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BABYGUIDE nashvilleparent.com

winter 2017

DIABETES IN PREGNANCY: WHAT IT MEANS FOR YOU & BABY PRENATAL YOGA CHILDBIRTH CLASSES BREASTFEEDING SUPPORT TRIMMING BABY NAILS

Snuggle Up!

CAR SEAT SAFETY UPDATE BABY COST SAVINGS MOMMY & ME OUTINGS

NEW ITEMS TO KEEP BABY COZY-WOZY


UGH! sitting in traffic... heADED DOWNTOWN WITH MY SICK CHILD.

why? there’s A children’s hospital

in franklin!

TURNING AROUND NOW! 4 3 2 1 c a rot h e rs pa r kway, f ra n k l i n , t n

Williamson Medical Center.org/ kids

ST9388


The area’s first Baby-Friendly® designated Hospital.

We’re proud to be the first in Middle Tennessee to earn the prestigious international recognition as a babyfriendly designated birth facility. In keeping with our focus on family during the birth experience, our lactation

N othing shall be impossible.

experts are here to offer mothers the best one-on-one breastfeeding education and support. Awarded by Baby-Friendly USA, Inc., this distinction is an implementation of the Baby-Friendly Hospital Initiative, a global program recognizing birth facilities that help mothers successfully begin and continue breastfeeding their babies. To learn about our lactation consultants and more, visit STHealth.com/babies.

ST9388_Mrr_BabyFriendly_NashParent_8.25x10.5.indd 1

9/23/16 12:53 PM


COMPANY nashvilleparent.com

NASHVILLE

615-256-2158

YOGA l WELLNESS l EDUCATION

Welcoming Community of Support for Pregnant & New Moms

PUBLISHER Stewart Day, ext. 130 stewart@daycommedia.com EDITOR-IN-CHIEF Susan Swindell Day, ext. 110 susan@daycommedia.com MANAGING EDITOR Chad Young, ext. 115 chad@daycommedia.com ASSOCIATE EDITOR Kiera Ashford, ext. 114 kiera@daycommedia.com

PRENATAL YOGA • BYOBaby Mommy + Me YOGA

ART DIRECTION Ashford, Day & Young

Babywearing-Friendly BARRE • Childbirth Classes Pre+Postnatal Massage

PRODUCTION DIRECTOR Tim Henard, ext. 120 timhenard@daycommedia.com

TRY OUR $5 NEW-MAMA GROUPS! Visit www.BloomaNashville.com/BabyGuide for details! 4107 CHARLOTTE AVENUE, NASHVILLE TENNESSEE 37209 | 615.797.8064

ADVERTISING, EXT. 130 Teresa Birdsong, Amy Carter, Ben Haag, Kyndall Maxey, Larry Prescott, Loni Wilhelms OFFICE MANAGER Kenedy Egan, ext. 100 DISTRIBUTION MANAGER Tom Guardino, ext. 104 LIKE US ON FACEBOOK at facebook.com/ nashvilleparentmag

The American Academy of Pediatric Dentistry recommends your child see a Pediatric Dentist six months after that first tooth. ■

Providing comprehensive dental care for children and teens, including those with special needs Great kid friendly office and caring staff Accepts most insurance/Tenncare Provider

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4 • winter 2017

19

FOLLOW ON TWITTER @parentmag PIN WITH US pinterest.com/ nashvilleparent

YEARS 1998-2016 Voted Best Pediatric Dentist by readers of Nashville Parent and Sumner Parent!

Kurt R. Swauger, D.D.S. Emily Suiter, D.D.S Sacha Walters, D.D.S. Members American Academy of Pediatric Dentistry, Diplomates of the American Board of Pediatric Dentistry Proud members of “The Summit Institute” group of dental professionals

Find us on Facebook

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Favorite Nashville Parent’s

DOCs

The BABY GUIDE is published by Day Communications, Inc. Editorial and business offices are located at 2200 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 GUIDE cannot be held responsible for opinions expressed or facts supplied by its authors. The BABY GUIDE is copyright © 2016 by Day Communications, Inc. All rights reserved. Reproduction without written permission is prohibited.


BABYGUIDE winter 2017

Discover Local Parent Directories Online at

NASHVILLEPARENT.COM

CONTENTS 7

BABY BITS Ways to save on the costs of a baby; what to do if a friend has post-partum depression; infant trimming & more.

10

SNUGGLE UP Cuddly wuddly swaddle items plus other new products for your little one's comfort and care.

13

GESTATIONAL DIABETES IN PREGNANCY Much has been learned about gestational diabetes and its possible effects on newborns and their mothers.

16

GRIEF OF MISCARRIAGE There's no silver lining after the loss of a baby, but for one mom, time revealed one.

19

BABY WORLD

Middle Tennessee Birthing Guide; childbirth classes; new parent services; prenatal yoga; infant swim classes; mommy-and-me outings; car seat safety; 3D/4D imaging; placenta encapsulation.

The Baby Guide

winter 2017 • 5


You wouldn’t trust your little ones to just anyone.

VOTED #1 PEDIATRIC DENTIST FIVE YEARS IN A ROW BY WILLIAMSON PARENT READERS

Dr. Ryan Cregger, D.D.S., M.S.D. Dr. Daniel Holsinger, D.D.S., M.D.S. Brentwood Pediatric Dentistry

615.377.3080

Neither would we.

95 Seaboard Ln. Suite 102 Brentwood, TN 37027 BrentwoodPediatricDentistry.com

Nolensville Pediatric Dental

615.283.7397

Whether full-time, part-time or just occasionally, our caregivers provide the finest possible care for your precious family. We are Middle Tennessee’s most trusted childcare source.

7146 Nolensville Rd., Ste. 101 Nolensville, TN 37135 NolensvillePediatricDentistry.com

• LASER DENTISTRY • DIGITAL X-RAYS • CONSERVATIVE TREATMENT PLANS

FamilyCareConnection.net - 615-371-0600

PARENTS WELCOME BACK IN TREATMENT AREAS!

the MAGIC of

We Have

Favorite Things!

The toy store for kids of all ages!

5207 Harding Pike, Nashville HOURS: 9-5:30, Monday thru Saturday After Thanksgiving 9-9, Sunday 12-5:30

615-352-5363 www.phillipstoymart.com

Voted #1 Toy Store 22 Years in a Row!

OUR 70TH YEAR! LIKE US ON FACEBOOK

6 • winter 2017

Baby's

The Baby Guide

$10 OFF Any purchase of $50 or more

May not be combined with any other offers. Expires 3/31/17

FOR MONTHLY GIVEAWAYS!

Infant Plush • Manhattan Toys • Jack-In-The-Boxes • Plan Toys

Whoozit • Brio • Activity Gyms & Mats • Bunnies by the Bay

Baby Gund • Melissa & Doug • Haba • Lamaze • Zubels • Infant Books • Tomy • First Baby Dolls • Hape


BABYBITS

BY SUSAN DAY

Cut Down on Baby Cost$ If everybody waited to have a baby until they were rich, there'd never be babies at all! Here are easy, effective ways to bring a little love into your life without destroying your income. 1. BORROW & CONSIGN

From maternity clothes to baby clothes and gear, you'll save yourself a bundle if you reach out and say, "Yes!" rather than springing for brand-new items. Check Craigslist and local consignment shops, and head to consignment sales in spring and fall found on kidsconsignmentsales. com. Although you WANT certain items for your baby, ask yourself do you really NEED those items? Base purchases only on need. A new crib can run you anywhere from $100 - $850 ... but do you really need the Cadillac of cribs?

2. BABY DELIVERY

The "average" cost of a vaginal delivery falls between $9,000 and $17,000, according to costcutter.com. If you have to have a C-section, your costs can inflate to $14,000 - $25,000. A good argument NOT to do an elective C-section.

3. BREASTFEED & PUMP

Formula can drain a budget, so DO try to breastfeed.

SAVING ON BABY BLOGS babycheapskate.com babylist.com babiesonline.com babycenter.com babysavers.com babybargains.com weespring.com

4. INVEST IN CONVERTIBLE GEAR

Items like car seat strollers or cribs that convert for a larger child are priceless.

5. NO CHANGING TABLE NEEDED

Really, you can change your baby anywhere. On your bed, on a carpet, on a mat on the floor.

6. EAT IN Eating out & ordering in's expensive! 7. ONLINE SHOPPING TIP

Great tip: go online, find what you want and put it in the shopping cart. Now go away. Boom: you are instantly deluged with cheaper ads for that same product courtesy of your collected data. Try it. You're welcome.

8. BUY GENERIC

Do labels really make a difference? Not when you're trying to save money!

9. USE CLOTH DIAPERS

Save, save, save. Go here for local support: differentdiapers.com

10. INVEST IN QUALITY DISPOSABLES

Cheap disposable diapers don't work well when blowouts happen or you need to make a diaper last!

11. COUPON

There are so many great ways to save (and there are blogs about saving, too). Now's the time to get super savvy.

12. LET FAMILY MEMBERS BABYSIT

You should still compensate somehow, though.

13. MAKE YOUR OWN BABY FOOD

This even provides you the freedom to introduce different foods as you want to.

14. GO EASY ON BABY CLOTHES

Don't buy lots of newborn clothes far in advance as babies have sudden growth spurts.

15. CONSIDER CHILDCARE

This is a big-cost item if you need fulltime care for your baby ... but do you? Perhaps you can discuss a part-time option with your employer or splitting time at the office with working from home. The most affordable child-care is a group home-care situation or care provided by a relative in her home. Source: Baby Bargains; money.cnn; children.costhelper.com.

The Baby Guide

winter 2017 • 7


BABYBITS Is it Post-partum Depression?

If it Happens to a Friend

P

ost-partum depression (PPD) is the number one complication for women who have just had a baby, according to the March of Dimes. PPD can include any number of symptoms: obsessive-compulsive behavior, depression, anxiety or anger. If you have a friend who is struggling after having a baby, there are ways you can help:

It's

so hard to know how you're REALLY doing sometimes after Baby's arrival. There's the "normal" baby blues and then there's post-partum depression (PPD). Baby blues are caused by the drop in hormones you experience once the baby has been delivered. PPD is baby blues intensified, marked by extreme sadness, impatience and irritability. Sometimes new moms don't want anyone to know what they're experiencing because they want desperately to be "normal." The Monroe Carell Jr. Children's Hospital has an online Post-partum Depression Risk Assessment calculator online at healthlibrary.childrenshospitalvanderbilt.org/conditions/pregnancy/ tools.

Trimming Baby's Nails - Easy Does It!

Your little one has little control over his motor skills, so he can easily scratch himself if his nails are too long. Follow these easy nail-trimming tips:

THE GIFT OF A NAP Offer to babysit so that she can take a nap. Sleep eases symptoms of PPD, and what sleep-deprived mom wouldn't love a nap?

• Use an emory board on newborn nails since they're so soft • Trim while the baby's sleeping • Press the finger pad away from Baby's nail to avoid skin contact • Cut fingernails along curve of finger. • If you happen to nick your baby's skin, it's OK, it happens. Rinse under cool water and apply pressure with a tissue. Don't use an adhesive bandage since it's a choking hazard.

Learn to Wear Your Baby Babywearing is surging in Middle Tennesse! If you're interested in learning how to wear your baby, and you want to explore different carriers while learning to

8 • winter 2017

BRING COFFEE; DITCH JUDGEMENT Listen to what she's feeling and experiencing. Don’t dismiss or try to solve her problems, but listen and let her feel heard. Do not try to fix it. If she says something that truly concerns you, encourage her to reach out to a professional. HOOK HER UP Identify support for your friend. It is empowering to have the support of new moms with babies the same age as hers, who provide a community. There is a normalizing power to realizing other moms are going through the same challenges as well. HELP HER REACH OUT If your friend would like more support, have her contact: POST-PARTUM SUPPORT INTERNATIONAL (PPSI) 1-800-944-4773

use them before you buy,

This number is staffed by trained volunteers who quickly return messages left on their confidential voicemail. They can help with support, information and resources. PPSI also has info on area coordinators who can give resource suggestions locally.

head to a local meeting! Babywearing International of Middle Tennessee holds meetings regularly. Follow them on Facebook (@nashvillebabywearers) and check out the website at bwmi.blogspot.com.

The Baby Guide

Ja Jo Tif

N

29

61


WE THINK EVERY

TOOFI E IS JUST AS SPECIAL

AS EVERY PATIENT!

Healthy Smiles Start at a Very Young Age • The American Academy of Pediatric Dentistry

recommends all children start seeing the dentist beginning at the eruption of their first tooth.

• Bring your infant in to see Dr. Jack Mallette

615.494.5437

www.ChildrensDentistryofMurfreesboro.com

24 9 CASON LANE

AGRIPARK DR. WS

DR.

OLD FORT PKWY

NDR E

2910 Old Fort Pkwy., Murfreesboro

P ST. A

Now in our NEW LOCATION!

GRESHAM LA

Joseph A. Faiz, D.D.S. Jack D. Mallette, D.D.S. Tiffany R. McClaran, D.D.S., M.D.S.

NE

and Dr. Joe Faiz to help create a healthy smile that will last a lifetime.


WE WANT! ITEMS FOR YOU & BABY

A good night's sleep for you? HA! But your baby may as well be comfy! Here are new products to help you cuddle, comfort and care for your wee one.

BY KIERA ASHFORD

cuddle ... Finn + Emma Muslin Blankets finnandemma.com | $45 set of two These organic cotton muslin swaddles are made with non-toxic, eco-friendly dyes. A loose weave keeps Baby from overheating and the large size (47-by-47-inches) provides plenty of fabric for easy swaddling. The durable fabric can later be used in other ways, too. Available in Peacoat Navy with robot heads and Rose Red with triangles.

10 • winter 2017

SOZO Swaddle Blanket & Cap Set sozousa.com | $25 This 40-by-40-inch, super soft swaddle blanket pairs nicely with an accompanying cap to keep Baby warm. It's great to use as a regular blanket, too. Available in a variety of animals.

The Baby Guide

Specialty shops in Middle Tennessee carry a wide range of items for you and Baby. Visit us at nashvilleparent.com to find our list of local shops.


comfort ... Summer Infant SwaddleMe 1st Year Safe Sleep Gift Set

VTech Safe & Sound Full Color Video Monitor

summerinfant.com | $59.99 This set (available in grey, pink and blue) includes four different items to swaddle baby in various stages of his growth. The Pod and Original Swaddle recreate your womb and prevents the startle reflex during the first three months of life. The WrapSack is perfect for the swaddle-to-blanket transition, and the Wiggle is actually a wearable blanket baby wears for sleep time.

JustBorn Sparkle Collection's Mint Wear-A-Blanket justbornforbaby.com $16.99 Babies (ages 0 - 3 months) can keep warm and snug with the built-in mesh air vents for temperature control. The lightweight wearable blanket has a convenient bottom-up zipper for ease of nighttime diaper changes. Add a long-sleeve onesie underneath.

Ollie Swaddle theollieworld.com | $59 Here's a swaddle that's super stretchy with Velcro fasteners. Moisture-wicking fabric reduces overheating, and the opening at the bottom makes diaper changes easy. It's one size fits all and comes in four different colors — nest, sky, lavender and stone.

care ...

LulyBoo Baby Lounge Lights & Music lulyboo.com | $54.99 - $74.99 Baby (up to 15 pounds, or until he can push up or roll over on his own) will sleep comfortably in this portable lounger featuring a three-position canopy, removable toys, music box and rotating color light show. It folds up easily and can be carried like a backpack.

vtechphones.com | $149 This cute bear keeps a close eye on your little one when he's sleeping or playing. See what's happening in his room on the 4.3-inch LCD screen, and use the two-way, talk-back feature to calm him when necessary. It also has a temperature sensor, soothing sounds and lullabies, multiple viewing options (if you have more than one monitor) and automatic infrared night vision.

Pebbles Green Octopus Rattle

Withings Thermo

kahiniwalla.com | $15.95

withings.com | $99.95

Hand crocheted, this cute octopus has a rattle in it's head that provides a soft sound for your baby. The legs are easy for Baby to grab, and the fabric makes it a great teething toy, too.

Take your little one's temperature while he's sound asleep with this new Wi-Fi connected temporal thermomenter. Download the free app and keep up with each individual reading, too. You'll love seeing the time temps were taken and the notes feature where you can include medication doses at time invertals. Set it up to keep track of multiple kids' temperatures all at once. When you take a reading, use the touch screen on the thermometer itself to select the child. Easy!

RaZbaby JollyPop Newborn Pacifier jollypop.com | $1.99 The curve of this pacifier will fit Baby's face, and the textured nipple (helps prevent nipple confusion) is a comfort. Available in a variety of colors, and it comes in your choice of unscented or vanilla scented. A loop handle makes an easy grip, and it's handy for attaching a pacifier clip.

The Baby Guide

Momsense Smart Breastfeeding Meter mymomsense.com $89.99 Download the Momsense app, put on the earphones and place the microphone-embedded sensor below Baby’s ear to listen to him nurse! The sensor measures his breast milk intake, and you'll get a detailed report at the end of your baby’s meal. You'll both sleep easier when you know he has a full belly.

winter 2017 • 11


Dentistry for Young People & Those With Special Needs Infants, toddlers, preschool and school age programs. Now offering Kindergarten classes for 3, 4 & 5 year olds

Timothy E. McNutt Sr., D.D.S.

ENROLLING NOW! Call today for your personal tour.

830 Kirkwood Ave. 615-810-9970 growacademynashville.com

Everything for the

mother-to-be

Serving the Green Hills area for over 20 years

615-383-0171

mcnuttdentistry.com 3817 Bedford Ave., Ste. 120 Bedford Commons One Nashville, TN 37215

Sumner Regional Medical Center offers expectant families FREE childbirth education courses so you’ll be prepared for all of the big and little milestones coming your way! Learn more or register to join us for a free childbirth or breastfeeding class, or register for an outpatient breastfeeding consultation by calling 1-800-424-DOCS.

and your baby!

1113 Murfreesboro Rd., #370 FRANKLIN 615-595-5565

USABABYFRANKLIN.COM

MySumnerMedical.com

Do you need a Nanny? Providing Families with their ideal:

Nanny/Manny Housekeeper Personal Assistant Chef

Chauffer House/Estate Mgr. Home/Personal Security

We Hold the Key to Your House Staffing Needs... We offer many unique services, unlike other agencies, including we are available 24/7!

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(615) 521-0123 12 • winter 2017

His fever doesn’t care it’s Saturday

We can help with our extended hours during the week and on Saturdays. Visit our website for details.

615.661.4256

BrentwoodPediatrics.com

5111 Maryland Way, Suite 301 | Brentwood, TN The Baby Guide


WHAT IT MEANS WHEN YOU HAVE

GESTATIONAL DIABETES BY KIERA ASHFORD

M

A gestational diabetes diagnosis is alarming to any soon-to-be mom. Here's what you should know about it and how it affects Baby during and after delivery.

ost women glide through pregnancy without any trouble bigger than morning sickness, but solid prenatal care is important because symptomless health issues can occasionally arise that can be managed with detection and treatment. One of these issues is gestational diabetes mellitus (GDM). This occurs when a pregnancy hormone interferes with the body's ability to use insulin, the hormone that turns blood sugar into energy resulting in high blood sugar levels. Each year, up to 4 percent of women develop the serious illness, with a small number of them experiencing extreme hunger, thirst and fatigue. Amanda Flatt was one of them. "My thoughts about being pregnant were that I could pretty much eat anything I wanted and that no one would say or do anything because I was pregnant," recalls the Murfreesboro mom of three. She experienced GDM three times. "I had never heard of gestational diabetes, Flatt says. "I was shocked and worried about

how to handle it. I was also concerned about the severe craving I was having and not being able to eat what I wanted, " she recalls.

HOW GDM HAPPENS "GDM occurs when a hormone produced by the placenta called 'human placental lactogen' causes the cell membrane to become resistant to insulin," says Kelly G. Williams, M.D., an OB/GYN at Murfreesboro Medical Clinic and an affiliate with Saint Thomas Rutherford Hospital. "The hormone is produced by the placenta at approximately 24 - 25 weeks. In order to identify the disease, we administer the glucose test in the middle of the second trimester of pregnancy (26 - 28 weeks)," he adds. Sarah Osmundson, M.D., assistant professor of Obstetrics and Gynecology at Vanderbilt University Medical Center, says a GDM diagnosis means the expectant mother develops abnormally high blood sugar levels either from fasting or in response to food.

"Some women are diagnosed with GDM earlier in pregnancy because they have risk factors that make them prone to it (obesity, advanced age, strong family history, etc.)," she says. At 25 weeks of pregnancy, Flatt went to the emergency room. "I felt like something was wrong, and I didn't feel right," she says. "It was late in the evening when they checked my sugar; it was in the 400s (I hadn't eaten all day). I spent three weeks in the hospital trying to get it under control and find a balance with insulin and diet. Because of my history, they checked me early with my other two pregnancies and I was positive for both." she adds. Williams says pregnant women shouldn't blame themselves if they get GDM. "There is little if nothing that can be done to prevent it," she says. "It's related to a placental hormone. You cannot cause gestational diabetes. Too many people think the reason they get it is because they did something wrong and that's not accurate," he adds. (please turn the page)

The Baby Guide

winter 2017 • 13


WHAT IT MEANS FOR BABY WHEN YOU HAVE

GESTATIONAL DIABETES TREATING GDM It's important to keep GDM under control through a combination of a healthy diet, oral medication or insulin shots. The severity of your diagnosis determines which route your doctor will want you to take. "The best thing that can be done to help is to tightly control blood sugars with diet, exercise and medication if needed," says Osmundson. "I had to be put on pretty high doses of insulin for my first and third pregnancies," recalls Flatt. "But with my second pregnancy, I was able to eat healthily and exercise to keep the levels down on my own." If you're lucky enough to simply modify your diet, know that it's tricky in the beginning to understand how to count the carbohydrates (sugars) in food, but once you get the hang of it, planning daily meals and snacks gets easier. "I was scared that it would be hard, but it really wasn't," Flatt says. "I worked with amazing dieticians and was able to learn great healthy alternatives. I don't remember craving something I couldn't have; I had to learn a balance with diet and exercising," she adds.

WHAT ABOUT THE BABY? While GDM places restrictions on Mom's diet, other things affect the baby including a higher birth weight, possible complications during delivery and more. "High blood sugars during pregnancy can make the fetus grow too big (macrosomia)," says Osmundson. Ultrasounds will determine whether Baby can be delivered vaginally or if a C-section will be necessary. This may or may not be related to when the GDM diagnosis comes in pregnancy. "The problem with diagnosing GDM late in pregnancy is that it allows the fetus to be exposed to high glucose levels for a longer period of time," says Williams. Not only does it cause Baby to grow larger, but the increase in glucose also causes the fetus to compensate by increasing insulin production. "This increased insulin production causes problems after delivery," he says.

14 • winter 2017

Large babies pose problems in vaginal deliveries. "Large babies of diabetic moms may be too big to fit through the birth canal, says Osmundson. "In rare situations, the baby's shoulder can get stuck leading to birth injury. There's also some concern that babies of moms with GDM may be at a higher risk for type 2 diabetes and obesity during their lifetime," she adds.

"I had to be put on pretty high doses of insulin for my first and third pregnancies, but with my second pregnancy, I was able to eat healthily and exercise to keep the levels down on my own." — Amanda Flatt "Diabetic babies are often larger in the chest and shoulders, which can lead to complications in labor such as failure to dilate or possible shoulder dystocia in delivery where the shoulder becomes impacted behind the pubic bone," Williams says. "I didn't have any complications with my deliveries," says Flatt. "My first was born vaginally, the second and third were born via C-section for fear of their sizes," Flatt adds. After delivery, moms and doctors are watchful of other things. "These babies may have low blood sugars at birth or problems breaking down bilirubin requiring a prolonged stay in the hospital,"

The Baby Guide

says Osmundson. "In utero, the baby was in a 'glucose bath,' so when some newborns produce their own glucose, there's too much insulin production and low blood sugar is developed as the glucose is brought into the cells," adds Williams. "These babies often end up with admission to the NICU for blood sugar regulation." Out of her three babies, only Flatt's third, Miranda, had post-birth complications due to GDM. "She had a lot of insulin in her body because of the crazy amounts of insulin I had to take during my pregnancy. Her sugar kept getting too low. I really wanted to nurse her, but I didn't have enough sugar in my breast milk," Flatt recalls. As a result of Miranda's low sugar level, she was given formula instead of breast milk in order to elevate her blood sugar. "She drastically improved with formula, and we were able to avoid the NICU," Flatt says. "Because of that, I had to supplement her with formula in between nursings so her sugar would stay level." Having GDM doesn't necessarily mean having a large baby is automatic. "All three of my children were born at healthy birth weights," says Flatt. "My oldest, Mackenzie (now 10), was 7 pounds 13 ounces; Carter (now 8) was 8 pounds 10 ounces, but I was on the diet-controlled treatment with him; and Miranda (now 1) was 7 pounds 7 ounces," she adds. "Perfect."

POWER OF POSITIVITY If you receive a GDM diagnosis, the most important thing you can do is to keep your chin up, doctors say. "Developing GDM is difficult and frustrating for the mother since she feels like she has done something wrong to hurt her baby," says Williams. "But this is all a part of nature. With modern medicine, we are fortunate to have access to strategies and medications that can help prevent complications." So don't let GDM ruin your pregnancy. Work closely with your doctor to control your blood sugar and together you can make your pregnancy — and the birth of your precious, healthy baby — the special time it is meant to be. J Kiera Ashford is associate editor for this publication and the mother of three children, ages 10, 6 and 1 month. She was diagnosed with GDM at 33 weeks with her third.


CARING FOR YOU AND

YOUR LITTLE BUNDLE OF JOY A healthy mother and child is always the No. 1 priority at Saint Thomas Midtown Hospital, Saint Thomas Rutherford Hospital and Saint Thomas River Park Hospital. Every birth is special, and we strive to create a personalized experience for each woman. We offer a variety of choices for comfort and pain control, allowing women to make a birth plan that is right for them. Saint Thomas Women’s Care also offers a variety of childbirth classes to help you prepare for the birth of your baby. To view a list of all of our offerings, or to sign up for a class, please visit www.STHealth.com/Classes.

www.STHealth.com/Babies


Gift of Loss A Silver Lining Presents Itself After Acute Grief BY JUDY M. MILLER

16 • winter 2017

The Baby Guide


M

Mom used to remind me that every cloud has a silver lining. Yes, I heard her. However, her words lodged somewhere in my subconscious, along with the many, many other colloquialisms and Yiddish expressions she so lovingly imparted to me. ________ I knew before I was told. A woman always knows; this innate knowledge is part of who she is. My worst fears were confirmed on a Friday, with an exclamation point. I lay on the exam table, expectant, yet apprehensive as the technician prepped me for the ultrasound. Cool jelly was smeared onto my skin, warming to my own body heat as she moved the wand over my abdomen. My breathing quieted as I waited to hear confirmation. "There's no heartbeat." A black chasm exploded open, and my dreams went rocketing into the bottomless void. Herculean denial raged forth. Hyperventilating and shaking, I fought back to calm myself, to slow my breathing, to challenge what I thought I had imagined. I told myself she was mistaken or inept, perhaps just freshly certified. I corrected the technician with fury, "There is a heartbeat! You just need to look around!" "I'm going to get your doctor. Why don't you sit up?" My fear grew into torrential panic as the door closed solidly behind her happy pink scrubs and silent white shoes. Pink and white; my baby girl ... My husband held my hand. Silent tears rolled down my cheeks and dripped onto the pale blue paper covering the exam table. His large warm

hand softly rubbed my back. I looked at him with difficulty. Hazel eyes held my brown ones, pleading with me to remain calm and present, patient for an explanation. Concern etched in his forehead. We were still. Baby-blue walls held watercolors of smiling mothers with soft, delicious smelling newborns, mocking and closing in on me. I unquenchably ached to again experience the awe and magic of a newborn, to nurture another child, to add to my small family; it seemed my son had become a 4-year-old all too quickly. There was a knock on the door. My doctor entered, followed by a nurse. I had been forced to open my soul to this man in order to find some help in conceiving again. I had struggled to trust him. His gentle eyes and quiet voice registered worry. "Let's have a look." I lay back down on the tear-dampened exam-papered surface. He recoated my abdomen with ultrasound jelly. Its coolness reminded me that what was happening was real, not something I could escape. "You took a pregnancy test?" "I did; several. They were all positive." I willed myself into believing that my doctor would find what the technician had missed. He moved the wand over my abdomen slowly, pausing every now and then. "I believe you," he said, pulling the stirrups out. He went on, "I want to do a quick exam." He was exceedingly gentle as he palpated my abdomen. I winced as he went over to the left side. "You're tender," he commented. "Any pain, vomiting or bleeding?" I shook my head. What was he thinking? My doctor turned to the nurse, "Draw a beta. Stat." Well, I knew what "stat" meant. Stat meant "immediately," as soon as the lab could

turn the result around. Why did he want the result as soon as possible? The chasm reappeared, opening wider, beckoning. I fought the pull of falling, fainting. I began sobbing and shaking. "Talk to me," my doctor said, as he came over to my side and stood next to my husband. He reached down and took my hand, pulling me into a sitting position. I began slowly, barely getting the words out between hiccupping sobs. I grew calmer as I shared the joy of discovering I was pregnant, how I had felt at peace, grounded by the life that grew inside of me. Then I told my doctor something I had never said, not even to my husband, out of fear it would come true: how I had felt a change in my body several days prior. I had sensed a lack of progression, but ignored it, chalking it up to fear related to all of what I had been through to get pregnant; batteries of tests, fertility drugs, invasive procedures. "Do you think I'm crazy?" "No. I always listen to women. They know things I can't. Let's wait for the test." "What do you think?" I asked quietly. He still held my hand and he continued to watch me as he spoke, "I think you might have an ectopic pregnancy." He went on to explain that he suspected the baby was lodged in my fallopian tube. He would need to surgically remove the fetus. My husband and I wanted to go home, to spend time to come to terms with the news and to hold our son. That was not to be. I was immediately prepped for surgery because I was at critical risk for hemorrhaging. The IV went in on the fifth try. I drifted off, with my husband by my side fighting back his tears and the anxious expression on my physician's face. I drifted in and out of sedation for hours after surgery. Each time understanding dawned about my lost child, I quickly retreated back into the

The Baby Guide

blanketing deep. I wanted to stay there. It was my husband's voice that eventually pulled me to the surface and kept me there, "Babe, wake up. I need you. We need you." Finally alert, I opened my eyes and looked at the man I had vowed to love through anything and everything. He looked spent. My sorrow for him piled up on top of the baby-loss grief that threatened to suffocate me. I felt as though I had committed the worst imaginable act because I had lost our baby. I had let him down. Us down. I apologized to him. He smiled tenderly. Kissing me, he said, "I have you. I thought I was going to lose you." "But, the baby ..." "We'll have another child. How can we not?" ________ I sometimes reflect on the loss of our baby and the acute grief I experienced. Years later there is no remaining anger, only fleeting sadness and the occasional pain of loss, and of not raising and knowing this child, particularly around her due date. The passing years have provided wisdom and perspective. I am humbled by the knowledge that there was a bigger plan. My baby was a very special cloud and her loss was one of the greatest silver linings, ushering forth three extraordinary sacred gifts over the next five years: three more children, through adoption. Judy M. Miller savors time with her four kids. She is a Certified Gottman Educator and the author of What To Expect From Your Adopted Tween; Writing to Heal Adoption Grief: Making Connections & Moving Forward, and For Family and Friends -- a guide full of advice, suggestions and honest dialogue about how to best support families on their adoption and foster journeys.

winter 2017 • 17


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BABYWORLD

Local info to help with your baby days! 2o

Prenatal Services

3D/4D ultrasounds group prenatal care prenatal yoga classes

20

New Parent Services

breastfeeding childbirth newborn services childbirth classes choosing child care parent groups miscellaneous

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Baby Safety health & safety infant swim classes

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Fun with Baby music & movement storytimes for babies

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Middle Tennessee Birthing Guide local hospitals' special features & more

The Baby Guide

winter 2017 • 19


BABYWORLD prenatal services 3D/4D ultrasounds Focused Imaging 2200 21st Ave. S., Ste. 301, Nashville 615-383-0090 • focused4dimaging.com Nashville 4D Baby 211 Louise Ave., Ste. B, Nashville 615-200-6001 • nashville4dbaby.com Stork Vision Nashville 5050 Thoroughbred Lane, Ste. D, Brentwood 615-370-4000 • storkvision.com O Baby! 855 W. College St., Ste. R, Murfreesboro 615-541-9611 • obaby4d.com Over the Womb 165 Indian Lake Blvd., Ste. 110, Hendersonville 615-828-2821 • overthewombstudios.com Vanderbilt Center for Women's Imaging 3319 West End Ave., Nashville 615-343-3100 719 Thompson Lane, Ste. 25300, Nashville 615-936-3100 vanderbilthealth.com/womensimaging

group prenatal care Expect With Me at Vanderbilt Centers for Women's Health 719 Thompson Lane, Ste. 27100, Nashville 615-343-5700 522 Northcrest Drive, Springfield 615-382-2619 expectwithme.org Prenatal care in a group setting features 10 twohour sessions. Each installment includes a physical assessment, evaluation of Mom and Baby's vitals, and a group education, skills-building and discussion session. The program includes a Web portal with social networking features so participants can connect with each other. Expect With Me replaces traditional, individual prenatal appointments and is billed the same way by insurance.

prenatal yoga classes 12 South Yoga 2814 12th Ave. S., Nashville 615-385-3600 • 12southyoga.com Blooma Nashville Yoga 4107 Charlotte Ave., Nashville 615-797-8064 • bloomanashville.com Half Moon Yoga 101 International Drive, Ste. 105, Franklin 615-496-2310 • halfmoonyoga.net Hot Yoga 807 Main St., Nashville 615-678-8079 • hotyogaeastnashville.com

20 • winter 2017

Kundalini Rising Yoga/Bethany Joy Yoga 1218 Wedgewood Ave., Nashville 615-772-3528 • bethanyjoy.net Music City Doulas Prenatal In-Home Yoga 615-208-4111 • musiccitydoulas.com Sanctuary for Yoga 2002 Richard Jones Road, Ste. C-102, Nashville 615-297-8797 • sanctuaryforyoga.com

new parent services breastfeeding, childbirth & newborn services A Mother’s Place 615-342-5650 • tristarcentennial.com Breast-feeding products and support services through TriStar Centennial Hospital. Open Mon - Fri 8:30 a.m. - 4:30 p.m. A Sacred Delivery Birth Services 615-944-0456 • asacreddelivery.com Birth and post-partum doula services, childbirth education, birth photography and placenta encapsulation. American College of Nurse-Midwives midwife.org Locate local nurse-midwives and find information on midwifery. Baby + Co. 3212 West End Ave., Ste. 100, Nashville 615-647-8220 • babyandcompany.com A unique boutique birthing center staffed by certified nurse midwives, nurses, educators and managers intended for healthy low-risk women. Childbirth education and preparation from pregnancy through delivery. Blessed Beginnings Birth Doula Services of Middle Tennessee 615-974-1677 • blessedbeginningstn.weebly.com Doula services, labor support, breast-feeding assistance and more. Available at hospitals, birthing centers and homes. Blissful Birthing TN 859-533-4667 • blissfulbirthingtn.com Doula services and childbirth information sessions. Champ's Corner Store at Monroe Carell Jr. Children's Hospital at Vanderbilt 2200 Children's Way, Ste. 2125, Nashville 615-936-1869 Medela hospital-grade pumps are available for weekly or monthly rentals. Mon - Fri 10 a.m. - 4:30 p.m. Cloth Diapering 101 at USA Baby & Kids 1113 Murfreesboro Road, Ste. 370, Franklin 615-595-6656 • usababyfranklin.com Learn the basics of cloth diapering, along with products and techniques during this free class taking place on the second Saturday every month at 10:30 a.m. Good Births 615-969-9328 • goodbirths.com Pre-conception and early pregnancy education, doula support and Lamaze. International Cesarean Awareness Network 800-686-4226 • ican-online.org Information and support for women having C-sections and vaginal births after cesareans (VBAC).

The Baby Guide

trending:

PLACENTA ENCAPSULATION

I

t's a controversial and centuries-old practice in Chinese medicine that's gaining a bit of traction in the United States — new mothers ingesting their placenta in the days following their baby's birth. Most often, the practice is done via encapsulation, whereby the placenta is steamed, dehydrated, ground and placed into capsules for easy swallowing, although some women prefer cooking their placenta into food (see YouTube for videos). While little scientific research is available on the benefits of placenta encapsulation, some customs claim advantages like: • Increased release of oxytocin, which helps the uterus return to normal & encourages bonding with Baby • Increase in the stress-reducing hormone CRH • Decrease in post-partum depression levels • Restoration of iron levels in the blood • Increase in milk production While there is little research opposing the practice, if you're considering placenta encapsulation, be sure to research the technique by your chosen facility/provider to ensure the placenta is handled properly. A few local organizations offer placenta encapsulation, including A Sacred Birth Service, Music City Doulas and Nashville Birth & Babies (each are listed under New Parent Services in this directory).

Source: American Pregnancy Association


International Childbirth Education Association 800-624-4934 • icea.org Referral for area childbirth educators, doulas, prenatal fitness instructors and post-natal educators. La Leche League Hendersonville • 615-714-9224 or 615-745-1282 Hermitage/Wilson • 615-883-6823 or 615-7459018 Nashville • 615-353-9596, 615-746-5956 or 615944-3317 Portland • 615-745-1282 or 251-751-7256 Rutherford • 615-995-4754 Spring Hill/Thompson's Station • 901-568-9202 Williamson • 615-579-8019 or 931-308-9817 llli.org Support and information for breast-feeding mothers. McDoula 615-243-4830 • mcdoula.com Prenatal and labor support and Christian-centered childbirth education. Music City Doulas 615-208-4111 • musiccitydoulas.com This full-service doula agency's services include birth/ parenting classes, breastfeeding support, post-partum doulas, sleep training, placenta encapsulation, labor support, private pre- and post-natal yoga and belly binding. Nashville Birth and Babies 855-905-2229 • nashvillebirthandbabies.com Hypnobabies childbirth education, certified birth doulas, breast-feeding education, lactation consultants, post-partum doulas and placenta encapsulation.

Nashville Birth Network 859-533-4667 • nashvillebirthnetwork.org The Tennessee chapter of Birth Network National offers free meetings throughout the year to promote awareness of mother-friendly maternity care.

education, encouragement and support through the Rutherford County Department of Health.

Nashville Breastfeeding Coalition (NBC) nashvillebreastfeeding.org NBC's goals are to educate women about breastfeeding prior to delivery; remove hospital obstacles; help moms the first few days at home; reduce cultural barriers; and remove return-to-work barriers. Nashville Breastfeeding Support 615-880-2185 Metro Public Health Department's program supporting mothers who are breastfeeding their babies. Nashville Childbirth 615-370-5912 • nashvillechildbirth.com Bradley Method natural childbirth classes, doulas (labor and postpartum), baby care classes and more. NOVA Birth Services 615-669-6399 • mynovabirth.com Midwifery care, doula support, childbirth education, birth photography, breastfeeding support, pre- and post-natal massage. Nurses for Newborns Foundation 615-313-9989 • nursesfornewborns.org Registered nurses make home visits to provide healthcare assessments, education and positive parenting skills in an effort to prevent infant mortality and child abuse/neglect. Services are provided to through the child’s second birthday. Rutherford Breastfeeding Support Murfreesboro • 615-898-7880 Smyrna • 615-355-6175 A full-time lactation consultant is available for

Sumner Breastfeeding Support Gallatin • 615-206-1100 Hendersonville • 615-824-0552 Portland • 615-325-5237 A full-time lactation consultant is available for education, encouragement and support through the Sumner County Health Department. Tennessee Breastfeeding Hotline 855-423-6667 tn.gov/health/article/breastfeeding-hotline A free helpline offering breast-feeding support and encouragement 24 hours a day. WIC Program 800-342-5942 tn.gov/health/article/wic-fact-sheet Operated through the Department of Health, WIC (Women, Infants and Children) is a federal program providing supplemental food to low-income pregnant, post-partum and breast-feeding women, infants and children from birth to 5 years. Wilson Breastfeeding Support Group 615-444-5325, ext. 1052 The Wilson County Health Department hosts a breastfeeding support group every week. Call to RSVP.

childbirth classes An Everyday Miracle 615-305-5409 • aneverydaymiracle.com Twelve-week Bradley Method course, focusing on natural birth. (please turn the page)

ALL LOCATIONS NOW ACCEPTING NEW PATIENTS

Comprehensive, Quality care for your child, close to home

We offer extended hours Walk-in hours as late as 7pm • Monday - Thursday Walk-in hours for sick visits on Saturdays Sunday hours vary by location

HERE FOR THE MINUTES...AND THE MILESTONES With Tennessee Pediatrics, you can turn to your pediatrician’s office in minutes with same day appointments and walk-in hours on evenings and weekends. We will always be here for the milestones, too, with convenient appointments for well exams. If your child is sick and you do not have an appointment, please call. We can work your child into our schedule. 4720 Trader’s Way, Ste. 600 Thompson’s Station, TN 37179

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The Baby Guide

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www.TNPeds.com winter 2017 • 21


BABYWORLD childbirth classes (cont.) Baby + Co. 3212 West End Ave., Ste. 100, Nashville 615-647-8220 • babyandcompany.com Classes include The Birth Journey; Expecting More: A Childbirth Refresher Focused on a Positive Birth Experience; Breastfeeding Basics; New Moms Group; Newborn Care Basics. Bradley Method Childbirth Educators 800-422-4784 • bradleybirth.com Natural, husband-coached childbirth classes focusing on inward natural breathing and relaxation. Maury Regional Medical Center 1224 Trotwood Ave., Columbia 931-490-7046 • mauryregional.com Comprehensive childbirth (labor, birth, comfort measures, anesthesia, postpartum), Newborn Care, breast-feeding classes (breast-feeding consulting available), Just for Siblings, Infant CPR, Boot Camp for New Dads, Safe Sitter course. Free tours.

lifestyle changes, nutrition, exercise, testing during pregnancy, safe medications and more. Music City Doulas 615-208-4111 • musiccitydoulas.com Rock Your Birth (winter series takes place Jan. 7 21, 2017, at Results Physiotherapy in Nashville), Birth Crash Course, Comfort Measures for Birth and Grandparents Class. Available in group, private and semi-private sessions, including in-home options. Nashville Childbirth 615-370-5912 • nashvillechildbirth.com Bradley Method natural, husband-coached childbirth class. Nashville General Hospital at Meharry 1818 Albion St., Nashville 615-341-4410 • nashvillegeneral.org Free classes: breastfeeding, childbirth preparation, pregnancy care, pain control options, labor and delivery, post-partum and infant care; tour of new unit included. Breastfeeding classes on benefits, how to and assistance after delivery by IBCLC.

McDoula 615-243-4830 • mcdoula.com Roots Childbirth Education class.

NorthCrest Medical Center 100 NorthCrest Drive, Springfield 615-384-2441 • northcrest.com Labor of Love, Breastfeeding Basics, Prenatal Pain Relief and Comfort. Classes are free to families delivering at NorthCrest Medical Center. View full schedule and enroll at northcrest.enrollware.com/schedule.

Murfreesboro Medical Clinic OB/GYN Department 1272 Garrison Drive, Murfreesboro 615-867-8030 • mmclinic.com The Healthy Woman to Healthy Mommy Class is for women planning to become pregnant or moms-tobe early in their pregnancies. The class focuses on

St. Thomas Midtown Hospital 2000 Church St., Nashville 615-284-2229 • sths.com/midtown A variety of prenatal childbirth classes are available for first-time parents, returning parents and siblings. Support groups for breastfeeding and new moms also available. Check the website for classes including

Childbirth, Breastfeeding, Lamaze, Refresher, Planned Cesarean and Big Brother/Sister. New classes coming in 2017. St. Thomas Rutherford Hospital 1700 Medical Center Pkwy., Murfreesboro 615-396-5376 • saintthomashealth.com/classes Childbirth Education, Breastfeeding Basics, Expectant Parent Tour, Big Brothers- and Sisters-to-Be. Sumner Regional Medical Center 555 Hartsville Pike, Gallatin 615-328-8888 • mysumnermedical.com Free prepared childbirth and newborn care and breast-feeding classes taught by a certified childbirth educator and certified lactation consultant. Transitions Childbirth transitionsbirthclass.com Four- and six-week partner-support-focused classes take place at Blooma Nashville and Baby + Co. TriStar Centennial Women's and Children's 2221 Murphy Ave., Nashville 615-342-1919 • tristarwomensandchildrens.com 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). TriStar Hendersonville Medical Center 355 New Shackle Island Road, Hendersonville 615-342-1919 • tristarhendersonville.com Breastfeeding, Labor of Love, Newborn Care and a new siblings class. TriStar StoneCrest Medical Center 200 StoneCrest Blvd., Smyrna 615-342-1919 • tristarstonecrest.com Birth and Beginnings Education Program, breastfeeding classes, expectant parents tour.

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The Baby Guide


TriStar Summit Medical Center 5655 Frist Blvd., Hermitage 615-342-1919 • tristarsummit.com Breastfeeding, Labor of Love, sibling classes. University Medical Center 1411 Baddour Pkwy., Lebanon 615-444-8262, ext. 2563 universitymedicalcenter.com Prepared childbirth, breastfeeding. Vanderbilt University Medical Center 1221 22nd Ave. S., Nashville 615-936-1414 • vanderbiltwomenshealth.com Childbirth, newborn care, breastfeeding, CPR, Vanderbilt's Group Prenatal Care. Williamson Medical Center 4321 Carothers Pkwy., Franklin 615-435-5121 • williamsonmedicalcenter.org Breastfeeding, Brothers- and Sisters-To-Be, Childbirth Education (includes breathing techniques, labor and delivery processes, nutrition, epidurals, postpartum and newborn care) as well as a tour of the obstetrical unit.

Babywearing International of Middle Tennessee bwiofmiddletn.com This group of local parents is dedicated to the skill of babywearing and learning about different baby carriers. Meetings take place monthly in Nashville and Murfreesboro. Franklin Moms & Dads meetup.com/franklin-moms-dads A new group for Franklin parents includes play dates, moms' night out and dads' night out activities. Holistic Moms Network chapters.holisticmoms.org/chapters/tnnashville A group connecting parents who are passionate about holistic health and green living. The group meets monthly in West Nashville. MOMS Club (Moms Offering Moms Support) momsclub.org Bellevue • bellevuemoms.org Brentwood • momsclubofbrentwood.com East Nashville • momsclubeast.blogspot.com Franklin • momsclubfranklinse.blogspot.com

parent groups

Hendersonville • momsclubhendersonville.com Mt. Juliet/Lebanon • mtjulietmomsclub.org Stay-at-home mothers offering play dates and other activities. Moms and Our Mini Me Adventures meetup.com/moms-and-our-mini-me-adventures Group for all moms in Hendersonville meets regularly for fellowship, play dates and more. MOPS (Mothers of Preschoolers) mops.org Moms with children from birth through kindergarten meet for friendship, learning, discussions and crafts. More than 15 locations in Antioch, Brentwood, Dickson, Donelson, Franklin, Hendersonville, Hermitage, Manchester, Mt. Juliet, Murfreesboro, Nashville, Nolensville, Smyrna, Springfield, Thompson's Station and White House. Murfreesboro Moms Meetup meetup.com/Murfreesboro-Moms-Meetup Support, friendship and play groups for moms in the 'Boro. NashDads nashdads.com Playgroup meets every Wednesday at 10:30 a.m., plus occasional special outings and dads' night out events.

Baby + Co. New Moms Group 3212 West End Ave., Ste. 100, Nashville 615-647-8220 • babyandcompany.com Meet other new moms during expert-led weekly meetings with time for questions, support and discussions on new-parent topics. Plus, learn infant massage techniques and stick around for developmental play activities. $15

Parents of Twins and Triplets Organization (POTATO) bigtent.com/groups/nashpotato Offers support for multiple births through an exchange of ideas, experiences, resources and other information. Rutherford County (TN) Area Moms cafemom.com/group/116415 Moms in Rutherford County can meet up to make new friends, set up play dates and more.

buckle up baby!

Spring Hill Mommies meetup.com/Spring-Hill-Mommies Several scheduled activities and get-togethers for moms in Spring Hill.

infant car seat safety

B

e sure to keep Baby safe while riding in the back seat when you're behind the wheel: motor vehicle crashes remain the leading cause of death among children. The Tennessee Child Restraint Law has specific requirements to ensure the safety of all child passengers and car seats in proper use reduce the chance of death by 71 percent for infants and toddlers. Nearly 85 percent of safety seats in Tennessee are installed incorrectly,according to the Monroe Carell Jr. Children's Hospital at Vanderbilt. The following car seat criteria is specific to babies: • Child must remain rear-facing until at least 1 year old and 20 pounds, although the American Academy of Pediatrics suggests children remain rear-facing as long as possible until they reach the upper weight limit of a convertible car seat. • In a rear-facing seat, shoulder straps should be at or below the child's shoulder level. • A rear-facing seat should never be placed in front of an active air bag. • Car seats should not move more than one inch side to side or front to back. • Harness clips should be level with the child's armpit. Children's Hospital at Vanderbilt performs free car seat safety inspections throughout the year. For dates and locations (along with more seat safety tips as your child grows), visit vanderbiltchildrens.com and search "car seat safety."

Sumner County Stay at Home Moms meetup.com/sumner-county-SAHM Social group for moms with newborns to school age.

miscellaneous Attachment Parenting International 615-828-9115 or 615-210-2143 attachmentparenting.org The Nashville chapter meets on the third Sunday of each month from 3 - 5 p.m. at Blakemore United Methodist Church. Chubby Bunny Foods chubbybunnyfoods.com Locally made organic baby food utilizing fresh ingredients from local farms (when available). Available online as well as at retailers in Franklin, Hendersonville and Nashville. ICAN of Nashville icanofnashville.webs.com The Nashville chapter of the International Cesarean Awareness Network offers free monthly support and educational meetings. Junior League Family Resource Center 615-936-2558 • vanderbiltchildrens.com/frc The center provides information to families of chronically ill children or children with disabilities.

(please turn the page)

The Baby Guide

winter 2017 • 23


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www.StorkVision.com The Baby Guide


BABYWORLD infant swim classes davidson county Sea Star Swim School in Hendersonville offers infant/parent swim lessons starting at 6 months old.

American Red Cross nashvilleredcross.org Learn-to-Swim parent-and-child classes for 6 months and older are available at different times throughout the year at various facilities in Middle Tennessee.

March of Dimes Tennessee Chapter 615-399-3200 • marchofdimes.com/tennessee Offers support to families of premature babies and works to improve the health of all babies by preventing birth defects and premature birth.

Gordon Jewish Community Center 801 Percy Warner Blvd., Nashville 615-356-7170 • nashvillejcc.org Baby Sharks is a parent/baby class for ages 6 - 24 months.

Nashville Birth Network 859-533-4667 • nashvillebirthnetwork.org An alliance of individuals and organizations in Middle Tennessee with concern for the care and well-being of mothers, babies and families. Its mission is to promote an evidence-based wellness model of maternity care that improves birth outcomes. The network also hosts free events throughout the year. Parent Pathway 615-383-0994 • pcat.org Free support for families of newborns to 5 years, operated in conjunction with Prevent Child Abuse Tennessee.

Champ's Corner Store at Vanderbilt Children's Hospital Store: 615-936-1869 Appointment line: 615-936-7233 childrenshospital.vanderbilt.org Provides low-cost safety products, resources and education. Car seat safety inspections available by appointment. The Children's Hospital at TriStar Centennial 615-342-1000 • thechildrenshospitalnashville.com The Children's Hospital features a pediatric ER, a neonatal intensive care unit and outpatient services that include imaging, lab work, IV therapy and more.

YMCA of Middle Tennessee Bellevue • 615-646-9622 Donelson/Hermitage • 615-889-2632 Downtown • 615-254-0631 Green Hills • 615-297-6529 Harding Place • 615-834-1300 Margaret Maddox • 615-228-5525 Northwest • 615-242-6559 ymcamidtn.org Parent/child lessons start at 6 months.

Consumer Product Safety Commission 800-638-2772 • cpsc.gov Information on safety standards for cribs, toys, children’s products and recalls.

rutherford county

Parents Reaching Out 615-957-6487 • parentsreachingout-tn.org Support for new parents enduring high-risk pregnancies and/or critically ill infants.

Kidcentral TN kidcentraltn.com Provides information on pregnancy, health, education, development, crisis services and support to Tennessee families.

MTSU Rec Center 1848 Blue Raider Drive, Murfreesboro 615-898-2104 • mtsu.edu/camprec Parent and Child Aquatics (PCA) for ages 6 months and older are available in two levels.

Postpartum Support International 800-944-4773 • postpartum.net Promotes awareness, prevention and treatment of maternal mental health issues related to childbearing worldwide. Provides local resource information for women with perinatal mood disorders.

Monroe Carell Jr. Children's Hospital at Vanderbilt 615-936-1000 • childrenshospital.vanderbilt.org Provides the most comprehensive pediatric, familycentered care in the area. It's website includes health and safety information, including car seat safety.

Ms. Sue's Swimming 615-459-5124 • mssueswimming.com Outdoor parent and child lessons for ages 6 months 3 years take place May - August.

Tennessee's Early Intervention Services 615-532-7237 • tn.gov/education/teis A voluntary educational program for families with children birth through 2 years with disabilities or developmental delays. Tennessee Office of Vital Records 615-741-1763 • tn.gov/health/article/vr-certificate Keeps and provides birth records for the state. Y'allsome yallsome.com This line of locally-made clothing includes onesies for infants.

baby safety health & safety American Red Cross Cannon, Rutherford • 615-893-4272 redcross.org/tn/murfreesboro Davidson, Sumner, Wilson • 615-250-4300 nashvilleredcross.org Williamson • 615-790-5785 williamsoncountyredcross.org Instruction in CPR, first aid, child care and babysitting.

Monroe Carell Jr. Children's Hospital Vanderbilt at Williamson Medical Center 615-435-5000 • williamsonmedicalcenter.org/kids Comprehensive inpatient pediatric and emergency care. National Child Safety Council 517-764-6070 • nationalchildsafetycouncil.org Information on keeping kids safe from predators, crime prevention and more.

Patterson Park Community Center 521 Mercury Blvd., Murfreesboro 615-893-7439 • murfreesborotn.gov/parks Swim Preschool for ages 6 months and older. YMCA of Middle Tennessee Smyrna • 615-220-9622 ymcamidtn.org Parent/child lessons for ages 6 months and older.

sumner county

Safe Baby 615-370-0850 • safebaby.com Custom baby proofing services include safety gates, hearth gates, cabinet latches/locks, electrical safety, bathroom safety and more.

Sea Star Swim School 127 Sanders Ferry Road, Hendersonville 615-822-8800 • swimatseastar.com Infant/parent lessons start at 6 months and take place quarterly year round.

Safe Kids of Cumberland Valley 615-936-8222 • safekids.org The local affiliate of the national Safe Kids Campaign is led by Children's Hospital at Vanderbilt. The mission is to prevent accidental childhood injuries.

Sumner County Family YMCA 102 Bluegrass Commons, Hendersonville 615-826-9622 • ymcamidtn.org Parent/child lessons start at 6 months.

Safe Sleep Initiative tn.gov/health/topic/safe-sleep The Metro Public Health Department's Safe Sleep Initiative follows the American Academy of Pediatrics' recommendations in order to decrease the risk of SIDS. The site offers the ABC's of sleep safety. Tennessee Department of Human Services (DHS) tn.gov/humanservices Children's health and welfare, amber alert information and more.

The Baby Guide

williamson county YMCA of Middle Tennessee Brentwood • 615-373-9622 Franklin • 615-591-0322 Maryland Farms • 615-373-2900 ymcamidtn.org Parent/child lessons start at 6 months. (please turn the page)

winter 2017 • 25


BABYWORLD Williamson County Parks and Recreation Brentwood • 615-370-3471 Franklin • 615-790-5719 Spring Hill • 615-302-0971 wcparksandrec.com A parent-tot class for ages 6 - 36 months is available.

wilson county Guppies and Dolphins Swim 7204 N. Lamar Road, Mt. Juliet 615-416-3615 • swimclass.org The Guppies parent/child class is for babies ages 6 18 months. Classes take place in summer months. Jimmy Floyd Center 511 Castle Height Ave. N., Lebanon 615-453-4545 • lebanontn.org Parent/infant classes for ages 6 months and older.

fun with baby music, movement & more Classes listed below are for ages 12 months & younger. Blooma Yoga (Sylvan Park) 615-797-8064 • bloomanashville.com BYOB (Bring Your Own Baby) class for birth - 8 months. Elite Energy Gymnastics (Murfreesboro) 615-890-6611 • eliteenergygymnastics.com Start off your infant with a class like Cubs starting at 10 months. Gymboree Play & Music (Green Hills) 615-221-9004 • gymboreeclasses.com Stimulating developmental play and music programs for newborns and older. Kindermusik Franklin • 615-424-2869 Hendersonville • 615-766-3251 Nashville • 615-293-4181 kindermusik.com Music, movement and early socialization classes for newborns, toddlers and preschoolers. Let It Shine (Franklin) 615-369-3547 • letitshinegym.com Parent-and-child movement classes are fun for ages 12 - 36 months. Little Art House (Nashville) 615-933-9644 • littlearthousenashville.com Baby Sensory Art Class for ages 6 - 24 months. Little Yogi Spirits (Murfreesboro) facebook.com/littleyogispirits Mommy & Me yoga classes for ages 6 weeks and older. The Music Class (Brentwood, Franklin, Nashville) 615-777-9314 • themusicclass.com/nashville Music Pups for ages birth - 4 years includes singing, dancing, movement and instrument play. Music Together Brentwood • 615-730-6971 Franklin/Spring Hill • 615-567-3668 Goodlettsville/Hendersonville • 615-973-6554 Hermitage/Mount Juliet • 615-390-3207

26 • winter 2017

Southeast Branch Library 5260 Hickory Hollow Pkwy., Ste. 201, Antioch 615-862-5871 • nashvillepubliclibrary.org Babies & Books for ages 0 - 3 years every Wed at 10:30 a.m. Hora de Cuentos for ages 0 - 5 years is Thu at 10:30 a.m.

rutherford county Babies enjoy rhythm, movement and socialization with Music Together. Classes are available in 10 local cities. Photo courtesy of the Nashville location. Murfreesboro • 615-796-6162 Nashville • 615-730-6971 & 615-390-3207 Nolensville • 818-679-7181 musictogether.com International research-based early childhood music and movement program for newborns and older. Music with Mommie (Columbia) 615-478-5257 • musicwithmommie.com Starting at 5 months, your baby can enjoy high energy music and movement. My Gym (Brentwood) 615-371-5437 my-gym.com/brentwood Age-appropriate classes engage fine motor skills, including Tiny Tykes for ages 7 - 13 months.

storytimes for babies davidson county Bellevue Public Library 720 Baugh Road, Nashville 615-862-5854 • nashvillepubliclibrary.org Mother Goose Moments for ages 0 - 24 months every Mon at 10:15 a.m. Edmondson Branch Library 5501 Edmondson Pike, Nashville 615-880-3957 • nashvillepubliclibrary.org Stories with Ms. Tori for newborns and older every Wed at 10 & 11 a.m. Green Hills Public Library 3701 Benham Ave., Nashville 615-862-5863 • library.nashville.gov Sounds of Storytelling for ages birth to 4 years is Tue at 10:30 a.m. in January and February. Hermitage Library 3700 James Kay Lane, Hermitage 615-880-3951 • library.nashville.gov Baby & Me Storytime for ages 0 - 24 months Tue at 10:30 a.m. & 1 p.m. Inglewood Branch Library 4312 Gallatin Pike, Nashville 615-862-5866 • library.nashville.gov Wonder Baby for ages 0 - 24 months Mon at 10 & 11 a.m. Madison Public Library 610 Gallatin Pike S., Madison 615-862-5868 • libary.nashville.gov Baby & Me Storytime for 0 - 24 months Mon & Fri at 10:30 a.m. Richland Park Library 4711 Charlotte Ave., Nashville 615-862-5870 • nashvillepubliclibrary.org Baby & Me Storytime every Tue at 10:30 a.m. for ages birth - 24 months.

The Baby Guide

La Vergne Public Library 5063 Murfreesboro Road, La Vergne 615-793-7303 • lavergnetn.gov Little Treasures for birth to 24 months every Thu at 10 a.m. Linebaugh Public Library 105 W. Vine St., Murfreesboro 615-893-4131 • linebaugh.org Itty Bitty Storytime for ages 0 - 23 months every Thu at 10 a.m. Smyrna Public Library 400 Enon Springs Road W., Smyrna 615-459-4884 • linebaugh.org Baby & Me for 0 - 24 months every Fri at 10 a.m.

sumner county Gallatin Public Library 123 E. Main St., Gallatin 615-452-1722 • gallatinlibrary.org Wigglers Class storytime for ages birth to 2-and-a-half years every Wed at 9:45 a.m. Goodlettsville Public Library 205 RiverGate Pkwy., Goodlettsville 615-862-5862 • library.nashville.gov Baby Ball Storytime every Wed at 10 a.m. for ages birth - 17 months. Hendersonville Public Library 116 Dunn St., Hendersonville 615-824-0656 • hendersonvillelibrary.org Baby & Me for ages 0 - 3 years every Wed at 10:15 and 11 a.m., 2:15 p.m. Lapsit Storytime for ages 0 - 2 years is every Thu at 11 a.m. & 2:15 p.m. Portland Public Library 301 Portland Blvd., Portland 615-325-2279 • youseemore.com/portland Lapsit Storytime every Friday at 10:30 a.m.

williamson county Brentwood Public Library 8109 Concord Road, Brentwood 615-371-0090 • brentwood-tn.org/library Tue/Wed at 10 & 11 a.m. and Sat at 10:30 a.m. — although these are all ages storytimes, they are hugely popular with parents and babies. Williamson County Public Library 1314 Columbia Ave., Franklin 615-595-1244 • lib.williamson-tn.org Snuggle Bug Club for ages 0 - 18 months every Friday at 10 a.m. Spring Hill Public Library 144 Kedron Pkwy., Spring Hill 931-486-2932 • springhilllibrary.org Baby Time for ages 0 - 24 months every Tue & Fri at 9:15 a.m.

wilson county Lebanon-Wilson Branch Library 108 S. Hatton Ave., Lebanon 615-444-0632 • youseemore.com/lebanon-wilson Lapsit: Nursery Rhymes for ages birth to 2 years every Thu at 10 a.m.


Old Harding Pediatric Associates SERVING FAMILIES SINCE 1937 • Open 7 days including evenings Mon. thru Fri. • On-site prescription service • Newborn classes • Certified lab with walk-in throat cultures available • Interactive web site • Electronic medical records

Thank best pediatric pediatricpractice practice 9 years years in in aa row! Thankyou youfor forvoting votingus us Nashville’s Nashville’s best 13 row! We pledge toto continue toto earn that trust one family atata atime. Call 615-352-2990 We pledge continue earn that trust one family time. Call 615-352-2990ororvisit visitwww.ohpa.com www.ohpa.com..

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Call/text 615-200-6001 • Nashville4DBaby.com The Baby Guide

winter 2017 • 27


Voted #1 Pediatricians 17 Years in a Row. FULL RANGE OF SERVICES • 7 Board Certified Physicians • 3 Pediatric Nurse Practitioners • Weekend and Evening Appointments • Psychological Counseling, Testing & Tutoring Services • Easy Access On-line Services • Developmental Screenings • Expectant Parent Classes • New Mom’s Handbook • “Is Your Child Sick” On-line Reference

www.pediatricsoffranklin.com

615.790.3200

570 Baker’s Bridge Ave. • Franklin, TN 37067

Montessori is an education for independence, preparing not just for school, but for life.

An educational journey from infant through 8th grade.

–Maria Montessori

Call today to schedule a tour.

615-833-3610 www.montessoriacad.org

6021 Cloverland Drive, Brentwood, TN

28 • winter 2017

The Baby Guide


MIDDLE TENNESSEE

BIRTHING GUIDE facility

Births per year

BABY + CO 3212 West End Ave., Ste. 100 Nashville 615-647-8220 babyandcompany.com

NA

MAURY REGIONAL MEDICAL CENTER 1224 Trotwood Ave., Columbia 931-381-1111 mauryregional.com

1,500

Labor, Delivery and Recovery (LDR) or Labor, Delivery, Recovery and Postpartum room (LDRP)

Certified NurseMidwife

LDRP

LDR

NASHVILLE GENERAL HOSPITAL AT MEHARRY 1818 Albion St., Nashville 615-341-4000 nashvillegeneral.org

600

LDR

NORTHCREST MEDICAL CENTER 100 NorthCrest Drive, Springfield 615-384-2411 northcrest.com

519

LDR

ST. THOMAS MIDTOWN HOSPITAL 2000 Church St., Nashville 615-284-2229 sths.com/midtown

ST. THOMAS RUTHERFORD HOSPITAL 1700 Medical Center Pkwy. Murfreesboro 615-396-4502 sths.com/rutherford

6,700

3,000

LDR

LDR

Certified Lactation Consultant

What's New and Additional Features

A boutique birth center offering maternity and wellwoman care, education and a curated selection of baby products.

Level IINeonatal

Renovated obstetric and neonatal intensive care nursery. Family- and patient-centered care with specialty RNs caring for patients in Labor and Delivery, Mother Baby Unit and Neonatal Intensive Care Nursery. Free childbirth and newborn classes available along with free tours of our obstetrical units.

Level IINeonatal

Family-centered care; free childbirth and breastfeeding classes; ambulatory labor monitoring available; 24/7 analgesia anesthesia; high-risk pregnancy care; mother-to-mother community support; newly renovated labor & delivery unit; Tennessee's first Breastmilk Depot.

Level I

Family-centered deliveries in spacious labor and delivery suites. Care is provided 24/7 by a midwife and obstetric team. Find more at northcrest.com/ services/womens-services.

Level IIINeonatal

The first hospital in Middle Tennessee (and only second in the state) to receive "Baby Friendly" designation by the Baby Friendly Hospital Initiative for optimal level of care for infant feeding and mother/ baby bonding. The facility also offers extensive pregnancy, childbirth and breast-feeding education classes; high-risk pregnancy care, lactation boutique; 24/7 dedicated OB admitting; and more.

Level IIIObstetric care & NICU care for 26 weeks gestation & greater

New, state-of-the-art facility with spacious labor and delivery suites and postpartum rooms with a view; advanced maternal/infant services focused on family-centered care; flexible rooming-in options; neonatologist coverage 24/7; laborist on unit 24/7; anesthesia 24/7; lactation consultants available day and night; extensive childbirth and breast-feeding classes; free tours; professional photography available; lactation boutique; voted Rutherford County’s “Best Place to Have a Baby” (13th year in a row). Recently renovated women’s unit with new LDRs, postpartum rooms and nursery, and special care nursery; free childbirth and breast-feeding classes taught by certified childbirth educators and certified lactation consultant; outpatient lactation clinic.

OB/GYN ER staffed 24/7; family-friendly rooms and birthing options; mother/infant couplet care; high-risk maternity care; childbirth education classes; lactation boutique; breast-feeding consults.

Neonatal Intensive Care Unit (NICU) or Neonatology Services

SUMNER REGIONAL MEDICAL CENTER 555 Hartsville Pike, Gallatin 615-328-8888 mysumnermedical.com

800

LDR

Level IIObstetric

TRISTAR CENTENNIAL WOMEN'S AND CHILDREN'S 2221 Murphy Ave., Nashville 615-342-1000 615-342-1919 (MedLine) thewomenshospital.com

3,200

LDR

Level IIINeonatal

(please turn the page)

The Baby Guide

winter 2017 • 29


MIDDLE TENNESSEE

BIRTHING GUIDE facility TRISTAR HENDERSONVILLE MEDICAL CENTER 355 New Shackle Island Road Hendersonville • 615-338-1000 hendersonvillemedicalcenter.com

TRISTAR STONECREST MEDICAL CENTER 200 StoneCrest Blvd., Smyrna 615-768-2000 stonecrestmedical.com

Births per year

Labor, Delivery and Recovery (LDR) or Labor, Delivery, Recovery and Postpartum room (LDRP)

1,100

LDRP

1,400

1,200

LDRP

UNIVERSITY MEDICAL CENTER 1411 Baddour Pkwy., Lebanon 615-443-2563 universitymedicalcenter.com

750

LDR

4,500

WILLIAMSON MEDICAL CENTER 4321 Carothers Pkwy., Franklin 615-435-5000 williamsonmedicalcenter.org

1,785

LDR

Neonatal Intensive Care Unit (NICU) or Neonatology Services

What's New and Additional Features

Level IINeonatal

Family-centered childbirth, breastfeeding and newborn care education programs; state-of-the-art, spacious LDRPs; private NICU suites; lactation boutique; inpatient and outpatient lactation support.

Level IIObstetric & Neonatal

Family-centered environment with newborn rooming-in; childbirth educational classes; state-of-the-art LDR; professional photography services; certified lactation staff available; lactation boutique with pump rentals; weekly breastfeeding support group.

Level IIIObstetric

New AirStrip OB technology; rooming-in; 24/7 inhouse neonatology and obstetric coverage; lactation support, supplies and rentals; childbirth, breastfeeding and sibling classes; room service and meal tickets provided; professional photo services.

Level IIObstetric

Free childbirth and breast-feeding classes taught by certified instructors; rooming-in or 24-hour staffed newborn nursery available; complimentary room service for parents; family-centered care.

Level IVNeonatal

Family-centered deliveries; rooming-in; childbirth and breast-feeding education; 24/7 midwife, obstetrician and maternal fetal specialist team coverage; largest midwifery team in Tennessee; highest level neonatal ICU; ease of access to Monroe Carell Jr. Children's Hospital.

Level IINeonatal

All staff trained in neonatal resuscitation. Classes include childbirth, breastfeeding and sibling. Tours provided. 24-hour staffed newborn nursery and in-house NNP neonatology coverage available. Rooming-in, family-centered care, room service, daily certified lactation staff and professional photography available.

Certified Lactation Consultant

LDR

TRISTAR SUMMIT MEDICAL CENTER 5655 Frist Blvd., Hermitage 615-316-3000 summitmedicalcenter.com

VANDERBILT UNIVERSITY MEDICAL CENTER 1221 22nd Ave. S., Nashville 615-322-5000 vanderbiltwomenshealth.com

Certified NurseMidwife

LDR

neonatal intensive care unit (nicu) services key: Level I: Facility provides basic care for uncomplicated maternity and neonatal patients who are at low risk. Level II-Obstetric: Facility provides a broad range of maternal-fetal services for normal patients and for those with mild or moderate obstetric illnesses or complications.

30 • winter 2017

Level II-Neonatal: Facility provides specialty services for infants born at or beyond 32 weeks who have problems that are expected to resolve rapidly and are not anticipated to need subspecialty care on an urgent basis. These units provide care for babies convalescing after intensive care.

Level III-Obstetric: A broad range of maternal-fetal services for normal patients and those in need of intensive care. Can handle deliveries for all gestational ages. Level III-Neonatal: Provides care for infants born less than 32 weeks or have complex medical conditions. These units have the means to provide life support for as long as needed.

The Baby Guide

Level IV-Neonatal: Has capabilities of Level III units with additional functions and considerable experience in the care of the most complex and critically ill newborns. Pediatric medical and surgical specialty consultants are on site 24 hours per day. Can provide surgeries for complex conditions.


Brought to you by

April 2017 Vendor booths for products and services. Speakers, information, giveaways, fun and much more! Look for event details beginning in the February issue of Nashville Parent and online at nashvilleparent.com.

For booth information, call (615) 256-2158


We’re proud to be recognized by the readers of Sumner Parent magazine as the best place to have a baby – for

the fifth year in a row.

More and more families are choosing to have their babies at Sumner Regional Medical Center because of the awardwinning care and expertise we provide our new mothers and babies every day. Our families also appreciate the comfort and convenience of having their babies close to home. At Sumner Regional, we’re proud to be your “best” choice for family care. For more information, or to find a physician, please call

(800) 424-DOCS.

MySumnerMedical.com


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