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Expert Q&A:
When is it safe to pierce my 2-month-old's ears?

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Linda Jonides
Answered by Linda Jonides R.N., C.P.N.P.
"I have worked as a pediatric nurse practitioner (P.N.P.) for over 30 years," says Linda Jonides. "I continue to thoroughly enjoy forming new relationships with parents and newborns and working with them through infancy, childhood, and adolescence."

Linda Jonides is a pediatric nurse practitioner in a private pediatric practice in Ann Arbor, Michigan. She received her Diploma in Nursing and Certificate as a Pediatric Nurse Practitioner from The Johns Hopkins Hospital. She is a past recipient of the Michigan PNP of the Year Award. She has a B.S. in Nursing from Eastern Michigan University. She has published articles and lectured on childhood obesity, infant colic, role of the P.N.P., growth and development issues, and infectious diseases. She was an author of "Clinical Insights Column," published biannually in the Journal of Pediatric Health Care for nine years. Jonides is past president of NAPNAP. Currently, she is a steering group work member of NAPNAP's HEAT (healthy eating and activity together) project. One outcome of this group's work is the clinical practice guideline, "Identifying and Preventing Overweight in Childhood," that was published as a supplement to the March/April '06 issue of the Journal of Pediatric Health Care.

Ms. Jonides has been married to John, a university professor, since 1971.
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Question


At what age is it considered safe to pierce my 2-month-old daughter's ears? Where do you recommend I take her to have it done (I'm a little "iffy" on taking her to the mall)?

Answer


I have not been able to find a recommended safe age for ear piercing. However, it is generally believed that the older the infant or child, the better able she is to handle an infection due to the piercing, should it occur. It is the standard of care throughout the country for infants under 3 months of age with a fever to have a thorough work-up including blood tests and sometimes spinal fluid tests. This is not meant to frighten you, but I do think we often take traditional practices such as ear piercing too lightly. Although there are few serious risks associated with ear piercing, the incidence of complications is quite high. The most common complications are allergic contact dermatitis, inflammation, bleeding, infection with or without drainage, cyst formation, and torn earlobes. Trauma can also occur to the earlobe from pulling on the earring or falling on the earlobe with an earring inserted. Interestingly enough, in a study I reviewed the frequency of complications did not differ significantly with the medical qualifications of the person performing the procedure. I suggest you ask your health care provider for recommendations in your area. You want to make sure the equipment being used to pierce is sterile, and the person doing it practices good hygiene.

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Member comments

I pierced my daughter's ears at 2 1/2 months old at claire's in the mall. They are very sterile, and..

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