1 00:00:16,617 --> 00:00:18,817 CLENGS IN LOUISIANA PUBLIC BROADCASTING AND FROM VIEWERS 2 00:00:18,952 --> 00:00:22,855 LIKE YOU. CAPTIONING PERFORMED BY 3 00:00:22,990 --> 00:00:32,765 LNS CAPTIONING WWW.LNSCAPTIONING.COM 4 00:00:39,440 --> 00:00:45,710 HELLO AND WELCOME "LOUISIANA PUBLIC SQUARE." 5 00:00:45,845 --> 00:00:49,248 I'M BETH COURTNEY PRESIDENT OF LPB. 6 00:00:49,383 --> 00:00:54,620 JOINING ME IS MARVIN McGRAW. A FORMER BROADCAST JOURNALIST 7 00:00:54,755 --> 00:01:00,825 WHO WORKS FOR THE DIVISION OF ADMINISTRATION AND HANDLED PR 8 00:01:00,960 --> 00:01:03,562 FOR HEALTH FOLLOWING HURRICANE KATRINA. 9 00:01:03,697 --> 00:01:07,800 GREAT TO BE HERE. IT WAS HECTIC, BUT REWARDING TO 10 00:01:07,935 --> 00:01:08,900 REBUILD HEALTH CARE IN NEW ORLEANS. 11 00:01:09,035 --> 00:01:12,470 WE ARE HOPING TO DO SOMETHING EQUALLY IMPORTANT TONIGHT. 12 00:01:12,605 --> 00:01:15,907 FOCUS ON THE CHALLENGES TO CHILDREN'S HEALTH, PROVIDE 13 00:01:16,043 --> 00:01:21,880 ANSWERS AND PROMOTE LPB'S EFFORTS TO IMPROVE OUTCOMES FOR 14 00:01:22,015 --> 00:01:26,885 LOUISIANA'S FAMILIES. IN JANUARY LPB WILL START A 15 00:01:27,020 --> 00:01:33,592 NEW SERIES CALLED ONE TO GROW ON TO HELP LOUISIANA'S CHILDREN 16 00:01:33,727 --> 00:01:37,328 THRIVE. LOUISIANA RANKS 48th FOR ITS 17 00:01:37,463 --> 00:01:41,467 CHILDREN'S OVERALL WELL BEING DUE TO LOW-BIRTH WEIGHT BABIES, 18 00:01:41,602 --> 00:01:43,968 OBESE CHILDREN AND ACCIDENTAL DEATHS. 19 00:01:44,103 --> 00:01:47,505 THE PANDEMIC HAS CAUSED AN UPTICK IN STRESS. 20 00:01:47,640 --> 00:01:53,845 OVER THE NEXT HOUR WE WILL BE ADDRESSING PRENATAL CONCERNS, 21 00:01:53,980 --> 00:01:59,452 CHILDREN'S WELLNESS, SAFETY AND MENTAL HEALTH. 22 00:01:59,587 --> 00:02:15,600 WE ENCOURAGE VIEWERS TO TEXT HEALTH TO 4152238013 OR VISIT 23 00:02:15,735 --> 00:02:21,273 LPB.ORG/CHILDRENSHEALTH. WE START AT PREGNANCY. 24 00:02:21,407 --> 00:02:27,512 BRINGING A CHILD TO TERM CAN BE SIGNIFICANT RISK. 25 00:02:27,647 --> 00:02:33,718 A RATE OF 17 DEATHS PER 100,000 LIVE BIRTHS, BUT IN LOUISIANA 26 00:02:33,853 --> 00:02:37,355 THE RATE IS 45, MORE THAN DOUBLE THE NATIONAL AVERAGE. 27 00:02:37,490 --> 00:02:45,297 THE LEADING CAUSE IS HOMICIDE, ESPECIALLY AMONG YOUNGER WOMEN. 28 00:02:45,430 --> 00:02:48,700 DOCTORS CAN CONNECT MOTHERS WITH VIOLENCE PREVENTION SERVICES, 29 00:02:48,835 --> 00:02:53,005 BUT MANY LOUISIANA WOMEN DON'T HAVE EASY ACCESS TO MATERNAL 30 00:02:53,140 --> 00:02:56,942 CARE. 22 PARISHES LACK HOSPITALS THAT 31 00:02:57,075 --> 00:03:03,148 OFFER OBSTETRIC CARE OR OB/GYN. WITHOUT REGULAR PRENATAL CARE, 32 00:03:03,283 --> 00:03:08,053 WOMEN PUT THEMSELVES AND THEIR CHILDREN AT GREATEST HEALTH 33 00:03:08,188 --> 00:03:12,190 RISKS. THE ONE TO GROW ON SERIES 34 00:03:12,325 --> 00:03:17,262 INCLUDES SPOTS TARGETING EXPECTANT MOTHERS. 35 00:03:17,397 --> 00:03:22,333 YOU JUST FOUND OUT YOU ARE PREGNANT AND ON TOP OF ALL THOSE 36 00:03:22,467 --> 00:03:25,870 EMOTIONS, YOU THINK, NOW WHAT? THE FIRST STEP IS TO FIND A 37 00:03:26,005 --> 00:03:30,775 QUALIFIED HEALTH CARE PROVIDER WHO WILL HELP YOU PREPARE FOR A 38 00:03:30,910 --> 00:03:33,945 SMOOTH PREGNANCY AND DELIVERY AND BE ABLE TO ANSWER ANY AND 39 00:03:34,080 --> 00:03:37,682 ALL QUESTIONS YOU MAY HAVE. WHEN DOCTORS SEE EXPECTING 40 00:03:37,818 --> 00:03:46,125 MOTHERS REGULARLY, THEY CAN DETECT AND TREAT. 41 00:03:46,260 --> 00:03:50,728 BABIES OF MOTHERS WHO DON'T GET BRE NATAL CARE ARE THREE TIMES 42 00:03:50,863 --> 00:03:55,000 MORE LIKELY TO HAVE A LOW BIRTH WEIGHT AND FIVE TIMES MORE 43 00:03:55,133 --> 00:04:06,712 LIKELY TO DIE IN CHILDBIRTH. DON'T ALLOW A LACK HOFF HEALTH 44 00:04:06,847 --> 00:04:11,417 INSURANCE TO GET THE RIGHT CARE. JOINING ME TO DISCUSS 45 00:04:11,552 --> 00:04:13,152 PRENATAL AND INFANT CARE IN THE STUDIO IS, DR. TERRIE THOMAS, A 46 00:04:13,287 --> 00:04:14,553 BOARD-CERTIFIED OBSTETRICIAN AND GYNECOLOGIST WITH WOMAN'S 47 00:04:14,688 --> 00:04:16,255 HOSPITAL. SHE CURRENTLY SERVES AS THE 48 00:04:16,390 --> 00:04:28,600 SECRETARY OF THE LOUISIANA STATE BOARD OF MEDICAL EXAMINERS. 49 00:04:28,735 --> 00:04:30,202 AND JOINING US REMOTELY IS DR. LAUREN BAILEY, A PEDIATRICIAN 50 00:04:30,337 --> 00:04:31,603 WITH OUR LADY OF THE LAICH CHILDREN'S HEALTH IN LAFAYETTE. 51 00:04:31,738 --> 00:04:32,670 DR. THOMAS, I'D LIKE TO START WITH YOU. 52 00:04:32,805 --> 00:04:34,673 WE JUST HEARD THAT LOUISIANA'S DEATH RATE FOR PREGNANT WOMEN IS 53 00:04:34,807 --> 00:04:40,978 TWICE THE NATIONAL AVERAGE WITH HOMICIDE THE LEADING CAUSE. 54 00:04:41,113 --> 00:04:46,785 SUBPOENA CONNECTING WITH A PHYSICIAN EARLY IN PREGNANCY 55 00:04:46,920 --> 00:04:49,888 MAKE A DIFFERENCE? GOOD MORNING, MARVIN. 56 00:04:50,023 --> 00:04:52,223 THAT IS A VERY APPROPRIATE QUESTION. 57 00:04:52,358 --> 00:04:59,665 ABOUT ONE IN THREE WOMEN HAVE EXPERIENCED RAPE, DOMESTIC 58 00:04:59,800 --> 00:05:03,268 VIOLENCE OR STALKING BY THEIR INTIMATE PARTNERS. 59 00:05:03,403 --> 00:05:08,540 WHEN WE LOOK AT HOMICIDES, DEFINITELY HOMICIDES ACCOUNT FOR 60 00:05:08,675 --> 00:05:14,145 THE LEADING CAUSE FOR DEATH AMONG PREGNANT WOMEN, WHICH IS 61 00:05:14,280 --> 00:05:15,413 ASTOUNDING. 62 00:05:15,548 --> 00:05:18,083 UNFORTUNATELY, THIS IS ANOTHER AREA IN MEDICINE WHERE 63 00:05:18,217 --> 00:05:21,753 AFRICAN-AMERICAN WOMEN PR DISPROPORTIONATELY AFFECTED. 64 00:05:21,888 --> 00:05:26,492 IN 2018 ABOUT 63% OF HOMICIDES WERE IN WOMEN OF COLOR. 65 00:05:26,627 --> 00:05:33,498 SO IT IS DEFINITELY A TOPIC THAT NEEDS TO BE ADDRESSED. 66 00:05:33,633 --> 00:05:39,672 ONE OF THE THINGS THAT PRENATAL CARE IS MEANT TO DO IS ADDRESS 67 00:05:39,807 --> 00:05:43,342 MODIFIABLE RISK FACTORS. I FEEL LIKE VIOLENCE AGAINST 68 00:05:43,477 --> 00:05:45,477 WOMEN IS SOMETHING THAT IS MODIFIABLE. 69 00:05:45,610 --> 00:05:51,383 ONE OF THE THINGS THAT WE HAVE IN MY OFFICE IS WE HAVE A SYSTEM 70 00:05:51,517 --> 00:05:53,985 FOR ASKING THE IMPORTANT QUESTIONS. 71 00:05:54,120 --> 00:05:58,490 SO AT THE VERY FIRST PRENATAL VISIT, WE ASK EVERY SINGLE 72 00:05:58,623 --> 00:06:02,360 PATIENT IN A STANDARDIZED FASHION AND OUR MEDICAL 73 00:06:02,495 --> 00:06:08,233 ASSISTANTS ARE TRAINED TO DO SO IN A VERY SAFE ENVIRONMENT. 74 00:06:08,368 --> 00:06:14,740 SO WE ASK THOSE QUESTIONS, WE ASK THEM IN A SAFE WAY, AND IN A 75 00:06:14,875 --> 00:06:18,177 NONINTIMIDATING WAY AND WE ASK THE QUESTIONS AGAIN AND AGAIN. 76 00:06:18,312 --> 00:06:22,547 WE HAVE A STANDARD SET OF TIMES DURING PRENATAL CARE WHERE WE 77 00:06:22,682 --> 00:06:26,652 CONSISTENTLY MONITOR THOSE PATIENTS AND SCREEN THEM FOR 78 00:06:26,787 --> 00:06:30,222 DOMESTIC VIOLENCE AND OTHER THINGS THAT WE CAN WORK ON TO 79 00:06:30,357 --> 00:06:31,857 IMPROVE. AND THEN THE THIRD PART OF THAT 80 00:06:31,992 --> 00:06:33,925 IS WE HAVE A SYSTEM FOR REFERRALS. 81 00:06:34,060 --> 00:06:38,430 SO WE HAVE A SOCIAL WORKER THAT IS IN OUR OFFICE FIVE DAYS A 82 00:06:38,563 --> 00:06:41,400 WEEK. WE ALSO HAVE A GRIEF RECOVERY 83 00:06:41,535 --> 00:06:46,738 COUNSELOR IN OUR OFFICE. I THINK THE THREE KEY COMPONENTS 84 00:06:46,873 --> 00:06:51,877 TO ADDRESSING THIS VERY UNFORTUNATE PART OF SOCIETY IS 85 00:06:52,012 --> 00:06:56,615 THAT, NUMBER ONE, YOU HAVE TO ASK THE QUESTIONS, NUMBER TWO, 86 00:06:56,750 --> 00:07:01,987 YOU HAVE TO ASK THE QUESTIONS IN A NONINTIMIDATING WAY AND CREATE 87 00:07:02,122 --> 00:07:05,923 A SAFE HAVEN FOR PATIENTS AND NUMBER THREE, YOU HAVE TO BE 88 00:07:06,058 --> 00:07:15,333 READY TO INTERVENE AND IMPROVE THE LIVES OF YOUR PATIENTS? 89 00:07:15,468 --> 00:07:16,802 WHAT OTHER BENEFITS CAN CAN A REGULAR DOCTOR PROVIDE DURING 90 00:07:16,937 --> 00:07:18,370 PREGNANCY AND WHAT DO YOU RECOMMEND TO THOSE MOTHERS IN 91 00:07:18,505 --> 00:07:24,843 PARISHES LACKING ENOUGH OB/GYNs? EXCELLENT QUESTION. 92 00:07:24,977 --> 00:07:27,812 PRENATAL CARE HAS BEEN AROUND FOR THE THE LAST 100 YEARS. 93 00:07:27,947 --> 00:07:31,817 IT HAS DEFINITELY MADE SOME GREAT IMPROVEMENTS IN THE HEALTH 94 00:07:31,952 --> 00:07:35,387 OF WOMEN ACROSS THE UNITED STATES AND CERTAINLY IN 95 00:07:35,522 --> 00:07:38,223 LOUISIANA, BUT WE HAVE A LONG WAY TO GO. 96 00:07:38,357 --> 00:07:42,627 THERE ARE STILL SOME PRETTY IMPORTANT ISSUES AND SOME POOR 97 00:07:42,762 --> 00:07:44,863 OUTCOMES THAT WE REALLY NEED TO WORK ON. 98 00:07:44,997 --> 00:07:50,035 SOME OF THE THINGS THAT WE REALLY TRY TO TARGET IN TERMS OF 99 00:07:50,170 --> 00:07:53,505 PRENATAL CARE ARE THOSE MODIFIABLE RISK FACTORS. 100 00:07:53,638 --> 00:07:56,942 SMOKING A HUGE ONE HERE IN LOUISIANA, UNFORTUNATELY. 101 00:07:57,077 --> 00:07:59,477 SO, YOU KNOW, AT THAT VERY FIRST VISIT WE ARE TALKING TO THE 102 00:07:59,612 --> 00:08:03,582 PATIENT AND DECREASING SMOKING. AND NOT NECESSARILY IN A 103 00:08:03,717 --> 00:08:08,420 PUNITIVE FASHION, BUT WE ARE ASKING THE PATIENT, WHAT WILL 104 00:08:08,555 --> 00:08:11,723 YOUR CHALLENGES? WHAT LEADS YOU TO SMOKING? 105 00:08:11,858 --> 00:08:15,193 WHAT CREATES THAT ENVIRONMENT THAT MAKES YOU WANT TO CHOOSE 106 00:08:15,328 --> 00:08:19,765 THAT AS AN OPTION FOR YOU? WE ARE ALSO WORKING ON, 107 00:08:19,900 --> 00:08:24,668 UNFORTUNATELY, SOME CHRONIC HEALTH ISSUES LIKE CHRONIC 108 00:08:24,805 --> 00:08:27,638 HYPERTENSION AND DIABETES. I THINK FOR ME, THE IMPORTANT 109 00:08:27,772 --> 00:08:29,842 PART OF PRENATAL CARE IS THE PRE. 110 00:08:29,977 --> 00:08:32,077 MM-HMM. A LOT OF PEOPLE COME TO US 111 00:08:32,212 --> 00:08:36,648 WHEN THEY GET THAT POSITIVE PREGNANCY TEST, BUT FOR ME AND 112 00:08:36,782 --> 00:08:41,018 FOR SO MANY OTHER PHYSICIANS, PRENATAL CARE STARTS BASICALLY 113 00:08:41,153 --> 00:08:42,953 IN CHILDHOOD. GOOD EDUCATION, GOOD HEALTH 114 00:08:43,090 --> 00:08:46,257 CARE, GOOD NUTRITION, GOOD ACCESS TO CARE. 115 00:08:46,393 --> 00:08:50,262 THOSE ARE ALL THE THINGS THAT LEAD UP TO THOSE MATERNAL YEARS 116 00:08:50,397 --> 00:08:54,867 WHEN WE, AS PHYSICIANS, ARE FACED WITH SOME VERY SERIOUS 117 00:08:55,002 --> 00:09:00,338 CHRONIC HEALTHS THAT REALLY NEED TO BE ADDRESSED BEFORE THAT 118 00:09:00,473 --> 00:09:04,777 FIRST POSITIVE PREGNANCY TEST. SMOKING, CHRONIC HYPERTENSION 119 00:09:04,912 --> 00:09:07,845 AND OBESITY. WE HAVE GOT TO GET A HOLD OF 120 00:09:07,980 --> 00:09:14,718 THAT IN THIS COUNTRY. IT IS NOT JUST LEFT UP TO THE 121 00:09:14,855 --> 00:09:19,825 HEALTH CARE PROVIDERS. WE NEED TO TEACH OUR KIDS IN 122 00:09:19,960 --> 00:09:23,262 SCHOOL, PROMOTE HEALTHY EATING: IT IS NOT PART OF THE HEALTH 123 00:09:23,397 --> 00:09:29,600 CARE SYSTEM, BUT PART OF OUR WHOLE SOCIETY OF IMPROVING THE 124 00:09:29,733 --> 00:09:32,103 HEALTH OF ALL AMERICANS. VERY GOOD. 125 00:09:32,238 --> 00:09:36,842 DR. BAILEY, WELCOME TO THE SHOW. WE KNOW THERE ARE CERTAIN THINGS 126 00:09:36,877 --> 00:09:40,612 WOMEN SHOULD AVOID DURING PREGNANCY. 127 00:09:40,745 --> 00:09:50,022 WE HEARD DR. THOMAS SAY IT IS RISKY TO SMOKE OR DRINK DURING 128 00:09:50,157 --> 00:09:52,923 PREGNANCY. # ARE THERE FOODS PREGNANT WOMEN 129 00:09:53,058 --> 00:09:57,295 SHOULD AVOID OR SUPPLEMENTS THEY SHOULD BE TAKING? 130 00:09:57,530 --> 00:10:02,267 MARVIN, THANK YOU FOR HAVING ME VIA ZOOM. 131 00:10:02,302 --> 00:10:11,275 YES, THERE ARE THING WE SHOULD WATCH FOR LIKE LUNCH MEAT. 132 00:10:11,310 --> 00:10:20,185 THERE IS A HIGHER CHANCE FF LYSTERIA INFECTIONS THAT COULD 133 00:10:20,220 --> 00:10:31,930 TERMINATE THE FETUS. # FETA CHEESE, RAW FISH AND 134 00:10:32,163 --> 00:10:36,367 OTHER CERTAIN FISHES HIGHER IN MERCURY CAN BE DAMAGING TO THE 135 00:10:36,503 --> 00:10:40,538 BABY, SWORDFISH, SHARK, IF YOU EAT THOSE KIND OF THINGS. 136 00:10:40,773 --> 00:10:44,242 SOME TUNAS CAN BE HIGHER IN MERCURY. 137 00:10:44,477 --> 00:10:49,113 THERE IS USUALLY A LOT OF LISTS YOU CAN LOOK AT AND REFERENCE 138 00:10:49,148 --> 00:10:52,383 WHEN YOU ARE PREGNANT SO YOU ARE NOT DOING ANYTHING TO HARM THE 139 00:10:52,518 --> 00:10:56,822 BABY. THE OTHER THING IS PRENATAL 140 00:10:56,857 --> 00:11:00,092 VITAMINS. WE RECOMMEND THAT ANYBODY OF 141 00:11:00,227 --> 00:11:12,103 CHILD BEARING AGE TO START A MULTIVITAMIN, PARTICULARLY FOLIC 142 00:11:12,238 --> 00:11:13,938 ACID. UNFORTUNATELY FOR US BABY 143 00:11:13,973 --> 00:11:17,875 DEVELOP MAJOR ORGANS A LOT OF TIMES BEFORE WE KNOW WE ARE 144 00:11:18,110 --> 00:11:24,082 PREGNANT. IF YOU ARE NOT COGNIZANT OF THE 145 00:11:24,317 --> 00:11:27,118 THINGS, THERE IS A POTENTIAL YOU HAVE ALREADY DAMAGED THE BABY 146 00:11:27,253 --> 00:11:30,488 BEFORE YOU KNEW IT. # 147 00:11:30,723 --> 00:11:31,790 WHAT ARE THE BENEFITS OF WAITING UNTIL 39 WEEKS TO 148 00:11:32,025 --> 00:11:37,062 DELIVER? OH, THERE ARE SO MANY. 149 00:11:37,097 --> 00:11:45,570 THE MAIN THING IS MORE MATURITY. WE TYPICALLY CALL 37 WEEKS AND 150 00:11:45,603 --> 00:11:49,640 ABOVE FULL TERM, BUT REALLY EVERY CHILD IS VARIABLE. 151 00:11:49,775 --> 00:11:54,678 BY WAITING UNTIL 39 WEEKS YOU HAVE A HIGHER CHANCE OF LUNG 152 00:11:54,713 --> 00:11:58,683 MATURITY TO HELP THE BABY TRANSITIONING FROM MOTHER 153 00:11:58,718 --> 00:12:01,820 PROVIDING ALL THEIR OXYGEN FOR THEM USING THEIR LUNGS AND 154 00:12:02,055 --> 00:12:04,788 BREATHE ON THEIR OWN. THE OTHER THING IS THEY ARE 155 00:12:04,823 --> 00:12:09,393 GOING TO BE A HIGHER WEIGHT. THERE IS GOING TO BE LESS CHANCE 156 00:12:09,428 --> 00:12:11,963 FOR LOW BLOOD SUGAR. THEY ARE GOING TO BE ABLE TO 157 00:12:12,098 --> 00:12:18,370 HAVE MORE OF A TEMPERATURE STABILITY ON THEIR OWN BY BEING 158 00:12:18,505 --> 00:12:21,707 MORE FULL TERM. AS WELL AS JUST BEING ABLE TO 159 00:12:21,742 --> 00:12:27,145 KEEP THEIR HEART RATE UP AND RESPIRATORY RATE UP ON THEIR OWN 160 00:12:27,380 --> 00:12:34,385 WITHOUT ANY DROP VERY GOOD. 161 00:12:34,520 --> 00:12:38,757 DR. THOMAS, WE HERD THAT LOUISIANA IS BELOW AVERAGE IN 162 00:12:38,992 --> 00:12:44,728 LOW WEIGHT BABIES. WHAT CAN WE DO TO DECREASE THIS 163 00:12:44,763 --> 00:12:46,330 NUMBER? EXCELLENT QUESTIONS. 164 00:12:46,365 --> 00:12:53,103 LOW BIRTH INFANTS WEIGH # LESS THAN 5 1/2 POUNDS AT BIRTH. 165 00:12:53,238 --> 00:12:58,777 UNFORTUNATELY, ABOUT 8% OF THE BABIES BORN IN LOUISIANA AS OF 166 00:12:59,012 --> 00:13:03,648 2018 FIT UNDER THAT CATEGORY. AGAIN, GOING BACK TO GOOD, SOLID 167 00:13:03,682 --> 00:13:06,250 PRENATAL CARE AND OVERALL HEALTH AND NUTRITION. 168 00:13:06,285 --> 00:13:09,220 ONE OF THE BIGGEST THINGS IS SMOKING. 169 00:13:09,355 --> 00:13:17,495 SMOKING DEFINITELY DECREASES BIRTH WEIGHT FOR INFANTS AND 170 00:13:17,730 --> 00:13:21,198 THEN THERE ARE SOME CHRONIC CONDITIONS LIKE HIGH BLOOD 171 00:13:21,433 --> 00:13:26,237 PRESSURE AND DIABETES, HAVING EXCELLENT CARE, TAKING YOUR 172 00:13:26,372 --> 00:13:31,142 BLOOD PRESSURE MEDICATION, EXERCISING, EATING RIGHT, TAKING 173 00:13:31,277 --> 00:13:34,512 CARE OF YOUR DIABETES BEFORE GETTING PREGNANT. 174 00:13:34,747 --> 00:13:40,118 THOSE ARE ESSENTIAL THINGS. HIGH BLOOD PRESSURE IS A RISK 175 00:13:40,352 --> 00:13:50,595 FACTOR FOR PREECLAMPSIA. THERE ARE THINGS THAT ARE INPEND 176 00:13:50,630 --> 00:13:54,198 RISK FACTORS, LIKE AFRICAN-AMERICAN, FIRST-TIME 177 00:13:54,233 --> 00:13:58,268 MOM. POORLY CONTROLLED DIABETES AND 178 00:13:58,405 --> 00:14:06,878 BLOOD PRESSURE ARE RISK FACTORS FOR DEVELOPMENT OF PRECLAMPSIA, 179 00:14:07,012 --> 00:14:10,315 WHICH CAN LEAD TO LOW BIRTH WEIGHT INFANTS. 180 00:14:10,350 --> 00:14:17,022 WE HAVE TO DELIVER THOSE MOMS WELL BEFORE 39 WEEKS, 29, 30 181 00:14:17,057 --> 00:14:20,858 WEEKS. THOSE BABIES END UP GOING TO THE 182 00:14:21,093 --> 00:14:28,265 NICU. IT IS ALL ABOUT ADDRESSING 183 00:14:28,502 --> 00:14:35,140 MODIFIABLE RISK FACTORS. DR. BAILEY, IF YOU ARE A NEW 184 00:14:35,175 --> 00:14:41,378 MOM, YOU KNOW TO CALL THE DOCTOR IF YOUR BABY HAS A FEVER. 185 00:14:41,613 --> 00:14:49,753 WHAT ARE OTHER TRIGGERS? BABIES CAN HAVE LOW 186 00:14:49,787 --> 00:14:55,693 TEMPERATURES WHEN THEY ARE SICK. 97 OR BELOW YOU SHOULD GO TO THE 187 00:14:55,928 --> 00:14:59,230 EMERGENCY ROOM. POOR FEEDING WHERE THEY ARE JUST 188 00:14:59,365 --> 00:15:03,635 CRYING AND CRYING AND CRYING AND THERE IS NOTHING YOU CAN DO TO 189 00:15:03,770 --> 00:15:07,372 SOOTHE THEM AS WELL AS BABIES THAT ARE EXTRA SLEEPY, NOT ABLE 190 00:15:07,407 --> 00:15:13,077 TO BE EASILY AWAKENED CAN BE SIPED A BABY CAN HAVE A SERIOUS 191 00:15:13,112 --> 00:15:15,913 LIFE THREATENING CONDITION LIKE AN INFECTION OR SOMETHING LIKE 192 00:15:16,148 --> 00:15:18,783 THAT. THE OTHER THING IS IF A BABY IS 193 00:15:18,817 --> 00:15:24,355 REFUSING TO EAT, DECREASED WET DIAPERS, NOT STOOLING WELL EVEN 194 00:15:24,490 --> 00:15:32,963 EARLY ON RIGHT AFTER COMING HOME FROM THE HOSPITAL, A COLOR THAT 195 00:15:33,097 --> 00:15:40,372 IS MORE YELLOW CAN INDICATE JAUNDICE AND COULD CAUSE 196 00:15:40,507 --> 00:15:46,010 SIGNIFICANT NEUROLOGICAL ISSUES AND MORE OF A CEREBRAL PALSY 197 00:15:46,045 --> 00:15:50,715 PICTURE GOING FORWARD. I WANT TO THANK YOU BOTH FOR 198 00:15:50,750 --> 00:15:59,590 THOSE TIPS FOR LOUISIANA'S PREGNANT WOMEN AND NEW MOTHERS. 199 00:15:59,725 --> 00:16:06,430 WE SPOKE WITH TERESA FALGOUST, THE KIDS COUNT COORDINATOR ABOUT 200 00:16:06,465 --> 00:16:11,903 GENDER FOR CHILDREN AND WHERE THE STATE NEEDS IMPROVEMENT. 201 00:16:12,038 --> 00:16:17,442 THE ANNIE CASEY FOUNDATION PROVIDE RELIABLE DO IT, POLICY 202 00:16:17,477 --> 00:16:20,345 RECOMMENDATIONS TO MAKE BETTER POLICIES FOR KIDS AND FAMILY. 203 00:16:20,380 --> 00:16:25,617 ONE OF THE THINGS WE DO IS HELP THE SUPPORT NATIONAL KIDS COUNT 204 00:16:25,752 --> 00:16:30,688 GROUP PUT OUT THE DO IT BOOK EACH YEAR WHICH RANKS ON CHILD 205 00:16:30,923 --> 00:16:36,760 WELL BEING. LT LOUISIANA CURRENTLY RANKS 48. 206 00:16:36,795 --> 00:16:42,867 OBESITY AND ORR WEIGHT IS ONE OF KID COUNT'S NEWEST INDICATORS. 207 00:16:42,900 --> 00:16:50,842 35% OF CHILDREN 10-17 IN LOUISIANA ARE OVERWEIGHT OR 208 00:16:50,977 --> 00:16:54,045 OBESE. WE KNOW REGARDLESS OF A CHILD'S 209 00:16:54,178 --> 00:17:00,218 WEIGHT WE CAN DO A LOT OF THINGS TO ENSURE A CHILD REACHES 210 00:17:00,453 --> 00:17:17,002 OPTIMAL HEALTH. WE NEED TO LOOK AT OUR 211 00:17:17,037 --> 00:17:18,335 INFRASTRUCTURE. ARE NEIGHBORHOODS SAFE ENOUGH 212 00:17:18,570 --> 00:17:23,040 FOR KIDS TO WALK TO AND FROM SCHOOL, ARE THERE SIDEWALKS AND 213 00:17:23,275 --> 00:17:28,145 WE CAN MAKE FOOD MORE AFFORDABLE FOR FAMILIES. 214 00:17:28,380 --> 00:17:31,315 WITH COVID-19 WE FOUND LOUISIANA'S CHILDREN PREVIOUSLY 215 00:17:31,350 --> 00:17:35,085 FACE SO MANY CHALLENGES. THEY ARE MORE LIKELY TO LIVE IN 216 00:17:35,218 --> 00:17:39,157 POVERTY, MORE LIKELY TO HAVE POOR HEALTH OUTCOME AND WE HAVE 217 00:17:39,392 --> 00:17:42,760 SEEN IN MANY WAYS THESE CHALLENGES ARE BEING MAGNIFIED 218 00:17:42,995 --> 00:17:46,998 AND ACCELERATED WITH THE PANDEMIC. 219 00:17:47,133 --> 00:17:48,132 # JOINING US TO DISCUSS 220 00:17:48,167 --> 00:17:51,335 CHILDREN'S HEALTH AND WELLNESS IS, DR. KATIE QUEEN, A 221 00:17:51,370 --> 00:17:55,038 PEDIATRICIAN WHOSE FOCUS IS ON OBESITY. 222 00:17:55,073 --> 00:17:57,708 SHE PRACTICES AT OUR LADY OF THE ANGELS HOSPITAL IN BOGALUSA, 223 00:17:57,843 --> 00:18:01,878 PART OF THE LADY OF THE LAKE CHILDREN'S HEALTH NETWORK. 224 00:18:02,115 --> 00:18:07,785 AND DR. CHELSEA KRACHT, WHO RESEARCHES PEDIATRIC OBESITY FOR 225 00:18:08,020 --> 00:18:09,887 PENNINGTON BIOMEDICAL RESEARCH CENTER IN BATON ROUGE. 226 00:18:10,122 --> 00:18:14,125 DR. QUEEN, I'D LIKE TO START WITH YOU. 227 00:18:14,258 --> 00:18:18,328 THANK YOU FOR BEING HERE. IN TERMS OF CHILDHOOD NUTRITION, 228 00:18:18,463 --> 00:18:21,198 A LOT HAS CHANGED OVER THE YEARS. 229 00:18:21,433 --> 00:18:23,835 WE ALL REMEMBER THE FOOD PYRAMID. 230 00:18:23,970 --> 00:18:27,272 THAT HAS CHANGED IN RELATION TO KIDS' NUTRITION. 231 00:18:27,307 --> 00:18:32,110 IT HAS BEEN ABOUT 10 YEARS SINCE THEY CHANGED THE PYRAMID. 232 00:18:32,345 --> 00:18:38,582 NOW THE USDA IS MAKING MY PLATE, IT IS BASICALLY YOU SERVE YOUR 233 00:18:38,617 --> 00:18:44,188 CHILD THE PLATE AND YOU IMAGINE A LINE DOWN THE MIDDLE AND HALF 234 00:18:44,223 --> 00:18:48,558 OF THE PLATE FRUITS AND VEGETABLES, WHICH A LOT OF KIDS 235 00:18:48,695 --> 00:18:52,963 DON'T LIKE FRUITS AND VEGETABLES. 236 00:18:53,098 --> 00:19:00,705 MY KIDS IN PARTICULAR, I LOAD UP WITH FRUITS. 237 00:19:00,740 --> 00:19:04,242 THAT IS HALF YOUR PLATE, FRUITS AND VEGETABLES. 238 00:19:04,477 --> 00:19:12,017 TO HELP YOUR KIDS FEEL FULL, MORE VITAMINS, MORE COLORS, MORE 239 00:19:12,050 --> 00:19:14,652 VITAMINS. THE ONE CORNER WILL HAVE 240 00:19:14,887 --> 00:19:22,260 PROTEIN, BEANS, NUTS, LOW-FAT DAIRY, LOW-FAT CHEESE AND 241 00:19:22,495 --> 00:19:26,997 YOGURT, LEAN MEAT, FISH, POULTRY, TURKEY, PORK, IF YOU 242 00:19:27,133 --> 00:19:30,000 LOOK FOR THE WORD LOIN IS HEALTHIER. 243 00:19:30,135 --> 00:19:35,907 THAT PROTEIN HELPS THEIR MUSCLES GROW AND HELPS THEM FEEL FULL. 244 00:19:36,042 --> 00:19:40,177 IN THE LAST CORNER, THIS IS THE MOST IMPORTANT. 245 00:19:40,413 --> 00:19:47,052 WE ONLY WANT ONE CORNER OF THE PLATE A GRAIN. 246 00:19:47,085 --> 00:19:50,455 CARBOHYDRATES, STARCHES. ABOUT THE SIZE OF YOUR CHILD'S 247 00:19:50,490 --> 00:19:52,290 HAND. TOO MUCH OF THAT CAN LEAD TO 248 00:19:52,525 --> 00:19:57,428 HIGH SUGAR, DIABETES, HEART DISEASE AND ALL KINDS OF 249 00:19:57,563 --> 00:19:59,963 PROBLEMS. THE RULE OF THUMB FOR YOUR 250 00:19:59,998 --> 00:20:05,168 GRAINS, YOU WANT WHOLE GRAINS. LOOK ON THE LABEL AND WANT IT TO 251 00:20:05,203 --> 00:20:08,538 SAY WHOLE. MORE FIBER, WILL KEEP YOUR KIDS 252 00:20:08,673 --> 00:20:11,308 FULL. IF YOUR KID FINISHES THEIR PLATE 253 00:20:11,543 --> 00:20:13,778 AND THEY SAY, I WANT MORE. THERE IS A RULE. 254 00:20:13,813 --> 00:20:16,880 20 MINUTES. YOU HAVE TO WAIT 20 MINUTES. 255 00:20:16,915 --> 00:20:22,887 IT LITERALLY TAKES 20 MINUTES FOR YOUR STOMACH TO TALK TO YOUR 256 00:20:22,922 --> 00:20:26,957 BRAIN, GO PLAY. IF YOU COME BACK YOU CAN HAVE 257 00:20:27,093 --> 00:20:31,995 MORE FRUIT, VEGETABLES, PROTEINS, BUT NO MORE GRAIN 258 00:20:32,030 --> 00:20:40,505 UNTIL THE NEXT MEAL. CHOOSEMYPLATE.GOV IS A GREAT 259 00:20:40,540 --> 00:20:43,240 VISUAL. WHAT ARE SOME OF THE BENEFITS OF 260 00:20:43,475 --> 00:20:51,182 EATING TOGETHER AS A FAMILY? A LOT. 261 00:20:51,317 --> 00:20:54,418 I THINK EVERYONE KNOWS IT IS A GOOD THING. 262 00:20:54,453 --> 00:21:05,497 EVERYBODY HAS GOTTEN AWAY FROM IT, SERMON -- SOCIAL MEDIA, TV, 263 00:21:05,632 --> 00:21:09,267 TAKING YOUR KIDS TO KARATE, GYMNASTICS. 264 00:21:09,502 --> 00:21:12,537 IT IS BETTER FAMILY RELATIONSHIPS, BETTER 265 00:21:12,572 --> 00:21:15,907 COMMUNICATION WITH YOUR KIDS, BETTER GRADES HAS BEEN LINKED IN 266 00:21:16,042 --> 00:21:18,977 SOME OF THE STUDIES AND HEALTHIER FOOD CHOICES WHEN YOU 267 00:21:19,212 --> 00:21:22,413 ARE SITTING DOWN. SO ONE OF THE THINGS I RECOMMEND 268 00:21:22,547 --> 00:21:25,783 IS JUST START SMALL. TWO DAYS A WEEK, 20 MINUTES. 269 00:21:26,018 --> 00:21:28,853 IT DOESN'T HAVE TO BE A LONG, DRAWN OUT MEAL. 270 00:21:28,888 --> 00:21:33,257 20 MINUTES. PUT YOUR SCREENS AWAY, CHECK 271 00:21:33,292 --> 00:21:35,827 THEM IN. MY KIDS TAKE OUR PHONES AND PLAY 272 00:21:35,962 --> 00:21:42,300 A GAME IF YOU HAVE YOUNG KIDS. WE PLAY A GAME CALLED PRAISE OR 273 00:21:42,535 --> 00:21:45,002 PRAYER. WE GIVE PRAISE TO ANOTHER FAMILY 274 00:21:45,237 --> 00:21:47,972 MEMBER OR SAY A PRAYER. BEST OR WORST PART OF THE DAY. 275 00:21:48,007 --> 00:21:51,675 THAT IS FUN FOR MY KIDS. OLDER KIDS YOU CAN MAKE UP 276 00:21:51,710 --> 00:21:55,513 SOMETHING THEY WANT TO TALK ABOUT OR TALK ABOUT YOUR DAY. 277 00:21:55,748 --> 00:22:04,855 I RECOMMEND FAMILY MEALS. DR. KRACHT, WHAT DOES YOUR 278 00:22:04,990 --> 00:22:09,460 RESEARCH SHOW ABOUT EXERCISE THAT CHILDREN SHOULD GET EVEN 279 00:22:09,593 --> 00:22:18,702 BEFORE THEY ENTER SCHOOL? WE WANT TO SPEND TUMMY TIME, 280 00:22:18,737 --> 00:22:23,707 REDUCE TIME FOR TIME IN STROLLERS OR CARRIERS. 281 00:22:23,742 --> 00:22:28,478 2 OR 3 THE RECOMMENDATIONS ARE THREE HOURS A DAY OF PHYSICAL 282 00:22:28,612 --> 00:22:30,948 ACTIVITIES, ONE HOUR FOR MODERATE AND VIGOROUS. 283 00:22:31,183 --> 00:22:36,920 MOST CHILDREN ARE ACTIVE AND REACH THAT THREE HOURS. 284 00:22:36,955 --> 00:22:43,693 WHERE WE NEED TO FOCUS IS MODERATE TO VIGOROUS ACTIVITY. 285 00:22:43,828 --> 00:22:48,665 THE GUIDELINE AND BEING ACTIVE OR VERY ACTIVE FUNDAMENTAL MOTOR 286 00:22:48,900 --> 00:22:53,270 SKILLS LATER ON, VERY IMPORTANT, THE ABILITY TO KICK, HOP, JUMP. 287 00:22:53,505 --> 00:22:58,575 NOT ONLY FOR BONE HEALTH BUT ACADEMICS LATER ON. 288 00:22:58,810 --> 00:23:08,052 WE WANT FAMILY IS INVOLVED. SO WE CAN PROMOTE THE GUIDELINE. 289 00:23:08,087 --> 00:23:11,355 WHAT CAN FAMILIES DO TO MAKE SURE THEIR CHILDREN GET THE 290 00:23:11,390 --> 00:23:15,827 PROPER AMOUNT OF EXERCISE. FAMILIES ARE IMPORTANT, NOT 291 00:23:15,962 --> 00:23:20,330 ONLY PARENTS, BUT SIBLINGS. THE FIRST STEP IS GO OUT FOR A 292 00:23:20,465 --> 00:23:23,167 WALK, THAT LIGHT PHYSICAL ACTIVITY. 293 00:23:23,202 --> 00:23:27,372 PART OF BEING OUTDOORS IS ASSOCIATED WITH MENTAL HEALTH. 294 00:23:27,407 --> 00:23:31,308 TAKE THAT FIRST STEP OUT THE DOOR AND WALK DOWN THE BLOCK. 295 00:23:31,543 --> 00:23:36,013 FAMILIES CAN PROMOTE MODELING PHYSICAL ACTIVITIES THEMSELVES 296 00:23:36,248 --> 00:23:38,882 AND SHOW THEIR CHILDREN HOW IMPORTANT IT IS. 297 00:23:38,917 --> 00:23:42,687 SINCE MOST FAMILIES HAVE MULTIPLE KIDS AND WE SPENDING 298 00:23:42,722 --> 00:23:46,923 TIME AT HOME, I WOULD FIND AN OPPORTUNITY FOR KIDS TO BE 299 00:23:47,158 --> 00:23:50,460 INVOLVED WITH EACH OTHER, KICKING, HOPPING, JUMPING, 300 00:23:50,593 --> 00:23:56,000 WORKING TOGETHER AND FIGURING OUT A WAY TO BE ACTIVE TOGETHER 301 00:23:56,035 --> 00:24:02,238 AND REDUCING TIME SITTING. VERY GOOD. 302 00:24:02,475 --> 00:24:06,077 DR. QUEEN, GROWING UP MY KIDS LOVED SOFT DRINKS. 303 00:24:06,212 --> 00:24:09,880 NOT SO GOOD. WHAT ARE THE NONSUGARY OPTIONS 304 00:24:10,015 --> 00:24:14,818 AND WHAT THE LAKE IS DOING TO COMBAT OBESITY? 305 00:24:14,853 --> 00:24:21,358 I THINK MOST PEOPLE REALIZE SODAS ARE NOT THE MOST HEALTHY 306 00:24:21,593 --> 00:24:25,930 FOR YOUR KIDS. SODAS AND ENERGY DRINKS ARE THE 307 00:24:25,965 --> 00:24:30,300 NUMBER ONE ADDED SOURCE OF SUGAR IN THE DIET. 308 00:24:30,435 --> 00:24:34,672 ENERGY DRINKS ARE BIG FOR TEENAGERS. 309 00:24:34,907 --> 00:24:39,943 ONE 12 OUNCE CAN CAN HAVE 10 TEASPOONS OF SUGAR. 310 00:24:39,978 --> 00:24:44,182 WOULD YOU FEED YOUR DAUGHTER 10 TEASPOONS OF SUGAR? 311 00:24:44,417 --> 00:24:47,452 IT SOUNDS DISGUSTING. WATER IS THE HEALTHIEST. 312 00:24:47,487 --> 00:24:51,855 A LOT OF KIDS DO NOT LIKE WATER. YOU CAN START WATER AT SIX 313 00:24:51,890 --> 00:24:56,960 MONTHS OF AGE AND ADD FLAVOR, I LIKE TO SWEEZ LEMON IN MY WATER. 314 00:24:56,995 --> 00:25:02,032 IF YOUR KIDS DO NOT LIKE WATER, YOU CAN FLAVOR IT WITH SOME 315 00:25:02,167 --> 00:25:06,403 CRYSTAL LIGHT AND MIO, BUT MY CAVEAT TO THAT IS THAT IS OKAY 316 00:25:06,638 --> 00:25:15,612 AS A BRIDGE AS YOU ARE TRYING TO GET THEM OFF SUGAR SWEETENED 317 00:25:15,848 --> 00:25:18,582 BEVERAGES. IT CAN INCREASE APPETITE AND 318 00:25:18,617 --> 00:25:23,287 CRAVING OF SUGAR, SO THAT IS NOT A LONG-TERM SOLUTION. 319 00:25:23,322 --> 00:25:26,590 OUR LADY OF THE LAKE CHILDREN'S HEALTH HAVE EXCITING THINGS 320 00:25:26,625 --> 00:25:29,160 GOING ON. IN PARTICULAR, WE ARE JOINING UP 321 00:25:29,295 --> 00:25:32,663 WITH PENNINGTON ON A STUDY CALLED TEAM UP. 322 00:25:32,797 --> 00:25:36,967 IT IS GOING TO IMPROVE CARE FOR CHILDREN WITH OBESITY AT 10 OF 323 00:25:37,102 --> 00:25:47,177 OUR CLINICS IN BATON ROUGE, INCLUDING MY CLINIC IN BOGALUSA. 324 00:25:47,312 --> 00:25:51,848 WE ARE STUDYING INTENSIVE BEHAVIORAL TREATMENT TO SEE IF 325 00:25:52,082 --> 00:25:56,687 IT HEMS KIDS. IN MARCH WE ARE PLANNING A 326 00:25:56,820 --> 00:26:00,657 SYMPOSIUM WITH EXPERT SPEAKERS, FOUR PEDIATRICIANS, HEALTH CARE 327 00:26:00,893 --> 00:26:03,760 PROVIDERS AROUND THE STATE TO FIND THE BEST EVIDENCE-BASED 328 00:26:03,995 --> 00:26:06,830 TREMENDOUS FOR OBESITY. THERE ARE OTHER EXCITING THINGS 329 00:26:06,865 --> 00:26:10,868 I CAN'T TELL YOU ABOUT YET. EXCELLENT. 330 00:26:11,102 --> 00:26:15,538 LOOKING FORWARD TO IT. DR. KRACHT, CHILDREN LIKE ADULTS 331 00:26:15,573 --> 00:26:20,945 CAN GET ADDICTED TO DIGITAL MEDIA. 332 00:26:20,980 --> 00:26:22,513 THIS CAN LEAD TO OBESITY. WHAT ARE SOME TIPS FOR MANAGING 333 00:26:22,648 --> 00:26:28,018 SCREEN TIME? THE FIRST THING TO LOOK AT IS 334 00:26:28,153 --> 00:26:30,988 PARENTS ARE IMPORTANT FOR PHYSICAL ACTIVITY AND SCREEN 335 00:26:31,223 --> 00:26:33,723 TIME. LOOK AT OUR OWN HABITS AND HOW 336 00:26:33,857 --> 00:26:41,032 IT IS INCORPORATED IN THE HOME. HOW CAN WE CREATE A ROUTINE THAT 337 00:26:41,167 --> 00:26:44,168 FACILITATES PHYSICAL ACTIVITY. IN THIS DAY AND AGE WE KNOW 338 00:26:44,203 --> 00:26:45,435 SCREEN TIME IS GOING TO BE THERE. 339 00:26:45,570 --> 00:26:50,007 IF WE ARE WATCHING SCREENS, LET'S FOCUS ON EDUCATIONAL. 340 00:26:50,242 --> 00:26:53,677 MAKE SURE WE ARE NOT SITTING FOR TOO LONG. 341 00:26:53,712 --> 00:26:56,180 TAKING BREAKS. WE HAVE TO MAKE SURE WE ARE 342 00:26:56,215 --> 00:26:59,983 INVOLVED WITH THE ENTIRE FAMILY AND WHAT IS BEING SHOWN. 343 00:27:00,018 --> 00:27:03,753 WE HAVE THE STUDY CALLED TEAM UP, FOCUSING ON WORKING WITH 344 00:27:03,887 --> 00:27:09,493 FAMILIES WHO HAVE OVERWEIGHT HABITS TO REDUCE SCREEN TIME AND 345 00:27:09,527 --> 00:27:17,602 HELP FAMILIES BE HEALTHY. DR. QUEEN, HOW DO WE KNOW 346 00:27:17,637 --> 00:27:22,940 WHEN A CHILD IS READY TOP TRANSITION FROM BABY FOOD TO 347 00:27:23,173 --> 00:27:25,843 REGULAR FOOD? FORMULA TO BABY FOOD IS A 348 00:27:26,078 --> 00:27:30,613 QUESTION PARENTS HAVE. SIX MONTHS OF AGE THEY CAN HOLD 349 00:27:30,648 --> 00:27:34,918 THEIR HEAD UP, NECK UP, LOOKING AT YOU WHILE YOU ARE EATING. 350 00:27:34,953 --> 00:27:46,363 YOU CAN START WITH PUREED FOODS. IT CAN BE ANYTHING PUREED. 351 00:27:46,598 --> 00:27:52,302 YOU WANT TO GIVE A VARIETY, LET THEM TASTE SOUR AND SWEET AND 352 00:27:52,437 --> 00:27:56,573 SALTY AND AVOCADO AND THINGS LIKE THAT. 353 00:27:56,808 --> 00:28:04,415 TALK TO YOUR PEDIATRICIAN TO MAKE SURE IF THEY ARE READY. 354 00:28:04,550 --> 00:28:07,752 IF WE INTRODUCE FOOD BEFORE SIX MONTHS IT LEADS TO HIGHER RATES 355 00:28:07,787 --> 00:28:10,922 OF OBESITY. HOW IMPORTANT ARE 356 00:28:11,057 --> 00:28:15,125 VACCINATIONS AND WHAT DO YOU SAY TO MOMS WHO MAY BE RELUCTANT TO 357 00:28:15,260 --> 00:28:18,595 HAVE THEIR CHILD GET ONE? SO VACCINATIONS ARE ONE OF 358 00:28:18,830 --> 00:28:22,600 THE BEST WAYS THAT YOU CAN PREVENT ILLNESS IN YOUR 359 00:28:22,835 --> 00:28:25,102 CHILDREN. YOU CAN PREVENT ILLNESS, BUT YOU 360 00:28:25,337 --> 00:28:29,973 CAN ACTUALLY PREVENT DEATH. I THINK PEOPLE HAVE GOTTEN VERY 361 00:28:30,008 --> 00:28:34,110 COMPLACENT, ESPECIALLY AFTER COVID, PEOPLE ARE SCARED TO GO 362 00:28:34,347 --> 00:28:39,483 TO THEIR PEDIATRICIAN. OUR VACCINATION RATES IN 363 00:28:39,518 --> 00:28:43,520 LOUISIANA HAVE DECLINED. CALL YOUR PEDIATRICIAN AND GET 364 00:28:43,755 --> 00:28:47,692 YOUR VACCINATIONS, IN PARTICULAR THE FLU SHOT. 365 00:28:47,727 --> 00:28:51,128 THE BEST WAY TO PREVENT ILLNESS. IF YOU HAVE QUESTIONS ABOUT IT, 366 00:28:51,363 --> 00:28:54,063 TALK TO YOUR PEDIATRICIAN. I'M A MOM. 367 00:28:54,198 --> 00:28:57,567 I UNDERSTAND THERE ARE SCARY THINGS OUT THERE IN THE NEWS. 368 00:28:57,703 --> 00:29:01,305 GET YOUR INFORMATION FROM REPUTABLE SOURCES LIKE THE CDC, 369 00:29:01,340 --> 00:29:05,742 AAP, THEY HAVE HEALTHY CHILDREN.ORG HAS A LOT OF 370 00:29:05,978 --> 00:29:08,845 INFORMATION ON VACCINATIONS. I DO HIGHLY SUPPORT 371 00:29:09,080 --> 00:29:12,548 VACCINATIONS. THANKS, DR. QUEEN AND DR. 372 00:29:12,785 --> 00:29:13,883 KRACHT FOR SHARING THAT INFORMATION ON HEALTH AND 373 00:29:14,017 --> 00:29:15,052 WELLNESS FOR LOUISIANA'S CHILDREN. 374 00:29:15,285 --> 00:29:17,655 AS CHILDREN GROW, THERE WILL BE FALLS. 375 00:29:17,890 --> 00:29:20,857 MANY OF THESE ACCIDENTS TEACH CHILDREN THE LIMITS OF THEIR 376 00:29:21,093 --> 00:29:23,627 DEVELOPING BODIES, BUT SOME ACCIDENTS CAN BE DANGEROUS. 377 00:29:23,660 --> 00:29:26,830 HALF OF CHILDHOOD DEATHS IN IN YOUNG CHILDREN IN LOUISIANA ARE 378 00:29:26,865 --> 00:29:30,600 DUE TO INJURIES THAT COULD BE PREVENTED. 379 00:29:30,735 --> 00:29:32,335 RENEE GUILBEAU, A CERTIFIED CHILD LIFE SPECIALIST WITH 380 00:29:32,370 --> 00:29:34,003 CHILDREN'S HOSPITAL OF NEW ORLEANS SPOKE WITH US ABOUT THE 381 00:29:34,138 --> 00:29:39,610 MOST COMMON AVOIDABLE INJURIES. IN LOUISIANA, FOR INFANTS 382 00:29:39,745 --> 00:29:45,948 UNDER THE AGE OF 1, SUFFOCATION IS TRULY THE LEADING CAUSE OF 383 00:29:45,985 --> 00:29:50,720 DEATH. 9 IN 10 CHILDREN IN LOUISIANA, 384 00:29:50,855 --> 00:29:55,425 88% OF DEATHS THAT HAPPEN UNDER THE AGE OF 1 IS DUE TO 385 00:29:55,560 --> 00:29:58,395 SUFFOCATION. IF YOU PUT A BABY IN A CRIB IT 386 00:29:58,630 --> 00:30:02,065 SHOULDN'T HAVE PILLOWS AND STUFFED ANIMALS AND BUMPERS AND 387 00:30:02,100 --> 00:30:06,070 CLOTH ITEMS WHERE KIDS CAN GET TRAPPED AND NOT BREATHE. 388 00:30:06,105 --> 00:30:09,272 FOR PARENTS IT IS HARD, THEY GET TIRED. 389 00:30:09,308 --> 00:30:13,110 THEY FALL ASLEEP WITH THE BABY ON THEIR CHEST ON THE SOFA, MAY 390 00:30:13,343 --> 00:30:16,280 ROLL OVER, THE BABY CAN'T BREATHE IN THAT SITUATION. 391 00:30:16,315 --> 00:30:20,917 IT REALLY IS JUST ABOUT CREATING A SAFE SPACE FOR YOUR BABY. 392 00:30:21,153 --> 00:30:26,923 WITH CHILDREN, OVER THE AGE OF 1, MOTOR VEHICLE CRASHES, 393 00:30:27,158 --> 00:30:31,628 DROWNINGS AND FIRE ARE SOME OF THE LEADING CAUSES OF DEATH AND 394 00:30:31,863 --> 00:30:35,598 INJURY. IT DOESN'T TAKE A WHOLE LOT TO 395 00:30:35,633 --> 00:30:39,437 FILL UP, PARTICULARLY A BABY'S LUNGS WITH WATER AND CAUSE 396 00:30:39,672 --> 00:30:42,672 DROWNING FACTOR. IT IS IMPORTANT AT A POOL OR 397 00:30:42,808 --> 00:30:47,945 LAKE OR BY THE WATER THERE IS ALWAYS ONE PERSON RESPONSIBLE 398 00:30:48,180 --> 00:30:52,415 FOR KEEPING AN EYE ON THE CHILDREN. 399 00:30:52,450 --> 00:30:58,022 BY LAW IT IS IMPORTANT AND NOW LAW THAT CHILDREN ARE IN THE 400 00:30:58,057 --> 00:31:02,793 APPROPRIATE CAR SEAT. REGARDLESS IF YOU PAY $70 FOR A 401 00:31:02,928 --> 00:31:08,098 CAR SEAT OR $400, THAT IS NOT WHAT IS GOING TO KEEP YOUR CHILD 402 00:31:08,233 --> 00:31:13,170 SAFE IS IF IT IS INSTALLED PROPERLY AND YOU ARE USING IT 403 00:31:13,403 --> 00:31:16,940 PROPERLY. WE HAVE 400 SAFETY TECHNICIANS 404 00:31:16,975 --> 00:31:20,810 ACROSS THE STATE THAT ARE WILLING TO HELP YOU INSTALL YOUR 405 00:31:20,945 --> 00:31:27,617 SEAT FOR FREE. WE DO THAT BECAUSE WE WANT KIDS 406 00:31:27,753 --> 00:31:31,722 TO BE SAFE ON THE ROADS AND HIGHWAYS. 407 00:31:31,857 --> 00:31:39,430 JOINING ME IS OUR PANEL. IN STUDIO IS JAMAR MELTON, A 408 00:31:39,565 --> 00:31:41,665 PEDIATRICIAN WITH THE BATON ROUGE CLINIC AND CLINICAL 409 00:31:41,700 --> 00:31:43,067 INSTRUCTOR FOR OUR LADY OF THE LAKE'S PEDIATRIC RESIDENCY 410 00:31:43,102 --> 00:31:44,133 PROGRAM. AND JOINING US REMOTELY IS ALISA 411 00:31:44,268 --> 00:31:45,868 STEVENS, SHE'S THE COMMUNITY PROGRAMS MANAGER FOR THE 412 00:31:45,903 --> 00:31:47,905 SOUTHWEST LOUISIANA CENTER FOR HEALTH SERVICES AND A FORMER 413 00:31:48,140 --> 00:31:50,673 SAFE KIDS COORDINATOR. SHE'S COMING TO US FROM LAKE 414 00:31:50,708 --> 00:31:53,043 CHARLES. JUST A REMINDER, DURING THIS 415 00:31:53,177 --> 00:31:57,313 BROADCAST WE'RE CONDUCTING AN INTERACTIVE SURVEY. 416 00:31:57,548 --> 00:32:06,723 PLEASE TEXT HEALTH TO 4152238013 OR VISIT LPB.ORG/CHILDRENSHEALTH 417 00:32:06,958 --> 00:32:09,358 TO TAKE PART. WE WOULD LOVE TO GET YOUR 418 00:32:09,495 --> 00:32:11,093 FEEDBACK. MS. STEVENS, I'D LIKE TO START 419 00:32:11,130 --> 00:32:13,130 WITH YOU. WHAT DO NEW MOTHERS NEED TO BE 420 00:32:13,365 --> 00:32:15,665 AWARE OF WHEN THEY ARE PUTTING A NEWBORN TO SLEEP? 421 00:32:15,800 --> 00:32:20,303 WELL, FIRST OF ALL, I WOULD LIKE TO SAY THANK YOU FOR HAVING 422 00:32:20,338 --> 00:32:22,205 ME. AND THERE'S A LOT OF INFORMATION 423 00:32:22,240 --> 00:32:26,543 THAT NEW MOTHERS NEED TO HAVE. I KNOW THERE'S A LOT THAT THEY 424 00:32:26,778 --> 00:32:31,582 NEED TO TRY TO PAY ATTENTION TO AND HAVE CONCERNS WITH, BUT SAFE 425 00:32:31,717 --> 00:32:35,585 SLEEP IS ONE AT THE TOP OF THEIR LIST. 426 00:32:35,720 --> 00:32:39,122 AS WE SAW EARLIER, ACCIDENTAL SUFFOCATION IS ONE OF THE 427 00:32:39,157 --> 00:32:43,960 LEADING CAUSES OF DEATH NOT ONLY IN REGION 5 WHERE I LIVE IN LAKE 428 00:32:44,195 --> 00:32:46,730 CHARLES, BUT ACROSS THE STATE OF LOUISIANA. 429 00:32:46,765 --> 00:32:51,435 SO YOU WANT TO MAKE SURE THAT YOU ARE NOT CO-SLEEPING. 430 00:32:51,470 --> 00:32:55,738 YOU WANT TO MAKE SURE YOU SHARE THE ROOM AND NOT THE BED. 431 00:32:55,773 --> 00:32:59,943 SLEEPING WITH YOUR CHILD CAN INCREASE THE RISK OF SUFFOCATION 432 00:32:59,978 --> 00:33:02,478 BY 40 TIMES. OKAY. 433 00:33:02,713 --> 00:33:08,385 YOU WANT TO MAKE SURE THAT YOU OFFER YOUR CHILD A CLEAN, DRY 434 00:33:08,620 --> 00:33:11,422 PACIFIER BEFORE GOING TO SLEEP. IF THEY DON'T WANT IT, DON'T 435 00:33:11,557 --> 00:33:15,358 FORCE IT. BUT WHAT THE PACIFIER DOES IS 436 00:33:15,393 --> 00:33:20,330 KEEP THEM -- KEEP THEIR BRAINS AROUSED, SO THEY ARE EASILY 437 00:33:20,465 --> 00:33:22,565 AROUSED WHILE SUCKING A PACIFIER. 438 00:33:22,600 --> 00:33:25,868 THEY ALWAYS HAVE A NEED TO SUCK. THEY ARE NOT IN THAT DEEP OF AH 439 00:33:25,902 --> 00:33:31,308 SLEEP AND IT MAKES THE AROUSAL PROCESS EASIER. 440 00:33:31,542 --> 00:33:35,378 YOU WANT TO MAKE SURE YOU KEEP THE ROOM COOL AS WELL. 441 00:33:35,413 --> 00:33:41,050 BABIES BODIES OVERHEAT 7 TO 10 TIMES FASTER THAN OURS DO. 442 00:33:41,183 --> 00:33:47,157 THEY DON'T REGULATE HEAT THE WAY WE DO. 443 00:33:47,290 --> 00:33:53,363 OVERHEATING IS A RISK FACTOR FOR SIDS. 444 00:33:53,498 --> 00:33:56,633 HEALTHY BABIES SLEEP ON THEIR BACK. 445 00:33:56,868 --> 00:33:58,035 WHICH INFANTS ARE AT GREATER RISK OF SUDDEN INFANT DEATH 446 00:33:58,270 --> 00:34:04,507 SYNDROME? THOSE INFANTS ARE YOUR LOW 447 00:34:04,542 --> 00:34:09,680 BIRTH WEIGHT BABIES, BABIES THAT ARE PREMATURE. 448 00:34:09,815 --> 00:34:15,318 ALSO IF MOM SMOKED WHILE PREGNANT, THAT INCREASES THE 449 00:34:15,353 --> 00:34:19,188 RISKS FOR SIDES FOR TWO TO FIVE TIMES. 450 00:34:19,322 --> 00:34:24,995 IF BABIES ARE EXPOSED TO SECOND HAND SMOKE THAT INCREASES THEIR 451 00:34:25,130 --> 00:34:27,530 RISK THREE TO FIVE TIMES. DROWNINGS MAKE UP NEARLY A THIRD 452 00:34:27,565 --> 00:34:28,765 OF ACCIDENTAL DEATHS AMONG LOUISIANA'S SMALL CHILDREN. 453 00:34:29,000 --> 00:34:31,635 WHAT ARE SOME PRECAUTIONS WE CAN TAKE TO PREVENT DROWNING? 454 00:34:31,670 --> 00:34:36,138 MARVIN, WE LIVE IN A STATE WHERE WATER IS INTEGRAL PART OF 455 00:34:36,173 --> 00:34:38,375 OUR LIVES. WE LIVE ON THE WATER, WE WORK ON 456 00:34:38,608 --> 00:34:40,243 THE WATER AND WE PLAY ON THE WATER. 457 00:34:40,278 --> 00:34:43,013 MM-HMM. BECAUSE THERE IS SO MUCH 458 00:34:43,148 --> 00:34:47,250 WATER INVOLVED IN OUR LIVES, WE NEED TO PROTECT OUR CHILDREN 459 00:34:47,285 --> 00:34:50,453 AGAINST DROWNING. MOST PEOPLE DON'T KNOW THIS BUT 460 00:34:50,488 --> 00:34:54,457 ACCIDENTAL DROWNING IS THE NUMBER ONE CAUSE OF DEATH IN 461 00:34:54,492 --> 00:34:59,562 CHILDREN BETWEEN THE AGES OF 1 AND 4. 462 00:34:59,598 --> 00:35:03,500 THERE ARE A FEW THINGS STATISTICALLY SHOWN TO IMPROVE 463 00:35:03,735 --> 00:35:05,435 AND PREVENT DROWNING IN CHILDREN. 464 00:35:05,570 --> 00:35:09,005 THE MOST IMPORTANT THING IS MOST CHILDREN BETWEEN 1 AND 4 WHO 465 00:35:09,240 --> 00:35:13,477 DROWN DO SO IN A PRIVATE POOL. ONE THING WE CAN DO IN PRIVATE 466 00:35:13,512 --> 00:35:18,148 POOLS IS MAKE SURE OUR POOLS ARE SURROUNDED BY A FENCE WITH A 467 00:35:18,282 --> 00:35:22,152 SEPARATE GATE THAT LATCHES FROM THE INSIDE. 468 00:35:22,285 --> 00:35:24,955 WE MAKE CERTAIN ALL POOLS HAVE THIS SAFETY FEATURE. 469 00:35:25,090 --> 00:35:29,558 IT HAS BEEN SHOWN THAT CHILDREN WHO TAKE SWIMMING LESSONS REDUCE 470 00:35:29,695 --> 00:35:33,163 THEIR RISK OF DROWNING. IN ONE STUDY, IT APPROXIMATELY 471 00:35:33,297 --> 00:35:38,935 REDUCED DROWNING BY ABOUT 85% IN CHILDREN WHO RECEIVED SWIMMING 472 00:35:39,170 --> 00:35:41,905 LESSONS. IT IS IMPORTANT AND THE AMERICAN 473 00:35:41,940 --> 00:35:49,245 ACADEMY OF PEDIATRICS SUGGEST CHILDREN RECEIVE SWIMMING 474 00:35:49,480 --> 00:35:53,417 LESSONS TO PREVENT DROWNING. WE SHOULD NEVER LEAVE CHILDREN 475 00:35:53,452 --> 00:35:57,420 UNATTENDED IN A POOL AND KEEP THEM AT ARM'S LENGTH. 476 00:35:57,455 --> 00:35:59,355 IT DOESN'T TAKE LONG FOR A CHILD TO DROWN. 477 00:35:59,590 --> 00:36:03,327 IF YOU ARE AT A PUBLIC POOL OR AT YOUR POOL YOU NEED TO KEEP 478 00:36:03,362 --> 00:36:06,663 YOUR CHILD AND TODDLER AT ARM'S LENGTH. 479 00:36:06,898 --> 00:36:09,700 THOSE THINGS HAVE BEEN STATISTICALLY SHOWN TO IMPROVE 480 00:36:09,835 --> 00:36:13,270 AND REDUCE THE RISK OF DROWNING IN OUR CHILDREN. 481 00:36:13,505 --> 00:36:15,505 THERE ARE A LOT OF GUN OWNERS IN LOUISIANA. 482 00:36:15,640 --> 00:36:22,112 WHAT'S SOME BASIC FIREARM SAFETY THEY SHOULD PRACTICE IF THERE 483 00:36:22,247 --> 00:36:24,882 ARE GUNS IN THE HOME. IN THE STATE OF LOUISIANA WE 484 00:36:25,117 --> 00:36:29,252 LIVE IN A CULTURE THAT IS HUNTING AND GUN OWNERSHIP IS 485 00:36:29,287 --> 00:36:33,457 VERY IMPORTANT. I THINK 2/3 OF LOUISIANA 486 00:36:33,492 --> 00:36:37,527 CITIZENS OWN GUNS. IF WE ARE GOING TO OWN GUNS, WE 487 00:36:37,662 --> 00:36:42,932 NEED TO TAKE THE RESPONSIBILITY OF GUN OWNERSHIP TO PROTECT OUR 488 00:36:43,068 --> 00:36:46,035 CHILDREN. THE MOST IMPORTANT THING WE CAN 489 00:36:46,170 --> 00:36:57,947 DO IS STORE OR GUNS SAFELY. IN LOCKED GUN CASES AND UNDER 490 00:36:58,083 --> 00:37:01,017 LOCK AND KEY THE AMMUNITION AS WELL. 491 00:37:01,252 --> 00:37:04,755 CHILDREN WHO LIVE IN YOUR HOUSES DON'T NEED TO KNOW WHERE THE 492 00:37:04,890 --> 00:37:08,057 KEYS ARE THE GUN SAFES ARE. YOU NEED TO KEEP THAT IN A 493 00:37:08,193 --> 00:37:11,495 SEPARATE AREA WHERE ONLY YOU KNOW WHERE THEY ARE SO THIS 494 00:37:11,530 --> 00:37:13,463 LIMITS ACCESS CHILDREN HAVE TO GUNS. 495 00:37:13,598 --> 00:37:17,567 WHAT DO PARENTS TELL A CHILD IF THEY SEE A GUN IN SOMEONE 496 00:37:17,702 --> 00:37:20,570 ELSE'S HOME? IT IS VERY SIMPLE. 497 00:37:20,705 --> 00:37:23,940 BASICALLY THREE THINGS WE TELL KIDS AND WHAT YOU NEED TO DO AS 498 00:37:24,175 --> 00:37:29,178 A PARENT IS MAKE SURE YOU ARE ROLE PLAYING THESE SCENARIOS. 499 00:37:29,313 --> 00:37:33,850 BASICALLY IT IS STOP, DON'T TOUCH, RUN AWAY AND GET AN 500 00:37:34,085 --> 00:37:35,818 ADULT. THOSE THREE THINGS YOU NEED TO 501 00:37:35,853 --> 00:37:38,555 BRING UP TO YOUR CHILDREN CONSTANTLY, ALL THE TIME. 502 00:37:38,788 --> 00:37:42,825 THE OTHER THING THAT IS VERY HELPFUL IS ROLE PLAYING. 503 00:37:42,860 --> 00:37:45,628 WITH ALL SAFETY WHEN IT COMES TO CHILDREN, ROLE PLAYING WITH YOUR 504 00:37:45,663 --> 00:37:50,500 CHILDREN CAN HELP A LOT. SO TALK TO YOUR CHILDREN AND 505 00:37:50,635 --> 00:37:54,103 PLAY, SAY, YOU KNOW, LAY A TOY GUN OUT AND WALK IN AND SAY W 506 00:37:54,238 --> 00:38:00,310 WHAT WOULD YOU DO IF YOU CAME INTO A FRIEND'S HOUSE AND WALK 507 00:38:00,443 --> 00:38:04,013 THEM THROUGH THE ROLE PLAYS. THE OTHER THING IS MAKE SURE 508 00:38:04,148 --> 00:38:09,518 WHEN YOUR CHILD IS GOING OUT, IF THEY ARE GOING TO A HOUSE, ASK, 509 00:38:09,653 --> 00:38:13,690 DO YOU HAVE GUNS IN YOUR HOUSE? AND IF THEY DO, MAKE SURE YOUR 510 00:38:13,925 --> 00:38:19,528 CHILD KNOWS WHAT TO DO IF THEY COME ACROSS A GUN. 511 00:38:19,663 --> 00:38:27,337 MS. STEVENS, LOUISIANA'S CHILD SEAT 512 00:38:27,470 --> 00:38:28,605 LEGISLATION HAS BEEN APPLAUDED FOR BEING THE BEST IN THE 513 00:38:28,838 --> 00:38:29,772 COUNTRY. WHAT ARE THE RULES OF THE ROAD 514 00:38:29,808 --> 00:38:31,842 FOR TRAVELING WITH INFANTS AND YOUNG CHILDREN? 515 00:38:31,977 --> 00:38:37,680 A CHILD UNDER THE AGE OF 2 RIDES REAR FACING. 516 00:38:37,715 --> 00:38:41,685 YOU MOVE TO A FORWARD FACING SEAT WHEN YOUR CHILD HAS 517 00:38:41,720 --> 00:38:46,455 OUTGROWN THAT REAR FACING SEAT BY HEIGHT AND WEIGHT AND IS AT 518 00:38:46,590 --> 00:38:51,127 LEAST 2 YEARS OLD. THAT FORWARD-FACING SEAT HAS TO 519 00:38:51,362 --> 00:39:00,603 HAVE A FIVE-POINT HARNESS. THE INTERNAL HARNESS OF THE CAR 520 00:39:00,638 --> 00:39:06,042 SEAT WILL HIT AT FIVE POINT, ONE TO THE SHOULDER, THREE AT THE 521 00:39:06,277 --> 00:39:08,812 CROTCH AND FOUR AND FIVE BOTH HEAD. 522 00:39:08,847 --> 00:39:13,750 YOUR CHILD CAN MOVE FROM A BOOSTER SEAT FROM FORWARD FACING 523 00:39:13,985 --> 00:39:18,822 SEAT WHEN THEY ARE AT LEAST 4 YEARS OLD AND HAS OUTGROWN THAT 524 00:39:18,857 --> 00:39:23,627 FORWARD FACING SEAT BY HEIGHT OR WEIGHT. 525 00:39:23,662 --> 00:39:29,765 NOW, THAT BOOSTER SEAT MUST BE INSTALLED WITH A LAP AND A 526 00:39:30,002 --> 00:39:33,135 SHOULDER BELT. IT IS AGAINST THE LAW IN 527 00:39:33,170 --> 00:39:40,577 LOUISIANA TO RIDE IN A BOOSTER SEAT WITHOUT A LAP AND SHOULDER 528 00:39:40,812 --> 00:39:44,713 BELT. THEY CAN SIT IN A SEAT BELT IF 529 00:39:44,848 --> 00:39:49,785 THEY CAN PASS A FIVE POINT TEST, CAN SIT ALL THE WAY BACK, 530 00:39:50,022 --> 00:39:53,790 SHOULDER BELT ACROSS THE CHEST, NOT THE NECK, FITS ACROSS YOUR 531 00:39:54,025 --> 00:39:58,395 LAP BELT, THE LAP PORTION AND THE CHILD IS NOT SLIDING DOWN, 532 00:39:58,630 --> 00:40:03,933 THE FEET DOESN'T HIT THE BACK OF THE SEAT, THEIR KNEES BEND 533 00:40:04,068 --> 00:40:07,570 COMFORTABLY OVER THE SEAT AND THE LAP BELT IS NOT COMING 534 00:40:07,605 --> 00:40:14,710 ACROSS THE ABDOMEN. MS. STEVENS, GETTING BACK TO 535 00:40:14,945 --> 00:40:15,878 THE SEAT. HOW CAN YOU DETERMINE IF YOUR 536 00:40:15,913 --> 00:40:17,813 CHILD'S CAR SEAT IS INSTALLED CORRECTLY? 537 00:40:18,048 --> 00:40:23,753 WELL, THE BEST WAY IS TO MAKE AN APPOINTMENT WITH A CERTIFIED 538 00:40:23,888 --> 00:40:25,788 TECHNICIAN TO CHECK YOUR SEAT OUT. 539 00:40:25,823 --> 00:40:29,792 AS YOU HEARD EARLIER, WE HAVE SEVERAL HUNDRED TECHNICIANS 540 00:40:29,827 --> 00:40:34,597 ACROSS LOUISIANA THAT CAN HELP, BUT IF YOUR SEAT IS REAR FACING, 541 00:40:34,632 --> 00:40:40,337 YOUR CHILD'S SEAT IS REAR FACING IT HAS TO BE 30-45 DEGREE 542 00:40:40,572 --> 00:40:42,972 ANXIOUSLE. THE HARNESS SHOULD BE AT OR 543 00:40:43,107 --> 00:40:46,877 BELOW THE SHOULDER AND THAT RETAINER CLIP OR PLASTIC CLIP 544 00:40:47,012 --> 00:40:49,712 SHOULD BE AT THE SHOULDER ARMPIT LEVEL. 545 00:40:49,747 --> 00:40:55,585 IS THERE AN ONLINE RESOURCE THAT PARENTS CAN GO TO TO GET 546 00:40:55,718 --> 00:41:01,758 MORE INFORMATION ABOUT CAR SEAT 547 00:41:01,992 --> 00:41:02,625 INSTALLATIONS. YES. 548 00:41:02,660 --> 00:41:07,497 YOU CAN GO TO WORLDWIDESAFE KIDS. 549 00:41:07,630 --> 00:41:10,633 YOU CAN GO TO BUCKLE UP LOUISIANA FACEBOOK PAGE AND 550 00:41:10,668 --> 00:41:15,672 THERE ICE LOTS OF INFORMATION THERE. 551 00:41:15,907 --> 00:41:16,840 H THANKS TO MS. STEVENS AND DR. 552 00:41:16,875 --> 00:41:17,973 MELTON FOR THAT HELPFUL INFORMATION ABOUT KEEPING 553 00:41:18,208 --> 00:41:27,083 CHILDREN SAFE. ACCORDING TO DATA FRR THE U.S. 554 00:41:27,318 --> 00:41:28,485 CENTERS FOR DISEASE CONTROL, MOST OF LOUISIANA'S PARISHES 555 00:41:28,720 --> 00:41:29,485 LACK PSYCHOLOGISTS OR PSYCHIATRISTS. 556 00:41:29,720 --> 00:41:31,520 THAT'S A CHALLENGE FOR OUR STATE, WHICH IS NOT ONLY DEALING 557 00:41:31,653 --> 00:41:32,888 WITH A PANDEMIC, BUT HAS ENDURED FIVE MAJOR STORMS THIS HURRICANE 558 00:41:33,123 --> 00:41:37,560 SEASON. HERE'S TERESA FALGOUST AGAIN 559 00:41:37,595 --> 00:41:42,298 WITH WHAT THE KIDS COUNT DATA TELLS US ABOUT LOUISIANA 560 00:41:42,533 --> 00:41:48,838 CHILDREN'S MENTAL HEALTH. ONE OF THE IPD -- INDICATORS 561 00:41:48,973 --> 00:41:54,477 LOOKS AT CHILDREN 3-17 HAS A PARENT THAT A DOCTOR TOLD THEM 562 00:41:54,512 --> 00:42:00,517 THEIR CHILD HAS AUTISM, DEPRESSION, ANXIETY, ADHD OR 563 00:42:00,752 --> 00:42:04,020 BEHAVIORAL CONDUCT PROBLEM. THAT TIED FOR THE HIGHEST RATE 564 00:42:04,255 --> 00:42:08,023 IN THE COUNTRY WITH WEST VIRGINIA AND WE ARE SEVEN 565 00:42:08,258 --> 00:42:10,593 PERCENTAGE POINTS ABOVE THE NATIONAL AVERAGE. 566 00:42:10,628 --> 00:42:16,465 ONE OF THE THINGS WE HAVE SEEN WITH COVID-19, WE SHOULD BE 567 00:42:16,600 --> 00:42:19,002 CONCERNED ABOUT CHILDREN'S MENTAL HEALTH AND FAMILIES 568 00:42:19,037 --> 00:42:22,872 ECONOMIC WELL BEING. IT CONFIRMED WHAT WE SUSPECTED, 569 00:42:23,007 --> 00:42:28,043 LOUISIANA KIDS WERE VULNERABLE BEFORE ALL THIS STARTED AND THAT 570 00:42:28,278 --> 00:42:30,147 MAKES THEM MORE VULNERABLE WITH COVID-19. 571 00:42:30,382 --> 00:42:36,252 WHEN WE LOOKED AT THE DATA, ONE OF FOUR ADULTS OR CHILDREN HAVE 572 00:42:36,487 --> 00:42:40,757 LITTLE OR NO CONFIDENCE IN THEIR ABILITY TO PAY RENT OR MORTGAGE 573 00:42:40,992 --> 00:42:45,795 ON TIME THIS MONTH. 28% OF CHILDREN WITH ADULTS IN 574 00:42:45,930 --> 00:42:51,868 THEIR HOME SAID THEY FOUND DOWN, DEPRESSED OR HOPELESS FOR MOST 575 00:42:52,102 --> 00:42:57,373 OF THE DAYS OR NEARLY EVERY DAY IN THE PREVIOUS WEEK. 576 00:42:57,608 --> 00:43:00,977 CHILDREN'S MENTAL HEALTH IS LINKED TO ADULTS MENTAL HEALTH. 577 00:43:01,212 --> 00:43:05,215 ESPECIALLY YOUNG CHILDREN WHO ARE DEPENDENT ON PARENTS ON 578 00:43:05,350 --> 00:43:09,552 THEIR OVERALL WELL BEING AND CARE THE WAY OLDER CHILDREN 579 00:43:09,587 --> 00:43:13,590 AREN'TS. JOINING ME IN STUDIO TO 580 00:43:13,825 --> 00:43:14,957 DISCUSS THE MENTAL HEALTH CHALLENGES OF LOUISIANA'S 581 00:43:14,992 --> 00:43:16,258 CHILDREN AND NEW MOTHERS IS DR. ANNA LONG, A LICENSED 582 00:43:16,293 --> 00:43:17,860 PSYCHOLOGIST WITH A DUAL FOCUS IN CHILD CLINICAL AND SCHOOL 583 00:43:17,895 --> 00:43:21,497 PSYCHOLOGY, WHO TEACHES AT LSU. AND DR. GIGI DUNN AN M.D. AND 584 00:43:21,732 --> 00:43:31,942 PHYSICIAN EDUCATOR WHO TEACHES INTEGRATIVE MEDICINE. 585 00:43:32,077 --> 00:43:41,117 DR. DUNN, DR. LONG, LET'S START WITH YOU. 586 00:43:41,352 --> 00:43:52,162 HOW SERIOUS IS THE SHORTAGE OF PSYCHOLOGISTS AND PSYCHIATRISTS 587 00:43:52,297 --> 00:43:59,535 IF WE BEGIN BY TALKING SIMPLY ABOUT THE IN ADDITION OF STRESS. 588 00:43:59,770 --> 00:44:04,707 -- DEFINITION OF STRESS, IF WE LOOK AT WHAT THE CHILDREN HAVE 589 00:44:04,742 --> 00:44:09,245 HAD TO NAVIGATE IN THIS LAST YEAR, THE DEMANDS ARE ENORMOUS. 590 00:44:09,480 --> 00:44:13,883 CHILDREN DON'T HAVE A LOT OF CONTROL AND HAVE HAD LESS IN 591 00:44:14,018 --> 00:44:25,962 THIS MOST RECENT TIME. OUR BODIES RESPOND IN OUR 592 00:44:26,195 --> 00:44:29,398 NERVOUS SYSTEM AND HORMONAL SYSTEM TO STRESS. 593 00:44:29,533 --> 00:44:34,637 THE SITE OF OUR STRESS RESPONSE IS THE SYMPATHETIC NERVOUS 594 00:44:34,672 --> 00:44:36,672 SYSTEM WHICH DOES A RESPONSE CALLED FIGHT OR FLIGHT. 595 00:44:36,908 --> 00:44:41,010 IN OUR BODIES IT IS EXACTLY HOW IT SOUNDS. 596 00:44:41,145 --> 00:44:44,013 INCREASES HEART RATE, BLOOD PRESSURE, CAN MAKE OUR BREATHING 597 00:44:44,148 --> 00:44:51,453 VERY SHALLOW AND VERY RAPID. IT CAN IMPACT DIGESTION. 598 00:44:51,488 --> 00:44:55,057 CHILDREN FEEL ALL OF THIS BUT SOMETIMES THEY DON'T HAVE WORDS 599 00:44:55,092 --> 00:44:59,562 TO TELL WHAUS THEY ARE FEELING. THEY MAY ACT THIS OUT. 600 00:44:59,595 --> 00:45:05,200 YOU MAY SEE CHANGES IN BEHAVIOR, CRYING, ANGER, TEMPER TANTRUMS, 601 00:45:05,437 --> 00:45:07,703 DIFFICULTY SLEEPING OR NIGHTMARES. 602 00:45:07,938 --> 00:45:12,342 YOU MAY SEE THEM ACTING AS THOUGH THEIR LITTLE BODIES ARE 603 00:45:12,477 --> 00:45:18,180 RUNNING ALL THE TIME, HAVING HYPERACTIVITY OR HYPERVIGILANCE. 604 00:45:18,215 --> 00:45:23,185 ALL OF THIS CAN BE A NORMAL STRESS RESPONSE TO WHAT IS 605 00:45:23,220 --> 00:45:26,555 HAPPENING IN THE ENVIRONMENT. CHILDREN ARE LIKE SPONGES. 606 00:45:26,690 --> 00:45:28,725 THEY CAN TAKE IN THE STRESS OF THE FAMILY. 607 00:45:28,960 --> 00:45:36,365 IF THE PARENTS ARE NOT DEALING WITH THEIR STRESS RESPONSES, 608 00:45:36,500 --> 00:45:41,003 CHILDREN COULD ACT THAT OUT AS WELL. 609 00:45:41,038 --> 00:45:46,108 WHAT COULD LEAD TO INTERVENTIONS? 610 00:45:46,143 --> 00:45:50,112 IT IS IMPORTANT TO THINK ABOUT WHAT IS AN EXTREME STRESS 611 00:45:50,147 --> 00:45:53,348 RESPONSE OR TRAUMATIC STRESS RESPONSE. 612 00:45:53,585 --> 00:45:56,752 AN EVENT THAT MAKES A CHILD FEEL A LOSS OF SAFETY OR SECURITY IN 613 00:45:56,988 --> 00:46:02,025 THEIR LIVES, ANYTHING THEY EXPERIENCE AS EXTREMELY NEGATIVE 614 00:46:02,060 --> 00:46:05,662 OR UNCONTROLLABLE, SO YOU CAN IMAGINE ALL OF THESE THINGS WE 615 00:46:05,897 --> 00:46:11,333 HAVE BEEN THROUGH RECENTLY DO CONSTITUTE WHAT WE CALL CRISIS 616 00:46:11,368 --> 00:46:15,838 EVENTS THAT CAN PRODUCE THIS TRAUMATIC OR EXTREME STRESS 617 00:46:15,873 --> 00:46:18,507 REACTION. AND SO NOW THAT YOU HAVE AN 618 00:46:18,643 --> 00:46:22,745 UNDERSTANDING OF WHAT CAN CAUSE THAT, THE IMPORTANT THING TO 619 00:46:22,780 --> 00:46:28,517 KNOW IS MOST CHILDREN WILL NOT HAVE AN EXTREME STRESS REACTION. 620 00:46:28,653 --> 00:46:31,120 RECOVERY IS THE NORM AND 621 00:46:31,255 --> 00:46:35,023 RESILIENCE IS THE NORM. KIDS DO WELL WITH ADAPTING, 622 00:46:35,158 --> 00:46:37,927 ESPECIALLY IF THEIR CAREGIVERS ARE MANAGING THEIR OWN STRESS 623 00:46:38,060 --> 00:46:41,563 AND PAYING ATTENTION TO THEIR KIDS AND GIVING THEM SUPPORT AND 624 00:46:41,598 --> 00:46:45,868 ASSISTANCE TO ADAPT. BUT THE THINGS THAT LET YOU KNOW 625 00:46:45,903 --> 00:46:49,772 THAT YOU NEED TO SEEK HELP FOR YOUR CHILD ARE SORT OF TWO 626 00:46:49,807 --> 00:46:53,308 THINGS. ONE WOULD BE SOME OF THESE MORE 627 00:46:53,543 --> 00:47:01,817 MINOR CHANGES IN THEIR BEHAVIOR OR FUNCTIONING STAY PROLONGED 628 00:47:02,053 --> 00:47:03,318 OVER TIME. SO OVER WEEKS. 629 00:47:03,553 --> 00:47:08,290 THEY USED TO GO TO SLEEP EASILY AND NOW IT HAS BEEN TWO, THREE 630 00:47:08,325 --> 00:47:13,228 WEEKS AND WE CANNOT GET THEM TO GO TO SLEEP, STAY ASLEEP, STAY 631 00:47:13,463 --> 00:47:21,037 IN THEIR BED OR THEY USED TO BE POTTY TRAINED AND THEY ARE 632 00:47:21,272 --> 00:47:24,507 HAVING ACCIDENTS ALL THE TIME AND THAT IS NOT GOING BACK TO 633 00:47:24,542 --> 00:47:26,342 NORMAL. ANY CHANGES THAT ARE MORE MILD, 634 00:47:26,577 --> 00:47:30,178 LIKE IN THEIR THINKING OR THEIR CONCENTRATION OR THEIR LEARNING 635 00:47:30,313 --> 00:47:35,385 OR IN THEIR ABILITY TO REGULATE THEIR EMOTIONS OR IN THEIR 636 00:47:35,520 --> 00:47:38,722 BEHAVIOR, IF THOSE STICK AROUND FOR A WHILE, YOU SHOULD BE 637 00:47:38,755 --> 00:47:41,857 GETTING ASSISTANCE. BECAUSE IF YOU LEAVE THEM, THEN 638 00:47:42,093 --> 00:47:46,862 THEY CAN ACTUALLY GET WORSE OR THEY CAN STICK AROUND FOR MUCH 639 00:47:47,098 --> 00:47:52,902 LONGER THAN YOU WANT THEM TO AND THEY CAN CREATE OTHER CHALLENGES 640 00:47:53,035 --> 00:47:56,538 IN WELL BEING AND FUNCTIONING. THE OTHER THING WOULD BE IF YOU 641 00:47:56,573 --> 00:48:04,180 SEE A MORE SERIOUS OR TRAUMATIC STRESS RESPONSE. 642 00:48:04,413 --> 00:48:09,285 YOU WILL NOTICE THIS IF YOUR CHILD HAS INTENTION EMOTIONS, 643 00:48:09,520 --> 00:48:16,925 INTENSE FEAR, SADNESS, AGITATION OR IRRITABILITY, MOOD SWINGS. 644 00:48:17,058 --> 00:48:21,497 IF THEY HAVE A HARD TIME EXPERIENCING POSITIVE EMOTIONS, 645 00:48:21,732 --> 00:48:26,202 ENJOYING THINGS THEY USED TO. THEY START TO SOCIALLY WITHDRAW 646 00:48:26,435 --> 00:48:30,205 FROM OTHERS OR CAN'T GET ALONG WITH OTHER PEOPLE OR THEY ARE 647 00:48:30,440 --> 00:48:37,113 KIND OF MORE DISORGANIZED OR KIND OF DISREGULATED. 648 00:48:37,348 --> 00:48:40,583 ANY OF THOSE MORE KIND OF INTENTION THINGS, THOSE YOU 649 00:48:40,618 --> 00:48:47,055 SHOULD SEEK HELP FOR RIGHT AWAY. VERY GOOD, DR. DUNN, WHAT ARE 650 00:48:47,190 --> 00:48:50,893 SOME STRESS REDUCTION TOOLS PREGNANT MOTHERS CAN USE AND 651 00:48:50,928 --> 00:48:53,528 WHAT MAY THEIR IMPACT BE ON CHILD DEVELOPMENT? 652 00:48:53,763 --> 00:48:59,702 WE KNOW AN AWFULLY LOT THESE DAYS WITH STRONG RESEARCH ON 653 00:48:59,737 --> 00:49:04,840 WHAT HAPPENS WHEN THE BABE IS STILL IN THE MOTHER'S BODY. 654 00:49:05,075 --> 00:49:09,712 FETAL ORIGIN OF ADULT DISEASE. IT IS A VERY WISE THING THAT 655 00:49:09,747 --> 00:49:15,317 NATURE DOES. WHEN A MOTHER IS IN STRESSFUL OR 656 00:49:15,352 --> 00:49:21,023 TRAUMATIC CIRCUMSTANCES IN PREGNANCY HER STRESS HORMONES 657 00:49:21,058 --> 00:49:22,925 HIGHER. THE BABY IS BATHED IN THESE 658 00:49:22,960 --> 00:49:28,497 STRESS HORMONES. NATURE IS GETTING THE BABY READY 659 00:49:28,632 --> 00:49:33,635 TO HAVE THE STRESS RESPONSE FOR THE STRESSFUL ENVIRONMENT IT IS 660 00:49:33,670 --> 00:49:37,307 COMING INTO. THE DOWNSIDE SHOWS UP A BIT 661 00:49:37,442 --> 00:49:40,577 LATER. AS A RESULT OF THIS, THE BABY 662 00:49:40,812 --> 00:49:44,113 CAN SET UP FOR METABOLIC SYNDROME IN DECADES TO COME. 663 00:49:44,247 --> 00:49:48,650 BECAUSE THERE IS A HIGHER SET LEVEL OF THE STRESS HORMONES 664 00:49:48,685 --> 00:49:57,493 LIKE CORTISOL, THIS CAN IMPACT THE BABY'S BRAIN AND MEMORY AND 665 00:49:57,728 --> 00:50:00,830 LEARNING. 666 00:50:00,965 --> 00:50:05,333 THE OTHER THING BECAUSE OF HIGHER STRESS POINT THE BABY CAN 667 00:50:05,468 --> 00:50:10,840 TAKE A LONGER TIME IN ADULTHOOD TO RESPOND TO STRESSORS AND THIS 668 00:50:10,975 --> 00:50:14,277 CAN UNDERLIE LIFE-LONG ANXIETY THAT IS NOT EXPLAINED. 669 00:50:14,312 --> 00:50:22,318 THE GOOD NEWS IS NATURE GIVES US THE PARASYMPATHETIC NERVOUS 670 00:50:22,552 --> 00:50:24,220 SYSTEM THAT DOES REST AND DIGEST. 671 00:50:24,455 --> 00:50:29,325 WE CAN DO INEXPENSIVE TOOLS THROUGHOUT THE DAY, THE MOTHER 672 00:50:29,558 --> 00:50:33,095 CAN EMPLOYEE THEM THROUGH PREGNANCY, SHARE THEM WITH 673 00:50:33,130 --> 00:50:35,598 FAMILIES. AS SIMPLE AS TURNING TO HER 674 00:50:35,633 --> 00:50:40,135 BREATH, MAKING IT SLOWER, DEEPER, QUIETER AND MORE 675 00:50:40,370 --> 00:50:42,372 REGULAR. THE OTHER THINGS THAT CAN BE 676 00:50:42,507 --> 00:50:46,308 DONE ARE FREE MEDITATION APPS. ONE OF MY FAVORITE IS NATURE. 677 00:50:46,343 --> 00:50:51,113 TIME IN NATURE IS ALMOST LIKE A VALIUM PILL IN A WAY. 678 00:50:51,148 --> 00:50:55,718 IT COMPLETELY MELTS AWAY STRESS AND DOESN'T HAVE TO BE FOR LONG. 679 00:50:55,753 --> 00:51:03,425 DR. LONG, NEW MOMS AND DADS CAN FACE CRYING BABIES OR TEMPER 680 00:51:03,460 --> 00:51:10,833 TANTRUMS. WHAT CAN THEY DO TO COPE WITH 681 00:51:10,868 --> 00:51:14,403 THIS? I THINK WE KNOW PARENTS IS 682 00:51:14,538 --> 00:51:22,478 STRESSFUL. THEY HAVE STRESS FROM MANY 683 00:51:22,713 --> 00:51:30,118 SOURCES AND UNDERSTANDING HOW STRESS WORKS, EVERY DEMAND PUT 684 00:51:30,252 --> 00:51:35,590 ON A PARENT YOU NEED TO UP YOUR COPING RESOURCES. 685 00:51:35,827 --> 00:51:40,763 STRESS BECOMES UNHEALTHY WHEN PRESSURES AND PARENTS DEMANDS 686 00:51:40,798 --> 00:51:44,533 EXCEED WHAT THEY HAVE TO COPE WITH THEM AND THEY CAN START TO 687 00:51:44,668 --> 00:51:49,605 FEMALE REALLY OVERWHELMED AND BURNED OUT AND INCAPABLE. 688 00:51:49,840 --> 00:51:54,610 SO SOME EASY WAYS FOR PARENTS TO TAKE CARE OF THEIR STRESS IS 689 00:51:54,845 --> 00:52:00,850 CERTAINLY JUST HEALTHY HABITS IN TERMS OF TAKING CARE OF YOURSELF 690 00:52:00,985 --> 00:52:10,192 WITH EATS, PROPER SLEEP SUBPOENAS -- PROPER SLEEPING, AS 691 00:52:10,227 --> 00:52:12,762 MUCH AS YOU CAN. TAKING A BREAK, EVEN IF IT IS 692 00:52:12,897 --> 00:52:15,965 TAKING A FEW EXTRA MOMENTS IN A LOCKED BATHROOM BEFORE YOU STEP 693 00:52:16,100 --> 00:52:17,533 BACK OUT. MM-HMM. 694 00:52:17,768 --> 00:52:24,840 TO HANDLE THE TROOPS. REMOVING YOURSELF FROM SCREENS, 695 00:52:25,075 --> 00:52:25,640 UNPLUGGING. SURE. 696 00:52:25,877 --> 00:52:28,810 ALL OF THE DIFFERENT STRESSORS FROM THE WORLD, THE 697 00:52:28,845 --> 00:52:34,283 MORE YOU TAKE IN AND LISTEN TO AND READ ON SOCIAL MEDIA, THAT 698 00:52:34,417 --> 00:52:38,020 IS UPING YOUR STRESS LEVEL FOR YOUR BODY TO MANAGE. 699 00:52:38,053 --> 00:52:42,023 I THINK ANOTHER REALLY IMPORTANT THING IS BEING KIND TO YOURSELF 700 00:52:42,057 --> 00:52:47,763 AS A PARENT. YOU DON'T NEED TO BE A PERFECT 701 00:52:47,998 --> 00:52:51,300 PARENT AND, IN FACT, YOUR CHILDREN WILL PROBABLY BENEFIT 702 00:52:51,433 --> 00:52:57,138 FROM YOUR IMPERFECTIONS BECAUSE THEY WILL LEARN LIFE SKILLS LIKE 703 00:52:57,173 --> 00:53:01,143 HOW TO BE PATIENT, HOW TO RESOLVE CONFLICTS, HOW TO DEAL 704 00:53:01,178 --> 00:53:06,215 WITH OTHER PEOPLE'S EMOTIONS. I THINK NOT WORRYING ABOUT BEING 705 00:53:06,348 --> 00:53:09,552 PERFECT IN EVERY MOMENT AND THINKING MORE ABOUT THE LONG 706 00:53:09,587 --> 00:53:14,323 GAME IN HAVING THAT CONSISTENCY OVER TIME BECAUSE REALLY ALL 707 00:53:14,457 --> 00:53:22,865 YOUR CHILD NEEDS IS THAT UNCONDITIONAL LOVE, THOO -- 708 00:53:22,900 --> 00:53:31,940 THAT TIME, THEIR NEEDS TO BE MET AND STRUCTURE AND PREDICTABILITY 709 00:53:32,075 --> 00:53:36,478 TO HELP THEM THRIVE. ASK FOR HELP. 710 00:53:36,513 --> 00:53:40,415 ACCEPT HELP. YOU CAN TAKE THINGS OFF YOUR 711 00:53:40,650 --> 00:53:43,285 PLATE. DUST BUNNIES CAN COLLECT, 712 00:53:43,320 --> 00:53:47,155 DISHING CAN PILE. YOU SHOULDN'T FEEL GUILTY. 713 00:53:47,290 --> 00:53:50,225 REACHING OUT AND CONNECTING WITH OTHER PARENTS IS HELPFUL. 714 00:53:50,460 --> 00:53:53,662 THEIR KIDS CAN ENTERTAIN YOUR KIDS AND YOU CAN VENT. 715 00:53:53,797 --> 00:53:56,632 THAT IS A GREAT WAY TO REDUCE STRESS. 716 00:53:56,867 --> 00:54:04,005 BRIEFLY, WHAT CAN YOUNG CHILDREN BE TAUGHT ABOUT DEALING 717 00:54:04,040 --> 00:54:07,308 WITH STRESS? THERE ARE TWO THINGS WE CAN 718 00:54:07,343 --> 00:54:12,180 DO IT, ONE IS PREVENTIVE WAY, HOW WE CAN BUILD RESILIENCE AND 719 00:54:12,315 --> 00:54:18,020 THE ABILITY TO HANDLE STRESS. FOR KIDS THAT IS HAVING 720 00:54:18,055 --> 00:54:21,523 CONSISTENCY WITH RULES IN YOUR HOME AND ROUTINE, SO THEY HAVE 721 00:54:21,558 --> 00:54:30,867 THAT STRUCTURE AND PREDICTABILITY OR HOME BASE. 722 00:54:31,102 --> 00:54:34,137 HELPING THEM UNDERSTAND EMOTIONAL AWARENESS AND 723 00:54:34,170 --> 00:54:37,540 SELF-REGULATION. BEING ABLE TO LABEL THEIR 724 00:54:37,575 --> 00:54:41,643 EMOTIONS, DESCRIBE WHAT IS GOING ON IN THEIR BODY WHEN THEY FEEL 725 00:54:41,678 --> 00:54:43,812 THEM. RECOGNIZE THE BEHAVIORS THAT 726 00:54:43,947 --> 00:54:47,583 FOLLOW, WHEN YOU FEEL HAPPY VERSUS WHEN YOU FEEL SAD VERSUS 727 00:54:47,817 --> 00:54:51,387 WHEN YOU FEEL ANGRY. KNOWING THE DIFFERENT INTENSITY 728 00:54:51,622 --> 00:54:55,690 SO THEY KNOW WHEN THEY NEED TO STEP IN AND KIND OF USE SOME 729 00:54:55,927 --> 00:54:58,360 STRATEGIES TO HELP REGULATE THEIR EMOTIONS. 730 00:54:58,395 --> 00:55:05,835 AND JUST GIVING THEM SOME SIMPLE TOOLS THOO YOU CAN MODEL -- THAT 731 00:55:05,970 --> 00:55:11,573 YOU CAN MODEL, WHETHER IT IS TAKING A BREAK, TAKING A BREATH, 732 00:55:11,608 --> 00:55:16,412 TALKING TO SOMEBODY, REACHING OUT FOR HELP OR THINKING ABOUT 733 00:55:16,647 --> 00:55:19,915 WAYS THEY CAN MAKE A SITUATION BETTER OR HOW THEY CAN MAKE 734 00:55:20,150 --> 00:55:23,685 THEMSELVES FEEL BETTER. THOSE ARE SOME SIMPLE WAYS TO 735 00:55:23,720 --> 00:55:25,955 HELP KIDS. VERY GOOD. 736 00:55:26,090 --> 00:55:29,192 I WANT TO THANK YOU VERY MUCH FOR THAT. 737 00:55:29,225 --> 00:55:31,393 UNFORTUNATELY, WE HAVE RUN OUT OF TIME FOR OUR DISCUSSION 738 00:55:31,428 --> 00:55:34,463 TONIGHT. I WANT TO THANK DR. LONG AND 739 00:55:34,597 --> 00:55:35,830 DUNN AND ALL OF OUR PARTICIPANTS FOR THEIR INPUT. 740 00:55:36,067 --> 00:55:39,668 WE ENCOURAGE YOU TO COMMENT ON TONIGHT'S SHOW BY VISITING 741 00:55:39,803 --> 00:55:42,237 LPB.ORG/PUBLICSQUARE AND CLICKING ON THE "JOIN THE 742 00:55:42,472 --> 00:55:45,607 CONVERSATION" LINK. AND PLEASE TAKE OUR INTERACTIVE 743 00:55:45,642 --> 00:55:55,283 SURVEY ON THE ISSUES WE'VE COVERED BY TEXTING HEALTH TO 744 00:55:55,418 --> 00:55:59,422 4152238013 OR VISITS LPB.ORG/CHILDRENSHEALTH. 745 00:55:59,457 --> 00:56:06,128 LOOK FOR THE LAUNCH OF LPB'S ONE TO GROW ON SERIES IN JANUARY. 746 00:56:06,163 --> 00:56:13,702 THANKS FOR WATCHING TONIGHT. GOOD EVENING. 747 00:56:37,327 --> 00:56:47,102 FOR A COPY OF THIS PROGRAM CALL 18009737206 OR GO TO 748 00:56:47,337 --> 00:56:48,938 WWW.LPB.ORG.