Additional UH Rainbow Babies & Children's Hospital Presentations at AAP:
Prescribing Prevention: A Campaign to Increase Bicycle Helmet Use Among Pediatric Emergency Department Patients
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Authors: Suet Kam Lam, MD, MPH; Jerri A. Rose, MD, FAAP, Program Director, Pediatric Emergency Medicine, UH Rainbow Babies & Children's Hospital, Assistant Professor, Pediatrics, Case Western Reserve University School of Medicine
Saturday, October 24, Section on Emergency Medicine poster session
Current estimates indicate 70 percent of children in Ohio regularly ride bicycles but only 10-20 percent wear helmets. Through a grant received from the AAP Community Pediatrics Training Initiative and collaboration with the Ohio AAP and the Rainbow Injury Prevention Center, we sought to increase access to bicycle helmets among our pediatric emergency department and general pediatric clinic patients. Health care professionals "prescribed" high-quality, low-cost ($3) helmets, fitted by safety professionals, and provided safety counseling to patients. Two hundred prescriptions were distributed this past spring/summer and thirteen have been "filled" to date. Survey results revealed increases in residents' knowledge and confidence levels related to helmet safety. UH Rainbow plans to continue the program next spring and is considering various methods to increase prescription fill rate.
Association of Postpartum Depo-Provera Administration with Pre-Discharge Breastfeeding Rates
Author: Lydia Furman, MD, Pediatrician, UH Rainbow Babies & Children's Hospital, Associate Professor, Pediatrics, Case Western Reserve University School of Medicine
Monday, October 26, 11 a.m. - 12:30 p.m. Section on Breastfeeding
The study examined the association between pre-discharge postpartum Depo-Provera, a contraceptive injection that contains the hormone progestin, and in-hospital breastfeeding rates and found that African American mothers were significantly less likely to breastfeed in-hospital, and more likely to receive Depo-Provera. Non-African American mothers who received Depo-Provera were even more likely not to breastfeed. A causal relationship between Depo-Provera and breastfeeding cannot be determined for either group of mothers. The study indicates there is limited understanding of the relationship between Depo-Provera and breastfeeding, or of the impact of race on contraceptive and feeding choice, and future research is needed to examine this question prospectively to conclude if there is a cause-effect relationship.
