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Expert Q&A:
Is it OK to soothe a 1-month-old by dancing or bouncing briskly?

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Stephen Muething
Answered by Stephen Muething M.D.
"I love being a pediatrician," says Stephen Muething, medical director of the Pampers Parenting Network. "Through my special role, I get to partner with families in the very important job of helping children develop and grow. My task is to help parents raise their children to be as healthy, happy, and successful as they can be." 

Dr. Muething received his B.S. degree from the University of Notre Dame and his medical degree from the University of Cincinnati College of Medicine. After completing his pediatric residency and chief residency at Cincinnati Children's Hospital Medical Center, he served as the lead physician of a five-pediatrician practice in Southeast Indiana for 13 years.

Dr. Muething is currently the associate director in the Division of General Pediatrics, Cincinnati Children's Hospital Medical Center, leading a team that performs more than 60,000 primary care visits and cares for more than 3,500 inpatients annually. He is also the director of the Diagnostic Clinic for Cincinnati Children's Hospital. Since 2001, Dr. Muething has served as one of the key physicians in the Pursuing Perfection initiative at Cincinnati Children's, funded by the Robert Wood Johnson Foundation in conjunction with the Institute for Healthcare Improvement. Dr. Muething is now a graduate of the Advanced Training Program in Healthcare Delivery Improvement at Intermountain Health Care in Salt Lake City, Utah.

Dr. Muething has been a co-leader for the Acute Care Team at Cincinnati Children's, which has focused on designing an evidence-based, family-centered care system for children in the Cincinnati area. Results of the work have been presented at the annual meetings of the National Association of Children's Hospitals and Related Institutions (NACHRI), the National Initiative for Children's Healthcare Quality (NICHQ), the Institute for Healthcare Improvement (IHI), and the Pediatric Academic Societies (PAS).

As "Dr. Steve," Dr. Muething hosts two radio programs for families in the Cincinnati area and is the pediatric consultant for The Health Show, a nationally syndicated radio show. Other community activities include serving as moderator for the "Centering on Families: Tools for Practical Parenting" series at the Cincinnati Museum Center.

Family life is central for Dr. Muething and his wife, Meg, both of whom were raised in large families. They have four children—ranging from elementary school age to college graduate—and more than 40 nieces and nephews.



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Question


Sometimes I have to dance/bounce around briskly in order to get my 1-month-old to fall asleep. Is this damaging to her delicate head, even with my arms supporting her?

Answer


Thank you for asking this question. It's a very important one for parents of newborns.

We need to be aware of this potential danger for babies. An infant's head is relatively large compared to the rest of the body, and the neck muscles are not as strong as they will be. Inside, the brain is still developing and has sensitive blood vessels. All of this together makes us aware that we need to be cautious and that it is possible to seriously harm a newborn. Sudden jerking back and forth of a baby's head can cause tearing of blood vessels inside the brain and lead to damage. This does not happen commonly and most often occurs when an adult shakes an infant violently. But to be safe, it is best to avoid any significant back and forth movement of a baby's head.

Therefore, rocking, walking, slow dancing, and singing to a newborn are great. I would avoid the bouncing around briskly and see if there are other options that will work to help your little one fall asleep. Of course, you are tired, too, from sleepless nights, and babies can sense when you are tired or stressed. Don't be afraid to ask others to pitch in on some evenings -- often grandparents would love to help. It's also very important for parents to take turns. Good luck and thanks for asking.

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Member comments

you could try patting her bottom, this works w my son

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