Frequently Asked Questions

Staff Information

Dr. D. Wain Allen is a graduate of George Washington University. He completed his Family Practice
Residency at Fort Belvoir, Virginia. He has been in practice at both Coaville and Kamas Clinics since 1984.

Jeanette Vernon, PA-C is a native of Coalville, she obtained her Masters in Nursing and PA Degree at the University of Utah. Jeanette works at both clinics.

Brenden White is a Doctor of Optometry. He provides vision care and glasses. He sees patients in Coalville.

New Life Medical Weight Loss & Nutrition Center

New Life Medical Weight Loss & Nutrition Center is located in the Kamas Office Building. It is a separate Business, but patients can enter their information in the iLife Record found on this web site. New Life does not accept or bill Health Insurance-you can enter N/A in any areas that do not apply to you.

Breast-Feeding



Breast-Feeding Advice

1. Breast feeding benefits mothers too. The benefits include reduced risk of premenopausal breast and ovarian cancer and postmenopausal osteoporosis and increased child spacing. The extent of these effects is directly related to duration of breast feeding.

2. Breast feeding mothers don't need to drink milk. Breast feeding women lose bone mass, the regain denser bone later. Regardless of milk intake or calcium supplementation. Cow's milk protein can enter human milk, sensitizethe child and cause allergic symptoms in up to 8% of those exposed.

3. Infants should begin breast feeding in the first hour of life. This improves sucking patterns and prolongs the overall duration of breast feeding.

4. Duration of feedings should not be limited. Poor positioning, not duration of sucking causes sore nipples. The infant should be allowed to breast feed until satisfied. The greatest concentration of fat and calories in breast milk come from the milk at the end of feeding.

5. Babies should not be given water. Breast milk contains all fluids necessary through the first 6 months of life, and supplementation with water increased the risk of jaundice and more severe forms of hyperbilirubinemia in the early weeks of life.

6. Frequent breast feeding from the beginning minimizes jaundice and maximizes milk production. The optimum number of feedings is 10-12 daily,not eight as is often recommended.

7. Every breast-fed baby does not need supplemental Vitamin D. In most cases of deficiency, the problem is deficiency on the mother's part of lack of adequate sun exposure. Rickets can be prevented with no more than 15 minutes of daily sun exposure.

8. Exclusive breast feeding for 6 months is optimal. Introduction of cow's milk or cereal may reduce the efficiency of iron absorption in younger babies.

9. Hepatitis and maternal fever are not contraindications to breast feeding. Most hospitals have policies that say breast feeding should be stopped or interrupted. However the rate of transmission of hepatitis B or C is not increased in breast feeding infants. Moreover, mothers with fever and infection can pass important antibodies to their babies through breast milk. Stopping can create more of a risk to babies because they are most likely already exposed anyway and would miss the benefit of the antibodies and other protective substances in breast milk.

10. A baby's first birthday doesn't have to be the end of breast-feeding. Benefits of breast feeding continue to accrue in to the second and third years of life. There is no evidence that extended breast feeding is psychologically harmful.

Vaccination Recommendations



Hepatitis B: 3 shots needed. 1st at birth-2 months, next 1 month later, 3rd 5 months later. Prevents Hepatitis B, a serious cause of chronic liver disease in adults.

DTaP: (Diphtheria, Tetanus, acellular Pertussis): shots at 2,4 and 6 months of age. 4th dose age 15-18 months. 5th dose before kindergarten. Prevents diphtheria, tetanus(lockjaw) and pertussis
(whooping cough).

Haemophilus Influenza: same schedule as DtaP.

Td: tetanus, diphtheria: Booster dose age 11-15, about every 10 years after that.

Polio: now recommended to get the IPV (dead/inactivated vaccine) by injection for the first 3 doses at 2/4/6 months of age. Booster recommended before kindergarten.

MMR: Measles, mumps, rubella: 1st dose at age 12-15 months, booster at kindergarten. May need booster about age 12 if 2 doses haven't been given previously.

Varicella: (chicken pox).single dose age 12-18 months. May be given in adolescence if not given before, but 2 doses required if 13 years or older.


 



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