"Ask Me Anything" with Dr. Playforth, MD, FAAP

Melanie
Melanie Nanit Team
edited December 2021 in Growth & Milestones


Ask Dr. Krupa Playforth anything - from preparing for baby, questions to ask when selecting your pediatrician, nutritional guidance & introducing solids, teething, gassy baby tips, milestones & more! 

But keep in mind that all answers are general guidelines and not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your child's physician with any questions you may have regarding a medical condition. Never disregard professional medical advice because of something discussed here.


About Dr. Playforth (The Pediatrician Mom):

Dr. Playforth is a board-certified pediatrician and mother. She has special interests in healthcare education for parents and in infant/child nutrition, and she is passionate about approaching parenting with nuance. Her goal is to help parents develop the confidence to trust their intuitions within an evidence-based framework across a range of parenting topics. Dr. Playforth is on the Healthcare Advisory board for Babylist, has contributed to Huffington Post, CNN, NBC, KevinMD, and Insider Magazine, and is featured as a Top Doc for both Northern VA Magazine and the Washingtonian.

In today's connected, internet-dependent world, it is easy to become overwhelmed by information overload. You can use ThePediatricianMom to find some peace, some answers, and hopefully some confidence to trust your parenting style as she discusses the most common questions pediatricians receive from parents. She can be reached on social media (@thepediatricianmom) or on her website at www.thepediatricianmom.com.


** Bookmark this thread and receive a notification when the AMA begins.**

Click the bookmark icon on the right-hand side of the discussion.


«134

Comments

  • What are the best questions or things to consider when searching for a pediatrician? And how far in advance of baby's due date should you start looking? I have received a few recommendations from friends, but am lost on what I should be looking out for when finding the right fit for our family and baby!!

  • Hi there. I have a 15 month old who moves his head side to side to self soothe to sleep and in the middle of the night as well. Lately he has been doing it for extended periods during night sleep. Sometimes over an hour. He does not cry out for us so we dont intervene until he does as it seems he is not "awake" while doing it. While im not concerned abt the actual act of head shaking. I am concerned abt the duration. Should we be worried. Is this normal?

  • I have a 4 month old who is wanting to take 2 plus hour naps throughout the day but is not sleeping good through the night at all usually up 3 times through out the night.

    Should I wake her from her naps? If so how long should I let her sleep before waking her?

  • SunshineS
    SunshineS Member
    edited December 2021

    Can you advise how should we get our child used to strange people? This is our first day using backup nanny care at home. Our child, a 9 month old boy cries all the time and is very fussy when he is with the nanny. Thanks!

  • Hi there!

    My daughter has always appeared to be low sleep needs, although I have always pushed and adhered towards the recommended wake windows/total sleep recommendations. However, now that she is 10 months, we have been experiencing (what we now know) is split nights; wherein my daughter will awake anywhere between 2-4am for an hour plus. Although she’s usually quiet/content, I would like to correct this. The trouble I’m having during my research is the debate between split nights being a result of being over vs under-tired. My daughter’s day sleep is within normal range, and her wake windows are 3.25/3.5/4. Putting her to bed later doesn’t seem to work, as she always wakes between 5:30-6am regardless. Would love some feedback! Thank you!

  • cmg27
    cmg27 Member
    edited December 2021

    Hi there! I have a 3 and a half month old. During the day she naps from around 35 to 45 mins which I know its normal at this age. However if she wakes up son after she has just been fed I'm often conflicted of what we should be doing next.? We usually aim to do eat, play sleep but in these cases it becomes play eat sleep and I'm wondering if this is OK? We take it a day at a time and try to follow baby's cues as much as possible but some days it's just hard. She sleeps well though the night and wakes up a couple of times starting at 3 am because she just wants her paci - once we pop it back in she goes back to sleep and wakes up around 7-7:30 am. Any tips on babies that are catnapper and what to do?

    Thank you!

  • mae2021
    mae2021 Member
    edited December 2021

    I’m concerned that my 8 month old is not getting enough breast milk. I’ve been producing a lot less when I pump now (presumably because I skip nighttime pumping now that he’s been sleeping through the night), and I’ve noticed that his poops look indicative of constipation. He refuses formula from a bottle so I don’t know how else to get more milk into his diet. I don’t believe he’s getting anywhere near 20oz a day of milk. Any suggestions?

  • Self conscious about my hair loss/hair line due to postpartum hair loss. Is it safe to take collagen power if breastfeeding? If so, do you recommend a certain kind/brand? I also bought baby blues postpartum hair loss vitamins but is it okay to take if I’m still taking my post natal multi vitamin? 

    thank you,

    julie

  • Is it bad for kids to play outside when the weather is cold if they are getting over a cold and respiratory symptoms. Such as they have been on medicine for a couple days: (Steroid RX, amoxicillin for ear infection and Albuterol). They are feeling better but still on the medicine and have milder symptoms.

  • My husband 10 week old sometimes does this ! Following

  • Similar to the question Mae2021 has posted - my almost 8 month old has been a bit unpredictable with her wake time lately (used to be 7am and has started sleeping 30 mins or so later). Paired with her naps finally taking shape and being longer than 30 mins, I’m only fitting in 4 milk feeds where we used to have at least 5 per day. She is also now getting solids 2x day. I’m a BF mom so don’t have much visibility to the amount of milk she is getting so I’ve been trying to do one 4.5oz bottle of pumped BM per day to be sure of at least one milk feed. I don’t allow her naps to go past 2 hours if they happen to get to that point and on average she is up from 7/730am - 730/8pm.

  • Hi, I’ve been producing less breast milk now and baby girl is 6 months old so I just started supplementing with formula. I first started her on kendamil organic and it seemed to not suit her. She became fussy and stopped sleeping well. So I switched her to enfamil gentleease enspire. She was even fussier and painful. Gas, cramping etc. She would cry a lot more than before and then had lots of diarrhea with mucous. Our baby used to sleep 8-10 hours a night and self soothe back to sleep. Now since this ordeal she has been sleeping 4-6 hours total broken up by bouts of crying. The dr said to change her formula to enfamil sensitive as she could have a lactose sensitivity. Before that we did a stool culture which was negative. Now it’s been 3 days on the new formula and she hasn’t pooped at all. She is still crying off and on all night and I wonder if something else is wrong? And if her sleep training is out of the window too? Not sure what else to do. Any advice would be appreciated. Thanks

  • New mom here, i’ve got a 2 week old who I am breastfeeding. I usually nurse him until he is “done” which is usually him falling asleep. I aim for 10 minutes on each breast, but he is never consistently sucking or sometimes doesn’t make it that long! I typically will pump afterwards to try to continue to boost my milk supply. I’m concerned he doesn’t get enough milk/unable to determine how much breast milk he is actually getting. Tips/tricks?

  • i have a 10 week old who is swaddled and is sleeping 5-6 hours at night but she has started to roll to her side a lot now and throws to free her hands from the swaddle . She still has the Moro reflex so should I continue to swaddle

  • Hi!

    I have a 12 mth old that is breastfeeding and eating solids 3 times a day. My goal is to continue morning and bedtime breastfeeds, but wean the day feeds to cow’s milk. I have started offering a cup of 1:1 breast milk:cow’s milk once he wakes from his first nap. I’ve tried it cold and also warmed up. However, at most he’ll take a couple of small sips over a 2 hr span. I’m worried he’ll be dehydrated if he continues this. He does not make up for a missed breastfeed by eating more solids either. His diapers are less full of urine than before weaning. Please advise on how best to proceed. Thanks!

  • Are there any moisturizers or products you recommend to alleviate baby eczema and maintain healthy skin?

  • Hi, our daughter is 4 months old and we are having issues with her feeding in regards to her consistently pulling herself away from the bottle and arching her back when drinking (she never used to do this) We currently are using Apatimal Pepti 1 for the feed before bed and pumped breastmilk the rest of the time. We were moved onto Pepti 1 as there was concern she had a milk allergy. This has been going on now for a good month but she has seemed to have gotten worse over the last couple of weeks. Because me and my partner are trying to give her milk regularly and always offering it to her even if she only drinks 10ml at a time, she seems to be getting what she needs and is not underweight but this is a 24hr job and I have not had any good sleep in a long time and feel I'm about to crash. Because she is not underweight the GP doesn't seem to interested in our problems and keeps telling us to keep doing what we are doing which is not sustainable. We are starting to run out of breastmilk and my milk is decreasing so I soon won't be able to pump more and I feel we are about to hit a wall but no one seems to want to take a good look at her and help as she is not underweight. Not sure what to do or try. Any help or advise would be amazing.

  • Hello,

    How can we distinguish between 12 mth sleep regression and the need to transition to 1 nap? My 12 mth old has been taking 1 nap everyday for a week now. He usually falls asleep in the morning after a 3hr wake period, but will not nap in the afternoon. He will walk around his crib for an hour before I get him. I read that babies usually transition to 1 nap after 14 mths, so I’m hesitant to start so early. How long do I keep trying for 2 naps before I transition to 1 nap?

  • Hi! Our 18 month old was doing wonderfully with napping and our putting her down to sleep until just the last week. Nothing has changed but suddenly she’s just not going to sleep on her own, even though she’s visibly tired. What might have caused this shift and what can we do?

  • Hi! I have kind of a two-part question about my 8½ month old (7 months adjusted). I try to pick up on sleep cues during the day for naps and keep her on a schedule for 2 or 3 naps/day depending on her temperament. But 4 or 5 days out of the week, she will only sleep for ten minutes at a time, for each nap, and then just be awake. She goes down for bed at 7 every night with no issue, falls asleep within 5 minutes, and sleeps through the night for an average of 11-12 hours. I'm wondering if there is something I can do to help her nap better? Also, and this may have to do with her lack of "day" sleeping, she cries all the time. She is my third, so yes, I know babies cry. But unless I am holding her, she is ONLY crying. My two older kids (5 and 2) suffer for it, as does my house, because I am constantly having to hold her, but I am at a complete loss. She's not colicky or gassy, because as soon as I pick her up, she stops. She's not bored, we have a whole baby-safe play area with plenty of her favorite toys, and she's mobile so she can explore. But I don't know what to do anymore and honestly it's killing my mental health too because I feel so guilty with feeling like I don't give my other two enough time. Then my house is constantly in disarray. I am always behind on chores, and by the end of the day I am so exhausted that I just want to sleep instead of clean. I don't know if it's okay to just let her cry in her play area as long as she's safe? Can I leave her in her crib longer? I never dealt with this with my boys, so I am at a total loss.

    Thank you for your consideration!

  • Hi there! 

    my little one is 8 months old and doesn’t respond to her name at all. She will turn her head for sounds and get startled at loud noises but when I try to call her- I get nothing! We’ve been really bad at calling her by her name and she has 13974 pet names so I’m not sure if that’s the issue. She makes eye contact, smiles and laughs, has hit all milestones so far but this got me worried. Is there anything I need to do?

  • Hi. When is vomiting during eating a problem? I have a 10 month old who has been doing baby led weaning since 5 and a half months old. He used to vomit a bit during a meal when starting solids, and I could understand this due to learning to eat. But over time he mostly stopped. Suddenly over the last few weeks he has started vomiting more. His whole dinner came up the other night because he finished with some banana. Another night it was some soft french toast. Because we have been doing BLW from the beginning I am not sure if he is battling with texture and food sizes or if it is something else. I have been showing him how to chew and also making food smaller for his pincer grip. Is vomiting normal? Any tips for reducing it? What causes it? Thank you.

  • Hi! I have kind of a two-part question about my 8½ month old (7 months adjusted). I try to pick up on sleep cues during the day for naps and keep her on a schedule for 2 or 3 naps/day depending on her temperament. But 4 or 5 days out of the week, she will only sleep for ten minutes at a time, for each nap, and then just be awake. She goes down for bed at 7 every night with no issue, falls asleep within 5 minutes, and sleeps through the night for an average of 11-12 hours. I'm wondering if there is something I can do to help her nap better? Also, and this may have to do with her lack of "day" sleeping, she cries all the time. She is my third, so yes, I know babies cry. But unless I am holding her, she is ONLY crying. My two older kids (5 and 2) suffer for it, as does my house, because I am constantly having to hold her just so I don't have to hear her crying, but I am at a complete loss. She's not colicky or gassy, because as soon as I pick her up, she stops. She's not bored, we have a whole baby safe play area with plenty of her favorite toys, , and she's mobile so she can explore. But I don't know what to do anymore and honestly it's killing my mental health too. I don't know if it's okay to just let her cry in her play area? I never dealt with this with my boys, so I am at a total loss.


    Thank you for your consideration!

  • Hi - I breastfeed my 7.5 month old almost exclusively and at around 4 months I was told to begin some vitamin D drops to my baby’s diet. I haven’t been so good at doing that daily - how bad is this? Am I doing irreparable damage? How important is the vitamin D supplementation?

  • i have a few questions here. My baby is 10 months old and is mostly on purée’s we’ve been trying to encourage her to eat table food since 7 months old but she’ll take a few bites and be done or if put in front of her she screams. How can I get her to eat more than two or three bites?

    She refuses to take bottles, how can I encourage her to take a bottle she’ll be starting daycare soon at the end of January. She is breastfed and will take water in an open cup but won’t lift the cup up or touch it when given. Same with sippy cups

    shes also been standing for awhile now since 6 months old and hasn’t stood without support but recently only wants to stand on her tippy toes. Is this normal? She does walk with the push to stand walker and puts one of her feet outward.


    thanks in advance !

  • I forgot one more question my baby has hated car rides since 3 months old. I’ve tried the convertible car seat, toys, games, etc. I sit in the back with her so she’s never alone and will still scream her head off. She’s miserable during these rides how can we change this?

  • Hello

    My son is 2 years old and is still not speaking 2 words. He knows a couple of words but still cant make a sentence is that okay ?

  • Hi there! My 12 week old baby is sleeping pretty good throughout the night (7hr stretch before needing a feed, which is usually around 2-3am) but after we put him down after his feeding he will continuously wake up every hour until it’s time to wake up. We’ll make sure that he’s not hungry again or needs a diaper change but usually we put the pacifier in every time he wakes up and it’ll take him a couple minutes but he falls asleep on his own until the next hour and we do it all over again. Is this normal? Should I be looking at other factors for early morning wakings?

    we have blackout film on the window to block out all sunlight and I’ve been managing his daytime sleep to make sure he isn’t sleeping too much throughout the day but still keeps waking up like this every night since he started sleeping longer stretches. Thank you for your time!

  • Our baby started rolling over (both front to back, and back to front) around 4 months. They’re now 6 months old. They often roll onto their stomach in the crib. Should we still keep moving them to their back even though they clearly prefers sleeping on their stomach?

  • Our baby has been spitting up since birth and at 6 months old, the amount seems to be a lot (over 1oz per feeding). We’ve tried everything from keeping them upright for 30+ minutes after a feeding to switching formulas but that only seems to help for a couple days before they’re back spitting up. Any recommendations for things to try?

This discussion has been closed.