Healthy Idaho | October 2017 by Healthy Magazine

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OCTOBER 2017

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OCTOBER 2017

ER TO B

2017

18 9 Mommy Makeover Tips Motherhood changes the body. It’s time to fight back! Use these tips to feel empowered and beautiful.

Getting Back to Workouts After Giving Birth Many new moms have fitness as a priority, but wonder what’s safe and what’s not when it comes to exercising after giving birth.

Child Development Markers It’s natural to worry about your child’s mental and physical development. Being more informed, and knowing what to look for, can help.

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32 34 38

Apps For the Expecting Parent Can technology really help what is a demanding nine months of pregnancy? Yes! But choose wisely.

Product Review:

THINGS FOR BABY In a world overrun but expensive baby products, we’ve compiled a list of items that will truly help young parents.

Is Spanking Your Child Bad or Not? Understanding how research and personal beliefs collide, and how to find your own parenting style.

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OCTOBER 2017

FROM THE EDITOR

Healthy IDAHO

The Magic of 9 I REMEMBER TURNING 9. MY DAD MADE A BIG DEAL ABOUT THAT BEING THE LAST YEAR I’D BE IN ‘“SINGLE DIGITS” AND I DIDN’T EVEN KNOW WHAT THAT MEANT. I MEAN, WHAT’S THE BIG DEAL ABOUT BEING ONE LESS THAN 10? And I remember the first time I started making $9 hour at Kroger Grocery Stores as a teenager. It came after a year of making $6.50 an hour and my determination to make assistant manager pay. When it came, I felt I had hit the big time. I also remember my 9th anniversary, wondering what grand surprises I would do for the big 10th anniversary. That was a lot of pressure. But I’ll never forget sneaking a baby grand piano into our empty formal room in our first home while Marlo and I were out for the afternoon. I couldn’t wait to get home to see how long it took her to find that little surprise. It took about three hours before she finally walked by that room and exclaimed, “Oh my gosh?!” That was a good day. For some reason there has been something “big” about the number 9 in my life that spurs me on to accomplishment before I hit 10. It can be as simple as pushing myself to knock off as many daily to-do’s before 10:00 AM, trying to swish 9 of 10 free-throws in my driveway with my son Keaton, or trying to focus on my slowly improving lefty golf-game and stay only 9 over par. Goals, baby. This little rule of 9 has taught me the subtlety of thought and the power of suggestion. I found

JOHN A. ANDERSON,

EDITOR-IN-CHIEF @JOHN_A_ANDERSON

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OCTOBER 2017 VOLUME VIIII, № 10

EDITOR-IN-CHIEF | PUBLISHER John A. Anderson | john@healthy-mag.com

that when I start thinking and saying what I really want then my mind actually pulls me in that direction. And sometimes it can be that simple, just a little twist in vocabulary that illustrates my attitude and philosophy. My thought shifts also affect how others perform and behave around me. My son says, “I need $10.” I’ve learned to smile and say, “No comprende. That kind of thinking doesn’t work here. We’ve got plenty of money, but that’s not how you get $10.” Then he remembers to ask, “How can I earn $10?” There is power in attitude and words. There is abundance available to all who learn the magic words to get them, if you just learn the philosophy—How can I earn $10? Jim Rohn writes, You can’t go to the soil and say, ‘Give me a harvest.’ You know the soil smiles and says, ‘Who is this clown that brings me his need and brings me no seed.’ And if you said to the soil, ‘I’ve got this seed and if I planted and watered it, would you work while I sleep?’ Then the soil says, ‘No problem. Give me the seed. Go to sleep and I’ll be working while you’re sleeping.’” It’s important to understand these simple principles, and sometimes just a matter of language. It’s like an investment account instead of a savings account. Simple language, but so important. If you think of what you can accomplish in the 9 o’clock hour then perhaps you won’t have to put up with all the lack and all the challenges that don’t work out simply from not reading that book, not listening to that tape, not sitting in the class, not studying your language and not being willing to search so you can then find. But here is the great news. You can change your life, your behavior, your overall attitude in an hour a day. I love the magic of the 9 o’clock hour in the morning and evening. It’s when I try to get things done at work and then for myself personally. It might be a different hour for you, but pick an hour and focus on it—focus on self improvement and accomplishment during that time. Go on an intensive, accelerated personal development curve, learning curve, application curve, and learning the disciplines. I’m telling you, the same changes and the same rewards in some different fashion are available for those who pay the daily price. And you might find that whether it’s in the beginning to help get you started, or in the middle to keep you on track, that your language can have a great impact on your attitude, actions and results. Remember, it’s 9 o’clock somewhere.

CHIEF INFORMATION OFFICER Kenneth J. Shepherd | ken@healthy-mag.com SALES & MARKETING Julie Guyer 208.371.4533 Steve Wallace 208.850.4983 sales@healthy-idaho.com DESIGN EDITOR Phillip Chadwick | design@healthy-mag.com MANAGING EDITOR Michael Richardson | michael@healthy-mag.com ONLINE EDITOR Chelsa Mackay | chelsa@healthy-mag.com DIRECTOR OF OPERATIONS Allyson Long | allyson.long@healthy-mag.com CONTRIBUTING & STAFF WRITERS Caitlin Schille, Angela Silva, Megan Moore, David Joachim CIRCULATION Healthy Idaho Magazine is printed monthly and delivered extensively throughout Boise and surrounding areas—direct mailed to doctors, dentists, practitioners, health clinics, banks and other businesses and subscribers and is made available for pick up at hundreds of locations. If you would like to have Healthy Idaho Magazine delivered for distribution in your place of business, please contact us.

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Submit articles to editor@healthy-mag.com PLEASE NOTE: The content in this publication is meant to increase reader awareness of developments in the health and medical field and should not be construed as medical advice or instruction on individual health matters, which should be obtained directly from a health professional. The opinions expressed by the authors and advertisers are not necessarily those of the publisher. Call for reprint permission. All photography courtesy of Shutterstock.com unless otherwise noted.

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OCTOBER 2017

FITNESS

Ways to Get Moving

Create Your Exercise If exercise feels like a chore, switch it up! Physical activity is so much more than going to the gym and putting in a half hour on the treadmill. Any movement is good movement! Read through our list of fun and creative ways to bring some fun back into the way you move. WR I T T EN B Y C A IT L I N S CH I L L E

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Get up and dance! Dancing is a great way to move around without even realizing you’re exercising. Sign up for a dance class, or just turn up your favorite song in the comfort of your own home.

Join a team! Your city, county, or workplace likely has adult recreational sports leagues. Re-live your high school glory days, or try out a new sport you want to get better at.

Take up roller-blading. Don’t forget to wear your helmet!

Get back to your childhood roots by jumping on a pogostick.

Let’s go fly a kite!

Go for a walk. Exercise doesn’t have to make you sweat buckets to be good for your health and body.

Rent a kayak or canoe for a couple of hours.

Get out in the sunshine and play some tennis.

Give hiking a try! A hike doesn’t have to mean you’re climbing Everest. Start small, and focus on enjoying nature and some fresh air.

10. Get your friends involved! Everything is more fun with a buddy. Grab a friend and go for a walk, a jog, a bike ride, or any other activity that gets you moving.

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35. Do some yardwork. Not only is this great exercise, but you’ll be happy to see the results as well. 36. Give stand-up paddleboarding a try. 37. Go for a bike ride. It can be a leisurely ride- the important thing is that you’re moving! 38. Motivate yourself by signing up for a 5k or triathlon or other race. 39. Explore a new part of town on foot. 40. Find a lake, pond or reservoir and go swimming. 41. Build a blanket fort with your kids, nieces or nephews.

11. Give your house a good deep-cleaning. Blast some favorite tunes and work up a sweat by scrubbing your house from head to toe. 12. Grab a jump rope. Jumping rope is fantastic exercise for heart health, and it’s pretty fun too. 13. Get out into nature. Go for a walk on a new route or new trail. 14. In the colder winter months, get your heart rate up with some good old-fashioned sledding! 15. Go for a swim! Swimming laps is fantastic exercise, but splashing around in a lake, pool, or the ocean is a great way to move as well. 16. Play catch with your kids or friends. 17. Give martial arts a try. If you don’t want to take a class, find an instructional YouTube video. 18. Plan to walk or bike to work once per week. You’ll have fun switching up your routine!

24. Little bouts of movement add up. Look for ways to move throughout your day, such as getting a standing desk, taking the stairs, standing during a meeting, taking a five minute walk on your break, etc. 25. Go ice-skating! You’ll have so much fun skating backwards and perfecting your spin. 26. Get a dog. Having a dog will make your evening walks a little more fun (and you’ll need to go on walks). 27. If you find yourself getting bored with your exercise routine, check out the thousands of exercise videos on YouTube! You’re sure to find something new and fun. 28. Jump on the trampoline! It’s great exercise, and you’ll be having so much fun, you won’t even realize you’re exercising.

43. Plant and tend a garden. 44. Rearrange your living room. 45. Find service projects to get involved with. 46. Walk when you’re on the phone.

29. Rock-climbing is a wonderful way to build muscle without the monotony of lifting weights. Find a local climbing gym, and give it a try!

19. Take your kids to the playground and really play with them. You’ll be surprised how much you move around just trying to keep up with your kids!

30. Head to the batting cages!

20. Go climb a tree. 21. If you want an ice cream cone or other treat, walk there!

32. Tackle a home improvement project. Paint a room a new color or replace the tile in your bathroom. Lifting, squatting, and stretching are bound to be part of it.

22. Play some backyard soccer with your friends or family.

33. Try a new form of exercise you haven’t tried before, such as yoga or pilates.

23. Grab some friends and play Frisbee.

34. Intertwine your exercise time and relaxation time! Jog in place or do other exercises during the commercial breaks of your favorite show.

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42. Learn a new game from another culture, like boules (France), or kubb (Sweden).

31. Grab some friends and play some laser tag!

OCTOBER 2017

STARTING WORKOUTS AFTER

WRITTEN BY HEALTHY MAGAZINE STAFF

SLEEP DEPRIVATION: Have you ever tried doing a workout when you feel like you could sleep standing up? If working out took willpower before pregnancy, now weâ&#x20AC;&#x2122;re talking Buddhist monk levels of self-control.

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Healthy-Idaho.com

Healthy moms want to workout, but pregnancy takes a toll. Nine months is a long time. That’s a truth new mothers learn. And as the pregnancy progresses, normal fitness routines get more difficult. When the baby comes, new mothers might be fooled into thinking they’ll get their old lives and old body back right away.

Forget the Mommy Blogger Bod Some women handle pregnancy unfairly well, and they can begin working out shortly after giving birth. But many women find that pregnancy takes a hard toll on the body and that working out is tremendously difficult for several months after giving birth. “You must take into account the detraining period,” says Dr. Raul Artal, former chairperson of the Department of Obstetrics, Gynecology and Women’s Health at Saint Louis University School of Medicine. “Delivery and the period immediately after delivery is a period of detraining. It’s not different than what would happen to a male athlete who

has undergone a surgical procedure and wishes to return to regular training.” The end of a typical pregnancy and the transition after giving birth may consist of 2-3 weeks without much physical activity. Be it anywhere from 15 to 30 days, this can lead to significant muscle atrophy, Dr. Artal explains. Physical capability can be limited, and exercise should be resumed gradually. In the past, bed rest was frequently prescribed for pregnancy complications or after delivery. A recent statement from The American Congress of Obstetricians and Gynecologists (ACOG), however, says that “Although frequently prescribed, bed rest is only rarely indicated

and, in most cases, allowing ambulation (walking about) should be considered,” for normal delivery or Cesarean Section. Besides detraining, women have to account for the fact that the body simply changes. “We know that the physiological and anatomic changes of pregnancy return to pre-pregnancy state approximately 6 weeks after delivery,” Dr. Artal says. The moral of the story here: don’t treat your body like it’s the same as before, but don’t turn too quickly to bed rest.

THE CORE A lot of new moms hate the new look of their belly after giving birth. There may be drooping, sagginess, and general lack of definition. The wrong thing to do is immediately begin intense core workouts. You may have serious abdominal damage that needs to heal. Depending on whether you gave birth vaginally or with c-section, your core could

be in bad shape. In fact, some women experience separation of the abdominal muscles during pregnancy. “If you’ve had a cesarean section, the abdominal wall does not gain its original tensile strength for 6 weeks, sometimes 3 months,” says Dr. Artal. That means that certain exercises, like

A DIFFERENT BODY, AND HORMONE ISSUES Although you no longer have a human inside your belly, your body is not the same as it once was. Hormones the body produced to help you with pregnancy are still there for months. Relaxin, for example, can create laxity in the ligaments and joints during pregnancy, and it can still

be operating in your body for six months afterwards. This joint laxity is not a universal effect of pregnancy, however, according to Dr. Artal. If it does occur, women should begin easy, light muscle-strengthening exercises.

BESIDES HORMONES, YOUR BODY IS NOW PRODUCING BREAST MILK, AND YOUR BREASTS WILL BE DIFFERENT. HERE ARE SOME OTHER THINGS THAT MAY CHANGE: Wider hips

Bigger feet

Urinary incontinence

crunches, should not be conducted. But, says Dr. Artal, that doesn’t mean all exercises are dangerous after a cesarean section. It is good to start with a walking regimen, he says, and gradually build from there. Do lightweight, easy exercises like bodyweight squats, exercise-band pull-aparts, and lower back exercises. Eventually, you’ll be able to gently engage your core with something like side planks.

WOMEN WHO’VE HAD A C-SECTION SHOULD AVOID THESE EXERCISES FOR A FEW MONTHS : CRUNCHES, SIT-UPS,AND LEG RAISES

RUNNING

JUMPING HEAVY OVERHEAD PRESS

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OCTOBER 2017

HOW TO AFTER GIVING BIRTH

Fitness has to be approached on a case-by-case basis, Dr. Artal says. Some women will be able to resume exercise within days, while others won’t. The mode of delivery, the level of activity before and during pregnancy and other factors make a difference. That said, it is possible to take it too easy after giving birth.

“I strongly oppose strict regulations,” Dr. Artal explains. “Some older recommendations tell women to not return to pre-pregnancy activity for six weeks. This can actually be harmful advice.”

Feed infants before exercising to avoid discomfort of engorged

Lack of postpartum exercise can actually increase risk of blood clots, varicose veins and other health issues, he says. Being on bed rest too long can be even more risky. Unfortunately (though understandably), reports suggest that women often fail to exercise after having a child, leading to overweight and obesity, according to a Committee Opinion from the ACOG. “Some women are capable of resuming physical activities within days of delivery,” their opinion reads. “In the absence of medical or surgical complications, rapid resumption of these activities has not been found to result in adverse effects.” They also cite research explaining that postpartum exercise improves cardiovascular fitness in lactating women without affecting milk production, composition or infant growth.

physical activity. Source: www.acog.org

PELVIC FLOOR

Start with a walking program, he recommends, at a slow pace that gradually increases. For women who were at a high fitness level before giving birth, a walking regimen might not even seem like it could count as exercise. But pregnancy often means you’ll need to redefine what exercise means for you. Walk, let the bleeding stop, let healing occur, and don’t pressure yourself into unwise exertion. “The emphasis should be on ‘gradual,’” Dr. Artal says. Accept that consistent workouts will be more difficult, but possible, as a mother. Have faith in your fitness self. This is a challenge that you can overcome. And as you fight to stay fit, you’ll be better prepared for the challenges of motherhood.

2. Drink lots of water before

LEARN MORE ABOUT YOUR

“The emphasis has to be that physical activity can be resumed as soon as a women feels physically capable of engaging in those activities,” says Dr. Artal. “Don’t wait for any magical number or date.”

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breasts.

Pelvic floor exercises should begin early in the postpartum period. These muscles support important pelvic organs like the bladder and vagina. Weak pelvic floor muscles can lead to prolapse of these organs, so learn a kegel routine (pelvic strengthening) as part of your post-pregnancy fitness goals.

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OCTOBER 2017

5BABY

MYTHS ABOUT HAVING A

W R I T T EN B Y M AU R EEN FER R I N

THE IDEA OF HAVING A NEWBORN TO CARE FOR IS INTIMIDATING, BUT DON’T GET AHEAD OF YOURSELF. 1. NO TIME FOR YOURSELF.

It has been said a time or two before, that once you have a baby, everything changes. You forget the last time you showered, put on makeup, or really analyzed the pile of dishes in the kitchen. Wait—you just had a baby, not a toddler. You’ve got at least 9 months until they are fully mobile. At this very moment, my 2-month old son is cuddled up next to me while I write. I’m fully showered, makeup on, and my freshly vacuumed house smells like clean linen thanks to the folded laundry at the end of the bed. Amidst all the craziness, don’t forget that it doesn’t all happen at once. You’ve got time to adjust to becoming a parent. You and your baby will learn together, and I promise you won’t be left in the dust. Sure, the time may come when going to the bathroom becomes a brief opportunity for peace, but for now, enjoy those hot showers, uninterrupted poops, and the sweet baby cuddles you’ve waited nine months for.

2. ONCE YOU LEAVE THE HOSPITAL, YOU’RE ON YOUR OWN. False. If you’re a newbie like me, you’ve already scheduled out visitation for family and friends! Let them help while they are visiting. Take advantage of the programs provided by your hospital! They understand that this is no small undertaking, and they want to help make the transition from hospital to home manageable. They want you going home confident. Remember that you’re not the first person to have a baby. Ask those who’ve done this before for help, tips, and tricks.

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3. THE PAIN OF DELIVERING A BABY IS EXCRUCIATING AND HECTIC.

I blame Hollywood for our altered view of delivery. It’s not all curse words and ice chips. Imagine this—you’re sitting at home, when the contractions you’ve been timing are closer together and starting to become painful. You’ve got your hospital bag by the front door, and calmly inform your husband that it’s time to head to the hospital. Upon arrival, you inform the nurse of your symptoms and she quickly gets you to your room. After a couple hours of contractions, it’s time to push. Your epidural has kicked in and you’ve been resting before the big moment. Push, push, ahh. Baby’s here. No screaming, no cursing, just the miracle of childbirth without the Hollywood drama. Sound like a miracle? Actually, childbirth is more likely to be like this than like the traumatic scenario that’s been playing out in your head. Trust that your body knows what to do and how to handle what’s about to happen.

4. CRYING IS A MUST. While delivering a baby is exhilarating and emotional, not all of us experience that Hallmark moment when our newest arrival is placed on our chest. When I delivered my son, the amount of relief I felt after the last push was surreal. So surreal in fact that I almost immediately fell asleep. It wasn’t until I was alone with him in our hospital room, several hours later, that I really even began to wrap my head around what happened. I love my son more than I ever thought possible, and it’s ok that I didn’t cry. He doesn’t need to hear me cry or see my tears to know that I love him. Childbirth is different for each and every woman. Don’t diminish your experience, or feel guilty about your emotions.

5. INSTAGRAM AS SOON AS POSSIBLE. In an Instagram heavy world, it seems unfit not to share a photo of your newest arrival as soon as possible. However, the amount of time we devote to our mobile devices can take away precious moments for bonding in those first hours spent together. Definitely take photos and videos, and prepare to spam your feed later on. But for now, enjoy these quiet moments in the hospital. Your baby will change right before your eyes; don’t miss a moment scrolling through that never ending feed of food, puppies, and Lipsense invites.

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OCTOBER 2017

SEPT/OCT 2017

You Should Coconut Oil Know Blasted

ust as coconut oil was climbing to the top of the heap in the world of trendy foods, the American Heart Association shot it down. Touted as a healthy fat source for a variety of cooking needs, replacing butter in many cases, the AMA recently announced that they recommended against using coconut oil for cooking. The AMA cited seven studies showing that coconut oil raised bad (LDL) cholesterol.

Fruit Basket Tip Over The USDA mandates that commercially grown fruit must be 90 PERCENT BLEMISH FREE. As a result:

6 Billion

Pounds

The amount of produce thrown away each year because of its appearance. Source: National Resources Defense Council

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Fruit Juice & Babies The American Academy of Pediatrics released new recommendations this year saying that children under the age of one shouldn’t drink fruit juice. Previously, they recommended no juice for the first six months. Cavities and obesity are two major players that motivated the new recommendations. Some additional recommendations: • Children age 1-3 should have no more than four ounces of juice per day. • Give children 100 percent juice.

The Most Google Diseases Average Monthly Searches Lupus Pneumonia Herpes Psoriasis Diabetes Depression Hemorrhoids

Chlamydia HPV Endometriosis Schizophrenia Shingles Anxiety Lyme Disease

Fibromyalgia Strep Throat Bronchitis Diverticulitis Scabies Source: Google.com

Intense Exercise May Lower Sex Drive In Men It’s marathon season, and that’s good or bad, depending who you ask. Recent research from the University of North Carolina shows that men who exercise strenuously have a lower libido than those whose workouts are lighter. The 1,100 men surveyed were mostly experienced athletes. Past research on women shows that regular intense exercise can lead to hormonal imbalances and affect sexual desire, and fertility. Source: Medicine & Science in Sports & Exercise

Farmed Salmon Has Color Added Salmon is red, right? Well, sometimes it’s not. Farmed salmon is naturally gray. But pretty much everyone thinks it should be, which is why salmon farmers put pigmenting supplements in their fish feed. The pigment is actually is the most expensive component of the feed, but they have to do it, because people simply don’t buy gray salmon. Facebook.com/HealthyIdaho

OCTOBER 2017

Mommy Makeover Tips 18 HEALTHY IDAHO

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LIFE AFTER BABY CAN BE HARD FOR MANY WOMEN

– I.E. CHANGES IN YOUR BODY, SLEEP DEPRIVATION AND STRESS. WHILE ALL THESE THINGS COME WITH THE TERRITORY OF PREGNANCY AND BABY, SIMPLY MAKING A FEW ADJUSTMENTS WILL HELP YOU TO FEEL MORE BEAUTIFUL, EMPOWERED AND LIKE YOUR OLD SELF AGAIN!

1 GET FITTED FOR A NEW BRA

If there was ever a time to properly support your breasts, now is the time. As a new mom your body will go through many changes and likewise your breasts. As your breast size change, get fitted for a new bra that properly supports your breasts. You’ll find that wearing the right bra size will help you to look better and feel better too!

2. DITCH THE MATERNITY CLOTHES

I know, your maternity clothes are right there in your closet and comfortable to wear but getting rid of your maternity clothes and getting some new ones will help you feel like your old self again. Clothes play an important role in how you look and how you feel about yourself. So as soon as you can, get rid of the maternity clothes and get yourself a few stylish pieces that will get you back on the path to “you.”

3. GET A NEW HAIRCUT

Life as a new mom can wreak havoc on your hair, because of things like poor nutrition, stress and fluctuating hormones. Getting a fab new haircut will get rid of damaged and/or lifeless hair and help you to look younger, sexier and feel more beautiful!

7. PUT VASELINE ON THOSE HANDS!

When you are a new mom you’re constantly washing your hands, which can rob the skin on your hands of its natural moisture. Constant hand washing (especially during the winter months) can make your hands look older, flaky and as though you’ve been living a hard life. I know this because it happened to me. Take care of your hands at night with good old fashion Vaseline. I’ve found that it is the most effective moisturizer for softening your skin when you are washing your hands constantly, and it will give your hands a more youthful appearance all while you sleep!

8. EXERCISE

There is no doubt that exercise is the fastest and best way to regain your pre-baby body. So make time to exercise. Exercising will also help you to have more energy (which you need) and it will enhance your mood.

4. WEAR MAKEUP ALWAYS

9. GET A LITTLE ZEN

5. BRIGHTEN THOSE EYES

10. STAY CURRENT

Wearing make-up is an easy way to add life and youthfulness to your face, especially as a new mom! Your life is going to change a lot as a new mom and many of those changes will negatively affect your skin. Simply applying foundation, blush and gloss will do away with unevenness in your skin, brighten your face and hide the effects of those sleepless nights!

There is no way to avoid those sleepless nights as a new mom but your eyes don’t always have to tell the story. Brighten those dark and tired eyes with some concealer under your eyes even if you don’t have time for make-up!

6. COVER THOSE GRAYS

Your physical appearance is important but so is your emotional well being. Life as a new parent will offer many challenges emotionally and it’s important to find time to reflect, meditate and/or pray. It will help you deal with some of the more challenging aspects of motherhood while staying sane.

Mommy life can swallow you whole sometimes and it’s easy to lose track of current beauty and fashion trends. Subscribe to a fashion magazine or blog even if you don’t think you’re interested in fashion. Looking at beautiful clothes and reading about fashion will keep you connected to the world and help you to find your personal style as a woman and as a mom!

It’s difficult to find time for yourself as a new mom and it’s even more difficult to make time for your appearance. Make time to cover those grays. Not covering grays can be a tipping point of other things we are neglecting with respect to our appearance. Covering your grays will help you to look healthier, more stylish and more youthful!

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OCTOBER 2017

PREGNANT &

BEAUTIFUL WR I T T EN BY J U DITH RA SB A ND

HEN YOU'RE PREGNANT, YOU REFLECT A SPECIAL BEAUTY THAT IS UNEQUALED AT ANY OTHER TIME IN YOUR LIFE. YET PREGNANCY CAN BE DIFFICULT AS YOU ANTICIPATE AND ADJUST TO CHANGES IN YOUR BODY. BEING ATTRACTIVELY DRESSED AND GROOMED WILL HELP YOU LOOK AND FEEL TERRIFIC! USE YOUR CLOTHES AND COSMETICS AS AN OUTWARD EXPRESSION OF THE BEAUTY DEVELOPING INSIDE YOU.

Your maternity wardrobe needs depend largely on your daily lifestyle. Where you live, where you go, what you do, if you work outside the home—all of these influence clothing requirements that may range from casual to business to dressy. Many women think maternity dressing is boring, with little variety available. Others assume they have to jump into ruffles, frills or cutesy prints. Not so. Classic and creative, fashionable and functional clothes are available for a variety of personal styles if you know where and what to look for.

FIRST TRIMESTER Toward the end of your second month of pregnancy, look through your clothes. Stow away anything that might make you uncomfortable or constrict your body. Rely on the unfitted styles in your closet.

• • • • • • • • • •

20 HEALTHY IDAHO

Unfitted dresses include chemise, shift, wedge, empire, and blouson styles and can be worn for a couple of months. Jumpers and caftans in gathered, flared or A-line styles are also excellent options. Gathers, pleats and tucks on a bodice yoke are growth features worth considering. Deeply cut armholes, raglan sleeves and drop-shoulder styles offer comfort for expanding or tender breasts. Large tops and overblouses are favorites with pregnant women if they don’t pull or gap over the bust. Flared tee and tunic tops are popular now and perfect over pull-on pants. Layer light-weight, longer jackets unbuttoned over dresses and jumpers. The transitional line they create from shoulder to hem is dominant, and the contrasting curve of your tummy becomes subordinate. Unbuttoned big-shirts and cardigan sweaters can double as open jackets. Wrap-around, elastic, or drawstring slacks and skirts can camouflage a tummy bulge. Some women like the fun of wearing overalls. If you have flared swing style coat, cape, or poncho, it will look terrific and keep you warm for months.

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Don't overlook your husband's closet—if the shirt fits, wear it. His pin-stripedor plaid shirts may look great under a jumper or over slacks. Wear his turtleneck, polo, or T-shirts over jeans. His cardigan sweater or vest can keep you warm. Hold his slacks up with suspenders. When it' time for bed, his pajamas may fit just fine.

SECOND TRIMESTER Following the third or fourth month, you'll likely find the clothes you’ve been wearing to be uncomfortable or constricting. Your bust may be the first area to expand, requiring loose-fitting tops before you notice the need for larger waistlines. Don't put off buying the clothes you need. If you wait, body image and self-image often suffer. Waiting is not worth what it costs! When expecting, do the unexpected. There’s not much in the way of real maternity clothes in maternity shops, so look to other places that carry stylish clothes that accommodate and flatter your fuller figure. In addition to department stores, consider catalogs, resale stores, thrift shops, antique stores, plus-size shops, and lingerie departments. Being selective, you’ll find some exciting options. Don’t overlook specialty boutiques that carry ethnic clothes. They offer full fashioned Mexican tops, dresses, ponchos and shawls, perfect for maternity wear. You’ll find an assortment of East Indian caftans, African dashikis, Greek shirts, Moroccan djellabas, Japanese kimonos and tunics. These are clothes you can continue to wear long after the baby arrives and reduce your short-term investment. I know the trend is tight, form-fitted knit clothes during pregnancy, and people pretend it’s pretty. But I’m the one who hears and reads the embarrassed complaints from the people who have to see your belly. Too much information. You’re smart to choose styles that allow the fabric flow to smoothly over your body—fabric shouldn’t cup under your belly or your bottom. You'll appear less bulky and better balanced. Now is the time to draw attention up toward your face, away from the so-called “baby bump.” Of course you’re proud of your pregnancy and you aren’t trying to hide your pregnancy—that's not the intent. But if all eyes are focused on your belly, they won't be focused on your face! It get’s in the way of effective communication. So be creative with your clothes. Interesting necklines and collars, vertical front closures, tucks, pleats, and shoulder tabs lift viewer attention upward, frame your face, and can enhance the simple elegance of a dress. At that point, a colorful scarf, tie, jabot, or eye-catching jewelry can hold attention near your face. Subordinate points of interest may be located at shoulders, sleeves, and hems, but keep the dominant focal point up near your face. You’ll like the way you look and others will quietly cheer.

THIRD TRIMESTER Many women simply relax and enjoy this final stage of pregnancy. Many are said to radiate a glowing beauty that comes only with pregnancy. And, you only need to know a few points about maternity clothes.

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• • • • • • •

You may be so big during the third trimester that you’re uncomfortable wearing slacks or a skirt. You’ll be more comfortable in dresses and jumpers. Double check the fit of your dresses, jumpers, and tops. See if they pull from the back or flare awkwardly out in front. Decide if you're too big for blouson styles, and determine if hems are pulled up in front. If your budget allows, this is the time to treat yourself to a new dress to keep your spirits high. If your legs tend to swell, put on support-pantyhose early in the day. If the weight of your baby causes pain in your groin, put on a maternity girdle having a support panel under your abdomen—a few hours on, a few hours off. It helps. Tying your shoes can be a problem when your abdomen gets so big that it gets in your way. Slip-on shoes are easier to put on.

DEFENSIVE DRESSING After your baby is born, don’t rush to get back into form-fitting clothes. It's depressing when you can't zip up your pants. Check out the clothes you wore early in your pregnancy. Colorful, comfortable, and flattering, they'll be a welcome change. It’s fashion therapy to counter any postpartum depression. If you nurse, wear tops that have gathers or released tucks at the shoulders. Wear unstructured jackets and vests open for a free flowing line from bust to hem. T-shirts may be easy to lift for nursing, but look in the mirror before wearing them. They can make you look dowdy and dumpy. Wait until your milk flow and breast size stabilize before buying nursing bras. Buy a nursing bra that is elastic and adjustable to allow for changes in breast size between feeding and filling. It doesn't take long to discover your baby can make a mess of you. Baby boys or one good burp can send you off to change sooner than you'd planned. Defend yourself with easy-care clothes made of wash-and-wear fabrics. Medium- to lightcolored small prints and plaids camouflage lint from baby’s clothes and spit-up spots until you can wash them out. Dark, solid colors show spots and lint from baby's clothes. If you still don't have a casual pair of elastic or drawstring slacks, buy some. They're wonderful to wear at home, topped with unusual, full-style ethnic tops for fun in the evening—as life goes on. Remember that this is an amazing time in your life. While pregnancy stresses the limits of your endurance, you’re in for some equally amazing and eye-opening experiences ahead— including a few sleepless nights. The time will, however, be punctuated with memorable high points, lots of learning, and laughs you won’t want to trade.

Judith Rasband MS AICI CIM is CEO of the Conselle Institute of Image Management (Conselle.com), residing in Orem, Utah. She works with the influence and expressive effects of dress and image on wellness and successful living. Email: judith@conselle.com

OCTOBER 2017

CHILD DEVELOPMENT MARKERS PARENTS SHOULD LEARN TO RECOGNIZE MARKERS OF NORMAL CHILD DEVELOPMENT.

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NOTE: We’re not going to talk about the first few months. New parents should be seeing a pediatrician regularly at this stage.

6 MONTHS

1 YEAR

2 YEARS

What average babies can do:

What average toddlers can do:

Social/Emotional

At this stage, most babies can recognize familiar faces, and can recognize if a person is a stranger. They like to play with others, especially their parents, and respond to expressions of emotion.

At this age, most children show nervousness with strangers, and show attachment to mom and dad. They’ll also attach to favorite things and people. They’ll begin to communicate by making sounds to get attention, and can play games such as “peek-a-boo.”

Most children at this age will copy others, especially adults. They’ll get excited around other kids, show more independence, and show defiance of rules.

Language/Communication At six months, babies often respond to sounds by making their own sounds. They’ll also start to say vowel sounds in groups. Most babies will begin to recognize their own name at this stage. They’ll make noises to show joy and displeasure.

Learning/Problem-Solving Babies will look around to nearby things and show curiosity. They’ll reach for things that are out of reach and bring things to their mouth. They will also start to pass things from one hand to the other, showing coordination.

Language/Communication 1-year-olds typically respond to spoken requests. They have the ability to shake their head for “no” and can wave “byebye.” Speech begins to change in tone, better mimicking real speech. They’ll also generally be able to say “mama” and “dada,” and may try to repeat what you say.

Learning/Problem-Solving

A typical 6-month-old will roll over both back-to-front and front-to-back. They will be able to sit without support, and stand.

At this age, healthy children will often explore by shaking, throwing and bashing things around. They’ll find hidden things, and will follow directions. They’ll be able to recognize the right picture if the person is named. They’ll copy gestures, and use items like cups and brushes correctly (to an extent).

Contact your doctor if your child:

Movement

• • • • • • • • •

Doesn’t try to get things that are in reach Shows no affection Doesn’t respond to sounds Has trouble getting things to his mouth Doesn’t make vowel sounds (“ah,” “eh,” “oh”) Doesn’t roll over in either direction Doesn’t laugh or squeal Seems stiff, with tight muscles Seems very floppy, like a rag doll

The child will generally be able to poke with the pointer finger, get into a sitting position without help, and pull himself up to stand. The child might be able to stand alone.

Contact your doctor if your child: • • • •

Doesn’t crawl Can’t stand when supported Doesn’t search for things he sees you hide Doesn’t say single words like “mama” or “dada” • Doesn’t learn gestures like waving or shaking the head • Doesn’t point to things • Loses skills he once had

Language/Communication 2-year-olds can typically point to things or pictures when they are named, and can name familiar people and body parts. They’ll start saying sentences with two-four words, and will repeat words overheard in conversation.

Learning/Problem-Solving Children at this age become even better at finding hidden things. They’ll start to be able to sort things by shape and color, and will finish sentences in books that they know. They may start playing makebelieve games, and can build towers of four or more blocks.

Movement Typical 2-year-old movement includes standing on tip-toes, kicking things, and running. They’ll be able to get up on to furniture and stairs alone, and get down as well. They’ll start to throw balls overhand. When drawing, they’ll begin to create lines and circles.

Contact your doctor if your child: • Doesn’t use two word phrases • Doesn’t know what to do with common things like a brush, spoon, or phone • Doesn’t copy actions and words • Doesn’t follow simple instructions • Doesn’t walk steadily • Loses skills he once had

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OCTOBER 2017

3 YEARS

4 YEARS

Social/Emotional

Most children of this age will copy adults and friends. They will show affection without prompting, and show concern for friends who are sad. They will be able to take turns in games, and understand the basics of possession, like “mine,” “hers,” and “his.” At 3, a typical child will separate more easily from mom and dad, but may get upset with major changes in routine. A 3-year-old should be able to dress and undress himself.

A 4-year-old generally enjoys doing new things, and is more creative with make-believe games. The child may be more interested in playing with friends than by herself, and cooperates with other kids. Playing “Mom” and “Dad” is a more common game at this age. The child may communicate more about her interests.

What average toddlers can do:

Language/Communication At this age, your child should be able to follow instructions with two or three steps. He should be able to name most familiar things, and be able to say hi, name, age and sex. 3-year-olds can generally grasp concepts like “in,” “on,” and “under,” and can say words like “I,” “me,” “we,” and “you.” Plurals (cars, dogs) start to enter the vocabulary as well. At this age, strangers should begin to understand what your child is saying, and conversation with several sentences is common.

Learning/Problem-Solving Toys with buttons, levers, and moving parts are not beyond the child’s grasp anymore. Puzzles with three or four pieces are doable. A typical 3-year-old will play make-believe. He turns book pages one at a time, can copy a circle with a crayon, and can build towers of more than six blocks. He will be able to unscrew jars and turn door handles.

What average kids can do:

Language/Communication The child begins to grasp proper use of words like “he” and “she.” She may sing parts of songs or poems from memory, and will tell stories. She will be able to say her first and last name.

Learning/Problem-Solving At this age, some colors and numbers become familiar to the child, and she can name them. Counting will also come into her comprehension, as will time. She’ll be able to use new tools, like scissors. Board or card games become possible at this age. She may be able to copy capital letters, and draw a person with several body parts. She may begin to predict what will happen in a book.

Movement

At this age, she may be able to hop and stand on one foot for up to two seconds. Coordination improves. She may be able to catch a bounced ball, pour things without supervision, and mash her own food.

A typical 3-year-old will be able to run easily and climb well. Stairs are manageable, one step at a time. This is also the age of the tricycle.

Contact your doctor if your child:

Contact your doctor if your child: • • • • • • • • •

Falls down a lot or has trouble with stairs Drools or has unclear speech Can’t work with simple toys Doesn’t speak in sentences Doesn’t understand simple instructions Doesn’t play pretend Doesn’t want to play with other children Doesn’t make eye contact Loses skills he once had

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• Has trouble scribbling • Doesn’t show interest in interactive games, or makebelieve • Ignores other children • Can’t retell a favorite story • Doesn’t follow three-part commands • Can’t jump in place • Speaks unclearly • Loses skills she once had

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Misunderstood Childhood Developmental Disorders Parents tend to freak out when their child exhibits the tiniest sign of an illness or developmental issue. Most of the time, it’s nothing. But it can be helpful to know about various developmental disorders that can occur. We hear a lot about ADHD, ADD, autism and mental retardation, but there are other conditions to be aware of.

5 YEARS

Angelman Syndrome

What average kids can do:

Usually becoming evident at 6-12 months of age, this condition is characterized by lack of spoken language, even when the child can comprehend language and has non-verbal skills. Movement problems are also present.

Social/Emotional For 5-year-olds, it’s often all about friends; they want to please friends and be like them. At this age, children are also more likely to agree with rules. They’ll be aware of their gender, and can tell between real and make-believe.

Language/Communication By age 5, communication is typically very clear. Children at this age should be able to tell a simple story with full sentences, and should be able to use the future tense (“we will go to the park”).

Central Auditory Processing Disorder (CAPD) Symptoms of this disorder are highly individual, but often include an impaired ability to understand and process sounds, which can affect language development.

Expressive Language Disorder Children with this disorder have trouble expressing themselves in speech. Vocabulary may be limited, and speech may start late.

Learning/Problem-Solving

Landau-Kleffner Syndrome (LKS)

5-year-olds should be able to count to 10 or more, and draw a person with at least six body parts. They should be able to print some numbers and letters, and copy basic geometric shapes like triangles. They’ll be familiar with things like money and food.

This is the progressive loss of the ability to use and understand spoken language. It mostly occurs between the ages of 3 and 7. Nighttime seizures often accompany the syndrome.

Movement

PARENTS SHOULD

At this age, hopping, skipping and standing on one foot are typical abilities. Somersaults, swings and climbing are other common abilities. At this age, the child should be able to use the toilet on his own.

Contact your doctor if your child: • • • • • • • • • • • •

Doesn’t show a wide range of emotions Shows extreme behavior (fear, aggression, shyness, sadness) Is unusually withdrawn and not active Is easily distracted, and has trouble focusing on any one activity for more than five minutes Doesn’t respond to people, or only responds superficially Doesn’t play a variety of games and activities Has trouble discerning between reality and make-believe Can’t give first and last name Doesn’t use plurals or past tense properly Doesn’t draw pictures Can’t do simple tasks like brushing teeth, washing hands and get undressed Loses skills he once had Source: CDC.gov

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Talk, read, sing and play together with their kids every day.

Under 1

2-3

Describe what your child is looking at, and talk to your child often.

Don’t correct incorrect language. Instead, say it correctly. Talk about emotions, like anger and happiness.

1-2 Praise good behaviors more than you punish bad behaviors. Encourage and teach empathy.

4-5 Use good grammar when speaking to your child. Let him solve his own problems with friends, but be nearby to help.

OCTOBER 2017

26 HEALTHY IDAHO

Healthy-Idaho.com

I’M NOT HAVING A BABY; I DON’T NEED A MIDWIFE? Midwives do so much more than just deliver babies! We want to be your trusted health partner through life. We are trained to address all women’s health needs including annual exams and contraception, but we can also manage your depression, high blood pressure, and most primary care issues you bring our way. Since we are Advanced Practice Nurses, we can prescribe medications, perform procedures, and counsel you on things like weight loss or smoking cessation. It’s our belief that every woman deserves a midwife.

EVERY WOMAN DESERVES A

MIDWIFE

MEET OUR CNMS check us out at https://www.facebook.com/nampamidwives

Advanced Specialty Care for Women is one of the only clinics in Canyon County with Certified Nurse Midwives on staff.

I’M HAVING A BABY, WHY WOULD I CHOOSE A MIDWIFE?

Jane Weis, CNM

Catie Obosky, CNM

You may think midwives only deliver babies at home, but that’s a myth. 95% of midwives attend births in the hospital. With a midwife, you can get the birth experience you choose, with a provider that takes the time to get to know you and your family personally. Our visits are longer so we can spend more time answering you questions and explaining you options to you. When you go into labor, we are there, providing continuous labor support and guidance. If you want an epidural, great! If you don’t, we know all the tricks to help you through childbirth. Whatever you choose, your birth experience with your midwife will be individualized and memorable.

DID YOU KNOW… Medicaid reimbursement for CNM care is mandatory in all states. Medicare and most Medicaid programs reimburse CNMs/CMs at 100% of physician rates. Most states also mandate private insurance reimbursement for midwifery services. Midwives attend approximately 10% of births in the U.S. across all settings, including hospitals, birth centers, and home births. In every setting, midwife-led maternity care results in reduced infant and maternal mortality and morbidity, fewer medical interventions, decreased costs, increased savings, and improved client satisfaction.

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To read more about these services and our practice, visit: www.nampaobgyn.com (208) 468-9400 * We accept most insurance companies.

Gary N Gregerson, MD, OB/GYN

Delivering at both Saint Alphonsus and St. Luke’s OCTOBER 2017

Itâ&#x20AC;&#x2122;s Not the End WRITTEN BY WHITNEY LEWIS

28 HEALTHY IDAHO

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MODERN TACTICS FOR DEFEATING INFERTILITY FERTILITY DRUGS THE PROCESS: Either in the form of pills or injections, fertility drugs use a hormone to induce ovulation which boosts egg production and makes the uterus more receptive to embryo implantation. RECOMMEND FOR: Women who ovulate irregularly or have partners with poor sperm quality. Not recommended for: Women with damaged or blocked fallopian tubes from endometriosis as overcoming these conditions requires IVF. PROS: Low cost, convenience, and no surgery or intrusive procedures necessary. CONS: Possible side effects include bloating, headaches, hot flashes, nausea, premature delivery and the formation of large ovarian cysts. PRICE: Costs vary as much as $60 per cycle to $6,000 per cycle depending on whether the drug is taken in pill form or as shots and whether blood tests and ultrasounds are included.

4050%

SUCCESS RATE: 40–45% by pill, up to 50% with injections.

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CHILDREN, ALTHOUGH EXPENSIVE AND WHINY, ARE THE BEST PART OF LIFE FOR MOST PARENTS. Unfortunately, not everyone can become a parent so easily. Infertility plagues millions of Americans, which means you probably know someone having fertility issues. Twelve percent of women aged 15-44 have used fertility services, according to the Centers for Disease Control and Prevention. So what can be done? With modern technology, medical advancements, and instant communication around the world, couples wanting to have a baby can hold onto hope. There are a myriad of treatments to help couples get pregnant. Below are many of these options with explanations to help families know which route is right for them.

ARTIFICIAL INSEMINATION (also known as Intrauterine Insemination or IUI)

THE PROCESS: Sperm is specially prepared and inserted directly into the uterus through a thin catheter. RECOMMENDED FOR: Women whose partners have slow-moving or low quality sperm or a low sperm count. It is also recommended for women who have produced antibodies to their partner’s sperm or whose cervical mucus is too scant, acidic or thin to transport sperm to the egg. PROS: The procedure is simple and can be done in a doctor’s office. CONS: IUI can result in unexpected multiple births such as twins or triplets. There’s the ultimate more for your money! PRICE: About $850, but the price can range from $500–$2000 without insurance, according to The National Infertility Association.

2070%

SUCCESS RATES: 15–20% per cycle. 60–70% chance of pregnancy after 6 cycles. This is the most common fertility method and is often coupled with taking fertility drugs.

IN VITRO FERTILIZATION (IVF) THE PROCESS: This procedure involves conception in a lab. Eggs are extracted and fertilized with sperm in a lab where they grow into embryos. One or two embryos are then placed in the uterus to grow to full term. RECOMMENDED FOR: Older women or those with blocked or severely damaged fallopian tubes or scarring. Men with sperm quality and couples with unexplained infertility are also recommended this option. PROS: Pregnancy becomes even possible for couples with serious fertility problems. CONS: It’s expensive and physically demanding, including a rigorous schedule of fertility drugs before and after each cycle. PRICE: About $12,400 according to The American Society of Reproductive Medicine (ASRM).

29.947.6%

SUCCESS RATES: 47.6% chance of pregnancy for women 35 and under and 29.9% chance of pregnancy for women 38–40, according to the Center for Disease Control and Prevention’s 2010 report.report.

>>>>>> continued on next page OCTOBER 2017

OTHER INFERTILITY TREATMENTS TO CONSIDER DONOR SPERM OR EGGS Some men and women carry genetic disorders that they don’t want to pass onto their children. Using donor eggs or sperm is a way around this issue. It is also a good option for those couples experiencing male factor infertility, or if the woman has prematurely failing ovaries. Donor eggs can cost up to $30,000, though sperm is much cheaper ($300-$700). While success rates with donor sperm or eggs are decent, the main hang-up might be that one parent won’t have genetic relation to the child.

SURROGACY Some women are incapable of carrying a baby, due to disease or previous medical procedures. Infertility specialists can create an embryo from the sperm and egg of either parent, and place it in a surrogate mother. This is a reliable ladder over infertility issues, but it is also the most expensive. Expect to pay $50,000$100,000, according to parents.com.

DONOR EMBRYOS

ZYGOTE INTRAFALLOPIAN TRANSFER (ZIFT)

THE PROCESS: Only one healthy sperm is selected by the doctor from the male’s semen and is injected directly into the egg with a microscopic needle. Once an embryo forms, it is placed in the uterus through IVF.

THE PROCESS: In vitro fertilization and gamete intrafallopian transfer are combined in this process to stimulate and collect eggs which are then inserted into the fallopian tubes (not the uterus which occurs in GIFT)

RECOMMENDED FOR: Couples who struggle with male-factor infertility due to low sperm count or poor sperm quality.

RECOMMENDED FOR: Couples with unexplained infertility or those in which the man has a low sperm count, the woman has at least one tube open, and/or there are ovulation problems.

PROS: Works well for men with very low sperm count or poor sperm quality

PROS: This procedure allows the reproductive endocrinologist to ensure that the egg has been fertilized before implantation. Many also see this procedure as more natural because the egg travels down the fallopian tube into the uterus on its own.

CONS: Can be expensive, intrusive and the accompanying drugs may have unpleasant side effects. PRICE: The average cost was found to be $1,544 (before IVF costs) based on a survey of costs conducted by Family Building Magazine.

2530%

CONS: Requires two surgical procedures: one when the eggs are retrieved, the other when it is implanted. There is a higher risk of multiple births.

SUCCESS RATES: 25–30% chance of pregnancy according to The American Society for Reproductive Medicine and Society for Male Reproduction and Urology’s 2008 findings.

PRICE: $15,000 - $20,000 per cycle according to Women’s Health of the UK.

2936%

AGE MAT TERS

In some relationships, both partners are infertile, but they want to experience pregnancy. These couples can use unneeded donor embryos from other couples undergoing IVF. These donated embryos are transferred to the infertile woman. The live birth rate with this technique can be as high as 50 percent, with a cost much lower than IVF, but there may be legal hoops to jump through.

INTRACYTOPLASMIC SPERM INJECTION (ICSI)

SUCCESS RATES: 36% per cycle; 29% of these pregnancies are carried to term reports Women’s Health of the UK.

Many women are waiting until their 30s and 40s to have children. In fact, about 20 percent of women in the United States now have their first child after age 35, and this leads to age becoming a growing cause of fertility problems. About onethird of couples in which the woman is older than 35 years have fertility problems. Aging not only decreases a woman’s chances of having a baby but also increases her chances of miscarriage and of having a child with a genetic abnormality. Aging decreases a woman’s chances of having a baby in the following ways—

30 HEALTHY IDAHO

›› Her ovaries become less able to release eggs.

›› Her eggs are not as healthy. ›› She is more likely to have health conditions that can cause fertility problems. ›› She is more likely to have a miscarriage. ›› Source: Center for Disease Control & Prevention

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Source: Center for Disease Control & Prevention

›› She has a smaller number of eggs left.

GAMETE INTRAFALLOPIAN TRANSFER (GIFT) THE PROCESS: A woman’s eggs are removed, mixed with sperm and immediately placed into a fallopian tube. Unlike IVF and ZIFT, fertilization takes place inside the fallopian tube rather than in a laboratory, according to the American Assoc. of Pregnancy. RECOMMENDED FOR: Couples where the female has at least one working fallopian tube and/or the male suffers from low sperm count or sperm with poor motility. PROS: Allows fertilization to occur in a natural environment. CONS: There is no immediate verification that fertilization has been successful. There is a higher risk of multiple births than with normal. PRICE: $15,000–$20,000 according to WebMD

2530%

SUCCESS RATES: 25–30% reported a 2007 study by the Human Fertilisation and Embyrology Authority

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REPRODUCTIVE SURGERY THE PROCESS: Can remove obstructive tissue or alter an abnormally shaped uterine cavity for women. Men may also have reproductive surgery to remove ejaculation obstructions or to harvest sperm for IVF. Reproductive surgery can also be performed to try to regain fertility by reversing sterilization. RECOMMENDED FOR: Couples diagnosed with endometriosis (a female disorder where cells from the uterus grow in other places but cannot be shed in the normal outlets leading to inflammation, adhesions, and blockage). Can also help couples who have undergone a vasectomy or tubal ligation. PROS: Not only does this increase the likelihood of pregnancy, but surgery may also decrease pain associated with the excess tissue or other problems. CONS: Surgery can be invasive, expensive, and may require long recovery time. PRICE: Varies based on the type of procedure and severity of the problem. SUCCESS RATES: Vary greatly based on the type of procedure and severity of the problem. Although heartbreak and breaking the bank are often associated with fertility challenges, there are more options now than ever to help parents bring children into their family. Exploring these options may just produce a miracle—one that you’ll love forever.

HOW TO PREVENT INFERTILITY While many causes of infertility remain unexplained, doctors now have many answers for couples who wonder why they struggle to conceive. There are many factors contributing to fertility problems, some of them preventable and some not, but thankfully the most common causes can be prevented. Living a healthy lifestyle free of drugs and alcohol, having consistent good eating and exercising habits, and starting a family before the woman’s mid-30s all increase a woman’s ability to become pregnant. Excessive stress causing amenorrhea (the absence of a menstruation cycle) is another factor. Countless studies tie different chemicals to infertility, but it’s sometimes hard to discern what’s credible advice and what needs more research. For example, a 2017 study from Harvard found that there may be a link between infertility and a flame retardant chemical used in car seats and yoga mats. Another study connected laptop use with male factor infertility. It’s wise to not get too worried about studies like this, but stay informed, and remember the best thing to do is live a healthy lifestyle.

OCTOBER 2017

Apps for the

Expecting

ParentOn-The-Go WRITTEN BY KRISTA BOWEN

Whether you are a first-time parent or you’ve been driving a minivan for years, pregnancy can be a stressful nine months. Luckily, technology is working hard to lend a hand through pregnancy apps that help you stay organized, happy, and healthy. But not every app fits what you need. Some parents want as much help and tips as they can get, while others have built their knowledge and want to share. Some love to take pictures and others just want to keep track of kicks and contractions. With support, tips, trackers, and pictures you can love growing your bundle of joy. That’s why we’ve compiled a list of our five favorite pregnancy apps:

Baby Center With a large selection of tools, “Baby Center” is a parent favorite for all stages of pregnancy and post-pregnancy. With a “Birth Club” for sharing and discussion, you will have extra support from a community. You can create a slideshow of bump selfies or “Bumpies” as well, to save memories of your growing child all in one place. Keeping up with what is safe for pregnancy is easy with their category lists outlining what you need to know. You can also keep track of your baby’s kicks, find out what you need to register for, and look up baby names so you can enjoy your pregnancy. “Baby Center” also helps you prepare for the big day with birth class videos, a place to write down your birth preferences, and a contraction counter.

Price: 32 HEALTHY IDAHO

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The Bump Your stomach is growing everyday, but what is actually going on in there? If you want to picture your baby growing without a sonogram everyday, you can open “The Bump.” This app will compare the size of your baby to the size of different foods (a survey favorite feature, with 94% of woman wanting to know their baby’s size). So, at three weeks your baby is the size a chia seed, but 40 weeks later your baby is more like the size of a watermelon. Chronicle your growing belly by saving photos in app. The app also explains what your body is going through each week, detailing the health problems and changes you will see and feel. “The Bump” allows you to ask and answer questions about pregnancy that can be answered by other moms or the experts they have on staff. In app links to popular baby registries can be used to prepare for your little baby.

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What to Expect: Love the book “What to Expect When You’re Expecting”, but don’t want to lug it around with you? Did you know you can get the popular tips on your phone with the “What to Expect” app? Patterned after the popular blog, this app does more than give helpful information; It also creates an online community of mothers that can ask and answer questions and give support. In a Healthy Magazine survey, “What to Expect” was the most popular app. One user said, “Being a first time mom, I wanted to be very involved and educated about my baby's development. The app provided a short snapshot of where I was in my pregnancy and what to expect. The apps were also helpful to get information without having to surf the web every time.” The app also helps you every step of the way with pictures and videos about what stage your pregnancy is at. You can organize a photo journal, keep track of what tests and screenings you need, and even register for baby stuff all in the app.

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Full Term Do you like staying organized, but don’t need all the bells and whistles that the other apps offer? “Full Term” is a great, simple app for keeping track of contractions, baby kicks, and your weight. The built in timer allows you to see the average duration and frequency of your contractions, so you can feel more organized when they start coming.

Who’s Your Daddy?: Alright dads-to-be, we haven’t forgotten about you and neither have app creators. While a lot of focus during these nine months is put on the mom, “Who’s Your Daddy?” is a great app created just for you. This app uses humor and great tips to ease you through the long nine months. It has a built in timeline of important events, and helps prepare you for what your wife is and will be going through. With helpful tools like a hospital bag packing list, to-do list and contraction counter, you will have help getting ready for that day when your baby is ready to come out.

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With a quick reference guide, you can learn more about prenatal care, labor, delivery, and postnatal care as well.

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OCTOBER 2017

PRODUCT REVIEW

Baby THINGS FOR

TO MAKE PARENTING EASIER Finn + Emma CONVERTIBLE GOWN DREAMCATCHER

It's a coverall AND it's a gown! Made from buttery-soft organic cotton and with easy-snap fasteners this adorable clothing converts from an airy gown for lounging around to an practical coverall for when your out and about.

Nature’s Sway Baby Hammock

Made from Indian hardwood and finished with vegetable seed wax, this is a great friend who will keep your little one’s gums pain free as teeth come in.

Moms we talked to said this was more of a necessity than a luxury. A specially designed steel spring provides the type of movement babies are used to in-utero and by being carried. It also provides a cocoon-like environment that minimizes pressure on the baby’s developing spine and nerve pathways. Made in New Zealand, the special wool mattress material provides air flow and heat regulation.

$22 finnandemma.com

$177.86 naturessway.co.nz

$36.00 finnandemma.com

TEETHING EARS

Dockatot The DockATot is built to provide a snug and soothing environment for babies, where they can rest, play and lounge. It facilitates tummy time, helps facilitate strength and motor skills, and eases babies into their next sleeping space, like a crib. Many parents say their babies sleep through the night since using a DockATot, which is every young parent’s most earnest desire. $165.00 - $185.00 dockatot.com

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Bab

Lorena Canals Rugs

This machine-washable, handmade rug is the essence of coziness. You’ll want to lay down in for some play time with your little ones. It’s awesome for hardwood floors or scratchy carpet. $200.00 Lorenacanals.us

Gathre Highchair Mat This wipeable and waterproof mat is awesome for protecting your floors and making cleanup easier. $40 - gathre.com

Kids

A LITTLE OLDER? TRY THESE.

Xlear Kid’ Nasal Spray Kid’s Xlear Saline Nasal Spray with Xylitol is a useful thing to have around. It’s a drug-free, kid-friendly nasal spray that contains xylitol—a natural ingredient that cleanses and moisturizes. It’s almost like soap for your child’s nose, getting rid of harmful bacteria and allergens, giving a better chance for your child to not get sick.

Humble Brush

$6.99 Xlear.com

$4.99 Humblebrush.com

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Designed in Sweden and supported by dentists, this is the eco-friendly oral health option. It’s a bamboo toothbrush with BPA-free bristles.

OCTOBER 2017

FLYING WITH A BABY FLYING IS ALREADY STRESSFUL; HERE ARE SOME TIPS AND TRICKS TO MAKE YOUR FIRST FLIGHT WITH BABY EASIER! WRITTEN BY MAUREEN F ERRIN

THE DAY OUR PLANE TICKETS TO HAWAII WERE FINALIZED, I JUMPED SO HIGH I COULD HAVE REACHED THE CLOUDS. I COULD ALREADY PICTURE US LOUNGING ON THE BEACH, SIPPING ICE COLD COCONUTS AND EATING PINEAPPLE DOLE WHIP FROM THE DOLE PLANTATION. THERE WAS JUST ONE THING IN MY WAY: TSA. Just when I thought I had this whole “mom” thing down, I realized I was completely oblivious when it came to flying with a baby. But how hard could it be? After researching tips and tricks, I only became stressed and worrisome about our upcoming flight. So let me lay down some first-hand experiences when it comes to flying with your littlest passenger.

CALL YOUR AIRLINE TO MAKE SURE YOUR BABY IS ON YOUR TICKET. Before your flight, and before you check in, call your airline to make sure they know you’ll be flying with an infant. If your child will be in your lap, you don’t need to worry about extra fees, just let them know. If you want your child to be seated in their car seat, you will need to purchase a ticket for their seat.

FOOD FOR BABY IS ALLOWED THROUGH SECURITY. If you’ve flown before, you are familiar with the 3 oz liquid rule…forget that! If you’re flying with a baby and need to bring breast milk or formula, you can bring as much is necessary (in moderation of course) for the duration of the flight. You are also allowed to bring baby food in jar or pouch form.

BREAST MILK MAY BE INSPECTED. For your safety, and the safety of all other passengers, your breast milk may be inspected during your security check. A small portion may be poured out for testing, but that is it. It was way less stressful than the TSA FAQ video made it seem.

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STROLLERS AND CAR SEATS CAN BE CHECKED AT THE GATE AS YOU BOARD YOUR PLANE. If you want to have your stroller or car seat available as soon as you land, you can bring it through security and check it as you board your plane. The attendant will attach a pink baggage claim slip with your ticket and seat number on it to the stroller or car seat, and you will simply pick it up as you leave the plane.

FORGET WHAT BOARDING ZONE YOU ARE, YOU GET ON FIRST! I was pleasantly surprised to hear that families with children 2 years of age and under, may board first. Because my five month old isn’t necessarily hard to entertain yet, boarding early wasn’t a concern. I had time to find my seat, get situated, and breastfeed him on the plane before taking off. He got acquainted with our confined space, and by the time we took off, he had already fallen asleep.

HAVE SOMETHING FOR YOUR BABY TO SUCK ON DURING TAKEOFF AND LANDING. Our pediatrician suggested that we give our son a binky during takeoff and landing. You can also breastfeed, or have your child suck on a bottle, but be careful you are watching and listening for air bubbles, and that your baby doesn’t choke if the landing is bumpy. This helps pop your baby’s ears and avoid painful ear aches. You do not want to spend the first part of your vacation dealing with an infant in pain. If you feel like you need more in-depth information on flying with your baby, you can check out the TSA website and peruse the frequently asked questions page. It is always being updated and can help answer questions! Remember that the destination will be worth all of the hassle, and getting through TSA won’t seem all that bad.

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OCTOBER 2017

IS SPANKING YOUR CHILD

BAD OR NOT? WRITTEN BY MAUREEN FERRIN I remember hearing stories about the wooden spoon hanging from the rear view mirror of our ’87 Chevy Caprice Station Wagon. As the stories go, mom never actually used the spoon for spanking, but it sure worked well as a threat for good behavior. Although my siblings and I weren’t victims to the wooden spoon, or an open palm, I vaguely remember the feeling of wanting to behave well and do as I was told, in order to avoid a spanking from the adults around me. In 2016, Melinda Moyer of Scientific American posed the question, “are kids being spanked for acting out or acting out because they’re spanked?” The effects of spanking a child have been studied for decades, and yet we still don’t have a definitive answer on whether or not it is ultimately negative or positive for the child. When they are acting out, according to whatever standards they have been raised by, is it more effective to pop them on the bum? Or is it worthwhile to pause the activity and use it as a teaching moment?

80%

The percentage of parents around the world who spank their children, according to a 2014 UNICEF report.

In times of conflict, lashing out and relying on our emotions can be detrimental to what could have been a healthy, open conversation to resolving the conflict at hand. The same may be said for spanking. Is it beneficial to assert our role as “the adult,” physically? Or can it be done by speaking with the child? Part of the problem is that spanking comes on a spectrum; some thinking of spanking along the lines of child abuse, when for others, spanking is simply a harmless pat, a physical reminder backing up important rules. Further complicating the issue, what may work for one child may not work for another. Where some children may need the physical reminder of good behavior, other children can be reminded through other means. For example, taking away certain privileges or toys can be just as impactful as a spanking.

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Opponents of spanking point to recent research. Perhaps the most comprehensive study on spanking and its effects came from researchers at the University of Texas at Austin and the University of Michigan, who examined 75 studies involving 160,000 children. The studies looked at “the relationship between spanking by parents, and the behavioral, emotional, cognitive and physical outcomes among their kids.” They found that: Spanking was associated with 13 out of a total 17 negative outcomes they assessed, including increased aggression and behavioral and mental health problems as well as reduced cognitive ability and self-esteem. They also “found no evidence that spanking is associated with improved child behavior.” These researchers concluded that spanking is linked with the same negative child outcomes as abuse, but to a “slightly lesser degree.”

“

Spanking thus does the opposite of what parents usually want it to do,”

If You Decide Spanking Will Be Part of Your Approach to Discipline, Here Are Some Rules ·

Infants should never be spanked. Younger preschoolers may respond best to this form of discipline, because at this age, reasoning and removing privileges doesn’t make sense to them.

· Only spank in cases of willful disobedience or defiance. Never spank just because of childishness, or simple irresponsibility.

- Grogan-Kaylor, co-author of the study.

But some may be thinking, “I was spanked as a child, and I seem to be a mentally healthy person.” The study does condemn spanking, but doesn’t claim that it turns kids into debilitated adults. The “magnitude” of the associations is small, to use the authors’ words. The biggest takeaway is that their research doesn’t show positive outcomes of spanking. Still, there are many proponents of spanking. Focus On the Family says that spanking can be an appropriate form of discipline, if done correctly. There are studies that back this up. Researchers from the University of Nebraska Medical Center, for example, found that spanking used in limited conditions worked better than 10 of 13 alternative disciplinary tactics, like time-out and scolding. Another researcher named Dr. Ray Guarendi studied outstanding children (morality, character, motivation) and found that 70 percent of their parents used some form of physical punishment. But spanking seems to be trending down. NPR’s Rob Stein wrote that the number of parents spanking children has significantly declined in the last two and a half decades. Does this mean that parents started to believe physical forms of discipline lead to more violent behavior in their children? That wooden spoon hanging from the rear-view mirror may have impacted me just as much as an actual spanking, but am I worse off or more violent because of it? I don’t believe so. Now that I have my own child, I feel the pains of decision making when it comes to big life choices. Do I make my own baby food? Do I discipline in public or wait until we are home or in the car? Do I homeschool him or let him attend public school? As a parent, you have to be prepared to make tough decisions. Spanking will be one of those decisions. As you come to know your child, and learn about your parenting style, the decision will become clear. Sources: Scientific American, news.utexas.edu, Journal of Family Psychology, Clinical Child and Family Psychology Review, npr.org

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Spanking should never be harsh or impulsive, and shouldn’t cause any physical harm. It should be a conscious, controlled decision.

· Those with tempers shouldn’t spank. · A child should receive a warning before doing something worthy of a spanking. ·

Don’t spank until you’ve established what the child did wrong, with the child. A question like “what did you do wrong?” can be effective.

· Don’t embarrass your child by spanking in public. Shame is not the goal of effective discipline. · Communicate disappointment, not anger. · Spanks should sting, nothing more. · Spanking should be followed expressions of love and being together.

Source: Focus on the Family

OCTOBER 2017

NUTRITION

Photo Source: Perfectly Imperfect Produce, an "ugly" produce seller in Cleveland

PRODUCE

DOESN’T

REALLY

LOOK LIKE THAT 40 HEALTHY IDAHO

WHY WE DEMAND AND CREATE BEAUTIFUL PRODUCE, AND WHY SOME PEOPLE ARE FIGHTING FOR UGLY FRUIT AND VEGETABLES. We love it when fruit in the grocery store looks beautiful, and when each piece looks like the one next to it. No bumps, no holes, no lop-sidedness, or it won’t get bought, be it apples, oranges, pears, carrots or plums. It has to be like, super pretty. This grocery store beauty contest is a little silly; too often, consumers don’t shop for freshness, taste or ripeness, but for appearance. And it’s not just the consumer's fault; the USDA mandates that commercially grown fruit must be 90 percent blemish free. Perfect-looking fruit is simply what we’ve come to expect. The problem is, taste and quality have little to do with outward appearance. Anyone who has spent time in orchards and gardens knows that excellent produce doesn’t always look symmetrical and flawless. But somehow, that hasn't translated to the general population and produce economics. The supermarket produce world is one of tight-gripped quality control, cosmetic masks and overwhelming waste.

6 Billion Pounds The amount of produce thrown away each year because of its appearance. Source: National Resources Defense Council

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WAX ON, WAX OFF To improve the appearance of produce, many producers cover their fruit and vegetables in various kinds of wax. The wax can also prevent moisture loss, protect from bruising, and increase shelf life. Commercial producers began waxing citrus in the 1920s to extend shelf life. Now, waxes come in a wide variety, both natural or synthetic. Different kinds of wax for produce includes: · Carnauba wax (from a carnauba palm tree) · Beeswax · Shellac (from the lax beetle) · Petroleum-based wax The synthetic waxes can have some questionable ingredients. Unfortunately, many wax “recipes” are proprietary, meaning they are kept secret from competitors, so consumers don’t know what’s in them. Some are concerned that the wax seals in pesticides, though the fruit is always cleaned before wax application. In the waxing process, the natural wax produced by the fruits and veggies is removed by washing, and then whatever wax the grower uses is applied. Dyes are sometimes used with the wax to further improve appearance. Organically grown fruits and vegetables don’t have a synthetic (petroleum-based) wax coating, which is one benefit of shopping organic.

COMMONLY WAXED FRUITS AND VEGETABLES:

· Cucumbers · Bell peppers · Eggplant · Potatoes · Apples · Lemons and Limes · Oranges · Green tomatoes

If you don’t want to eat the wax, the Environmental Protection Agency says using baking soda to scrub the fruit can remove it. Others use vinegar. Saving the Ugly Fruit Various large supermarkets are starting to integrate the sale of “ugly” produce in order to curb waste. Even Walmart is part of the movement. The Imperfectly Delicious Produce (IDP) program from the Bon Appetit Management Co. buys up imperfect produce and uses it in cafes across the country. "Vast amounts of produce go unharvested, left in the fields because they don’t meet stringent cosmetic standards for shape, size, and color," IDP says on their website. "Wasted food is also an environmental disaster. When we waste food, we waste all the resources — the water, oil, chemicals, land, and labor — that went into growing and processing it. Food in landfills decomposes and emits methane, the greenhouse gas that’s 20 to 25 times more powerful than carbon dioxide." Locally, there are many small movements across the nation that buy up excess, imperfect produce and resell it. Look for a group in your area to help curb the waste (and save money, because it’s cheaper).

73% of shoppers are open to buying imperfect fruit and vegetables.

Source: Blue Yonder

Consumers who'd rather not or cannot find ugly produce can help curb waste and eat better by becoming more familiar with the seasonality of different fruits and vegetables. Instead of shopping by appearance, start shopping by ripeness. Various apps can help with this, like Perfect Produce and Harvest.

WRITTEN BY MIC HA EL RIC HARDSON

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OCTOBER 2017

Recipes BABY FOOD

YOU’LL NEED: · Baking dish, lightly greased · Potato masher, optional · Preheat oven to 300°F

This recipe works for virtually any fruit and can be served with

ROASTED SUMMER FRUIT Courtesy of The Best Baby Food Recipes by Jordan Wagman & Jill Hillhouse 2015 © www.robertrose.ca Reprinted with publisher permission. Available where books are sold.

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breakfast, lunch or dinner. Although roasting fruit does demand a wee bit of work, the return is worth it. The caramelization of natural sugars created by roasting is tough to duplicate. Try it once and I promise you’ll do it over and over again.

4 MAKES

CUPS

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INGREDIENTS: 2

Your child’s mental health is just as important as their physical health.

organic peaches, pitted

1 1⁄2 cups raspberries 1 1⁄2 cups organic or wild blueberries 1 1⁄2 cups whole organic strawberries, stems removed 2

organic plums, pitted

2 tbsp

evaporated cane juice sugar or coconut sugar

Always buy organic plums, peaches, raspberries and blueberries, unless they are wild.

DIRECTIONS: 1. In prepared baking dish, combine peaches, raspberries, blueberries, strawberries, plums and sugar, stirring until fruit is evenly coated with sugar. 2. Roast in preheated oven until fruit is soft and nicely caramelized, about 1 hour. Mash or cut to desired consistency. Let cool until warm to the touch before serving or transfer to an airtight container and refrigerate for up to 3 days or freeze for up to 1 month.

Does Your Child Low Self-Esteem Peer Pressure Bullying Under-Achievement Behavioral Issues

VARIATIONS In winter substitute apples for the peaches or cranberries or frozen berries for the berries.

Anxiety Attention Deﬁcit Negative Self-Image Family Conﬂict Depression

If so, we can help.

Our professional staff use a variety of counseling and therapy techniques. Get help now so your child can experience success.

CALORIES

NUTRITION

FACTS

Serving children ages 3-18.

SERVING SIZE

1/2 CUP 1.0 G 0.2 G 0.0 G 17.3 G 2.1 G 0.6 MG 10.5 MG 0.3 MG 27.6 MG

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2% .3% 0% 5.8% 8.4% .01% 1% 2%

1570976-02

PROTEIN TOTAL FAT SATURATED FAT CARBOHYDRATES DIETARY FIBER SODIUM CALCIUM IRON VITAMIN C

740 Warm Springs Ave. Boise, ID 83712 46%

1833 S. Millennium Way Meridian, ID 83642

OCTOBER 2017

Recipes BABY FOOD

EGG & SWEET PEPPER

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FRIED RICE This is a great way to introduce your baby to the wonders of Chinese food.

MAKES

22 1

CUPS

INGREDIENTS: 2 tbsp extra virgin olive oil, divided 1⁄2 cup finely diced organic red bell pepper 1⁄2 cup finely diced sweet onion, such as Vidalia 1 tsp minced peeled gingerroot 3⁄4 cup brown basmati rice, rinsed and drained 11⁄2 cups filtered water 2 egg yolks, whisked Always buy organic peppers.

DIRECTIONS: 1. In a saucepan, heat half of the oil over medium heat. Add pepper, onion and ginger, and sauté until onion is translucent. Stir in rice. Add water and bring to a rapid boil. Cover, reduce heat to low and simmer for 20 minutes. Remove from heat and set aside, covered, until liquid is absorbed, about 25 minutes. 2. In a large skillet, heat remaining oil over high heat. Add egg yolks, swirl and cook until they form a thin “omelet.” Stir in rice mixture. Cook, without stirring, for 3 minutes. Stir well and cook until mixture is warm throughout, about 5 minutes. Purée to your baby’s preferred consistency, pulsing for a chunkier texture. Let cool until warm to the touch before serving or transfer to an airtight container and refrigerate for up to 2 days.

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{

GUACAMOLE Guacamole is a staple in our home, whether served at snack time with tortilla chips or with vegetables as a pre-dinner dip. On a piece of soft bread, it’s perfect for older toddlers. For babies with some solid-food experience of stronger-tasting foods, this can be puréed and served on a spoon for a healthy delicious, creamy snack.

MAKES

CUPS

INGREDIENTS: 1⁄4 cup

chopped tomato

green onion, minced

1 tsp

freshly squeezed lemon juice

avocados, peeled and pitted

DIRECTIONS: 1. In a bowl, combine tomato, green onion and lemon juice and stir well. Add avocado and, using a fork, mash and stir until it reaches desired consistency. Serve immediately or refrigerate for up to 3 days.

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OCTOBER 2017

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