May 2019
This Month's Newsletter
We hope you enjoyed your long holiday weekend!

In this month's newsletter, Clare Cardo McKegney, DNP, APN, CPNP authors an article on prenatal care guidelines. In recognition of National Bike Month, we provide bike safety recommendations for all ages, including information on how to get your bike inspected.  We are excited to share the news of a bike grant awarded to New Providence! We also provide medicine dosing information and a handy reference guide. Finally, we relay a recent article on product recalls and safe sleeping habits. 

Our goal is to further develop our relationship with our patients and create an open forum. We welcome your comments and ideas. If you would like to see something included in this newsletter, please email us at  with ideas only, please no medical requests.

As always, we welcome you to share your experience with our practitioners with an online review. 

The Pediatric Center Staff
Prenatal Care Guidelines
Clare Cardo McKegney, DNP, APN, CPNP

You're having a baby! Prenatal care should start as early as you get the big news to facilitate a smooth pregnancy. Step one is scheduling an appointment with a board-certified obstetrician or midwife within the first 6 weeks to ensure you are receiving the appropriate medical care for you and your baby.
What should I expect at my first prenatal appointment?
In the first prenatal visit, most obstetricians and midwives will do a routine physical exam, including a pelvic exam with ultrasound, to confirm a viable pregnancy with correct implantation. You should also expect routine blood work, urine samples, weight and blood pressure measurements. Once your pregnancy is confirmed, your health care provider will provide you with important steps for a healthy pregnancy.
Is there a special diet I should be on while I am pregnant? Are there foods I should avoid?
When you are pregnant, the typical recommendation is to consume 200 - 300 extra calories from nutrient rich foods. Depending on your health status prior to pregnancy, your healthcare provider may suggest modifications. General guidelines include:
  • A diet rich in protein, low fat dairy, fresh vegetables and fruits.
  • Foods that contain calcium, vitamin D, folic acid, iron, and DHA.
  • Caffeine consumption is ok in moderation (equivalent of 2-ounce cups of coffee).
  • Avoid foods that are high in sodium and sugar.
  • To prevent infection, avoid aged and soft cheese, hot dogs, luncheon meats, raw fish and other foods that are at higher risk for food borne pathogens (i.e., raw egg, mayonnaise, undercooked meat).
  • It is very important to avoid alcohol while pregnant. Research suggests that the avoidance of all alcohol during pregnancy produces better outcomes than babies exposed to alcohol during pregnancy.
It is important to note that you should not be dieting while pregnant. General weight gain with pregnancy is normal. The average overall weight gain in a healthy pregnancy... Read full article.

Bike Safety Recommendations For All Ages
May is recognized as National Bike Month - an excellent time to provide reminders on little-girl-bike.jpg bike and recreational activity safety. The American Academy of Pediatrics provides some valuable information on how to keep safe during warm weather activities:

Bike Safety:
A  helmet protects your child from serious injury, and should always be worn.  Many injuries happen in driveways, on sidewalks, and on bike paths, not just on streets. Children learn best by observing you. Set the example: Whenever you ride, put on your helmet. Wearing a helmet at all times helps children develop the helmet habit.

When to wear a helmet - on every bike ride, no matter how short or close to home.

What to purchase - when purchasing a helmet, look for a la bel or sticker that says the helmet meets the CPSC safety standard.

How to wear a helmet - A  helmet should be worn so that it is level on the head and covers the forehead, not tipped forward or backwards. The strap should be securely fastened with about 2 fingers able to fit between chin and strap. The helmet should be snug on the head, but not overly tight. Skin should move with the helmet when moved side to side. If needed, the helmet's sizing pads can help improve the fit.

2 Wheeled Bikes
It's important not to  push your child to ride a 2-wheeled bike without training wheels until he or she is ready. Consider your child's coordination and desire to learn to ride. Stick with coaster (foot) brakes until your child is older and more experienced for hand brakes. Consider a balance bike with no pedals for young children to learn riding skills.

Shopping for a Bike
Take your child with you when you shop for the bike, so that he or she can try it out. The value of a  properly fitted bike  far outweighs the value of surprising your child with a new one. Buy a bike that is the right size, not one your child has to "grow into." Over-sized bikes are especially dangerous.

How to Ride
Your child should ride on the right, facing the same direction as traffic, and should be taught to obey all stop signs and other traffic control devices. Children should never ride at night.

Bike Inspection
It's important to have your bikes periodically inspected for safety from a bike shop.

Skateboard, Scooter, In-line Skating and Heelys Safety
Gear: Helmet safety and protective gear is important for all recreational activities and skates. H elmets are particularly important for preventing and minimizing head injuries. Riders should wear helmets that meet ASTM or other approved safety standards, and that are specifically designed to reduce the effects of skating hazards.

Best locations: For all in-line skating or Heelys,  only skate on designated paths or rinks and not in the street.  Skateboard parks are often available locally which are more  likely to be monitored for safety than ramps and jumps constructed by children at home.  Children should never ride skateboards or scooters in or near moving traffic. 

Preventing injury: Most injuries occur due to falls. Inexperienced riders should only ride as fast as they can comfortably slow down and maintain control. They should practice falling on grass or other soft surfaces. Before riding, skateboarders should survey the riding terrain for obstacles such as potholes, rocks, or any debris. Protective wrist, elbow and knee-pads should be worn.

Children under the age of eight should be supervised during activities.

The Summit Park Line Foundation, in conjuction with PAL and Summit Public Art is hosting a Bike Safety event on June 15th from 10 am - 12 pm on the Summit Green in downtown Summit. Bike safety officials will be on site to work with children and parents.

Source: AAP (Academy of Pediatrics) 
New Providence Awarded Bike Grant
New Providence was highlighted this month in StemShoots for receiving a new Safe Routes to School (SRTS) $430,000 grant, for a total of $892,000 including the $462,000 we won in 2017.  

Safe Routes to School (SRTS) grant funds new sidewalks and safer crossings enabling our children to walk and bike to school safely.

The SRTS was developed in response to a nationwide decline of school age children walking and biking to school - it went from 42% in 1969 to 13% in 2001, as obesity rates tripled. In response, a federal Safe Routes to School (SRTS) program was formed.

In 2014 they started documenting New Providence kids walking and biking in order to gain SRTS recognition which confer "points" towards winning grants. Then in 2016 and again in 2019 volunteers wrote our first School Travel Plan. Recently, grants for safe routes to transportation, retail and recreation were also available. A Master Walk and Bike plan was added to 2019-2021 travel plan goals.

How Much is Too Much?
Have you ever wondered the correct medicine dosing for your child? Some of the information continues to change, including Children's Tylenol (Acetaminophen).

There is a new concentration infants.   In accordance with FDA recommendations, acetaminophen manufacturers have changed the concentration of infant acetaminophen from 80mg/0.8ml to 160mg/5ml. 

Be aware that there may be both the old and new concentrations of infant's acetaminophen products available in stores and in medicine cabinets. The pediatric acetaminophen products currently on the market can continue to be used as labeled. 

On our website, we provide Child Dosing Charts with dosing information for Tylenol (Acetaminophen), Motrin (Ibuprofen) and Benedryl. It's a handy reference to keep in mind as your child gets older.

Be sure to check the label or contact our office with questions: 908-508-0400.

Disclaimer: Every effort has been made to ensure that the information provided by The Pediatric Center is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. If you have questions about the dosage, contact one of our doctors or nurses.
Which Products Are Safe?
A recent article in USA Today highlighted some recent recalls on baby products, in addition to some valuable information on sleep habits and safe sleeping techniques:

"When parents or soon-to-be parents walk into a store, they might assume all the products they see are safe for their babies. 

While many of them are, they often come with warnings and instructions. They may not be vetted by the  Consumer Product Safety Commission, or the  American Academy of Pediatricsmay not recommend them.

And moms and dads are too tired and overwhelmed to know everything. 
In the past two months, 4.7 million Fisher-Price Rock n' Play sleepers were recalled followed by a recall of  700,000 inclined baby sleepers under other brands like Ingenuity and Bright Starts.

Several parents  filed lawsuits and many claimed refunds. Some sought "safe" alternatives, while other  parents said that they still planned to use their Rock n' Plays.
"It is a struggle. We know parenting is incredibly difficult and the desire and the need for good sleep is so real," pediatrician and AAP spokesperson Dr. Elizabeth Murray said, but "we know that some of these devices that make these great claims perhaps are not safe."
Read the full article.
On-Site Lactation Support Center
T he Pediatric Center's on-site Lactation Support Center led by our own Director of Lactation Support, Clare Cardo McKegney, DNP, APN, CPNP, is here to support you in breastfeeding your child. Dr. McKegney is a board certified pediatric nurse practitioner and certified breastfeeding counselor with over 18 years of advanced practice in pediatrics. 

Our modern and private on-site lactation suite provides a warm and relaxed environment for the mother and infant to enjoy a positive breastfeeding experience. 

We also offer a free prenatal class every month, open to the public. 

To schedule your lactation consultation, attend our free prenatal class or make an appointment please call us at 908-508-0400.

Find More Topics On Our Blog
The Pediatric Center's blog is an invaluable resource for pediatric and parenting topics. The blog is right on our website . It includes topics such as "12 Super Foods for Lactation Aid", "Best Winter Skincare Tips" and so much more. 
Patient Portal
The Pediatric Center's patient portal provides personal access  to your family's  medical records. 

You can access information such as immunization records, visit summaries, request appointments, view dates for upcoming appointments and pay your bill.

Sign up is quick from our website. Click here.
Do You Need A Pediatric Specialist?
If you are in search of a pediatric specialist, please know we are here to guide you.

We have a wide network of doctors we can refer to ensure you are in good hands.

We specialize in developmental & behavioral health and focus on positive parenting practices. We can offer guidance on depression, eating disorders, developmental concerns and many other issues.

You are not alone. 
Please call to make an appointment to meet with one of our physicians:  
The Pediatric Center Online Bill Pay
Online Bill Payment
The Pediatric Center offers the ease and convenience of online bill baby_laptopbuying.jpg payment.   

Simply visit our " Bill Payment & Insurance" page on our website. 

Payments Over The Phone
If you prefer, you can still make a payment over the phone by calling The Pediatric Center's billing department, HealthCare Billing, Inc:  
Toll Free:  877-852-9092  
Local:  908-237-9092
Vaccine Education Center
Did you know our website includes a Vaccine Education Center where you can find the immunization schedule for your child?
Reminder - we offer all students going to college the Meningococcal B vaccine. This vaccine is covered by insurance.  It is recommended it be administered to all students starting college as part of their pre-college physical. Please also discuss the new Gardasil vaccine with your practitioner.
View all the details here.
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Free Prenatal Class
We offer a free prenatal class on the 3rd Thursday of every month with our own
Dr. McKegney!
Click here to learn more.
It's A Partnership
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The Pediatric Center

556 Central Avenue, New Providence, NJ 07974


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