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SPRING/SUMMER 2013 Like us on Facebook: NashvilleParentMag
NEW MOM MISTAKES:
it ’s OK!
breastfeeding: embrace your superpower
what if?
7
Steps to Sl eeping Saf etY
High-RISK Pregnancy SCENARIOS
BABYHOOD enjoy the ride! —
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VARICOSE VEINS AND PREGNANCY Tips and Insights From an Expert
Mothers are at a higher risk of developing varicose veins. Veins are the blood vessels that return blood from your
To prevent or minimize varicose veins you can:
• Elevate your feet and legs whenever possible. Use a stool or box to rest your legs on when you’re sitting, and keep your feet elevated on a pillow when you’re lying down. Don’t sit or stand for long periods without taking breaks to move around. • Sleep on your left side with your feet on a pillow. Wedge a pillow behind your back to keep yourself tilted to the left. Since the inferior vena cava is on the right side, lying on your left side relieves the vein of the weight of the uterus, thus decreasing pressure on the veins in your legs and feet. • Wear special support hose. Prescription- strength hose, known as graduated-compression stockings work best and are available from medical supply stores and pharmacies. These stockings are twice as thick as normal pantyhose. Tight at the ankle, they get looser as they go up the leg, making it easier for blood to flow back up toward your heart. As a result, they help prevent swelling and may keep your varicose veins from getting worse. Put them on in the morning, while you’re still lying down, to prevent blood from pooling in your legs, and keep them on all day. These support hose may be bothersome, especially in hot weather, but bad varicose veins can be more uncomfortable. If despite the routine measures mentioned above you have undue achiness and tiredness in your legs or have large bulgy veins, restless legs, or are just uncomfortable about your veins, please seek attention from a physician specializing in the care of venous insufficiency.
• Exercise daily. Even just a brisk walk around the block can help your circulation.
Treatment of varicose veins is a necessity and not a luxury. It is always better to get your veins examined before
extremities to your heart. To accomplish their goal, in the upright position, the blood in your leg veins is moving against gravity. Many women either develop varicose veins or suffer through their deterioration during pregnancy. They tend to get worse with each successive pregnancy and as women age. Being overweight, carrying twins or higher multiples, and standing for long periods can also make you more susceptible.
There are multiple reasons why veins start dilating during pregnancy: • The amount of blood in the mother’s body increases during pregnancy, adding to the burden on her veins. • The progesterone levels during pregnancy rise, causing the walls of her blood vessels to relax. • As the mother’s uterus grows, it puts pressure on the large vein on the right side of her body (the inferior vena cava), which in turn increases pressure in the leg veins. • Mothers are more likely to get varicose veins if other members of their family have had them.
The good news is that varicose veins tend to improve after you give birth, particularly if you didn’t have any before you got pregnant. And if they don’t get better; there are a variety of ways to treat them. These include exercise, compression stockings and minimally invasive in office procedures such as radio-frequency and laser closure.
• Strive to keep within the recommended weight range for your stage of pregnancy.
nashvilleveincenter.com
DOCs Board Certified Vascular Surgeon At Siragusa Vein & Vascular, Dr. Tif Siragusa and his team provide the highest level of care for all patients with vein and vascular problems.
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developing irreversible effects of venous insufficiency such as discolored legs or chronic venous ulcers. •
spring/summer 2013 • 3
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The BABY GUID E is published by Day Communications, Inc. Editorial and business offices are located at 2270 Rosa L. Parks Blvd., Nashville, TN 37228. The phone number is 615-256-2158. FAX number is 615-256-2114. Although every precaution has been taken to ensure accuracy of published material, The BABY GUID E cannot be held responsible for opinions expressed or facts supplied by its authors. The BABY GUIDE is copyright © 2013 by Day Communications, Inc. All rights reserved. Reproduction without written permission is prohibited.
spring/summer 2013
CONTENT 6 Baby
Bits
Safe sleep guidelines, babywearing, breastfeeding tips and more for life with your sweetie.
9 Things
We Like
Useful new products for Mom and Baby.
12 What if? High-Risk Pregnancies Local doctors provide the most common risk factors and what they may mean to you.
15
Mistakes of First-Time Moms Learning how to manage with a
baby is chockful of imperfection!
19
baby world
Local services and resources for new parents plus the Middle Tennessee Birthing Directory.
Discover Our Online Parenting Directories at nashvilleparent.com select "Directories" in the menu tab.
ON THE COVER:
Audrey Garfinkle, photographed by Jenn Cady Design Photography.
The Baby Guide
spring/summer 2013 • 5
babybits By Kiera Ashford
Sleeping, eating and out & about — life with your little one has only just begun!
hush, little baby Safe sleep Mea sure s YOU sh ould KNOW ABOU T
Y
our sleeping baby is the most precious thing in the world; take care of him at every possible moment. To combat preventable infant deaths, Baptist Hospital and the Metropolitan Nashville Public Health Department’s Safe Sleep Committee aim to prevent unsafe sleep-related deaths in infants younger than 1 year of age. Baptist suggests these guidelines: • Always place your baby to sleep alone in the crib or bassinet. • Do not place babies to sleep on adult beds, chairs, sofas, waterbeds, pillows or cushions. • Cribs should be free of toys, loose blankets, soft bedding, pillows or bumper pads. Put your baby to sleep on a firm mattress with a tightfitting sheet. • Cribs should be in a smoke-free area. • Always place your baby to sleep on his back. Babies sleeping on their sides are more likely to accidentally roll onto their stomach. • Consider using a sleepsack swaddle or wearable swaddling blanket. These can replace a loose blanket that can cover your baby’s face and interfere with his breathing. • Discuss safe sleep practices with everyone who cares for your baby, including your child care provider, family members and friends. For more information on Baptist Hospital and its safe sleep guidelines, visit baptisthospital.com/childbirth or call 284-BABY (2229).
6 • spring/summer 2013
The Baby Guide
breastfeeding’s best for baby ... and mom, too!
T
here are plenty of reasons why breast is best for baby. For instance, today, under the Affordable Care Act, insurance companies are required to reimburse for lactation support and counseling for new mothers (without co-payments) and to underwrite breast pump rentals that allow them to express their milk. Kassandra Pack, R.N., a certified lactation consultant at Hendersonville Medical Center, shares other reasons why breastfeeding should be a new mom's first choice for her baby: • It's nature’s intended method for optimal growth and development for human babies. • It promotes mother-baby bonding. A baby held skin-to-skin after birth will typically have more stable vital signs, better oxygenation and blood sugar levels, and cry less than a baby in a crib. • Breastmilk provides antibodies for protection against illnesses. Other protective factors directly boost Baby’s immune system and decrease inflammation. • It saves money. In addition to saving the cost of formula, a breastfed baby usually has fewer sick visits to the pediatrician. If parents are working, this translates into fewer hours taken off work to care for a sick child. • Studies indicate that beyond the years of infancy and into adulthood the fact that one was breastfed continues to protect against certain diseases.
looking for more breastfeeding help? Consult the new e-book, I Make Milk, What’s YOUR Superpower: The Ultimate Breastfeeding Guide (BookBaby; 2013), by Internationally Board Certified Lactation Consultant Jennifer Ritchie. She turns breastfeeding into something every mother can enjoy learning and talking about ... making the whole breastfeeding idea easier to understand and do.
infant cereal know-how
M
any parents can’t wait to start their baby on cereal — if only for a few more minutes of shut eye! The thinking is, if you put a little cereal in Baby's bottle, he'll get a full tummy and sleep longer. But what's the REAL right age to start infants on cereal and the best way to give it to him? According to Christopher J. Keefer, M.D., assistant professor of pediatrics at Meharry Medical College, “The introduction of solid food should take place between 4 and 6 months of age. A single-grain cereal — such as rice — is usually recommended as the first solid food. It should be mixed in a bowl with the liquid that the baby is accustomed to (such as breast milk or formula) until a medium consistency is reached, and then fed to the infant with a spoon." So what about slipping a little cereal into the bottle? "It's not the recommended way of introducing cereal to infants,” Keefer says.
out & about with baby: wear him!
R
unning errands can sometimes be uncomfortable for both Mom and Baby. Babies often prefer the touch of a parent as opposed to riding along in a stroller. Liz Koltis, co-leader at Nashville Babywearers (nashvillebabywearers.org), shares the benefits of "wearing" your baby: • Aids in parent/infant bonding. • Aids in building milk supply in nursing mothers. • Builds confidence in new parents with reading baby’s cues and responding sooner to his needs. • Babies cry and fuss less. • Parents can attend to their own needs (and others) while still caring for their baby. • Simplifies going out with Baby. • Baby thinks it’s fun!
Want to wear your baby? The MOBY WRAP is a good one to start with. Free of harsh buckles or straps, the Moby Wrap conforms to Baby’s shape — suitable for babies 8 - 35 pounds. Choose from lots of styles including solids or floral designs — or even MLB teams! Available at mobywrap.com for $47.95 - $62.95.
Turn the page for more babywearing products and more!
The Baby Guide
spring/summer 2013 • 7
Matthew Perkins, M.D. • Joshua McCollum, M.D. Mitchell Pullias, M.D. • Felisa Gilbert, M.D. Heather Phillips, M.D.
OF DAVIDSON COUNTY
741 President Place, Suite 200 - Smyrna
(615) 459-7104
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1747 Medical Center Pkwy., Suite 100 - Murfreesboro
NOW NG TI ACCEPTIENTS A NEW P
Mary E. Keown, M.D., F.A.A.P. William R. Davidson, M.D., F.A.A.P. Lori L. Amis, M.D., F.A.A.P. David A. Wyckoff, M.D., F.A.A.P.
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PEDIATRIC DENTISTRY SPECIALISTS Kurt R. Swauger, D.D.S.
L. Suzanne Wallace, D.M.D.
Members American Academy of Pediatric Dentistry, Diplomates of the American Board of Pediatric Dentistry Proud Members of “The Summit Institute”, group of dental professionals the
American Academy of Pediatric Dentistry TM
Goodlettsville, TN USA Est. 1999
recommends your child see a Pediatric Dentist,
six months
after that first tooth. 824-5047
868-9057
100 Springhouse Ct. 500 Lentz Dr. Suite 110 (Next to Goodpasture H.S.) Hendersonville Madison Nashville Parent’s
Favorite
www.KurtRSwauger.com
8 • spring/summer 2013
2012-13
• treating children of all ages and needs! DOCs • most insurances accepted & filed • kid-friendly atmosphere • new patients welcome • gentle and caring staff • tenncare provider The Baby Guide
things we like Here are a few of our favorite things for your bundle of joy — and YOU.
PLUS , look for this gift icon for more than $1,000 in prize giveaways!
in.sight ba by monitor Philips | philips.com/insight | $169.99 Setting up this new baby monitoring system may take a bit using your home Wi-Fi network, but you'll soon enough be happy with it! Monitor Baby via your iPhone or iPad. Follow all instructions and adjust your settings to avoid feedback delays. You can take video, snap a picture, view in night vision mode or even check the temperature and moisture in the room!
modtot high chair Evenflo | evenflo.com | $99.99 This contemporary high chair offers a fully adjustable seat with six positions for height adjustment, three positions for reclining, three positions for the tray (it's also removeable and dishwasher safe!), a five-point harness and more. The foam seat backing will keep Baby comfy during feedings.
The Baby Guide
MO BY GO mobywrap.com | $79.95 Featuring a cross-shoulder design, wide shoulder straps, a seat designed for correct support, padded leg openings, a removable hood, easy to reach side buckles and a unique dual foam waist belt — this carrier has it all. Padded shoulder straps keep you comfortable while supporting your child's weight (15 - 45 pounds).
spring/summer 2013 • 9
things we like
Let’s go bye-bye safe riding with baby in the car T here options are daunting when it comes to car seats — here are a few of our favorites to keep in mind. flex L ite T ra vel Sy stem Evenflo | evenflo.com | $199.99
ginika tote H ouse of Botori | houseofbotori.com | $79.97 Stay organized with Baby's things with this chic diaper tote. Featuring 10 pockets, a long and adjustable handle, stroller straps that can attach to your stroller, a changing pad, PEVA insulated eco-friendly bottle holder and a pacifier pouch — you'll love this bag!
ea sy sw addle aden+anais adenandanais.com $24.95 Swaddling your bundle of joy is a snap with the Easy Swaddle from aden+anais. Made of 100 percent soft cotton muslin and snaps, securing Baby takes four simple steps. Available in eight stylish patterns for boys and girls, Baby will enjoy many a comfy night’s sleep.
pocket purifier Purely Products | purelyproducts.com | $19.99 The battery-powered Pocket Purifier uses UV-C light to sterilize the area and kills 99.9 percent of germs that cause colds, the flu and more ... making the area safer for Baby to touch or sit on. So, you can make the changing station at a public restroom cleaner or maybe even the shopping cart handle. There are endless possibilities and it only requires you to swipe over the area with the light.
10 • spring/summer 2013
This new, multi-piece collection includes a stroller, infant car seat and car seat base. The stroller features a one-hand fold, cup holder for parent, child’s tray with cup and snack holder, full size basket, multi-position reclining stroller seat, five-point harness and more. The Embrace 35 LX Infant Car Seat features a base for easy transfer from home to car, energy absorbing foam for added comfort and safety, a canopy and more.
advoca te 70-g3 conver tible car seat Britax | britaxusa.com | $379.99 This top-notch five-point harness car seat is equipped with a quick-adjust harness to easily fit your child, side impact cushion technology, HUGS chest pads with safecell technology and so much more. It’s chockful of safety features. Available in a variety of colors/patterns. Appropriate for children 5 - 40 pounds rear-facing and 20 - 70 pounds forward facing.
summit high back boo ster S afety 1S t | safety1st.djgusa.com | $119.99 Need a slimmer booster? This one features a head rest (easily adjustable to your child's height without having to rethread the five-point harness); a cup holder, arm rests and three-point recline positions. Appropriate for children 22 - 40 pounds forward-facing and 40 - 100 pounds for the belt-positioning booster.
olli boo ster seat C lek | clekinc.com/olli | $99.99 Time for a booster seat? This belt-positioning backless booster for ages 6 - 12 has a latch system that features locks that click and secure the seat correctly to your car's back seat ... keeping the seat in place and the belt at the right position for your child. Remove it with just a little pull of a strap — easiest one we’ve seen!
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spring/summer 2013 • 11
underst
anding a
high-risk pregnancy By Kiera Ashford
ARE YOU AT RISK? Your OB/GYN may decide that your pregnancy is "high risk" if you develop complications or if you have a greater chance of developing certain complications. Common high risk conditions include: • You are either under 17 or over 35 years old. • You have a chronic medical condition such as obesity, diabetes or hypertension. • You develop diabetes (gestational diabetes) during the pregnancy. • Your pregnancy involves more than one baby. • You have had a previous miscarriage. • You have given birth prematurely in the past. • Prenatal testing indicates a suspected birth defect. • You have a history of fibroids or other gynecologic problems or surgery.
12 • spring/summer 2013
While under 10 percent of pregnancies are considered high risk, knowledge is power when you are among the statistics.
"F
inding out my wife, Chrissy, was pregnant for a second time brought forth a few different emotions. I was having another child so, of course, that part of me was happy,” recalls Brian Davis, Bell Buckle father of two. “But after knowing what Chrissy, and our first baby, Kendri, went through last time, I was scared. Not just for the baby, but for my wife and how her body would handle another pregnancy.” The Davis’ first pregnancy was not a typical one. Chrissy had an incompetent cervix, which means the cervix starts to thin and dilate before it should. Their daughter, Kendri, was born at 29 weeks and spent 78 days in the NICU at Middle Tennessee Medical Center (MTMC) before she was able to go home. She is a healthy 7-year-old now. Sometimes, the desire to have baby will overpower the fact that it could mean a risky pregnancy. Understand your risks to be better prepared.
The Baby Guide
Prepare your family When you know you’ve got a good chance at having high-risk pregnancy, and yet you really want to have another baby, know the risks and be ready for them. Soon-to-be fathers are part of the pregnancy, too, and it can really take a toll on them as well. The more informed they are the better. “Was I happy? Yes. Scared? Yes. It was all of this wrapped into one ball of emotion, that was hard to talk about at the time,” says Davis. “It was her body going through it, but I was emotionally stressed as well as her. You never forget something like that.” Of course you will discuss everything with your OB/GYN — are you ready for another baby? Go over all of the risks involved and make sure you have a complete understanding of them and what may happen. When you are fully prepared for your pregnancy and know what to expect should complications arise, you will be ready for it. Be aware of some of the most common risk factors. According to Brad S. Chesney, M.D., F.A.C.O.G., of Murfreesboro Medical Clinic Department of Obstetrics and Gynecology, "Five of the
y
most common factors for high-risk pregnancies include obesity, hypertension, advanced maternal age, history of preterm delivery and previous uterine surgery. With careful education, planning and monitoring we can mitigate some of these risks." “Pregnancy complications are scary,” says Cornelia “Connie” Graves, M.D., medical director at Tennessee Maternal Fetal Medicine and the director of perinatal services at Baptist Hospital and MTMC. "Some complications may mean you need special care, some can be managed easily and some can be life threatening. But having a high-risk pregnancy doesn’t mean you can’t have a healthy, full-term baby."
Risk: Previous Surgeries Women who have uterine surgery from previous pregnancies or other complications are also at an increased risk. When the Davis family was expecting its second child and knew that their pregnancy was a high-risk one, certain precautions were taken. Because of her incompetent cervix, Chrissy required a cervical cerclage (suture) procedure. It's what helped their second baby, Payton, arrive full-term and healthy, however should the Davis family try for another child it could cause complications. "Those with a history of surgery on the cervix are more likely to have cervical incompetence resulting in the loss of a pregnancy during the second trimester," says Chesney. "Patients with this history can be monitored more closely with serial ultrasounds and a cervical cerclage to attempt to take some of the pressure off of a shortened cervix." Women who have had a cesarean section are also at a greater risk should they decide to have a vaginal birth after cesarean (VBAC). Although there are risks of uterine rupture, Chesney states, "These risks can be moderated with close, continuous monitoring of the mother and fetus during the labor process or a scheduled cesarean delivery. The cesarean is, of course, a surgery with its own risks to mother and fetus. Those with a history of surgery requiring operation on the contractile portion of the uterine muscle such as the removal of fibroids or a classical cesarean are at even greater risk. A VBAC is contraindicated and a scheduled cesarean is the only way to reduce the risk in these patients."
Risk: Preeclampsia
Chesney says that preeclampsia (pregnancy induced hypertension resulting from a previous condition), affects seven percent of pregnancies. "It's an extremely serious medical condition that can result in temporary or even permanent injury to both the mother and her fetus," Chesney adds. "Maternal brain injuries such as eclampsia (seizure) and stroke as well as damage to the maternal kidneys and liver are all possible." Preeclampsia, or chronic hypertension, poses a risk because the mother can have restricted blood, oxygen and nutrition flow to the baby which can result in low amniotic fluid and poor fetal growth. Mothers that have had preeclampsia have a 25 percent chance at having it again with each pregnancy afterward. "The only known cure for preeclampsia is delivery," adds Chesney.
Risk: Complicated Health History Your health before conception as well as your overall family history can have a major impact on your pregnancy. "Obesity is more and more prevalent in the United States with greater than one-third of women in this category," says Chesney. "Obese mothers are more likely to have pre-existing conditions such as hypertension or diabetes and are more likely to have prenatal complications including gestational diabetes, hypertension and preeclampsia. Delivery complications like shoulder dystocia with the fracture of fetal bones, possible permanent nerve injury and a nearly 50 percent cesarean rate are known. Miscarriage and stillbirth are also more prevalent in this population." Chesney suggests that women that fall into this category should highly consider losing weight before conception. Graves also states, "Poorly controlled chronic disease during pregnancy can increase the risks of significant maternal and fetal complications. Counseling prior to becoming pregnant is recommended for all women with chronic disease, especially those with diabetes." If you have a family history of certain genetic diseases (such as cystic fibrosis or sickle cell), you may face a high-risk pregnancy. Graves suggests consultation and genetic testing regarding your best next steps. Maternal-fetal medicine specialists have special training in performing invasive genetic testing — such as amniocentesis — to know what you're facing.
The Baby Guide
Risk: Older Age
Women who are or become pregnant for the first time at 35 or older may be a candidate for high-risk pregnancy. "Pregnancy after age 35 can present challenges for both the mother and fetus," says Chesney. "Women in this age group are more likely to develop medical issues during pregnancy such as hypertension, preeclampsia and gestational diabetes and are also more likely to have multiples (twins or more), preterm delivery, miscarriages, stillbirth or may need a cesarean delivery." Chesney suggests that with the right help from your doctor which may include prenatal counseling, weight management, smoking cessation, medication modification, genetic counseling and others can mitigate some of these risks. Graves agrees, "Women who have children younger than 17 or older than 35, are at increased risk for complications during pregnancy." "Women older than 35 are also more likely to have a baby with chromosomal problems like Down syndrome and others so screening and diagnostic testing are offered as part of the prenatal care," adds Chesney. "Closer monitoring of fetal well-being may be indicated as well, especially in women ages 40 and older."
RISK: Preterm "Mothers with a history of preterm delivery in the past are twice as likely to deliver preterm again," says Chesney. Progesterone injections starting between 16 and 20 weeks with the last dose administered at 36 weeks is recommended to help the pregnancy along. "Those with an ultrasound documented short cervix may be treated with vaginal progesterone or a suture that ties the cervix closed," Chesney says. But, knowing that you are at risk for preterm delivery can have it's advantages. For instance, your doctor can administer a vaginal swab for a glycoprotein known as Fetal Fibronectin. "This can be helpful in identifying those at risk for preterm delivery," says Chesney. "The test can be administered between 24 and 34 weeks gestation to a patient with contractions. If negative, there is a 99 percent chance that she will not deliver over a two week time frame. If positive, administration of steroids to decrease the risk of common preterm fetal morbidities, admission for observation, rest and some medications may be indicated." Kiera Ashford is associate editor for this publication and mother of two, ages 6 and 2, having preeclampsia with both pregnancies.
spring/summer 2013 • 13
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We pledge to continue to earn that trust one family at a time. Call 615-352-2990 or visit www.ohpa.com.
14 • spring/summer 2013
The Baby Guide
New Mom Mistakes: forgive yourself and move on!
By Heidi Smith Luedtke, Ph.D.
Don't be hard on yourself when life with Baby doesn't go as planned — it rarely does!
A
s you reach for the remote control, your precious bundle rolls off the bed and lands on the floor with a thump. You’re mortified. And scared. Yesterday, when your husband asked how soon your son would roll over, you said “any day now.” Now you just turned your back for a second and it happened. If he’s hurt, you’ll never forgive yourself.
In Good Company
Even the most prepared and best-intentioned new parents make mistakes. Warming a bottle a bit too long and failing to test the temp? Done it. Forgetting to buckle the chest clip on the car seat? Yes, I’ve done that, too. And my kids are OK. Our tendency to believe there is a right way to parent may cause us to feel we’ve failed, even when everything is fine. While my son slept safely and happily in his swing, I lay in my own bed feeling defeated because I couldn’t get him to sleep in his crib. “We have more choices than ever as new parents, and we can see everywhere what other parents are doing,” says Devra Renner, MSW, co-author of Mommy Guilt: Learn to Worry Less, Focus on What Matters (please turn the page)
The Baby Guide
spring/summer 2013 • 15
Most and Raise Happier Kids (Amacom; 2005). You’re probably doing a better job than you think, but – no matter what you do – it may not feel good enough. Any small slip-up can send you over the edge when you’re running on too little sleep and too much anxiety.
How We React
It’s common for new parents to catastrophize about the consequences of their errors, says Sana Johnson-Quijada, M.D., a psychiatrist and mother of three. When the baby bonks her head on the door jamb as you carry her in your arms, worst-case thinking prevails. “What if she has a closed-head injury?” you wonder. “What if she develops seizures or swelling?” “Maybe there’s brain damage.” Anxiety builds, too. “We don’t choose our feelings,” Johnson-Quijada says, “they choose us.” Parenting is an enormous responsibility, so it’s easy to over-personalize mistakes. In our rush to judgment, we focus on internal, global and stable causes for our errors and ignore external or changeable factors involved. For example, a new mom who struggles to get a comfortable latch during breastfeeding may conclude she isn’t naturally nurturing or that she’s not tuned in to her baby. Attributing shortcomings to lack of ability,
rather than lack of experience, prevents us from learning new skills. Self-blame undermines new moms’ selfconfidence. “We tend to second guess ourselves more than we need to,” says Renner. Unsure we can trust our instincts, we look to others for advice on how to do parenting right. And the cycle continues.
Befriend Yourself and Move Forward
Feelings of calm, generosity and connectedness are restored when we treat ourselves as treasured friends instead of internal enemies. “If you want to be a good mom, fight hard to be good to yourself,” says Johnson-Quijada. Here’s how: Acknowledge biology. If your baby has a high-intensity, hard-to-soothe temperament, he’ll cry more often and longer than a happy-go-lucky infant. That’s not an indictment of your parenting prowess. Own your expertise. You’ll find advice around every corner whether you seek it or not. Stay centered. If unsolicited advice makes you anxious about
your approach to parenting, just say, “Thank you," and move on. Be like the baby. Babies bounce back very quickly from unexpected events. So should you. Take time away. Mistakes are magnified by the constant grind of new parenting tasks. “You can’t give what you don’t have,” Johnson-Quijada says. Step back, get perspective and renew your energy. Be yourself. Tune in to who you are as a person and go in that direction. Self-care is more important than sleeping when the baby sleeps. When you disappoint yourself, practice compassion. As Albert Einstein said, “Anyone who has never made a mistake has not tried anything new.” Great moms aren’t born with the instincts of "The Baby Whisperer" or the behavior-modification skills of the SuperNanny. They are made through the ups and downs of experience. Heidi Smith Luedtke is a psychologist and author of Detachment Parenting: 33 Ways to Keep Your Cool When Kids Melt Down (Heidi Luedtke Media; 2012). She is grateful for the lessons she learns from her kids.
Advanced Healthcare
Keeping Your Kids Healthy and Happy
FOR WOMEN
615.867.8020
1272 Garrison Drive,
www.mmclinic.com 1272 Garrison Drive, Murfreesboro, TN 37129
615.867.8030
16 • spring/summer 2013
Murfreesboro, TN
The Baby Guide
www.mmclinic.com
Taking Excellent Care of Your
KIDS Is Our Job
VIP MidSouth, LLC specializing in the care of Pediatric and Adolescent Patients for over 26 years Nashville Parent’s
DOCs
Gallatin Children’s Clinic 648 Hartsville Pike
Lafayette Children’s Clinic 306 West Locust Drive
451-9246
688-7012
White House Children’s Clinic Springfield Children’s Clinic 128 Raymond Hirsch Pkwy., Ste 1 426 22nd Ave. East
672-8118
384-0600
Portland Children’s Clinic 105 Redbud Drive, Ste D
Pleasant View 2536 Highway 49E Suite 110
323-1640
247-8442
Gallatin Children’s Clinic now Open Sunday 2-4!
• Annu ent a ar
ders Pol ea l lR
824-1142
Nashville P
Favorite
2012-13
Hendersonville Children’s Clinic 105 Glen Oaks Drive, Ste 102
Find this and other great items for your baby at
Nashville: (615) 298.2323 2164 Bandywood Dr. Brentwood: (615) 371.2333 330 Franklin Rd., Ste 272 plaidrabbitgifts.com
WWW.OURVIPKIDS.COM
Murfreesboro’s ONLY 3D/4D
Ultrasound Studio. We specialize in pre-natal massages and pampering. Visit our unique boutique. obaby4D.com 615 541-9611 855 West College St., Ste. R Murfreesboro, 37129
Opening in June! Call now to schedule an appointment.
The Baby Guide
spring/summer 2013 • 17
For a Few Hours or Full-Time
OOD PEDIA T TW
CS RI
MEMBER INTERNATIONAL NANNY ASSOCIATION
Voted Top 3 Pediatricians in Williamson County!
371-0600
www.FamilyCareConnection.net Nashville's oldest, largest & most experienced nanny agency!
ri
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FAMILY CARE CONNECTION LOVING CARE IN YOUR HOME
BRE N
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Jill Forbess, M.D. Lori Breaux, M.D. Patricia Williams, M.D. William Sanders, M.D Most Insurances Accepted. Welcome New & Established Patients!
5111 Maryland Way, Suite 301, Brentwood, TN www.BrentwoodPediatrics.com | 615.661.4256
AT TENNESSEE PEDIATRICS WE HAVE A TEAM OF EXPERT PHYSICIANS WHO ARE DEDICATED TO PROVIDING YOU WITH THE HIGHEST QUALITY OF CARE. YOU’LL FIND THAT ALL OF OUR PHYSICIANS ARE BOARD-CERTIFIED IN PEDIATRICS.
Come Join the Fun
Anytime!
2012-13
Nashville Parent’s
Favorite
DOCs HENDERSONVILLE: (615) 826-2080 • 100 Springhouse Ct., Ste 100
David Hudson, M.D. • Jennifer Moore, M.D. • Jennifer Holzen, M.D. • Warren Ervin, M.D. Steve Johnson, M.D. • Lea Ann Lund, M.D.
MURFREESBORO: (615) 890-9008 • 1370 Gateway Blvd., Ste 110
Edward “Dunk” Eastham, M.D. • Joseph Little III, M.D. • Melinda B. Mallette, M.D. • Libby A. Long, M.D. Timothy Henschel, M.D. • Jennifer Jehrio-Butler, M.D.
My Gym of BRENTWOOD 330 Franklin Road (Near TJ Maxx)
(615) 371-KIDS /5437
NASHVILLE-EDMONDSON PIKE: (615) 331-5898 • 5505 Edmondsom Pk., Suite 104
www.my-gym.com/brentwood
THOMPSON’S STATION: (615) 302-1279 • 4720 Trader’s Way., Suite 600
My Gym of HENDERSONVILLE
www.tennesseepediatrics.com
www.my-gym.com/hendersonville
Jennifer Donnelly, M.D. • Stacey M. Williams, M.D. • Alan Roach, M.D.
Teresa White, M.D. • Beverly A. Frank, M.D. • Kristin Kight, FNP-BC • Hayley B. Gilliam, FNP-BC
206 N. Anderson Lane (Near Wal-Mart)
(615) 824-8002
nice price We honor all competitor’s coupons including website pricing. Price matches are good for identical items & include any shipping costs charged. Just print out the web offering or coupon and bring it to us. We want you to get the best service and price while still buying locally.
babies love us, parents trust us!
1113 Murfreesboro Rd., #370 FRANKLIN 595-5565
USABABYFRANKLIN.COM
4085 Mallory Lane, Suite 204, Franklin, TN 37067
615-771-2656 www.harpethpediatrics.com 18 • spring/summer 2013
The Baby Guide
babyworld
Everything you need for you and your little bundle of joy!
2o
n ew p ar ent s ervic es
breastfeeding, childbirth & newborn services; child safety; childbirth classes; parent groups & miscellaneous
22 outings
indoor play centers music & movement; storytimes for babies; infant swim classes
25 middl e
t enn ess ee bir thin G guid e
what's available at local hospitals
The Baby Guide
spring/summer 2013 • 19
baby world new parent services breastfeeding, childbirth & newborn services A Mother’s Place 342.5650 http://tristarwomensandchildrens.com
Breast-feeding products and support services. Open Mon - Fri 8:30 a.m. - 4:30 p.m.
American College of Nurse-Midwives 888-643-9433 • midwife.org
Locate local nurse-midwives and information on midwifery.
Bradley Method Childbirth Educators 800-422-4784 • bradleybirth.com
Natural, partner-coached childbirth classes focusing on inward natural breathing and relaxation.
International Cesarean Awareness Network 800-686-4226 • ican-online.org
Information and support for women having C-sections and vaginal births after cesareans (VBAC).
International Childbirth Education Association
800-624-4934 • icea.org
Referral for area childbirth educators and doulas.
Lactation Center and Boutique at MTMC
396-4167
In-hospital breast-feeding supply store with nursing bras and pump rentals. Outpatient consultations are also available. Open Mon - Fri 10 a.m. - 2 p.m.
Nine Months and Beyond • 877-365-6262 ninemonthsandbeyond.com
Labor doula services, birth tub rental, breast pump rental, lactation and birth plan consultations, Hypnobabies childbirth classes and more.
Nurses for Newborns Foundation 313-9989 • nfnf.org/tennessee
In-home nursing visits and positive parenting skill building for at-risk families.
Once Upon a Child • 790-8081 • ouac.com Breast pump sales, rentals and more.
Reeves-Sain Drug Store 896-5731 • reevessain.com
Nursing supplies and breast pumps.
Smile, Mommy! Diaper Service 810-9113 • smilemommy.com
Cloth diaper service in Davidson, Wilson and Williamson Counties.
child safety American Red Cross Cannon, Rutherford • 893-4272 midtnredcross.org Davidson, Sumner • 250-4300 Wilson • 444-5503 nashvilleredcross.org Williamson • 790-5785 williamsoncountyredcross.org
Instruction in CPR, first aid, safety and baby sitting.
Baby Safe Homes 975-8854 • babysafehomes.com
Home safety evaluations, product installation and more in Middle Tennessee.
La Leche League llleus.org/state/Tennessee.html Davidson/Greater Nashville • 353-9596 Hermitage/Wilson • 883-6823 or 477-9289 Rutherford • 714-4549 Sumner • 323-7158 Williamson • 472-1885 or 834-3287 24-hour helpline • 877-452-5324 lalecheleague.org
Children's Hospital at Vanderbilt 936-1000 • vanderbiltchildrens.com
Support and information for breast-feeding mothers.
Information on safety standards for cribs, toys, children’s products and recalls.
Lamaze Childbirth Educators 851-7779 • lamazenashville.com
Department of Human Services (DHS) http://state.tn.us/humanserv
Classes for parents wishing to utilize the Lamaze technique during childbirth.
McDoula 243-4830 • mcdoula.com
Prenatal and labor support and Christian-centered childbirth education.
Midwives Alliance of North America 888-923-6262 • mana.org Find local midwives.
20 • spring/summer 2013
Middle Tennessee's only children's hospital provides the most comprehensive pediatric, family-centered care in the area. It's website includes health and safety information, including car seat safety.
Consumer Product Safety Commission 800-638-2772 • cpsc.gov
Children's health and welfare, amber alert information and more.
National Child Safety Council • 800-327-5107 nationalchildsafetycouncil.org
Information on keeping kids safe from predators, crime prevention and more.
Safe Kids of Cumberland Valley • 936-7656 safekids.org
The local affiliate of the national Safe Kids Campaign
The Baby Guide
is led by Children's Hospital at Vanderbilt. The mission is to prevent accidental childhood injury in ages 14 and younger.
Safety Store at Children's Hospital 936-1869
Provides low-cost safety products, resources and education. Car seat safety inspections available by appointment.
childbirth classes Baptist Hospital Childbirth Center 2000 Church St., Nashville 284-2229 • baptisthospital.com/childbirth
Childbirth education; Lamaze childbirth; Play it Again childbirth refresher; Great Expectations: An Early Pregnancy Class; Comprehensive Breastfeeding; Preparing for a Cesarean Section; Brothers- and Sisters-to-Be; Tots on Tour; Marvelous Multiples; Breastfeeding Support Groups; prenatal/postpartum water exercise; and infant and child CPR.
Hendersonville Medical Center 355 New Shackle Island Road Hendersonville 342-1919 • tristarhendersonville.com
Breastfeeding, Labor of Love, Newborn Care and a new siblings class.
Maury Regional Medical Center 1224 Trotwood Ave., Columbia 931-490-7046 • mauryregional.com
Comprehensive childbirth (labor, birth, comfort measures, anesthesia, postpartum), Baby Basics, breastfeeding classes (breastfeeding consulting available), Just for Siblings, infant CPR. Free tours, weekend classes.
Bright Beginnings education program: Childbirth Preparation & Newborn Care (weekday and weekend), Breastfeeding Basics, Breastfeeding Works, Big Brothers- and Sisters-to Be, Family and Friends CPR, Expectant Parents Tour, Childbirth Preparation & Newborn Care Information Basket for moms-to-be who cannot attend class sessions.
Murfreesboro Medical Clinic OB/GYN Department 1004 N. Highland Ave., Ste. C, Murfreesboro 867-8030 • mmclinic.com
The Healthy Woman to Healthy Mommy class is for women planning to become pregnant or moms-to-be early in their pregnancies. The class takes place on the first Tuesday each month from 6 - 7 p.m. and focuses on lifestyle changes, nutrition, exercise, testing during pregnancy, safe medications and more.
Nashville General Hospital at Meharry 1818 Albion St., Nashville 341-4410 • nashvillegeneral.org
Breastfeeding, childbirth preparation, early pregnancy.
Northcrest Medical Center 100 NorthCrest Drive, Springfield 384-1600 • northcrest.com
Labor of Love, Breastfeeding Basics, First Aid/CPR and Brothers- and Sisters-to-Be classes.
Push Childbirth Education 1400 Rosa L. Parks Blvd., #112, Nashville 497-7527 • pushchildbirth.com
Williamson Medical Center 4321 Carothers Pkwy., Franklin 791-CARE • williamsonmedicalcenter.org
Stonecrest Medical Center 200 StoneCrest Blvd., Smyrna 342-1919 • tristarstonecrest.com
The Women’s and Children's Hospital at Centennial 2221 Murphy Ave., Nashville • 342-1919 tristarwomenandchildrens.com
Group and private classes cover topics like creating a birth plan, labor support, comfort/relaxation techniques, breastfeeding, nutrition/healthy lifestyle.
Birth & Beginnings, siblings, breastfeeding.
Another Time Around Childbirth Preparation, Breastfeeding, Infant CPR/Safety, Just for Me Sibling Class (ages 4 - 8), Labor of Love Childbirth Preparation, Newborn Care, Sibling Stroll (ages 2 - 3) and Grandparents Class.
Summit Medical Center 5655 Frist Blvd., Hermitage 342-1919 • tristarsummit.com
Breastfeeding, Labor of Love, sibling classes.
Sumner Regional Medical Center 555 Hartsville Pike, Gallatin 328-8888 • mysumnermedical.com
Prepared childbirth and newborn care, breastfeeding and Early Pregnancy classes.
University Medical Center 1411 Baddour Pkwy., Lebanon 444-8262, ext. 2563 universitymedicalcenter.com
parent groups Food Allergy Moms of Murfreesboro foodallergymoms.webs.com
Meet and make new friends at this group for moms and children in Rutherford County who deal with food allergies.
Middle Tennessee Dads’ Group 553-2330 • meetup.com/NashDads/
Prepared childbirth, breastfeeding.
Vanderbilt University Medical Center 1221 22nd Ave. S., Nashville 936-1414 • mc.vanderbilt.edu
Breastfeeding, Brothers- and Sisters-to-Be, childbirth education series (includes nutrition and newborn care).
Stay-at-home dads and others meet every Tuesday with their children for playtime and more.
Childbirth, Newborn Care, Breastfeeding, Sibling, CPR, Vanderbilt's Group Prenatal Care.
MOMS Club (Moms Offering Moms Support) momsclub.org/links.html#Tennessee
Stay-at-home mothers offering play dates and other (please turn the page)
Voted #1 Pediatricians 13 Years in a Row. FULL RANGE OF SERVICES • 7 Board Certified Physicians • 2 Certified Pediatric Nurse Practitioners • Weekend and Evening Appointments • Psychological Counseling, Testing & Tutoring Services • Easy Access On-line Services • Developmental Screenings Nashville Parent’s • Expectant Parent Classes Favorite DOCs • New Mom’s Handbook • “Is Your Child Sick” On-line Reference 2012-13
Middle Tennessee Medical Center 1700 Medical Center Pkwy., Murfreesboro 396-4502 • mtmc.org/childbirth
www.pediatricsoffranklin.com
615.790.3200
570 Baker’s Bridge Ave. • Franklin, TN 37067 The Baby Guide
spring/summer 2013 • 21
baby world activities. Chapters in Bellevue, Brentwood, Franklin, Hendersonville, Mt. Juliet/Lebanon and Spring Hill.
MOPS (Mothers of Preschoolers) mops.org
Moms with children from birth through kindergarten meet for fun, friendship, learning, discussions and crafts. Visit website for various local chapters.
Parents of Twins and Triplets Organization nashpotato.org Support for multiple births through an exchange of ideas, experiences, resources and other info.
miscellaneous Attachment Parenting International 828-9115 • attachmentparenting.org
Strengthening family attachment through education, support, advocacy and research.
International Cesarean Awareness Network 800-686-4226 • ican-online.org
Please see listing under "Breastfeeding, Childbirth & Newborn Services."
Junior League Family Resource Center 936-2558 • vanderbiltchildrens.com/frc
Located inside Children's Hospital, the center provides information to families and caregivers of chronically ill
women obstetrics and gynecology
children or children with disabilities.
March of Dimes Tennessee Chapter 399-3200 • marchofdimes.com/tennessee
Offers support for families of premature babies and works to improve the health of all babies by preventing birth defects, premature birth and infant mortality.
Nashville Birth Network 530-6459 • nashvillebirthnetwork.org
Parent Pathway • 383-0994 • pcat.org 24-hour help line: 800-356-6767
Free support for families of newborns to 5 years, operated in conjunction with Prevent Child Abuse Tennessee.
Parents Reaching Out 646-1796 • parentsreachingout-tn.org
Support for parents enduring high-risk pregnancies or those with infants in intensive care.
Promotes awareness, prevention and treatment of maternal mental health issues related to childbearing worldwide. Provides local resource information for women with perinatal mood disorders.
VOTED
Sharon Piper, MD Nicole Schlechter, MD, PhD Donna Crowe, MD Annette Kyzer, MD Sharon Norman, MD Amanda Barrett, MD Shaun McGuinn, MD
compassionate, individualized care for women’s changing needs.
300 20th Ave N, Suite 302 Nashville, TN 37203 www.womenob.net 22 • spring/summer 2013
Tennessee Office of Vital Records • 741-1763 http://health.state.tn.us/vr
outings indoor play centers Inside Out 615 Baker's Bridge Road, Franklin 778-8733 • insideoutplaypark.com Open play hours are Mon - Fri 9 a.m. - 5 p.m., Sat 10 a.m. - 5 p.m., Sun 12 - 5 p.m. Admission for pre-walkers is $5. Monkey's Treehouse 91 Seaboard Lane, Brentwood 942-7911 • themonkeystreehouse.com Open play times are Mon - Fri 9 a.m. - 5 p.m., Sat 9 a.m. - 12 p.m. Admission is $7.
#1
PEDIATRIC DENTIST!
BY WILLIAMSON PARENT READERS
• LASER DENTISTRY • DIGITAL X-RAYS • CONSERVATIVE TREATMENT PLANS
PARENTS WELCOME BACK IN TREATMENT AREAS!
Now accepting new patients.
615.340.4655
A voluntary educational program for families with children ages birth through 2 years with disabilities or developmental delays.
Keeps and provides birth records for the state.
Free monthly meetings to promote awareness of mother-friendly maternity care.
Postpartum Support International 800-944-4773 • postpartum.net
Tennessee's Early Intervention System (TEIS) 800-852-7157 • tn.gov/education/teis
Dr. Ryan Cregger, D.D.S., M.S. Brentwood Pediatric Dentistry 615.377.3080 95 Seaboard Ln. Suite 102, Brentwood, TN 37027 BrentwoodPediatricDentistry.com
See the video on our website about lasers for kids. The Baby Guide
Shipwrecked Playhouse 99 Seaboard Lane, Franklin 866-9358 • shipwreckedplayhouse.com Hours are Mon - Fri 9:30 a.m. - 4:30 p.m., Sat 9:30 - 11:30 a.m. Admission is $7.
my-gym.com/hendersonville
music & movement
Bellevue Public Library 862-5854 library.nashville.org 650 Colice Jeanne Road Nashville
Classes listed below are for children ages 12 months and younger.
Baby Signs babysigns.com
Learn sign language with your baby. Find instructors in Davidson, Sumner, Williamson and Wilson counties at the website.
Elite Energy Gymnastics 890-6611 • eliteenergygymnastics.com
Start your infant off with a class like Tumble Tots starting at 12 months.
Gymboree Play & Music 221-9004 • gymboreeclasses.com
Stimulating developmental play and music programs for newborns and older.
Kindermusik kindermusik.com
Bring your 3-month-old (or older baby) for stretches, exercises, infant songs and dancing.
• Fri at 9:30 and 10:30 a.m.
storytimes for babies
• Mon at 10 a.m.
infant swim lessons
Brentwood Public Library • 371-0090 brentwood-tn.org/library 8109 Concord Road, Brentwood
Learn-to-Swim parent and child classes for 6 months and older are available by registering on the website.
• Third Friday of the month at 10:30 a.m.
• Sat at 10:30 a.m. (although this is an all ages storytime, it is popular among moms and babies)
Gallatin Public Library • 452-1722 gallatinlibrary.org 123 E. Main St., Gallatin • Wed at 9:45 a.m.
Let It Shine Franklin: 369-3547 Spring Hill: 931-486-0410 letitshinegym.com
Hermitage Branch Library • 880-3951 library.nashville.org 3700 James Kay Lane, Hermitage
My Buddy & Me is an age-appropriate development and movement parent/tot class for ages 18 months - 3 years old.
• Fourth Friday of each month at 10 a.m.
davidson county
Green Hills Public Library • 862-5863 library.nashville.org 3701 Benham Ave., Nashville
Mpact Gymnastics 377-3444 • mpactgymnastics.com
Williamson County Public Library 595-1244 • lib.williamson-tn.org 1314 Columbia Ave., Franklin
Bethesda Public Library • 790-1887 lib.williamson-tn.org 4905 Bethesda Road, Thompson's Station
Find music, movement and early socialization classes for newborns and older in Middle Tennessee.
Mom and child movement classes are fun for ages 12 months and older.
Smyrna Public Library • 459-4884 linebaugh.org 400 Enon Springs Road W., Smyrna
• Mon at 10:30 and 11:15 a.m., Tue at 10:30 a.m.
• Tue at 1 p.m.
Inglewood Branch Library • 862-5866 library.nashville.org 4312 Gallatin Pike, Nashville • Mon at 10:30 a.m.
American Red Cross redcross.org/tn/nashville
Bellevue YMCA 8101 Hwy. 100, Nashville 646-9622 • ymcamidtn.org
Parent/child lessons start at 6 months. Six lessons are $51 members, $82 non-members.
Donelson-Hermitage YMCA 3001 Lebanon Road, Nashville 889-2632 • ymcamidtn.org
Parent/child lessons start at 6 months. Six lessons are $56 members, $82 non-members.
Downtown YMCA 1000 Church St., Nashville 254-0631 • ymcamidtn.org
Parent/child lessons start at 6 months. Four lessons are $35 members, $62 non-members.
Green Hills Family YMCA 4041 Hillsboro Circle, Nashville 297-6529 • ymcamidtn.org
Parent/child lessons start at 6 months. Six lessons are $51 members, $82 non-members.
Gordon Jewish Community Center 801 Percy Warner Blvd., Nashville 356-7170 • nashvillejcc.org
The Music Class 777-9314 themusicclass.com/nashville
La Vergne Public Library • 793-7303 lavergnetn.gov 5063 Murfreesboro Road, La Vergne
Music Together musictogether.com
Madison Public Library • 862-5868 library.nashville.org 610 Gallatin Pike S., Nashville
Harding Place Family YMCA 411 Metroplex Drive, Nashville 834-1300 • ymcamidtn.org
Nashville Public Library • 862-5785 library.nashville.org 615 Church St., Nashville
Vanderbilt Swim School 2301 Vanderbilt Place, Nashville 343-6627 • vanderbilt.edu/studentrec/aquatics/ swim-school/
An early childhood music and movement program for ages birth - 6 years.
International research-based early childhood music and movement program. Classes in Brentwood, Franklin, Hendersonville, Hermitage, Murfreesboro and Nashville.
Music with Mommie • 478-5257 musicwithmommie.com
Starting at 5 months, your baby can enjoy high energy music and movement in Brentwood, Murfreesboro and Nashville.
My Gym Brentwood • 371-5437 my-gym.com/brentwood Hendersonville • 824-8002
• Thu at 10 a.m., September - April
• Mon at 10:30 a.m.
• Wed at 9:30 and 10:30 a.m. (no program on the first Wed of the month; none in March, June and July)
Nolensville Public Library • 776-5490 lib.williamson-tn.org 915 Oldham Drive, Nolensville
• Second Saturday each month at 9:30 a.m.
Baby Sharks is a parent/child class for ages 6 months and older; Blue Sharks are private, child-only lessons. Prices vary.
Parent/child lessons start at 6 months. Six lessons are $56 members, $82 non-members.
Parent and child lessons starting at 6 months.
rutherford county MTSU Rec Center 1848 Blue Raider Drive, Murfreesboro 898-2104 • mtsu.edu/camprec
(please turn the page)
The Baby Guide
spring/summer 2013 • 23
baby world Parent and child aquatics (PCA) are 30-minute sessions for ages 6 - 36 months and cost $50.
Infant/parent lessons start at 6 months and take place quarterly year round. Call for tuition.
Ms. Sue's Swimming 459-5124 • mssueswimming.com
Sumner County Family YMCA 102 Bluegrass Commons, Hendersonville 826-9622 • ymcamidtn.org
Outdoor Parent and Child lessons for ages 6 months 3 years take place May - August.
North Rutherford County Family YMCA 2001 Motlow College Drive, Smyrna 220-9622 • ymcamidtn.org
Parent/child swim lessons for ages 6 months and older. Six lessons are $51 members, $82 non-members.
Patterson Park Community Center 521 Mercury Blvd., Murfreesboro • 893-7439
Swim Preschool program, based on the American Red Cross Learn-to-Swim program, is available for ages 6 months and older.
Rutherford County Family YMCA 205 N. Thompson Lane, Murfreesboro 895-5995 • ymcamidtn.org
Parent/child swim lessons for ages 6 months and older. Six lessons are $51 members, $82 non-members.
sumner county Sea Star Swim School 127 Sanders Ferry Road, Hendersonville 822-8800 • swimatseastar.com
24 • spring/summer 2013
Parent/child lessons start at 6 months. Six lessons are $51 members, $82 non-members.
williamson county Brentwood Family YMCA 8207 Concord Road, Brentwood 373-9622 • ymcamidtn.org
Mommy & Me Swim classes throughout the year.
Franklin Family YMCA 501 South Royal Oaks Blvd., Franklin 591-0322 • ymcamidtn.org
Parent/child swim classes for babies 6 months and older in the indoor pool. Includes six session on Tue/ Thu from 9:30 a.m. - 10 a.m. or Sat/Sun sessions (call for times). Member rate is $51 for six sessions, $82 for non-members.
Franklin Recreation Complex 1120 Hillsboro Road, Franklin 790-5719, ext. 19 • wcparksandrec.com
Parent & Tot class on Saturdays from 10 - 10:30 a.m. Three classes for $35.
The Baby Guide
Longview Recreation Center at Spring Hill 2902 Commonwealth Drive, Spring Hill 302-0971, ext. 23 • wcparksandrec.com
Parent Parent & Tot class on Saturdays from 10 - 10:30 a.m. Four classes for $40.
Maryland Farm YMCA 5101 Maryland Way, Brentwood 373-2900 • ymcamidtn.org
Mommy & Me Classes. Six sessions on Tue, Wed, Thu for two weeks for ages 6 - 36 months or four sessions on Saturdays. Six sessions are $51 for members, $82 for non-members. Four Saturday sessions are $35 for members; $66 for non-members.
wilson county Guppies and Dolphins Swim 7204 N. Lamar Road, Mt. Juliet 416-3615 • swimclass.org
Guppies & Gold Fish (parent/child) for ages 6 months and older. Cost is $50 for eight 45-minute lessons.
Jimmy Floyd Center 511 Castle Height Ave. N., Lebanon 453-4545 • lebanontn.org
Mommy & Me classes for 6 - 24 months. Cost for eight 30-minute lessons is $50 members, $60 non-members.
middle tennessee birthing guide facility
BAPTIST HOSPITAL CHILDBIRTH CENTER
2000 Church St., Nashville 284-2229 • baptisthospital.com/childbirth
HENDERSONVILLE MEDICAL CENTER
355 New Shackle Island Road Hendersonville • 338-1000 hendersonvillemedicalcenter.com
MAURY REGIONAL MEDICAL CENTER
1224 Trotwood Ave., Columbia 931-381-1111 • mauryregional.com
MIDDLE TENNESSEE MEDICAL CENTER
1700 Medical Center Pkwy. Murfreesboro 396-4502 • mtmc.org/childbirth
NASHVILLE GENERAL HOSPITAL AT MEHARRY
1818 Albion St., Nashville 341-4000 • nashville.org/hosp/general
NORTHCREST MEDICAL CENTER
100 NorthCrest Drive, Springfield 384-2411 • northcrest.com
STONECREST MEDICAL CENTER
200 StoneCrest Blvd., Smyrna 768-2000 • stonecrestmedical.com
SUMMIT MEDICAL CENTER
5655 Frist Blvd., Hermitage 316-3000 • summitmedicalcenter.com
Births per year
7,000
700
1,500
2,900
1,250
800
1,300
1,560
Labor, Delivery and Recovery (LDR) or Labor, Delivery, Recovery and Postpartum room (LDRP)
LDR
LDRP
LDR
LDR
LDR
IV Required
doctor’s discretion
doctor’s discretion
doctor’s discretion
doctor’s discretion
doctor’s discretion
LDRP
doctor’s discretion
LDRP
doctor’s discretion
LDRP
doctor’s discretion
24-Hour In-House Anesthesia
•
on call 24/7
available 24/7
• • on call 24/7
on call 24/7
•
The Baby Guide
Certified Nurse Midwife
Certified Lactation Consultant
•
• •
• • • • •
Neonatal Intensive Care Unit (NICU) or Neonatology Services
What's New and Additional Features
Level IIIb
Advanced maternal infant center focused on familycenter care; extensive pregnancy, childbirth and breastfeeding education classes; free tours every Mon; spacious birthing rooms; high-risk pregnancy care; lactation boutique; breastfeeding support groups and consults; free e-newsletter.
Level IIa
Childbirth, breastfeeding, newborn and sibling classes; family-centered care; mother/infant couplet care; lactation support, supplies and rentals.
Level IIb
New LDRs, postpartum, NICU with lactation boutique; neonatology and nurse pracitioners in house 24/7; NICU RNs at every birth; professional photography service available.
Level IIIa
New, larger labor, delivery and postpartum rooms; new NICU and nursery; free e-newsletter; high-risk care; extensive education; free tours; flexible rooming-in; lactation boutique; "birth" day celebration; professional photography; room-service dining.
Level IIb
Family-centered care; bilingual childbirth and breastfeeding education programs; flexible rooming-in option; mother-to-mother community support.
Level IIa
Childbirth, breastfeeding and sibling classes taught by certified childbirth educators; certified lactation consultants available with boutique for supplies and pump rental.
Level IIa
Family-centered childbirth education programs; state-of-the-art LDRPs; photography; room service for patients.
Level IIIa
New AirStrip OB technology; rooming-in; 24/7 in-house neonatology and obstetric coverage; lactation boutique; L and D tours; guest tray for meals after delivery.
spring/summer 2013 • 25
baby world facility SUMNER REGIONAL MEDICAL CENTER
555 Hartsville Pike, Gallatin 328-8888 • mysumnermedical.com
UNIVERSITY MEDICAL CENTER
1411 Baddour Pkwy., Lebanon 443-2563 universitymedicalcenter.com
VANDERBILT UNIVERSITY MEDICAL CENTER 1221 22nd Ave. S., Nashville 322-5000 • mc.vanderbilt.edu
WILLIAMSON MEDICAL CENTER
4321 Carothers Pkwy., Franklin 435-6025 williamsonmedicalcenter.org
THE WOMEN’S AND CHILDREN'S HOSPITAL AT CENTENNIAL
2221 Murphy Ave., Nashville 342-1000, 342-1919 (MedLine) thewomenshospital.com
middle tennessee birthing guide Births per year
800
750
4,200
1,400
3,200
Labor, Delivery and Recovery (LDR) or Labor, Delivery, Recovery and Postpartum room (LDRP)
IV Required
LDR
doctor’s discretion
LDR
patient's choice/ doctor’s discretion
LDR
LDR
LDR
doctor’s discretion
doctor’s discretion
doctor’s discretion
24-Hour In-House Anesthesia
Certified Nurse Midwife
•
24-hour on call
•
•
•
•
Certified Lactation Consultant
•
•
•
•
•
•
Neonatal Intensive Care Unit (NICU) or Neonatology Services
Additional Features
Level IIa
Newly renovated women’s unit with new LDRs, postpartum rooms and nursery, and special care nursery. Free childbirth and breastfeeding classes taught by certified instructors.
Level IIa
Free childbirth and breastfeeding classes taught by certified instructors; roomingin or 24-hour staffed newborn nursery available; complimentary room service for parents; family-centered care.
Level IIIc
Nitrous oxide option for managing pain in labor; free tours; free CPR classes; childbirth classes include Centering Pregnancy; hydrotherapy tub during labor; breastfeeding support/lactation boutique. Newborn emergency ground and air transport services available; professional photography services available.
Level IIb
Personalized care; all staff trained in neonatal resuscitation; sibling and breastfeeding classes; certified childbirth education; flexible rooming in; 24-hour staffed newborn nursery; daily certified lactation staff available.
Level IIIb
OB/GYN ER staffed 24/7; 60-bed NICU; 24-hour OB hospitalist & neonatology coverage; family-friendly rooms and birthing options; mother/ infant couplet care; high-risk maternity care; childbirth education classes; lactation boutique; breastfeeding consults; "text4baby" education.
neonatal intensive care unit (nicu) services key: Level I: Facility provides basic care for uncomplicated maternity and neonatal patients. Level IIa: Facility provides care for uncomplicated maternal and neonatal patients, and for patients with mild obstetric and neonatal illnesses who do not require specialized services. Level IIb: Facility is capable of managing more complex maternal and neonatal abnormalities such as deliveries prior to 34 gestational weeks, care of newborns requiring umbilical vessel catheters and protracted mechanical ventilation.
26 • spring/summer 2013
Level IIIa: Can provide subspecialty care for patients with severe and compli cated neonatal disorders; has the capability to provide sustained conventional mechanical ventilation and perform minor surgeries. Level IIIb: Provide comprehensive care for extremely low birth weight infants; can provide advanced respiratory support. Of fers a full range of pediatric medi cal subspecialists. Level IIIc: Provides subspecialty care for patients with severe and complicated neonatal disorders. In addition to Level IIIb services, also of fers prompt and onsite access to a full range of pediatric medical subspecialists, advanced imaging, and pediatric surgical specialists.
The Baby Guide
Beginning We are Sumner
Of all the choices you make as a woman, none are more critical than those you make about your children. The memories of the day she was born. His first broken bone. The night in the ER with a fever of 104. These days will always be with you.
At Sumner Regional, we get it. We are boardcertified pediatricians. We are ER physicians and surgeons. We are compassionate and highlyskilled nurses. But we’re also moms and dads, grandfathers and uncles and godmothers. And at Sumner Regional Medical Center, your family is at the center of our family’s world.
MySumnerMedical.com 1-800-424-DOCS
your baby , YOUR WAY No other hospital provides our level of care, comfort, experience and unique birthing options. Learn more at BaptistHospital.com/childbirth
BaptistHospital.com/childbirth 615.284.BABY (2229)
Pub: Nashville Parent
Client: Saint Thomas Health - BAPN