Multiples

RnP warnings.

Just an FYI... 

 

Bottom line, not only can RnP cause problems with flat head and torticollis, it is also a sids risk, these are scientific articles.  I know people go on an on about them, so I thought I'd post.

From the article:
"The Supine Sleep Position Is Recommended for Infants to Reduce the Risk of SIDS...Infants Should Sleep in a Safety-Approved Crib, Portable Crib, Play Yard, or Bassinet.
Cribs should meet safety standards of the CPSC, Juvenile Product Manufacturers Association, and the ASTM International (formerly the American Society for Testing and Materials)...Car Seats and Other Sitting Devices Are not Recommended for Routine Sleep at Home or in the Hospital, Particularly for Young Infants... there are multiple concerns about using sitting devices as a usual infant sleep location. Placing an infant in such devices can potentiate gastroesophageal reflux and positional plagiocephaly. Because they still have poor head control and often experience flexion of the head while in a sitting position, infants younger than 1 month in sitting devices might be at increased risk of upper airway obstruction and oxygen desaturation."

To read the article for yourself go to:
https://pediatrics.aappublications.org/content/128/5/e1341.full

Another worry for parents is that once your child learns to sleep in an upright position, it will be a struggle to get them to sleep on a flat surface once they have outgrown this rocker. Since I have been certified as a sleep trainer, I can tell you that it is best to put baby to sleep on a flat surface from the beginning. Yes, baby may sleep more soundly in another position, but babies need to wake up during the night as part of their normal sleep rhythms. It is eventual self-soothing that teaches them to fall back asleep, but that is a whole different topic.

Here is this explained in the article:
"The other reason often cited by parents for not using the supine sleep position is the perception that the infant is uncomfortable or does not sleep well. An infant who wakes frequently is normal and should not be perceived as a poor sleeper. Physiologic studies have found that infants are less likely to arouse when they are sleeping in the prone position. The ability to arouse from sleep is an important protective physiologic response to stressors during sleep, and the infant's ability to sleep for sustained periods might not be physiologically advantageous."

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Re: RnP warnings.

  • The RNP does meet the certified sleep requirements.

     

    Born at 31w3d due to severe IUGR & Placental Insufficiency--2lbs 3ounces
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  • Im curious. How does one get certified in sleep training?
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  • imageschenkertobe:
    Im curious. How does one get certified in sleep training?

    LMAO.

    Born at 31w3d due to severe IUGR & Placental Insufficiency--2lbs 3ounces
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  • I read that RNP was rated for sleep- and as for flat head- like anything else (the swing, car seat, bouncy seat)  too much use is a bad thing.  I used the RNP (2-3 hours a day max)- and yes my one son had a flat spot- but you know what repostioning and exercises helped- there is no flat spot.  They did sleep in their cribs at night.  However my one son had reflux so his crib was elevated to help with that for around 4-6 months- my guys have had no sleep issues- STTN at 12 weeks- and still do.

  • I'm confused by why they say sleeping at an incline causes reflux; isn't it the opposite? RnPs weren't around when my boys were babies but they both slept SO much better once we finally put their mattresses at an incline (and they absolutely had to be upright--like in a bouncy seat--for at least 20-30 mins after every feed).
    fraternal twin boys born january 2009
  • I never used RNP's and one of my girls ended up with a flat back of her head because she slept in her crib on her back with her hands behind her head.  The other has torticollis.  Back sleeping is the cause of these issues, not RNP's.   
    IVF#1 May 2011 15 Eggs Retrieved, 11 Fertilized using ICSI + HPT on 6/9/11 Beta #1 420 Beta #2 2167 US 7/1 TWINS!! Due 2/18/2012 Brooke and Nora born at 35.6 weeks Jan 20th 2012
  • imagemacchiatto:
    I'm confused by why they say sleeping at an incline causes reflux; isn't it the opposite? RnPs weren't around when my boys were babies but they both slept SO much better once we finally put their mattresses at an incline (and they absolutely had to be upright--like in a bouncy seat--for at least 20-30 mins after every feed).

    This, my pedi recommended it for DS, who has reflux.  After his last feed of the day, I let him sleep in the RnP for a while before I put him in his crib.  He sleeps better for the rest of the night because he feels better.

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  • imageBandEddie:
    imagekatie4253:

    imageschenkertobe:
    Im curious. How does one get certified in sleep training?

    LMAO.

    If there is such a thing, my Ph.D. should be in the mail. I'm a champion at sleeping. 

    LOL!  Me too! Where do we apply?

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  • yikes! everyone is defensive about the RnP today. Thanks for the info. 
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  • imagemacchiatto:
    I'm confused by why they say sleeping at an incline causes reflux; isn't it the opposite? RnPs weren't around when my boys were babies but they both slept SO much better once we finally put their mattresses at an incline (and they absolutely had to be upright--like in a bouncy seat--for at least 20-30 mins after every feed).

    I used an inclined mattress for my DS. Can someone explain to me the true benefits of the RnPs vs. nap nanny?? 

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  • SLPMelSLPMel member

    I used the RNP's, and they were lifesavers.  DS has torticollis and a flat spot (he's currently rocking the helmet), but DD has NOTHING.  DS came out of the womb with both the torticollis and the flat spot, and it had more to do with that and him being a preemie.

    I asked DS's PT about it because I was nervous about it.  And she stated it was like everything else-as long as they  are getting enough tummy time and time out of the RNPs/bouncy seats/swing that it would be enough.  Sometimes it was hard with the twins-but they both were in the RNPs the same amount, and one had issues one didn't.

    Also, we didn't use the RNPs until they were 7 weeks old, and by 8 weeks they were sleeping through the night.

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  • imagedenitab:

    imagemacchiatto:
    I'm confused by why they say sleeping at an incline causes reflux; isn't it the opposite? RnPs weren't around when my boys were babies but they both slept SO much better once we finally put their mattresses at an incline (and they absolutely had to be upright--like in a bouncy seat--for at least 20-30 mins after every feed).

    I used an inclined mattress for my DS. Can someone explain to me the true benefits of the RnPs vs. nap nanny?? 

    There is a thread on this below. 

     https://community.thebump.com/cs/ks/forums/thread/67288331.aspx

    Sorry not clicky.

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  • While we didn't use RnP, my kids slept in their swings for the first 4 months of their lives. Just like anything else, enough tummy time and time out of the swing will help with tort and flat spots. Also, the talk of it causing reflux isn't correct. My son has severe reflux and laying him flat was the worst thing we could do. He needed to be upright. That is what my pedi and neonatologist recommend, actually in the NICU they had him on an incline. To each their own, do what you need to do as a parent :) 
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  • Look OP -  we never had RNPs but did use swings/bouncy seats once the kids were bigger.  They did not sleep in their cribs until 6 months and their pedi was fine with it.

    As for the concern of transitioning from sleeping at an incline to flat....well...we did that at six months with ZERO issue.  It was a seemless transition.

    FWIW - each parent needs to make the best decision based on their children and their pediatricians recommendations.  We slept the babies flat for the first month in bassinets and then found they did better at an incline because they had reflux.  I am a physician, and there is no way I'd let their airways be jeopordized.  My DD would aspirate her milk being flat, and that was much worse than sleeping inclined.  Also sleeping at an incline does not promote reflux; or else every single GI doctor I know will have to be re-boarded from this new finding. 

    OP maybe you should look words up before jumping to assumptions.  This article is talking about the difference between stomach sleeping and back sleeping and not flat vs at an incline.  That's apples and oranges.:

    Here is this explained in the article:
    "The other reason often cited by parents for not using the supine sleep position is the perception that the infant is uncomfortable or does not sleep well. An infant who wakes frequently is normal and should not be perceived as a poor sleeper. Physiologic studies have found that infants are less likely to arouse when they are sleeping in the prone position. The ability to arouse from sleep is an important protective physiologic response to stressors during sleep, and the infant's ability to sleep for sustained periods might not be physiologically advantageous."

     

    Three losses in 2009; Boy/Girl twins born in 2010 image
  • 1. Both my babies have had reflux from birth and the pediatrician RECOMMENDED having them sleep upright until they outgrow it. If they sleep lying down they vomit and scream in pain. 

    2. As for the last paragraph that you cited, that is irrelevant information to RnP issue. It's talking about stomach vs. back sleeping. Supine= back, Prone=stomach. 

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  • My son slept almost exclusively in his RnP and swing for the first 4 months of his life. He had mild reflux and did was absolutely not happy sleeping in a pack and play or his crib. At 4 months of age, we transitioned him to his crib and it took no more than a few days for him to adjust. That was our experience so I'll be sticking with RnPs for the twins :)
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  • As someone who has suffered from acid reflux most of my adult life and especially now that my stomach is practically in my throat, I can't imagine how laying flat is a good thing with any form of acid reflux. If I even recline a little after meals I'm in agony and start spitting up bile (lovely, I know) and I sometimes even vomit.
    TTC 12/2009
    Me: 32 - Stage II Endo / DH: 36 - Low count and morphology (1%)
    IUIs 1-3 BFN, lap Dec. 2010, IUIs 4-6 BFN
    IVF w/ICSI #1 - ER 2/8: 24R 19M 9F ET 2/13 2-5 day blasts (no frosties) = BFP - b/g twins!
    E & C Born 10/19/2012
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