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CategoryEmily Oster [ParentData]

Prenatal Testing Deep Dive [Emily Oster, ParentData]

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• Dr. Aaron Carroll is a professor of pediatrics at Indiana University School of Medicine and a health policy researcher.
• He has written extensively on the evolution of prenatal testing, including cell-free fetal DNA testing, amniocentesis, CVS tests, and PGT.
• He explains that cell-free fetal DNA testing is extremely accurate for detecting the primary trisomies (21, 13, 18), with a 99.4% detection rate and a 0.1% false-positive rate.
• Invasive testing is also highly accurate, but carries a small risk of miscarriage.
• Ultrasound findings rarely provide much information if cell-free fetal DNA testing has already been done, and no additional information if invasive testing has been done.

Published January 30, 2023
Visit ParentData to read Emily Oster’s original post Prenatal Testing Deep Dive

Alcohol and Health [Emily Oster, ParentData]

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• Alcohol is a significant contributor to death, with liver disease, alcohol poisoning, and drunk-driving-related deaths being the most common causes.
• We do not have good data on the relationship between alcohol and health at lower levels of drinking due to observational data bias.
• The most comprehensive study of the link between alcohol and long-term health was published in The Lancet in 2018, which showed an upward-trending relationship between alcohol and colon/rectal cancer, and a dip initially between light drinking and heart health.
• The New York Times article on alcohol last week suggested that five years of drinking two alcoholic beverages a day can damage the liver, but this is not supported by data.
• A randomized trial of light drinking was shut down due to funding from alcohol manufacturers.
• Despite the lack of evidence that alcohol is good for health, it can still be enjoyed in moderation.
• If one feels like their alcohol consumption is too much, it is a time to re-evaluate.

Published January 26, 2023
Visit ParentData to read Emily Oster’s original post Alcohol and Health

Fevers 101 [Emily Oster, ParentData]

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• Fever is a body’s response to infection and is not necessarily a sign of a worse illness.
• Treating fever does not affect recovery in a positive or negative way.
• Treat fever if it makes your child feel better, and not if they seem fine.
• If a child is totally unconsolable or is very hard to wake up or hasn’t been peeing at all, this is when you worry.
• Ibuprofen seems to work better on fever in randomized trials.

Published January 23, 2023
Visit ParentData to read Emily Oster’s original post Fevers 101

Should Adults Nap? [Emily Oster, ParentData]

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• 34% of people surveyed in 2009 reported napping in the past 24 hours, with the highest rate (52%) among those over 80 years old.
• Studies suggest that napping can improve cognitive performance and reduce subjective sleepiness, but may also be linked to cardiovascular disease.
• The optimal nap length is 15 minutes, and the ideal time to nap is mid-afternoon.
• The “coffee nap” combines a cup of caffeinated coffee with a 15-minute nap, and has been shown to reduce driving impairments.
• A study of urban poor in India found that napping improved overall feelings of well-being, but decreased earnings due to lost time.

Published January 19, 2023
Visit ParentData to read Emily Oster’s original post Should Adults Nap?

What To Do About Chronic Constipation [Emily Oster, ParentData]

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• Constipation in kids is very common, affecting 10-30% of children over the course of childhood.
• Symptoms include frequency of bowel movements less than three per week, fecal incontinence, large stools, painful defecation, and withholding behaviors.
• Causes include introducing solid foods, toilet training, and school-related anxiety.
• Treatment involves clearing any existing stool blockage, using laxatives and behavior modification, and increasing fiber and water intake.
• Miralax is the medication of choice, as it has been shown to be more effective than a placebo and other alternatives.
• Side effects are mostly related to digestion, and there is no evidence that it causes behavioral problems.

Published January 16, 2023. Visit ParentData to read Emily Oster’s original post [What To Do About Chronic Constipation]

Gas Stoves and Asthma [Emily Oster, ParentData]

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• A new paper suggests that gas stoves are responsible for 12.7% of childhood asthma cases, but existing literature on the relationship between gas stoves and asthma is mixed.
• The paper’s estimates are based on an assumption from existing literature that gas stove ownership increases asthma rates by about 30%.
• Studies have found positive correlations between asthma and gas stove exposure, but the effects are a bit noisy and do not necessarily paint a consistent picture.
• Cross-sectional data at the state level does not suggest a strong relationship between gas stove ownership and childhood asthma rates.
• Replacing gas stoves is not likely to be necessary for most people, but those with children with (or at risk for) asthma may want to consider it.
• If not replacing the gas stove, running the hood fan and using a HEPA filter with an activated carbon filter can help reduce nitrogen dioxide levels.

Published January 11, 2023. Visit ParentData to read Emily Oster’s original post.

Puberty, Postpartum, and Adaptation [Emily Oster, ParentData]

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• Lauren Fleshman and Molly Huddle are professional women runners. Lauren is the author of Good for a Girl: A Woman Running in a Man’s World and Molly co-wrote How She Did It with Sara Slattery.
• They discussed the challenges of adapting to body changes during puberty and postpartum, and how these changes can be difficult to navigate in male-dominated spaces.
• They discussed how the current sports system is not designed to accommodate the changes that girls and women go through, and how this can lead to a drop-off in participation.
• They discussed how providing resources such as sports bras and breast education can help girls and women adjust to their changing bodies and continue to participate in sports.
• They discussed how the expectations of fitting into a male mold can be damaging, and how it is important to create a culture that is more inclusive and accommodating of women’s needs.
• Molly discussed her experience with maternity clauses in her contracts, and how advocacy from Alysia Montaño and Allyson Felix changed the landscape for female athletes.
• Lauren discussed the need for a more equal approach to leave and child-rearing, and how sport can be a leader in social movements.
• Both discussed the idea of a slow return to work after having a baby, and how it can be frustrating but also beneficial.
• They also discussed the need for coach education on female physiology, and for parents to be informed and supportive of their daughters’ changing bodies.
• They discussed the importance of having a broad definition of success that includes more than just performance metrics.

Published January 9, 2023. Visit ParentData to read Emily Oster’s original post.

There’s No Secret Option C [Emily Oster, ParentData]

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• Facing difficult decisions can be hard because both options have significant downsides.
• Remind yourself that there is no secret option C and actively choose the option with the least downsides.
• Facing the decision head-on may help you find better options than the two you initially had.
• When faced with tough decisions, remind yourself that there is no secret option C.

Published January 5, 2023. Visit ParentData to read Emily Oster’s original post.

Wins, Woes, and Changing Diapers [Emily Oster, ParentData]

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• Writing a family mission statement can help ground parents when making decisions big and small.
• A reader is struggling with diaper changes.
• One parent overcame bottle refusal by squirting milk in their baby’s mouth while they cried.
• Another parent’s toddler is obsessed with their father, making them feel terrible.
• A third parent found success in making dinner a competition between their two kids.

Published January , 2023. Visit ParentData to read Emily Oster’s original post.

Is There a Best Method for Sleep Training? [Emily Oster, ParentData]

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• Sleep training is a colloquial term for “behavioral sleep interventions” and does not damage parent-child attachment.
• The average age for sleep training is 5.3 months, with a wide range of ages.
• Modified and unmodified extinction methods are more successful than parental presence.
• Success rates are high regardless of age, but parental presence has the lowest success rate.
• Sleep training can be a great option, but it is not for everyone.

Published January 2, 2023. Visit ParentData to read Emily Oster’s original post.

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