Saturday 13 October 2012

"Are teeth pacifiers good for my baby?" - A mother's question



....A must have for most mothers especially the working class. Despite its advantages, like every other thing,it has its disadvantages. Sucking is a natural process and a normal part of development which is soothing to children even after they stop breast feeding. Hence, the teeth pacifiers are used to achieve and maintain this process well into their first year of life.

  ADVANTAGES OF USING TEETH PACIFIERS 
  • It calms an irritated baby and offers temporary distraction to them.
  • It helps babies fall asleep.
  • It has been shown from research,that there is a relationship between pacifier use during sleep and a reduced risk of Sudden Infant Death Syndrome (SIDS).    Sudden Infant Death Syndrome is the sudden death of an infant that is not predicted by medical history and remains unexplained after a thorough forensic autopsy. As infants are at highest risk of SIDS during sleep, it is sometimes referred to as "cot death" or "crib death". The cause of SIDS is unknown.

   PROBLEMS WITH THE USE OF TEETH PACIFIERS
  • It can interfere with breast feeding when started early, causing a reduction in duration of breast feeding.
  • Babies can become dependent on pacifiers. They may always need it before they can fall asleep with ensuing crying spells if it falls out of their mouth.
  • The risk of infection is high especially if the pacifier is not routinely sterilized.
  • It might cause a child’s front teeth to slant outward along with other teeth problems, especially if used for a protracted period.

Causes of snoring and how to deal with it


  Just about everyone snores occasionally. There’s an increased susceptibility as one increase in age. Snoring is the sound produced from the vibration of respiratory structures due to obstructed air movement during breathing while sleeping. Snoring causes sleep deprivation to snorers and those around them resulting in daytime drowsiness, irritability, reduced concentration and decreased libido.

   Factors predisposing to snoring include:
-          AGE- As one reaches middle age, the throat becomes narrower and muscle tone decreases.
-          SEX- Men have narrower airways than women. Hence, are more likely to snore.
-          GENETICS- Narrow throat runs in some families.

    Causes
Anything that causes narrowing of the air passage, blockage of airway and reduction of neck muscle tone will cause snoring.
  •    Obstructive sleep apnea- it is important to rule this out when determining the cause of snoring.
  •    Abnormally positioned jaw
  •   Obesity- Deposition of fat in and around the throat narrows the airway.
  •    Relaxants such as alcohol, drugs (e.g. sedatives and sleeping pills) reduce muscle tone.
  •   Upper Respiratory tract infections
  •    Smoking- this weakens and clogs the throat
  •    Sleeping with too many pillows- this stretches and narrows the airway.
  •    Sleeping on one’s back- this may result in the tongue dropping to the back of the mouth and blocking airflow.
  
    Treatment
The first step is determining the cause. Observing patterns in your snoring can often help pinpoint the reasons why you snore, what makes it worse and how to go about stopping it.
  • Closed mouth snoring might indicate a problem with your tongue.
  • Open-mouth snoring may be related to tissues in the throat.
  • Snoring while sleeping on your back is probably mild. Improved sleep habits and lifestyle changes may be effective cures.
  • Snoring in all sleep positions usually requires a more comprehensive treatment.
 
Some self-help cures include:
  •    Lose weight
  •    Stop smoking
  •    Regular sleep patterns
  •   Sleep on your side instead of your back
  •   Avoid alcohol and sleeping pills
  •   Avoid caffeine and heavy meals within 2hours of going to bed.Medical treatment include the use of nasal sprays, nose clips e.t.c.Surgery can also be done. Consult your ENT doctor on possible treatment options.
Coping As A Partner
The bed partner loses on average an hour of sleep per night resulting in significant relationship and health issues. Working together to stop snoring can be an opportunity to improve the quality of your bond.
-          Keep in mind it’s not intentional
-          Avoid lashing out
-          Use humor
The treatment options earlier mentioned can be explored together.
                                                                                               
                                                                            contributed by Dr. I.T joel