After Baby

How to Help Your Baby Develop Good Sleep Habits

At best, most newborns don’t sleep more than two to three hours at a time, day or night. A newborn’s nutritional needs and developmental maturity won’t be ready for a full five to seven hour stretch for a while. However, that doesn’t mean you can’t start helping your baby develop good sleep habits. By creating a healthy, safe sleep environment and planting the seeds of good sleep habits, you’ll plant roots for a lifetime of high-quality sleep.

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A Safe Sleep Environment

Even if you set up the nursery long before your baby arrived, it’s a good idea to give everything a last check to make sure all safety measures are in place. A baby-safe sleep environment include:

  • A crib, bassinet, or playpen that meets all current safety guidelines including no head or footboard with decorative cutouts and slats that are no more than 1 ⅜ inches apart.

  • A location that’s away from windows or cords that could be reached by your baby.

  • No toys, blankets, and crib bumpers as they pose a suffocation hazard. Extra layers, as well as sleep sacks or sleep blankets, should provide the warmth your baby needs.

  • A mattress with a snug fit that’s low enough that your baby cannot crawl or fall out of the crib. You’ll have to keep an eye on it and lower the mattress as he grows.

While baby monitors aren't a necessity, they do offer peace of mind and give you some extra freedom while your baby sleeps. Be sure the cord is kept well away from the crib.

The Start of Healthy Sleep Habits

Unfortunately, babies don’t normally have a regular sleep cycle until they are about six months old. However, healthy sleep habits can begin even before your baby is able to sleep through the night. Try to:

  • Keep nighttime feedings and diaper changes quiet and dark. Nighttime feedings should be all business so that your baby is wakened as little as possible.

  • Develop a bedtime routine. Bedtime routines can start as soon as your baby comes home from the hospital. As your baby’s nervous system develops, a regular routine will help trigger the release of sleep hormones. Some classic bedtime activities include reading a book, taking a warm bath, or rocking in a rocking chair.

  • Play and stimulate your baby’s senses during the day. As your baby stays awake longer during the day, he’ll start to sleep for longer stretches at night. It also helps to start establishing those developing circadian rhythms, the natural cycles the body uses to time the sleep-wake cycle.

  • Lay your baby down when he’s drowsy, not asleep. Your baby will learn how to self-soothe as he gets used to falling asleep on his own. This can also cut down on nighttime waking as he’ll learn to put himself back to sleep as he gets older.

  • Don’t jump to soothe. Some babies fuss a little before bed to let out some pent-up tension. Let your baby fuss for a few minutes before going in to soothe him. If he continues to fuss, make sure to keep the room dark and quiet so as not to overstimulate your baby when you soothe him.

Stacey L. Nash is a Seattle area writer for Tuck.com whose insomnia led her to research all aspects of sleep. With a degree in communications from the University of Puget Sound, she helps put sleep into the forefront of the health and wellness conversation. When not researching and writing about sleep, she spends time with her husband and four children on their heavily-wooded, twelve-acre piece of heaven.

The Struggles of Being a Mom

It has been said that motherhood is the hardest and most rewarding thing you will ever do. An anonymous quote says, “Motherhood: The only place you can experience heaven and hell at the same time.” There are days you want to pull your hair out and counting the minutes to bedtime; then once your child is peacefully sleeping you look at them and feel an overwhelming sense of love and actually miss them! Those days when you think you could not possibly do another day; you do indeed!

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There are some common things that are more frustrating than others. Have no fear! You are not alone!

Mornings are the WORST! Mornings especially are stressful once kids are school age or if you are a working mom. Getting everyone out the door on-time and making sure everyone has all that they need can be the definition of insanity. Kids are running around screaming, you are yelling, no one is listening then you may start crying too. Sound familiar? Take a deep breath mama. Or at least try. One way to try and help ease the pain of morning stress is prepping the night before or getting up before the kids do so you can can some things done in peace.

Tantrums can be mind blowing! Mini tantrums can start early, even before the age of one. For some children they continue to get worse and around the age of three or four it can peak. For families with more than one child this can be extra overwhelming. Especially if it happens in public. I know there have been plenty of moms who have left a full cart in the middle of a store, barely holding onto a toddler or two, sweating, red faced and on the verge of tears. All the while you feel that the entire store is staring at you and whispering. Some of them probably are but trust me, there are more that are thinking, “that poor mama”. Again, you are not alone.

Lack of sleep can leave you feeling un-human! Once you become a mother your sleep will never be the same. Unfortunately sleep deprivation enhances every emotion and makes life feel even more intense. In those moments when you haven’t slept a wink and your child won’t cooperate by sleeping, it can feel so frustrating. To top it off your partner can probably sleep right through it. For many mamas naps are not an option because of other children or work. You are not alone. Reach out. It is ok to feel sad and angry.

You may feel like you have lost YOU! Showering feels like a mountain to climb some days. Doing your hair and putting on make-up? Forget about it. Getting up early and exercising? Too tired. Eating healthy and shedding extra baby weight? No energy. Going to see your favorite musician with friends? The kids freak when you leave. Sound about right? Pick one thing at a time and do it anyway. You will feel better after you do. And guess what? Everyone in your family will survive!

For some mothers this is just the tipping point. Talk about it. Find other mamas that are supportive. Laugh about it; sometimes that is all you can do. Have a good cry; it’ll do the body good. Allow yourself to enjoy self care. Whether it is 20-30 minutes after the kids are in bed or a night out with friends. If you have a partner, share with them what you are feeling. They may be feeling the same way. Find a good routine for your family. Kids thrive with routine; even though it can be tough to stick to!

Dr. Amy's Favorite Things for Pregnancy, Birth and Postpartum

Over the years after working with so many mamas and of course my own children I have come across many products and ideas; some have worked wonders and some not. I would love to share my thoughts about my favorite things that I used and recommend!

PREGNANCY

Pregnancy Support Band: As your baby bump grows you will start to feel pressure on your pelvis. One great way to help ease the discomfort is a support band. This provides support under your belly. My favorite brand is www.babybellyband.com

Chiropractic Care: I highly recommend chiropractic care throughout pregnancy. It helps so much with alignment which can easily be thrown off in pregnancy. Good positioning of your baby is helpful for labor and birth. Regular chiropractic care is proven to help shorten labor and pushing. Dr. Amber Moravec with Naturally Aligned works right out of Health Foundations Birth Center. Of course I love her! She specializes in pregnancy and newborns.

BIRTH

Birth Plan Flexibility: I am a big fan of birth plans. I do like to think more of it a birth preferences. The thing about labor and birth is that it is different for everyone. There are guidelines of what a "text book birth" looks like which is great but everyone IS different. Things come up; things change. Try and keep an open mind and remain flexible for change.

POSTPARTUM

Double Electric Pump: Whether you are a working mama or not, having a pump is essential. Even if you are not working you will want to pump and introduce a bottle for times you are away. If you are going back to work you will want a good pump that is easy to transport. Check out our class PumpTalk 101; it is very helpful for coming up with a plan on introducing pumping. There are many good brands out there but I prefer Medela or Spectra

Hands-Free Pumping Bra: Along with a good pump, get a hands-free pumping bra! That way you can do other things like work on a computer or read a book. Try the Easy Expression Bustier.

Medela Hydrogel Pads: Even with a great latch your nipples will be tender the first few days. The Medela Tender Care Hydrogel Pads are heavenly. They are re-usable and help soothe your nipples. If you have cracked or bleeding nipples please reach out to lactation consultant right away. 

Bottle-warmer: Bottle warmers are a huge time saver. You never want to use a microwave to heat breastmilk or formula; it kills the nutrients and heats it unevenly. You can heat by placing in warm water but that takes a long time. The bottle warm is quick and heats the milk evenly. 

Nursing Tank: Nursing bras are great but nursing tanks are all you need in the first couple of weeks. They are easy and low-maintenance. Bravado has a great one; it is loose and comfortable during postpartum. You will find yourself living in it.

Woombie: I am a big fan of swaddling. When your baby was in-utero they were cozy and warm and didn't have a lot of space to move around. Think of swaddling as mimicking that space outside of the womb. It can be very calming for them and help promote good, restful sleep. I like the woombie because it is very easy to use and the shape of it is comfy for your babe. Swaddling should end by 2.5 months because of the possibility of rolling over.

Pacifier vs Fingers: Pacifiers in my opinion are awesome. Babies love to suck for comfort, it is very soothing. If you are breastfeeding you may find yourself constantly comfort nursing and it can be overwhelming. Pacifiers can help soothe your baby when cranky or tired. It can also help extend sleep. Sometimes parents are afraid of using one and will use their pinky finger to soothe. The problem is, your finger is attached to you! I remember hearing a mom say, "why don't they make fake fingers for babies?!" One popular brand is Avent Soothees.

Stroller with Click-In Carseat: Even if you love wearing your baby, a stroller is essential! Find one that works with your infant carseat. That way if your baby is sleeping you do not have to disturb them. Until your baby is sitting up strollers can be awkward and not very supportive to your baby's head and neck.

Sex After Baby: A Guide to Comfortable Postpartum Sex

Written by Jillian Wood, Women's Health Nurse Practitioner

When your provider gives you the go ahead for sex after baby (usually around six weeks and when postpartum bleeding has stopped), does that mean that you should feel ready? Nope. We want you to decide on your own watch. Your birth story, amount of healing, fatigue level, emotional readiness, or even just finding the time, all play a part. 

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Maybe you’ve been counting down the days until you can jump in the sack with your person again. But, that day is here and… I’m not ready!

Maybe your indefinite plan is to never have sex again… I just pushed out a human, thank you very much!

Getting back in the groove can take time and it is normal normal normal to have fears and reservations. 

What’s the hold up?

Here’s what other moms are saying:

“I’m scared that it will hurt.”

At first, I can’t promise you that it won’t be different. If you feel uncomfortable, listen to your body. You may have to stop before you’ve even begun and that is OK! Give yourself permission to just try again another day. Or, slow it down and spend some time with foreplay. Remember the lubrication. Hormonal changes in your body can lead to vaginal dryness, especially when breastfeeding. Take a minute to breathe and consciously relax your body from head-to-toe feeling that last bit of tension release. It may take patience and encouragement to convince your muscles and tissue to stretch. 

“I’m not feeling sexy.”

You’ve started viewing yourself as a milk-making-mom-machine. I promise you, your partner still thinks you’re sexy. Your body feels soft and your breasts are leaking. I promise you, your partner still thinks you’re sexy. To boost the mood, give each other a little massage with some awesome body oil. Sneak away while baby has a full belly and a fresh diaper. Or, try sex first thing in the morning after you’ve both had a few hours of consecutive sleep. If you’re worried about breastmilk mishaps, put on a supportive bra (maybe two) and tuck in a couple breast pads. Or just throw it out there, Hey honey, if my milk lets down, I may want to take a commercial break. 

“Reaching orgasm is impossible.”

Postpartum orgasm can be difficult to achieve. Inability to orgasm can be due to low pelvic tone, hormone changes, fatigue, stress, or all of the above. Psst (I’ll just set this right here)… researchers conclude that anywhere between 40-80% of women need direct clitoral stimulation to achieve orgasm. So, there’s that. To improve your pelvic tone, basic kegel exercise is a good place to start. For the sake of simplicity, be like Nike and Just Do It. When you find a few minutes of down time (in the shower, staring at the coffee pot, waiting in the car for 30 minutes in the parent-pickup line at preschool) alternate quick and slow pumps (try to hold for 10 seconds) ideally three times a day. You can’t screw this up. Don’t forget to contract the rectum as well. It can only help. 

Some women have to work quite hard to restore pelvic tone. If you are concerned about your difficulty with kegel exercise, incontinence, or inability to orgasm, call the birth center. Your body may need more than simple home exercises and some women benefit from the help of a physical therapist. 

7 Quick Tips for Comfortable Postpartum Sex:

  1. Share your fears and what you’re excited about. Maybe your partner is even worried about hurting you. Talk more about it. When that time comes, it will be more fun and less scary.
  2. What’s your birth control/family planning story? There will be time to talk options at the 6-week postpartum checkup.
  3. Put the lubrication at the bedside. Coconut oil is a perfect semi-solid natural option. If you’re using a condom, choose a water-soluble option instead. 
  4. Communicate your needs. Is one position more comfortable than another? Do you need to stop or slow it down? Tell your partner; It will build trust and be better for everyone. 
  5. Penetration isn’t recommended until after 6 weeks. This is due to increased risk of infection and the need for healing. But, if you are feeling sexual and it feels good, find your orgasm in other ways. 
  6. Remember that it will get easier. It will get better.
  7. Nothing embarrasses your midwife. If you are having problems in the bedroom, we hope that you won’t hesitate to reach out for help. 

Top Five Breastfeeding Essentials for the First Two Weeks Postpartum

 photo credit: Meredith Westin

photo credit: Meredith Westin

Breastfeeding is a journey, both beautiful and challenging at times. To help ease the first two weeks of your postpartum we have put together a list of items that will hopefully make things easier!

Motherlove Nipple Cream: Nipple cream is essential, especially in the early days. Your baby will want to nurse very frequently. Even with a great latch, it takes some time for your nipples to get used to this. Put nipple cream on your nipples after each feeding. No need to wipe it off before feeding your baby.

Nursing Bra / Tank: You will want to have these before your baby is born. It can be helpful to get sized; after 36 weeks is a good time for this. During the first two weeks of postpartum you will find yourself living in your nursing tank!  It is easy and you don't have to put anything else on. Nursing tanks are supportive to your breasts and you can find ones that also support your postpartum tummy. I recommend having 2-3 of both nursing tanks and nursing bras.

Medela Hydrogel Pads: Hydrogel pads are a serious life saver for sore, cracked nipples. After about 24 hours your nipples will feel much better if they are cracked or very sore. In saying this, if you find yourself with very sore, cracked or bleeding nipples, be sure to contact a lactation specialist. It is normal for a little bit of soreness. If you are wincing in pain when it is time for a feeding, this is not normal.

Nursing Pads: Once your milk is in, you may find that your breasts are leaking milk. Whether you are nursing on one side and the other side begins to leak or if you have a let down when your baby is not feeding, you will want nursing pads in your bra at all times. There are washable and disposable options; get both.

Resources: I cannot stress how important good resources are during the early days of breastfeeding. Maybe it is your mom, sister or a good friend, someone to talk to on rough days, and someone with breastfeeding experience. Choose one or two people to reach out to for advice otherwise too much advice can be overwhelming. Never hesitate to reach out to a lactation consultant if you need help with latch or have production issues. A great website to turn to is www.kellymom.com

A nursing station can be very helpful as well. You can prepare this before your baby arrives so it will be ready to go when you get home. Get a basket to set next to your bed and fill with snacks, water, a couple of diapers, wipes and a good book!

 

Top Five Breastmilk Boosting Nutrients

 photo credit: Laura Robinson

photo credit: Laura Robinson

Breastfeeding your baby is rewarding in many ways, from bonding, health benefits for you and baby, cost effectiveness, and much more! But what happens when your milk supply starts off low or lessens after a few months or when you return to work? Our top five recommended breastmilk boosting nutrients are goats rue, fenugreek, blessed thistle, fennel and malunggay. Here are a couple of ways to get these nutrients into your diet.

Motherlove More Milk Special Blend: This supplement is an all-time favorite. It contains goats rue, fenugreek, blessed thistle and fennel seed. Goats rue is one of the most potent herbs to support lactation in women who have difficulty breastfeeding. The leaves stimulate development of mammary tissue to increase breast size. Fenugreek seeds are the most recommended herb in the United States for increasing breast milk. Blessed thistle supports lactation and is considered an emotional ally to uplift spirits and reduce anxiety. Fennel seed is the most commonly used herb to support lactation in the world.

Go-Lacta: Go-Lacta is an all natural plant-based galactagogue, made from premium Malunggay (Moringa oleifera Lam) leaves, which assists in increasing mom's breast milk supply. It is traditionally used in Asia. A unique quality of Go-Lacta is that is focuses on mom and baby. This supplement can be taken antepartum and postpartum. Studies have found that malunggay leaf powder prevents malnutrition in pregnancy or breastfeeding women and their children. Pregnant women recovered quickly from anemia and had babies with higher birth weights.

Aside from supplements, a fun and yummy way to boost your milk supply is with lactation cookies! 

Lactation Cookies: There are many lactation cookie recipes out there. The main ingredients to focus on when making lactation cookies are oats, flax seed, fennel and brewers yeast

If you are having trouble with breastfeeding, Health Foundations Birth Center has a full-time lactation consultant that you can meet with. You can request an appointment or give us a call. The two supplements mentioned above can be found on our on-line store for purchase.

 

 

What to Pack in Your Birth Bag

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As your guess date approaches, packing a birth bag is essential. Around 36 weeks is a good time to start collecting things to have ready. We have put together a list of favorites for you.

Labor

  • Snacks: Bring your favorite snacks for you and your partner. Think of things that are mild and easy to eat. Some good ideas are trail mix, protein bars, dried fruit, honey sticks, nut butter, instant oatmeal, and yogurt.
  • Fluids: Bring a water bottle to keep near you at all times. Your partner can help remind you to hydrate through labor. It is also ideal to bring a few alternatives to water for both of you such as, coconut water, emergency-c, juices and natural popsicles.
  • Clothing: For laboring, bring comfortable nightgowns, a robe, t-shirts or pajama tops. If you plan to labor in the tub and/or shower, you may wish to bring a sports bra or swimsuit top. If your partner would like to support you in the tub or shower, bring a swimsuit. Bring a pair of slippers and cozy socks.
  • Lip Balm: In labor your lips tend to get very dry, especially during pushing. Have it ready to use and easily accessible. 
  • Hot Pack: Heat can be a wonderful comfort measure. You can use an electric heating pad, microwavable rice pack or hot water bottle.
  • Music: Think about making a labor and birth playlist. This may be soft, slow songs, spiritual songs or even fun upbeat music. If your place of birth does not have speakers, pack your own.
  • Essential Oils / Lotion: Bring your favorite oils and a plain lotion with you. Some recommended oils are peppermint (for nausea), clary sage (to help strengthen contractions), lavender (for relaxation). The lotion can help with massage. 
  • Hair Accessories: If you have long hair, you may want to put it up at some point during labor to get it out of your face. It can be nice to bring a headband too. 
  • Chargers: Be sure to pack phone chargers. If you are bringing a camera, bring a charger and extra batteries just in case.

Postpartum

  • Clothing: Bring comfortable clothes to wear home. Something loose and easy to get on and off. Be sure to pack a change of clothes for your partner as well. If you are breastfeeding, bring a nursing bra.
  • Baby Clothing / Blankets: For the ride home you will want an outfit for baby (onesie, footie pajamas, socks and a hat). Also bring at least 2 blankets.
  • Toiletries: Pack a small toiletry bag for you and your partner. Just the basics is fine, toothbrush, toothpaste, face wipes and a hair brush.
  • Car Seat: You will want to have your baby's carseat installed in your car at around 37 weeks so you are prepared to bring him/her home. You want to make sure that it is installed properly so give yourself plenty of time.

Pregnancy and Postpartum Uncensored

Let's be honest ladies, there are many things that happen during pregnancy and postpartum that no one ever told you about. In the moment they are far from funny but looking back all you can do is laugh!

Pregnancy Uncensored

No Control Over Gas: Starting in early pregnancy our digestive system does all kinds of strange things we are not used to. Gas being one of them. And it only gets worse as pregnancy progresses! This can happen in the most inopportune times...

Hiccups and Belching: Ladies with manners goes out the window. There is no stopping it. It doesn't matter what you eat or drink, it is happening! Thank your lovely digestive system once again.

Unpredictable Emotions: You'll laugh, you'll cry, you'll probably yell. Emotions are up and down throughout pregnancy. They can change on a dime any time of day. Commercials alone can get the tears flowing. Hunger can cause an angry outburst. The next minute you may find yourself dying of laughter. 

Wetting Your Pants: It could be a sneeze, a cough or a good belly laugh that causes it. It could be a trickle or a gush. The pressure on your bladder is no joke mamas! You may want to keep a pair of clean undies in your purse.

Nipple Changes and Pain: It is amazing how your body changes during pregnancy. Women's nipples and areoles become quite dark and large. The reason for this is for breastfeeding. It makes it easier for the baby to see them. But it can be quite alarming! Side note: if you are pregnant in winter, watch out! Cold temps can cause a stabbing pain in your already sensitive nipples!

Postpartum Uncensored

Bleeding and Mesh Underwear: Most of us are not prepared for the month long bleeding that comes after birth. Fun times. No period for 9 months and then BAM! 3-6 weeks of bleeding. To accommodate this you will be given mesh underwear with a pad that is more like a diaper. Victoria's Unkept Secret.

Hair Falling Out: A few months after your bundle of joy has arrived, your glorious pregnancy hair may fall out at an alarming rate. Don't worry- Although it may seem like you'll lose it all, you won't. Your body is just readjusting. During pregnancy you don't lose much hair at all so it is just making up for lost time!

First Postpartum Poop: This is definitely not discussed ahead of time and there should be a forewarning! After giving birth, which might feel like a huge bowel movement, the last thing you want to do is actually have a bowel movement! The pressure can feel kind of scary, but I promise your insides will not fall out even though it feels like they might!

Labial Swelling: Whether you push for 15 min or 2 hours, there will be swelling- probably lots of it. You may not recognize yourself down there. Stick with ice packs and 3-4 sitz baths per day. The swelling goes down! 

Hemorrhoids: This little cluster of grapes on your backside can happen in pregnancy, labor, birth AND postpartum. It is part of why the first postpartum poop is so uncomfortable. Have no fear, they do get better. Those lovely sitz baths will help immensely!

Pregnancy and postpartum is a very special time in a woman's life. It is beautiful and messy all at the same time. All laughs aside, if you are struggling during your postpartum time or something just doesn't seem right, please reach out. There are many resources in the Twin Cities such as, Postpartum Support Minnesota http://www.ppsupportmn.org, WildTree Psychotherapy http://wildtreewellness.com and Iris Reproductive Psychiatric Clinic http://www.irisreproductivepsychiatry.com

 

 

10 Surprising Facts About Your Newborn

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Newborn babies may be small and need a lot of caring for but they are such a wonder! It is amazing what they can do. Here are some surprising and interesting facts about your newborn.

Vernix: Many babies are born with vernix on their bodies. If your baby comes past his due date, there will probably very little. Every baby has a thick coat of vernix in utero. Its main benefit is its anti-microbial properties which protects your baby’s delicate skin from the acidic levels of your amniotic fluid. Rather than wiping or washing it away, rub it into your baby's skin. The World Health Organization recommends leaving it for at least 24 hours.

Skin to Skin: It is no secret how important skin to skin contact is with your baby; not just right after birth either! Skin to skin is beneficial for weeks. Laying with your baby this way, supports breastfeeding, regulates her body temperature, and greatly reduces stress. Studies have shown that it reduces the risk of postpartum depression in mother's as well.

Baby Poop: Get used to talking about your baby's poop! Your baby's first poop is called meconium. It is dark, tarry and consists of amniotic fluid, secretions of the intestinal glands, bile pigments, fatty acids, and intrauterine debris. It can be hard to wipe off! It is helpful to put some olive oil on your baby's bum, this will help get the meconium off easily. If breastfeeding, your baby's poop will transition to a mustard yellow and will look seedy. This is normal! Your baby's poop won't change to brown until solid foods are introduced.

Taste buds: By the early age of 13 weeks gestation, your baby's taste buds are fully formed. Your baby can taste everything you eat through the amniotic fluid. Research shows that baby's have a predisposition to like sweet flavors more; your breast milk has a sweet flavor.

Vision: Newborns are very nearsighted; they can focus no further than 6-10 inches away. Baby's enjoy looking at your face but don't see the details. Newborns don't see color well and focus better on black and white images however, they develop color vision very quickly.

Crying: Newborns are born with working tear ducts and glands, but only enough to lubricate the eyes. You won't see any tears when your baby cries until about 1 to 3 months of age. As far as crying goes, your baby cries for many different reasons. The most common are hunger, thirst, dirty diaper, wanting to be held and being tired.

Eating: Babies are born with a very tiny stomach which makes sense because before your breast milk is in, your baby will only eat small amounts of colostrum, albeit very frequently! To give you an idea of just how small their tummy is, on day one it is the size of a cherry and should only take in 1-1.4 teaspoons at each feeding. By one month it is the size of a large egg.

Sleep: During the first 24 hours of life outside the womb, your baby will take a decent nap for a few hours at around 6 hours of age. From 0-3 your baby's sleep pattern will very likely look nothing like yours! Their sleep schedule can range from every 45 minutes to 3-4 hours any given day. This is normal. Their circadian rhythm takes time adjust.

Reflexes: Newborns are born with several different reflexes that disappear over the next few months. The rooting reflex happens when you touch your baby's cheek and signifies hunger; this disappears at 3-4 months. The stepping reflex is present at birth. If you put your baby's feet on a flat surface, he will march his legs up and down like walking; this disappears at 2-4 months. These are just a couple!

Hearing: Within 10 minutes of birth, your baby's hearing is sophisticated enough to determine where a sound is coming from.

Newborns aren't newborns for very long! This time is wonderfully challenging and beautiful. Take it one day at a time.

Health Foundations Birth Center has a Moms Group that meets weekly on Thursdays at 2:30. This group is free and open to the public. This is a great way to connect with other mamas! We hope to see you there.

 

Top 10 Things Every Dad Should Know

Congrats! Your baby has arrived! This is a very exciting time for both moms and dads. As life shifts into parenthood, there are many adjustments to be made! We have talked with dads and compiled a list of the Top 10 Things Every Dad Should Know.

Sleep: Some of the best advice is to sleep when your baby sleeps. You will find after a few days that two-hour naps all night is simply not enough. Take turns. Four or five hours of sleep will become an amazing amount of time and you will feel like Superman. This goes for your partner too. Remember to give her breaks and time to sleep in between nursing. You will lie around and cuddle with the baby and for the first couple of weeks will have energy for nothing else. This is normal!

Hormones: Just when you thought your partner was done with hormone changes because pregnancy is over, you will realize that there is a big hormonal shift that takes place postpartum. Her body is going through major changes. Be gentle with her. She may cry more. She may have a shorter fuse due to hormones and exhaustion. Make sure she is well fed during the day and give her a little extra love and patience.

Breastfeeding: Breastfeeding is hard work! Especially the first two weeks. Expect your wife to need to talk about it. You may feel a little left out because this is something only your wife can do. You can support her by listening, making sure she has snacks and water, and getting her a good book to read during those long nursing sessions. If she has trouble with breastfeeding, offer support by setting up an appointment with a lactation consultant.

Poop: There is never too much you can say about poop.  You will talk about the color, the consistency, and how much poop there was during a diaper change. You will be proud of your baby pooping. You will Facebook about it. You will tweet about it. You will be covered in it.

Visitors: People are going to want to visit your new bundle of joy. During the first week, try to keep visitors to a minimum. If people do visit, make it your job to keep the visits about 15 minutes long. They may offer to help with meals, cleaning, dog-walking, babysitting older children, etc. Do not hesitate to say YES! And if they don’t offer, ask. These are some of the best gifts you will receive.

Your Baby: You’re baby won’t break. You will want to be gentle of course but babies are strong and made to be handled. It is completely normal for you to feel uncomfortable.  Go easy on yourself.  Sometimes it can take dads a little longer to bond with their new baby.

Friends: Once your partner has gotten settled in and you both have gotten rest and feel human again, remember to take some time for yourself. Go out with the guys for a couple of hours. Especially the ones that have been through this before! If your wife feels apprehensive about being alone organize a friend or family member to keep her company or just be there if she needs something.

Leaving the house as a family: This can be a little daunting and you will be surprised how long it takes to get out the door and you may feel like you are bring the whole house with you! Give yourself some extra time on those first few outings.

Your Partner: There are many ways to help and make the ride smoother. Compliment and encourage her. She has just given birth and she wants to hear that you are proud of her. Give her breaks, even to do something as simple as taking a shower. Reassure her that she is doing a fantastic job. Bring her meals in bed, all of them. During postpartum rest is vital for her. During recovery and healing, her main job is making milk, breastfeeding and resting.

Housework & Chores: Keeping the house clean and laundry done will be a huge relief to your partner and even further allow her to rest. She will surely thank you for it!

Health Foundations Birth Center offers a comforting, supportive environment for both moms and dads during pregnancy, birth and postpartum. Schedule a Tour and Information Session today!

A Mothers Gift: Donor Breast Milk

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There are two beautiful sides to donor breast milk, the mother that donates the milk and the babies that receive it.  There are many reasons that mothers choose to donate their milk and there are many reasons that babies need this liquid gold. Donated breast milk can be vital to babies are that in the NICU, underweight due to low milk supply, babies with low blood sugar before the mother’s milk supply is established and more.

The mamas that are able to provide this gift are able to for different reasons but they all have the same selfless quality and that is extending their milk to another. For some mothers, they have an over supply and rather than trying to lessen it, they pump after feedings and are able to produce freezer-fulls to donate.  Some will continue to pump and donate after their child is finished breastfeeding. Then there are the stories of loss, mothers that pump their milk during their grieving process. Some find this as a connection to their child that passed. In all of these unique scenarios, the end result is a priceless gift.

Health Foundations Birth Center is a full lactation center, which means we accept donor milk at our location for the Mother's Milk Bank of Ohio. We also have breast milk available for purchase.

If you would like to give the gift of breast milk, here are the steps to take:

  • Call the Mother's Milk Bank of Ohio at 614-566-0630. They will do an over-the-phone screening first. After the screening they will ship you a kit that includes the basic lab supplies, your donor ID and some containers for your milk. You can use your own containers as well.
  • Once you receive your kit, call Health Foundations and make a quick lab appointment. When your labs have been drawn, we will ship them to Ohio for you. The reason for this is to confirm that it would be safe for you donate milk. They check for certain diseases such as HIV, HTLV, Hepatitis B, Hepatitis C and Syphilis.
  • After the full screening process, you can bring in your containers of milk to Health Foundations. The containers must be labeled with your Donor ID. We will ship them for you to the Ohio Milk Bank.

The following are some resources for families looking for donor milk:

  • You can purchase donor milk from Health Foundations Birth Center. We ask that you call ahead to ensure that we have the milk in stock. You do not need a prescription or doctor's order. The cost is $13.53 for three ounces. The milk is frozen. Our staff ensures that you understand how to thaw and handle the donor milk.
  • You can also purchase donor milk directly from the Mothers Milk Bank of Ohio 614-566-0630. If you are purchasing direct you will need a prescription from your pediatrician.
  • There are local organizations that help coordinate mom-to-mom milk sharing which can be useful for long-term donor milk supplementation.

At Health Foundations Birth Center, our lactation consultants and postpartum nurses are here to assist you with any and all questions or lactation concerns you have related to breastfeeding your new baby. 

We also have a group, Mama's Milk Hour, led by Jan Kaste, IBCLC. This group meets every Thursday at 2:30. It is free and open to the public. You have a chance to weigh your baby, nurse and weigh your baby again to get an idea of how much your baby is eating at each feeding. Jan is there for basic questions and advice.

Breastfeeding: How Do I Know My Baby is Getting Enough?

Breastfeeding a newborn is an incredible boding experience between a mother and her baby. One of the common worries for a mom is whether or not her baby is getting enough to eat. Unlike bottle feeding, the actual amount is unknown. This can feel concerning. Especially is the baby is fussy or not sleeping. Occasionally, due to milk supply or a poor latch, the baby may not be getting as much as they need. Thankfully there are things you can do to help if that is the case!

 Comforting Signs That Your Baby is Getting Plenty to Eat:

Wet / Dirty Diapers: Your baby should have on average 6 wet diapers and 4 stools per day. The urine should be light in color and mild smelling. By about day 5, your baby’s stool should have transitioned from meconium to yellow and loose.

Alert / Satisfied Baby: When your baby is hungry he will be active and alert, giving you cues to demand feeding. Afterwards, your baby should appear satisfied and probably sleepy.

Breasts Feeling Empty: Once your milk is in and your baby nurses, your breasts should feel empty at the end of the feeding. They may feel harder and full at the beginning and soft at the end.

Your Baby is Gaining Weight: Although there typically is slight weight loss in your baby before your milk fully comes in, around day 5-6 your baby’s weight should slowly start creeping up on the scales. Every baby is different but the goal is to have your baby at least back to birth weight by two weeks of age.

If your baby shows any of the above signs that he is not getting enough to eat, it is important to see a pediatrician and a lactation consultant.

At Health Foundations Birth Center, our lactation consultants and postpartum nurses are here to assist you with any and all questions you have related to breastfeeding your new baby. 

We also have a group, Mama's Milk Hour, led by Jan Kaste, IBCLC. This group meets every Thursday at 2:30. It is free and open to the public. You have a chance to weigh your baby, nurse and weigh your baby again to get an idea of how much your baby is eating at each feeding. Jan is there for basic questions and advice.

 

Preparing Your Child For a New Baby

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Welcoming a new baby to your home is an exciting and sometimes overwhelming event for a family. Your family is growing and will be forever changed to a new “normal” the moment your baby arrives. Sometimes welcoming your second, third or even fourth child may be even more intimidating than your first as you have the added task of preparing older siblings for the big change. Here are 5 tips to lovingly helping your child adjust to the idea of a new baby before he arrives.

  1. Consider your child’s age and understanding level when deciding when to share the news: While older children will be able to conceptualize waiting 9 months for baby’s arrival, a toddler has a hard time understanding tomorrow versus one week from now. If your child is on the younger side, try telling him what season the baby will arrive in rather than how many months from now. For instance, “Next summer, when we can go to the pool again, the baby will arrive!”
  2. Find age appropriate books to share with your tot about welcoming a new sibling: There are a wide variety of children’s books (and programs) that are available and cover the topic of becoming a big brother or sister. Reading books about having a new baby can help your older child get excited about his or her new role as a sibling and aid in answering any questions they have about what it will be like. Reading books about being a sibling and new babies can also help your child learn ways that they can participate once the baby arrives which will help them realize that they play an important role in the family and as an older sibling. Depending on their age, your child may also want to know where the baby will come from and how he/she will get here. You should be able to find a variety of age appropriate books on this topic as well. 
  3. Involve your little one in the preparations: Whether it’s helping you to choose decorations for the nursery, brainstorming favorite names or picking out some special toys for the new baby, letting your child participate in the preparation will help them to feel involved in this very important family event. If your child is old enough to understand, they may even enjoy coming to one of your check-ups and hearing the baby’s heartbeat on the fetal Doppler or feeling your tummy when the baby kicks.
  4. Encourage your child to share their feelings: You may think that your little one is too young to understand that the family dynamic will be changing with the arrival of a new baby but they are probably a lot more aware than you realize. Even toddlers can sense when something is different and their parents are anxiously preparing for something big to happen. Allow your child to have any and all feelings he or she might have about the impending changes and validate their feelings as best you can. For younger children who are not yet verbal, this may mean spending some extra uninterrupted time with them if they are acting out or simply allowing them to “be the baby” when they need to be.
  5. Make preparations for your child for when you go into labor well in advance: If you do not plan to have your child present for the birth of your baby, it is important that you make plans in advance for who will care for him while you and your partner are away. For many moms, this may even be the first time you’ve been away from your kiddo for an extended period of time which can be anxiety provoking for both of you. Talk to your child about the plans for when it’s time for you to have the baby and consider even doing a dry run. If they will be spending the night with a friend or relative, have them do a practice night where you can go and help them get acquainted with what the visit will be like. Similarly, if you plan to have a friend or relative stay in your home, make sure your child is well acquainted with them and that they understand how the night or nights with them will go. Your child may express feeling scared or upset about you being away either in advance or at the time that you are leaving. Lovingly acknowledge their feelings and remind them that you will be back in no time and that they will be able to visit you as soon as their new brother or sister arrives.

Welcoming a new baby to your family can be a scary prospect for everyone, especially when you’re going from one to two. However, with some thoughtful preparation for you and your child or children, everyone will have a better idea of what to expect and feel like they are an important part of the change. For questions about prenatal care, natural birth, postpartum care and all other women’s services, contact Health Foundations for a free consultation with a midwife and for a tour of our Birth Center.

Managing Visitors After Baby

Newborn Visitors

Nothing attracts well-meaning visitors like a brand new, adorable baby. Once the little one arrives, friends and family will be eager to meet your little one. Being prepared ahead of time for how you and your partner want to handle visitors once baby arrives will save you a great deal of stress and spare you some potentially uncomfortable conversations.  Here are 5 tips for managing doting friends and family once you bring your baby home.  

  1. Come up with a plan with your partner: These days/weeks following the birth of your baby are all about you, your baby, and your new family. You will not only be adjusting to caring for a newborn but also dealing with your own recovery and rapidly fluctuating postpartum hormones. It is important to be mindful of rest and nourishment. This is also a special time of bonding for you and your baby. Set those boundaries ahead of time and stick to them. There will be plenty of time for everyone to meet baby when the time is right!
  2. Accept help: When baby arrives, it is perfectly fine to ask for/accept help. Most people will offer- say yes! People often like to bring a meal, but don’t be afraid to ask for help with things like walking the dog, looking after your other children, or even holding the baby while you shower. Knowing that some of your daily chores are being taken care of allows you to focus on important things like resting and bonding with your new babe.
  3. Have your partner protect your space: Agree ahead of time that your partner will be the person to greet visitors and also gently nudge them once they have been there for a little while. A good amount of visiting time is about 15 minutes. Your partner can tactfully send people along their way when you need your rest, gently step in if your parents or in-laws are overstepping their bounds, and/or make suggestions as to how people can make themselves useful during their visit.
  4. Shamelessly ban sick visitors: There are few things as susceptible to germs and illness as a vulnerable newborn. There is no excuse for visitors showing up with a cough, the sniffles, a sore throat or even recovering from “food poisoning.” Let those mama bear instincts take hold and politely suggest that anyone who is not feeling 100 percent save their visit for a later date. It’s also okay to require that visitors wash their hands and use hand sanitizer before holding your baby. 
  5. Allow for plenty of alone time: A steady stream of visitors can be exhausting. You will likely already be feeling the effects of sleep deprivation, working to establish your breastfeeding relationship and will be navigating life with your newest family member. Try to space your visitors out and limit the time they spend in order to allow plenty of time for you and your little family to bond. True friends and family will understand how sacred this special time is for you and your new family.

You should never feel the need to apologize for prioritizing and taking care of yourself and your new baby in the days and weeks following your delivery. Your baby. Your family. Your way.

For questions regarding prenatal or postpartum care, natural delivery or other women’s services, contact Health Foundations for a free consultation with a midwife or for a tour of our Birth Center.

Five Things to Expect During Your Postpartum Recovery

As mothers and mothers to be, we typically spend a great deal of time planning and preparing for our child’s birth. We read books, take prenatal classes, write birth plans, pack bags, wash, fold and organize baby laundry and so much more in preparation for the big day. Very few of us however, give much thought to what the postpartum period will be like for OUR bodies. Consumed with the excitement of our baby to be, we may forget that once we bring home our bundle of joy we too will need care, rest and healing as we recover from the amazing feat of giving birth. Here are 5 things to expect from your postpartum recovery.

  1. Heavy bleeding: As your body sheds the uterine lining and also bleeds from where the placenta was attached, you will experience heavy bleeding known as lochia. You may see blood clots in this bleeding and it will likely appear bright red at first. The intensity of the bleeding should subside with time and gradually turn to spotting before it stops. Typically, this should last approximately 2-6 weeks after you give birth. To prepare, stock up on heavy duty overnight strength sanitary pads, mesh panties and even adult diapers can be a great option. This applies whether you had a vaginal delivery or a C-section.
  2. Some pain and discomfort: Take a moment to consider what an incredible thing it is that your body is going to birth a 6-10 pound baby. With this incredible miracle comes hard work and its fair share of aches and pains. Whether you have a natural birth or a C-section, you can expect to experience some cramping, soreness, muscle aches and joint pains. With a vaginal delivery you may also experience some burning and soreness of the perineum and with a C-section, pain at the incision site and abdominal pain as you recover from major surgery.
  3. Hormonal side effects: As your body seeks to adjust hormonally after giving birth, you will likely experience a few unpleasant side effects. These may include fluctuating emotions and weepiness, hot flashes, night sweats and chills, and continued feelings of clumsiness from the production of the hormone relaxin. Give yourself some grace during this period as you may not feel like yourself despite your excitement over your new baby. If you are concerned that the baby blues may be developing into something more serious like postpartum depression, contact your midwife, doctor or a counselor for support. There are many wonderful resources available for women suffering from postpartum depression. Don’t be afraid to ask for help. 
  4. Breast changes: As your milk comes in after baby is born, you may experience some engorgement and sore nipples and breasts as your supply adjusts to meet baby’s needs. You may also notice that your nipples appear darker. If you are recovering from a C-section, breastfeeding can initially be more challenging due to pain from your surgery and having to find a position that is comfortable for you and your newborn while you heal. Fear not though, it will get easier with time and your milk supply will adjust as you and your baby find your rhythm. Consider having nipple pads on hand for leaking breasts, cooling pads or ice packs for sore breasts and a nipple cream for aching and cracking nipples. Be sure to signup for our next Pumptalk 101 class if you have extra questions or would like some more suggestions.
  5. Constipation, incontinence, and frequent trips to the bathroom: Depending on how you delivered and your own personal recovery, you may experience a period of constipation following giving birth and/or urinary or fecal incontinence. A vaginal delivery can cause temporary nerve damage around the bladder making it more difficult to sense when you need to go to the bathroom. You may also have weakened bladder muscles, hemorrhoids and though less common, tears to the anal sphincter causing fecal leakage. Conversely, you may also experience constipation due to the slowing of your metabolism and digestive tract. Talk to your doctor or midwife for effective ways to manage these various side effects.

It’s not uncommon for the postpartum period to be filled with excitement, exhaustion, trepidation and feeling a bit overwhelmed. Make sure that amidst all the emotions and adjustments, you allow time for your own care and recovery. Your body has just undergone the incredible journey of childbirth and needs time to rest and heal so that you can focus on caring for your new, beautiful baby.