Podcasts about safe sleep

Send us a textA Hospital-Based Initiative for Infant Safe Sleep Practice.Decker CM, Dunlevey E, Nguyen L, Stence KJ, McCarty E, Jean-Charles TG, Trego T, Ma ZQ.Pediatrics. 2025 Feb 1;155(2):e2024067659. doi: 10.1542/peds.2024-067659.PMID: 39799962As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

In this episode, we sit down with infant sleep educator and Nurture Neuroscience Circle facilitator, Linda Fitzgerald, to explore how nurturing parenting practices shape emotional and mental health starting in infancy. Linda shares her personal story of moving to the U.S. during the pandemic, her journey into neuroscience-based parenting, and why “normal” infant sleep is so often misunderstood. We also dive into research on co-regulation, bedsharing, and the powerful impact of responsive care on long-term well-being.What You'll Learn: • What biologically normal infant sleep really looks like • Why emotional attunement and co-regulation matter • The 7 “Safe Sleep” steps vs. sleep training myths • How nurturing parenting supports long-term mental health • Differences in parenting and healthcare between the U.S. and Czech Republic • The science behind responsive parenting and childhood resilienceLinda Fitzgerald is an infant and child sleep consultant who specializes in attachment-based, brain-informed approaches that honor the parent-infant bond. Originally from the Czech Republic, she blends European and American perspectives in her work. Linda has been mentored by Dr. Lyndsey Hookway and trained as a Nurture Neuroscience Practitioner by Dr. Greer Kirshenbaum. She facilitates the Nurture Neuroscience Circle for new mothers in Fairfax, CA, and offers 1:1 sleep consultations.Links and Resources Mentioned: • Nurture Neuroscience Circle – Fairfax Registration • Instagram: @nurture_neuroscience_circle • The Nurture Revolution – Dr. Greer Kirshenbaum • Sweet Sleep – La Leche League • Why Your Baby's Sleep Matters – Sarah Ockwell-Smith • Evolutionary Parenting – Sleep Resources • KellyMom.comSafe Sleep Resources: • Safe Sleep 7 – La Leche League infographic • Cuddle Curl & Safe Chest Sleeping • Free Co-Sleeping Guide – CosleepyRecommended Book: • Nurture Revolution by Dr. Greer Kirshenbaum — A beautiful guide to infant brain development and the healing power of nurturing care.Instagram Accounts to Follow: • @drgreerkirshenbaum • @lyndsey_hookway • @cosleepy • @happycosleeper • @thebreastfeedingmentorResearch We Discussed: • Maternal Affection & Mental Health: Study linkHigher early maternal affection predicts lower adult anxiety and physical stress symptoms. • Maternal Sensitivity & Brain Development: Study linkLower maternal sensitivity linked to larger amygdala volume—associated with greater emotional reactivity. • REM Sleep & Memory Integration: Study linkREM sleep “replays” experiences, supporting memory consolidation and brain development during milestones.Share this episode with a new parent, birthworker, or anyone curious about infant brain development. Tag us with your favorite takeaway!Connect with Us:@sophiabirth@bayareahomebirth@bornwildmidwiferyStay Wild

Send us a message with this link, we would love to hear from you. Standard message rates may apply.Safe infant sleep guidelines have reduced SIDS deaths by 50-80% over the last three decades, yet funding for this critical public health campaign is now at risk of being cut.• Explained difference between SIDS (sudden infant death syndrome) and SUID (sudden unexpected infant death)• Described the "triple risk model" that leads to SIDS: vulnerable infant + critical developmental period + external stressor• Detailed the history of the Back to Sleep campaign which began in 1994• Outlined key safe sleep recommendations: babies on backs, firm flat surface, no loose bedding or soft objects• Discussed why co-sleeping increases SIDS risk despite cultural preferences• Clarified that products like Dockatot are not designed for safe sleep• Highlighted that Black and Indigenous communities experience higher SIDS rates• Examined how funding cuts could impact access to life-saving health information• Connected these changes to a broader pattern of removing evidence-based health information from government resourcesCheck out our website, email us at yourcheckuppod@gmail.com with questions or feedback, and most importantly, stay healthy until next time.Support the showSubscribe to Our Newsletter! Production and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Safe sleep ain't just for babies! Our bigger, stronger, faster, chattier toddlers and preschoolers need a safe sleep environment too! In today's episode I'll break down toddler safe sleep into 3 categories - safe sleep in a crib, safe sleep in a bed, and safe sleep for ALL little people, regardless of where they're sleeping.In today's episode, I mentioned several past episodes, which are linked below:Help! My Toddler Jumped Out Of The Crib!#LockedUpRaw, Toddler EditionWhen (And How) Should I Stop Securing My Toddler's Door?Melatonin + Kids: When (And When Not) To Use It, And What To Do InsteadIf you're looking for safe toddler sleep items, you can find my favorites in my Amazon Storefront list, Toddler Sleep Essentials.Loved this episode? There is so much more where that came from:️Subscribe....leave a review....and share with your friends!Follow The Fun On IG: @BrittanySheehanSleepWork with me:Custom Sleep PlansSleep CoursesPotty Training & Parenting PlansThe B Hive Client Membership ProgramTake The Sleep QuizSay Hi: info@brittanysheehan.com

Educational – Safe Sleep – In Loving Memory of DerrickNo content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC's Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.

Wish you and your littles could get more sleep? Kevin Lavelle from Harbor joins me to talk about revolutionizing infant and toddler sleep, so parents get rest, be their best self and raise amazing little humans. Kevin Lavelle, the CEO and Cofounder of Harbor, brings a wealth of experience from his role as the Founder and Chairman of Mizzen+Main. Learn more about Harbor and the Remote Night Nanny! Are you dealing with meltdowns? Manage your own emotions and triggers so you can help your child return to center faster inside the meltdown moment. Get my free guide- with audio files! 5 Mindful Mantras for Conscious Moms managing toddler meltdowns. January 13, 2025 Episode 214 Safe Sleep Tools for Infants and Toddlers with Kevin Lavelle from Harbor About Your Host: Cara Tyrrell, M.Ed is mom to three girls, a Vermont based Early Childhood Educator and the founder of Core4Parenting. She is the passionate mastermind behind the Collaborative Parenting Methodology™, a birth-to-five, soul and science based framework that empowers toddler parents and educators  to turn tantrums into teachable moments. Through keynotes, teacher training, and her top-ranking podcast, Transforming the Toddler Years, she's teaching the 5 Executive Functioning Skills kids need to navigate our ever-changing world. Ready to raise world-ready kids who change the world? Visit⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.caratyrrell.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠to begin your Collaborative Parenting journey!

SIDs is scary but research has shown us there are many ways to reduce the risk. We'll discuss the “ABCs” of sleep and how evidence-based information can help reduce the number of SIDs cases there are. This week, I welcome Dr. Darria Gillespie, an ER doc and mom of three, to discuss how safe sleep practices can greatly reduce the risk of SIDs in your home. She joins me to discuss:  Safe sleep practices including the ABCs of sleep for infants How factors like bed sharing, sleep surfaces and infant age influence the risk of SIDS The importance of using evidence-based data to inform parent choices and reduce anxiety Books by Paul Offit https://www.jpma.org/  To connect with Dr. Darria Gillespie follow her on Instagram @drdarria and check out all her resources at https://drdarria.com/. For more safety tips, purchase Dr. Darria's baby-proofing course at nopanicparenting.com. Use PEDSDOCTALK for 15% off her course. Our podcasts are also now on YouTube. If you prefer a video podcast with closed captioning, check us out there and subscribe to PedsDocTalk TV. We love the sponsors that make this show possible! You can always find all the special deals and codes for all our current sponsors on the PedsDocTalk Podcast Sponsorships page of the website.  Learn more about your ad choices. Visit megaphone.fm/adchoices

SIDs is scary but research has shown us there are many ways to reduce the risk. We'll discuss the “ABCs” of sleep and how evidence-based information can help reduce the number of SIDs cases there are. This week, I welcome Dr. Darria Gillespie, an ER doc and mom of three, to discuss how safe sleep practices can greatly reduce the risk of SIDs in your home. She joins me to discuss:  Safe sleep practices including the ABCs of sleep for infants How factors like bed sharing, sleep surfaces and infant age influence the risk of SIDS The importance of using evidence-based data to inform parent choices and reduce anxiety Books by Paul Offit https://www.jpma.org/  To connect with Dr. Darria Gillespie follow her on Instagram @drdarria and check out all her resources at https://drdarria.com/. For more safety tips, purchase Dr. Darria's baby-proofing course at nopanicparenting.com. Use PEDSDOCTALK for 15% off her course. Our podcasts are also now on YouTube. If you prefer a video podcast with closed captioning, check us out there and subscribe to PedsDocTalk TV. We love the sponsors that make this show possible! You can always find all the special deals and codes for all our current sponsors on the PedsDocTalk Podcast Sponsorships page of the website.  Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of Your Sleep Guide, host Mylee Zschech dives into the topic of toddler sleep training, exploring what it means to teach your child how to fall asleep independently and why it's so important. Sleep training can make a huge difference for both your child and your family's overall well-being, as toddlers learn to manage sleep more effectively. Mylee explores multiple sleep training methods that can help, while also sharing key tips on how to approach the process with empathy and understanding. To hear more about effective sleep training strategies and how to guide your toddler through the process successfully, be sure to listen in!    Email: yoursleepguidepodcast@gmail.com Website: https://littlebigdreamers.net/ Schedule a Personalized Consultation: https://littlebigdreamers.net/1833-2/ Instagram: @littlebigdreamerssleep

In this episode we are joined by Dr. Elizabeth Moore to discuss the important topic of safe sleep in infants.

In this episode, I'm diving into some of the really important details that go into making these safe sleep guidelines. I'm a firm believer that we need to know more than just what is recommended, but WHY, so that we can make informed decisions. Join our Bringing Up Baby Community HERE to check out our free resources, including our Safe Co-Sleeping class! HOST: Ashley Cooley, owner of Birth Baby Sleep Website - HERE Instagram - HERE Facebook - HERE Ads:NURTURED - Head over to Nurtured.ca and use code: BUB 15% off your order over $75, some brand exclusions apply. Deal ends Nov. 30th! SLEEPOUT - Use THIS LINK and code birthbabysleep for 10% off portable black-out sleep blinds

Today, we begin the Book of Psalms. We are going to enjoy the whole book in thirty days. Psalms is basically the hymn book of the people of God for worship. It will be a wonderful and very blessed thirty days in the Book of Psalms.

Host: Sarah Gray Guest: Julie Hartshorn Air date: Oct 10, 2024

On today's episode, I dive into Safe Sleep Basics.In this solo episode, I cover the essential guidelines for safe sleep as recommended by the American Academy of Pediatrics (AAP). I discuss the key points every parent should know to ensure a safe sleep environment for their baby, as well as some of the most common unsafe sleep situations I see in the real world. This episode aims to equip parents with the knowledge to make informed decisions about their baby's sleep safety. Ready to curate your perfect postpartum plan? Head over to my etsy shop to download my Postpartum Plan Workbook! Don't forget to use the code 'PODCAST' for 15% off!Shop Here: https://www.etsy.com/shop/SereneMomentsLLCWant input and support from me? Join my membership! For just $30/mo you get access to messaging with me, a members only zoom call & a specialized newsletter with lots of tips & tricks made just for my members! Join by heading over to my website (www.SereneMomentsDoula.com) to sign up!As always if you have input, topic ideas or questions please reach out anytime!-Madison Fugere (Serene Moments LLC)IG & FB: @SereneMoments.Doula

Heather Davis, BSN, RN, CPN, director of the Riverside Family Birthing Center discusses safe sleep practices for babies.

Text us your sleep questions.Are you a new parent looking for reliable advice on how to keep your baby safe while sleeping? In this episode, we cover the "ABCs of Safe Sleep"—a simple guide to help ensure your baby sleeps safely from day one.Tune in to learn:The meaning behind the "ABCs of Safe Sleep" (Alone, Back, Crib) and why these guidelines are vital for newborns and infantsHow to create the safest sleep environment for your baby, including the best crib setup, mattress choice, and sleepwearThe most common safe sleep mistakes and how to avoid themHow to reduce the risk of Sudden Infant Death Syndrome (SIDS) and other sleep-related dangersHear my personal journey with safe sleep and how I had to resort to bedsharing.Whether you're a first-time parent or need a refresher on baby sleep safety, this episode is packed with actionable tips and up-to-date information to help you keep your little one safe during naps and bedtime.RESOURCES: Articles:American Academy of Pediatrics Safe Sleep Guidelines The Safe Sleep SevenBlogs How to Create a Safe and Cozy Newborn Sleep SpacePreventing Flat Head Syndrome (Plagiocephaly) For Babies That Sleep On Their BackSIDS: The Impact It Has On Your Baby & How You Can Reduce The RiskWhen and How to Transition Your Baby Out of the SwaddlePodcasts:#03: Your Baby's Ideal Sleep EnvironmentBrooke Boruff: @infantinsightsWant a free sample baby sleep schedule?

We have a dynamic duo with us today! First off, I don't know if you all remember our favorite board-certified veterinary dentist, Dr. Sharon Hoffman. She was on the podcast a few episodes ago, and we had so many comments and questions about dental care and oral health that we just had to bring her back. We're thrilled she could join us again! Just to remind you, Sharon is not only a board-certified veterinary dentist but also a diplomat of the American Veterinary Dental College. She earned her DVM from Louisiana State University and now runs her own veterinary dental consulting practice in Florida, while also teaching at the University of Florida College of Veterinary Medicine. Now, on to the second part of our dynamic duo! We're joined by Dr. Carolyn McCune, a Michigan native and proud Spartan. Carolyn earned her veterinary degree from Michigan State University, completed an internship at Washington State University, and then did a residency in anesthesia and critical care at UC Davis. She became board-certified in 2009 and, after a stint on the faculty at the University of Florida, launched her own independent anesthesia consulting service, Methos Veterinary. In this enlightening episode, we dive into the critical topic of anesthesia safety in dental care for pets, join us as they discuss the essential role of anesthesia in veterinary procedures and demystify common myths surrounding it. Dr. McKune emphasizes the importance of a veterinarian's thorough preoperative evaluation, highlighting how anxiety can affect pets prior to dental visits. She explains the anesthesia period, which encompasses not just the procedure itself but also the pre- and post-operative care that is crucial for a safe recovery. Dr. Hoffman shares insights on why anesthesia is necessary for comprehensive dental care and the risks associated with not using it. Together, they address frequently asked questions from pet owners, including the significance of IV catheters, the realities of anesthesia recovery, and how to prepare pets for surgery. Throughout the episode, the duo debunks several misconceptions, such as the idea that smaller pets are inherently more at risk during anesthesia. They also discuss the importance of pain management and the individual considerations needed for pets with pre-existing conditions. Whether you're a seasoned pet owner or new to the world of veterinary care, this episode is packed with valuable information that will help you understand the safety protocols surrounding anesthesia in dental procedures, ensuring your furry friends receive the best care possible. Tune in for a thoughtful discussion that prioritizes the health and well-being of our beloved pets! Support our sponsor for this episode Blue Buffalo by visiting bluebuffalo.com. BLUE Natural Veterinary Diet formulas offer the natural alternative in nutritional therapy. At Blue Buffalo, we have an in-house Research & Development (R&D) team with over 300 years' experience in well-pet and veterinary therapeutic diets, over 600 scientific publications, and over 50 U.S. patents. At Blue Buffalo, we have an in-house Research & Development (R&D) team with over 300 years' experience in well-pet and veterinary therapeutic diets, over 600 scientific publications, and over 50 U.S. patents. All footage is owned by SLA Video Productions.

In this podcast we discuss current recommendations on safe sleep for baby.  Join Dr. Renda Knapp, a board certified Ob/Gyn and Dr. Rachel Schultz, a board certified pediatrician, as they discuss current recommendations on safe sleep for your newborn. This is the podcast that gives practical, evidence based advice and information on all topics related to pregnancy, childbirth and raising children.

Episode 35: SIDS, Safe Sleep and Bed Sharing: Breaking Down the Stats with Shaelise Tor In this episode, Rachel speaks with Shaelise Tor, a pediatric researcher and clinician, about the data on SIDS, infant sleep and breastfeeding, and bed sharing. The conversation covers the difference between intentional and unintentional bed sharing and the fear of judgment for parents who bed share. They discuss the misinformation and fear mongering surrounding these topics and the importance of breaking down the research to offer parents more compassion and nuance when it comes to safe sleep education. Shaelise shares her background and how she became passionate about sleep and infant mental health, and discusses the benefits and challenges of working in a clinical pediatric setting. They discuss ways to prevent SIDS, including safe sleep practices and breastfeeding. Rachael and Shaelise emphasize the need for a more nuanced approach to bed sharing and the importance of social determinants of health. Learn how to intentionally, more safely bed share, what NOT to do, and much more in this important episode. Disclaimer: This information in this episode is for entertainment and educational purposes only and does not constitute medical advice. Please seek immediate care from your physician if you have any concerns about your baby or child's health. Mentioned in this episode: Follow Shaelise on Instagram: @settled_and_soothed  Safe Sleep Seven for Bed Sharing New Study on Bed Sharing and SUID If you enjoyed this episode, please rate 5⭐️ and write us a review! ⬇️ ✨For sleep support and resources on infant and child sleep, visit heysleepybaby.com and follow @heysleepybaby on Instagram!

Let's talk about how to deal with anything stressful or scary in our sleep life

This week's episode is all about Safe Sleep. At The Happy Sleep Company, we get a lot of questions about safe sleep, and often these questions go beyond the ABC's of sleep for baby! So this week's episode is giving an overview of those ABC's - the basics of Safe Sleep for baby plus some added nuances from a Sleep Consultant. MORE resources on Safe Sleep  via Health CanadaErin Junker | Paediatric Sleep ConsultantInstagram @thehappysleepcompanyWebsite www.thehappysleepcompany.com

Join us on the latest episode of the Baby Pro Podcast as we explore the tender practice of co-sleeping and bed sharing, featuring our special guest, Zoe Ayre. Zoe is an author renowned for her children's literature, thought provoking essays and soulful social media posts. Her latest book, released in April 2023, “I Will Always Help You Sleep,” and her Instagram presence as “The Respectful Mum,” offers insights into nurturing and respectful parenting approaches from infancy. She shares advice and experiences about the joys and challenges of gentle parenting. During our discussion, Zoe guides us through the intricate and comforting dimensions of nighttime parenting while we also tackle the cultural taboos, safety concerns, and the profound bonds that are strengthened through these nighttime practices. In this episode, you will learn the following:   Co-sleeping and bed sharing can enhance parent-child bonds through shared sleep experiences. Cultural perspectives on co-sleeping vary widely with Western societies often promoting independence and other cultures viewing shared sleep as a natural part of parenting. Addressing the stigma and criticisms around bed sharing is important as many parents quietly practice it despite fear based messaging. Safe bed sharing practices such as the cuddle curl position can prevent parents from rolling onto the baby and facilitate easier breastfeeding. The Safe Sleep 7 guidelines can help parents create a safer bed sharing environment by considering factors like sobriety, smoking and the baby's health.  Parents should make informed decisions about their family's sleep arrangements without succumbing to societal pressures or external judgment.  Connect with Zoe: Website: Home - The Respectful Mum  Instagram: Instagram (@therespectfulmum)  Tiktok: TheRespectfulMum- Zoe Ayre's Creator Profile  Amazon: I Will Always Help You Sleep (US version): A Gentle Parenting Storybook Series Connect with Shelly: Website: Massachusetts IBCLC | Lactation Consultant - Shelly Taft Insta: Instagram (@shellytaftibclc) Article mentioned: One third of women have health complications after birth:  One-third of women experience health problems overlooked during childbirth, study says

Show Notes: In this episode, we talk about infants and how to ensure a safe sleep environment. Chris Knoblauch, Director of Education/Community Outreach with St. Tammany Parish Coroner's Office, and Sara Dickenson, Maternal Child Health Coordinator Supervisor with the Bureau of Family Health, join us to give valuable but simple tips for learning about safe sleep for infants, featuring Partners for Family Health and the Cribs for Kids program. We take a moment for mental health and discuss ways to mindfully slow down, simplify and focus on what's best for yourself. We honor hero Gene Fontenot.

Ever wondered why the media portrays babies sleeping amidst fluffy pillows and cuddly teddy bears as adorable, when in reality, such actions could potentially increase their risk if SIDS? Let's debunk the glittering misconceptions the media feeds, and have an honest conversation about sudden infant death syndrome (SIDS) and the importance of safe sleep practices for infants. Join us as we dissect the 'Back to Sleep' campaign.Switching gears, we interview Paula MacSweeney from Today FM where we share our heartwarming and sometimes nerve-wracking experiences of preparing for a baby. We also exchange stories on the exhilaration of gender surprises, the challenges of new motherhood, and the often-overlooked loneliness of the postpartum period. We candidly discuss the importance of a supportive 'village' around new mothers and shed light on the impact of maternity leave on their well-being. Wrapping up our conversation, we delve into how having children alters our perspectives on empathy, punctuality, and handling criticism. We share advice on how to navigate the often confusing world of parenting, advocating for oneself, and the need for evidence-based information. Join us on this enlightening journey as we explore the highs and lows of parenting, the importance of safe sleep practices, and the realities of motherhood.

Are you wondering the best practices for putting infants to sleep? Listen to Megan Canady and Katlyn Moss in defining the updated guidelines for safe sleeping practices to share with parents of infants. They will be answering parents' most-asked questions about new products and how to encourage patients to ask for help in this immensely important aspect of a child's growth. We hope you enjoy it, and find this helpful for your care!Safe Sleep; American Academy of Pediatrics:https://www.aap.org/en/patient-care/safe-sleep/Safe Sleep North Carolina: https://safesleepnc.orgYou Quit Two Quit: https://youquittwoquit.orgUniversity of Notre Dame; Mother-Baby Behavioral Sleep Laboratory:  https://cosleeping.nd.eduPodcast Survey: https://redcap.mahec.net/redcap/surveys/?s=XTM8T3RPNKPlease provide feedback here:https://redcap.mahec.net/redcap/surveys/?s=XTM8T3RPNK

This week, we are doing another Journal Club episode discussing a recent article in Pediatrics titled "Fathers, Breastfeeding, and Infant Sleep Practices: Findings From a State-Representative Survey."  Here's what we will learn from the article. Exploring the Study:Brief overview of the scientific study assessing infant breastfeeding initiation and safe sleep practices among fathers.Emphasis on the significance of including fathers in promoting breastfeeding and safe sleep for infants.Introduction of Pregnancy Risk Assessment Monitoring System (PRAMS) for Dads, the population-based cross-sectional study from Georgia.Infant Breastfeeding Initiation and Paternal Characteristics:Highlighting the study's findings that 86.1% of fathers reported infants ever breastfed.Noting that 63.4% of fathers reported breastfeeding at 8 weeks.Discussion of the influence of paternal characteristics:Fathers who wanted the infant's mother to breastfeed were more likely to report breastfeeding initiation and continuation at 8 weeks.Fathers with higher education levels (college graduates) were more likely to report positive breastfeeding outcomes.Safe Sleep Practices and Paternal Influence:Pointing out that around 81.1% of fathers reported placing their infants on their back for sleep.Noting a discrepancy in safe sleep practices:Fewer fathers reported avoiding soft bedding (44.1%).Even fewer fathers reported using an approved sleep surface (31.9%).Only two-thirds (68%) reported receiving education about all three aspects of safe sleepFathers are more likely to report they received education via their partner vs directly from a healthcare professionalPromoting Involvement and Education:Discussion of the implications of the study's findings on father involvement in infant care.Emphasizing the importance of engaging fathers in breastfeeding support and safe sleep education.Stating that the study highlights opportunities for improving infant feeding and safe sleep practices through targeted education.Conclusion:Recap of the study's key findings regarding infant breastfeeding initiation and safe sleep practices among fathers.Encouragement to recognize the crucial role dads play in their babies' well-being.A call to action for increased access to health education for fathers to improve infant care practices.Closing:Thank you for tuning in to this episode of the Docs2Dads Podcast.Stay connected for more insightful discussions on parenting topics that matter.Remember, dads, your involvement matters – let's ensure our children's health and safety together.Have a question about this or other topics? Connect with Dr. Scott at the Social links below: Linkedin: https://www.linkedin.com/in/drscottpeds Instagram: https://www.instagram.com/docs2dadspod Email: docs2dadspod@gmail.com Facebook: https://www.facebook.com/docs2dadspod

In this episode Huma Ali Khan, MD, MPH, FAAP, explains why children and teens self-harm, how pediatricians can identify it and ways to treat it. Hosts David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, also speak with John James Parker, MD, about his research into fathers' roles in breastfeeding and safe sleep. For resources go to aap.org/podcast.

Adam creates a hypnosis session to help a client get a good night's sleep by tapping into multiple levels of disassociation using those places where the client felt safe and secure and relaxed. Adam then uses a protocol to let go of regrets, pain, guilt, shame and anger of the past to facilitate a feeling of relaxation and acceptance - a useful session if you'd like to have a good night's sleep.  FREE HYPNOSIS DOWNLOADS: To thank you for being a listener to the show Adam is giving you 100% FREE hypnosis downloads worth up to £200/$250 using the coupon code FREE here: https://www.adamcox.co.uk/store/c15/FREE-Hypnosis  There is a 50% Discount on up to 10 other downloads using the coupon code hypnotist here: https://www.adamcox.co.uk/downloads.html  WORKING WITH ADAM DIRECTLY:  To book a free 30-minute consultation call to consider working with Adam go to: https://go.oncehub.com/AdamCox If you want to work with Adam on a one-to-one basis on hypnosis sessions, wealth coaching, or mentorship you can book sessions here: https://www.adamcox.co.uk/hypnotherapist.html  ABOUT ADAM Adam Cox is one of the world's most innovative hypnotists and is known for being the hypnotherapist of choice for Celebrities, CEO's and even Royalty. Adam's rates for hypnotherapy in pounds and US dollars are here: https://www.adamcox.co.uk/hypnotherapist.html  You can contact Adam at adam@adamcox.co.uk Further information on Adam is here: https://linktr.ee/AdamCoxOfficial  Tags: Adam Cox, the hypnotist, NLP, asmr, hypnosis, hypnotherapy, hypnotist, stress, sleep, worry, meditation, guided meditation, hypnotism, anxiety, parts therapy, motivation, focus, confident, identity,sleeping, sleeping pill, insomnia, bedtime, sleep hypnosis, hypnosis to sleep, 

In this episode, we dive deep into the important topic of safe sleep for babies. We discuss essential guidelines and practices that promote a safe and secure sleeping environment for babies in order to prevent Sudden Infant Death Syndrome (SIDS). Whether you're a new parent or experienced caregiver, this episode equips you with essential knowledge to create a safe sleep environment for your baby. I aim to empower you to make informed choices that prioritize your baby's well-being and promote restful and secure sleep. Email: yoursleepguidepodcast@gmail.com Website: https://littlebigdreamers.net/ Newborn Sleep Guide: https://littlebigdreamers.net/newborn-sleep-guide-creating-healthy-sleep-habits-from-the-start/ Instagram: @littlebigdreamerssleep

There are so many myths around there surrounding newborn sleep.  In this episode I explore 6 different myths, what the truth is and why.   Myth #1: "Formula-fed babies sleep longer than breastfed babies." Myth #2: "You should never wake a sleeping baby." Myth #3: "Breastfeeding comes naturally." Myth #4: "Some babies just don't like being swaddled." Myth #5: "Babies can sleep 12 hours by 12 weeks." Myth 6: "A baby may choke on their spit up if they're sleeping on her back."   Have another myth you'd like me to explore?  Send an email and I'd be happy to include it in a future episode.   Email: yoursleepguidepodcast@gmail.com Website: https://littlebigdreamers.net/ Lactation Consultation: https://littlebigdreamers.net/packages-and-pricing/ Instagram: @littlebigdreamerssleep

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In this interview, Taylor (@taylorkulik) and I talk about what's normal in regards to infant sleep in the first year and what's not normal. We cover the Safe Sleep 7 and what is and is not recommended in terms of safe sleep environments. If you're dealing with sleep red flags, we talk about what to consider next including things like oral ties, airway issues, breastfeeding problems, and food sensitivities as well as where to look for next steps. Most importantly, we talk about how to function and care for yourself during a season of very little sleep. Taylor's website with info on consults and courses can be found HERE. Her podcast episode that goes in-depth on sleep red flags is HERE. Taylor did a sleep module within the postpartum segment of my breastfeeding course, Nourished Beginnings. You can find that course HERE⁠⁠. (code PODCAST15 will get you 15% off!) Use THIS LINK + code "newtoearthley" for 10% the Goodnight (magnesium) Lotion we talk about at one point. Dr. Jame's McKenna's books, research, and website are a wealth of sleep information for moms of young children. You can find his safe co-sleeping guidelines HERE. This BBC article from 2022 summarizes a lot of what we do know about infant sleep (which isn't as much as we like to think). I found this article to be extremely interesting since it analyzed global trends and reported sleep norms. You can read it for yourself HERE. THIS podcast interview with Abigail Dodds on the Journeywomen podcast was so encouraging to me in one of my seasons of sleep deprivation. Finally, THESE WORDS from Charles Spurgeon hit me when my first was just 2 months old and, like I mention in the episode, I was just so discouraged that he wasn't sleeping the way I'd expected him to. **This podcast is for educational purposes only! The opinions of myself or my guests are never meant to replace individual medical advice. Please practice informed consent with your mom intuition and your care team.** -- If you're enjoying this podcast, please subscribe and leave a review in Apple Podcasts to help other people find us! You can also find me on Instagram ⁠@happy.mama.healthy.baby⁠ for more content. Sign up for my monthly newsletter and get a free freezer meal download: ⁠https://happymamahealthybaby.ck.page⁠ Learn more about my work and schedule an in-person or virtual lactation consult ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠at ⁠happymamahealthybaby.co⁠ Our online breastfeeding and postpartum course: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://bit.ly/nourishedbeginningscourse⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (15% off with code PODCAST15) Postpartum recipes and resources: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://bit.ly/nourishedmotherbundle⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ My allergy e-cookbook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://bit.ly/nourishedwithnuance⁠ --- Support this podcast: https://podcasters.spotify.com/pod/show/milkandmotherhood/support

Today I am going to talk about why I cannot ethically promote formula feeding and fed is best rhetoric and why we need to understand why downplaying formula feeding risks is dangerous and unhelpful to parents. We'll also chat about how our government and healthcare agencies are actually part of the problem. I acknowledge that some of this information may be hard to hear and that feelings of guilt may occur. Know that I present this information to educate, bring awareness and prevent harm to the next generation. We all do what's best with what we know at the current moment. That goes for moms, birth professionals, dads, grandparents, and other caregivers. However, use this information to educate the next generation of parents. It would be unethical however to not bring awareness to this topic. Safe Sleep and SIDS: Does Breastfeeding Reduce the Risk of Sudden Infant Death Syndrome? | Pediatrics Breastfeed Your Baby to Reduce the Risk of SIDS The Safe Sleep Seven - La Leche League International Bedsharing and Breastfeeding: The Academy of Breastfeeding Medicine Protocol #6, Revision 2019 Formula Marketing & WHO Code Scope and impact of digital marketing strategies for promoting breastmilk substitutes WHO reveals shocking extent of exploitative formula milk marketing AAP's Relationship with Formula Companies - USLCA The Many Crimes of The Nestle Company The International Code of Marketing of Breast-Milk Substitutes FAQ Strategy 9. Addressing the Marketing of Infant Formula | CDC https://www.llli.org/wp-content/uploads/August-2020-code-graphic-final.png The Nestle Baby Formula Scandal: The Darkest Chapter in Corporate History Access your FREE Guide on mastering 5 Techniques to Conquer the Fear of Birth. As a bonus, discover a collection of mindfulness tools curated to quell anxiety and fear during pregnancy and childbirth. ⁠Grab Your Guide⁠. Live long, loud, and in prosperity-dear members of the "RebelBirth Crew."  Until we cross paths again, thrive unapologetically! ⁠Instagram⁠  ⁠Website⁠  ⁠Submit a Topic⁠  ⁠Be My Guest⁠ --- Support this podcast: https://podcasters.spotify.com/pod/show/thebirthrebel/support

100% Safe Sleep (278) Enjoy! https://ia600500.us.archive.org/15/items/mutation-278/Mutation278.mp3

Episode six of The Lamaze Podcast is now out! Tune in to host Priyanka Banerjee BSc, MSc, as she is joined by Kim Hawley, MA, MPH, IBCLC to discuss newborn and safe sleep. Listen in as they discuss the history of safe sleep, Sudden Infant Death Syndrome (SIDS), what safe sleep looks like, practical advice that parents can implement in their daily routines, and how to optimize sleep for the whole family. Kim Hawley, MA, MPH, IBCLC is a Holistic Sleep Coach, Lactation Consultant, and Peaceful Parenting Educator. She is the owner of Intuitive Parenting, where she provides holistic, attachment-based sleep support for babies, toddlers, and breastfeeding families. Connect with Kim: Email: intuitiveparentingdc@gmail.com Website: https://intuitiveparentingdc.com/ Instagram: @intuitive_parenting_dc Facebook: /intuitiveparentingdc

Sherri Hannan, a Registered Nurse and the Safe Kids Fayette County Coordinator, joins us to discuss the risks that newborns can face during sleep and how to reduce them.

Drs Leah Middelberg and Taylor Hartlaub visit the studio as we explore guidelines for safe baby sleep. SIDS and suffocation are the most common causes of death between the ages of one month and one year. Most of these deaths are preventable by following a few simple rules. We hope you can join us!

Select segments from PediaCast. For full-length episodes, visit PediaCast.org, Apple and Google Podcasts, iHeart Radio, Spotify, SoundCloud, Amazon Music or wherever else podcasts are found!

October is Safe Sleep Awareness Month and we're excited to be talking with Tonya Akwetey, Community Outreach Manager with Healthy Start Coalition of Polk, Highlands and Hardee Counties on the this important topic regarding safe sleep. Tonya breaks down the ABC's of Safe Sleep to help us understand how we can help babies reach their first birthday. Babies should sleep ALONE, on their BACK and in a CRIB! Online Resources: Healthy Start Hardee, Highlands and Polk American Academy of Pediatrics Recommendations Healthy Start's Beds for Babies Project: Thanks to the funding by Florida Citrus Growers Grant and GiveWell Foundation, families can receive a brand new pack and play, 2 fitted sheets, swaddler and the book Safe and Snug. To learn more contact Nina Clark at 863-534-9224.

This episode is an evidence-based update regarding the new American Academy of Pediatrics (AAP) 2022 guidelines for safe sleep and breastfeeding.

Safe sleep resources: https://www.tn.gov/health/health-program-areas/fhw/vipp/safe-sleep.html (TN Department of Health Resources) https://www.aap.org/en/news-room/news-releases/aap/2022/american-academy-of-pediatrics-updates-safe-sleep-recommendations-back-is-best/ (New APP Guidelines) https://cribsforkids.org/ (Cribs for Kids) No content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC's Podcasts in determining the best practices for any particular patient.  Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.  

You asked, I answered! This week I'm taking your questions about safe sleep for babies & toddlers - from doc a tots and pack n play mattresses to crib bumpers and car seats, I'm hitting you with all the hard truths - including a few things you DON'T have to worry about when it comes to sleep safety!

Common practices and safety recommendations for safe infant sleep vary across the world, and from one health organization to another. In this episode your cohosts continue to cover the complicated studies, statistics, and recommendations surrounding bedsharing with your infant. M&H also discuss "breast sleeping" and what guidelines say about that! Who actually bedshares? What are the real risks of doing so? Are there any benefits? Join the Milk Minute to find out.CONTENT WARNING: infant death is discussed in this episode, though not graphically described. THANK YOU TO THIS EPISODE'S SPONSORSGet your breastfeeding journey BACK ON TRACK with a Lactation Consult with Heather! Telehealth available and some insurance accepted. Click HERE for the deets. If you have Blue Cross Blue Shield, Anthem, or Cigna PPO – you can fill out a short form to get pre-approval to get your visits with Heather 100% approved! Click HERE to access the form!Book a Lactation Consult today! Booking a virtual consult with Maureen is now easier than ever. Click HERE to get started!Liquid IV- Click HERE to order Liquid IV! Use promo code MILKMINUTE for 25% off your order and free shipping.Listener Question: What are some safe ways to co-sleep? I am also having a hard time breaking the habit of co-sleeping; my child is having a hard time sleeping in their own bed.THANK YOU to our new Patrons:Elizabeth from Minnesota and Jacqueline from New York!Episodes Mentioned:Ep. 62 -  Smoking Cigarettes and Breastfeeding: safety recommendations and moreEp. 60 - Alcohol and Lactation: A Reassuring Look at the NumbersResource:La Leche League - The Safe Sleep SevenFind the new Milk Minute Podcast website by clicking here!Become a Milk Minute VIP: Click here to get behind-the-scenes-access and exclusive merch!Contact us: To send us feedback, personal stories, or just to chat you can send us an email at milkminutepodcast@gmail.comGet Community Support: Click Here to Join our Free Facebook Community!Stay up to Date: Find us on INSTAGRAM @milk_minute_podcastStare at us on TikTokPrefer to read the transcript? - Click Here to read the edited version of this episode!All of the resources cited in this episode are available on our professional transcript.Support the show

In June of 2022 the American Academy of Pediatrics updated their safe sleep guidelines. These updates included discussions on weighted sleep sacks, room sharing, SIDS monitoring devices and more. Naturally, I invited Holly Choi of Safe Beginnings on to talk with us about these updates! As a safety experty, Holly is always in the know about the latest research and news so she sits down to explain it all to us. MENTIONS: https://www.aap.org/en/news-room/news-releases/aap/2022/american-academy-of-pediatrics-updates-safe-sleep-recommendations-back-is-best/ (See the new AAP guidelines) https://safebeginnings.ca/ (Holly's CPR class ) https://littlezsleep.com/blog/swim-safety-tips-with-infants-toddlers-and-preschoolers/ (Swim safety episode with Holly) https://littlezsleep.com/blog/understanding-updated-baby-sleeper-guidelines-from-cpsc/ (Rock N Play Recall episode with Holly) https://littlezsleep.com/blog/bed-safety-for-kids/ (Bed Safety episode with Holly ) CONNECT WITH BECCA: Have a question? Send us an email! support@littlezsleep.com Ready to make sleep a thing? http://www.littlezsleep.com/programs (Find your sleep program!) Subscribe to our http://www.youtube.com/littlezssleepconsulting (YouTube Channel) Follow on http://www.instagram.com/littlezsleep (Instagram)

Common practices and safety recommendations for safe infant sleep vary across the world, and from one health organization to another. In this episode your cohosts begin to unravel the complicated studies, statistics, and recommendations surrounding bedsharing with your infant. Who actually bedshares? What are the real risks of doing so? Are there any benefits? Join the Milk Minute to find out.CONTENT WARNING: infant death is discussed in this episode, though not graphically described. THANK YOU TO THIS EPISODE'S SPONSORSGet your breastfeeding journey BACK ON TRACK with a Lactation Consult with Heather! Telehealth available and some insurance accepted. Click HERE for the deets. If you have Blue Cross Blue Shield, Anthem, or Cigna PPO – you can fill out a short form to get pre-approval to get your visits with Heather 100% approved! Click HERE to access the form!Book a Lactation Consult today! Booking a virtual consult with Maureen is now easier than ever. Click HERE to get started!Aeroflow -  The easiest way to order your breast pump through your insurance. Click HERE to order today!Listener Question: I have started using a Haakaa and am experiencing some discomfort. Is that normal?THANK YOU to our new Patrons:Katie Brewer from Irvine, CAKatie Baker-CohenEpisodes Mentioned:Ep. 55 - Do you feel sleepy & thirsty while nursing? A look at hormones…Ep.59 - Mom Genes: Interview with Abigail Tucker, New York Times Best Selling AuthorEp. 60 Smoking Cigarettes and Breastfeeding: Safety Recommendations and MoreOther Podcast Mentioned:The Ologies Podcast with Alie Ward Sleep EpisodeFind the new Milk Minute Podcast website by clicking here!Become a Milk Minute VIP: Click here to get behind-the-scenes-access and exclusive merch!Contact us: To send us feedback, personal stories, or just to chat you can send us an email at milkminutepodcast@gmail.comGet Community Support: Click Here to Join our Free Facebook Community!Stay up to Date: Find us on INSTAGRAM @milk_minute_podcastStare at us on TikTokPrefer to read the transcript? - Click Here to read the edited version of this episode!All of the resources cited in this episode are available on our professional transcript.Support the show

After multiple formula-related infant deaths were reported to the FDA in February, samples from Abbott Laboratories' Sturgis, Michigan baby formula production facility tested positive for cronobacter, triggering a recall and a subsequent formula shortage. In this episode, Jen uncovers monopoly and neglect in the baby formula production industry, lack of oversight by the FDA, and the United States' refusal to adopt the World Health Organization's International Code of Marketing of Breast-Milk Substitutes. Please Support Congressional Dish – Quick Links Contribute monthly or a lump sum via PayPal Support Congressional Dish via Patreon (donations per episode) Send Zelle payments to: Donation@congressionaldish.com Send Venmo payments to: @Jennifer-Briney Send Cash App payments to: $CongressionalDish or Donation@congressionaldish.com Use your bank's online bill pay function to mail contributions to: 5753 Hwy 85 North, Number 4576, Crestview, FL 32536. Please make checks payable to Congressional Dish Thank you for supporting truly independent media! View the shownotes on our website at https://congressionaldish.com/cd254-baby-formula-shortage Background Sources Recommended Congressional Dish Episodes CD234: AWOL Recall: The Rock and Play Sleeper The Formula Shortage Abbott. Jun 15, 2022. “Update on Abbott's Sturgis Plant and Formula Production.” “Testimony of Robert M. Califf, M.D., Commissioner of Food and Drugs, Food and Drug Administration, Department of Health and Human Services, before the Committee on Health, Education, Labor & Pensions, Infant Formula Crisis: Addressing the Shortages and Getting Formula on Shelves.” May 26, 2022. U.S. Senate. Center for Food Safety and Applied Nutrition. May 18, 2022. “Guidance for Industry: Infant Formula Enforcement Discretion Policy” [FDA–2022–D–0814]. U.S. Food and Drug Administration. Annie Gasparro and Jaewon Kang. May 12, 2022. “Baby Formula Shortage Could Leave Parents Scrambling for Months.” The Wall Street Journal. U.S. Food and Drug Administration. Feb 2022. “FDA Investigation of Cronobacter Infections: Powdered Infant Formula.” Baby Formula Monopoly Matt Stoller. May 13, 2022. “Big Bottle: The Baby Formula Nightmare.” BIG by Matt Stoler on Substack. Sam Knight. Apr 23, 2022. “Company Responsible for Tainted Baby Formula Has Monopoly Over Aid Program Sales.” Truthout. FDA Failure Letter from Rep. Raja Krishnamoorthi to FDA Commissioner Robert Califf. March 24, 2022. U.S. House of Representatives. Poisoned Baby Food House Committee on Oversight and Reform, Subcommittee on Economic and Consumer Policy Staff. Feb 4, 2021. “Report: Baby Foods Are Tainted with Dangerous Levels of Arsenic, Lead, Cadmium, and Mercury.” Operation Fly Formula Brenda Goodman and Deidre McPhillips. Jun 10, 2022. “How far will Operation Fly Formula shipments really go to fill America's store shelves?” CNN. The White House. May 22, 2022. “Biden Administration Announces Second Operation Fly Formula Flight.” White House Briefing Room: Statements and Releases. 60 minutes Segment Bill Whitaker. May 22, 2022. “Medical Middlemen: Broken system making it harder for hospitals and patients to get some life-saving drugs.” 60 Minutes. The WHO Code and Formula Marketing The World Health Organization. Apr 28, 2022. “Scope and impact of digital marketing strategies for promoting breastmilk substitutes.” The World Health Organization. Apr 28, 2022. “WHO reveals shocking extent of exploitative formula milk marketing.” The World Health Organization. #EndExploitativeMarketing Petition. La Leche League International. “International WHO Code.” Bonnie Goldstein. Jul 13, 2018. Paper Cuts: No Match for Mother's Milk. Project on Government Oversight. Baby-Friendly USA website. The World Health Organization. Jan 27, 1981. “International Code of Marketing of Breast-Milk Substitutes.” Fisher-Price Update Katie Porter [@RepKatiePorter]. Jun 15, 2022. “Following yesterday's news of previously unreported infant deaths in Fisher-Price products, I'm calling on the company to immediately recall all…” Twitter. Laws H.R.7791: Access to Baby Formula Act of 2022 Jen's Highlighted PDF of Public Law 117–129 H.R.3182: Safe Sleep for Babies Act of 2021 Audio Sources INFANT FORMULA CRISIS May 26, 2022 Senate Committee on Health, Education, Labor, and Pensions The committee concluded a hearing to examine the infant formula crisis, focusing on addressing the shortage and getting formula on shelves. Witnesses: Robert M. Califf, Commissioner of Food and Drugs, Food and Drug Administration Clips 37:26 Dr. Robert Califf: Frankly, the inspection results were shocking. Standing water, cracks in key equipment that presented the potential for bacterial contamination to persist, particularly in the presence of moisture, leaks in the roof, a previous citation of inadequate hand washing and current poor foot sanitation, bacteria growing from multiple sides, and many signs of a disappointing lack of attention to the culture of safety in this product that is so essential to the lives of our most precious people. 38:14 Dr. Robert Califf: As soon as we receive positive cronobacter results from environmental samples at the facility that we collected during the inspection, we contacted Abbott to ask the company to issue a voluntary recall. The need to take urgent action to protect the most vulnerable of all of our people -- infants -- presented a dilemma. This was the largest plant of the dominant manufacturer, and it was the sole source of a number of metabolic formulas essential for viability of infants with no substitution possible, because Abbott had no backup plan. We knew that ceasing plant operations would create supply problems, but we had no choice given the unsanitary conditions. 50:50 Sen. Richard Burr (R-NC): Why haven't you waived labeling requirements from trusted manufacturers in countries like the UK, Australia or Canada? Couldn't manufacturers provide temporary labels on imported formula? Cans if the label is printed in a language other than English until US manufacturing is restored? Some countries have higher nutritional requirements. Why can't we provide a waiver for their products to come into the country? Dr. Robert Califf: We've waived many of the requirements that are the ones that make sense, but the directions have to be clear to Americans in language that's understandable so the formula can be mixed correctly. An error in mixing up the formula for example, can lead to a very sick infant not getting the right nutrition. 2:16:18 Dr. Robert Califf: We saw the lack of quality in the system and the lack of accountability for the problems that were there. And so we had to invoke the Justice Department to negotiate a consent decree, which is essentially Abbott saying, “Yes, we had all these problems. Here's exactly what we're going to do to fix them.” For legal reasons, I can't discuss the exact details of the negotiation, but let's just say that it took a little armwrestling to get to the point where the Justice Department got Abbott to sign the consent decree. FORMULA SAFETY AND SUPPLY: PROTECTING THE HEALTH OF AMERICA'S BABIES May 25, 2022 Committee on Energy and Commerce: Subcommittee on Oversight and Investigations Witnesses: Robert M. Califf, Commissioner, Food and Drug Administration Frank Yiannas, Deputy Commissioner, Food Policy and Response, Food and Drug Administration Susan Mayne, Director, Center for Food Safety and Applied Nutrition, Food and Drug Administration Chris Calamari, Senior Vice President of U.S. Nutrition, Abbott Robert Cleveland, Senior Vice President of the Nutrition Business Unit for the US and Europe, Mead Johnson Nutrition Scott Fitz, Vice President of Technical and Production, Gerber Clips 41:55 Robert Califf: Because of the lack of the diversification of this market in the absence of a central hub for integrating supply chains, we concluded early on that getting the Sturgis facility up and running safely was a top priority. But we had no confidence in the integrity of the Abbott quality program at this facility. Accordingly, we initiated proceedings toward a consent decree, which requires Abbott to undertake steps to assure safe production of formula, including hiring an outside expert with reporting to FDA. 43:03 Robert Califf: Despite the overall numbers showing diminished but steady supply, we knew that distribution was an issue. Some areas were experiencing significant shortages, but overall, there was enough formula to go around. About a month ago, the reports of shortages on the shelf proliferated, although there was not a drop in production. This increase in consumption most likely represents heightened concern of parents and caregivers about shortages, leading to an understandable effort to purchase ahead to ensure adequate supply at home. This type of cycle has happened with other products throughout the pandemic, and we realize that the only solution is to have adequate supply to make sure shelves are stocked. 45:57 Robert Califf: Abbott's enormous market share left it with a responsibility for producing safe infant formula that was not met. We will do everything in our power to work with Abbott to make this happen as quickly and as safely possible, but this timing is an Abbott's control. 46:35 Robert Califf: Across the industry we regulate, we are seeing evidence that the just-in-time distribution system, market concentration, and sole-source contracting are leading to shortages. Multiple reports to Congress call for improved supply chain management. Until regulatory agencies have digital access to critical supply chain information and personnel to do the work, we will continue to react to supply chain disruptions rather than intervening to prevent them. 1:01:113 Robert Califf: It's really important for people to go to the HHS website: hhs.gov/formula. There you'll find the hotline for all the manufacturers and helpful information about where to go. 1:04:12 Robert Califf: You would be surprised to know there's no just-in-time system where all the FDA employees can see what's going on. What we really need is access to the information that the manufacturers have about each of their individual supply chains. They each have their individual supply chains, but there is no national system to make sure the supplies getting where it needs to go. 1:05:11 Rep. Cathy McMorris Rodgers (R-WA): Did FDA not have a data analytics tool to monitor the supply chains of various products, including infant formula? Robert Califf: We requested funding for a tool and because we didn't get the funding, we cobbled it together. It's a start, but it's nowhere near — you know, again, I was at Google for five years. The technology at FDA, and in many federal agencies is outmoded and needs an upfit, there's just no question about. 1:07:33 Susan Mayne: We have been in discussion with infant formula manufacturers throughout COVID, but discussion is not the same thing as data and we do not have the authorities to demand data from the companies to get necessarily all the information that you would want to have to really monitor the supply chains as Dr. Califf indicated. 1:10:30 Robert Califf: But given what we saw, the only way we could have confidence was through a consent decree, where we literally have oversight of every single step. When we met with the CEO yesterday, there were hundreds of steps that they went through that they're having to do, many of which have already been done. So it's only if we have direct oversight over it that I would have confidence, but I do have confidence that we are seeing every single step both physically in-person, and also through following the documentation and the outside expert. 1:10:53 Rep. David B. McKinley (R-WV): How will the passage of last week's FDA Bill increase the production of baby formula? Robert Califf: Production is increasing already — Rep. David McKinley The criticism, that they said that on these various tweets — it was not just one there were several — that said it was unnecessary. So I want to know, how do we increase, how do we get back to production? How to put in $28 million? How would that how's that gonna increase production? Robert Califf: Well, remember, the Abbot plant needs to get up and running, we've got to oversee and micro detail to make sure that it's done correctly. And as we bring in supply from other countries, remember, we already have overseas plants that we import from on a regular basis, almost double digits. So as we bring that product in, we've got to inspect it, make sure it's of the quality that we expect in America of formula and we need to upgrade our information systems, as I've already said, to make sure that as all this goes on, we can keep track of it and make sure that we're coordinated. 1:44:55 Rep. Kim Schrier (D-WA): Is there any early warning system for products like baby formula? And not just the ingredients but for formula itself or manufacturer would let you know if they're running short or anticipate a shortage? Robert Califf: First of all, let me thank you for being a pediatrician. I sometimes call the Academy of Pediatrics just for the positive vibes that you all exude as a profession. But no, there is not such a warning system. We've repeatedly asked for that authority and have not been granted it. The industry by and large has opposed it. 1:52:21 Susan Mayne: What the data show is, we can't rule in or rule out whether or not those infants, their cronobacter was caused by this plant. The data just simply can't be used to inform it. Rep. John Joyce (R-PA): But the genetic testing you did. It does not match from the plant, correct? Susan Mayne: That is correct. But what we did not have is any sampling done at the same time that the product was manufactured that was consumed by the individuals who got sick, so we didn't have that every director 2:08:57 Rep. Ann Kuster (D-NH): I know that in this part of the country, I'm in New Hampshire, we have milk banks of mother's breast milk. And I'm wondering what is the regulation by the FDA? And can we assure our constituents that breast milk from milk bank is safe and is thoroughly vetted by the FDA? Robert Califf: You're asking some very good questions. I'm gonna refer this to Dr. Mayne who probably would have the best answer. Susan Mayne: Thank you, Congresswoman. So human breast milk is regulated as a food. And so that is reassuring and they have to have proper screening protocols and things like that in place to make sure that the donors that are donating the milk, get that, that's critical for human food safety. So that's how I would respond. Thank you. 2:26:28 Robert Califf: You would think that a critical industry like this would have resilience plans, redundancy, but we don't even have legal authority right now to require that the firms have a plan for potential failures and resilience. That's something we've asked Congress for every year for a while, and we're asking for it again. So I hope that it happens this time. I'd also add that this is not unique to this industry. We are seeing this across the entire device and medical supply industry with frequent failures as exemplified by the 60 minutes show and the contrast medium problem that I talked about. We have gone to a just-in-time, large single source contracts that lead to lack of diversification in the industry and the industry has fought us tooth and nail on requiring that there be insight into their supply chains, so that the sum of all of the industries leads to the the avoidance of preemption. We'd like to be able to stress test and prevent these things from happening rather than waiting until they happen, and then scrambling. 2:58:58 Susan Mayne: What we've seen is, first the strain of the COVID 19 pandemic, then the strain of the recall, and now we've got the Russia-Ukraine conflict. And one of the things that we know is the Ukraine region is one of the world's biggest exporters of products like sunflower oil. Sunflower oil is used as an ingredient in many food products, including infant formula. And so we have been working with the manufacturers should they be unable to maintain their supply of sunflower oil, what they would replace it with and make sure that that would meet the nutritional requirements for infant formula. 3:26:28 Chris Calamari: We plan to start production at Sturgis the first week of June. We will begin with the production of EleCare, before turning to the production of other formulas and Similac. From restart, we estimate that it will take six to eight weeks before product is available on shelves. 4:28:51 Rep. Paul Tonko (D-NY): Your testimony also mentions global supply chain challenges as a factor the company has had to contend with. What, if any, steps has Gerber taken to maintain its production and distribution supply? Scott Fitz: Thank you for the question. Certainly, our industry is not immune to the global supply chain challenges brought on by the pandemic. We struggled with materials supply issues, intermittent materials supply issues, whether it be ingredients or packaging components, we struggled struggled with the material quality issues related to the pandemic, we've had transportation and logistics issues, just getting trucks and truck drivers available to move the products and supplies that we need. And we've had COVID related labor challenges and higher turnover than normal are all things that have impacted us. Through the course of the pandemic though we've we've resolved these on an ongoing basis, one at a time as they've come up. We are putting trying to put in more robust business continuity plans in place for critical components and ones that we know we will have challenges with in the future. 4:30:50 Rep. Paul Tonko (D-NY): Did you not think the FDA should be notified or at least aware of your struggle? Scott Fitz: Should FDA be aware of our struggle? Rep. Tonko: Yeah, should you have shared those concerns for supply chain? Scott Fitz: If it could help, we would certainly be willing to do that. Yes. Rep. Tonko: What should you have told us during the last year? Scott Fitz: Well, as I testified, the issues that have come up for us, we've been able to resolve. Through the last six months our in-stock rates have averaged 86%. 4:35:55 Chris Calamari: On the horizon, we see in the manufacture of infant formula agricultural oils are absolutely essential, paper is absolutely essential, the cost of fuel to supply and distribute the product is essential. So I would call out those key elements ranging from agricultural oils to the cost to deliver the product would be the biggest areas of focus. 4:41:42 Robert Cleveland: We reached out and spoke to the USDA almost immediately seeking flexibility, for example in the size format. And while that sounds small, it's very significant because what that means is the WIC consumer doesn't have to look for one particular size of product at the shelf. They can find any size of the shelf to fulfill their their benefits with and that's allowed us to continue production and step up to meet the requirements of those consumers. We've since worked with the USDA to find a number of other ways to flexibly administer the program, because really, the focus for the WIC consumer is the same as the others, making sure she has safe access to formula and doesn't have to compete with non-WIC consumers to get it. So the more sizes, the more formats, the more manufacturers that the program can support, the more likely she is to have her needs met. 4:47:35 Rep. Kim Schrier (D-WA): The baby formula industry in our country is really unique in that about 90% of the product is made right here in the United States. And the vast majority is made by your three companies [Abbott, Gerber, and Mead Johnson]. And so it should be no surprise that when something goes wrong, like what happened in Sturgis, it really rocks the whole industry and the facility in Sturgis is responsible for 40% of Abbott's formula on the market and makes up about 20% of the total formula on the market in the US, and that is really significant, especially when this year Similac has the contract with WIC. 5:10:40 Rep. Buddy Carter (R-GA): Okay, the supply chain issues, is that because some of the ingredients were coming from other countries? Chris Calamari: Representative, yes, so global supply chains are such that we have ingredients coming from global sources and that is the nature of our supply chain. 5:19:29 Rep. Diana DeGette (D-CO): Let's say my daughter, who has a six-week-old baby, called me up and said, “I need to get some formula for my baby. And my store shelves are bare.” What can we tell them between now and all of the emergency measures we put into place to start putting formula on the shelves? Who should they call? Where can they go to try to get some of this limited product right now? What's the practical suggestion? Robert Cleveland: It's very unfortunate that you have to answer that question or ask that question, but let me do my best to answer it. I think the shelves — the reality is they don't have anywhere near the product that they do. So one of the things I've often said during this crisis is it takes a village to raise a child. In this case, sometimes it's taking a village to find infant formula. So the first thing to do is work with your network of family and friends, and as they go to the stores, look for the product that's there. And I've seen many mothers and grandmothers and fathers and cousins doing this on the shelf. You can call our Consumer Response Center. Now to be fair, those folks are doing a phenomenal job of fielding waves and waves of calls. But we will help you if you call. That's one other resource. The physician's office is another. Sometimes they do have the samples that are required, and they can help transition between finding product on the shelf. And then I would be sure to look online as well as in-person at the store and be open to other formats. Many mothers and fathers have a particular type of format they like. You may need to be more flexible in the format that you use. But all infant formula regulated by the FDA is safe for your infant, whether it's a liquid or a powder or what size it's in. And so I would say shop widely. See your doctor or enroll your family friends, give us a call if you need to, and be flexible. THE INFANT FORMULA CRISIS May 25, 2022 Committee on Appropriations: Subcommittee on Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Witnesses: Ginger Carney, Director of Clinical Nutrition, St. Jude Children's Research Hospital Sarah Chamberlin, Executive Director, National PKU News Michael Gay, Owner and Manager, Food Fresh Brian Ronholm, Director of Food Policy, Consumer Reports Linkedin Clips 32:29 Michael Gay: WIC's rigid rules have made it difficult for the program to be responsive to critical shortages throughout the pandemic and now during the formula crisis. Substitutions may be easily available when situations like this arise. The emergency waivers instituted by the USDA during the pandemic have provided flexibility in some states, but those waivers were only available because of the pandemic. To prevent this issue from happening in the future, Congress should allow WIC vendors operating during severe supply shortages, disasters or public health emergencies to automatically substitute limited WIC approved products impacted by supply chain disruptions. The USDA should direct states to include product substitutions for WIC in their emergency preparedness plan. These changes would have allowed families to immediately switch to another formula in states with shortages allowing for smooth continuation of feeding infants. 33:27 Michael Gay: Secondly, there's a significant need for USDA to examine the long term effects of cost containment, competitiveness and peer grouping formulas for WIC vendors. States operate a peer group system to monitor vendor prices and determine reimbursements are cost competitive. These cost containment measures have led to reduced retail embursement and reduced retailer participation in the program, leading to fewer locations for families to access formula. 33:55 Michael Gay: WIC infant formula cost containment measures have led to extreme consolidation in the formula marketplace, leaving it highly vulnerable to supply disruptions like we are experiencing now. These contracting policies must be reviewed to ensure future food security of the nation's babies and families. 41:50 Brian Ronholm: The evidence suggests that the agency was too slow to act, failed to take this issue seriously, and was not forthcoming with information to parents and caregivers. The infant formula crisis exposed a greater structure and culture problem that has long existed FDA. This was merely one symptom of the overall problem, and it is clear that confidence in the food program at the FDA is eroding. A big reason for this is the food program has second class status within FDA, and it's resulted in serious problems. The FDA also lacks a single, full-time, fully empowered expert leader of all aspects of the food program. As you know, in recent decades, most FDA commissioners have been medical specialists who naturally focus on the programs impacting medical products. This is certainly warranted considering the impact these programs have on public health. And the pandemic is a perfect example of this. However, this usually results in intense competition for the commissioner's time and support and focus on the food program is typically what has suffered under this dynamic. It has become impossible for an FDA commissioner to possess the bandwidth to provide leadership and accountability to a set of offices that regulates 80% of our food supply. 51:45 Ginger Carney: I would want to warn parents not to make homemade formulas — the American Academy of Pediatrics warns against that — they should not dilute the formula, as both of these situations can lead to disastrous results and lead possibly to hospital admissions. 56:40 Brian Ronholm: Splitting out the food safety functions of the agency as it exists now and creating separate agencies while still remaining under the HHS umbrella would be an effective approach that would get to the issues that I think everyone has become aware of during this crisis. 59:32 Rep. Rosa DeLauro (D-CT): We now have 15 agencies at the federal level who deal with some form of food safety, the principal ones are USDA and FDA. It should be one single agency! 1:06:30 Michael Gay: In a rural area such as ours, probably 85-90% of my formula is WIC formula, which is just down to one type of formula. So even like today, for example, or my truck Monday, I got about 20 cases of Gerber formula in a different variety, but that's not approved on what and the Georgia WIC office just approved some substitutions for formulas that were, you know, prescribed by the doctor with the contract formula. So therein lies the problem is there's no easy way to substitute that for the customer. 1:23:29 Brian Ronholm: Four companies that control 90% of the market and only three of them actually bid on WIC rebate contracts. Abbott is by far the largest one and I believe they have contracts in 30 or 31 states, I think it was the latest figure. So when those contracts come up, these companies submit based on their ability to meet the demand in a particular state, and Abbott is usually the only one that's big enough to do that. We mentioned that they have a large part of the market, I think when it comes to the WIC market, they have approximately 55 to 60% of the WIC market. So that's a significant size of the market that it really needs to be examined so when situations like this hit, how does it impact that particular….And it's obviously going to have a bigger impact because these companies use the WIC market to get into the overall non-WIC market to even increase the share of their market, so that creates further shortage problems. 1:40:35 Ginger Carney: One thing that we really haven't talked about is the WHO code for marketing breast milk substitutes. And that's what these formulas are, they're breast milk substitutes. So if we look at the WHO code in other countries, other developed countries are abiding by the WHO code and this gives guidelines for how companies can market their infant formulas in a safe way. So maybe we should go back to that and think about what is it about the WHO code that would benefit all of our families in the country so that they are assured when they do have to reach for infant formula when breastfeeding cannot be an option or will not be an option? What are the things that are marketed directly to our families that tell them about the formula? 1:44:20 Rep. Debbie Wasserman Schultz (D-FL): Half of all US formula consumption goes through the WIC program, which provides free infant formula as we've been talking about today, where states negotiate bulk discounts in exchange for market exclusivity. Now, I'll take you back to 1989 when Republican President George Bush enacted legislation requiring all state WIC programs to use competitive bidding for the purchase of infant formula. In practice, this means that the state of Florida for example is required to use a single supplier for the entire state supply of WIC baby formula. The competitive bidding process has yielded $1.3 billion to $2 billion a year in savings and allowing WIC to serve about 2 million more participants annually because of the discounts. However, when there's a supply shock caused by one of the four market participants, like what happened with Abbott in this case, it creates a serious risk to infant health across the country. 1:48:00 Rep. Debbie Wasserman Schultz (D-FL): We know that in Europe, they consistently produce a baby formula surplus. But there are rigid labeling and nutritional requirements for formula containers here in the US that the FDA requires and they prohibit the sale of many European-made products, even though the formulas themselves meet FDA nutritional and purity standards. So what sort of policy changes would you like to see undertaken to ease restrictions on baby formula imports, while still ensuring that the product meets our safety standards? Brian Ronholm: Yeah, I think it's critical that we maintain those safety standards that FDA has set on infant formula, that's absolutely critical. There's a comfort level with consumers when they're able to purchase something that they know is an FDA inspected facility overseas. But to your point, sometimes these regulations, these really strict regulations are thinly disguised trade protection measures. And so you know, that's certainly an issue that we'd have to examine carefully to make sure that we can have that access. Cover Art Design by Only Child Imaginations Music Presented in This Episode Intro & Exit: Tired of Being Lied To by David Ippolito (found on Music Alley by mevio)

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In this episode Rachel Moon, MD, FAAP, associate editor of digital media for the journal Pediatrics, describes updated guidance in the new Safe Sleep policy statement. Hosts David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, also talk with Kate Canty, MD, FAAP, about her Pediatrics Perspective on child abuse in youth sports. (For resources go to aap.org/podcast.)

Safe sleep might seem like a well-understood topic, but we continue to see sleep related deaths. Why is that, and how can we as medical professionals best have important conversations on safe sleep with families?In today's episode, Dr. Nicole Webb discusses with Alyssa Webb, neonatal outreach and project coordinator, and Kristina Pasma, Valley Children's trauma nurse liaison and Safe Kids Central California coalition coordinator, what we see here in the Central Valley and how to best discuss safe sleep to families, as well as peers.**This episode discusses some Safe Sleep resources for families. Here are links to the mentioned resources:Safe Kids: safekids.orgCribs for Kids: cribsforkids.orgAmerican Academy of Pediatrics: aap.org/en/patient-care/safe-sleep