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Baby's First Year Community

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Sara DuMond, MD, FAAP

Joined: 03/15/2011

Expert Profile:

Sara DuMond, MD, FAAP, is a board-certified pediatrician and author. She is a 2000 Alpha Omega Alpha graduate of the West Virginia University School of Medicine. She completed her pediatrics residency at Carolinas Medical Center in Charlotte, N.C., in 2003 and practiced general pediatrics with a private group practice in the Charlotte area for seven years. In 2010, she founded Pediatric Housecalls, Charlotte's first mobile urgent care for children. She is a member of the American Academy of Pediatrics and the American Academy of Home Care Physicians. As an author, she has contributed numerous child health articles to local and national parenting and health publications, including Little Ones Magazine, Parents Magazine, and American Baby Magazine. She serves on the medical advisory board for American Baby Magazine. She has also written consumer health information for KidsHealth.org and Livestrong.com. She is a mother of three children, ages 3, 5, and 8, is an avid distance runner, and enjoys traveling with her family.

For more information, please visit Dr. DuMond's website: www.pedshousecalls.com

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Reply: newborn won't eat

You sound like a very concerned aunt, so first off, I'd say your nephew is...

Dr. DuMond

Posted by Sara DuMond, MD, FAAP

1 Reply | Reply | Watch This DiscussionReport This| Share this:newborn won't eat You sound like a very concerned aunt, so first off, I'd say your nephew is...

Reply: Breastfeeding while taking lamotrigine?

Congratulations on your pregnancy! Pregnancy is certainly a nervous time for...

Dr. DuMond

Posted by Sara DuMond, MD, FAAP

4 Replies | Reply | Watch This DiscussionReport This| Share this:Breastfeeding while taking lamotrigine? Congratulations on your pregnancy! Pregnancy is certainly a nervous time for...

Reply: Noisy Newborn

Congratulations on the birth of your son! You have had several parents chime...

Dr. DuMond

Posted by Sara DuMond, MD, FAAP

4 Replies | Reply | Watch This DiscussionReport This| Share this:Noisy Newborn Congratulations on the birth of your son! You have had several parents chime...

Reply: Baby eats all night long...

Hi Quintessa2, I am so sorry to hear that you're having to endure such sleep...

Dr. DuMond

Posted by Sara DuMond, MD, FAAP

9 Replies | Reply | Watch This DiscussionReport This| Share this:Baby eats all night long... Hi Quintessa2, I am so sorry to hear that you're having to endure such sleep...

Reply: Purplish-Grey Tongue

Hi acronehl, I am sorry to hear that your little guy has been sick. I am...

Dr. DuMond

Posted by Sara DuMond, MD, FAAP

2 Replies | Reply | Watch This DiscussionReport This| Share this:Purplish-Grey Tongue Hi acronehl, I am sorry to hear that your little guy has been sick. I am...

Reply: my 2 month old not eating good anymore

Hi JESSBEAL, So sorry to hear that your little one has been struggling with...

Dr. DuMond

Posted by Sara DuMond, MD, FAAP

2 Replies | Reply | Watch This DiscussionReport This| Share this:my 2 month old not eating good anymore Hi JESSBEAL, So sorry to hear that your little one has been struggling with...

Reply: medications with formula

Hi mrsski11, This is such a common problem. I can attest to the fact that...

Dr. DuMond

Posted by Sara DuMond, MD, FAAP

3 Replies | Reply | Watch This DiscussionReport This| Share this:medications with formula Hi mrsski11, This is such a common problem. I can attest to the fact that...

Reply: Baby with a fever :(

Hi MommalovesMady, There are few things more distressing than when your baby...

Dr. DuMond

Posted by Sara DuMond, MD, FAAP

2 Replies | Reply | Watch This DiscussionReport This| Share this:Baby with a fever :( Hi MommalovesMady, There are few things more distressing than when your baby...

Reply: 9 month old basically refuses to sleep

Hi apax87, I am so sorry to hear that you've been having such a rough time...

Dr. DuMond

Posted by Sara DuMond, MD, FAAP

Hi apax87,
I am so sorry to hear that you've been having such a rough time with your daughter's sleep issues! You are certainly not alone. Infancy is a tough time for parents in terms of figuring out what children's sleep needs are and in terms of figuring out how to get them to sleep! At 9 months, babies are much more willful (meaning, they have an opinion about what they want and don't want) and they also don't being left alone, because of a normal stage of develpment known as separation anxiety. That having been said, it is absolutely ESSENTIAL that parents set firm limits for sleep with babies at this age. The reason your daughter becomes so combative and seamingly angry at bedtime is that she is overtired. When babies become overtired, they don't act sleepy, they often act more awake, and more fussy. They literally don't know how to calm themselves, and certainly don't know how to let mom and dad know what they need. The best way to handle this situation, is this:
1) Establish a regular bedtime routine that you do at the same time, every night. You can decide what works best, but it might include a bath, then some lotion, then pajamas, then a short book or soft music (not lasting longer than 5 minutes), then an "I love you", and then lay her down awake in her crib and walk out.
2) She will cry and protest. She's already shown you that. Giving in to her protests will only reinforce the behavior and make it worse.
3) Do not try to calm her by offering her a bottle, a pacifier, or by going back in and picking her up. This will also reinforce the crying.
4) Take comfort in knowing that it is not dangerous for babies to cry...not wrong for them to cry themselves to sleep during this stage for a few nights...and not your job to MAKE her sleep. Your only job is to set the stage for good sleep. She will have to learn to soothe herself to sleep on her own.
5) Do this for me for 3 nights, and I promise you will have a sleeping baby through the entire night. The crying and protesting is so hard to hear (I know, I've been there with all 3 of mine), but in the end, it is a gift you will be giving your daughter by teaching her to fall asleep on her own.
6) Babies have more infections and don't grow as well when they don't get enough sleep, so do it for her health, if not for your own sanity!

Good luck!!View Thread

Dr. DuMond

Posted bySara DuMond, MD, FAAP

2 Replies | Reply | Watch This DiscussionReport This| Share this:9 month old basically refuses to sleep Hi apax87, I am so sorry to hear that you've been having such a rough time...

Reply: Breastfeeding Issues

ArreynGrey, I am so, so sorry to hear that you are having such a rough time...

Dr. DuMond

Posted by Sara DuMond, MD, FAAP

ArreynGrey,
I am so, so sorry to hear that you are having such a rough time with your son. I am exhausted just reading your description...I know you've got to be fried! When there seem like there are so many possible things going on at once, and when it also seems like they might all be intertwined, I like to break it down into individual issues. First, the arching/spitting/pain/fussy symptoms that you are describing sound like textbook acid reflux. I am not his doctor, and therefore am not able to diagnose reflux in him, but from my estimation, it is absolutely worth scheduling an appointment SEPARATE from his well baby appointment to talk about this possibility. And soon. It's not dangerous, but the lack of sleep and general unrest that you've been having to endure is! Secondly, the hunger. This seems to have 2 probable roots - your body's lack of milk production during daylight hours and his inability to eat enough to stave off the hunger longer because he's likely in so much pain during feedings that he's cutting them short. The milk production issue should improve with time, but in the meantime, there are some herbal remedies that can help, under the direction of a lactation consultant. If your pediatrician's office does not have a lactation consultant on staff, contact the hospital where you delivered, as most hospitals have outpatient lactation services. You can schedule an appointment for you and your baby to be evaluated by the lactation consultant, and recommendations can be made from there to improve your daytime milk supply. The possible acid reflux issue, can be addressed, sometimes through medication, if that indeed is contributing to his ineffecient feedings. In theory, once that problem is fixed, he will be able to tolerate feedings better, therefore he'll eat more at each feeding, and therefore he'll stay full longer. Lastly, the issue of a possible underlying milk/whey allergy. Some babies with this type of allergy have obvious symptoms like blood in the stool, but other babies just have what appears to be very bad acid reflux symptoms. There is a way to test for this in your pediatrician's office. Even if the test is negative, breastfeeding mothers who still have a high suspicion can go on elimination diets to determine which foods are causing the problem...these dietary modifications can be spearheaded by your local lactation consultant as well, but most often include cutting out dairy, eggs, nuts, and wheat. That's a tall order for most moms, so don't try to take that on by yourself...contact a lactation consultant, please! Lastly, remember that if you're not thriving (because of lack of sleep and not eating and drinking enough), eventually it will catch up with your baby too...so don't put off getting help. You WILL get through this difficult time. Hang in there and keep us updated.View Thread

Dr. DuMond

Posted bySara DuMond, MD, FAAP

2 Replies | Reply | Watch This DiscussionReport This| Share this:Breastfeeding Issues ArreynGrey, I am so, so sorry to hear that you are having such a rough time...

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