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Tag: infant care glendale

The Importance of Sleep

Children need a good night’s rest in order to properly grow and develop. While sleeping may seem like an easy enough activity to fit into a child’s day, our family practice specialists in Phoenix find that it is often overlooked. Families have busy schedules with school, after school programs, and one or more parents working. For a majority of families in Arizona, mornings start early and nights run late. Due to this schedule, children and adults alike are often sleep deprived. While it is important for adults to rest in order to function properly, sleep is even more crucial for children.

Mental and physical development depends directly on the amount and quality of sleep a child receives on a regular basis. When a child doesn’t receive enough sleep, our pediatricians at Pediatrix notice higher incidences of delayed physical development, higher risk of developing anxiety and depression, and an increase in behavioral problems such as ADHD.

The pediatricians at Pediatrix in Phoenix offer the following guide to help you determine how much sleep is essential for your child to properly grow and develop, according to your child’s age:

1 – 4 Weeks: 15 – 18 hours recommended. Newborns sleep a majority of the day, but in short periods usually lasting between two and four hours. At this stage, newborns have not yet developed an internal biological clock; therefore, they sleep without differentiating between night and day.

1 – 4 Months: 14 – 15 hours recommended. Babies at this age slowly begin to develop more regularity when it comes to their sleep patterns. They also sleep for longer periods at a time, usually between four and six hours.

4 – 12 Months: 14 – 15 hours recommended. At this age, 15 hours of sleep is the absolute ideal. Three naps are about average throughout the course of the day: the midmorning nap around 9 AM, the early afternoon nap between 12 and 2 PM and the late afternoon nap between 3 and 5 PM. At around 6 months of age, the number of naps can be reduced to two and babies gain the ability to sleep throughout the entire night.

1 – 3 Years: 12 – 14 hours recommended. Between one and three years of age, toddlers begin to nap only once a day, typically sometime in the early or late afternoon. They start to establish a more regular sleep routine, usually going to bed between 7 and 9 PM and waking between 6 and 8 AM.

3 – 6 Years: 10 -12 hours recommended. Children at this stage tend to keep the same sleep routine, but there is a slow reduction of napping. At three years old, the majority of children are still napping. By five years of age, very few children require a nap each day to function.

7 – 12 Years: 10 – 11 hours recommended. Children start to become very involved with school, homework, activities and friends, meaning there is less time available in the day for sleeping.  On average, children of this age only receive about nine hours of sleep per night, slightly below the recommended amount.

12 – 18 Years: 8 – 9 hours recommended. As teenagers, the combination of homework, activities and managing an active social life can become overwhelming.  Teenagers have difficulty finding the time for adequate sleep, which is essential to proper function of the body.

As a parent, it is important that you establish sound sleep patterns for your children. Children should be provided with an environment for quality sleep to ensure that they are getting the recommended amount of sleep for their age. By doing this, you will help your children to mentally and physically develop at a normal, healthy rate. Speak with family practice specialists in Phoenix for some helpful sleep tips.

If you are interested in learning more about child development, make an appointment with one of Pediatrix’s friendly, knowledgeable pediatricians in Phoenix. Our experienced pediatricians are well versed in child wellness, performing necessary examinations and checkups to sustain a child’s health. Visit our family practice specialists in Phoenix today. Call Pediatrix at (602) 866-0550 or contact us online with any comments, questions or concerns. Our Phoenix pediatric specialists would be more than happy to help.


Subir K. Mitra, MD FAAP

Posted in Blog on January 17th, 2013

How to Soothe the Pain of Teething

Teething normally begins anywhere between 3 months and 12 months of age, starting with the two lower front teeth. The lower front teeth are then followed by the upper front teeth 1 to 2 months later. Teeth continue to come in until the child is about 30 months old, which is the age when all 20 primary teeth (also called baby teeth) should be grown in.

Teething is a process that takes time and can be painful for your child. Before a tooth pokes through, the tissue around the tooth can become swollen and sore due to the pressure against the skin of the gum. The pain typically occurs for 3 to 5 days before the tooth cuts through, before disappearing altogether.

Infants who are teething can show the following behavior in reaction to the pain of a new tooth:

  • Bite their fingers or toys
  • Refuse food
  • Become irritable
  • Drool, causing rashes on the chin, face and chest areas
  • Experience difficulty falling asleep

It’s hard for any parent to watch their child suffering each time a new tooth is about to grow in. To help ease the pain and fussiness, the following is a list of suggestions:

  • Mild pain relievers, such as acetaminophen or ibuprofen (use ibuprofen only if the child is older than 6 months).
  • Using your finger or wet gauze, massage your child’s gum for 1 to 2 minutes. This is soothing and can help break down tissues in the gums.
  • Cold helps to decrease pain and inflammation. Giving your child a frozen wet washcloth to chew will help, as it decreases swelling.
  • Distractions such as rocking, swinging, or playing will help to take your child’s mind off of the pain.
  • Orajel is NOT recommended, as it can have unwanted side effects.

Following these tips will help to ease your child’s pain as they teeth. It’s also recommended that you take your child for their first dentist visit within the first six months of their first tooth. A baby develops quickly during their early months of life, so it’s also important that parents keep up with infant care in Glendale and the Valley area. At Pediatrix, we care for your children as if they’re our own. We provide high quality health care specialized for the different stages of your child’s development and are happy to provide parents with answers to any health related questions. Please call (602) 866-0550 or contact us online to learn more about quality and caring infant care in Glendale and the greater Phoenix area.




Subir K. Mitra, MD, FAAP

Posted in Blog on November 26th, 2012

Sudden Infant Death Syndrome

Sudden Infant Death Syndrome (SIDS), also referred to as crib death, is the sudden and unexplained death of a baby under a year old. In the United States, SIDS is the number one cause of death in infants between the ages of 1 month and 12 months old, taking 2,500 lives every year.

SIDS typically occurs while a baby is asleep, experiencing no suffering whatsoever. It is scary and worrisome for new parents as the condition comes on quickly and unexpectedly to babies who don’t appear to have any health concerns.  SIDS has been associated with possible abnormalities in the brain that control breathing and arousal of sleep. The syndrome has also been tied to certain sleep environments, which can increase an infant’s risk.

In order to reduce the risk of SIDS, consider the following:

  • Babies should always rest on a firm mattress. Avoid pillows, waterbeds, couches, chairs and other soft surfaces.
  • To prevent rebreathing, avoid placing blankets, comforters, stuffed animals or pillows that could restrict air flow.
  • Keep the room at a comfortable temperature. If a baby gets too warm, they could enter a deeper sleep that may be more difficult to come out of.
  • Breastfeeding helps to build a baby’s immune system and protect from infections.
  • All recommended immunizations should be received as they can reduce the risk of SIDS by up to 50%.
  • Infant care in Phoenix should be a priority. Make appointments with a pediatrician regularly for well child checkups.

While it is difficult to know the exact cause for SIDS, taking the above precautions may help to reduce the risk. Visiting with a physician for regular infant care in Phoenix will allow them to evaluate your baby’s growth and development, and detect any conditions or other health issues early on. At Pediatrix, providing expert infant care in Phoenix, we know your children are special to you – they’re special to us too – so we make sure that we are providing specialized medical attention to each and every child in our care to ensure that they lead healthy, fulfilling lives. For infant care in Phoenix, please call Pediatrix at (602) 866-0550 or visit us online today.




Subir K. Mitra, MD, FAAP

Posted in Blog on October 19th, 2012

Influenza Vaccines

Every year in the United States, seasonal flu kills 24,000 people and hospitalizes 200,000. Infants and young children, especially under the age of five, make up a significant percentage of this statistic as they are a high risk group for developing flu complications, which typically require hospitalization. It’s best to get your child vaccinated as soon as the vaccine becomes available in your area so that your child will be protected once flu season hits. Keep in mind that it takes about two weeks for antibodies to develop after receiving the shot, so keep in contact with Phoenix pediatricians to find out vaccine distribution dates.

In children, the following individuals will be most at risk for severe flu complications:

  • Children under the age of five, and especially under the age of two. Those under two typically experience the most severe flu complications.
  • Children with chronic health problems such as asthma or diabetes.
  • Children under 6 months of age. Children should not be vaccinated until they are at least 6 months old, so the best way to protect your baby is to make sure everyone around them has been vaccinated.

Getting a flu shot is the first step in prevention of the flu, which could be potentially life threatening to a child. Last year, 52% of children under the age of 17 received the flu vaccination with a large percentage of children under two making up this statistic. Of the babies and toddlers, aged 6 to 23 months, 75% were vaccinated.

In addition to the vaccine, you and your family should also practice good hygiene to avoid spread of the flu. Don’t cough or sneeze into your hand, but rather into your arm or shirt. Make sure to wash your hands frequently throughout the day using an anti-viral soap. Also, taking antiviral medications can help treat and prevent influenza for those more susceptible to complications.

Flu seasons are unpredictable; they can turn out to be fairly mild to very extreme, so it’s important to prepare your children by getting a flu vaccine prior to the start of the season. The knowledgeable and friendly Phoenix doctors at Pediatrix pride themselves on treating children with only the best care to ensure that they grow happily and healthily. In order to keep your children protected, our Phoenix pediatricians would be more than happy to answer any questions or concerns you may have about this upcoming flu season. At Pediatrix, our Phoenix doctors strive for excellence and provide the most specialized care for each child. Please give us a call at (602) 866-0550 or visit us online today.




Subir K. Mitra, MD, FAAP

Posted in Blog on October 5th, 2012

Helpful Tips for a Healthy School Year

Between trips to the store for school supplies and new clothing, your child may also require a trip to a pediatrician in Phoenix for school-mandated shots and vaccines before the school year begins. Preparing your child for the upcoming school year shouldn’t stop here however. Here are some tips to help keep your child happy and healthy throughout the school year:

  • Screenings & checkups: In addition to required immunizations, bring your child to a pediatrician in Phoenix to have their eyesight and hearing tested before each school year to ensure they can succeed in their learning environment.
  • Sleep: Elementary-school aged children should get an average 10 to 11 hours of sleep a night. Establishing a set bedtime and sticking to it will get your child used to a routine of going to bed on time, ensuring that they are well rested for the next day.
  • Diet: Without a fuel source, a child’s body cannot fully develop. A healthy breakfast begins your child’s day right and stimulates metabolism.
  • Exercise: Children need 60 minutes of continual exercise daily, according to the Center for Disease Control and Prevention (CDC), but gym class and after-school programs may not suffice, only 3% of 15 year olds receiving the recommended amount of exercise daily according to Duke Medicine.
  • Safety: Children should not carry over 20% of their body weight to avoid neck and back injuries. Regardless of your child’s normal method of transportation to and from school, make sure children are aware of traffic laws and neighborhood safety.

The experienced pediatricians in Phoenix at Pediatrix are well versed in child wellness, performing necessary examinations and checkups which sustain a child’s health. Affiliate hospitals throughout the valley benefit from the Pediatrix commitment to each of our unique child patients.  Visit a pediatrician in Phoenix at Pediatrix today, call us at (602) 866-0550 or contact us online with any comments, questions or concerns.




Subir K. Mitra, MD FAAP

Posted in Blog on July 30th, 2012

The Importance of Vaccinations

Historically, parents consulted a Phoenix children’s doctor about immunizations, but the increased use of social media, blogging, and online parenting forums has exposed a number of concerns regarding immunizations that are spreading throughout the parenting community. These hesitations stem from rumors, such as the one stating that the measles, mumps and rubella vaccinations were linked to autism. Even after the case was declared fraudulent and the physician that started the rumor lost his license, 1 in 4 parents still believe these false rumors, according to KidsHealth.

In 2011, the Center for Disease Control and Prevention (CDC) reported the highest levels of measles cases in the last 15 years, a majority of cases in individuals without measles immunizations. Parents often ask the physicians at Pediatrix why vaccinations are important, even when the disease is rare or non-existent in the United States. In actual fact, the use of vaccinations is the reason why a disease may be rare or non-existent. As children’s doctors in Phoenix, we advocate the following truths about vaccinations:

  • Community Immunity: When a majority of a community’s population is vaccinated against an infectious disease, the individual risk of contracting said disease is significantly reduced even if unvaccinated.
  • Foreign Considerations: Although a disease may be rare in the United States, other countries may not be so fortunate and the disease could be introduced from a foreign source.
  • Think about the Unvaccinated: Elderly, pregnant women, infants and individuals with a compromised immune system cannot receive certain immunizations. By vaccinating every eligible individual, the chances of an infectious disease being spread is minimized.
  • It’s Required: Some states have immunization requirements, but most schools require all students to be vaccinated prior to enrollment. Speak with your children’s doctor to learn more about school vaccination requirements.

Ensuring your child is current with his or her vaccinations greatly minimizes the risk of succumbing to a preventable disease. The physicians at Pediatrix are experienced with administering vaccinations to the Valley’s children, satisfying school and state requirements while addressing the needs of children and concerns of parents. Call Pediatrix at (602) 866-0550 today or contact us online to schedule an appointment, or learn more about the vaccinations we administer.




Subir K. Mitra, MD FAAP

Posted in Blog on July 6th, 2012