Baby book 2016 by ET Final Score Pigskin Preview

2016 From Baby Bump to Baby's First Birthday. The A PUBLICATION OF

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All Things Baby Planner

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contents

6 STAGES OF PREGNANCY 8 PREGNANCY SUPPORT 10 WONDERFUL MEMORIES 1 1 PREGNANCY MILESTONES 12 CLASSES 13 POPULAR BABY NAMES 14-15 NAMES 16-21 PRENATAL VISITS GUIDE 22 BABY'S ARRIVAL DATE IS NEAR 23 HOSPITAL BAG CHECKLIST 24 READY FOR THE NURSERY 26 HELLO BABY 28 BIRTH STORY 29 BABY'S UNBILICAL CORD 30 JAUNDICE 32 MOM FATIGUE 34 EXERCISE AFTER PREGNANCY

36 BABY BATH BASICS 38 KEYS TO CREATING A BABY SCHEDULE 40 MEDICATIONS FOR BABY 41 VACCINE TRACKER 42 DEVELPOMENTAL MILESTONES 44 BABY'S FIRST MILESTONES 45 CALMING A FUSSY BABY 46 TEETHING PAIN 47 BABY TEETHING CHART 48 MEALS FOR BABY 50 PLANNING BABY'S FIRST BIRTHDAY

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Contributor: Danny Mogle Designer: Haley Holcomb

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SPINE & SPORT FA M I LY C H I R O P R A C T I C

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THE STAGES

OF PREGNANCY WOMENSHEALTH.GOV, U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

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regnancy lasts about 40 weeks, counting from the first day of the woman’s last normal period. The weeks are grouped into three trimesters. Here’s what happens to mom and baby during each stage three stages.

FIRST TRIMESTER (WEEK 1-WEEK 12) During the first trimester a woman’s body undergoes many changes. Hormonal changes affect almost every organ system in your body. These changes can trigger symptoms even in the very first weeks of pregnancy. Your period stopping is a clear sign that you are pregnant. Other changes may include:  Extreme tiredness  Tender, swollen breasts. Your nipples might also stick out.  Upset stomach with or “morning sickness.”  Cravings or distaste for certain foods  Mood swings  Constipation  Need to pass urine more often  Headache  Heartburn  Weight gain or loss As your body changes, you might need to make changes to your daily routine, such as going to bed earlier or eating frequent, small meals. Fortunately, most of these discomforts will go away as your pregnancy progresses. And some women might not feel any discomfort at all! If you have been pregnant before, you might feel differently this time around. Just as each woman is different, so is each pregnancy.

SECOND TRIMESTER (WEEK 13-WEEK 28) Most women find the second trimester of pregnancy easier than the first. But it is just as important to stay informed about your pregnancy during these months. You might notice that symptoms like nausea and fatigue are going away. But other new, more noticeable changes to your body are now happening. Your abdomen will expand as the baby continues to grow. And before this trimester is over, you will feel your baby beginning to move! As your body changes to make room for your growing baby, you may have:  Body aches, such as back, abdomen, groin, or thigh pain

 Stretch marks on your abdomen, breasts, thighs or buttocks  Darkening of the skin around your nipples  A line on the skin running from belly button to pubic hairline  Patches of darker skin on the face.  Numb or tingling hands, called carpal tunnel syndrome  Itching on the abdomen, palms, and soles of the feet  Swelling of the ankles, fingers, and face. Women who experience sudden or extreme swelling or gain a lot of weight really quickly should call a doctor right away. This could be a sign of preeclampsia.

THIRD TRIMESTER (WEEK 29-WEEK 40) Some of the discomforts you had in your second trimester will continue. Many women find breathing difficult and notice they have to go to the bathroom even more often. This is because the baby is getting bigger and it is putting more pressure on your organs. Don’t worry, your baby is fine and these problems will lessen once you give birth. Some new body changes you might notice in the third trimester include:  Shortness of breath  Heartburn  Hemorrhoids  Tender breasts, which may leak a pre-milk called colostrums.  Your belly button may stick out  Trouble sleeping  The baby moving lower in your abdomen  Contractions, which can be a sign of real or false labor  Swelling of the ankles, fingers, and face. Women who experience sudden or extreme swelling or gain a lot of weight really quickly should call a doctor right away. This could be a sign of preeclampsia. As you near your due date, your cervix becomes thinner and softer. This normal, natural process helps the birth canal to open during the birthing process. Your doctor will check your progress as you near your due date.

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pregnancy

SUPPORT

DOULAS GUIDE MOTHERS THROUGH BIRTHING AND BEYOND

iving birth and bringing home a new baby is both aweinspiring and a bit intimidating. Women wonder: “Can I handle the pain? How will my partner help me when I’m in labor? When should I go to the hospital?” Every year, many women seek the support of professional labor and postpartum doulas to serve them in birth and early parenting. Jennifer Bullock, the owner of No Barriers Birth in Tyler, has the following information to share about doulas with expectant parents. CLASSES AND WORKSHOPS HELP MOMS GET READY Many doula services offer classes tailored specifically to the birth the mom desires crafted to her busy life. These classes give mothers-to-be knowledge that sews the seeds of confidence as she prepares for a great birth. DOULAS MEET NEEDS OF THE MOTHER Let’s face it, birth is much more than a medical event, it’s one of the biggest days of a woman’s life! Doulas focus on all of the mother’s non-medical needs. The medical staff ensures a healthy mom and a healthy baby. The labor

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doula ensures the mom has a healthy mind and a healthy bond with her newborn. A woman can feel at ease in early labor knowing that her labor doula is a phone call away and will come when needed. The doula will then help the woman through birth, anticipating her every need. The doula helps the husband or partner remain calm without the added pressure of knowing all the answers. Throughout the changing shifts of nurses, and before the doctor arrives for the big moment, the doula is a constant presence, offering continuous support to round out the carefully-selected birth team. YOUR LABOR DOULA SUPPORTS YOUR BIRTH PLANS Doulas are not just for natural births. They support every type of birth including cesareans and those that involve inductions and epidurals. Births can be unpredictable and doulas guide the mother through it all to achieve her unique birthing goals. A POSTPARTUM DOULA IS YOUR BABY-RAISING GURU! After the baby is born, the new mother can be overwhelmed with joy! And then it starts to sink in. “They’re actually going to

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send us home with a baby. No one told me how to take care of a baby!â&#x20AC;? No question is too small or too personal for a postpartum doula. With a doula, new moms can explore options in a judgment-free space. A DOULA INSTILLS CONFIDENCE AND STRENGTH Postpartum depression and anxiety affects 1 in 5 families. Sometimes new parents need much more help than they are getting. A doula cultivates a confident transition to the home, so your family will flourish as the doula guides the new mom through the new skills of breastfeeding, infant soothing, and newborn care. PLACENTA SERVICES GIVE THE NEW MOTHER A BOOST Some women use their placentas as a vitamin-like supplement? Women find it immensely helpful for staving off postpartum depression and boosting their milk supply and energy levels. A certified Postpartum Placenta Specialist offers a uniquely safe and sanitary service. A PUBLICATION OF

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wonderful memories

Mommy first knew she was pregnant on : Mommy guessed she was

weeks pregnant.

Her reaction was:

Daddy's reaction was: The first people they told were: because and the told them on The first thing they did after they found out was:

To-Do List Find a doctor, if needed. Schedule first doctor's appointment Start taking prenatal vitamins

Other noteworthy moments:

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pregnancy milestones Record these important milestones, along with your emotions at the time. They'll make terrific entries in your little one's book! First time I heard my baby's heartbeat: First time it really sank in that I was going to be a mom: First time a stranger asked me if I was pregnant: First time I experienced morning sickness: First ime I bought a new-baby outfit: First time I wore maternity clothes: First time I couldn't button my pants: When I found out the gender of my baby: When my parents found out I was having a baby: First time I saw my baby on the ultrasound: First time I could no longer see my feet: First time I felt my baby kick: First time I could see baby moving my stomach:

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BIRTHING, BREASTFEEDING AND PARENTING CLASSES U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

irst-time mothers-to-be often have lots of questions and even some worries: How will I know I’m in labor? Will it hurt? Will my baby know how to breastfeed? How do I care for a newborn? Classes to prepare you for childbirth, breastfeeding, infant care, and parenting are great ways to lessen anxiety and build confidence. In some cities, classes might be offered in different languages.

BIRTHING CLASSES Birthing classes often are offered through local hospitals and birthing centers. Some classes follow a specific method, such as Lamaze or the Bradley method. Others review labor techniques from a variety of methods. You might want to read about the different methods beforehand to see if one appeals more to you than others. That way, you will know what to sign up for if more than one type of birthing class if offered. Try to sign up for a class several months before your due date. Classes sometimes fill up quickly. Also, make sure the instructor is qualified. Most women attend the class with the person who will provide support during labor, such as a spouse, sister, or good friend. This person is sometimes called the labor coach. During class, the instructor will go over the signs of labor and review the stages of labor. She will talk about positioning for labor and birth, and ways to control pain. She also will give you strategies to work through labor pains and to help you stay relaxed and in control. You will practice many of these strategies in class, so you are ready when the big day arrives. Many classes also provide a tour of the birthing facility. 12

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BREASTFEEDING CLASSES Like any new skill, breastfeeding takes knowledge and practice to be successful. Pregnant women who learn about how to breastfeed are more likely to be successful than those who do not. Breastfeeding classes offer pregnant women and their partners the chance to prepare and ask questions before the baby’s arrival. Classes may be offered through hospitals, breastfeeding support programs, La Leche League, or local lactation consultants. Ask your doctor for help finding a breastfeeding class in your area.

PARENTING CLASSES Some hospitals and birthing centers offer sibling classes for soon-to-be brothers and sisters. These classes often help small children get ready for a new baby using fun games and activities. Many first-time parents have never cared for a newborn. Hospitals, community education centers, and places of worship sometimes offer baby care classes. These classes cover the basics, such as diapering, feeding, and bathing your newborn. You also will learn these basic skills in the hospital before you are discharged. In some communities, parenting classes are available. Children don’t come with how-to manuals. So some parents appreciate learning about the different stages of child development, as well as practical skills for dealing with common issues, such as discipline or parent-child power struggles. Counselors and social workers often teach this type of class. If you are interested in parenting programs, ask your child’s doctor for help finding a class in your area.

Popular Baby Names for 2016 Here are the year's most popular baby names for girls and boys, as reported by BabyCenter parents. On this list, names spelled differently (like Sophia and Sofia) are ranked separately.

1. Liam 2. Noah 3. Ethan 4. Lucas 5. Mason 6. Oliver 7. Aiden 8. Elijah 9. James 10. Benjamin 11. Logan 12. Jacob 13. Jackson 14. Michael 15. Alexander 16. Jack 17. Luke 18. Carter 19. Owen 20. William 21. Gabriel 22. Daniel 23. Henry 24. Matthew 25. Wyatt

26. Sebastian 27. Caleb 28. Grayson 29. Isaac 30. Ryan 31. Nathan 32. Dylan 33. Jayden 34. Levi 35. Eli 36. Andrew 37. Samuel 38. Jaxon 39. David 40. Joseph 41. Connor 42. Lincoln 43. Julian 44. Joshua 45. Cameron 46. Leo 47. Hunter 48. Max 49. John 50. Landon

1. Emma 2. Olivia 3. Ava 4. Sophia 5. Mia 6. Isabella 7. Charlotte 8. Harper 9. Amelia 10. Abigail 11. Emily 12. Madison 13. Ella 14. Lily 15. Avery 16. Evelyn 17. Aria 18. Sofia 19. Chloe 20. Scarlett 21. Riley 22. Ellie 23. Addison 24. Aubrey 25. Elizabeth

26. Layla 27. Hannah 28. Zoey 29. Grace 30. Zoe 31. Mila 32. Victoria 33. Brooklyn 34. Natalie 35. Lucy 36. Nora 37. Audrey 38. Penelope 39. Claire 40. Stella 41. Skylar 42. Lillian 43. Violet 44. Eva 45. Savannah 46. Leah 47. Alice 48. Maya 49. Aurora 50. Caroline Information found on BabyCenter.com A PUBLICATION OF

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names

Choosing a baby's name is a momentous decision for new parents. Are there any ethnic or religious traditions you or your partner would like to honor? Do you prefer traditional names? One-of-a-kind names? Names that start with a certain letter? Use these pages to keep track of the names you and your partner like.

Names from your side of the family Name: Relation (grandparent, aunt, etc): Name: Relation (grandparent, aunt, etc): Name: Relation (grandparent, aunt, etc): Name: Relation (grandparent, aunt, etc):

Names from your partner's side of the family Name: Relation (grandparent, aunt, etc): Name: Relation (grandparent, aunt, etc): Name: Relation (grandparent, aunt, etc): Name: Relation (grandparent, aunt, etc):

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Name:

other names we like

Meaning: Name: Meaning: Name: Meaning: Name: Meaning: Name: Meaning: Name: Meaning: Name: Meaning: Name: Meaning: Name: Meaning: Name: Meaning:

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prenatal visits Date: The week of my pregnancy: Weight: Weight gained since the start of my pregnancy: Blood pressure: Fundal height: Baby's heart rate: Other tests: Prescribed medications: What I can expect before my next prenatal visit: Instructions from my doctor: How much weight should I give: Notes:

Date: The week of my pregnancy: Weight: Weight gained since the start of my pregnancy: Blood pressure: Fundal height: Baby's heart rate: Other tests: Prescribed medications: What I can expect before my next prenatal visit: Instructions from my doctor: How much weight should I give: Notes:

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Notes

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BABY’S ARRIVAL DATE IS NEAR. PARENTS, ARE YOU READY? THERE'S A LOT TO DO BEFORE TAKING YOUR CHILD HOME FROM MARCH OF DIMES FIND A HEALTH-CARE PROVIDER FOR BABY? A pediatrician is a health care provider who takes care of babies and children. One way to find a pediatrician in your area is to go to the website of the American Academy of Pediatrics. A family physician is a health care provider who takes care of people of all ages. One way to find a family physician in your area, is to go to the website of the American Academy of Family Physicians. It’s a good idea to choose a pediatrician, family physician or another health care provider for your baby before he or she is born. When you first meet with the provider, ask:  How often should I bring my baby in for checkups?  How far in advance should I make an appointment?  How do I make an appointment if my baby gets sick?  What do I do in case of an emergency?

BENEFITS OF BREASTFEEDING YOUR BABY? Before your baby is born, decide if you’ll breastfeed or feed your baby formula. Breastfeeding is feeding your baby with milk from your breasts. Formula is a special liquid food that you feed your baby from a bottle. Talk it over with your partner and your provider. Here are some benefits of breastfeeding:  Breast milk protects your baby from infections that formula does not.  Breast milk is always ready when your baby wants to eat.  Breast milk is free. Women who breastfeed may receive some protection from 22

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breast and ovarian cancer. Ask you provider about breastfeeding classes in your area.

HOW TO GET READY FOR YOUR BABY AT HOME? Here are some things you’ll need: Child safety seat: Make sure your baby’s child safety seat is correctly installed in your car before you go to the hospital. Crib: Choose a crib that doesn’t have sides that move up and down. Make sure the mattress fits snugly. Diapers: Plan on using about 70 diapers (disposable or cloth) a week. Layette: 6 to 8 T-shirts or onesies 6 to 8 sleepers 4 to 6 pairs of booties or socks 4 to 6 receiving blankets Washcloths and towels Medical supplies: Rectal digital thermometer (not a mercury thermometer) and lubricant (petroleum jelly). A rectal digital thermometer gives the best temperature reading for newborns. Non-aspirin liquid pain reliever for infants (such as acetaminophen) Rubbing alcohol to help clean the umbilical cord stump Cotton swabs Saline drops to help relieve a stuff nose Infant nail clippers Suction bulb for nose

Hospital Bag checklist Reduce your stress by packing for your trip to the hospital a few weeks before your expected due date.

for mom Bath Robe

Hair Ties and Pins

Night Gown

Pillow

Pajamas

Tennis Ball for Labor Massage

Loose Comfy Outfit To Leave In

Cell Phone and Charger

Shower Shoes

Camera and Charger

Slippers

Laptop/Tablet/iPad

Nursing Bras

Snacks for Husband/Family

Comfortable Underwear

Change for Vending Machines

Socks

Birth Plan

Nursing Pads/Nipple Cream

Family Contacts

Toiletries and Makeup

Book or Magazine

Brush and Blow Dryer

Identification

Glasses/Contact Lenses

Insurance Card/Information

Lotion

for baby Going Home Outfit

Baby Finger Nail Clippers

Onesies/Sleepers

Car Seat

Baby Socks

Receiving Blankets

Baby Mittens/Hat

Newborn Diapers and Baby Wipes

call list

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READY FOR THE

NURSERY? W

ith baby on the way, it is time to start thinking about creating a nursery. Remember that the nursery will be the place where the baby sleeps and where mom and dad will be changing diapers and feeding the little one. It will need to be functional and, well, cute of course.

LOCATION Choose a quiet room close to your bedroom. Remember, you will be making trips during the middle of the night and will want to be able to respond quickly when baby cries. Make sure the room is comfortable – not too hot or too cold. If windows let a lot of light from outside in, put up black-out blinds or curtain linings to help keep the room dark, which can help the baby fall asleep.

SIMPLICITY Clean lines and basic form-meets-functionality are the guidelines for an infant’s room. Start with a pared-down look. With all the gorgeous nursery furniture and accessories available, it’s easy to over-decorate. Keep it simple and decide on a single focus, such as a piece of furniture or artwork. Think child-friendly, not childish. Mix in age-appropriate accessories. Invest in one or two to-die-for items that will grow with your child, and furnish the rest of the room with simple basics that can work with a variety of schemes. Make sure it’s practical and easy to use.

SOOTHING COLORS Select colors that are calming and nurturing. Use a neutral background and subdued colors for the walls, floor and major furniture pieces Consider what makes mom feel relaxed. With the 24

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demands of a newborn, moms need calm more than anything. Limit flashes of bold color to bedding and textiles.

KEEP IT GENDER-NEUTRAL Pink and blue color stereotypes are old-fashioned. The more neutral the nursery contents, the more likely you’ll be to make use of them for a little brother or sister who shows up down the line. Orange, red, yellow and lime green convey a gender-neutral modern sensibility.

ADAPTABILITY Look for pieces that serve more than one purpose, will grow with your child or can be put to use in another room later. Consider a bassinet that transforms into a toy basket, a crib that turns into a toddler bed or a rocking chair that will later find a home in the living room. Consider how long the nursery décor will last your baby. Wall paper with characters might have to be changed if your growing child finds it babyish or out-of-date. Wall stickers are a cheap, easy alternative for decorating that can be changed as the child gets older. Also look for pieces that perform double duties. A dresser that has a changing table on top or a changer that fits on the crib may be better options than separate pieces of furniture, especially in a small room.

ARRANGING FURNITURE Once you’ve selected furniture and accessories, you’ll also have to settle on the right arrangement. Place the crib in a position where you can crack the door open for a peek at your sleeping baby. The changing table should be conveniently located near the closet or dresser so you can grab an outfit more quickly before

you dress your baby. Put the “mom station” as near as you can to the crib so mom won’t have to go far for the arms-to-crib transfer. Having furniture on casters makes for easy rearranging as mom’s and child’s needs evolve.

SAFETY Make sure the crib meets government safety standards. The slats shouldn’t be more than 2-3/8 inches apart so baby can’t get her head stuck in them. Cribs with cutout designs on the end panels pose a similar threat. Corner posts shouldn’t have decorative knobs or other elements on top, which could snag baby’s clothing and lead to strangulation or other serious injuries.

THINK ABOUT MOM Create a mom-station. At the very least mom will need a glider or rocker and a side table for storing baby-care and personal items and a small lamp that produces enough light to get mom and baby through late night feeding-and-rocking sessions. Also consider the height of the crib and changing table. Mom should be able to comfortably use both without bending over too far.

INCORPORATE YOUR STYLE It’s important that the nursery reflects your personal style and how you’ve decorated the rest of your home. Otherwise, it will look out of place and you’ll tire of it very quickly. In the end, a nursery needs to please only your baby and you. Sources: hgtv.com, babycentre.co.uk, whattoexpect.com, parents.com

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YOUR BABY’S FIRST HOURS OF LIFE

FROM WOMENSHEALTH.GOV

fter months of waiting, finally, your new baby has arrived! Mothers-to-be often spend so much time in anticipation of labor, they don’t think about or even know what to expect during the first hours after delivery. Read on so you will be ready to bond with your new bundle of joy.

WHAT NEWBORNS LOOK LIKE You might be surprised by how your newborn looks at birth. If you had a vaginal delivery, your baby entered this world through a narrow and boney passage. It’s not uncommon for newborns to be born bluish, bruised, and with a misshapen head. An ear might be folded over. Your baby may have a complete head of hair or be bald. Your baby also will have a thick, pasty, whitish coating, which protected the skin in the womb. This will wash away during the first bathing. Once your baby is placed into your arms, your gaze will go right to his or her eyes. Most newborns open their eyes soon after birth. Eyes will be brown or bluish-gray at first. Looking over your baby, you might notice that the face is a little puffy. You might notice small white bumps inside your baby’s mouth or on his or her tongue. Your baby might be very wrinkly. Some babies, especially

those born early, are covered in soft, fine hair, which will come off in a couple of weeks. Your baby’s skin might have various colored marks, blotches, or rashes, and fingernails could be long. You might also notice that your baby’s breasts and penis or vulva are a bit swollen. How your baby looks will change from day to day, and many of the early marks of childbirth go away with time. If you have any concerns about something you see, talk to your doctor. After a few weeks, your newborn will look more and more like the baby you pictured in your dreams.

BONDING WITH YOUR BABY Spending time with your baby in those first hours of life is very special. Although you might be tired, your newborn could be quite alert after birth. Cuddle your baby skin-to-skin. Let your baby get to know your voice and study your face. Your baby can see up to about two feet away. You might notice that your baby throws his or her arms out if someone turns on a light or makes a sudden noise. This is called the startle response. Babies also are born with grasp and sucking reflexes. Put your finger in your baby’s palm and watch how she or he knows to squeeze it.

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birth story Birthplace: Time: Date: Length: Weight: Eye Color: Hair Color: Who held baby first: People who were there: Your birth experience:

Most memorable moment:

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TAKING CARE OF BABY'S

UMBILICAL CORD

FROM THE MAYO CLINIC

newborn’s umbilical cord stump typically falls off within about two weeks after birth. In the meantime, treat baby’s umbilical cord stump gently. Wonder how to care for your newborn’s umbilical cord stump? Follow these tips to promote healing. During pregnancy, the umbilical cord supplies nutrients and oxygen to your developing baby. After birth, the umbilical cord is no longer needed — so it’s clamped and snipped. This leaves behind a short stump. Your baby’s umbilical cord stump will change from bluish white to black as it dries out and eventually falls off — usually within three weeks after birth. In the meantime, treat the area gently. Keep the stump clean. Parents were once instructed to swab the stump with rubbing alcohol after every diaper change. Researchers now say the stump might heal faster if left alone. If the stump becomes dirty or sticky, clean it with plain water —

then dry it by holding a clean, absorbent cloth around the stump or fanning it with a piece of paper. Keep the stump dry. Expose the stump to air to help dry out the base. Keep the front of your baby’s diaper folded down to avoid covering the stump. In warm weather, dress your baby in a diaper and T-shirt to improve air circulation. Stick with sponge baths. Sponge baths might be most practical during the healing process. When the stump falls off, you can bathe your baby in a baby tub or sink. Let the stump fall off on its own. Resist the temptation to pull off the stump yourself. During the healing process, it’s normal to see a little blood near the stump. Much like a scab, when the cord stump falls off, a little bleeding might occur. However, contact your baby’s doctor if the umbilical area ooze pus or the surrounding skin becomes red and swollen. If your baby has an umbilical cord infection, prompt treatment is needed to stop the infection from spreading. A PUBLICATION OF

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WHAT TO DO IF

YOU SUSPECT

BABY HAS JAUNDICE 30

CENTERS FORMagazine DISEASE CONTROL AND PREVENTION A PUBLICATION OF | INMagTexas.com

ome babies with jaundice might look yellow or even orange, but it is not possible to see jaundice in all babies, especially those with darker skin color. Your baby should be checked for jaundice in the hospital and again within 48 hours after leaving the hospital. Ask your baby’s doctor or nurse about a jaundice bilirubin test. Create a follow-up plan before leaving the birth hospital. All babies 3 to 5 days old should be checked by a nurse or doctor, because this is usually when a baby’s bilirubin level is highest. The timing of the follow-up visit will depend on how old your baby is when you leave the birth hospital and on any other risk factors. Babies with jaundice in the first 24 hours of life or with high bilirubin levels before hospital discharge should have an early follow-up plan. Treat jaundice seriously.

WHEN TO GET HELP See your baby’s doctor tahe same day if your baby: Is very yellow or orange (skin color changes start from the head and spread to the toes). Is hard to wake up or will not sleep at all. Is not breastfeeding or sucking from a bottle well. Is very fussy. Does not have enough wet or dirty diapers. Get emergency medical help if your baby: Is crying inconsolably or with a high pitch. Is arched like a bow (the head or neck and heels are bent backward and the body forward). Has a stiff, limp, or floppy body. Has strange eye movements.

IF BABY HAS JAUNDICE It is important to take jaundice seriously and stick to the followup plan for appointments and recommended care. Your baby might be put under special blue lights (phototherapy) to lower the bilirubin level. You should not put your baby in direct sunlight; this is not a safe treatment for jaundice and could cause sunburn. A baby with a very high bilirubin level might need a blood transfusion in the hospital. Make sure your baby is getting enough to eat. The process of removing waste also removes bilirubin in your baby’s blood. If you are breastfeeding, you should nurse the baby at least 8 to 12 times a day for the first few days. This will help you make enough milk for the baby and will help keep the baby’s bilirubin level down. If you are having trouble breastfeeding, ask your doctor, nurse, or a lactation coach for help.

FINDING SUPPORT It might be helpful for parents of children affected by kernicterus to talk with one another. One parent might have learned how to address some of the same concerns another parent has. Often, parents of children with special needs can give advice about good resources for these children. Remember that the choices of one family might not be best for another family, so it’s important that parents understand all options and discuss them with their child’s health care providers.

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mom FATIGUE

TAKING CARE OF A BABY CAN BE EXHAUSTING. THESE STRATEGIES WILL HELP YOU NOT GET OVERWHELMED AND STRESSED OUT.

FROM THE MARCH OF DIMES

ou’ve welcomed your beautiful new baby to the world and have now brought him home. Having a new baby can be an exciting and joyous event. But it can also leave many new parents, moms especially, feeling overwhelmed and exhausted. Some moms might feel that compared to the first few weeks of life with a newborn, childbirth was the easy part! Between the endless feedings, sleepless nights and other responsibilities, many women feel really, really tired in the weeks after birth. You may find it hard to balance taking care of a new baby, yourself, your family and your home. Take comfort in knowing you’re not alone. These feelings are normal. You can take steps to help you find more energy and overcome new mom fatigue.

energy and feel rested. Eat healthy foods. Check out choosemyplate.gov, an online tool from the U.S. Department of Agriculture. It can help you plan a healthy meals based on your age, weight, height and physical activity. There’s even a special section for breastfeeding moms. Drink lots of water. Try not to overload on caffeine or sugarpacked beverages. The right foods and beverages can help give you more energy. With your health care provider’s OK, get active. Did you know that physical activity can actually give you more energy during the day? Take baby for a walk. Or do a few minutes of physical activity at home during baby’s daytime naps.

GET PLENTY OF REST

Look to family, friends and others for help As much as you may want to be “super mom,” no woman can be everything to everyone. If someone offers to help, think about taking them up on it. Ask your partner, family and friends for help when you need it. Share nighttime parenting jobs. Work with your partner to schedule feedings, diaper changes and other baby duties. If you’re bottle feeding, have your partner take on more nighttime feedings. If you’re breastfeeding, ask your partner to bring the baby to you and to burp the baby after he’s been fed. Ask guests to help out. When visitors come, ask them to help you with the dishes, do a load of laundry, or simply hold the baby while you take a shower. Take advantage of babysitting offers. Instead of going out, stay in the comfort of your own home. Take a much needed nap while a trusted friend or family member takes care of the baby. If you can afford it, hire some help. A neighborhood teen can do light chores. Think about hiring a baby nurse or doula during the first few weeks after pregnancy. (A doula is a professional who provides care and support to women during labor and in the postpartum period.) Caring for a new baby can be a wonderful time in your life. When you’re feeling overwhelmed and exhausted, remember that the newborn days won’t last long. Soon, you’ll be better able to manage your time and energy and enjoy these first precious moments in your child’s life.

When there’s a new baby in the home, sleep is on everyone’s mind! Newborns sleep about 16 hours a day for 3 to 4 hours at a time. In the first few weeks of a baby’s life, it can be hard, if not impossible, for mom to get a solid stretch of 6 to 8 hours sleep at night. Try these steps to help you get the rest you need. Sleep when the baby sleeps, even if it’s just for a quick nap. Turn off the phone and TV, close the shades, and try to get a few minutes of sleep whenever you can. Place the baby in the baby’s room. In the beginning, it might help to have your baby sleep in the same room as you. But if the baby’s breathing, cooing or restlessness keeps you wake, try moving baby to her room so that you can get your sleep. Use a baby monitor to listen to the baby in her room. Put off other household responsibilities (laundry, dishes, cleaning, etc.). Your main concern is taking care of yourself and your baby. This includes making time for sleep, even if it means cutting back on chores. Limit visitors. Just because you have a new baby doesn’t mean you’re obligated to host and entertain guests. Limit visitors as best as you can so that you can get much needed rest.

EAT HEALTHY, BE ACTIVE Eating healthy foods and getting exercise can help you have

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CONSIDER THE BENEFITS OF

EXERCISE AFTER PREGNANCY FROM THE MAYO CLINIC

xercise might be the last thing on your mind after you give birth, but it’s worthwhile. In fact, exercise after pregnancy might be one of the best things you can do for yourself. Follow these tips to keep exercise after pregnancy safe.

BENEFITS OF EXERCISE Regular exercise after pregnancy can: Promote weight loss, particularly when combined with reduced calorie intake Improve your cardiovascular fitness Restore muscle strength and tone Condition your abdominal muscles Boost your energy level Improve your mood Relieve stress Help prevent and promote recovery from postpartum depression Better yet, including physical activity in your daily routine helps you set a positive example for your child now and in the years to come.

EXERCISE AND BREASTFEEDING Exercise isn’t thought to have any adverse effects on breast milk volume or composition, nor is it thought to affect a nursing infant’s growth. Some research, however, suggests that highintensity physical activity can cause lactic acid to accumulate in breast milk and produce a sour taste a baby might not like. If you’re breast-feeding, you can prevent this potential problem by sticking to moderate physical activity and drinking plenty of fluids during and after your workout. If vigorous activity is a priority during the first few months of breast-feeding, consider feeding your baby before your workout or pumping before your workout and feeding your baby the pumped breast milk afterward. This can also help you stay comfortable while you’re exercising. Alternatively, you can simply avoid breast-feeding your baby right after your workout. After months four to five of breastfeeding, physical activity has less of an impact on your milk because your body produces most milk at feeding time.

WHEN TO START In the past, health care providers often instructed women to wait at least six weeks after giving birth to begin exercising. The waiting game might be over, however. If you had an uncomplicated vaginal delivery, it’s generally safe to begin exercising as soon as you feel ready. If you had a C-section, extensive vaginal repair or a complicated birth, talk to your health care provider about when to start an exercise program.

ACTIVITY GOALS For most healthy women, the Department of Health and Human Services recommends at least 150 minutes a week of moderateintensity aerobic activity — preferably spread throughout the week — after pregnancy. Consider these guidelines: Take time to warm up and cool down. Begin slowly and increase your pace gradually. Drink plenty of fluids. Wear a supportive bra and, if you’re breast-feeding, nursing pads in case your breasts leak. Avoid excessive fatigue. Stop exercising if you feel pain.

ACTIVITIES TO TRY When you’re ready to exercise, start with something low impact and simple — such as a daily walk. If you’re looking for camaraderie, check out a postpartum exercise class at a local fitness club or community center. With your health care provider’s OK, also consider these specific exercises: Pelvic tilt. Try the pelvic tilt a few times a day to strengthen your abdominal muscles. Lie on your back on the floor with your knees bent. Flatten your back against the floor by tightening your abdominal muscles and bending your pelvis up slightly. Hold for up to 10 seconds. Repeat five times and work up to 10 to 20 repetitions. Kegel exercise. Use this exercise to tone your pelvic floor muscles, which support the uterus, bladder, small intestine and rectum. Contract the muscle you use to stop your urine flow. Hold for up to 10 seconds and release, relaxing for 10 seconds between contractions. Aim for at least three sets of 10 repetitions a day.

OVERCOMING BARRIERS When you’re caring for a newborn, finding time for physical activity can be challenging. Hormonal changes can make you emotional, which might lead to sedentary behavior. And some days you might simply feel too tired for a full workout. That doesn’t mean that you should put physical activity on the back burner, however. Instead, do what you can. Seek the support of your partner, family and friends. Schedule time for physical activity. Exercise with a friend to stay motivated. Include your baby, either in a stroller while you walk or lying next to you on the floor while you do abdominal exercises. Remember, exercise after pregnancy might not be easy — but it can do wonders for your well-being, as well as give you the energy you need to care for your newborn.

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BABY BATH BASICS FROM THE MAYO CLINIC

BATHING A SLIPPERY NEWBORN CAN BE A NERVEWRACKING EXPERIENCE. YOUR BABY MIGHT NOT LIKE IT MUCH, EITHER. WITH A LITTLE PRACTICE, HOWEVER, YOUâ&#x20AC;&#x2122;LL BOTH START TO FEEL MORE COMFORTABLE AT BATH TIME. START BY LEARNING BABY BATH BASICS. 36

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here’s no need to give your newborn a bath every day. In fact, bathing your baby more than several times a week can dry out his or her skin. If you’re quick with clean diapers and burp cloths, you’re already cleaning the parts that really need attention — the face, neck and diaper area. That’s up to you. Choose a time when you’re not rushed or likely to be interrupted. Some parents opt for morning baths, when their babies are alert and ready to enjoy the experience. Others prefer to make baby baths part of a calming bedtime ritual. If you bathe your baby after a feeding, consider waiting for your baby’s tummy to settle a bit first. A baby bath doesn’t necessarily need to be done in a tub of water. The American Academy of Pediatrics recommends sponge baths until the umbilical cord stump falls off — which might take up to three weeks. If you’d like to give your baby a sponge bath, you’ll need: -- A warm place with a flat surface. A bathroom or kitchen counter, changing table, or firm bed will work. Even a blanket or towel on the floor is OK if it’s warm enough. -- A soft blanket, towel or changing pad. Spread it out for your baby to lie on. -- A free hand. Always keep one hand on your baby. On a changing table, use the safety strap as well. -- A sink or shallow plastic basin to hold the water. Run warm water into the basin or sink. Check the water temperature with your hand to make sure it’s not too hot. -- Essential supplies. Gather a washcloth, a towel — preferably with a built-in hood — cotton balls, mild baby shampoo, mild moisturizing soap, baby wipes, a clean diaper and a change of clothes.

COMFORT, SAFETY When you’re ready to begin the sponge bath, undress your baby and wrap him or her in a towel. Lay your baby on his or her back on the blanket, towel or pad you’ve prepared. Wet the washcloth, wring out excess water and wipe your baby’s face. There’s no need to use soap. Use a damp cotton ball or clean cotton cloth to wipe each eyelid, from the inside to the outside corner. When you clean your baby’s body, plain water is usually OK. If your baby is smelly or dirty, use a mild moisturizing soap. Pay special attention to creases under the arms, behind the ears, around the neck and in the diaper area. Also wash between your baby’s fingers and toes. To keep your baby warm, expose only the parts you’re washing. Many parents choose free-standing plastic tubs specifically designed for newborns. Others opt for plastic basins or inflatable tubs that fit inside the bathtub. Lined with a towel or rubber mat, the kitchen or bathroom sink might be another option. Remember, though, safety is the most important consideration — not necessarily the type of tub. Gather the same supplies you’d use for a sponge bath and a cup of rinsing water ahead of time so that you can keep one hand on the baby at all times. Never leave your baby alone in the water.

research suggests that using slightly more water — enough to cover a baby’s shoulders — can be calming and help reduce heat loss. With any amount of water, be sure to hold your baby securely during the bath. Warm water is best. To prevent scalding, set the thermostat on your water heater to below 120 F (49 C). Always check the water temperature with your hand before bathing your baby. Aim for bath water around 100 F (38 C). Be sure the room is comfortably warm, too. A wet baby can be easily chilled. A secure hold will help your baby feel comfortable — and stay safe — in the tub. Use one of your hands to support your baby’s head and the other to hold and guide your baby’s body into the water, feet first. Support your baby’s head and torso with your arm and hand. Wrap your arm under your baby’s back, grasping your baby firmly under the armpit. When you clean your baby’s back and buttocks, lean him or her forward on your arm. Continue to grasp your baby under the armpit. Most parents start with the baby’s face and move on to dirtier parts of the body. Wash inside skin folds, and rinse the genitals carefully. Wash your newborn’s hair if it seems dirty or your baby develops cradle cap — a common condition characterized by scaly patches on the scalp. Supporting your baby’s head and shoulders with your free hand, gently massage a drop of mild baby shampoo into your baby’s scalp. Rinse the shampoo with a damp washcloth or directly under the faucet, cupping one hand across your baby’s forehead to keep suds out of his or her eyes. There’s no need to use special soap for a baby bath. In fact, plain water is fine for newborns. When needed, use a mild moisturizing soap. Avoid bubble bath and scented soaps. Most newborns don’t need lotion after a bath. The best way to prevent rashes is to dry inside your baby’s folds of skin after each bath. If you choose to use lotion, pick one that’s hypoallergenic.

WATER The ideal amount of water for a baby bath is debatable. A common recommendation is 2 to 3 inches (about 5 to 8 centimeters) of warm water. To keep your baby warm, you can pour warm water over his or her body throughout the bath. Some

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KEYS TO CREATING A BABY SCHEDULE

BY MAUREEN CONNOLLY | FROM BABYCENTER.COM

etting into a regular schedule for sleep, feeding and activities can make life easier for you and your baby. But how to start? Below are guidelines for establishing a routine that works. Getting into a regular schedule for sleep, feeding, and activities can make life easier for you and your baby. But how to start? Below, find seven great guidelines for establishing a routine that works.

GET BABY INTO A BEDTIME ROUTINE EARLY Once you have a consistent bedtime worked out, a daytime routine will fall into place, says Tanya Remer Altmann, a pediatrician and editor-in-chief of The Wonder Years: Helping Your Baby and Young Child Successfully Negotiate the Major Developmental Milestones. And the easiest way to establish a regular bedtime is to start a bedtime routine that you and your baby can depend on night after night. “The bedtime routine is the most important thing to consider when establishing a schedule,” says Altmann. “You can’t force it 38

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in the first few months, but you can start practicing at around 2 months.” Altmann says to keep it simple: a warm bath, jammies, a feeding, then lights-out.

TEACH BABY NIGHT FROM DAY Many babies mix up their days and nights at first, sleeping long stretches during the day only to perk up once the sun goes down. Helping your baby learn to tell day from night is a key first step to getting into a workable routine. Amy Shelley, mom to 8-month-old Alex, offers these tips: “During the day, keep the house bright. Do the exact opposite at night: Keep the house dim and quiet. Don’t talk to your baby much during night feedings. Let him learn that night is for sleeping and daytime is for socialization and playtime.”

READ YOUR BABY’S CUES Websites, books, your baby’s doctor, and other parents can all help as you figure out an appropriate schedule for your baby. But

your child will be an important guide, and he’ll tell you what he needs – if you learn to read his cues. “When parents take the time to be with their baby, the information they receive gets sifted through their own experience. Instincts come from learning about your baby’s temperament and what works for him,” says pediatrician Daniel Levy, president of the Maryland chapter of the American Academy of Pediatrics and clinical assistant professor of pediatrics at the University of Maryland. Learning what your baby needs takes time and patience. But you’ll see patterns emerge over time.

PUT BABY’S SCHEDULE FIRST If you’re encouraging your baby to follow a schedule or observing his patterns to figure out a routine that works, make this process a top priority for at least the first couple of weeks. Avoid deviating from the routine with vacations, meals on the go, outings that push naptime back, and so on. Once you establish a pattern for your baby’s sleeping, awake, and feeding times, changing things for an afternoon isn’t likely to undo his habits. But it’s best to keep your baby’s schedule as consistent as possible while he’s getting used to it.

EXPECT CHANGES Your child accomplishes so much in the first year. He’ll nearly triple his weight and achieve some major feats like sitting up, crawling, even walking. During periods of growth or when he’s working to achieve a new milestone, don’t be surprised if your baby diverges from his usual routine. He may be hungrier than usual, need more sleep, or return to waking up several times a night. Hang in there – your baby may be back on schedule shortly, or this may be a sign that you need to adjust your routine.

ADJUST SCHEDULES It may feel like just when you’ve gotten into a predictable groove with your little one, it’s time to change it again. As your baby gets older, he’ll need fewer daytime naps and more playtime and stimulation. He’ll also need to eat solid foods – first just once a day, but eventually several times a day. As these developmental shifts happen, your child’s schedule will shift as well.

DON’T EXPECT PERFECTION Some parent-led schedules set the expectation that your baby’s routine will always run like clockwork. And though babies do like consistency, you can expect changes from day to day and as your baby grows. Variation is okay, as long as your baby is getting the sleep, play, food, care, and love he needs to thrive.

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MEDICATIONS FOR BABY FROM THE U.S. FOOD AND DRUG ADMINISTRATION

aving a baby can also be a stressful time for new parents, especially if the child is sick. If you’re between appointments and think your child is sick, or just have questions, contact your health-care provider to confirm what to do next.

GIVE MEDICATIONS PROPERLY

Certain medications may not be appropriate for your baby, so you should ask your health-care provider before giving your child any medication, says Dr. Donna L. Snyder, a pediatrician with FDA’s Division of Pediatric and Maternal Health. If a doctor recommends a medicine for your infant, ask questions to be sure you use the right dose.

Use the appropriate dosing device — such as an oral syringe, not a regular kitchen spoon — to give the recommended amount of medicine. Some products are packaged with these devices, but devices are also available for purchase over the counter. “If your baby is prescribed a specific amount of medicine, make sure you measure and give the specific amount using a dosing device,” Snyder adds. And talk to your baby’s pharmacist or other health-care provider if you have questions.

STORE MEDICATIONS SAFELY

TAKING MEDICINE WHILE BREASTFEEDING

Store any medicines that you or your baby may take out of reach. “You want to keep medications out of reach of your child,” says Snyder, who notes that babies can start to crawl as early as 5 to 6 months. “But even if babies are under the age when you’d expect them to be able to get to your medication, get into the habit of putting medication out of their reach.”

“If you are taking medications, it’s important to ask your health care provider whether it’s okay to breastfeed,” says Leyla Sahin, M.D., an obstetrician with FDA’s Division of Pediatric and Maternal Health. You should ask about any prescription or over-the-counter products, including supplements. Stopping a medication can be dangerous for some women with chronic health problems, Sahin notes, but some medications can pass through the breast milk and may not be safe for your baby. So check with your health care provider if you are breastfeeding, or plan to breastfeed, and you are taking any medication.

GET EXPERT ADVICE BEFORE GIVING MEDICINE

READ ALL STORAGE INSTRUCTIONS “For instance, some antibiotics need to be kept in the refrigerator,” Snyder says. “So you want to make sure you’re storing it according to the instructions.” 40

If you have questions about how to safely store a medicine, contact your pharmacist or other health care provider.

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vaccine tracker

TheBump.com

This immunization schedule is recommended by the Centers for Disease Control and Prevention. vaccine If you'd liketracker to try a modified schedule, speak with your pediatrician. You can also find other information on CDC.gov

This immunization schedule is recommended by the Centers for Disease Control and Prevention. If youâ&#x20AC;&#x2122;d like to try a modified schedule, speak with your pediatrician.

Vaccine

Birth

1 mo. 2 mos. 4 mos. 6 mos. 12 mos. 15 mos. 18 mos. 24 mos. 4-6 yrs. 11-12 yrs.

Hepatitis B Diptheria, Tetanus, Pertussis Haemophilus Influenza Type B Inactivated Poliovirus Measles, Mumps, Rubella Varicella Meningococcal Pneumococcal Influenza

yearly

Hepatitis A Rotavirus HPV Source: CDC.gov

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YOU CAN HELP BABY REACH DEVELOPMENTAL

MILESTONES FROM CENTERS FOR DISEASE CONTROL AND PREVENTION

kills such as taking a first step, smiling for the first time, and waving “bye-bye” are called developmental milestones. Developmental milestones are things most children can do by a certain age. Children reach milestones in how they play, learn, speak, behave, and move (like crawling, walking, or jumping). In the first year, babies learn to focus their vision, reach out, explore, and learn about the things that are around them. Cognitive, or brain development, means the learning process of memory, language, thinking, and reasoning. Learning language is more than making sounds (“babble”), or saying “ma-ma” and “da-da.” Listening, understanding, and knowing the names of people and things are all a part of language development. During this stage, babies also are developing bonds of love and trust with their parents and others as part of social and emotional development. The way parents cuddle, hold, and play with their baby will set the basis for how they will interact with them and others.

PARENTING TIPS Following are some things you, as a parent, can do to help your baby during this time: Talk to your baby. She will find your voice calming. Answer when your baby makes sounds by repeating the sounds and adding words. This will help him learn to use language. Read to your baby. This will help her develop and understand language and sounds. Sing to your baby and play music. This will help your baby develop a love for music and will help his brain development. Praise your baby and give her lots of loving attention. Spend time cuddling and holding your baby. This will help her feel cared for and secure. Play with your baby when she’s alert and relaxed. Watch your baby closely for signs of being tired or fussy so that she can take a break from playing. Distract your baby with toys and move him to safe areas when she starts moving and touching things that he shouldn’t touch. Take care of yourself physically, mentally, and emotionally. Parenting can be hard work! It is easier to enjoy your new baby and be a positive, loving parent when you are feeling good yourself.

SAFETY FIRST When a baby becomes part of your family, it is time to make sure that your home is a safe place. Look around your home for things that could be dangerous to your baby. As a parent, it is your job to ensure that you create a safe home for your baby. It also is important that you take the necessary steps to make sure that you are mentally and emotionally ready for your new baby. Here are a few tips to keep your 42

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baby safe: Do not shake your baby ever! Babies have very weak neck muscles that are not yet able to support their heads. If you shake your baby, you can damage his brain or even cause his death. Make sure you always put your baby to sleep on her back to prevent sudden infant death syndrome (commonly known as SIDS Protect your baby and family from secondhand smoke. Do not allow anyone to smoke in your home. Place your baby in a rear-facing car seat in the back seat while he is riding in a car. This is recommended by the National Highway Traffic Safety Administration. Prevent your baby from choking by cutting her food into small bites. Also, don’t let her play with small toys and other things that might be easy for her to swallow. Don’t allow your baby to play with anything that might cover her face. Never carry hot liquids or foods near your baby or while holding her. Vaccines (shots) are important to protect your child’s health and safety. Because children can get serious diseases, it is important that your child get the right shots at the right time. Talk with your child’s doctor to make sure that your child is up-to-date on her vaccinations.

HEALTHY BODIES Breast milk meets all your baby’s needs for about the first 6 months of life. Between 6 and 12 months of age, your baby will learn about new tastes and textures with healthy solid food, but breast milk should still be an important source of nutrition. Feed your baby slowly and patiently, encourage your baby to try new tastes but without force, and watch closely to see if she’s still hungry. Breastfeeding is the natural way to feed your baby, but it can be challenging. If you need help, you can call the National Breastfeeding Helpline at 800-994-9662 or get help on-line at womenshealth.gov/ breastfeeding. You can also call your local WIC Program to see if you qualify for breastfeeding support by health professionals as well as peer counselors. Or go to gotwww.net/ilca to find an International Board-Certified Lactation Consultant in your community. Keep your baby active. She might not be able to run and play like the “big kids” just yet, but there’s lots she can do to keep her little arms and legs moving throughout the day. Getting down on the floor to move helps your baby become strong, learn, and explore. Try not to keep your baby in swings, strollers, bouncer seats, and exercise saucers for too long. Limit screen time to a minimum. For children younger than 2 years of age, the American Academy of Pediatrics recommends that it’s best if babies do not watch any screen media.

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baby's first milestones Makes First Noise Smiled: Rolled onto Tummy: Rolled onto Back: Laughed: Clapped: Sat Up: Held a Bottle: Held a Cup: Blew a Kiss: Waved Bye-Bye: Ate Baby Food: Held a Toy: Crawled: Says mom or dad: Shakes Head "No": Plays Peek-a-Boo: Went on an Outing: Pulls him or herself up: Went on First Outing: Stands Alone: Turn Pages in a Book: Shows Affection: First Word Other Than Mom or Dad: Other Unforgettable Moments:

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CALMING A FUSSY BABY FROM THE AMERICAN ACADEMY OF PEDIATRICS WHAT IS THE BEST WAY TO CALM A FUSSY OR COLICY BABY? he following are ways you can try to comfort a crying baby. It may take a few tries, but with patience and practice you’ll find out what works and what doesn’t for your baby. Swaddle your baby in a large, thin blanket (ask your nurse or child’s doctor to show you how to do it correctly) to help her feel secure. Hold your baby in your arms and place her body either on her left side to help digestion or on her stomach for support. Gently rub her back. If your baby goes to sleep, remember to always lay her down in her crib on her back. Turn on a calming sound. Sounds that remind babies of being inside the womb may be calming, such as a white noise device, the humming sound of a fan, or the recording of a heartbeat. Walk your baby in a body carrier or rock her. Calming motions remind babies of movements they felt in the womb. Avoid over-feeding your baby because this may also make her uncomfortable. Try to wait at least 2 to 2½ hours from the beginning of one feeding to the beginning of the next. If it is not yet time to feed your baby, offer the pacifier or help your baby find her thumb or finger. Many infants are calmed by sucking. If food sensitivity is the cause of discomfort, a change in diet may help. For breastfed babies, moms may try changing their own diet. See if your baby gets less fussy if you cut down on milk products or

caffeine. If there is no difference after making the dietary changes, then resume your usual diet. Avoiding spicy or gassy foods like onions or cabbage has worked for some moms, but this has not been scientifically proven. For bottle-fed babies, ask your child’s doctor if you should try a different formula. This has been shown to be helpful for some babies. Keep a diary of when your baby is awake, asleep, eating, and crying. Write down how long it takes your baby to eat or if your baby cries the most after eating. Talk with your baby’s doctor about these behaviors to see if her crying is related to sleeping or eating. Limit each daytime nap to no longer than 3 hours a day. Keep your baby calm and quiet when you feed or change her during the night by avoiding bright lights and noises such as the TV. If you as a parent are feeling stressed and ready to cry or scream, put the baby down in a safe place and take a break. Ask a family member or a friend to watch your baby for a short time. You need time to yourself, even if it’s only an hour to refresh yourself. Remember: never shake your baby. Also, remember that it is OK to place the baby down in her crib for awhile, maybe 10 or 15 minutes, if she continues to cry, as long as you have made sure that she has been fed, burped, and changed and that everything is all right with her. Sometimes both you and your baby need a break. Let your own health care provider know if you are experiencing depression or are having a very difficult time with your emotions.

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Teething

PAIN BABIES FACE DISCOMFORT WHEN TEETH COME IN FROM THE AMERICAN ACADEMY OF PEDIATRICS iscomfort from teething, which may begin as early as 3 months, can wake a baby. The gums around the emerging teeth may be swollen and tender. What can you do to help baby? Give her firm objects to chew on—teething rings or hard, unsweetened teething crackers. Frozen teething toys should not be used; extreme cold can injure your baby’s mouth and cause more discomfort. Pain relievers intended to be rubbed on a baby’s gums aren’t very helpful; a teething baby drools so much that the medication is quickly washed away. In addition, pediatricians warn that such medications can numb the back of the throat and interfere with your baby’s ability to swallow. If your baby is clearly uncomfortable, talk to your pediatrician about a possible course of action. Your pediatrician may suggest that you give a small dose of acetaminophen (such as Tylenol) or ibuprofen (such as Advil, Motrin). When your baby’s teeth are coming through, she may also have a very slight increase in temperature. But if her temperature reaches 100.4°F (38°C) or above, it’s not because of teething. 46

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If your baby has symptoms such as fever, vomiting, or diarrhea while teething, consult your pediatrician to find out whether she has a medical condition requiring treatment. If your teething baby is irritable, try to make her comfortable, but keep to your usual bedtime routine. Changing the routine, even for a few nights, may only lead to sleep troubles.

Baby Teething chart

Upper

7 months 9 months Left

Right

18 months 14 months 24 months

Lower

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MEALS FOR BABY A COLLECTION OF HOMEMADE BABY FOOD RECIPES

FROM COOKING LIGHT

irst bites are a big milestone in baby’s life. Here’s a step-by-step guide to introducing solid foods. Start a single-grain infant cereal, such as rice, or a single-fruit or vegetable puree. Cereals should be prepared with breast milk or formula. Serve the same food to baby for at least four days, watching for signs of allergy or intolerance. Move on to a new food, and start the process over until baby has tried a variety of single foods. Looking for the perfect first purees? Carrots, bananas, avocado, green peas or butternut squash purees tend to be popular with baby because they are smooth, mildflavored and slightly sweet.

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Remember to thin them down to an almost liquid consistency for baby’s first few meals Cook times and methods will differ slightly depending on the food, but you can use this simple process to prepare most fruits, vegetables, meats, and grains for baby.

PREP

Wash or peel the produce you’d like to use for your pureed baby food; cut the food into smaller pieces.

COOK

Steam, boil, or bake the food until it’s very tender.

PUREE

Process or mash the cooked food until it’s smooth or until desired consistency is reached.

STRAIN

Spoon the food through a fine strainer or sieve to smooth the lumps and remove unprocessed parts of produce (this step may or may not be required).

PORTION

Spoon the puree into single-serving dishes or storage containers; serve the puree to baby. Store it promptly for later use.

FRUITY CARROT BABYFOOD COMBO 8 oz (1 cup) carrots, peeled (if not organic) and diced 2 oz (1/4 cup) dried apricots, chopped water Easy peasy – just simmer both ingredients in enough water to cover until tender, then puree or mash well. Delicious!

FRUITY BUTTERNUT SQUASH 4 oz (1/2 cup) cooked butternut squash 1 oz (1/8 cup) dried apricots 1 oz (1/8 cup) raisins 1/2 ripe pear pinch cinnamon (optional) 1 tbsp wheat germ

Half an hour before you start, soak the apricots and raisins in warm water or apple juice to soften them. Peel and core the pear. Mash all the ingredients together or puree in a food processor. Top with the wheat germ.

WHITE PEACH AND BANANA PUREE

Make a double batch of this vitamin and potassium-rich puree to enjoy a mommyand-me snack with your wee one! Blend half with your favorite yogurt for a refreshing and healthy smoothie while feeding your baby the other half. White Peach and Banana Puree makes 1 cup Good for ages 4-6 months Ingredients: 1 white peach, peeled and chopped 1 banana, peeled and chopped Preparation: Place ingredients in the Baby Bullet and puree until smooth.

BLUEBERRY AND BANANA POPSICLES/LOLLIES Great for teething babies!

4 fl oz (1/2 cup) blueberry juice 1 envelope gelatin (unflavoured) 8 fl oz (1 cup) vanilla yogurt (or use natural yogurt and add a little vanilla essence) 4 oz (1/2 cup) fresh blueberries 1 medium, ripe banana, sliced Heat the blueberry juice gently in a small saucepan and stir in the gelatin. When the gelatin has completely dissolved, pour the mixture into a food processor. Add the yogurt, blueberries and banana and puree until totally smooth. Pour the mixture into popsicle (lolly) moulds and freeze.

BLUEBERRY - CHICKPEA CHUNKY PUREE

This recipe is perfect for a Friday = very little work required. In fact, this recipe is perfect for almost everyday in summer, when standing in front of a hot stove might be the last thing you want to do in your kitchen on an already hot day. All you have to do is measure [or eyeball] the ingredients into a food processor and pulse for a couple of minutes until it forms into a wonderful chunky puree leaving both you and the babes completely satisfied with life. Besides being a snap to make, this puree is packed with goodness that you will love. It is extremely high in antioxidants, fiber, Vitamin A and C from the blueberries and protein, zinc, manganese, folate and iron from the chick peas. All of that goodness packed into a super simple puree, I am a believer! Blueberries and chick peas are a duo to be reckoned with.

LENTIL AND APPLE PUREE 4 oz (1/2 cup) lentils 20 fl oz (2 1/2 cups) water 1 tbsp olive oil 3 to 4 tbsp onion, finely chopped 1 small apple, cored and diced (you may prefer not to peel – see this page for more information) 1 garlic clove, crushed 1 tsp ground cumin 1/2 tsp ground coriander pinch cinnamon Pour the water into a saucepan and add the lentils. Bring to the boil. Lower the heat and simmer the lentils until cooked – they should be tender and breaking down. This takes around 25 to 35 mins. Whilst the lentils are cooking, heat the oil in a small frying pan and saute the diced onion until tender. Add the diced apple and crushed garlic to the onion, then stir in all the spices.

blended lentils into the puree. This adds a little textural interest for older babies, but is still easy to eat! Serve just as it is, or as a side dish to a meal. Another option is to serve it the way our little one prefers… with squares of toast that he can dip into the puree! Leftovers will freeze well or can stay in the fridge for up to 48 hours

ZUCCHINI APPLE SPINACH CHICKEN CHUNKY PUREE 2 organic small zucchini 2 organic apples 1-2 cups organic baby spinach 1/2 organic chicken breast

Chop zucchini into 2 inches pieces, core and chop apple into segments. Place chicken in steamer over boiling water for 10 minutes, covered. Flip the chicken. Place zucchini, apple then spinach into steamer in that order on top of chicken over boiling water for 10 additional minutes or until zucchini is tender to prick. Do not mix and keep spinach on top. Let slightly cool. Remove chicken to check for doneness and then roughly chop. Combined all ingredients into blender or food processor and pulse until you achieve desired consistency. Makes roughly 20 ounces of puree. Store in airtight container in fridge for 3 days or 2 months in freezer.

BAKED PEAR AND CARROT MASH 1 carrot 1/2 ripe pear

Peel the carrot and peel, then core, the pear. Cut the carrot into strips and the pear into chunks. Wrap the prepared carrot and pear in foil and seal, to make a parcel. Bake at 375 deg F (190 deg C) until tender. Mash well or puree.

Cook for a few more minutes, until the apple is tender. Tip the onion/apple mixture into the lentil pot and leave it to simmer for 5 more mins. Cool briefly. You now have two options…. You can either transfer the entire mixture to a blender and puree until smooth OR you can hold about 4 tbsp of the mixture back, blend the rest, then stir the un-

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PLANNING BABY'S

FIRST BIRTHDAY FROM PARENTING.COM

our baby is 1, and it's time to party! "Our darling Gracie's first birthday was in January, and it felt like a celebration for us for making it through our first year," says Tori Horne of Tallahassee, Florida. We asked Penny Warner, child development instructor and author of more than 12 party and activity books, including Baby Birthday Parties: 20 Fun Theme Parties for Babies 1 to 3, for ideas on hosting that first milestone party. "There's a lot to juggle—the unpredictable mood and schedule of a toddler, appropriate themes and snacks, even the number of guests." Her seven stress-free tips and theme ideas will have you and your bambino tossing your party hats into the air. 1. Watch the clock. Plan the party to last an hour to an hour-and-a-half. Babies have short attention spans and run out of energy and interest quickly. Plan the party for late morning or late afternoon—pre- or post-nap—when baby isn't tired. 2. VIPs only. Scale back the guest list to avoid overwhelming your babe and keep costs down. 3. Ask for help. Consider hiring a babysitter or asking a

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family member to help you balance your hosting duties with enjoying your baby's big day. 4. Babies love balloons. Opt for foil, or Mylar, balloons instead of latex to avoid choking hazards for kids under 8. Find Mylar balloons and Balloon Time helium tank kits at partycity.com. 5. Create a play place. Many of the babies in this age range are still on all fours, so baby-proof a play zone filled with age-appropriate toys for your little guests. Set chairs around the zone for parents to relax and watch. 6. Check your treats. Ask your guests if there are food allergies to consider. Keep snacks simple, like chopped fruit and graham crackers for the kids, and more grown-up versions for the adults to munch. 7. Don't stress. You're still a few years shy of hiring a D.J. and hosting pony rides. It won't matter to baby whether you throw the party of the season or just celebrate at home with your immediate family. As long as he's with you and feels love all around, that's all that matters.

121 E 8th St. Tyler TX | 903-944-7952 Monday-Saturday 10-5:30 Custom Invitations For: Baby Announcements Baby Showers Birthdays Christenings Party Goods Baby Gifts Professional friendly staff to help you every step of the way!

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