Back to School Health and Wellness Tips

The new school year is around the corner, and parents and guardians are getting their children ready to go back to school. As they prepare for a new school year, it is essential to make sure they return to school healthy. 

Here are some health and wellness tips to make sure your child is healthy before they go back to school: 

  • Make sure your child is up to date on their vaccinations. Vaccinations are essential to protect children and others from various diseases. 
  • Make sure your child gets their flu and COVID-19 shots. Every child six months or older should get their yearly flu shots, as flu season typically starts in the fall and peaks between December and February. 
  • Make sure your child receives vision and hearing tests. Children should have their hearing and vision tested with their doctor from infancy through high school. Watch for signs of hearing or vision loss and talk to your child’s healthcare provider if you notice any changes. 
  • Help your child make healthy food choices, even at school. Encourage them to eat plenty of fruits and vegetables. When eating bread or pasta, choose 100% whole-grain products. Encourage them to choose water, not juice or soda. 
  • Make sure to take care of your child’s mental health. Managing school stress, relationships, and friendships can be overwhelming. Encourage them to talk about their emotional health. 
  • Make sure to limit your child’s screen time. Children under the age of two years old should have no screen time. Limit screen time to one to two hours a day for children two years old and over. Parents are encouraged to delay access to smartphones until they are at least 14 years old. 
  • Be sure to monitor your child’s social media use. Social media use starting during childhood can play a significant role in the relationships and experiences that impact children’s and teens’ growth, development, and mental health. Parents are encouraged to set aside time to discuss social media use, including setting privacy limits on who can see and interact with them. 
  • Make sure your child gets a good night’s sleep. Adequate sleep helps kids focus each day at school and is important for their health. Children between the ages of three and five should sleep 10 to 13 hours (including naps). Children six to 12 years of age should sleep nine to 12 hours a night. Teenagers 13 to 18 years of age should sleep eight to 10 hours a night. 

These back-to-school health and wellness tips will help ensure your child returns to the classroom safely and healthy. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Centering Pregnancy Program Testimonial

If I had to describe the Centering Pregnancy program in two words, they would definitely be professionalism and compassion.

I must admit that when Angela Correa, the coordinator of Centering Prenatal Care, first called me to tell me about the Centering Pregnancy program, I was a little unsure about joining the group. However, with just one simple phone call, she made me feel welcome and, most importantly, truly embraced in what would later become my favorite moment of the week.

Thank you, Angela, for your smile, for always being attentive and willing to help, for being part of every session, for sharing your experiences, and for listening to me with so much patience. You are truly an angel from God!

During one of the first sessions, I had the opportunity to meet the wonderful Ingrid Defreitas, RPA-C, and since then, I have not stopped appreciating her.

From day one, I could see that she is an excellent professional, fully dedicated to her work, her patients, and her values. She made each class a unique experience. She made me feel heard and valued, and with her joyful personality, she made every session worthwhile. In addition to being highly professional in examining both me and my baby, she was always clear, informative, and direct in her explanations.

I would recommend Ingrid to every future mom who has the opportunity to attend Centering. She makes Centering a fun, welcoming space filled with valuable information. Thank you, Ingrid, for all your kindness during these past months, for accompanying me through this journey with my baby growing inside me. May God always bless you!

Another person I would like to thank is the lactation specialist, Jimena Grimaldi. She is an excellent professional and a wonderful person. She was always willing to answer each of my questions and concerns. In every word she speaks, you can feel the kindness and warmth of the person she is. Thank you so much, Jimena!

Last but certainly not least, I would like to deeply thank Maria Smilios, Director of Nursing – Maternal and Child Services, for making this experience possible and for visiting us from time to time during our sessions to make sure we were doing well. 

Thanks to all these wonderful women, I am much more prepared because of everything they have taught me and shared with me.

I feel it is very important to share my experience so that this space can reach more moms who may still be unsure about joining. Believe me, being part of Centering made the journey of carrying my pregnancy so much lighter. It is a space where no one judges, where experiences are shared, where there is so much valuable information, laughter, and even a few tears—but you are surrounded by people who are going through the same thing or something similar, and that makes the journey feel much less heavy.

Thank you for everything, ladies!

With much love and gratitude,
Ana Laura Aguilar

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Updated Vaccine for Returning Students

The new school year is right around the corner. That means parents will be taking their children shopping for new school supplies and clothes. In addition to updating their child’s wardrobe and supplies, parents should remember to schedule vaccinations before the school year begins.

Vaccines are the best way to prevent your child from getting many illnesses and spreading them to others. Each age group has recommended vaccines they need to receive before starting their new grade:

Vaccines for children aged four to six before they start kindergarten:

  • Flu – needed every year
  • COVID-19
  • Measles, mumps, and rubella (MMR)
  • Diphtheria, tetanus, and pertussis (DTaP)
  • Chickenpox
  • Polio

Vaccines for children aged seven to 10 before they start elementary school:

  • Flu
  • COVID-19

Vaccines for children aged 11 to 12 before they begin middle school:

  • Flu
  • COVID-19
  • Tetanus, diphtheria, and pertussis (Tdap)
  • Meningococcal conjugate (MenACWY)
  • HPV

Vaccines for children aged 13-18 before they enter junior and high school:

  • Flu
  • COVID-19
  • Meningococcal conjugate (MenACWY)
  • HPV

Vaccines for college-aged teenagers:

  • Flu
  • COVID-19
  • Meningococcal conjugate (MenACWY)
  • HPV

You can find the complete schedule of recommended vaccines for your child by age on the Centers for Disease Control and Prevention’s website. To schedule an appointment for your child to receive the required vaccines at Flushing Hospital Medical Center’s  Ambulatory Care Center, please call (718) 670-5486.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Autoinflammatory Awareness Month

August is Autoinflammatory Awareness Month, a month that recognizes the importance of raising awareness and promoting improved care, research, and treatments for autoinflammatory diseases.  

Autoinflammatory diseases are rare diseases that stem from the dysregulation of the innate immune system, which is the first responder that reacts quickly to any perceived threats using inflammation as a symptom. These diseases are typically caused by single-gene mutations that affect the inflammatory signaling pathways. These can include: 

  • Familial Mediterranean Fever (FMF) 
  • TNF Receptor-Associated Periodic Syndrome (TRAPS) 
  • Cryopyrin-Associated Periodic Syndromes (CAPS) 

These genetic changes cause inflammatory molecules to be released inappropriately, creating the characteristic pattern of episodic attacks or periods of intense inflammation followed by symptom-free intervals. 

Additionally, those who have autoinflammatory diseases suffer from systemic inflammation, which includes: 

  • Fevers 
  • Rashes 
  • Abdominal pain 
  • Joint pain 
  • Vomiting and diarrhea 
  • Red eyes  
  • Severe organ inflammation 

Most autoinflammatory diseases affect people throughout their entire life. However, a few may develop in adulthood. Many people can have improved quality of life and fewer complications or damage from these complex diseases if they are diagnosed earlier and controlled properly with targeted treatments. 

Autoinflammatory diseases can affect anyone. However, certain risk factors cause some people to be affected by autoinflammatory diseases more than others, including: 

  • Familial Mediterranean Fever, which is more common in people of Mediterranean, North African, Middle Eastern, and Sephardic Jewish ancestry 
  • TRAPS and CAPS can occur across ethnic groups, but remain quite rare overall 
  • Family history can play a role as these conditions follow inheritance patterns, although some cases result from new mutations 

Autoinflammatory diseases often run in families. When one family member has been diagnosed with FMF, TRAPS, or another autoinflammatory condition, relatives may benefit from getting a genetic screening, especially if they are experiencing any suggestive symptoms. 

For families who are planning to have children, understanding carrier status can inform reproductive decisions and help pediatricians watch for early symptoms of infants and young children who may be at risk.  

Research into autoinflammatory conditions also contributes to understanding immune dysregulation and cytokine-related disorders, benefiting broader medical knowledge. Raising awareness helps improve diagnosis, treatment, and care for patients with these rare diseases 

The goal of Autoinflammatory Awareness Month is to emphasize patient advocacy, education, and global collaboration to enhance the lives of those affected. Autoinflammatory Awareness Month also offers an opportunity to shine light on these often-misunderstood conditions and the biomarkers that can help families and healthcare providers track inflammatory activity over time.   

If you or your child experiences recurrent unexplained fevers, particularly with a pattern of accompanying symptoms, consider seeking an evaluation at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486. 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Bedwetting

Bed-wetting, also known as nighttime incontinence or nocturnal enuresis, means passing urine without intending to while asleep. This occurs after the age at which staying dry at night can reasonably be expected.

Children usually learn to control their bladders between the ages of two and four. Most children are generally fully toilet-trained by five years old. However, there isn’t really a target date for having complete bladder control. It is common for children to wet the bed between the ages of four and six as they grow and adjust to their bodies at their own pace. Most children gain control of their bladders by the age of seven, but accidents can still happen after and through their teenage years.

Bed-wetting isn’t a sign of problems with toilet training. It’s often just a typical part of a child’s development. However, there are some signs that there may be an underlying medical issue causing bedwetting. They include:

  • Pain while peeing
  • Changes to the frequency of when and how much peeing occurs during the day
  • Having a small stream of pee
  • Lack of bowel movements during the day
  • Changes to the color of urine
  • Mood changes

The most common cause of childhood bed-wetting is a lack of bladder control. However, bedwetting can be a symptom of an underlying medical condition, such as:

  • A urinary tract infection
  • No awareness of having a full bladder
  • A small bladder
  • A hormone imbalance
  • A problem in the urinary tract or nervous system
  • Sleep apnea
  • Diabetes
  • Ongoing constipation
  • Obstructive sleep apnea
  • ADHD

A healthcare provider can diagnose bedwetting after a physical exam and taking a complete medical history. They may offer to conduct tests, such as a urine test, a blood test, or an imaging test, to determine if there is an underlying medical condition that is causing your child to wet the bed. If your healthcare provider suspects that emotional or psychological factors have been causing bedwetting, they may recommend consulting with a mental health professional.

The treatment for bedwetting varies based on the cause. Treatment options could include:

  • Behavioral changes before or during bedtime, such as:
    • Limiting fluids before bedtime
    • Going to the bathroom before bedtime
    • Setting an alarm
    • Bladder therapy
  • Taking medications that can reduce nighttime urine production
  • Managing or treating any underlying medical conditions
  • Talking with a mental health professional, such as a psychologist or therapist, to manage your child’s stress, trauma, or emotional challenges

A child can be embarrassed by soggy sheets and pajamas. It is important not to get upset if your child wets the bed. If your child does continue to wet the bed, treat the problem with patience and understanding. Although bedwetting can’t always be prevented, you can reduce your child’s risk of bedwetting by:

  • Avoiding drinking a lot of fluids two hours before bedtime and avoiding caffeinated beverages
  • Going to the bathroom before bed
  • Making sure the bathroom or toilet is easily accessible
  • Wearing absorbent pants at night
  • Using positive reinforcement or affirmations to acknowledge when your child wakes up dry
  • Avoiding any shaming or making fun of someone in your family or friend group who has wet the bed

If your child is experiencing symptoms of bedwetting, you can visit the pediatrics unit at Flushing Hospital or call (718) 670-5000 to schedule an appointment.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Summer Health Concerns and How to Prevent them

Summer is in full swing, so most of our time will be spent outside doing various activities. However, there are many health concerns to consider.

Here are some summer health concerns and how to prevent them:

  1. The human body is made of up to 78% of water, and when it doesn’t get enough, it can’t function properly. In high heat, dehydration can become severe and fatal. To prevent dehydration, it is important to stay hydrated. You can do this by drinking water and eating water-rich foods. Staying properly hydrated can also prevent kidney stones.
  1. Sunburns occur when ultraviolet (UV) rays from the sun cause a radiation burn on the skin. Sunburns can contribute to premature aging of the skin and skin cancer, and can also lead to dehydration, sun poisoning, and infection from severe burns. To prevent sunburn, wear sunscreen containing titanium oxide or zinc oxide every day, even on overcast days. Make sure to cover your entire body, including your ears, eyelids, lips, scalp, and, if exposed, the top of your feet.
  1. Spending time in the sun doesn’t only bring the risks of sunburn and dehydration. It also brings the risk of heat illnesses, including:
  • Heat rash- a red stinging rash that develops when sweat gets trapped in your glands.
  • Heat cramps are painful muscle cramps that occur when you sweat so much that your body loses salts and fluids.
  • Heat exhaustion occurs when the body can’t cool itself through sweating. If it’s not treated, it can quickly turn into heatstroke.
  • Heatstroke, or sunstroke, occurs when a person’s body temperature climbs to dangerous levels. It’s the most severe heat-related illness and can be fatal.

To prevent heat illnesses, limit the time you spend outdoors. Also, take any symptoms you observe in yourself and others seriously.

  1. Insects are more active during the summer, which means there’s a higher risk of encountering them. Especially for:
  • Bee stings
  • Mosquito bites
  • Tick bites
  • Ant bites

To prevent bugs from stinging or biting you, wear an insect repellent with the active ingredients DEET or picaridin. Other ways to prevent stings and bites include:

  • Avoid using scented products.
  • Drain any standing water.
  • Put on protective clothing.
  • Don’t leave any food uncovered outside.
  1. We want to spend more time near water to cool off as temperatures rise. However, it is important to follow proper safety precautions to avoid drowning risks. Here are some ways to prevent drowning risks:
  • Learn CPR
  • Use drain covers on pool drains.
  • Wear life jackets
  • Sign up for swimming lessons.
  1. Everybody loves a good summer barbecue or cookout, but sometimes the food we eat doesn’t always love us back. The smoking process that gives smoked meats their flavor also creates harmful substances called polycyclic aromatic hydrocarbons or PAHs and heterocyclic amines or HCAs. The National Cancer Institute warns that PAHs and HCAs are mutagenic, meaning they can cause changes to your DNA that put you at risk for certain types of cancer. You can prevent ingesting these harmful substances by using liquid smoke as an alternative marinade for your meats. Foodborne illness can be a concern for cookout food as well. This is the case for food left out or leftover sitting in the “temperature danger zone” of 40 to 140 degrees Fahrenheit. These temperatures allow bacteria to grow that can make you sick. You can prevent foodborne illness by cooking meats to a safe temperature and throwing any food that has sat out too long in the trash.
  1. Seasonal allergies caused by pollen is a huge problem in the summer as the weather gets warmer and trees, grass, and flowers pollinate. To prevent seasonal allergies, try taking allergy medications before the season starts so your body can build its defense.

These preventative measures can help you enjoy your summer and keep you safe.

If you or a loved one is experiencing symptoms of heat-related illness, you can receive treatment at Flushing Hospital Medical Center’s Ambulatory Care CenterTo schedule an appointment, please call (718) 670-5486. If you or someone you are with is experiencing an emergency, call 911 immediately.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Scoliosis Awareness Month

June is Scoliosis Awareness Month, a time to raise awareness, share stories, and advocate for early detection and treatment of scoliosis, a spinal disorder that causes an abnormal curvature of the spine resembling the letters “S” or “C”. 

The most common type of scoliosis is idiopathic scoliosis, which means the cause is unknown but is thought to be genetic. There are three types of idiopathic scoliosis: 

  • Infantile idiopathic scoliosis- occurs from birth to three years old. 
  • Juvenile idiopathic scoliosis- occurs from three to nine years old. 
  • Adolescent idiopathic scoliosis- occurs from 10 to 18 years old. 

Some other forms of scoliosis include: 

  • Congenital scoliosis- when scoliosis is present at birth. 
  • Neuromuscular scoliosis- when scoliosis is caused by an underlying systemic condition such as cerebral palsy, muscular dystrophy, spina bifida, spinal cord tumors, or paralysis. 
  • Syndromic scoliosis- when a unique group of spine conditions causes scoliosis. The most common diseases that cause syndromic scoliosis are: 
  • Marfan’s syndrome 
  • Ehlers-Danlos syndrome 
  • Osteogenesis Imperfecta 
  • Neurofibromatosis 
  • Prader-Willi syndrome 
  • Arthrogryposis 
  • Riley-Day syndrome 

Scoliosis affects one in 40 children and up to one in three adults. Many have gone undiagnosed for years. That is why earlier detection is important, as it can lead to improved treatment options and a better quality of life. 

There is a wide range of causes and ages at which scoliosis can occur. However, scoliosis may appear during the main growth years for children (years 10 to 12), which is the growth spurt period for children before puberty. 

During this time, scoliosis will often present with the following symptoms: 

  • One of the child’s shoulder blades is higher than the other. 
  • The appearance of the child’s head is not centered on the rest of the body. 
  • Uneven hips or one hip may stick out more than the other. 
  • Pushed-out ribs 
  • Difficulty breathing due to a reduced area for lung expansion. 
  • Back pain and discomfort 
  • When the child bends forward, it appears that the two sides of the back are at different heights. 

The main goal for patients with scoliosis is to get an early diagnosis. Scoliosis is diagnosed when a pediatric orthopedist uses a physical exam and X-rays to diagnose early-onset scoliosis. 

Scoliosis can be treated non-surgically and surgically. Some non-surgical treatments for scoliosis include: 

  • Observation 
  • Bracing 
  • The Risser cast 

Some surgical treatments for scoliosis include: 

  • Spinal fusion surgery 
  • The growing rod technique 

Scoliosis is treatable, and the sooner a child is diagnosed, the less likely they will need surgery and the healthier they will be. 

If you think your child may have an abnormal spine curvature, you can visit Flushing Hospital’s Pediatric Ambulatory Care Center. To schedule an appointment, call (718) 670-3007. 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Shigella Virus

Shigella virus or infection is an illness that affects the intestine and is caused by a group of germs called Shigella bacteria. 

A Shigella infection mostly affects children under the age of five, but it can happen at any age. The germs that cause a shigella infection are easily spread through an infected person’s stool. An infection occurs after the germs are swallowed after either touching your mouth, drinking tainted water, or eating tainted food, or due to them being present on fingers, surfaces, or in food or water.  

The main symptom of a Shigella infection is diarrhea, which can be bloody or long-lasting. Other Shigella infection symptoms can include: 

  • Fever 
  • Stomach pain or cramps 
  • An upset stomach or vomiting 
  • A feeling of needing to pass stool even when the bowel is empty 

The symptoms of a Shigella infection tend to last for up to seven days and sometimes longer. Some people can have no symptoms after they have been infected with Shigella; however, the germs may be able to spread through stool for up to a few weeks. 

It may take weeks or months before you return to your usual bowel habits, and most Shigella infections clear up without leading to other complications, such as dehydration, seizures, rectal prolapse, hemolytic uremic syndrome, toxic megacolon, reactive arthritis, and bloodstream infections. 

It is important to call your healthcare provider or go to urgent care if you or your child has the following: 

  • Bloody diarrhea 
  • Diarrhea along with a fever of 102 degrees Fahrenheit or higher 
  • Diarrhea that causes weight loss and dehydration 
  • Frequent vomiting that prevents you from keeping liquids down 
  • Terrible cramps or tenderness 
  • Dehydration symptoms, such as little or no urination, very dry mouth or throat, or a feeling of dizziness while standing 

If you have a weakened immune system with any symptoms of a Shigella infection, call your healthcare provider, as the illness will make you sicker for a longer period. 

Diagnosing a Shigella infection involves a physical exam and tests to determine if you have the illness, as many other health conditions can cause diarrhea or bloody diarrhea. A stool sample can be collected by you or your healthcare provider; it will be sent to a lab to check for Shigella germs or toxins, which are harmful substances the germs make. 

Treatment for a Shigella infection depends on the severity of the illness. An illness caused by a Shigella infection is usually mild and gets better within seven days. If the illness is mild, you may only need to replace lost fluids from diarrhea, especially if you are in overall good health.  

Talk with your healthcare provider before taking any non-prescription diarrhea medicine, as these medicines could make some conditions worse. 

If a lab test is positive for the Shigella virus, non-prescription medicines containing bismuth subsalicylate can help pass stool less often and shorten the length of the illness. However, it is not recommended for children, pregnant or breastfeeding people, or people who are allergic to aspirin.  

Additionally, do not take diarrhea medicines such as loperamide or medicines containing the combination of diphenoxylate and atropine, as they are not recommended for a Shigella infection. This combination of medicines can lower the body’s ability to clear Shigella germs and make your condition worse. 

Antibiotics are prescribed by a healthcare provider if there is a serious Shigella infection. However, some Shigella bacteria can resist the effects of these medicines, so your healthcare provider may not recommend them unless your infection is very bad.  

To help prevent a Shigella infection, follow these steps: 

  • Wash your hands often 
  • Try not to swallow water from ponds, lakes, or untreated pools 
  • Throw away soiled diapers in a covered, lined garbage can 
  • Disinfect all diaper-changing areas right after use, especially if the diaper spills or leaks 
  • Do not have sexual contact with anyone who has diarrhea or who has recently recovered from diarrhea. Wait at least two weeks 

If you or your child has diarrhea or a known Shigella infection, take these steps to prevent the spread of germs: 

  • Keep washing your hands often 
  • Do not prepare food for others 
  • Keep children with diarrhea home from school, childcare, or play groups 
  • Stay home from healthcare, food service, or childcare jobs while sick 
  • Do not go swimming until you have fully recovered 

If you or a loved one is experiencing symptoms of a Shigella infection, you can receive treatment at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Centering Pregnancy at Flushing Hospital

Flushing Hospital Medical Center is committed to providing the best possible prenatal care to our patients. That is why we are offering Centering Pregnancy to our expectant parents. 

Centering Pregnancy is an innovative prenatal model designed to promote the overall health and well-being of the mother and baby. Unlike traditional one-on-one prenatal visits, this approach incorporates small-group sessions for medical care, education, and emotional support, fostering meaningful relationships between participants and clinicians. 

After an initial private visit with a provider, participants in the centering pregnancy program, all of whom are in similar stages of their pregnancy, meet in a small group setting for their prenatal appointments. Here, participants share with and learn from each other during the course of their pregnancy. Each of the ten-centering prenatal care group sessions is approximately 90 minutes long. This group dynamic gives each of the participants the advantage of having more time with their provider. 

At the beginning of the session, our facilitator will guide each patient to get weighed, have their blood pressure checked, and record their values for the provider to review. The provider will listen to the baby’s heartbeat and review the pertinent patient-specific information. After this information is collected, the 8-12 participants will form a circle and begin the fun and interactive educational session. 

Some of the topics covered in these sessions, designed to promote health and well-being during the pregnancy and postpartum period, include: 

  • The progression of their pregnancy 
  • Relaxation techniques 
  • Common discomforts and how to resolve them 
  • Nutrition during pregnancy 
  • What to expect during labor and delivery 
  • Newborn feeding, including breastfeeding 
  • Newborn care 

Games are played to help the learning process and to assist in building friendships between the participants. After the educational session, there is a question-and-answer period. 

Expectant mothers are actively involved in their care as they share similar experiences with women during the same stage of pregnancy. Moms and providers can relax and get to know each other. Many long-lasting friendships are formed from being involved in Centering Pregnancy. 

Studies show that women who participate in Centering Pregnancy programs tend to experience: 

  • Fewer preterm births (33 percent fewer, according to some research) 
  • Lower rates of emergency C-sections 
  • Higher rates of breastfeeding 
  • Better engagement in their own health 
  • Improved spacing between pregnancies 
  • Better well-child visit attendance and immunization rates 
  • Lower rates of postpartum depression 
  • Dramatically reduced racial disparities in preterm birth, especially among African American women 

“The Centering Pregnancy has proven to be overwhelmingly positive, with participants expressing satisfaction with the group setting and the support they receive. Expectant women learn together, feel less isolated, and share their questions and experiences. Empowering women and allaying fears throughout pregnancy and after birth has been a benefit of Centering Pregnancy,” said Maria DeMarinis Smilios, MSN, CNS, RNC, IBCLC, Director of Nursing-Maternal & Child Services and Ambulatory Care 

These are the many benefits of Centering Pregnancy compared to traditional care. There is no extra charge for this type of prenatal care when compared to traditional prenatal care. 

For more information and to schedule for Centering Pregnancy, call 718 670-8992. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Why Aren’t Children Getting Enough Sleep?

Sleep plays a crucial role in a child’s development as it is an important building block for their mental and physical health. It has a direct effect on a child’s overall wellness, as research shows that sleep can impact their alertness and attention, cognitive performance, mood, resiliency, vocabulary acquisition, and learning and memory. In toddlers, napping is necessary for memory consolidation, executive attention, and the development of motor skills. What’s more, sleep crucially affects their growth, especially in early infancy.  

The American Academy of Pediatrics (AAP) estimates that 25% to 50% of children and 40% of adolescents are affected by sleep problems, such as: 

  • A new sibling 
  • Teething 
  • An illness, such as the cold or an ear infection 
  • Sleeping in a different place 
  • A new caregiver 
  • A change in schedule 
  • Allergies 

In addition to these sleep problems, a significant number of children also suffer from sleep disorders at some point. Sleep disorders are connected to mental and physical issues, with one amplifying the other in a pattern that can be difficult to stop. The most common sleep disorders in children include: 

  • Sleep apnea  
  • Snoring 
  • Nightmares and night terrors 
  • Sleepwalking and sleep talking 
  • Restless leg syndrome 

Another reason why children aren’t getting enough sleep is that they aren’t sleeping for the number of hours recommended. According to research data released by the National Sleep Foundation (NSF) from their 2026 Sleep in America poll in March of this year, 44% of children in the U.S. do not consistently get the recommended amount of sleep for their age. Younger children especially fall short. 

In 2015, the Centers for Disease Control and Prevention (CDC) looked at the sleep behavior in middle and high school students and found that around 60% of middle school and 73% of high school students were getting less than the recommended 9-12 hours a night for children 6 to 12 years old and 8-10 hours a night for children 13 to 18 years old.  

Several issues have been discovered as the contributing factors of why children within this age group aren’t getting the recommended amount of sleep, including: 

  • The use of electronic devices 
  • Changes in their internal clocks 
  • Early school start times 
  • Caffeine consumption 

A child’s daytime habits also affect sleep. To promote restful sleep for a child, you can follow these sleep hygiene rules: 

  • Keeping a regular bedtime  
  • Arranging a balanced schedule with alternating moments of rest and play 
  • Creating a no-screen zone in the child’s bedroom, even during the day 
  • Providing them with a healthy diet 
  • Setting the thermostat at a slightly cooler temperature 
  • Using dark curtains to block out light, or a nightlight if they’re afraid of the dark 
  • Keeping the bedroom quiet, or using a white noise machine to block out outside sounds 
  • Avoiding caffeine, large meals, and sugary snacks before bedtime, choose a healthy bedtime snack instead 

Practicing good sleep hygiene can help your child get into a consistent bedtime routine and help them sleep better. 

If your child is having trouble sleeping, you can receive treatment at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.