Jacob and I attended our last parenting class at Prentice Women’s Hospital last night. Having signed up for the full five course package, this one, Pediatric Care, was more of a general question and answer session with a Pediatrician. Most of the questions asked were pretty predictable and covered information that we felt we already gleaned from our previous classes. We found the questioning surrounding two topics particularly interesting: 1. SIDS and crib safety 2. Autism and immunizations.
Regarding the first, the pediatrician explained that the crib should contain a mattress and a fitted sheet. End of story. She said there is no practical use for bumper pads. Children do not injure themselves on the bars of a crib and even if they did, broken arm vs. death by suffocation should be an obvious choice.
Jacob and I thought this was pretty common wisdom, but the crowd seemed taken aback at the finality of her word. The questions following all sought out loopholes.
Question: “When does it become safe to use the bumper pads?”
Answer: “Never. SIDS is a concern until 18 months.”
Question: “What if we use a sleep positioner so the baby can’t move?”
Answer: “Sleep positioners can suffocate babies, too. Don’t use those either.”
Question: “We chose our bedding set because we liked the bumper pads. Why do they still design bedding sets with cute bumper pads if we can’t use them?”
Answer: “I don’t know. Don’t use them. Hang them on the wall or something, if you really can’t just part with them.”
For the second topic, the questions were very different. Parents were expecting and looking for assurance from this pediatrician that immunizations will cause their child to be autistic.
Question: “Do immunizations cause autism?”
Answer: “I talk to parents every day about autism. We try to practice what we call ‘evidence based medicine’ and so far there has been no conclusive research to show a link between immunizations and autism. We don’t know what causes autism, but my expectation is that it will come down to genetic and not environmental factors.”
Question: “Then why has there been an increase in autism? Isn’t autism caused by mercury and Thimerosal?”
Answer: “There has been an increase in the diagnosis of autism. We do not yet know what causes autism, but mercury and Thimerosal have been out of vaccines for five years and there has still been an increase in the diagnosis of autism. At least part of this increase can be attributed to over-diagnosis and the fact that 20 years ago autism wasn’t a term that we used. A child which we would now consider to be autistic would have been considered mentally retarded, and we don’t make that diagnosis anymore. Also keep in mind that autism is a spectral disorder and doesn’t mean one thing.”
Question: “But doesn’t it make a difference whether vaccines are given all at once or individually?”
Answer: “No, there is no proven link between autism and vaccines in either case. There is an increased risk of fever when vaccines are given all at once.”
So here’s what struck me: Why were the parents so attached to their bumper pads yet so ready to lay blame on vaccines?
Is it because bumper pads are cute and cuddly and vaccines involve needles and chemicals? Does it have to do with the “organic” mentality that presumes “Western” medicine the root of all ills? Or is it just a matter of heightened publicity surrounding autism? It seems to me that just not using bumper pads is a pretty easy and small sacrifice to make in the name of child safety. Why fight tooth and nail for that one?