Part III: How to survive and thrive as a parent: Reinforcing the good

This is the third in a three-part blog series.

By Elissa Gonzalez, M.D., M.P.H.
Pediatric Resident, PGY3
Baylor College of Medicine
The Children’s Hospital of San Antonio

In this final blog in my series, let’s explore ways that you can maintain your child’s good behavior through positive comments and by making the most of the time you spend with each other.

1. Praising versus rewarding
2. Special time
3. Modeling

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Part II: How to survive and thrive as a parent: De-emphasizing the bad

This is the second in a three-part blog series.

By Elissa Gonzalez, M.D., M.P.H.
Pediatric Resident, PGY3
Baylor College of Medicine
The Children’s Hospital of San Antonio

In this blog, we will explore how you can focus on positive reinforcement and avoid placing attention on negative behaviors by:

1. Eliminating the “Nos,” the “don’ts,” and the “can’ts”
2. Focusing on what they should do
3. Picking your battles
4. Addressing the emotions not the behavior

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How to survive and thrive as a parent: Reinforcing the good, de-emphasizing the bad, and preventing the ugly

This is the first in a three-part blog series.

By Elissa Gonzalez, M.D., M.P.H.
Pediatric Resident, PGY3
Baylor College of Medicine
The Children’s Hospital of San Antonio

Part 1: Preventing the Ugly

By ugly, I mean the uncontrollable tantrums, the fighting, the hitting, and the angry outbursts. When we can prevent our child’s ugly behavior, we as parents are preserving our own sanity every day. Here are some guidelines to help prevent these episodes; however, this will not eliminate these behaviors completely since your children are human after all.

  1. Bonding
  2. Emotions
  3. Routine
  4. Anticipation
  5. Meeting needs

Bonding.  First you must bond. Establishing a strong connection with your child is an important factor in changing negative behaviors and maintaining positive behaviors. With younger children, maintaining a positive warm tone through play and getting down at eye level can help with building connections. In older children, showing interest in their daily activities and being flexible (listening and negotiating) can serve the same purpose. Sharing in decision-making is helpful for understanding each other and empowering your child at any age.

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Diez razones por las cuales los pediatras dicen: “la leche materna es mejor”

Por Danielle Roberts, M.D.
Residente de Pediatría, PGY2
Baylor College of Medicine
The Children’s Hospital of San Antonio

En la vida, darle la bienvenida a un bebé al mundo puede ser una de las experiencias más emocionantes y también aterradoras. Muchos padres planean la llegada de su hijo por meses, desde cómo anunciarán el embarazo a los familiares, cuándo será la licencia materna y paterna, preparar el cuarto del bebé…y la lista continúa. Llegará una boquita más para alimentar y es muy importante pensar en qué va a comer el nuevo bebé. Es posible que usted haya escuchado de los muchos beneficios de la leche materna; ¿sabía que hay docenas de maneras en la cuales la leche materna puede ayudar a los bebés y a sus padres?

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Ten reasons why pediatricians say, “Breast is best!”

August 1 – 7 is celebrated each year as World Breastfeeding Week.

By Danielle Roberts, M.D.
Pediatric Resident, PGY3
Baylor College of Medicine
The Children’s Hospital of San Antonio

Welcoming a new baby can be one of the most exciting and sometimes scary experiences in a lifetime. Parents may plan for months, starting with pregnancy announcement ideas, scheduling maternity and paternity leave, preparing baby’s room… the list goes on. With one more precious mouth to feed, it’s also important to think about what the baby will eat. You may have heard about some of the benefits of breastfeeding—did you know there are dozens of reasons why breastfeeding is recommended over formula?

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March 21 is World Down Syndrome Day

Blog provided by the Genetics Section at The Children’s Hospital of San Antonio:
Dr. Elizabeth Roeder
Dr. Scott McLean 
Rebecca Littlejohn, MS, CGC
Kimberly Nugent, MS, CGC

Did you know that one in 700 babies has Down syndrome, also called trisomy 21? This means about 6,000 babies with Down syndrome are born in the United States every year. Down syndrome is caused by having three copies of the 21st chromosome rather than two copies. That is why the date March 21 (3-21) was selected for World Down Syndrome Day.

World Down Syndrome Day (WDSD) was first observed in 2006 and has been officially recognized by the United Nations since 2012. When we celebrate WDSD, we raise global awareness about what Down syndrome is, we encourage our friends and relatives to recognize WSDS, and we support those who advocate for the rights, inclusion and well-being of people with Down syndrome. Anyone can be an advocate for a friend or family member with Down syndrome, and raising awareness and sharing correct information is one way to do this. Celebrating WDSD is a great way to recognize the uniqueness and value of every person with Down syndrome in communities all over the world.

The Children’s Hospital of San Antonio has many doctors, nurses, and associates who care for children with Down syndrome and their families. Please join The Children’s Hospital of San Antonio in recognizing this special day!

Check out these local, national, and global websites about Down syndrome:
· http://www.dsastx.org/
· https://www.ndss.org/
· https://worlddownsyndromeday.org/
· https://lejeunefoundation.org/

If you need a physician specializing in Down syndrome or other genetic conditions, please visit our website at www.chofsa.org/findadoc.

5 steps to getting you and your medically fragile child home from the hospital

Complex Corner: This is the first in a series of blogs specifically written for parents of children who have complex conditions that require a variety of medical specialists.

By Ruchi Kaushik, MD, MPH
Assistant Professor, Pediatrics
Director, ComP-CaN (Comprehensive Peds for Complex Needs)
Baylor College of Medicine

Taking a newborn home from the hospital can be anxiety-provoking for most families, so taking a medically fragile infant or child home after being in the hospital for several weeks is obviously daunting.

Families meet a variety of doctors, nurses, physical/occupational/speech therapists, respiratory staff, case managers, and social workers – it is impossible to remember everyone’s names, much less what they just advised you to do before leaving the room.  That said, I often tell caregivers that hospital staff have done a superb job of saving a child’s life; our next task, as a team, is to prepare a child for school.  In simple terms, going home is one transition to a new normal, until the next transition.

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Rare Disease Day: One mother’s journey from despair to acceptance

By Abby Loudermilk
Grace’s Mom

Like many first time mothers, I read articles and books on “What to Expect.” Although Grace was smiling, laughing, nursing, and healthy, I began to grow concerned that she wasn’t hitting her developmental milestones. Wasn’t she supposed to be sitting up by now? Shouldn’t she be trying to crawl? Why were my friends’ babies passing her up developmentally? Around six months, I remember looking up when babies were supposed to be sitting independently. The article said that most babies sit on their own between four to seven months. Ok, maybe she’s a late bloomer. What I didn’t grasp as a first-time mom, with no frame of reference was that not only was she not sitting she wasn’t even close to sitting.

I called Grace’s pediatrician about a month later. The nurse asked me “Well can she sit at all? Like in a highchair?” I responded, “Yeah.” She said it’s probably nothing to worry about — she’ll probably catch up.

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Talking to your child about tragedy

Raising three little girls is no easy task, and I spend countless hours preparing them for issues that may arise in their worlds.  By far, one of the most painful things I have ever had to teach my daughter was what to do in the event of an active shooter in her school in the aftermath of the Sandy Hook Elementary School massacre.

As our country reels from yet another school shooting, many families are having difficulty finding the right words to explain what this means for their children. What you tell your children and how much you tell children can be challenging to navigate, particularly because you are likely not the only source of information for them. Depending on their age, they may be processing information from family, friends and neighbors; the news, including TV, newspapers, and magazines; and the internet, which often displays false information that is perpetuated by social media. However, you must remember that you will always be their favored and most trusted source. So what, and how, should you tell your children?

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Seven facts about the flu

By Danielle Roberts, M.D.
Pediatric Resident, PGY2
Baylor College of Medicine
The Children’s Hospital of San Antonio

7 Facts About the Flu

With the holidays just around the corner, many families are looking forward to fun-filled and quality family time. Whether it involves looking for the best deals, organizing elaborate feasts, or festively decorating homes, planning is key for a smooth and enjoyable time for all!

Along with these exciting times, unfortunately, also ‘tis the season for the flu virus. Being sick with this virus can affect precious family time, and you may have questions about how the virus can affect your loved ones. This blog will explain seven facts about the flu.

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