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Daycare Center and Family Home Forum>Those Of You Who've Had Infants With Reflux
Heidi 12:35 PM 08-14-2013
Doc thinks that "silent" reflux (no puking) might be dcb's problem. I had a thread the other day about it. So, he's put him on Zantac generic 2x a day.

If you've had a kiddo of your own, or a dck with reflux, what was your experience?

This little guy has a really, really hard time sleeping on his back. Carseat, 5 seconds and he's zonked out. Bouncer, same thing. Our state reg. says back, in crib, only. HOWEVER, they will give an exemption for babies with a doctor's note. Doctors here WILL sign one, if the baby has a medical reason.

IF I let him sleep in his car seat, I would keep him next to me at all times. I understand the risks, and so does dcm.

Since most of you can't allow this with a dck, what about your own? Does it help?

It would be a very temporary measure, until the meds kick in (if they do), and he would then be transitioned to his pnp. It's ok to elevate that, but I really can't elevate it enough for him without him sliding...lol.

Please...no debate about car seat sleeping. This would be a last resort and only under the guidance of a physician, and it would be temporary.
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Play Care 12:41 PM 08-14-2013
Originally Posted by Heidi:
Doc thinks that "silent" reflux (no puking) might be dcb's problem. I had a thread the other day about it. So, he's put him on Zantac generic 2x a day.

If you've had a kiddo of your own, or a dck with reflux, what was your experience?

This little guy has a really, really hard time sleeping on his back. Carseat, 5 seconds and he's zonked out. Bouncer, same thing. Our state reg. says back, in crib, only. HOWEVER, they will give an exemption for babies with a doctor's note. Doctors here WILL sign one, if the baby has a medical reason.

IF I let him sleep in his car seat, I would keep him next to me at all times. I understand the risks, and so does dcm.

Since most of you can't allow this with a dck, what about your own? Does it help?

It would be a very temporary measure, until the meds kick in (if they do), and he would then be transitioned to his pnp. It's ok to elevate that, but I really can't elevate it enough for him without him sliding...lol.

Please...no debate about car seat sleeping. This would be a last resort and only under the guidance of a physician, and it would be temporary.
I actually did this with a dc boy. I had him sleep in his car seat with a doctors note and a waiver from the parents and a call to licensing so they were aware. I was a basket case the whole time but it was the only way the poor guy would sleep
I've also said that I don't know if I would do it again...
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Lyss 12:52 PM 08-14-2013
DD had severe silent reflux too it was terrible.

The only thing that finally worked for us when it came to sleep was elevating one end of her bed (I put books under one side to raise it), it literally made things so much better for us! She finally slept longer than 20 minute short bursts that ended in screaming. she slid a bit but it made all the difference! DD hated our carseat and the swing/bouncer so I was never able get her to sleep in it.

The Dr also recommended making sure she sat upright for 30 mins after eating

She also had to take Zantac 2x a day

ETA: I did use a thicker crib mattress pad, the heavy waterproof type, because it seemed to offer a bit more "resistance" against sliding down verse just the regular thin cotton sheet. I used it in the pnp play too for her.

Honestly after dealing with DD's reflux, if it works and you can get a waiver I'd do it. We really struggled with DD's silent reflux and if the carseat had helped I would have done it (cautiously obviously) in a heartbeat
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Cradle2crayons 01:39 PM 08-14-2013
YES YES YES propping up helps a LOT. I used a boppy pillow in the bed because my kiddo would just slide down. The boppy provides the perfect propped up angle... And you can use it in a pack and play or bed etc.

As far as the car seat is concerned... Yes it helped tons.. Anything propped up worked.
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Familycare71 01:43 PM 08-14-2013
Originally Posted by Cradle2crayons:
YES YES YES propping up helps a LOT. I used a boppy pillow in the bed because my kiddo would just slide down. The boppy provides the perfect propped up angle... And you can use it in a pack and play or bed etc.

As far as the car seat is concerned... Yes it helped tons.. Anything propped up worked.


I think if you've ever had bad reflux you would do it- it hurts!! I would def do it and provide closer supervision-
And I did do it for my own kids but it wasn't a big deal then- but yes- I would do it again
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Heidi 02:41 PM 08-14-2013
So...did the Zantac work quickly or take a while?

There was a little question about frequency. RX says 2x a day "as needed". Pharmacist explained that as when baby gets grouchy, administer up to 2x a day. My understanding, it's 2x a day for a while, every day, not to wait until the crankin' starts. Since he pretty much cranks non-stop, mom would be giving it to him until it started working, and then stop? Then use again when he needs it? That sounds crazy to me. Plus, I won't administer it, and a 2x a day dose is perfect for mom. Once in the am, once in the pm. "As needed" means it has to be schlepped back and forth, documented, etc.

I told mom my thinking, but encouraged her to call the doctor to clarify. I really think he needs to be on it for a few weeks, and then should be weaned off down the road. She agrees with my line of thinking. Again, I encouraged her to check with her doc to be sure.
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Play Care 03:33 PM 08-14-2013
With my guy I really noticed a difference almost immediately. I could also tell when mom forgot or when she decided to try to wean him from the meds I didn't need to do it here at all. It seemed to work the whole day.
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Cradle2crayons 04:18 PM 08-14-2013
Originally Posted by Heidi:
So...did the Zantac work quickly or take a while?

There was a little question about frequency. RX says 2x a day "as needed". Pharmacist explained that as when baby gets grouchy, administer up to 2x a day. My understanding, it's 2x a day for a while, every day, not to wait until the crankin' starts. Since he pretty much cranks non-stop, mom would be giving it to him until it started working, and then stop? Then use again when he needs it? That sounds crazy to me. Plus, I won't administer it, and a 2x a day dose is perfect for mom. Once in the am, once in the pm. "As needed" means it has to be schlepped back and forth, documented, etc.

I told mom my thinking, but encouraged her to call the doctor to clarify. I really think he needs to be on it for a few weeks, and then should be weaned off down the road. She agrees with my line of thinking. Again, I encouraged her to check with her doc to be sure.
It's two times a day, every day. Until the doctor says to stop. Zantac isn't meant to be as needed or PRN. My daughter started on it twice a day and then was sent to a specialist who changed it to four times a day. It finally started working when she switched to four times a day. My son, he was only on it twice a day.
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Lyss 04:36 PM 08-14-2013
For DD it took a bit to kick in.

We never gave it as needed. DD got it 2x a day, we had to adjust the dose when she gained weight because from what I understand its very weight sensitive.
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dbslas 09:11 PM 08-14-2013
We used the carseat and the baby was next to us all day until we were able to transition to pnp.
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Heidi 05:57 AM 08-15-2013
So, is this another sign?

Fast asleep, then waking up and screaming bloody murder. Inconsolable until bottle is offered (he last ate just shy of 2 hours ago). Drinks 1 oz., fall asleep.

Seems like if he has burning pain, the formula would soothe that so he can go back to sleep?
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Familycare71 06:00 AM 08-15-2013
Originally Posted by Heidi:
So, is this another sign?

Fast asleep, then waking up and screaming bloody murder. Inconsolable until bottle is offered (he last ate just shy of 2 hours ago). Drinks 1 oz., fall asleep.

Seems like if he has burning pain, the formula would soothe that so he can go back to sleep?
In my experience - yes...
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Cradle2crayons 06:10 AM 08-15-2013
Originally Posted by Heidi:
So, is this another sign?

Fast asleep, then waking up and screaming bloody murder. Inconsolable until bottle is offered (he last ate just shy of 2 hours ago). Drinks 1 oz., fall asleep.

Seems like if he has burning pain, the formula would soothe that so he can go back to sleep?
YESSSSSSSSSS another huge sign!!!!!

The poor baby is being eaten alive from the inside.... Poor precious little boy... I've felt his pain..and 24/7 comforted two of my own through this pain... It's horrible....

Uncontrolled reflux also causes asthma and chronic lung damage....

A lot of parents have no idea the damage it can do.

This little guy is so lucky to have you advocating for him

Has mom checked with the pediatrician to see if its okay to add rice cereal to his bottles?? That HUGELY helped my daughter and son... And I mean HUGELY. It helps the formula stay down. Makes it heavier.

Also of note, the Zantac helps the symptoms by reducing the acid content in the stomach. It doesn't stop the formula from coming back up though. So what does come up doesn't burn as much. It's still recommended they are propped up for at least thirty minutes after eating even when they aren't symptomatic anymore.
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Crazy8 06:38 AM 08-15-2013
my own DD had horrible reflux, even zantac didn't help much. We had to go to a heavier med - which was later taken off the market due to all its side effects. It was a miracle drug for her!

My dr. told me it was fine to have her sleep in the car seat and it helped a lot. This was about 14 years ago and I had never heard of it being bad back then. I think all the warnings came out within the last 8-10 years. The wedge under the crib mattress did nothing for her. A boppy pillow worked for her too, you just have to always be in sight to make sure they don't slip off it. I probably would be too afraid to do it for a daycare kid, but I did it for my own daughter.
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Heidi 07:15 AM 08-15-2013
Originally Posted by Cradle2crayons:
YESSSSSSSSSS another huge sign!!!!!

The poor baby is being eaten alive from the inside.... Poor precious little boy... I've felt his pain..and 24/7 comforted two of my own through this pain... It's horrible....

Uncontrolled reflux also causes asthma and chronic lung damage....

A lot of parents have no idea the damage it can do.

This little guy is so lucky to have you advocating for him

Has mom checked with the pediatrician to see if its okay to add rice cereal to his bottles?? That HUGELY helped my daughter and son... And I mean HUGELY. It helps the formula stay down. Makes it heavier.

Also of note, the Zantac helps the symptoms by reducing the acid content in the stomach. It doesn't stop the formula from coming back up though. So what does come up doesn't burn as much. It's still recommended they are propped up for at least thirty minutes after eating even when they aren't symptomatic anymore.
silent reflux...no spitting. good because I have a crazy spitter-upper w/o pain too...ewww
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Willow 07:53 AM 08-15-2013
Might be worth getting a bolster for under the mattress. I would get one (or have mom and dad bring you one) that is intended for matress propping though to reduce your liability.

If doc signs off they could probably even get insurance to pay for it.


You could definitely use the carseat as a substitute but I'd get something in place for long term. Is definitely have mom do medicine every day, every dose, for at least the next couple of months. The waking you describe sounds typical of reflux pain.

I hope the med helps!
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Cradle2crayons 10:35 AM 08-15-2013
Originally Posted by Heidi:
silent reflux...no spitting. good because I have a crazy spitter-upper w/o pain too...ewww
Just because they don't spit up out of their mouth... Doesn't mean a thing.

Reflux means the formula and or acid is leaving the stomach and going back up into the esophagus. In some it only comes up and inch into the esophagus... In others halfway... In others not quite into the throat. There no way to know how far it goes up without the PH test which they rarely do.

If the valve at the top of their esophagus closest to their throat is tight and closing correctly, the formula doesn't come up to their throat and out. But for most, at valve doesn't work either so it comes out their mouth.

And technically, silent reflux is when they typically don't have burning but they have other symptoms like hoarseness etc. once they have pain, it's not "silent reflux" anymore. Even babies with silent reflux spit up. Silent typically means no burning. So why a medical doctor would call it silent reflux compared to GERD is beyond me. Is a complete oxymoron.

http://www.doctoroz.com/videos/silent-reflux-epidemic

And
http://www.entnet.org/healthinformat...rd-and-lpr.cfm
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canadiancare 06:14 AM 08-16-2013
My now 16 year old daughter had GERD with projectile vomiting the acid burns horribly(I have a hiatal hernia so I've been on acid reducers for years) as others have said it is a daily med because it controls acid production. Milk temporarily soothes which is why they naturally want to sip milk frequently.

Car seat or stroller sleeping in an upright position helps a lot. Do whatever you need to to get licensing to support you.
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Heidi 09:10 AM 08-16-2013
Originally Posted by Cradle2crayons:
Just because they don't spit up out of their mouth... Doesn't mean a thing.

Reflux means the formula and or acid is leaving the stomach and going back up into the esophagus. In some it only comes up and inch into the esophagus... In others halfway... In others not quite into the throat. There no way to know how far it goes up without the PH test which they rarely do.

If the valve at the top of their esophagus closest to their throat is tight and closing correctly, the formula doesn't come up to their throat and out. But for most, at valve doesn't work either so it comes out their mouth.

And technically, silent reflux is when they typically don't have burning but they have other symptoms like hoarseness etc. once they have pain, it's not "silent reflux" anymore. Even babies with silent reflux spit up. Silent typically means no burning. So why a medical doctor would call it silent reflux compared to GERD is beyond me. Is a complete oxymoron.

http://www.doctoroz.com/videos/silent-reflux-epidemic

And
http://www.entnet.org/healthinformat...rd-and-lpr.cfm
Sorry...the doc did not use that term. I did, because he's not vomiting. My mistake.
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Heidi 09:14 AM 08-16-2013
Well, it's day 3 on the meds, so far, no big changes. If it is working, it may be that he is so used to be carried about now that he is a little spoiled. Can't put the little sack o'potatoes down for a second without a fit.

I call it "exercise time", because sometimes, he just needs to be put down. I'm alternating between a swing (the swing doesn't work, and I hate contraptions, but I do own one and hauled it out of the garage), carseat, and floor back/tummy time. He's got to be on the floor a little bit everyday, whether he likes it or not.

Next week, I will try my exersaucer with lot's of support around him, but I think it's way to early for that at 8 weeks. It does go down really low, so his feet will be on the floor. Not sure about doing it, but he'd be in essentially the same position as in a front carrier, I guess.
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Heidi 09:18 AM 08-16-2013
Has anyone heard of gripe water?
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3amazingkiddos 09:19 AM 08-16-2013
My twins both had reflux, one silent and one projectile vomited. I elevated their crib mattresses and switched to the formula that has cereal already added, it helped tremendously. These changes helped immediately.

I've also had 2 dc kiddos on Zantac and both did great and it helped within a few days. Once treated both kiddos turned into the best babies I've ever watched, happy, content, great eaters and sleepers
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canadiancare 10:16 AM 08-16-2013
Originally Posted by Heidi:
Has anyone heard of gripe water?
Yes it is a home or store bought remedy. It has baking soda in it (similar to alka seltzer)
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Cradle2crayons 02:32 PM 08-16-2013
Originally Posted by Heidi:
Has anyone heard of gripe water?
Yessssss typically it's used for colic. I'm not sure how it works but it does. Used it for my daughter during her colicky weeks.
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Cradle2crayons 02:35 PM 08-16-2013
Originally Posted by 3amazingkiddos:
My twins both had reflux, one silent and one projectile vomited. I elevated their crib mattresses and switched to the formula that has cereal already added, it helped tremendously. These changes helped immediately.

I've also had 2 dc kiddos on Zantac and both did great and it helped within a few days. Once treated both kiddos turned into the best babies I've ever watched, happy, content, great eaters and sleepers
Yes I can't say enough about the formula with added rice starch. We just used regular lactose free cheap formula and added rice cereal. It took a few days to find the right consistency but it worked fabulously. The rice cereal or formula with added rice starch just makes the formula "heavier" so it's not as apt to come up. With some reflux babies e added rice cereal works better than the Zantac.

We are doing rice cereal for our new daycare boy. He just turned six weeks, he was a preemie too... And he drinks 5 oz of formula with two of those formula scoops of rice cereal per bottle. We had to change the bottle nipple to level two. But he's completely symptom free, including spit up free and we didn't have to do the Zantac.
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jojosmommy 12:24 PM 08-19-2013
Originally Posted by Heidi:
So...did the Zantac work quickly or take a while?

There was a little question about frequency. RX says 2x a day "as needed". Pharmacist explained that as when baby gets grouchy, administer up to 2x a day. My understanding, it's 2x a day for a while, every day, not to wait until the crankin' starts. Since he pretty much cranks non-stop, mom would be giving it to him until it started working, and then stop? Then use again when he needs it? That sounds crazy to me. Plus, I won't administer it, and a 2x a day dose is perfect for mom. Once in the am, once in the pm. "As needed" means it has to be schlepped back and forth, documented, etc.

I told mom my thinking, but encouraged her to call the doctor to clarify. I really think he needs to be on it for a few weeks, and then should be weaned off down the road. She agrees with my line of thinking. Again, I encouraged her to check with her doc to be sure.
I would be very careful with these meds. My dd has severe gi issues and zantac is

1. NASTY TASTING so get it flavored or the kid will not take it. Imagine pepermint liquor about 10000 proof.

2. These meds inhibit acid secretions and In my daughters case had to be increased many times over to be "effective".

3. Known to cause "rebound reflux" when you dont give it or pull cold turkey the reflux is worse than before ever giving it.

I thought it worked wonders on my kid until we found out we had been giving an excessively large dose at the encouragement of our primary doctor because it was jo longer effective at normal doses. We also had to wean her over a few months because of rebound reflux and I was never so happy to be done with it.
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Heidi 12:33 PM 08-19-2013
Originally Posted by jojosmommy:
I would be very careful with these meds. My dd has severe gi issues and zantac is

1. NASTY TASTING so get it flavored or the kid will not take it. Imagine pepermint liquor about 10000 proof.

2. These meds inhibit acid secretions and In my daughters case had to be increased many times over to be "effective".

3. Known to cause "rebound reflux" when you dont give it or pull cold turkey the reflux is worse than before ever giving it.

I thought it worked wonders on my kid until we found out we had been giving an excessively large dose at the encouragement of our primary doctor because it was jo longer effective at normal doses. We also had to wean her over a few months because of rebound reflux and I was never so happy to be done with it.
Thanks!

I don't know if it's the flavored kind, but he's had no problem taking it in a syringe/dropper. I didn't taste it.

So far, I still haven't noticed a major change, but he is sleeping better in the upright position. At home, she is able to get him to sleep about 6 hours in his crib at night (with one waking between), and then moves him to the swing for the last round.

He cries pretty much all the time, except when he's in the carseat (moving), held (works for a while), sleeping, or being fed. Put him on his back=immediate scream fest. I'm resisting the idea of getting a swing because it feels like I'd be hypnotizing the poor guy just to get some peace. I've even considered (with a lot of reluctance) wearing him, but I suspect he'd be happy for a few minutes, then I'd have to undo him and try the next thing. It's a bit exhausting already, without wearing him!

Hopefully, they'll get things figured out. Eventually, he will get better, I know.
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Cradle2crayons 12:36 PM 08-19-2013
Originally Posted by Heidi:
Thanks!

I don't know if it's the flavored kind, but he's had no problem taking it in a syringe/dropper. I didn't taste it.

So far, I still haven't noticed a major change, but he is sleeping better in the upright position. At home, she is able to get him to sleep about 6 hours in his crib at night (with one waking between), and then moves him to the swing for the last round.

He cries pretty much all the time, except when he's in the carseat (moving), held (works for a while), sleeping, or being fed. Put him on his back=immediate scream fest. I'm resisting the idea of getting a swing because it feels like I'd be hypnotizing the poor guy just to get some peace. I've even considered (with a lot of reluctance) wearing him, but I suspect he'd be happy for a few minutes, then I'd have to undo him and try the next thing. It's a bit exhausting already, without wearing him!

Hopefully, they'll get things figured out. Eventually, he will get better, I know.
I wish wearing had worked for my reflux kids. All it did was cover me in vomit lol
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Heidi 01:49 PM 08-19-2013
Originally Posted by Cradle2crayons:
I wish wearing had worked for my reflux kids. All it did was cover me in vomit lol
yeah...

I know what you mean.

I have an 8 month old who is Mr. Happy, but he still pukes constantly, even though he's largely on baby foods and table foods. It's super-gross. Every bottle, and some solids, comes right back up (well, half of it, anyway). Doesn't faze him a bit.

I teased his dad and said I SHOULD have asked for a carpet deposit when I contracted with them.
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Cradle2crayons 01:54 PM 08-19-2013
Originally Posted by Heidi:
yeah...

I know what you mean.

I have an 8 month old who is Mr. Happy, but he still pukes constantly, even though he's largely on baby foods and table foods. It's super-gross. Every bottle, and some solids, comes right back up (well, half of it, anyway). Doesn't faze him a bit.

I teased his dad and said I SHOULD have asked for a carpet deposit when I contracted with them.
I know exactly what you mean lol. We didn't use burp cloths. We used burp TOWELS lol. And when we put my oldest down for a nap and bed, we covered her with this custom bib thing that was like a blanket thing lol.
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Unregistered 04:23 PM 08-19-2013
Rock N Play Sleeper!!!!!! It is a god send! My son had horrible reflux and could NOT sleep on his back! We tried many different medicines with him with no success. I finally found the rock n play sleeper and after months of sleepless nights, no naps and the fussiest baby I have ever seen. It was amazing! He started sleeping through the nights, taking naps and was a happier baby! Not sure how to help with the regulations and everything else. But if you can figure out a way. The rock n play is the only thing I recommend for reflux!!! Good luck!
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Cat Herder 04:30 PM 08-19-2013
Does letting baby sit up for 20-30 minutes after each feeding before laying him down correctly in his crib not work?

That is the usual remedy for this issue.
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Heidi 06:56 PM 08-19-2013
Originally Posted by Cat Herder:
Does letting baby sit up for 20-30 minutes after each feeding before laying him down correctly in his crib not work?

That is the usual remedy for this issue.
nope...

We are not 100% sure he HAS reflux. Just 100% sure he cries endlessly... There are some indications that it could be reflux (see previous posts), but unfortunately, he's not telling us. Darn kid..
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Leigh 09:46 AM 08-21-2013
I have a Graco baby swing that I don't use, but I keep it for the removable, vibrating bouncer. A baby with reflux seems to be at just the right angle in there, and I don't strap the baby in-there is no sliding around, either. Even with the bouncer, I freak out about infants sleeping (I know people who have lost their babies to SIDS, and I am hyper-vigilant about it). It seems safer than the carseat to me (I feel that it holds their heads upright better than hard plastic), and I just keep the baby next to me during all times when sleeping in it.
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