the decreased amount of time spent on their backs, the risk of plagiocephaly or the above-mentioned "flat head syndrome" also is significantly reduced.4
Other Benefits to Baby Wearing
In many cultures, if the baby is awake, then it is being worn or carried by mom, dad or another caregiver. Anthropologists and psychologists studying the behavior of mother and child have determined that their interaction actually shapes behavior. When the baby seems in distress, mother offers a soothing touch or word. When the baby seems hungry, she offers her breast. When the baby focuses on her, she focuses back while smiling or talking in a loving tone. For each action of the baby, the mother responds. According to an article published by the La Leche League, "these sensitive, personality-shaping interactions happen most readily when babies are in the arms of their parents."5
Baby wearing is an opportunity to provide closeness, even when the parent cannot be providing the baby with their undivided attention. This also allows for multitasking: cooking, cleaning, running after a toddler, grocery shopping or performing any other typical parental task, while providing the infant continued security.5
Baby wearing also has physiological benefits for the mother, including increased oxytocin levels, leading to a more intimate maternal bond, easier breast-feeding and improved care, potentially lowering the incidence of postpartum depression.6
Additionally, since the hormone relaxin may be present up to nine months following delivery, this may be healthier for the mother's spine by preventing increased repetitive movements such as carrying her baby and less lifting of car seats, which may lead to postural or spinal misalignments.1
In fact, car seats should only be used while the infant is in the car. The American Academy of Pediatrics recommends that infants spend the least amount possible in seating that maintains a supine or reclined position, including car seats, unless they are actually a passenger in a vehicle. It is best for infants to be upright while being held, carried or worn.7
Some parents have expressed concern that a baby who is constantly held or worn will become fussy and demanding of attention, but studies have actually shown the opposite is true. Apparently, babies who are worn tend to be more satisfied and secure.5
How to Wear a Baby
With the increase in information available, baby wearing has become more popular, so a wide variety of slings and carriers is now available. Slings with rings can be used for newborns, older babies and toddlers. The sling is typically adjusted by running the tail fabric through the rings and then tightening or loosening it until the wearer feels comfortable. With a sling, the baby can be positioned on the parent's front, side or back. Pouch carriers are similar to slings, but offer fewer options for adjustment and generally hold the baby in the front or back only.5 Another option is long, tied wraps, which are 12 feet long and made of woven or knit fabric. The wearer wraps and ties the fabric around her and the baby to keep the infant secure.5
More common, but not always the best, is the backpack or front carrier. Since the design is more rigid in structure, it doesn't always offer options for infant positioning, and they are not flexible from one wearer to the next. Should parents choose to go this route, tell them it would be wise to purchase two so the straps and clips don't have to be adjusted when being used by more than one wearer.5
Recommendations for Choosing a Carrier
When considering the purchase of a baby carrier, tell parents to be sure to think about the following:1
Source: International Chiropractic Pediatric Association, 2008.
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