Grow Your Family With Us
Offering the most complete and convenient care, the Olson Center for Women’s Health is committed to providing the best for you and your baby. Keeping you both healthy before, during and beyond your pregnancy in very comfortable surroundings is our focus. We provide state-ofthe-art care by utilizing the latest technology and a team of specialists including skilled nurse midwives to make your birthing experience intimate and personal. The Olson Center is part of UNMC Physicians, leaders in medicine. Our physicians are on-site 24 hours a day, 7 days a week at our affiliate hospital The Nebraska Medical Center. From pre-pregnancy care to high-risk pregnancy care, nutrition and overall wellness, we are here to take care of you during this very important stage of your life.
402-559-4500 www.olsoncenter.com 2
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Contents Corbin’s Birth Story..................................................page
6
Baby-itis........................................................................page
9
Breastmilk vs Formula..............................................page 10 River Xander’s Story.................................................page 12 C-sections in Nebraska.............................................page 14 Back-to-Back Pregnancies.....................................page 16 50 Shades of Fluff (cloth diaper 101)...............page 19 Gross Signs That Babe is on the Way.................page 20 Benefits of Breastfeeding.........................................page 21 Helping Babies Get Head-Down...........................page 22 Baby’s Wish List...........................................................page 23 The Facts on Whooping Cough..............................page 24 Baby-nurse, Nannies & more................................page 26 Moving Mountains (VBAC) Birth Story.............page 27 What Should I Eat?....................................................page 28
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Letter from Baby Fair Organizers
Baby Love Essentials Magazine
We are so pleased to be hosting our fourth Baby Love Essentials, Omaha’s Only Baby Fair! We are humbled by the amazing response from the moms and moms-to-be in our community who are hungry for the services and information we’ve strived to provide at our event! As a childbirth educator and a chiropractor who specializes in pregnancy and newborns, our partnership and creation of the Baby Fair was an to attempt to show the families in Omaha all of the amazing options available when it comes to your bodies, your birth, and your babies while experiencing a joyful Kristi and her family. day that truly celebrates your role as “mommy.” With 6 kiddos between the two of us, we aspire to offer other women information to achieve the healthiest and most rewarding birth and parenting journey possible. In a city with amazing resources available, we knew that this event would allow us to partner with some amazing baby and children’s businesses with similar goals with a day of fun, laughter, and learning! Please enjoy your day and say “hello!” to us at the Mommy Pampering Station!
Volume 3, Issue 1
Kate and her family.
Kate Hansen kate@omahababyfair.com Kristi Wilson kristi@omahababyfair.com
Publisher Kate Hansen Kristi Wilson Editor & Creative Christin McDermott Account/Operations Assistant Kristine Aitmassaoud Advertising/Sales kristi@omahababyfair.com
Comments babyfairbook@omahababyfair.com
The information contained in Baby Love Essentials Magazine is for informational purposes only and should not take the place of advice and guidance from your own healthcare providers. Any part of this magazine may not be duplicated without the written permission from Baby Love Essentials Magazine. Owned by Omaha Baby Fair 402-320-2879
Baby Love Essentials proudly supports:
Cover photo by: Meri Valentin Photography Read online at www.omahababyfair.com
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1104 S. 76th Ave (at the corner of 76th and Pacific) Omaha, NE 68124 402-933-7944 EssentialsChiropractic.com
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Corbin’s Birth Story
Photos courtesy of: Arin Drake | Nira Photography
by Carrie Morehouse I was determined to have a drug free vaginal delivery, but sometimes determination isn’t enough. At my 40 week appointment with Dr. Marvin Stancil, I was dilated to 2-3 cm. but baby’s head wasn’t all the way down and I wasn’t showing any impending signs of labor. I went in for my 41 week appointment and baby’s head still wasn’t completely descended and I had not dilated any further. When Dr. Stancil suggested admitting me to Bellevue Medical Center to begin induction I was a bit hesitant and initially was going to wait a few more days. But I had been really uncomfortable for a couple days and wasn’t getting much rest, so after discussing it further with my husband and the doctor I headed over to the maternity floor. My appointment was late in the afternoon and by the time I retrieved my hospital bag and got settled into my room it was close to shift change. The night shift nurse was just coming on and she hooked me up to a monitor and saw that my contractions were starting to pick up in strength and getting closer. Unfortunately baby’s head still wasn’t dropping all the way and I wasn’t dilating any further. By the time the day shift nurses came on duty my contractions had become significantly stronger. Melanie and Denise were incredible and so supportive. I couldn’t have asked for better nurses. I spent the morning working through the contractions alternating between using a birthing ball and the whirlpool tub. By mid-day I was really struggling with the contractions and decided to try pain medication and ultimately asked for an epidural. I received IV pain medication and rested comfortably for awhile while the anesthesiologist was contacted. Once the epidural was in place, Dr. Stancil came in to see how I was progressing. It was later that day and Baby was starting to show signs of fatigue. After discussing the options with Dr. Stancil my husband and I decided to move ahead with a c-section. Arrangements were made and Melanie and Denise began preparing me for surgery. As I was wheeled out of my room the events of the day all hit me at once and I became quite emotional and distressed. The nurses were so comforting and supportive, but it wasn’t until I got to the OR and met Heather Ramsey, CNM that I was able to relax a bit and calm down. Heather introduced herself and explained that she was a midwife who worked with Dr. Stancil and would be assisting with my csection. continued on next page.
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The surgery went smoothly and our 6 lb., 14 oz. baby boy entered the world at 4:26 p.m. that day. Dr. Stancil held him up for us to see and then passed him on to the nurses who cleaned him up a bit, got him swaddled and showed him to my mom and my friend/photographer via a video camera connected to a television in another room. The operation was finished quickly and the nurses, along with my husband and the baby, wheeled me back to my new room.
JULIE A. CORTINAS, AGENT 3606 N 163rd Plz | Omaha, NE 68116 Office: 402.614.7060 | Fax: 402.493.4850
Dr. Stancil, Heather Ramsey, and all of the staff at Bellevue Medical Center were amazing. Everyone did their absolute best to give me the birth experience I was after and to follow my birth plan, but when things just didn’t work out the way I planned, everyone was gentle, supportive and kind.
facebook.com/IntactOmaha Meri Valentin Photography
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Photo courtesy of: Meri Valentin Photography
402.990.7175
www.monipechaphotography.com 402.990.7175
monipechaphotography@q.com www.monipechaphotography.com
Gymboree Play & Music of Omaha 12125 West Center Road Omaha, NE 68144
402-330-1864
omahane@gymboreeclasses.com
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Baby-itis by Melissa Cruickshank My baby is more than 4 months old and she doesn’t roll over. Well. To be fair, I don’t put her down long enough for her to learn how to roll over. She’s my last baby. And, a baby I wanted for so very long. I look into her eyes and the long road to get here is a distant memory. I have last baby-itis. I hold her all the time. I kept her in newborn diapers more than three months because that is the last newborn diaper I will ever put on a baby of mine. I have a hard time moving her up into bigger-sized clothes. I still swaddle her. I let her sleep the way she sleeps best. I don’t rush anything that makes her grow up. I have only recently forced myself to put her down for a few minutes so she learns to play independently. But, she knows that if she cries, one of us will pick her up and play with her. I wish I could not see those perfect little eyes at 3 a.m., but when I do, I rock her a little longer. I snuggle her a little tighter. Only my own exhaustion forces me to put her back down. She smiles and coos. She lights up when I come into her room in the mornings. I can put her to sleep quicker and easier than anyone else and she sleeps best in my arms. Right now, I’m the funniest person she knows. She doesn’t talk back, mock me, roll her eyes, stomp her feet or stare into my eyes and do exactly what I said not to … (like her sister.) She will get there. She will get bigger and bigger and want me less. She will be too big to sleep in my arms. She will not cuddle with me while she drinks her bottle. She will (hopefully soon) sleep through the night. And, she will grow out of her tiny baby clothes. It will all happen fast. Way too fast. So, I will continue to hold and rock her. And, I won’t apologize when the doctor wonders why she isn’t rolling over. She doesn’t need to know how to roll over in order to get into kindergarten. I checked. Melissa Cruickshank is a mommy blogger of Momaha.com<http://blogs.momaha.com/2012/01/8842/>;, a site operated by the Omaha World-Herald. Momaha is an online community for moms to share ideas through blogging. You can read her on Thursdays on the parenting site. Editor’s Note: This blog was originally published Nov. 29, 2012 on momaha.com
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What’s the big deal about breast milk? What’s in Formula:
vs.
Water Carbohydrates Lactose Corn maltodextrin Protein Partially hydrolyzed reduced minerals whey protein concentrate (from cow’s milk) Fats Palm olein Soybean oil Coconut oil High oleic safflower oil (or sunflower oil) M. alpina oil (Fungal DHA) C.cohnii oil (Algal ARA) Minerals Potassium citrate Potassium phosphate Calcium chloride Tricalcium phosphate Sodium citrate Magnesium chloride Ferrous sulphate Zinc sulphate Sodium chloride Copper sulphate Potassium iodide Manganese sulphate Sodium selenate Vitamins Sodium ascorbate Inositol Choline bitartrate Alpha-Tocopheryl acetate Niacinamide Calcium pantothenate Riboflavin Vitamin A acetate Pyridoxine hydrochloride Thiamine mononitrate Folic acid Phylloquinone Biotin Vitamin D3 Vitamin B12 Enzyme Trypsin Amino acid Taurine L-Carnitine (a combination of two different amino acids) Nucleotides Cytidine 5-monophosphate Disodium uridine 5-monophosphate Aenine 5-monophosphate Disodium guanosine 5-monophosphate Soy Lecithin
Developed as a student project for the Breastfeeding Course for Health Care Providers, Douglas College, New Westminster, BC, Canada © 2007 by Cecily Heslett, Sherri Hedberg and Haley Rumble.
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What’s in Breastmilk: Water Carbohydrates (energy source) Lactose Oligosaccharides (see below) Carboxylic acid Alpha hydroxy acid Lactic acid Proteins (building muscles and bones) Whey protein Alpha-lactalbumin HAMLET (Human Alpha-lactalbumin Made Lethal to Tumour cells) Lactoferrin Many antimicrobial factors (see below) Casein Serum albumin Non-protein nitrogens Creatine Creatinine Urea Uric acid Peptides (see below) Amino Acids (the building blocks of proteins) Alanine Arginine Aspartate Clycine Cystine Glutamate Histidine Isoleucine Leucine Lycine Methionine Phenylalanine Proline Serine Taurine Theronine Tryptophan Tyrosine Valine Carnitine (amino acid compound necessary to make use of fatty acids as an energy source) Nucleotides (chemical compounds that are the structural units of RNA and DNA) 5’-Adenosine monophosphate (5”-AMP) 3’:5’-Cyclic adenosine monophosphate (3’:5’-cyclic AMP) 5’-Cytidine monophosphate (5’-CMP) Cytidine diphosphate choline (CDP choline) Guanosine diphosphate (UDP) Guanosine diphosphate - mannose 3’- Uridine monophosphate (3’-UMP) 5’-Uridine monophosphate (5’-UMP) Uridine diphosphate (UDP) Uridine diphosphate hexose (UDPH) Uridine diphosphate-N-acetyl-hexosamine (UDPAH) Uridine diphosphoglucuronic acid (UDPGA) Several more novel nucleotides of the UDP type Fats Triglycerides Long-chain polyunsaturated fatty acids Docosahexaenoic acid (DHA) (important for brain development) Arachidonic acid (AHA) (important for brain development) Linoleic acid Alpha-linolenic acid (ALA) Eicosapentaenoic acid (EPA) Conjugated linoleic acid (Rumenic acid) Free Fatty Acids Monounsaturated fatty acids Oleic acid Palmitoleic acid Heptadecenoic acid Saturated fatty acids Nerve growth factor (NGF) Stearic Erythropoietin Palmitic acid Peptides (combinations of amino acids) Lauric acid HMGF I (Human growth factor) Myristic acid HMGF II Phospholipids HMGF III Phosphatidylcholine Cholecystokinin (CCK) Phosphatidylethanolamine β-endorphins Phosphatidylinositol Parathyroid hormone (PTH) Lysophosphatidylcholine Parathyroid hormone-related peptide (PTHrP) Lysophosphatidylethanolamine β-defensin-1 Plasmalogens Calcitonin Sphingolipids Gastrin Sphingomyelin Motilin Gangliosides Bombesin (gastric releasing peptide, also known as neuromedin B) GM1 Neurotensin GM2 Somatostatin GM3 Hormones (chemical messengers that carry signals from one cell to another via the blood) Glucosylceramide Cortisol Glycosphingolipids Triiodothyronine (T3) Galactosylceramide Thyroxine (T4) Lactosylceramide Thyroid stimulating hormone (TSH) (also known as thyrotropin) Globotriaosylceramide (GB3) Thyroid releasing hormone (TRH) Globoside (GB4) Prolactin Sterols Oxytocin Squalene Insulin Lanosterol Corticosterone Dimethylsterol Thrombopoietin Methosterol Gonadotropin-releasing hormone (GnRH) Lathosterol GRH Desmosterol Leptin (aids in regulation of food intake) Triacylglycerol Ghrelin (aids in regulation of food intake) Cholesterol Adiponectin 7-dehydrocholesterol Feedback inhibitor of lactation (FIL) Stigma-and campesterol Eicosanoids 7-ketocholesterol Prostaglandins (enzymatically derived from fatty acids) Sitosterol PG-E1 β-lathosterol PG-E2 Vitamin D metabolites PG-F2 Steroid hormones Leukotrienes Vitamins Thromboxanes Vitamin A Prostacyclins Beta carotene Enzymes (catalysts that support chemical reactions in the body) Vitamin B6 Amylase Vitamin B8 (Inositol) Arysulfatase Vitamin B12 Catalase Vitamin C Histaminase Vitamin D Lipase Vitamin E Lysozyme a-Tocopherol PAF-acetylhydrolase Vitamin K Phosphatase Thiamine Xanthine oxidase Riboflavin Antiproteases Niacin a-1-antitrypsin Folic acid a-1-antichymotrypsin Pantothenic acid Antimicrobial factors (are used by the immune system to identify and neutralize foreign objects. Biotin Leukocytes (white blood cells) Minerals Phagocytes Calcium Basophils Sodium Neutrophils Potassium Eoisinophils Iron Macrophages Zinc Lymphocytes Chloride B lymphocytes (also known as B cells) Phosphorus T lymphocytes (also known as C cells) Magnesium sIgA (Secretory immunoglobulin A) (the most important antiinfective factor) Copper IgA2 Manganese IgG Iodine IgD Selenium IgM Choline IgE Sulpher Complement C1 Chromium Complement C2 Cobalt Complement C3 Fluorine Complement C4 Nickel Complement C5 Metal Complement C6 Molybdenum (essential element in many enzymes) Complement C7 Growth Factors (aid in maturation of intestinal lining) Complement C8 Cytokines Complement C9 interleukin-1β (IL-1β) Glycoproteins IL-2 Mucins (attaches to bacteria and viruses to prevent them from clinging to mucousal tissues) IL-4 Lactadherin IL-6 Alpha-lactoglobulin IL-8 Alpha-2 macroglobulin IL-10 Lewis antigens Granulocyte-colony stimulating factor (G-CSF) Ribonuclease Macrophage-colony stimulating factor (M-CSF) Haemagglutinin inhibitors Platelet derived growth factors (PDGF) Bifidus Factor (increases growth of Lactobacillus bifidus - which is a good bacteria) Vascular endothelial growth factor (VEGF) Lactoferrin (binds to iron which prevents harmful bacteria from using the iron to grow) Hepatocyte growth factor -α (HGF-α) Lactoperoxidase HGF-β B12 binding protein (deprives microorganisms of vitamin B12) Tumor necrosis factor-α Fibronectin (makes phagocytes more aggressive, minimizes inflammation, and repairs damage caused Interferon-γ by inflammation) Epithelial growth factor (EGF) Oligosaccharides (more than 200 different kinds!) Transforming growth factor-α (TGF-α) TGF β1 TGF-β2 Insulin-like growth factor-I (IGF-I) (also known as somatomedin C) Insulin-like growth factor- II
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Photo courtesy of: Meri Valentin Photography
Call today for a complimentary day or evening consultation. 402-718-8622 | www.surgicalimages.com | 89th & Dodge
14133 S St, Omaha NE 68137 1406 Veterans Dr Suite #214, Elkhorn NE 68022
402-896-3312
ThompsonChiroPediatrics.com
Giving you the keys to your family’s financial success. Baby Bundle Savings Plan Dollar Dog Kids Club Savings & Certificates Checking Accounts Retirement Accounts Federally Insured by NCUA • Equal Housing Lender • (402) 292-8000 • www.sacfcu.com
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River Xander’s Story by Lindsy Doucette Barrett On November 21st, the day before Thanksgiving, my family and I went to my parents’ house for dinner. When we got home I started to feel some contractions so my husband, Tom and I called our Doula, Kristi. He told her about the contractions and the timing. She suggested I have a glass of wine, a glass of water, take a bath, and go to bed. Knowing we were hosting Thanksgiving the next day, rest seemed important and we were relieved that we lived a short distance from UNMC. At about 1:30 a.m., I awoke to a contraction. Again, it didn’t hurt, but I definitely felt it. Around 3 a.m., I began timing contractions again. This time they were about 6 minutes apart and lasted around a minute. A half hour later, a contraction caught my breath. My gasp woke up Tom and he called Kristi. Kristi told me to drink a glass of water and get into a hot shower. At 4 a.m. they were 3 minutes apart. I recall being in the shower bending over allowing water to pound my back. The pain and pressure were excruciating but the water helped. We arrived at the hospital L&D registration desk at about 5 a.m. and no one is in the waiting room, thankfully. The nurse begins asking me my information, name, address, etc. They direct me to a room and ask me to put on gown. Tom hands the nurse my birth plan. At this time, I am dilated to 9 cm. Kristi arrives shortly after and raises the head of the bed up 90 degrees so I can put my arms on the top. I am sitting up on my knees with my arms and head on the head of the bed. Tom and Kristi both crawled back behind the bed and were coaching me. The pressure was unbearable and I demanded to push. Kristi told me to try to push air out of my lips and make a “horse” type sound to keep from pushing. Kristi gets a bucket of ice water and a towel and Tom wipes my forehead with it. This felt awesome. We wait for the next contraction and I push as hard as humanly possible. Seriously, this felt AMAZING. I believe the baby crowned. The next contraction comes and I push again equally as hard and I feel an immense relief of pressure and he’s out! Unbelievable. I sit up on my knees and the doctor and nurses are trying to figure out how to hand him to me. He is still connected to my placenta on the umbilical cord. They hand him to me under my legs. I am in shock and disbelief that this all just happened. continued on next page.
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Photo courtesy of: Dana Damewood
continued from previous page.
River Xander was born at 5:55 a.m. River and I lay back while the on-call doctor repairs my body. River isn’t latching as well as we would like so the lactation consultant helps me hand express colostrum. We get a small spoonful and feed it to him. Thankfully, his blood sugar rises and everyone calms down. We don’t find out until discharge that River was tongue tied which is why he had trouble with his latch. I am grateful that the nurses and lactation consultants at UNMC did not force the formula issue and did everything they could to help him breast feed.
“We wait for the next
contraction and I push as
hard as humanly possible.
Seriously, this felt AMAZING!”
from River Xander’s Story
expecting?
babylovebirthservices.com
Spring 2013
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Cesarean rates are one of many indicators of hospital quality that a patient might consider when deciding where to give birth. A patient with a strong preference to deliver vaginally might select the local hospital with the lowest cesarean rate, then find a care provider with privileges at that hospital.
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Did you know? What was the #1 most commonly performed surgery in the U.S. in 2010? Cesearean Sections (c-section) In 2010, the U.S. c-section rate was 32.8% or 1 in 3 births.
Count on us for the road ahead. nebraskablue.com Phone: (800) 991-5642 Blue Cross and Blue Shield of Nebraska is an Independent Licensee of the Blue Cross and Blue Shield Association.
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Back-to-Back Pregnancies by Erica Faris At 39 weeks, my water broke at midnight one evening and contractions started 30 minutes later. My husband and I stayed home until 7:30 am when I noticed small black pieces in my still leaking fluid. When I arrived at the hospital, I was checked immediately and was only at 1 cm. and baby was still very high. Although my contractions were strong and 3 minutes apart, it appeared that I was not progressing. We talked about what to do next, and our midwife Kate suggested we do a foley bulb. She knew we didn’t want interventions, but after a brief discussion, we all agreed this would be the least invasive and the most mild intervention. My husband and I prayed that I would begin to progress so no intervention would be necessary. Kate, our midwife, went to attend to other women in labor and before she could return, I felt like I had to push. I made it very clear to everyone in the room that “I HAVE TO PUSH!” At that point people knew I was serious. We got back to bed and Kate said to me “Erica, I think your baby is upside down.” An ultrasound was called and they very quickly determined that our baby was breech. Our plans for a natural childbirth were halted as we prepared for an emergency c-section. Kate checked me again, and confirmed my desires to push because I was at 10 cm! The doctor arrived and saw me have one contraction and said, “we don’t have time for an epidural, we are having this baby now.” I thought he meant he was going to cut me open right there, no epidural. With my husband on my right and Kate on my left things went very quickly, but I never felt scared. Kate leaned over and told me that this was the best doctor to have in this situation. She assured me we were in great hands. I felt comforted knowing she was still by my side, even though she was no longer able to deliver us. With the next contraction, I pushed, and it felt amazing to be able to fully push. As more of the baby was being delivered they kept warm blankets wrapped around her to minimize the startle factor. It only took a few good pushes and our little girl was born. Rachel Lynne, born butt first and screaming her head off. She was taken to the next room to be examined by the NICU team, just to be sure she was in good health from a vaginal breech birth. Despite her feet being up by her head in a pike position she was healthy and returned to me in just a few minutes. When she was placed in my arms I couldn’t believe that she was mine. Just 5 months later, my husband and I were shocked to find out we were pregnant again! With a baby at home, I wasn’t sure I was ready to welcome another, but after my first appointment with the midwives I remembered continued on next page.
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continued from previous page.
how amazing being pregnant was. Two days before my due date on a Sunday morning, I began to have contractions at church. Not sure it was the real thing, I kept quiet during the sermon, but left shortly after. My contractions were strong and about 6 minutes apart. We headed to the hospital and checked-in. As I had suspected I was already at 6 cm and the contractions were very strong. Kate came in special for us on her day off and arrived just as they were successful with the IV. When people cleared the room I rolled over and got up to use the restroom and had a HUGE contraction. With the next few contractions I pushed and our precious baby was born; another little girl, Lindsey Jane. Kate immediately placed her in my arms and I held her so tight, something I didn’t get to do with my firstborn. Looking back on the births of both of my girls it brings tears to my eyes remembering how amazing it was to bring them into this world. Each contraction brought me closer to meeting my baby. I wish that every woman I know could experience birth this way. It is so important to search for a medical team that supports your birth plan and believes in your body.
A Family Wellness Center “Creating the healthiest families on the planet through natural, chiropractic care” 6303 Center Street Suite 103 Omaha, NE 68106
402-933-1933
I found someone who believed in my body and matched my birth plan.
Theresa Lehn, ID # 19461938 Phone: 402-203-9408 Facebook Page: Theresa Lehn, Arbonne Dee Harms, ID # 18844426 Phone: 402-650-0290 harmlessbeauty@gmail.com
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Baby Love Birth Services presents
NOT YOUR MAMA’S
CHILDBIRTH CLASS
A 6-week “real life” learning experience in a relaxed, inspiring, and FUN environment! Are you looking for an up-to-date, relevant class you and your partner will actually WANT to attend? Would you like to have a birth that is less painful and more rewarding? Do you want to learn the techniques Doulas and Midwives use to avoid interventions and c-sections? Are you aware that being a “The Baby Story” junkie does NOT prepare you for birth? “At Baby Love Birth Services, our experienced team of educators strive to provide you with the skills that will help you have the healthiest birth for you AND your baby, whether you choose to have an epidural or have your baby naturally...and you will laugh while you learn about it!” Kristi Wilson, Owner
Class topics by week: 1. Episiotomy, Ice Chips, 12 Pound Baby, Oh My! Fears, your body, and signs of pre-labor 2. Ummm...Did I wet my pants or did my water just break? Labor and how to deal 3. Just had my first contraction...Is it cool to get the epidural now? Interventions, inductions, and natural alternatives 4. Look out, people! Don’t MAKE me use my big girl voice! Labor rehearsal 5. You want to stick those salad tongs WHERE?! Developing a birth plan and overcoming COMMON labor issues 6. Meconium happens After the babe is here and newborn care
Plus - Free Class for 6-week participants!
My Husband wants to job shadow the lactation consultant...is that ok? Breastfeeding Basics
location:
Essentials Family Chiropractic & Wellness 1104 South 76th Avenue Omaha, NE 68114
Space is Limited. Get Registered Today! View event dates & register online: www.babylovebirthservices.com Registration Cost: $120 Includes all classes for you and partner (including optional breastfeeding class) plus snacks and materials. Take home a baby binder full of info to take to your Dr. appointments.
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Space is limited. Registration fee is non refundable and will secure your spot only after payment is received.
50 Shades of Fluff From a Man’s Perspective: by Nate Foley, coowner of Baby Junk in Rockbrook Village “There’s something sexy about a man talking about cloth diapers,” said a sultry voice as she walked towards my conversation carrying nothing but a red cloth diaper and her desire to hear more of my diapering conversation. “Can I show you how this works?” she said flashing her long, black eyelashes. “I would like that” I said. She began unsnapping the diaper slowly, deliberately, one snap at a time moving her hands and fingers as though this wasn’t her first time. My eyes began to widen as the diaper grew larger and larger. Although it felt as if time had stopped, it was only a matter of seconds before the diaper was at its full, complete size. She laid it gently on the table, spreading it to its full potential. She ran her manicured finger across the soft micro-fleece following the contours of its sides describing how firmly it fit around the legs and back. “Would you like to reach inside?” She said with a devilish grin. I didn’t have to answer; she already knew I wanted to. I gently slipped my finger and thumb into the slit in the front until I felt something soft. “Go ahead…pull it out” she said. At this point I knew I was in for something special and I could tell by the look in her eyes that she was ready for me to quit playing. I used my other hand and firmly grasped the other end of the diaper as if to show it that I was in charge. I pulled and couldn’t believe what came next. I could see the wave of extreme satisfaction bursting from her as I held the two inserts between my fingers. We both knew this was what I had been thirsting for. I couldn’t take it any longer. I had an uncontrollable desire and knew that I had to do what I wanted. I immediately threw the inserts to the side, swept the clutter to make room and we did it right there on the table…wrote a purchase order.
It’s no secret that diapering of any kind is not nearly as glamorous as my totally true story (that I made up). You put a diaper on your baby, baby messes in the diaper, you take it off, put a new one on and the cycle continues. I wanted to let all my fellow dads out there know that cloth diapers can be fun. They have a few amazing differences. First, your savings is equivalent to a fully set-up man cave. Second, they are super soft! So soft it makes me envious. They also have snaps, which are like little padlocks that keep your kid from ripping off his diaper and running around like Frank the Tank. This is parenthood. The reality is that it always comes down to the topic of poop! “What do you do with the poop?!?” is the number one question we get asked. There are actually 3 options and none of them involving touching it. This is something we discuss in our Cloth 101 classes. We would love the opportunity to educate you on this choice, whether you decide it is for your family or not. I challenge any dad out there to give it a try for themselves. Who knows…you might just like changing diapers. For information on our next class, please visit our website or Facebook page to learn more!
www.OmahaBabyStore.com
Spring 2013
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Poop, ‘Roids, and Other Worldly-Things from Down Under by Kristi Wilson Pregnancy is a beautiful thing, but what happens at the end of your last trimester as your body prepares itself to go into labor, isn’t. Quite frankly, it’s pretty disgusting! For all my expecting mamas and daddies to be, I bring you the top signs that babe is on his way! 1. S’not discharge…it’s your mucous plug! That’s right. The mucous plug is a gelatinous (Favorite. Word. Ever!) blob of thick mucus that has acted as a barrier in your cervix for 9 months. When you begin to dilate and efface as delivery approaches, you can lose bits or even the whole chunk of this sometimes bloody, sometimes yellowish stuff. 2. Poop Happens. One of the biggest fears of most pregnant women is “poopin’ on the table.” Never fear laboring ladies. Your body has come up with a clever way of preparing a cleared out pipeline for labor. If you let your body begin to labor on its own, oftentimes right before the contractions start, you may experience nausea, sometimes vomiting, and more than not, diarrhea.
17660 Welch Plaza Omaha, NE 68135 402-891-4897 omahane@goddardschools.com GoddardSchool.com
3. The Dangler. If it hasn’t happened yet, you may find yourself enjoying yet another amazing side effect of pregnancy and birth. Ah yes, the itchy, burning, and sometimes downright painful swollen blood vessels in your anus. And WHY do you get these fantabulous things? Because of big time pressure put on the pelvic veins and the inferior vena cava from your growing uterus, constipation, and the hard core pushing you’ll be doing to birth that babe. 4. Leaky Nipples. W hen you pictured breastfeeding your baby, you probably pictured lovely white milk, kind of like cow’s milk. So what the HELL is that yellowish, orange-ish, sticky-stuff that you’re excreting out of your nipples? That, my friends, is colostrum! Many women leak this amazing stuff weeks before the baby is born. Don’t fear the wet spots on your shirt...this telltale new mama sign lets everyone know you’re a magical milk-making machine!
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Benefits of Breastfeeding
© www.linkagesproject.org
Saves Lives. Currently there are 9 million infant deaths a year. Breastfeeding saves an estimated 6 million additional deaths from infectious disease alone. Provides Initial Immunization. Breastmilk, especially the first milk (colostrum), contains anti-bacterial and antiviral agents that protect the infant against disease. Prevents Diarrhea. Infants under two months of age who are not breastfed are 25 times as likely to die of diarrhea than infants exclusively breastfed. Provides Perfect Nutrition. Breastmilk is a perfect food that cannot be duplicated. It is more easily digested than any substitute, and it actually alters in composition to meet the changing nutritional needs of the growing infant. Maximizes a Child’s Physical and Intellectual Potential. Malnutrition among infants up to six months of age can be virtually eradicated by the practice of exclusive breastfeeding. Promotes the Recovery of the Sick Child. Breastfeeding provides a nutritious, easily digestible food when a sick child loses appetite for other foods.
Andrew J. Rivera D.C. Jessica K. Rivera D.C., C.A.C.C.P. Certified in Prenatal and Pediatric Chiropractic Webster Technique Certified
Supports Food Security. Breastmilk provides total food security for an infant’s first six months. Bonds Mother and Child. Breastfeeding provides physiological and psychological benefits for both mother and child.
1213 Golden Gate Dr, Papillion 402-934-9200 www.thebridgechiro.com
Benefits Maternal Health. Breastfeeding reduces the mother’s risk of fatal postpartum hemorrhage, the risk of breast and ovarian cancer, and of anemia. Saves Money. Breastfeeding is among the most cost-effective of child survival interventions. Households save money; and institutions economize by reducing the need for bottles and formulas. Is Environment-friendly. Breastfeeding does not waste scarce resources or create pollution. Breastmilk is a naturally-renewable resource that requires no packaging, shipping, or disposal.
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Helping babies get head-down by Kate Hansen, DC One of the biggest fears we hear from our pregnant patients is that the baby will be in a breech or transverse position when it is time to deliver. Today, very few obstetricians or medical facilities will deliver a baby breech because of the increased risks; therefore, a cesarean section is usually scheduled. There is a specialized chiropractic technique that is widely used and very safe and effective for helping babies get head down. The Webster Technique involves assessing and correcting any misalignments or restrictions in the joints of the pelvis and low back areas of the mom as well as the ligaments in the front of the pelvis. This helps to keep the ligaments and muscles, which support the uterus, relaxed. Since these ligaments and muscles attach to the bones of the pelvis, any shift in the alignment of the bones causes tightening of the ligaments and muscles. This can cause twisting and tension on the uterus, making it difficult for the baby to get into proper position. Correcting the misalignments allows for optimal uterine positioning and ultimately, a more favorable fetal position. The Webster Technique does not involve any type of moving of the baby itself, as with the external version procedure, and is absolutely safe for mom and baby alike. Most women find it very comfortable and most even feel less tension and pressure in the lower back after Photo courtesy of: Meri Valentin Photography
the procedure. The Webster Technique has a very high success rate- 75 - 95%. It is usually not necessary to be-
gin worrying about babyâ&#x20AC;&#x2122;s position until around 36 weeks, as many babies will flip on their own. But, keep in mind that it is more likely that the baby will have more room to turn closer to 36 weeks than he or she will at 40 weeks. So, if you are faced with the threats of an external version or a scheduled c-section due to a breech baby, I highly recommend seeking a chiropractor that is experienced with treating pregnant women and with the Webster Technique. It is so safe, gentle and effective, that you really have nothing to lose with trying it first. And, as an added benefit, there is other research suggesting that women receiving chiropractic care during pregnancy have, on average, a four hour shorter labor than those not receiving care! Now those are good odds, mama!
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Essentials Family Chiropractic & Wellness
1104 S. 76th Ave (at the corner of 76th and Pacific) Phone: 402-933-7944 www.EssentialsChiropractic.com
OmahaBabyFair.com
Baby Wish List
www.WomensHealth.gov
Clothing • Onesies • Sleepwear, including a blanket sleeper for cold weather • Baby sock • Hats, for warmth and for sun protection Baby Care • Receiving blankets • Diapers • Baby wipes • Diaper rash cream • Digital rectal thermometer • Baby bathtub or insert for your regular tub • Baby shampoo and body wash • Baby lotion • Hooded baby towels, or soft regular towels • Baby washcloths, or soft regular washcloths • Baby nail clippers • Nasal aspirator • Infant acetaminophen drops • Pacifiers Nursery Basics • Crib or bassinet with mattress • Crib bedding • Waterproof mattress pad • Mobile • Changing station with changing pad and covers • Diaper pail • Dresser • Glider or rocking chair • Hamper
• • •
Bottle drying rack Bibs High chair
Travel Gear • Diaper bag • Diaper changing pad • Infant car seat • Infant carrier or sling • Stroller • Portable crib Entertainment Needs • Bouncer • Play mat or play gym • Swing • Infant toys, such as stuffed toys, rattles, and teethers • Books Safety Items • Baby monitor • Baby gates • Outlet plugs
Feeding Needs • Nursing pillow • Breast pump • Breastmilk freezer storage containers • Bottles and nipples • Bottle brush
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Whoops! The Facts on Whooping Cough by Anita Jaynes, CNM Since we’ve had some changes in our clinic regarding vaccinating for pertussis, I thought now is a good time to share more about the disease and why the change. Whooping cough is a respiratory disease, also known as pertussis. The name “whooping cough” comes from the distinctive whooping sound that patients make as they cough and struggle to breathe, much like a whooping crane! Pertussis is caused by bacteria. It is very, very contagious. It is spread from person to person when someone who has the disease coughs and sneezes the germs into the air, where they are inhaled by other people. Pertussis can be serious or even life-threatening in infants, especially within the first six months of life. About half of infants who get pertussis have to be hospitalized. Of those who are hospitalized, about one in five will develop pneumonia and 1 in 100 will die. Older children and adults can also get pertussis, but it is usually not as serious. However they can pass the disease to others, including infants. The best way to protect your new baby from pertussis is to get vaccinated during your pregnancy. The vaccine, called Tdap, should be given between 27 and 36 weeks of pregnancy to get the most benefit. It takes about two weeks for the vaccine to start working. Not only will the vaccine prevent you from getting pertussis, but the baby will get immunity from you to help prevent him or her from getting pertussis. The Tdap vaccine is safe during pregnancy and breastfeeding. You should receive the Tdap vaccine during each pregnancy. It is also recommended that people who will be around the baby should get the Tdap vaccine. In other words, the baby’s father, grandparents, and anyone else who will be in frequent contact with
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the baby should be vaccinated. Pertussis is a serious infection that can be almost
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completely prevented by vaccination. As of this year, the Olson Center clinic staff will administer the Tdap during each pregnancy (after 20 weeks and optimally between 27 and 36 weeks), regardless of prior vaccination status. If you have questions about pertussis or Tdap, talk with your health care provider.
Anita is one of six certified midwives at the UNMC Olson Center for Womenâ&#x20AC;&#x2122;s Health. The midwives have a clinic at UNMC and out west at Village Pointe. To schedule an appointment and to meet the midwives, please call 402-559-4500. The UNMC Midwives blog regularly at: http://unmcmidwives.blogspot.com/
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NE: 402-218-1370
Moving Mountains
A VBAC after Two C-Sections Success Story by Jennifer Morrison I have realized the true definition of power, will and determination. I have climbed my own figurative Mt. Rushmore. I have become someone I thought I would never be. It’s amazing what a beautiful birth can do to you. My story actually starts 9 years ago with the failed induction and C-section of my firstborn. At 23 years old, I was young, believed that my doctor knew best, and this was how babies were born. Three years later, I thought maybe trying to have a vaginal birth after c-section (VBAC) would be okay, but again, I listened to unsupportive doctors that warned me otherwise, and elected to have another c-section with my second pregnancy. The second C-section was horrible. An almost unsuccessful spinal led to at least 30 poke marks across my lower back. A hurried and messy incision left me with gaps that weren’t fully closed and infection discharge that could only be contained with overnight maxi-pads. Spinal headaches and post-partum depression soon followed, and I decided I didn’t want any more children. As beautiful as my two daughters were, I couldn’t imagine going through all of it again. I was happily complete. Six years later, some of that resentment had gone away. The baby itch returned, and I tried to decide if everything I would possibly have to go through would be worth it. I started my research around the same time that newer recommendations came out saying that it was okay to allow a TOL to a VBAC mom. Was I reading this right? Was it possible? Could I do this? With two scars under my belt, who would take me? Who would want me? I found a midwife at the only VBAC supportive-hospital in the state, which was 45 minutes away. From the first meeting, I knew this was where I was supposed to be. Never once was rupture or failure mentioned. It was, “You WILL do this, and you WILL succeed. Let’s MAKE this happen!” For once, I was actually excited about birth. My pregnancy went off without a hitch. I was having a third daughter, and couldn’t be more excited. I went past 40 weeks, scared of The amazing moment after a successful VBAC. the unknown, yet excited. At 41 weeks, I woke up like every morning, stretching out my arms and legs straight while still lying in bed. I felt the slightest little pop. Thinking it was strange, I sat up, and then stood, and it felt like a balloon was bulging from my cervix. I waddled to the bathroom, and as soon as I lowered myself to the toilet, my water burst all over the floor and me. continued on page 29.
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What Should I Eat? MyPyramid Plan for Moms When you are pregnant, you have special nutritional needs. Follow the MyPyramid Plan for Moms below to help you and your baby stay healthy.
• • •
Eat these amounts from each food group daily. The calories and amounts of food you need change with the stage of pregnancy. The Plan shows different amounts of food for different trimesters, to meet your changing nutritional needs.
Food Group
1st Trimester
2nd and 3rd Trimesters
What counts as 1 cup or 1 ounce?
Remember to...
Eat this amount from each group daily.*
Fruits
2 cups
2 cups
1 cup fruit or juice ½ cup dried fruit
Focus on fruits— Eat a variety of fruits.
Vegetables
2½ cups
3 cups
1 cup raw or cooked vegetables or juice 2 cups raw leafy vegetables
Vary your veggies— Eat more dark-green and orange vegetables and cooked dry beans.
Grains
6 ounces
8 ounces
1 slice bread 1 ounce ready-to-eat cereal ½ cup cooked pasta, rice, or cereal
Make half your grains whole—Choose whole instead of refined grains.
5½ ounces
6½ ounces
1 ounce lean meat, poultry, or fish ¼ cup cooked dry beans ½ ounce nuts or 1 egg 1 tablespoon peanut butter
Go lean with protein— Choose low-fat or lean meats and poultry.
3 cups
3 cups
1 cup milk 8 ounces yogurt 1½ ounces cheese 2 ounces processed cheese
Get your calcium-rich foods—Go low-fat or fat-free when you choose milk, yogurt, and cheese.
Meat & Beans
Milk
*These amounts are for an average pregnant woman. You may need more or less than the average. Check with your doctor to make sure you are gaining weight as you should.
In each food group, choose foods that are low in “extras.” Pregnant women and women who may become pregnant should not drink alcohol. Any amount of alcohol during pregnancy could cause problems for your baby.
Most doctors recommend that pregnant women take a prenatal vitamin and mineral supplement every day in addition to eating a healthy diet. This is so you and your baby get enough folic acid, iron, and other nutrients. But don’t overdo it. Taking too much can be harmful.
Get a MyPyramid Plan for Moms designed just for you. Go to www.MyPyramid.gov for your Plan and more. Click on “Pregnancy and Breastfeeding.”
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My heart started beating fast. I had never gone into labor! This was really happening!! I called my doula to let her know what had happened and she headed over. I was planning to stay at home as long as possible. Finally around suppertime that night, I told her to go home and I went to bed. It was precisely what my body needed. I awoke to waves of labor. When they began to approach five minutes apart, we decided to shower and head to the hospital. We arrived at the hospital at 5:30AM, and met up with our doula once more. Around lunchtime, the midwife expressed some slight concern for the length of time it had been since my water had ruptured. She suggested the slightest amount of pitocin to me. All I could do was cry. My dreams of a VBAC were diminishing. My greatest fear was that I wanted to labor and deliver drug-free. I placed my trust and heart with my midwife and allowed her to proceed with the slightest amount of Pitocin, and she was exactly right. It was just enough to kickstart the contractions, but I was able to manage the pain. And although not pretty or peaceful at times, I did it my way, the only way I knew. I moaned, I tensed up, I cried, but my body was doing it. Mid-afternoon, I was ready to push. It’s true when they say you get a second wind. Pushing felt SO good. After push two, I was told that baby’s head was visible. That and an encouraging word from the midwife that there would be “no C-section today!” gave me the extra drive I needed to finish the job. After less than 20 minutes and 6 pushes, my 7 lb., 12 oz. baby girl was lifted onto my chest. I had succeeded, my body wasn’t broken and I have never experienced anything greater. The mix of emotions of a new baby and the accomplishments of a successful VBAC were almost more than I could have imagined.
Jessica’s little ‘mountain.”
This birth showed me what I could do if I put my heart and soul into something 100%. There is nothing more important in pregnancy/birth than to find and surround yourself with people who also believe in you 100%. When you do that, you can literally move mountains.
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Notes
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Some things are created with little ones in mind. Some things aren’t...
That’s why so many new parents choose Children’s Physicians — because our practice is custom-made for babies (and big brothers and sisters). Treating children is all we do. Energetically. Expertly. With heart and a smile.
FOR BABY’S WELL-BEING:
FOR YOUR PEACE OF MIND:
• Same day sick visits
• Free Get-to-Know-You Visits with our board-certified pediatricians
• Extended hours for well-checks
• 11 neighborhood locations
• Two after-hours urgent care centers
• After-hours access to experienced nurses for questions/advice
• Exclusive backing by the specialists at Children’s
• Online scheduling, immunization records and growth charts via
Hospital & Medical Center
Children’s Connect, our unique online health portal
You know the best part? As your family grows, so does ours! Choose the right pediatrician from the practice that’s custom-made for babies. Call 800.336.0304 to schedule a free Get-to-Know-You Visit.
ChildrensPhysiciansOmaha.org