First, I found this very thought provoking. I am a pediatrician with 26 years of experience in the general Peds setting. Of course I have recommended supine sleeping over the years, not really questioning it. Perhaps.I should have. And, most of us in the “business” have recognized the movement of milestone goalposts. Oddly enough, pediatric standardized testing still has “sitting unsupported” as a 6 month milestone. Babies rarely do this until 9 mos in clinical practice. The weakest argument made in this article is in relation to missed craniosynostosis. The geometry of the skull changes in positional deformity are different than this far more pathologic finding. Simply learning these differences-as one would for other pathologies-would improve that issue.
Overall a well-reasoned set of arguments, and thought provoking for sure.
Second, thank you for having a pediatric topic in this podcast! It is rare that Peds research/policy is discussed. And there are MANY policy recommendations that deserve some scrutiny. As has been pointed out by Dr Prasad, most of us do not have the time to research every recommendation we have been taught. I would love to continue to learn more about the background of many of these, as I did in this article. Thank you!
First, I found this very thought provoking. I am a pediatrician with 26 years of experience in the general Peds setting. Of course I have recommended supine sleeping over the years, not really questioning it. Perhaps.I should have. And, most of us in the “business” have recognized the movement of milestone goalposts. Oddly enough, pediatric standardized testing still has “sitting unsupported” as a 6 month milestone. Babies rarely do this until 9 mos in clinical practice. The weakest argument made in this article is in relation to missed craniosynostosis. The geometry of the skull changes in positional deformity are different than this far more pathologic finding. Simply learning these differences-as one would for other pathologies-would improve that issue.
Overall a well-reasoned set of arguments, and thought provoking for sure.
Second, thank you for having a pediatric topic in this podcast! It is rare that Peds research/policy is discussed. And there are MANY policy recommendations that deserve some scrutiny. As has been pointed out by Dr Prasad, most of us do not have the time to research every recommendation we have been taught. I would love to continue to learn more about the background of many of these, as I did in this article. Thank you!