IndexProblem StatementPurposePlanFindings from Literature Review and SurveysClinical RelevancePractice RecommendationsProblem StatementAdoption of the “Back to Sleep” protocol has had widespread, unintended consequences for infants, likely causing more slow achievement of developmental milestones and an increase in skull deformities and/or torticollis. Motor delays, as well as head shape issues, require the child to receive corrective intervention in the form of physical therapy and/or helmet therapy. These interventions, although sometimes successful, may be too late in “fixing” deformed skulls, asymmetric postures (stiff neck), and/or delayed development, as critical windows of neuronal maturation are missed. Say no to plagiarism. Get a tailor-made essay on "Why Violent Video Games Shouldn't Be Banned"? Get an Original Essay Tummy time, on the other hand, is short, effective, inexpensive, and suitable for all babies and especially those with plagiocephaly and torticollis. Tummy time involves an adult supervising and interacting with a baby placed in the prone position while he or she is awake. The prescribed frequency is two to three times a day for approximately three to five minutes each time, with the duration gradually increasing as the child gains more strength. The positive impact of spending time on your tummy occurs mainly between birth and six months of age, so early parental education is key. Many postpartum parents in the past have not received complete and appropriate positioning information from healthcare providers, resulting in confusion and uncertainty regarding the practice of “tread time.” Purpose The purpose of this milestone was to utilize an early and well-established point of contact between pediatricians and parents during wellness visits. Educating pediatricians about tummy time is essential to conveying information to parents about the important requirements of tummy time, starting at birth. Pediatricians need experience working with families to educate them about early placement priorities that will have a positive impact on the child's development. They also need to develop knowledge about when to refer families for physical therapy services if the child is unable to perform the tummy time protocol. Pediatricians have clear practical guidelines for the prevention of SIDS that are implemented at the initial stage of parenting children. Similarly, tummy time education needs to be implemented to make the waking prone position part of the child's routine and possibly decrease children's future intolerance to the prone position. PlanThis capstone project involved obtaining feedback from pediatricians on their perceptions and knowledge content of tummy time. Parents were also interviewed to gain further perspective on the current practice of lying on their stomachs. Once the survey results were analyzed and the information from the literature review considered, it was decided to create an evidence-based leaflet. Using information from literature research, a timeline was constructed for the progression of time spent on the stomach. The handout also included the correct alignment of tummy time and the progression of tummy time as gross motor milestones develop. Pediatricians will be able to distribute this leaflet to parents of children starting from birth, following each child's well-being visit.
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