Baby and expectant parents 2013

Parent/tot swim lessons offer fun, peace of mind

By CHRISTY LYNN In an ideal world, swimming for kids should be fun, easy and natural.

Fear of the water shouldn’t be a major obstacle to overcome.

In reality, however, kids who start swim lessons later in life have to first learn to conquer those fears before they can learn how to be comfortable in the water, then learn the skills to swim well enough to be safe in pools, rivers, lakes and other bodies of water.

For parents, it’s the twin desire of wanting their children to enjoy the water mixed with the fear of their child drowning — it’s the leading cause of injury-related death to children between one and four years old — that motivates them to start their children in swim lessons as early as possible.

Classes start for children as young as 6 months old, working on water awareness and building confidence. Such classes are supported by the American Academy of Pediatrics and the American Red Cross as well as many local programs.

According to Mychaella Devaney, lead instructor of the Parent & Child swim course at the Middlebury Town Pool, early exposure to the water can make learning to swim easier and more natural for kids.

“A lot of people don’t realize that we are born with a natural reaction to hold our breath when under water,” Devaney says. “As we get older we have to re-train that natural reaction, but if you start a child in the water before they really realize they’re being taught, it comes more naturally.”

The structure of the parent/tot class (as it is commonly known at the Middlebury pool) is relaxed and flexible depending on the age and ability of the kids. Children range from six months to 3 years old, which is a wide range developmentally and can alter the instruction required by the guards.

“With the really little ones we spend a lot more time in the kiddie pool (See Swimming, Page 18)

THE PARENT/TOT SWIM class is taught part on land, part in the shallow “kiddie” pool, and part in the large pool. With a family that frequents lakes, pools and the ocean, 2-year-old Morgan McNulty is already at ease playing in the water but the class is also helping to build her safety skills and breath control in the water.

Special Pages in The Addison Independent • July 22, 2013

Independent photo/Trent Campbell

PAGE 18 — Addison Independent, Monday, July 22, 2013

Swimming (Continued from Page 17) splashing around and getting comfortable in the water,” Devaney explains, “but with the slightly older and more independent kids we move more into the shallow end of the big pool and work on breath control and motion in the water.”

Formal stroke training is too advanced for most of the tots and is therefore mostly reserved for higher levels of swim training.

This early class is simply to play in the water, slowly developing a comfort and independence that sets the foundation for learning to swim.

Progression is slow, Devaney says, staying within the kids’ comfort zones and not pushing them too quickly.

LINCOLN MCGRATH, 3, practices his strokes on the pool deck with Parent/Tot head “We work through their fears and nervous beginnings,” she says, whether they are scared swim instructor Mychaella Devaney at the Middlebury Town Pool.

Independent photo/Trent Campbell of getting water in their eyes, nose or ears, worried about fish or other critters, or simply a very young age it’s amazing to watch the so I don’t have to worry that they will drown,” uncomfortable walking through the door. transformation in confidence from the first to she says. As a family that spends a lot of time “Talking to the fishies through blowing the last day of the class,” she says. at lake beaches as well as in the pool, she bubbles, using toys and props in the water, In the case of the parent/tot class, Devaney says it was a high priority of hers to get them and having lots of smiling guards says it teaches both the child and the comfortable in the water at a young age. around to help it stay fun and safe “We work parent a lesson about independence “We started my first son in swimming are some of the ways that we help through and trust. lessons as an infant — just put him in the water build confidence, but really it’s just “Some parents don’t understand and started the process of being comfortable the consistent exposure to the water their fears what it is their child is capable of breathing and moving. Now being in the water and nervous or comfortable with,” she says. is automatic and easy for him. With our second that works.”

The parent/tot class is the only beginnings.” “Sometimes they are surprised by son we waited a little longer and you can tell. swim class offered that engages — Mychaella how relaxed and able their child is He’s definitely more cautious and thinks twice parents in the lesson; for all other Devaney in the water — and that’s always before jumping in. With our daughter we went levels parents are asked to stay fun to see.” back to early exposure in the water and at two off of the swim deck and let their For a local mother in the parent/ and a half she just loves it!” children work directly with the instructors and tot class, having her three kids enrolled in the Parent/tot classes are commonly taught the other kids in the class. class gives her a sense of security with them by many swim facilities, including the “Swimming can really help kids learn around water.

Middlebury Town Pool, the Vergennes pool independence,” Devaney says. “Even from “I want them to know how to swim safely, and Vermont Sun Fitness Center.

Prenatal health includes body, mind

By CHRISTY LYNN A woman’s whole world gets flipped upside down when she finds she is pregnant. Aside from the obvious physiological changes in her body, she also faces mood changes following a swing in hormones, plus new stresses and concerns about what is to come.

Even with a strong partner and other support systems, women can often feel alone in the process and uneasy about how to cope.

According to Tapestry Midwifery’s co-founder and Certified Nurse Midwife (CNM) Martha Redpath, that is all quite normal. The experiences are all new and that means in a lot of cases they are scary, Redpath says.

“One important goal during pregnancy is to take away the fear. It is important to communicate that the process is both unique and incredibly universal. If you can learn to trust it, it is incredibly powerful.”

Redpath, who helped to open Tapestry Midwifery (a division of Porter hospital) in 2007, says that finding a health practice that is natural and comfortable for the patient is an important early step (See Prenatal, Page 21)

Addison Independent, Monday, July 22, 2013 — PAGE 19

Local woman beats the odds, becomes pregnant

By CHRISTY LYNN intervention.

MIDDLEBURY — Nine months ago “I admit I got to feeling pretty cavalier about Jacqueline Hunt’s life was looking much getting pregnant — I just didn’t think it could different than it does today. happen,” she says.

Settling into a new life and new jobs in Having spent her early life expecting Vermont with her boyfriend (after finishing someday to have a family and looking college in Maine) was her primary forward to parenthood, Hunt was objective. Starting a family was not pretty down from the diagnosis.

“Before something she was planning on.

She decided that she would stop But then, life changed. taking preventative measures I really Hunt started experiencing saw the for pregnancy and figured that extreme nausea in the mornings if it happened — regardless of and feeling uncharacteristically ultrasounds, whether or not she was in a stable sensitive. Following a suggestion could feel relationship — she could make it from her boyfriend’s mother, Hunt her moving work. took a pregnancy test, which came — knew it “At that time I wasn’t expecting back positive. to be a single mom,” Hunt says, was a ‘her’ “but I think I at least thought about She was shocked.

Just a few months prior, Hunt — I just it enough to know that I could do had found herself in excruciating don’t think it it.” abdominal pain. Thinking she Hunt says that the process of really sunk accepting had appendicitis, she went to the and embracing pregnancy hospital. Doctors discovered that in.” was challenging.

— Jacqueline she had polycystic ovary syndrome “The way everything fell into Hunt place, I don’t feel like I went (PCOS), a health condition that affects between 10 to 20 percent through the expected steps — you At Middlebury Adolescent ourmarried, entire and staffyou decide of women of childbearingPediatric age in the&United fall inMedicine love, you get States. The cysts that formyour in women with to have a baby a couple years later — which works to provide child with the highest quality healthcare PCOS create blockages that can be very means that the mental transition has been inblock a caring, nurturing environment painful as they interrupt or ovulation. challenging.”

According to the U.S. Department of For the first two trimesters of her pregnancy, F.A.A.P. Lynnsays Luginbuhl, M.D., F.A.A.P. Women’s Morris Health, Earle, PCOSJr., is M.D., the most common Hunt she routinely forgot that she was cause of female infertility. left the pregnant.

Dedra Flynn, M.D.,Hunt F.A.A.P. Laura Murphy, M.D., F.A.A.P. hospital that day with the assumption she M.D., “Before I really saw the ultrasounds, could Mayumithat Otsuka, F.A.A.P. would not be able to conceive without medical (See Hunt, Page 20)

PROPS AND FLOATING toys help make the Parent/Tot swim class fun for kids just learning to feel comfortable in the water.

Two-year-old Morgan McNulty relaxes in a water “noodle” and practices “talking to the fishes” through blowing bubbles.

Independent photo/Trent Campbell

Accepting New Patients

&

Middlebury Pediatric Adolescent Medicine

Offering individual care for women of all ages including:

Is proud to announce the addition of Laura Panto, M.D. to our practice!

Middlebury Pediatric & Adolescent Medicine our entire staff 388-7959 orks to provide your child with the highest quality healthcare in a caring, nurturing environment 1330 Exchange St., Suite 201 Middlebury, V T

A department of Porter Hospital

• Annual Exams and Pap tests • Birth control and family planning • Breastfeeding support • Menopause management • Preventative screenings

Morris Earle, Jr., M.D., F.A.A.P. Lynn Luginbuhl, M.D., F.A.A.P. Dedra Flynn, M.D., F.A.A.P. Laura Murphy, M.D., F.A.A.P. Mayumi Otsuka, M.D., F.A.A.P.

Accepting New Patients

• Nutritional advice

Martha Redpath, C.N.M.

Heather Brown Kidde, C.N.M.

Anita Onofrio, C.N.M.

Eve Hadley C.N.M.

&

Middlebury Pediatric Adolescent Medicine

Left to right, back row: Laura Panto, M.D.; Mike Seaton, M.D.; Morris Earle Jr., M.D.; Front Row: Lynn Luginbuhl, M.D. ; Dedra Flynn, M.D.

Middlebury Pediatrics & Adolescent Medicine is accepting new patients.

1330 Exchange St., Suite 201 1330 Exchange St., Middlebury, V TSuite 201 Middlebury, VT

388-7959 388-7959

• Pregnancy, childbirth, and postpartum care

Tapestry Midwifery would like to thank Anita Onofrio for her years of support.

Please welcome Eve Hadley to our practice.

20 Armory Lane, Vergennes, VT 05491 (802) 877-0022 • www.tapestrymidwifery.com

PAGE 20 — Addison Independent, Monday, July 22, 2013

Parents, consider us your partners in care!

Kate McIntosh, MD

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Hunt (Continued from Page 19) feel her moving — knew it was a ‘her’ — I just don’t think it really sunk in,” Hunt says.

“I would crash down on the couch or the bed and land in a way that she would bump up against my pelvic bone or something and it would surprise me — I just literally forgot that I needed to be careful and aware of this baby.”

When seeing the doctor for the first four or five months of pregnancy, Hunt says she was overwhelmed and distracted.

“I found myself just nodding and saying ‘Yep, yep, yep, can I go now? It was so nervewracking and scary at first that I was forgetting the questions I needed to ask. I would leave the office and all those questions would come flooding back to me.”

Thankfully, Hunt found some great online resources and did a lot of her own research.

With a week-by-week online pregnancy guide from pregnancy.com, Hunt could watch the process and learn about each phase of her pregnancy and some of the common questions that come up along the way.

“It’s been really helpful because I could relax and watch these little movies,” she says.

“When I was confused I could go back and watch it again, or pause and look something up.”

Slowly, the pregnancy became more of a reality and Hunt began to prepare herself for life with her baby.

One of the first steps was thinking about the name.

“I wanted something original, but also that was similar to our family names. I liked the idea of my name and her name being similar, so I decided to work with the ‘lyn’ sound at the end. I loved the name Ava, so ‘Avalyn’ just kind of popped out.”

Avalyn’s middle name will be Jean, a family name that Hunt says will tie her back to both sides of her family. “I’ve already started calling her ‘Miss Ava Jean’ — a name I have fallen in love with.”

At 28, Hunt will be the oldest mom in her family. “I didn’t really feel like my family was putting pressure on me, but I certainly did think about it,” she says.

“I knew I had options when I became pregnant unexpectedly, but in the end I knew this was the right thing to do for me.”

Hunt’s boyfriend left in the second trimester without warning. “I think he was overwhelmed and clearly not interested in this commitment with me,” Hunt says.

“Not having a partner to go through this with and lean on and talk to changes your whole perspective on pregnancy, and I wouldn’t wish that on anybody,” Hunt says, “but in the end I had to make my choice and he had to make his. This is my choice and my life and I’m not going to let anyone take this away from me.”

One silver lining as a single parent, Hunt says, is that you don’t have to compromise as much and you get to make a lot of the decisions about how you want to be as a parent, what your child will be named, will wear, and will do — at least at the beginning.

Hunt’s outlook is optimistic as she works to channel her positive moods.

“My feeling is that if I can get through this whole process and through a natural birth on my own, my sense of empowerment will be wonderful. After that, no matter how low I feel I’ll be able to look back at this and return to that sense of empowerment.”

As a music teacher, Hunt has created herself a “birthing playlist” made up of several hours’ worth of music that can help center her and refocus her mind.

“I didn’t know exactly what to put on there, so I have everything from Indian ragas to Celtic music to jazz, classical, and then some.

I did put on a couple of pieces that I have studied intensely as a musician. I think if I can put on a familiar concerto and slip back into that focus from when I was a music student, it will help draw me away from the pain of a contraction or cramp and help me funnel my energy.”

Hunt is excited about the upcoming chapter and getting to know her new baby. After a couple months at home, her plan is to return to her after-school teaching position at Mary Johnson. However, she will be temporarily stepping back from her other part-time jobs that she has kept as a substitute teacher and a (See Time, Page 22)

JACQUELINE HUNT

Addison Independent, Monday, July 22, 2013 — PAGE 21

• Community Playgroups • Parent Education Classes • Home Visits • Developmental and Behavioral Screenings • Parent Training & Child Care

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CHILDREN’S CENTER TAPESTRY MIDWIFERY IS a division of Porter Medical Center and is based in Vergennes. There are three certified nurse midwives in the practice: left to right, Martha Redpath, CNM, Heather Kidde, CNM, and the newest addition to their team, Eve Hadley, CNM.

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Prenatal Certain foods (especially those high in fats (Continued from Page 18) in guiding a new mother through pregnancy. and heavy sauces) increase the risk of nausea, It can be challenging to find a practice that for example, whereas other foods can help feels encouraging and supportive, she says, specifically replace nutrients lost or those that but establishing a relationship of trust with the are easily depleted in pregnancy. There are practitioner is something that can make a huge some foods, herbs and tinctures that doctors difference in a woman’s sense of calmness and recommend eliminating throughout pregnancy, respect for her pregnancy. such as lunch meat, sprouts, unpasteurized “I say if you don’t feel encouraged, dairy and some fish. supported, happy and confident, you should Weight gain is natural and important during listen to that and keep looking,” said Redpath. pregnancy, but many women do not know how As a midwifery clinic, Tapestry is focused much and when they should be gaining weight. on low-intervention care that works with the It is easy to overestimate, which makes it much psycho-social components of pregnancy along harder to lose that weight once the baby is born. with the physiological.

Many women know that they are Pregnancy can be a highly “What they more susceptible to disease during motivating time for women, Redpath Certain bacteria, such want more pregnancy. explains, and helping to channel that as listeria, that normally may not energy and encourage women to than a cure make a person ill can be dangerous make healthy life changes — not for that for pregnant women as well as just for pregnancy — is part of what discomfort their unborn baby due to hormonal a good practitioner can do. changes that affect the mother’s “In this practice we work on is an immune system. creating a safe space where patients affirmation However, to avoid undue stress or can expose their truths and be that nothing panic, it is important to review each accepted.” patient’s specific risk factors and is going Questions are common and outline how to avoid contact at the natural throughout the process, even wrong with beginning of pregnancy. for women who have given birth them or Questions also arise around what before, she says. As a standard of their baby.” medicines or drugs are safe during care at Tapestry, the shortest visit is — Martha pregnancy. Some drugs are listed 30 minutes, which helps to build in Redpath, CNM on the “X” list, such as hormonal time for the inevitable questions. medications as well as alcohol The American Congress of and illegal drugs such as cocaine.

Obstetricians and Gynecologists (ACOG) Others are listed on cautionary lists with has a current standard of prenatal care, which recommendations for doses if or when they includes visits every four weeks through the are required. Still others are listed as fine to first 28 weeks of pregnancy, every two weeks continue with throughout the pregnancy. through week 36 and weekly for the rest of the Nicotine and other addictive drugs are term. explained as detrimental to a baby’s health as “A lot of what we do throughout those well as the mother’s, and the practice provides visits is education,” Redpath said. “Women tips and resources for quitting. tend to naturally be hungry for reinforcement Redpath says that with the Internet many and knowledge. Most tend to appreciate the patients have easier access to information, but frequency of care.” can also become unnecessarily alarmed by While the primary focus of prenatal something that is actually quite normal. education is on physical health and helping That’s another reason why is it important for women identify warning signs or milestones each mother-to-be to have resources at hand so along the way, it is also an important time to that she can answer quickly whether something pay attention to general lifestyle habits such as new she is experiencing is normal. diet, exercise and stress.

(See Techniques, Page 23)

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PAGE 22 — Addison Independent, Monday, July 22, 2013

We are Pleased to Welcome

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TIPS FOR TODDLERS – First, parents should be sure that their teeth are clean and healthy. The bacteria that cause cavities are usually passed from parent to child between 1 to 4 years of age.

Don’t put your baby to bed with a bottle. Milk, juice, or formula coating the teeth while asleep promotes rapid cavity formation. With toddlers using a sippy cup, have milk and juice only at meal time or snack time, between these times only have water in the sippy cup.

Begin cleaning your baby’s mouth before teeth start coming in by using a moist wash cloth over your finger tips. Once teeth are coming in, use a soft bristled child’s toothbrush just with water before bed. Don’t drink milk or juice at bedtime after brushing.

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JACQUELINE HUNT, A 28-year-old Middlebury native, is preparing for a new chapter after her first child is born. Her due date was Monday, July 15, which means her baby will likely be born by the time this issue goes to print.

Time for her and could give her the (Continued from Page 20) “It’s been private music teacher. flexibility she would need to be “I’m really excited to have a really helpful a single mom and still do what little time off. I’m fortunate to be because I she loves. in a situation where I can afford Whatever the case, Hunt says could relax the time, which is great because I she is trying to give herself room know that this is the time in her life and watch and time to decide what is going when she is absolutely dependent these little to be best for her and her baby. on me.”

“For me the hardest part is that movies.

Past the first six months or a I really can’t plan for this. I’m a year, Hunt says she really doesn’t When I was planner and an organizer and I know what to expect. “A lot can confused I like to have things my way. I can change still. I don’t really know could go back try and try to plan for this all day, how I’m going to feel and what and watch but in the end it’s not possible — I’m going to want or need to do that’s been hard to handle.” for myself and Avalyn — not to it again, That said, Hunt says she is mention anyone else that may or pause reasonably confident that she’ll come into the picture.” be a good parent. and look Prior to becoming pregnant “As a teacher, an older sister something Hunt had wanted to return to and someone that has spent a lot college for a master’s degree up.” of time with children, I think I — Jacqueline have a strong maternal instinct in music therapy, which is Hunt that will kick in naturally. I also something that she still may return to. This winter, Hunt is think I’m in touch with how also planning to write several grants for smart kids are and what kind of information pre-kindergarten music instruction in area they can handle. Hopefully, that will help schools, which she says is very exciting me be a more realistic mom.”

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Addison Independent, Monday, July 22, 2013 — PAGE 23

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MIDDLEBURY TOWN POOL instructor Harriett Milligan helps guide 3-year-old Lincoln McGrath into the water during a Parent/Tot swim class. With one guard for each child in the class, instructors can ensure personalized instruction at whatever level feels right for the kids.

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Independent photo/Trent Campbell

Techniques (Continued from Page 21) “Most women are put at ease if they can look on the list of common discomforts and find their problem,” she says. “What they want more than a cure for that discomfort is an affirmation that nothing is going wrong with them or their baby.”

In the end, giving birth is a miracle that has been repeating itself over and over and over, Redpath says, and most women just need to find their way of accepting that truth.

More than any special technique or trick,

the silver bullet is building a mind-body acceptance and trust in the natural process and refining the mind and body to a relaxed and organic state.

“There is a practice called hypno-birthing,” Redpath says, “which is getting as close as you might come to a ‘magic trick.’”

But in the end, whether trained through hypno-birthing or other relaxation and visualization tactics, Redpath says, the key to a relaxed and comfortable pregnancy and labor is to learn how to be relaxed and comfortable.

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PAGE 24 — Addison Independent, Monday, July 22, 2013

Preparing for Birth and Your Baby • Expectant Parents Class: 6+1 This six-week series covers pregnancy, labor, birth, breathing/relaxation skills, care of the newborn, and family changes. Includes a 7th class, after babies are born, for parents and new babies together. Meets weekday evenings, 6:30-8:30 p.m.

Promoting a safe, healthy and family-centered pregnancy and birth.

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Saturday and Sunday of one weekend. See on-line schedule for dates.

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Pre-registration required.

You can register on-line or by calling:

Call 382-3413 For a complete schedule and to register on-line, please visit: www.portermedical.org/outreachparents.html * Fees for these classes are paid in full by Dr. Dynasaur or Vermont Medicaid.

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From Left to Right: James Malcolm, MD; Anne Corcoran, Reception; Lauren Bierman, RN; Lauren Peterson, Reception; Lisa Roberts, RN; Donna Audet, Office Manager; Kathy Brande, RN; David Turner, MD; Alan Ayer, MD; Anna Benvenuto, MD; Katherine Wagner, MD. Not pictured: JoAnn Madison, RN; Lana Gingras, Reception.

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