Mamatoga Spring 2016

Special Pregnancy & Newborn Edition

mamatoga SPRING 2016

SARATOGA’S FIRST PARENTING MAGAZINE

www.Mamatoga.com

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CAKES THEY’LL REMEMBER FOR YEARS! With an astounding variety of cake

filling and frosting flavors to choose from and the choice between classic

vegan made without gluten and even vegan/made without gluten options

our cakes are guaranteed to make the day as special as can be!

Call Guest Services today to speak with one of our bakers and order the cake of their dreams!  ����  ­€-ƒ„­­…

2 | MAMATOGA

SPRING 2015

WILTON MALL, ROUTE , SARATOGA Ă— . . Ă— HEALTHYLIVINGMARKET.COM

Come see why the new Bellevue is the Capital Region’s most popular place to have a baby.

TAKE A

TOUR TODAY 518.346.9410 Virtual tour at ellismedicine.org

ellismedicine.org

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Northeast Ballet

before and beyond Before your thought and beyond your dream.

Six works exploring classic and contemporary movement. Featuring four male choreographers, “Le Corsaire” and Myers’ signature work “Night and Day”, danced by Guest Artists from Dance Theatre of Harlem (Nayara Lopes and Fredrick Davis).

Choregraphy by: Matt Pardo, Ruben Graciani, Freddy Ramirez, Lucas Rodriguez, And Darlene Myers, NEB Founder and Artistic Director

GE THEATRE AT PROCTOR’S APRIL 15 AT 7:30 PM; RECEPTION AT 6PM

myersnortheast.org Tickets SPRING available 4 | MAMATOGA 2015

online at proctors.org and at Proctors box office

(L to R) Kathleen Murphy CNM,CLC; Stacey Lamar DrPH,LM,CNM; Jennifer Zella Kittell MS,CNM; Kim Elizabeth Schoch CNM,OB-Gyn NP; Barbara Smith-Foy MS,CNM; Sarah Ellen Gorham CNM

“As midwives, we take a real personalized approach to women’s healthcare.

Our emphasis is always on you as an individual, taking into account both your physical and emotional well-being. We ask what you want for your care experience, and then we do everything we can to make that happen. That’s true whether you turn to us for maternity care, or care beyond the birth experience.”

(518) 363-8815 | 2911 Route 9, Malta | saratogahospital.org

Letter from the Editor Having a baby can be the most amazing, thrilling, life changing experience. And it can also be a very scary one. When I had my oldest I went from well thought out birth plan to c-section in just under 22 hours and realized that no matter what your expectations might be, feeling well cared for and safe are of the utmost importance when you are choosing where to give birth.

Women are lucky in our area given the fact that we have a lot of options, and in this issue I give you a sneak peek at three of our great choices for moms to be. I am also excited to share some stories across the board on pregnancy and life with a newborn, from an interview with Melinda G (maker of the BEST nursing bras around) to a great Q&A on placenta encapsulation.

One of my favorite pieces in this issue though is the piece by a mom and her experience giving birth to her twins, and the unlikely comfort and friendships she found while in the hospital. Her story brought tears to my eyes because it made me remember how special the maternity nurses were in my own experience, and how incredible it can be that these nurses and doctors, who deliver babies each and every day, can go the extra mile to make that new mom feel like she’s the only one on the ward.

A big thank you to all of the local mamas that contributed to this issue. I am so grateful for the community we have here, and that so many of you want to be part of it.

xoxo - Jenny 6 | MAMATOGA

SPRING 2015

Jenny Witte

CEO & Founder

Jake Van Ness

Creative Director jake@graphicprecision.com

Mamatoga, LLC

Publisher publishing@mamatoga.com Cover photo by Tracey Buyce, featuring beautiful mama Kristen with her daughter, Ila and expecting daughter, Willow Buyce.

Contents 5

12

15 20

22

30

33

40

45

50 55 60

64

10 Childhood Anxiety

40 Local Cravings

12 Melinda Gros of Melinda GTM

41 Paint it Forward

14 Nursing Mama Essentials

42 Pregnancy Fitness

17 Designing the Nest

45 Finding Your Tribe

22 Do I Need a Doula?

48 Gallivanting Mama

26 Midwifery Explained

50 Local Hospital & Delivery Guide

28 Nursing Mama Smoothie

61 Kindness of Strangers

30 Choosing a Newborn Car Seat

64 Pregnancy Profile: Rachel Uccellini

33 Adventures in Co-Parenting

66 Stuff I Love

34 Placenta Encapsulating

68 Wellspring

www.Mamatoga.com

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Tracey Buyce Tracey is a top-ranked wedding, equestrian and pet photographer in Saratoga Springs, NY. Her work has been published in numerous high profile publications and websites. She is an active member of the Wedding Photojournalist Association, Fearless Photographers and Professional Photographers of America. Tracey volunteers for several charities including: Hospice of Saratoga, CANDi International and Photographers without Borders.Tracey is married to Pete and has two rescue dogs, Roxy and Cassidy, one shelter kitty, Reece, and a horse named Moose.

Katie Nemer Katie is mom to Jackson (14), Zoe (5) and Preston (3). She is also co-author and columnist with Jackson’s stepmom, Julie Hahn Cox. Together the mom/stepmom duo share their journey learning to Co-parent successfully (and sometimes not so much!) who unexpectedly become friends in the process on their website www. adventuresincoparenting.com.

Rachel Uccellini Rachel Uccellini is a mom of two -- Eliza (3) and Lauren (9 months) -- and an avid cyclist. Via T3 Coaching, she will train to participate in a number of races this spring, including the Killington Stage Race. She still maintains that explaining to Eliza that she’s too young to compete will be her biggest challenge! Rachel also enjoys cooking and entertaining with her husband, Tommy, as well as, dining out at neighborhood Saratoga restaurants. The Uccellini’s are a Killington ski family and presently alternate between the moguls and the magic carpet.

Bridgette Gallagher Bridgette Gallagher is an English teacher and Mom to Parker, 6 and Celia, 4. She enjoys writing about her travels with her family at www.thegallivantinggallaghers.com.

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Julie Cox You can often spot Julie around town doing one or more of the following things: Â chasing one of her three boys, Jackson (12), Declan (4), and Beckett (1), educating teenagers about Shakespeare/aliens/grammar, driving her sweet minivan between various sports and activities, and chugging coffee in the midst of all the organized chaos. Â But most likely you will find her wandering the aisles of the grocery store where she spends the bulk of her time stockpiling food for the aforementioned three boys who are, for the most part, very very hungry.

Jake Van Ness Jake is a graphic designer and the owner of Graphic Precision, a design firm serving clients locally and nationally. With over 16 years experience in the design and printing industries, Jake provides his clients with cutting edge branding and marketing design in print, as well as online. Graphic Precision has received numerous national awards for it’s design work, including three for the design and layout of Mamatoga Magazine. Having grown up in Saratoga Springs, Jake enjoys working as the Creative Director for a magazine based in his home town. Learn more about Jake and his design firm Graphic Precision at www.graphicprecision.com.

Kelly Goldenberg Kelly Goldenberg graduated from the Frontier School of Midwifery and Family Nursing and is a Certified Nurse Midwife at Myrtle Street Obstetrics & Gynecology.

Her scope of practice includes well-woman care, contraception, and obstetrics. She attends labor and births at Saratoga Hospital, where hydrotherapy is available for labor, as is anesthesia, as needed. Kelly has been certified to assist the surgeons in Cesarean births. She is also certified to perform circumcision. Kelly lives in Schuylerville with her husband, Richard, and her 3 children.

Theresa Kirchoff Originally from Rotterdam, Theresa & her husband David reside in Saratoga with their daughters 7 year old Giana & 2 year old Alivia, as well as the family Pomeranian Cassi Bella. Theresa has a masters degree in mental health counseling from The College of Saint Rose. She works with local adults part-time, but the majority of her days are spent at home where she enjoys all things mommy. www.Mamatoga.com

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W childhood anxiety

by Theresa Kirchhoff

e all worry about our kids. As parents, it’s almost as if worry becomes part of our daily existence.

We worry about their safety, health, happiness, etc… the ever growing list. Sometimes we even worry about them worrying! Kids have worries. It’s okay, it’s normal. But when is it more significant? If your child’s anxiety affects his or her normal daily functioning, it may be worth looking into with a professional. When a child has anxiety issues, their worry doesn’t subside. They carry a continuous concern about what might happen, what might go wrong, or feeling in danger. You know your child, you know when things are off or not right. Follow your powerful intuition.

what to look for: Sleep issues including: difficulty sleeping, waking frequently, bad dreams Difficulty concentrating Changes in eating Easily angered, irritable, outbursts

what you can do:

LISTEN to his or her concerns. Truly listen. VALIDATE their concerns. “Sounds like you’re very worried about being at school.” You can just reflect back what they’re telling you so that they know you’re listening, and you care to understand.

Telling a child “oh that‘s nothing, just get over it” can make them feel that their thoughts are wrong, their feelings are wrong, so they may then begin to worry about worrying.

You want to MONITOR their behavior, keep a special eye out on them. Encourage them to talk about their feelings.

DISCUSS things often, so the feelings are not bottled up, and the child does not feel alone. Discussing it won’t make it grow, it’ll challenge the reality of the situation. Don’t be afraid to challenge their negative thoughts, like this: “Tell me what you’re afraid might happen at school.” And “Has this happened before? How often? What can you and I do to make this better?” Lastly, it’s a good idea to PRACTICE a few lifelong skills of stress reduction with your child.

Encourage your child to give his or her anxiety a NAME, “Charlie” for example. Ask them to picture & describe what Charlie might look like. This helps them to separate

Constant negative thoughts, excessive worry Very tense, fidgety Frequently crying Strong clinging Tummy aches or frequent complaints of feeling unwell themselves from the issue, instead of feeling they are the problem. They’ll see it as something that can be contained and controlled. Anxiety is a form of stress. Stress is a natural human reaction, from our brain, the Amygdala to be exact.

It serves an important biological function. This is the part of the brain that stands guard, to keep us safe, it reacts to danger in a fight or flight response. Tell them that 1 out of 8 kids struggle with anxiety, so that means that most likely 3-4 others in their class know exactly what they are going through because they experience it too. This is all manageable stuff. So take a breath mom & dad, deep from your diaphragm… that reminds me. Let’s talk about the best way to combat this fight or flight stress reaction.

Ways to distract the mind and induce positive feelings are all around you, in things your child enjoys. Painting, reading, pets, laughing, hugging…I mean a good squeeze, the kind that omits love & strength. Recharge that love battery. I hope you’ve found these simple ideas helpful. Our mind is an incredibly complex organ, it deserves all the nurturing we can offer. Take care of you, your mental health… model such behavior. You’re deserving of the little pleasures in your day, take time for them, and your kids will learn from you.

positive self-talk

Start them early on how to control their emotions by controlling their thoughts. Negative thoughts about situations, others, ourselves, etc. create negative emotions.

Those emotions affect how we feel. This can create stress inside of us, as well as urges, bad behaviors, and thereby more stressful unpleasant outcomes. Helping kids to learn how to balance their emotions with positive thinking is a lifelong skill. Encourage them to challenge their negative interpretations. Offer positive ones that they can use to replace.

stay calm

Kids often look to their parents to determine how to act in situations. They’re watching & emulating your reactions to stress and difficulty. It becomes their “normal.” Also, when talking to them about their concerns, it’s a good idea to calm yourself. Take a few deep breaths, slow down your speech, and ensure your facial expression conveys that you are calm.

progressive muscle relaxation

Teach your child to tense, hold & release their muscles concentrating on each one from the bottom up, while breathing from their diaphragm. It physically calms the body, circulates oxygen, and is a great distraction. After practicing this regularly, one can scan their muscles and relax them a lot easier and effectively.

positive

guided imagery Take your child someplace relaxing and safe through imagination.

They can establish their chosen “happy place” and you can help them to bring in details of visuals, sounds, smells, and sensations. They can soon take themselves there on their own, during anxiety provoking times.

a f f i r m a t i o n s Provide a list of affirmations in their backpack, or a basket near the door containing small pieces of paper each with an affirmation. They can take one on their way out and carry it in their pocket as a reminder at school.

get outside practice mindfulness

Encourage your child to step outside. Carefree playing is great, but it’s also helpful to just notice the things around us. From the sky to the ground beneath your feet. The smells and sounds around you. A state of mindfulness is a great way to relieve stress.

diaphragmatic breathing We can call it Belly Breathing for the kiddos, it’s just easier. In the stress response, we take fast, short breaths. Our brain told it to stop using up oxygen for strong breaths and to instead send it to muscles in our arms and legs to fight or flight. Our faces might feel warm, we get breathless, dizzy, and an increased heart rate occurs. And since we don’t fight or flight, we need to balance out the oxygen in our bodies. To do so, we can breathe deeply and slowly from our diaphragm. Ask your child to lie down, put a soft toy on their belly. Tell your child to let out a deep sigh, dropping the shoulders. Now, tell your child to watch the toy on their belly. Tell them to take a deep breath in and make the toy rise as air is taken into the diaphragm. And it drops lower as the air is pushed out through the mouth. Deep, slow, cleansing breaths in through the nose… long, slow exhale out the mouth. Push out “Charlie.” Allow your child a few moments to concentrate on belly breathing with the toy. Encourage him or her to practice this often, not only when feeling stressed or nervous. We are all born as diaphragmatic breathers. The graceful rise & fall of the belly can be observed in any infant. Somehow, along the way, we can become tense shallow breathers.

With practice, this can once again become your natural breathing. www.Mamatoga.com

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Q&A

with Melinda Gros of Melinda G™ Besides giving baby access for breastfeeding, what makes Melinda G™ nursing bras different from regular bras?

The ‘girls’ always need to be supported. For most of our lives, very little changes about them: the size of our breasts when we wake up is the size they will be when we retire at night. Mostly we care that the girls look good – a well fitting, attractive, supportive bra should ALWAYS be a wardrobe must-have.

When nursing, the ‘girls’ fluctuate in size. Our breasts produce precious milk, and they change tremendously after nursing, before nursing – they are constantly changing.

Melinda G™ nursing bras adapt to these changes.

The miracle of our fabrics is that they stretch to accommodate changes in the breasts and have enough oooomph! to support even when stretched. These special fabrics are a secret weapon against gravity – our other secret

weapons are great design, adjustable non-stretch straps, and back hooks and eyes with multiple adjustments. Most of our bras feature our unique comfyCurves™ under-thebreast channeling to further support the breasts.

Good nursing bras comfortably support the breasts whether the breasts are full before a nursing or less full, after a nursing.

What inspired you to start designing a line of nursing bras?

Thirty years ago I was pregnant and going to the Fashion Institute of Technology at night. I took a lingerie class and started designing wonderful nursing nightgowns with beautiful laces, satins and flowy lines.

I didn’t like the nursing bra options available.

My contractor had bra expertise and she encouraged me to design better nursing bras. Our first nursing bras had beautiful lace backs and soft-soft pima cotton cups.

How important is it to get the right fit for a nursing bra?

It is always important to get the right fit in a bra, nursing or not. The fit is especially important with nursing bras, when a too-tight nursing bra can lead to mastitis or other infection. If the bra is too-loose it doesn’t support and then all the weight is supported by the shoulder straps resting on the shoulders. Infection can result if the top edge of a tight, non-full-coverage nursing bra digs into breast tissue. A bra with an ill-fitting band can push breast tissue out beneath the band. And of course, a dirty nursing bra harbors germs and can lead to infection, which is why we always recommend having at least three nursing bras: one on, one in the laundry, and a clean one in the drawer.

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Try on nursing bras in between nursing sessions. Adjust the straps so that they are comfortable and lift your breasts.

Make sure that the cups still have some expansion in them (try slipping your fingers into the top of the cups). Check that all your breast tissue is comfortably supported within the cups, that you don’t overflow the cups, out the sides or under the band. Check that the back is parallel to the ground: if the back pulls up, it often means that the cups are not large enough.

What are some of your best selling styles?

A well-fitting nursing bra is comfortable, supportive, and looks great on: mama looks and feels confident and poised.

We also make the Dreamy™ sleep bra – fabulous in Midnight Purple! – using a cotton-rich jacquard with a beautiful swirly pattern. The cups pull aside for easy-easy nursing access.

There are different opinions about underwire nursing bras. Some moms are underwire gals and they cannot imagine not wearing an underwire bra. Ultimately, what is important is that the bra fits well. While many professionals advocate against wearing underwire nursing bras at any time, it is especially important not to wear them when you first start nursing your newborn, when breasts change in size and shape so frequently during the day. After breastfeeding is established and breast size and shape have stabilized, the question of wearing an underwire nursing bra can be revisited. The aim is to have a supportive, well-fitting bra; if it is an underwire bra, the wire needs to be wide so that no wire rests on tender breast tissue, and all the breast tissue is supported within the cups. A bra-fitting by an expert is very, very important.

How important is having the right bra to making breastfeeding successful?

Very important! The right nursing bra looks great and provides the right support which is crucial because your breasts need support as they fluctuate in size during the day, both before and after nursing.

The right nursing bra is a wardrobe must-have – so you feel comfortable and look your best – while supporting the ‘girls’.

The right nursing bra permits you to easily nurse your beautiful baby, whenever and wherever you need to.

For most of us, nursing is a learned art and is often not easy at first. The key for me was to relax and enjoy time with my child. A comfortable, supportive bra helped me do that. Relax into your child’s rhythms and form a bond to last a lifetime.

The Smoothly Divine™ is our best-seller – it features a sweetheart neckline and spacer fabric cups with removable pads – mom wears it with the pads for discretion and added OOOOMPH! or without the pads for more natural curves – either way she looks great! The cups unclip to drop down for easy nursing access.

The entire line can be seen at www.MelindaG.com and our Cezara™ belly support panty – so comfortable during pregnancy and after delivery, especially Cesarean delivery - can be seen at www.CezaraPanty.com

You are celebrating an anniversary this year, what are some things you have learned along the way?

Yes! We started in 1986 making nursing nightgowns.

I decided early on to involve my children and over the years we’ve discussed strategy, marketing, design and customer service together. As teenagers they came with me to the factory and worked trade shows. They learned a lot, provided great insights into the business and this has brought us closer as a family.

I love assisting moms on their nursing journeys. I love hearing that our nursing bras have made a difference, have made nursing more enjoyable, more rewarding and easier.

That is my greatest pleasure.

Melinda Gros started designing and producing very romantic nursing nightgowns as a young nursing mom in 1986. The line evolved and she now specializes in designing and manufacturing fabulous Melinda G™ nursing bras. She developed the Cezara™ belly support panty with Dr. Albert Tydings, Ob/Gyn., which is patent pending. She lives and works in New York and M manufactures in beautiful Costa Rica.

To quote my obstetrician: “Enjoy your baby!” www.Mamatoga.com

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essentials

nursing mama 9

1. Get comfy with this nursing pillow from Aden and Anais

2.

Supplements like the Motherlove More Milk Plus Alcohol Free drops can make a huge difference in milk supply

3. Erzo biscuits are a tasty (and easy) way to make sure you’re getitng

the right nutrition for breastfeeding, buy them locally at Healthy Living Market and Cafe

4.

Stay hydrated! Life Factory glass water bottle buy them locally at Healthy Living Market and Cafe

5.

A sling like the gorgeous Sakura Bloom Ring Sling also doubles as a nursing cover

3

6.

Don’t forget to pop some Little Unicorn burp cloths in the diaper bag, I absolutely adore the prints.

7.

Stock up on these Bamboobies nursing pads

8. Having everything you need ready to go in a diaper bag from Little Unicorn let’s you take the nursing routine on the road

9.

The Extendher literally extends your favorite outerwear so you can keep wearing it throughout your pregnancy (and beyond, for babywearing).

Can you say genius?!

10.

11.

All natural, the Honest Co. nipple balm is a go-to product for me

To boost your supply and your hydration even more, add this Weleda nursing tea to your every day routine

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6 www.Mamatoga.com

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MYRTLE STREET Obstetrics & Gynecology, P.C.

CHARLES LASKY, MD • AMY KNOELLER, MD • AMOS CUTLER, MD • KATJA BOCK, MD ELIOT BIRNBAUM, MD • DYMPNA WEIL, MD • RANA DANIEL, DO KELLY GOLDENBERG, CNM • PAULA CURRO-CASEY, NP • BERNICE MOELLER-BLOOM, NP

Preconception & Infertility Counseling • High Risk Pregnancy Care In-Office Ultrasound & Laboratory In-Office Endometrial Ablation • Cancer Screening Services Urodynamic Testing • Treatment for Incontinence 59 Myrtle St. Saratoga Springs, NY 16 | MAMATOGA

SPRING 2015

518.587.2400

2015 Ellsworth Blvd.

Malta, NY

WWW.MYRTLESTOBGYN.COM

designing the nest

NURSERY DEOCRATING TIPS FROM LEE OWENS DESIGN

www.Mamatoga.com

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GIRL NURSERY PICKS ◀ The antique feel of this mirror is versatile and can be reused in another room later on.

◀

I love this sweet and elegant swan wallpaper.

The swan motif is whimsical for a nursery, but the subdued color pallet is something that can grow with your child!

◀

An investment piece, this classy beaded lamp will remain timeless as your child grows.

◀ A textured basket for toy and linen storage.

◀ This graphic palm print creates a contrast to the traditional wallpaper.

◀

A versatile moroccan pouf.

I love this stunning mint rocking chair for those late night cuddles.

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The simple, clean lines on this crib make it a timeless focal point.

SPRING 2015

BOY NURSERY PICKS ◀ Bring in color and texture with this knitted pouf.

◀

The warm wood tones on this classic crib looks like an heirloom piece.

◀ Geometric overhead light.

◀ The black and ivory plaid rug

acts as the focal point and inspiration piece for the room.

◀

???

◀ Roaming Hooves bookends.

◀

I love this bull’s head photograph for a “modern cowboy” theme -graphic and bold.

◀ This mature leather chair could be an

investment piece that would work in other rooms throughout the house later on.

www.Mamatoga.com

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NEUTRAL NURSERY PICKS ◀ This star-shaped chandelier subtly ties in with the “twinkle twinkle” art print.

◀ Darken the room using these classic buffalo check curtains in beige.

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This sweet watercolor print adds childhood whimsy.

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This hanging rattan chair will act as a show-stopping focal point, while also acting as a cozy spot to rock your baby to sleep.

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The soft aqua and beige colors are perfect inspiration for a unisex nursery’s color pallet.

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The clean lines and gold feet on this warm grey crib make it a stunner.

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I love this cheerful elephant hamper -- perfect for storing toys or linens.

20 | MAMATOGA

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NURSERY TIPS by lee owens

I love designing nurseries! There is so much excitement and joy during this time, and I love designing a space that reflects that excitement.

I typically begin the design process by selecting a patterned textile, like a rug or wallpaper, and from there I will use colors or a motif from the pattern to guide me in the overall theme of the nursery. I believe the most successful rooms are layered with patterns, textures, styles and eras. Below are some standard guidelines that I keep in mind when designing a nursery. Follow along on Instagram for more ideas and inspirations!

Lee is the owner of Lee Owens Design, a residential interior design practice serving the Capital Region. She received her bachelor’s degree in Interior Design from Syracuse University, and in 2011 Lee became certified by the National Council for Interior Design Qualification.

She loves working with her clients to create beautiful and comfortable spaces that enhance their day-to-day lives. When not designing, Lee can be found on the playground with her endlessly active children, at an estate sale on the hunt for a unique treasure, or tackling a weekend home renovation project with her husband. See Lee’s full portfolio at leeowensdesign.com.

take risks Since oftentimes a nursery is completed prior to baby’s arrival, the design is still about you; your taste, your vision.

Before you know it, your little one will be vocalizing his or her wants for their bedrooms, so I encourage my clients to have fun and take style risks when decorating the nursery.

Pair an animal print rug with an antique dresser or hang a modern abstract painting over an heirloom bassinet.

Usually leaving your comfort zone will lead to those “wow” moments!

include a family heirloom If possible, include at least one family heirloom or antique item in the space. Bringing in pieces with history adds meaningful character to the room. A gallery wall is a great way to display a collection of eclectic pieces, and you can continue to add to the gallery as your child grows.

instagram: @leeowensdesign

use toys as styling props Place colorful wooden blocks or a stacking toy next to the book collection on the bookcase. Another idea is to arrange the books by color in a rainbow pattern; this adds a cheerful pop!

add a reading nook Create a cozy area for reading by placing a few pillows around a sheepskin rug. Hang a bookshelf about 15” off the floor so the books are at hands’ reach for your child.

invest in versatile pieces For investment pieces like custom drapes or designer wallpaper, I recommend selecting a style that can grow with your child and work in the room as it changes. By layering mature pieces with whimsical pieces, you will achieve an interesting, timeless look. www.Mamatoga.com

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Q&A

Do I Need a Doula?

by Erica Debie

What is a doula?

A doula can be described as an experienced professional, who provides unbiased, nonjudgmental emotional, physical, and educational support to a mother who is expecting, experiencing labor, or has recently given birth.

The doula’s role is to help women have a safe, memorable, and empowering birthing experience.

What kinds of expectant moms can use doulas, are doulas ever used for a mom who is having a planned c-section or are doulas used more in natural births?

A doula is for every kind of birth -- hospital, home, with an OB, with a midwife, without pain meds, with an epidural, vaginal birth, cesarean birth. For women planning an unmedicated birth, doulas and the mom’s partner work in hand. The primary role of the doula is to help mothers have a safe and pleasant birth–not to help them choose the type of birth. A doula can help the birthing mother’s partner feel comfortable in the unfamiliar environment and help to navigate the birth, and bringing them closer together.

For women who have decided to have a medicated birth, the doula will provide emotional, informational, and physical support through labor. Doulas work alongside medicated mothers to help them deal with potential side effects, to encourage the mother to stay hydrated, encourage changing of positions when that is an option.

For a mother facing a planned or emergency cesarean, a doula can be helpful by providing constant support and encouragement. A cesarean can leave a mother feeling unprepared, disappointed, and lonely. A doula can be attentive to the mother at all times throughout the cesarean, letting her know what is going on throughout the procedure. This can also free the partner to attend to 22 | MAMATOGA

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the baby and accompany the newborn to the nursery if there are complications.

What are some of the things people might not know that doulas can provide?

So many women don’t think about their partner and the support they might need in the delivery room. Doulas help your partner as much as they help you. Partners can feel anxious about your upcoming labor and birth. A doula can help ease your partner’s nerves by providing tips and encouragement to help your partner support you during labor.

A doula also offers continuous support. Unlike the nurses that will be coming and going during the course of labor, a doula will be by your side during the entire labor and delivery and usually for 1-2 hours postpartum.

What is your favorite part of being a doula?

My favorite part about being a doula is that working with a variety of families through their journey. The moment baby is brought to mom’s chest, the relief she did it, the many emotions, the culmination of hard work. It is such an honor to be invited to witness and support women on such a journey.

What is the most challenging part of being a doula?

Being a doula is extremely rewarding, yet like any career there are challenges. There are many unknowns, you never know how long a birth will last or if you will make it home in time for dinner, you may even miss holidays and birthdays. There are challenges during labor, when moms and their partner are looking to you for advice, and you’re trying your hardest to help them advocate for themselves

What questions should women ask when trying to find a doula to work with?

Improves bonding between mother and baby.

Some key questions to ask when interviewing potential doulas: • What training have you had?

Positive birth experiences lead to better bonding.

Research has shown how “having a doula in the room greatly improves the bonding between mother and baby” (DONA).

• What services do you provide?

• What are your fees and what do they include?

• Are you available for my due date?

Allows partners to care for mothers.

• Would you be available to meet with me before the birth to discuss my birth plan?

A doula does not replace the father/partner during labor.

A doula can run and get water or snacks for the mom to allow the father to stay in the room, or stay with the mom while the father runs to the restroom. The doula can encourage the partner to play an active role during labor.

• What happens if for some reason you are not available at the time I give birth?

Provides ways to alleviate pain

• What made you decide to become a doula?

• What is your philosophy regarding childbirth?

For this question, address someone who might not be sure if a doula is right for them, similar to question 2 but more specific on the support doulas provide.

If you’re not sure if a doula is right for you, keep reading:

Having a doula at your birth…

Reduces intervention and C-section rates “Studies have shown that having a doula as a member of the birth team decreases the overall cesarean rate by 50%, the length of labor by 25%, the use of oxytocin by 40% and requests for an epidural by 60%” (American Pregnancy).

Women who have a doula present at birth have 80% lower odds of having a non-medically indicated C-section compared with women who had no doula.

• 31% decrease in the use of Pitocin

• 28% decrease in the risk of C-section • 12% increase in the likelihood of a spontaneous vaginal birth • 34% decrease in the risk of being dissatisfied with the birth experience” (Evidenced Based Birth)

Labor doulas can help by encouraging visualizations, suggest labor positions, provide counter pressure, help with breathing techniques, changing the environment, assist with cold and heat therapies, provide massage, use of rebozo and birthing ball, just to name a few!

Increases chance breastfeeding.

for

successful

Those who received care by a doula were “more likely to breastfeed their newborns and to delay first infant formula feed” (NCBI), “more than twice as likely to be breastfeeding at 6 weeks” (NCBI), and more likely to continue breastfeeding till 18 months.

About me Erica DeBie is an experienced, professional doula, birth educator, and newborn care specialist/ baby nurse for people who are looking for some extra support and guidance on their journey through pregnancy, labor and beyond. www.Mamatoga.com

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Through her nearly 10 years of experience, expertise, professionalism and knowledge, she is here to help you, inspire you and remind you that your body is made for birth. Her adoring families have called her “a security blanket”, “a wealth of knowledge,” and one family called her “the baby whisperer.”

And when she’s not doula-ing, you can find her with her son, indulging in books and the occasional vacation to the beach.

When you work with Erica you’ll be prepared to achieve your birth goals.

Erica DeBie • 518-527-4127 EricaDoula@gmail.com Facebook.com/doulaerica • Doulaerica.com

Classes Erica also teaches a newborn care class (Nested: A Guided Journey Into Newborn Care & Nurturing) and a childbirth education course (Birthing As Nature Intended, BANI) Nested is a workshop that guides expecting parents through the basics of caring for and nurturing their infant from the moment of birth into the first few weeks and even months after birth. Nested covers the following topics: •

Understanding normal infant behavior, communication, appearance and sleep patterns

•

Understanding common newborn procedures in the hospital

•

Understanding the basics of diapering, cord care, bathing, taking temperatures and assessment of your baby

•

Benefits of breastfeeding for mother and baby

•

Choosing a pediatrician

•

Understanding postpartum adjustment for the whole family

Birthing As Nature Intended, (B.A.N.I.)™ is more than a book or childbirth preparation program. B.A.N.I. is about taking responsibility for achieving the birth you envision, utilizing your power of choice and learning how to become actively involved in the welfare of your loved ones before birth, during labor and indeed for the rest of your lives.

There are a lot of good childbirth preparation programs.

The B.A.N.I.™ program is different in that it is totally “client centered,” meaning that there is no such thing as one set of exercises and techniques that will work for every person. As a B.A.N.I.™ Practitioner, I’ve been trained to help every mother, (and partner), find their unique and individual way to achieve the deepest levels of relaxation rapidly and efficiently. You will utilize what you learn from B.A.N.I., in all aspects of your life, and especially to M achieve the most optimal childbirth that you envision.

JUNE 27th thru JULY 28th on the campus of Skidmore College

Skidmore Tennis Camp all ages and all levels, flexible scheduling & affordable rates

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THE SNUGGERY

Midwifery care that makes a lasting impression For over 30 years, The Snuggery has provided the region with the most experienced family-centered care. This includes access to midwives who will support you and your family throughout your journey.

To learn more, visit GlensFallsHospital.org/Snuggery or call 518.926.6095 to schedule a free tour.

518.926.1000 | GlensFallsHospital.org |

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JOB NUMBER 15-GFH-1142 • FILENAME 15-GFH-1142-Prnt_resizes_fi.indd • DATE: 10/20/15

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midwifery explained

W

omen have many options available to them when choosing a health care provider.

Misconceptions exist about the differences between midwives and obstetricians. In this article I would like to clarify some of these misconceptions as well as explain how midwives function within the health care system. In addition, I will address the role a woman should play in her own health and pregnancy.

When choosing a health care provider, a woman should identify her goals for pregnancy, birth and beyond.

It is important to visualize her ideal experience while keeping in mind that things do not always go as planned. It is important to be prepared for the unexpected. Another thing that should be considered is whether or not risk factors or medical conditions exist.

The term midwife means “with woman�. One misconception surrounding midwives is that we only attend to pregnancy and birth. Midwives care for women in all stages of life from puberty through menopause.

We provide well woman gynecologic care, contraceptive counseling, care during pregnancy and birth, as well as care during menopause.

Although some people may think that midwives are new to the health care system, this is one of the misconceptions. Midwifery has been around since the beginning of civilization. There are references to midwives in the bible. Midwives attended births on the Mayflower and were some of the first to immigrate to America. In early colonial times most births were attended by midwives. These midwives were trained through apprenticeships. Over time, physicians began attending more and more births. In the 1920’s, Mary Breckinridge introduced nurse-midwifery to the United States in Kentucky. This was the beginning of formal educational programs for midwives in the United States. The first nurse-midwives were trained in Great Britain. Today, educational programs exist throughout the country.

Midwives are the experts in normal pregnancy. We consider pregnancy and birth as a normal process unless proven otherwise. As such, we are highly trained to recognize variations from normal. When medical problems or complications occur, midwives work well with obstetricians to provide individualized care. Practices with both obstetricians and midwives provide the best of both worlds. The midwife/ physician team provides a comprehensive approach to care. Working as a team allows the physicians to focus on medical complications while the midwife can provide supportive care. Collaborating with physicians allows midwives to remain involved in the care of higher risk patients. Midwives can comanage women with medical conditions and complications with obstetricians.

There are similarities and differences between doctors and certified midwives. Both are highly educated and trained as well as licensed to practice in the state in which they work. Obstetricians are doctors who specialize in pregnancy and birth. OB/GYNs complete four years of medical school as well as a 26 | MAMATOGA

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four year residency program. They are trained in medical management and surgery. Midwives are highly trained medical professionals who focus on normal pregnancy and birth as well as well woman care. A majority of midwives have a bachelor’s degree and work as an RN in maternity before completing a 2-3 year program in midwifery.

While midwives do not perform surgery, some assist with cesarean sections, which provides for continuity of care. If a woman being cared for by a midwife requires a cesarean section, the midwife can remain involved in the care.

Kelly Goldenberg, CNM

Some women are concerned that they cannot receive pain medication or an epidural if they are cared for by a midwife. This is another misconception. While midwives are specially trained to assist women who wish to avoid medication in labor, we can order medications as well as epidurals. It is my philosophy that it is a woman’s choice and I am there to support her decision.

Maintaining optimal health during pregnancy and birth requires planning and participation on the part of the woman and her partner. Many complications and medical conditions can be prevented by taking an active role in the care and prevention of disease. Important factors include avoiding drugs and alcohol as well as eating a healthy diet and staying active. Adequate sleep and stress management are also important aspects of a healthy pregnancy. As a midwife, I feel I play an important role in empowering women to be active participants in their health and the health of their child. Teaching is an important aspect of my job.

At Myrtle Street Obstetrics and Gynecology, P.C., midwifery care has been a valued option for women for over 20 years. As a practice with doctors, a midwife and nurse practitioners, we provide many options for women seeking care throughout their life span. We work together as a team to provide care that is individualized and comprehensive. We involve the woman in her health care decisions and empower her to become active participant in her health.

Kelly Goldenberg graduated from the Frontier School of Midwifery and Family Nursing and is a Certified Nurse Midwife at Myrtle Street Obstetrics & Gynecology. Her scope of practice includes well-woman care, contraception, and obstetrics. She attends labor and births at Saratoga Hospital, where hydrotherapy is available for labor, as is anesthesia, as needed. Kelly has been certified to assist the surgeons in Cesarean births. She is also certified to perform circumcision. Kelly lives in Schuylerville with her husband, Richard, and her 3 children. M www.Mamatoga.com

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ma

n g i s ma r u n

ie SPRING 2015

smoo t h

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lactation smoothie recipe The real powerhouses of this smoothie are the oatmeal, the flaxseed

and the Brewer’s Yeast, which are known galactagogues: foods, herbs, or supplements that aid in boosting breast milk supply. Find the ingredients for this smoothie locally at Healthy Living Market and Cafe (check out the bulk section for the flaxseed and oatmeal).

INGREDIENTS: 1 cup vanilla coconut milk 1 frozen banana 1/2 cup of organic oats 2 tbs ground flaxseed 2 tbs peanut butter 3 Brewer’s yeast tabs optional: add in a handful of fresh or frozen berries

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SAFETY SPOTLIGHT choosing a newborn car seat

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By Britney Lombard, CPST-I SN

L

et’s face it: putting together a baby registry can be overwhelming. Your car seat is a potentially life-saving device, so selecting the right one is important. But how do you choose? I’m here to help you limit your options and select the perfect car seat for your baby.

Rear-facing only vs. Convertible: A newborn can be safely secured in two categories of car seats. A rearfacing only (RFO) or “bucket” seat has the advantage of being portable- it has a separate base that is secured in your vehicle and additional bases can be purchased separately. The bucket seat, complete with carrying handle and canopy, can be used to carry your baby from the car to your destination. Sometimes, these seats are available as part of a ‘travel system’ with a compatible stroller. RFO seats are generally outgrown around one year of age, on average.

While caregivers appreciate the portability of bucket seats, it is important to follow safety recommendations for use outside of a vehicle. Keep your child buckled snugly at all times; a loose harness can pose a suffocation risk. Never place occupied car seats on elevated surfaces, such as sofas or shopping cart baskets. Limit your child’s time in an infant seat- less than two hour stretches are best to prevent lowered oxygen rates and plagiocephaly, or “flat head syndrome”.

Convertible seats are mostly designed to remain in the car, so they typically do not have a carrying handle or base. They “convert” from rear-facing to forward-facing once a child is old enough to safely face forward (at least 2 years of age). Convertibles tend to fit children longer, often up to 4-6 years. If you select a convertible seat, you may want to plan an alternative method for carrying your baby at your destination- baby carriers or bassinet strollers are good options.

properly secured infant

Fit in vehicle: A rear-facing car seat can take up a significant amount of space in your car. It’s imperative to try the seat for fit to make sure your driver and front passenger can remain a safe distance from their airbags. Read through the car seat and airbag sections of your vehicle’s user manual for restrictions. Some stores will let you bring the car seat out to your vehicle for a fit test. If you order your seat online, make sure to open and try the seat before your child arrives.

Fit to baby: Some car seats- both convertible and RFO seats- won’t actually fit a newborn, despite boasting a www.Mamatoga.com

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5 pound weight minimum. Children must fit their seat by weight, height and torso length. A sticker on the side of the car seat will list the allowed height and weight range.

The torso length measurement is where some car seats fall short. A rear-facing child’s harness should come from at or below the child’s shoulders. Bring your tape measure to the store- look for a car seat with a harness slot at 7” or lower for average sized babies. If you are expecting multiples or a smaller newborn, consider a car seat with a 4 pound minimum, and 6” or lower harness slots.

Front- vs. Rear-Adjust: Today, most car seats have a “front-adjust” harness, meaning you will find one long piece of webbing near your baby’s feet that will loosen and tighten both straps of their safety harness. There are a few infant seats left on the market that still use a “rear-adjust” harness mechanism, where you must tighten each harness strap individually on the back of the seat. The rear-adjust seats can be cumbersome. Front-adjust harnesses are recommended for their simplicity.

Used vs. New: Car seats are not indestructible. Their safety features can be compromised with improper care.

Car seats may experience recalls, can be damaged from a collision or improper cleaning, and eventually expire as materials degrade and technology improves. Car seat manuals detail specific care instructions that a previous owner may not have followed. Damage to a car seat isn’t always visible, so this is one piece of baby gear that you should purchase new. New car seats can be purchased for around $45+. If cost is a concern, check with public assistance programs in your areathey may offer free or reduced cost car seats.

Non-Regulated products: Any product that does not come with your car seat could be dangerous to use with it, no matter how harmless it may seem. This includes: harness covers, bundle sacks, mirrors, window shades, car seat canopies or covers, vehicle seat protector mats, toys that attach to the handle, and more. There are many risks in using these products. Most 32 | MAMATOGA

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Rear-facing only infant car seat

importantly, they can affect crashworthiness. If it’s sold separately from your car seat, leave it at the store.

Safest Seat: All seats on the market are required to pass Federal Motor Vehicle Safety Standards (FMVSS) and are very safe when used correctly. Crash testing results are not released or easily comparable. Even Consumer Reports’ safety ratings use different methodology that may not be accurate. Any promise of being “the safest seat” is simply a marketing tactic by the manufacturer. The safest seat you can buy is the one that fits your child, vehicle, and budget, and can be used correctly every ride.

Proper Use: While this has covered a lot of information about seat selection, there is so much to learn about proper use and installation. The vast majority of car seats are unknowingly installed and used incorrectly, which can be dangerous or fatal in a collision. Here is the most valuable advice I can offer: Even if you have older children or feel confident, seek professional installation assistance from a Child Passenger Safety Technician near you- It could save your child’s life. Find a CPST at cert.safekids.org

rear-facing convertible car seat

Britney is a nationally certified Child Passenger Safety Technician Instructor with Special Needs training, and works as Community Education Specialist at Saratoga Hospital. She can be found at M facebook.com/carseatconsult

Adventures in Co-Parenting Co-parents who shop together, stay together

F

by Katie Nemer and Julie Cox

ather’s Day will be here before we know it, and if you’re anything like us you struggle to think of a new and different gift idea each year. A new grill or household appliance is always a crowd pleaser, but sometimes just isn’t personal enough. Golf clubs are out because they already bought them since it’s been spring for the entire winter. And a new book seems thoughtful, but unless you include a separate quiet child-less house in which to read it, it just won’t work out.

So we decided to do what most coparents do on a Sunday morning and get together to design custom menswear for the Dads.

Over piping hot cups of coffee and chocolate donuts, the four of us thoroughly enjoyed flipping through a voluminous book of fabric samples as we discussed the endless custom clothing opportunities that the J. Hilburn Company has to offer with long-time Saratogian and Independent Personal Stylist, Kim Purdy.

Now and then a stray kid would buzz by, grab a donut, and glance questioningly at Kim as she talked the guys through the selections. We were all surprised at just how custom these pieces are. Not only do you pick the fit, fabric, button style, and cuff option, but even the collar design has many different possibilities depending on your personal taste.

Katie’s take away: I don’t have a lot of time (or patience) to flip through racks in stores these days. Having someone come to my house and let my husband pick out exactly what he wanted and then make sure it was going to fit him perfectly was

not only extremely fun, but also very convenient. Don’t get me wrong I love picking out gifts and of course respect the element of surprise, but this was a really different way to do it and I truly appreciate the time and quality that goes into each piece.

Julie’s take away: Convincing my husband to go shopping for clothes is almost as difficult as convincing my three year old that Oreos aren’t a breakfast food. Not only does JT get itchy at even the prospect of entering a clothing store, he also has very odd proportions. He either has to deal with getting every piece he buys tailored to his lengthy torso and wide wingspan, or just buy an ill-fitting shirt off-the-rack. This personalized experience with Kim was so much more pleasant than dragging ourselves around a store. It was a welcome change-up from ten years of his shopping-whines when JT told me he’d had fun picking out his shirt.

The whole process from introducing the competitively priced products to taking each of the guy’s specific measurements and designing their new shirts with the fabric they selected took just about an hour. Besides an endless possibility of custom shirts, the J. Hilburn company also makes suits, tuxedos, pants and more for clients. The company is represented in our area by stylist Kim (whom we met with) as well as Aimee Taylor. Their contact information is below.

So there are no new grills or leaf blowers to speak of, but the guys are very excited about their new shirts that should be done in just a few weeks, and us moms got the Dad’s day shopping done early. M www.Mamatoga.com

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Y

by Cara Del Favero

ou mean...people eat their placenta? Really?! I know, I know. I’ve seen the Facebook comments, I know the drill.

Hear me out! Your baby’s placenta is actually a powerhouse of nutrition and beneficial hormones. People have been consuming the placenta in many preparations for thousands of years. Luckily, you can now skip the Cream of Placenta Soup and just get it dehydrated and placed into tasteless, easy to swallow pills. I take great strides to make sure that clients who don’t want to see the organ don’t have to, but some actually ask for pictures and explanations. Isn’t the ability to have a choice awesome?

Some clients have reported effects like increased breast milk supply, more energy to take care of the new baby, reduced risk of the baby blues or postpartum depression and even quicker recovery times after childbirth! Families who have encapsulated with their first are always repeat clients. This practice totally isn’t for everyone, but with the advent of celebs like Kim Kardashian and January Jones jumping on the encapsulation train, the benefits of placenta have become much more commonly accepted. As the area’s premier encapsulation specialist and birth doula, I take pride in ensuring that clients are are able to report such stellar results.

But with great benefit comes great responsibility: choosing a professional to encapsulate for you can be a serious undertaking. An improperly prepared placenta isn’t just a disappointment; it can be a hazard to your health! Hopefully, these questions will help spark great dialogue with potential specialists regarding their sanitation and handling protocol, pricing sufficient enough to ensure your safety and things you can look for right on the web to see how they practice. Without further delay, here are some things you can ask your encapsulation specialist to determine if they’re the right fit for you, along with my answers for full transparency.

1. What is your sanitation protocol? How do you clean your equipment?

Believe it or not, there can be a huge difference in how the equipment for placenta encapsulation is cleaned in between servicing each client amongst each individual encapsulator. Before going into more detail, I wanted to emphasize that the human placenta is an amazing, AWESOME organ. It’s also an actual, human organ

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every wan

ything you nt to know

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that comes with the same risks of blood borne pathogen transfer that

any other blood product or organ carries. The big one? Hepatitis. It’s a sneaky, hearty little pathogen that can survive on hard surfaces anywhere from 16 hours to four days. Even scarier, the Hep C pathogen can survive on room temperature items for up to three weeks! In order to properly sanitize to kill off harmful pathogens, equipment that comes in contact with human blood must be washed with antimicrobial cleanser such as a quaternary, followed by a very specific mixture of sodium hypochlorite and water for at least ten minutes, then a final cleaning.

Ask your potential provider for their step by step cleaning process as well as their protocol for pathogen and contamination prevention. A giant red flag may be providers who clean their equipment with a dishwasher (Hepatitis in particular is not killed off until it hits 185 degrees Fahrenheit!)

Use of glass or plastic cutting boards can also be a big source of trapped bacteria in ridges from knives.

What I do: my sanitation protocol includes cleaning any and all surrounding surfaces and all equipment with quaternary cleanser, a sodium hypochlorite solution sanitation for at least ten minutes followed by a second cleansing. Any equipment that can be replaced in between uses is a must for me as well as sterile packaged surgical gloves, eye coverage or safety goggles and wearing a hair to prevent contamination. Every placenta is

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treated as though it’s infected with every single pathogen ever, so you can be rest assured that your placenta is being prepared on equipment that has passed all universal sanitation precautions.

2. Do you use gloves?

This one is pretty straightforward, but is necessary. Is your chosen placenta encapsulation specialist wearing gloves to prevent potential contamination or transfer of bloodbourne illnesses? Gloves for handling, gloves for preparation, gloves for making tinctures, gloves for making placenta prints, and so on?

What I do: I use gloves for every single step, always. Heck, if it was socially acceptable, I’d wear vinyl surgical gloves for everything.

3. Can I see some of your marketing materials and photos?

I feel like this needs a bit of explaining. You know the old saying, a picture is worth a thousand words?

Well, your placenta specialist’s photos are no exception. Are the photos of their preparations showing all necessary sanitation and protection protocol? Gloves, clothing protection, barrier methods over preparation surfaces? Are placenta pills being presented tastefully in a sanitary

way? Or are capsules strewn about on questionable surfaces such as floors or tables, or being photographed in bare hands? Do photos show placenta prints prepared with gloves and one time use tools for coloring or do you see your potential provider rubbing

papers over placenta without the protection of gloves? Think of it this way: if this is what is advertised to the public, what practices are being used in private? Food for thought (pun hesitantly intended.)

What I do: any photo you see of me preparing placentas will include all necessary safety gear. In fact, I’ve been “snuck up” on by a professional photographer after a home birth, all geared up: My display and presentation of placenta pills, while on a plate in professional photos, were handled by a photographer who was given full instructions on how to handle pills to prevent any issues. She was even given medical gear to further prevent any risk of transmission:

4. What is your handling protocol during the transport of my placenta?

Is your placenta encapsulator certified to perform placenta transport and preparations up to OSHA standards?

Do they have a solid knowledge on the World Health Organization’s guidelines for transporting human organs? Do they have up to date training in proper food safety, holding times and cooking temperatures?

Do they include a comprehensive

guide to placental safekeeping in the hospital as well as information on your legal rights and ways to make sure your baby’s only placenta is handled appropriately?

What I do: I am certified in OSHA training for placental handling and preventing pathogen transmission and operate all my business procedures under WHO guidelines.

With an extensive history in food preparation and constant temping, I ensure that all placentas are “cooked” to perfection! Each client receives an email packet that includes a placenta release, NYS Health Department literature on placental release, a document that guides families towards safekeeping of the placenta and working with medical staff to make sure it is handled properly, annnnnnnd a document on the safe usage of all included placental products. Yep, I go all the way.

5. How are your fees broken down? Why and how do you charge what you do?

The area standard for safe, quality encapsulation is between $250 to $350 in the Capital Region. Knowing how your encapsulation specialist breaks down their fees towards supplies, sanitation, travel/gas and finally their take home pay could potentially tell you a lot about how they operate. When you encounter a provider who charges significantly less, it’s well within your right as a consumer to know how much is being spent on ensuring that your placenta is being prepared in a safe

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and sanitized environment by a provider who is paid well enough to give you individual and completely personalized care.

What I do: In order for me personally to provide you with an encapsulation service that includes the best quality supplies, packaging and everything needed to fully sanitize every aspect of your baby’s one and only placenta’s preparation, I spend upwards of $150 on these costs alone. The rest of my $300 fee goes towards covering my work time, travel costs and the cost of business and marketing upkeep to ensure that I can afford to serve clients to the best of my ability.

If I personally only charged clients around $150-200, something would have to give and I would never want families to wonder whether I shorted my own wages or if I shorted them on safety supplies.

This is in no way a definitive guide to all you’ll need to know to hire an encapsulator, but it’s a great start!

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SPRING 2015 www. NORTHSHIRE .com

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And hey, you know what? Even though I am the most hired provider of placenta services in the region, you may very well find that another specialist is a better fit, and that’s okay! However, my main goal above making a living is your safety. If it seems too cheap to be true, too good to be true or if your gut just doesn’t sit right with it, perhaps it means it’s time to go with the professional.

FAMILY OWNED SINCE 1976

Cara Del Favero is part of Albany Doula and Placenta Encapsulation and provides the area with comprehensive and full service birth and postpartum doula assistance, placenta encapsulation, new family freezer meals and much more! Visit http:// thealbanydoula.net for information and booking details or call (518)337-6272 to learn about the M Albany Doula difference today!

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Soft serve vanilla with rainbow sprinkles from Dairy Haus - Meghan The tots from Comfort Kitchen - Sam

Garlic stuffed olives... a jar a day... now I can’t even look at them!

- Sara-Jayne

Fried okra from Shane’s Rib Shack - Erica

Doughnuts from Park Side Eatery - Claire

Scones from Mrs. London’s and back when Dr. T’s BBQ was still open in Greenwich, the brisket.

- Mary

The kettle corn they sell on Broadway in Saratoga!

- Karen

Onion rings from Country Drive-In. So so so delicious!

- Brittney

Dough Boys from Esperanto - Samantha

Coconut bars from Sweet Mimi’s on Phila Street - Erin

Anything from the Bread Basket Bakery - Sue

Fried pickles from Brook Tavern, with extra dipping sauce!

- Jackie

Hattie’s fried chicken and their mac and cheese…omg - Jenny The lemon bar squares from Healthy Living Market and Cafe - Elise

We asked and you guys answered, what were your local pregnancy cravingsSPRING that you just HAD to have when you were expecting?

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Q&A Paint it Forward for LSS with Catherine Hover of Saratoga Paint and Sip Studio My good friend Catherine Hover, owner of Saratoga Paint and Sip Studio is in the running for The Upstate New York/Vermont Chapter of The Leukemia & Lymphoma Society (LLS) Man & Woman of the Year. The candidates for Man & Woman of the Year raise funds for LLS blood cancer research in honor of local children who are blood cancer survivors, the Boy & Girl of the Year. The titles are awarded to the man and woman in each community who raises the most funds during the ten-week campaign and I sat down with Catherine to ask her about taking on this challenge as a mom and business owner.

Being a mom to Posey and a business owner, how do you find the time to tackle such a great cause like LLS? I am able to do lend myself to awesome causes like LLS because I have an amazing support team of family, friends and artists at Paint&Sip. It certainly is a challenge when I continue to pile on more and more, but at the end of the day we feel it’s worth it!

What inspired you to take on the challenge?

Honestly, when I was initially offered the nomination, I was hesitant to accept. I was in the midst of my marathon training, renovating our home and I was just so spread thin. I thought it would just be way too much at one time.

After discussing it with Mark and Posey, we decided I had to do it because I have this amazing support system and platform to really spread awareness about LLS and the strides they’ve made toward finding a cure.

What aspects of your campaign do you hope to continue once the campaign is over?

I am really excited to use this campaign to roll out our Paint It Forward Initiative, specifically the scavenger hunt downtown (taking place on Saturday, April 23rd, click here for more info on Facebook). I hope for it be a successful event that we can repeat for a different local non-profit each year! I’m amazing by the overwhelming support of the Saratoga Springs community and I believe it will be a staple event for years to come with the same familyfriendly events we’ve hosted on Henry Street before.

What would you like people to know about LLS? Not long ago when you would get the prognosis of “Leukemia” that was it, but now with all the research done

by LLS, when you get the prognosis of Leukemia it is also followed up with “and here is how we treat it. This treatment has an 85% success rate”. Without the funds being raised for Leukemia, Lymphoma, Hodgkin’s and Myeloma research, the high success rate of 85% wouldn’t be possible. I’m just not sure people realize how far we’ve come and cancer doesn’t have to be a death sentence. Not anymore.

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PREGNANCY FITNESS finding what works Mamas, we live in an exciting time.

When strong is the new skinny and fitness is an essential accessory to the modern woman’s life, exercising during pregnancy is a natural progression for healthy-minded mamas. With exercise classes and training opportunities for expectant mothers popping up on a regular basis, how do you decide what’s best for you and your blooming babe?

Not only is exercise during pregnancy encouraged by the American College of Obstetricians and Gynecologists (ACOG), but the December 2015 guidelines cited strength training, Pilates, and jogging among the activities that are “safe to continue.” Not convinced?

Research has shown that women who continue to exercise during pregnancy are less likely to have excessive weight gain, gestational diabetes, or require intervention during labor and birth. Babies of active mothers tend to experience less stress and complications during labor, maintain a healthy body composition, and actually perform better on standardized intelligence tests through early childhood.

Here are my TOP 5 TIPS for staying fit during pregnancy: 1. Check your ego at the door. There is nothing wrong with breaking a sweat when exercising, but don’t be surprised if you need to slow down and modify certain exercises. Pregnancy is not the time to compete with others or yourself. You will have the rest of your life to run that marathon or deadlift 200lbs!

What intensity should you maintain? Although some medical professionals still cite heartrate guidelines from 1985 (not to exceed 140bpm), a much more reliable measure of intensity is the

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Rate of Perceived Exertion (RPE). On that scale, 7 is classified as “very, very light” and 19 is “very, very hard”. During pregnancy, your perceived exertion, or how hard you are working, should remain between 13 to 14 or “somewhat hard”.

More simply, you should be able to talk fairly comfortably while doing your exercise of choice.

2. Continue to Train your Core. A strong core prior to pregnancy will help with a faster recovery and can prevent back, pelvis, and hip pain. Maintaining strong core muscles during pregnancy is not about crunches and planks!

These muscles are key in stabilizing your posture as your belly grows and your lumbar, or lower back, curve becomes more exaggerated.

It’s best to avoid exercises that involve lifting your head off the floor (such as crunches and Pilates “hundreds”), and movements that put extra stress on your rectus abdominals or “6pack” muscles.

Nora Matthew

www.Mamatoga.com

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Diastasis Recti is a separation of the abdominal muscles that affects approximately 3 out of 4 women during pregnancy. Engaging the rectus muscles by performing exercises such as front planks, sit-ups, and the like can worsen the separation, which may lead to tissue damage, lower back pain, and may require rehabilitation and/or physical therapy postpartum.

The best core exercises during pregnancy include glute bridges, Pallof Press, farmer walks, reverse planks, and diaphragmatic breathing.

3. Breathe Well. Correct breathing technique is essential! Always inhale on the easier part of an exercise (“breathe in to prepare”) and gently exhale during the more difficult part (“exhale on exertion”). Avoid holding your breath or forceful exhalation, which is also referred to as a Valsalva maneuver. This can cause sudden changes in blood pressure which may lead to dizziness or fainting.

Belly breathing or diaphragmatic breathing is a fantastic way to engage your pelvic floor and core muscles simultaneously.

Try this: picture your belly as a balloon: inhale slowly and quietly through your nose to “inflate the balloon” and engage your diaphragm. Send your belly button away from your spine and allow your ribcage to expand, while keeping the shoulders still and send the breath as low in the abdomen as possible.

At full capacity, exhale, and “deflate the balloon” through a slow, controlled breath out of your nose.

Efficient breathing is the body’s natural coping method for stress and pain and good technique can be extremely helpful during labor.

4. Lift Weights. Women who maintain strength and fitness levels during pregnancy not only have less aches and pains during pregnancy but they also have quicker recoveries and less physical complications during the postpartum period. Lifting weights is an excellent way to maintain and improve stability and posture, and to support the extra weight you will be carrying. Yes, you may need to decrease your weights towards the end of your pregnancy, but this is completely normal. Ensure you are following a program that is designed for pregnancy and can be modified every trimester as necessary.

5. Train with a Purpose: When you walk into the gym or outside to exercise, know what you want to achieve. Stay strong and unless you are a competitive endurance athlete, keep cardio to 20-30 minutes 3-5 days a week (or even less if you are doing intervals). Full body strength movements can absolutely be prioritized over exercises that only train one muscle at a time.

Explore your options, find your focus and go for it!

You may find at certain points in your pregnancy, you have less energy and less motivation to work out. Use your drive and your time wisely. When you need a rest day, take it. Remember, you are making a baby!

Nora Matthew is a Certified Personal Trainer and pre and postnatal exercise specialist at Fitness Artist LLC. Nora’s strength training program exclusively for pregnant women, Pregna-Fit, is held several days a week at Fitness Artist Loudonville. She also offers private training, a postpartum core rehabilitation program, and Bump to Biceps: a 12 week strength program for postpartum mothers. For more information, email info@pregnafit. com or call 518-527-3651.

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g n y i o d u n r i f

tribe

by Amber Chaves

When I gave birth to my daughter in Brooklyn, it was a beautiful Spring season. The sun was bright, the music blasting out of car windows was abundant, and the much needed cup of coffee was abundant in local cafes a stones throw away. The life going on right outside my door always made itself known and it never discouraged me as a new mother with baby in tow. (Ok maybe once on the bus before my baby was 6 weeks old a woman tried to scold me for having her around germs BUT I was wearing her in a carrier and it was to go to her wellness appointment so I just let that roll off my back). But every other human being was wonderful. The Korean owner of the corner store held my baby while I shopped. True story. He really did. Apparently I missed the memo on strollers not fitting down corner store “aisles” People offered me their seat on the subway, strangers helped me carry things up and down the subway stairs, coworkers showered me with excitement and gifts, and no one ever blinked an eye when I brought my baby to a Brazilian party alongside my single friends. And I didn’t even mention story time at the library yet. That was our Wednesday scene. All different types of moms, babies with different temperaments, different ethnicities, different socioeconomic backgrounds, different parenting styles. We were all there squeezed into a rather small

room with a very loving and joyful librarian who always made everyone feel welcome.

That was a truly amazing first year with my daughter.

I never knew what mommy isolation was. I don’t even think I realized I was in a different category of human beings. It was me with a little extra cuteness wrapped on doing most of my same old usual things. It wasn’t until I was preparing for my move back to the Capital Region that I realized upstate living with a baby might have some barriers. First, the driving. My baby hated the car seat. Screamed. Her. Head. Off. She also hated the stroller and I swear 4 years ago I felt like the only one around here wearing my baby in Target or walking in the neighborhood sans stroller. Secondly, there was the whole “going out in public places around here and breastfeeding my baby” anxiety. I didn’t know any other moms, none of my friends up here had any children yet, and I didn’t have anyone to support me through the side eyes of breastfeeding in public. Major new mommy barrier. It was a total culture shock for me raising a child upstate in that second year.

Now it probably seems logical that I could have just joined a mommy group. Facebook wasn’t a “mommy” www.Mamatoga.com

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social media conglomerate yet so I would have had to actually go to a group gathering or playdate without knowing anyone or at least getting a glimpse of them through their online presence. Which would be fine except for the fact that I have new mommy group anxiety. I know. It’s like who is this person?? And how did I open a business that involves new moms meeting?

But it’s true, I have major new mommy group anxiety. So when I realized that, I realized other moms probably feel this way too. They want to get out of the house to meet other moms but something is stopping them. Is it the fear of someone telling me that I am doing something wrong as a mother or the potential gasps in the room when my baby takes a toy from another baby? I know some of you have stayed home for that exact reason. Be honest. You’ve probably left Facebook groups because of that similar feeling.

IT SHOULDN’T BE THAT WAY. When you’re a new mom or dad, the first thing you need is nonjudgemental support. As we are all very aware, there is no handbook to becoming a parent or evolving as one along the way.

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One of the best ways to find that level of support that we all need is by taking the leap and attending a parenting or mommy and me class. That’s where you get to work out all of the feelings and know that you are not alone on your parenting journey. Even if you have nothing else in common with the moms you might meet, you’ll have your children as a commonality. The sleepless nights, the teething drama, the flirty baby smiles, and the teardown-everything-in-your-path toddler destruction. Not to mention the reassurance that you’re not the only one downing caffeine, half showered, and confused about what day of the week it is.

Amber Chaves is owner of The Bundle Store in Clifton Park. She is a pediatric occupational therapist and certified babywearing instructor. Class offerings at the store include a newborn care class, birthing class, infant massage class, tummy time workshop, mommy and me yoga series, musical baby series, baby sign language series, babywearing class, baby sleep class, and so much more.

For more info visit thebundlestore.com or stop by the M shop at 1789 Rt 9, Clifton Park

䌀愀爀椀渀最 昀漀爀 眀漀洀攀渀 椀渀 愀氀氀 瀀栀愀猀攀猀 漀昀 氀椀昀攀 㘀 䌀愀爀瀀攀渀琀攀爀 䰀愀渀攀 匀愀爀愀琀漀最愀 匀瀀爀椀渀最猀Ⰰ 一夀 㔀㄀㠀ⴀ㔀㠀㌀ⴀ ㈀

㐀㔀 䠀甀搀猀漀渀 䄀瘀攀渀甀攀 䜀氀攀渀猀 䘀愀氀氀猀Ⰰ 一夀 㔀㄀㠀ⴀ㜀㤀㌀ⴀ㐀㐀㜀㜀

www.Mamatoga.com 眀漀洀攀渀猀挀愀爀攀渀礀⸀挀漀洀

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by Bridgette Gallagher

“And that’s the wonderful thing about family travel: it provides you with experiences that will remain locked forever in the scar tissue of your mind.”

- Dave Barry, Author

T

he family road trip is an act of patriotism, an act of optimism, an act of adventure and an act of love. The American road trip has woven its way into novels, songs and many-a-story around the campfire.

Where decades ago we might have been backpacking in some European square, today we are packing a station wagon, or an SUV or (gasp!) a minivan for a generous helping of family memories.

Every family has a road trip story. It may be a blissful story of sleeping child, sunshine and picturesque scenery.

Or, more likely, it may be the kind the get-me-out-ofhere-I-have-a-screaming-toddler variety. It may be about the motion sickess you never knew your four year old had or the unfortunate loss of the pacifier in a rest area parking lot. No matter what your road trip story contains, there’s no doubt that some sentimentality is attached to it. Just as mothers like to sit and relive the peccadilloes of pregnancy or infancy or toddlerhood, we all like to relive our family’s expeditions near and far.

Your road trip story marks you, it’s your family’s badge of honor. The bonding experience of a group of peoplelarge or small--- traveling to a place where the only objective is to eat, sleep and spend time together.

We spent last summer driving from New York to California and back again in our family’s RV. We feel blessed for the change to have two months of time together as a family—that’s me, my husband Mike, my 48 | MAMATOGA

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son Parker who is 6 and Celia who is 4. Our golden retriever, Chewy, also tagged along.

When I came back from the trip, I wondered if I had any important wisdom to bestow upon traveling families. Surely, our experience was fun but it was also full of storytelling fodder for years to come. The missed turn, the accidental trip across the continental divide, brakes catching on fire. All of these things make-up not just the stories of the trip but the trip’s ability to live on in our family folklore. It’s in our minds, our dinner conversations and in the murmurings right before bed, “Mom? do you remember the time we…?”

But, year after year, vacation after road trip after day trip after museum trip after--- where are we again?--can start to run together. And, depending on the age of everyone in the family at the time of the trip, the memories are not always clear, accessible or ready for remembering. Plus, in the age of picture taking on our phones, some vacations don’t enjoy a relaxing time in a beautifully prepared Pinterest-worthy scrapbook.

Sometimes the only time you sift through vacation photos is when you are trying to occupy fevered child in a doctor’s office waiting room.

My answer to the amnesia that is Mommy Brain after two children is what I call Memory Keepers. These are guaranteed to help keep your memories alive years after that time Mickey Mouse sat down next to Grandpa and took a selfie.

THE MEMORY BOX

It’s hard to hold onto all the ticket stubs, pamphlets, maps and general paper that you accumulate on the road. A book is not ideal to organize these because the kids want to handle them, touch them again, read the front and the back. The memory box is perfect for this.

No need to organize or make a fancy layout, just open the box every once in a while to touch the relics of your journeys.

THE TRAVEL JOURNAL

Ever since my oldest was a baby, I wanted to chronicle all of our travels as a family. This has been such a great discovery as a faithful journaler because I realize how short our memories are. I am always surprised at the details of our vacations day by day that I have forgotten.

It’s nice to recall it together at a meal or even in a car ride and tell stories to keep the trip alive in your minds.

THE PIECE OF ART

If I had it my way, we would choose a piece of art everywhere we visit to display in our home. But space and money doesn’t always account for that. But, an artistic photograph of your favorite place, even one you have taken can help you to pay homage to your favorite trip while also decorating your home. It’s a conversation piece, a link to the past as the kids grow.

THE CHRISTMAS ORNAMENT

This was my favorite tradition I adopted for our family.

It didn’t really fully come through to me until they were both able to decorate the tree this past Christmas and wanted to know where each was from. If it didn’t have a location or year on it, I would write it on the bottom or the back with a Sharpie.

THE PIECE OF NATURE

My kids are rock collectors, shell collectors and nature lovers. We trek a lot of pieces of the earth back with us. If you can make these things as decorations for your home, that is great, but sometimes this can be difficult.

Just having them put away for the occasional pulling out and playing is great too, especially until the kids get older and a little more predictable with things like rocks, sand, shells and the like. Another way to encourage the collection is to start each kid with a Tupperware container or small craft box and have them fill the box for that particular trip. It doesn’t always pan out because things get played with and moved around, but adding the collecting activity to your trip serves as a method of entertainment and memory itself.

THE NON-SOUVENIR SOUVENIR

On our last trip, I bought a box of questions to ask around the dinner table. This worked well for all vacation meals, car rides between activities and cities and even just down time in our hotel room or relative’s home. The questions are something like, “what qualities do you look for in a friend?” or “what one dessert could you eat for the rest of your life?” This souvenir, even though it’s not something to display or wear or play with, provided us with great discussions as a family and made the concentrated time together even more meaningful.

So as you search the Internet for this summer or fall’s perfect vacation, remember this. Where you are going is only a small piece of the plan. What you do and who you do it is what builds up in the scar tissue of your mind. It’s the blunders, the laughter, the backseat chatter and most of all, the memories that really make the family road trip M an experience to behold. www.Mamatoga.com

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&

local hospital delivery guide 35

Saratoga Hospital Maternity Ward

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The Snuggery at Glens Falls Hospital

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Bellevue Woman’s Center

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SARATOGA SPRINGS • GLENS FALLS • CLIFTON PARK

MATERNITY WARD

We provide comprehensive women’s health services, including obstetrical care and preventive and primary gynecological care. Our newly renovated William J. Hickey Women’s Health Services is a wonderful place to welcome the newest addition to your family.

Childbirth Eductation

Services and amenities include:

Dads on Duty

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Comfortable birthing suites, with overnight accommodations for dad or a support person

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Childbirth education programs, including childbirth preparation, infant care, breastfeeding, and an expectant parents’ program

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Mother/baby care

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Lactation consultants

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Home health for early discharge

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Follow-up care and other services to help keep your family healthy from infancy through old age

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Visiting hours for maternity patients reflect the unique needs of moms, dads, and newborns.

Having a baby? We offer many courses to help ensure that you will have a rewarding birthing experience and a smoother transition into parenthood.

Dads on Duty is a brand new class at Saratoga Hospital just for new and expecting dads. Guys can learn how to handle a baby, learn about issues they didn’t know were important and how to blow-off issues they thought were.

In this men-only environment, no question is stupid and no topic is off-limits.

Dads and dads-to-be will discuss issues including; changes in new mom and your relationship, handling a newborn, finding work/home balance, introducing pets to baby, safety issues, feeding and changing, how to calm a crying baby and dealing with friends, parents, and in-laws.

This class is taking place on the following dates: Wednesday, April 20th at 6-8pm Wednesday, May 11th at 6-8pm Wednesday, June 15th at 6-8pm www.Mamatoga.com

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Cost for this class is $20 (per session) and for questions or to register call HealthSource at (518) 580-2450.

Expecting Parents Night

Also at Saratoga Hospital is their free Expecting Parents Night. Come and enjoy a free, one hour class that will introduce you to the Women’s Health Services Unit and the Saratoga Hospital Midwives.

This class will include an overview of the services available, an introduction of the other classes offered to expectant parents, and time for questions. For questions call HealthSource at 518-580-2450.

This class will take place on the following dates: Monday, April 4th, 2016 7pm Monday, May 2nd, 2016 7pm Wednesday, June 1st, 2016 7pm Prenatal Yoga

Saratoga Hospital is also offering Prenatal Yoga for expecting moms starting in April, 2016 meeting on six consecutive Wednesday evenings.

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Yoga will take place on the following dates: Wednesday, April 6, 2016 Wednesday, April 13, 2016 Wednesday, April 20, 2016 Wednesday, April 27, 2016 Wednesday, May 4, 2016 Wednesday, May 11, 2016 In six, 75-minute classes, instructors will guide you through postures which may decrease common pregnancy discomforts such as back pain, sciatica, carpal tunnel, swelling, anxiety and fatigue in addition to stretching, and toning muscles used during labor and delivery. Instructors will also focus on meditation, breathing, relaxation, and visualization in preparation for childbirth. Class is suitable for women at any pregnancy stage. Yoga experience is not necessary. Bring a mat, pillow, and blanket to each class.

Program Requirement: A note from your healthcare provider indicating permission to participate is required. Fee for this series is $80. For questions call HealthSource at 518-580-2450.

The Snuggery at Glens Falls Hospital Sets ‘Gold Standard’ For Maternity Care

I

t’s a good 40 minutes from Eric and Chelsea DeSalvatore’s Clifton Park home to Glens Falls Hospital, but Chelsea says the experience of giving birth at The Snuggery family centered birthing unit was well worth the drive. Twice.

The DeSalvatores chose The Snuggery for both of their sons’ births — Eric Jr. in 2013, and Jace this past summer.

Chelsea herself was born at Glens Falls Hospital, as was her mom.

“You don’t feel like you’re in a hospital at The Snuggery,” Chelsea says. “It’s a very personal experience. I have friends who delivered at other hospitals and they just didn’t have the same experience that I had.”

It’s that special “Snuggery Experience” that has been attracting families from across the region since 1985.

Glens Falls Hospital was a pioneer in Single-room LaborDelivery-Recovery-Postpartum care, and continues that tradition of care today. At The Snuggery, each woman remains in the same private guest room for all phases of the birthing process. Single-room care is found to be more relaxing and less stressful for the mom than having to be moved from one room to another, as some hospitals continue to do. In those instances when a cesarean section is necessary, the woman is temporarily taken to an operating room on the same floor and returned to a private room as soon as she has recovered from anesthesia.

“We believe we set the Gold Standard for maternity care in the Greater Capital Region, and that’s why 1,200 families a year choose to deliver here,” says Diane Kerchner, Director of Women’s and Children’s Services at Glens Falls Hospital. “It begins with Single-room Care,

The care and expertise of registered nurses like Linda Gorss (front) and Jamie LaPointe are cited often by new families as being a key part of the Snuggery Experience. “The privilege of being part of the creation of a new family is really pretty special,” says Linda.

but also includes the ability for families to custom-design their birthing experience, the peace of mind that comes from knowing we have a Special Care Nursery if needed, www.Mamatoga.com

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Eric and Chelsea DeSalvatore of Clifton Park have chosen The Snuggery to welcome both of their sons. They’re shown here bonding with Jace after his arrival last summer.

and the quality that our patients mention most often — the care and expertise of our nurses.”

Snuggery nurses practice Mother-Baby Nursing. This means that the same RN cares for both mom and baby.

They are coaches, educators and advocates every step of the way.

Education and support for new parents — and siblings — before and after the birth have long been key parts of The Snuggery experience, as well. Families are offered a wide array of classes to prepare them for childbirth and to help them care for their baby after delivery. A certified lactation consultant, as well as lactation counselors, are also available for those moms who choose to breastfeed their baby. The entire Snuggery team supports breastfeeding, and is committed to fulfilling the wishes of mothers who desire their baby to be fed breast milk exclusively.

“We work with expectant parents and their OB providers months in advance to develop a Birth Plan that meets their individual needs and desires for their birth experience. We not only support them throughout the birthing process, we are there for them after they’ve returned home as a new family,” says Terry Celadon, RN, Nurse Manager at The Snuggery. “We share a very special time with our families and we don’t ever take that for granted.”

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Chelsea DeSalvatore remembers visiting The Snuggery when her brothers were born, and the experience made a lasting impression.

When she and Eric began planning their family, Chelsea specifically sought out an OB practice that delivers there.

She says the care provided during both of her deliveries was special: “The nurses make all the difference in the world. I can’t say enough about them.”

For more information about The Snuggery or to schedule a tour, please call (518) 926-6095 or visit GlensFallsHospital.org/Snuggery.

Special Care When It’s Needed The Snuggery at Glens Falls Hospital is home to a Level 1 Special Care Nursery. The Nursery is dedicated to infants who need an extra level of attention due to premature birth, breathing or feeding difficulties, among other conditions. The goal of the Special Care team is to address these conditions as quickly and thoroughly as possible, minimizing the number of babies who must be transported to a Level 4 neonatal intensive care unit an hour away.

Glens Falls Hospital employs a full-time Pediatric Pulmonologist, Dr. Paul Comber, and a full-time Neonatal Nurse Practitioner, Michelle Eastman, to oversee the Special Care Nursery, along with a along with a dedicated team of RNs.

Michelle, a Greenwich native with 22 years of experience working in Level 4 neonatal intensive care units, is now back “home” at the hospital where she was born. “It’s very much a family atmosphere here,” she says. “And on those occasions when a baby needs a little extra help, our goal is to keep those families together here in Glens Falls.”

Choosing a Snuggery OB Provider Two area obstetrical practices deliver babies at The Snuggery: Women’s Care, with offices in Saratoga and Glens Falls; and North Country Obstetrics & Gynecology of Queensbury. Both practices offer care by physicians and midwives. Women wishing to give birth at The Snuggery are encouraged to develop a relationship with a provider at one of these practices prior to becoming pregnant.

Stewart’s Shops, Dake Family Make Special Delivery to Snuggery In celebration of The Snuggery’s 30th BIRTHday in 2015, Stewart’s Shops and the Dake family presented Glens Falls Hospital with a $250,000 gift to help The Snuggery continue to enhance its commitment to family-centered maternity care through upcoming renovations.

Neonatal Nurse Practitioner Michelle Eastman brings more than two decades of neonatal intensive care experience to The Snuggery’s Level 1 Special Care Nursery.

All in the Family. In making the announcement about Stewart’s Shops’ $250,000 gift to The Snuggery, Senior Vice President David Caruso noted that he, his children and grandchildren were born at Glens Falls Hospital. Shown here at the gift presentation ceremony are David; his daughter, Morgan Caruso-Fisher, who was born at The Snuggery in 1985 — the year it opened; and Morgan’s youngest son, Austin, who was a Snuggery Baby in 2014.

“Everyone was always smiling,” says Morgan of her Snuggery experiences. “Overall, there is a great balance of supportive nursing care and the privacy wanted and needed by you and your family.” www.Mamatoga.com

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When are you due at Bellevue?

Bellevue Woman’s Care

M

ore women choose Bellevue; the Capital Region’s most popular place to have a baby.

For personalized birth experiences, skilled care and comfort, more women prefer to deliver their babies at Bellevue Woman’s Center. It’s the area’s only inpatient facility dedicated to the care of women and infants, uniquely equipped to support the birth plan of your choice. Experienced nurses, on-site Ob/Gyn physician coverage and Special Care Nursery allow us to respond to any childbirth situation, 24 hours a day. And our newly renovated and expanded maternity center offers a comfortable, welcoming environment for mother and baby.

When it’s time to plan your special delivery, choose the region’s premier maternity center – Bellevue Woman’s Center.

Learn more about our labor & delivery program: •

Expanded labor and delivery program, with comfortable new suites and amenities for women

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•

Support for virtually any delivery decision, including natural childbirth, c-section and painmanagement, all in a safe, personal environment.

•

Labor and delivery hospitalists are available 24 hours a day to assist in deliveries.

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Special Care Nursery, one of only three in northeastern New York, providing specialized services for infants.

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Maternity tours, classes and support groups for new moms and families.

The pregnancy test comes back positive.

After the initial excitement and emotion subside, your mind starts to run through countless questions. What’s your due date? Should you change your eating habits or exercise routine? What about your existing medical conditions? Will you choose an obstetrician or a midwife?

Prenatal care appointments will begin to answer your questions, guide your decisions and help ensure that you

have a safe, healthy pregnancy. Prenatal care is offered through the Ellis Family Health Center, or you can click here to see a list of physicians with privileges at Bellevue.

Welcome your baby with a personalized delivery in the comfort and safety of the region’s premier maternity center.

Ensuring the health of you and your baby

From the moment you arrive until the time you go home with your baby, our highly-skilled and experienced staff will support you. The obstetric program at Bellevue is one of the largest in Northeastern New York, delivering more than 2,600 babies each year. We thank you for considering us as the setting to welcome your baby into the world.

Staying healthy during your pregnancy is an important part of prenatal care. Your doctor can help you plan your diet, exercise and activity to maintain your health and give your baby the opportunity to thrive at every stage of development. The goal of prenatal care is to detect any potential problems early, to prevent them if possible (through proper nutrition, exercise and vitamin intake), and to recommend appropriate specialists if necessary.

Prenatal care visits increase as your pregnancy goes on: •

Monthly visits for the first two trimesters (weeks 1-28) - Biweekly visits during weeks 28-36

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Weekly visits from week 36 to delivery (week 3840)

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(Women older than 35 or with a high risk pregnancy may see their doctor more often.)

Childbirth classes Bellevue Woman’s Center offers a wide variety of classes for expectant mothers and families. Enrolling in classes helps you to plan for your baby’s birth. Visit our class calendar online or call our Community Education department at 518.346.9410 to learn more.

Whether you are already an expectant mother or hoping to be one soon, this time promises to be unforgettable, full of new experiences as you plan for the arrival of a special new someone - your baby! If you are a first-time mom, you will have lots of questions about preparing for your new baby and taking good care of yourself. And for those of you who already have another child, you will be pleasantly surprised to find out about options available at Bellevue Woman’s Center to custom-tailor your birth experience and make it the most fulfilling possible. The dedicated professionals at Bellevue Woman’s Center understand the joys and challenges of childbirth and the needs of new families.

At Bellevue Woman’s Center, we love what we do: delivering exceptional maternity experiences. www.Mamatoga.com

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encouraged to participate and offer support in the birth experience. What makes a birth special can be different for each family and for that reason we encourage you to share your vision with us so we can personalize your experience.

Many Healthcare Professionals are here to help you.

Compassionate and Professional Care

Modern obstetrical care has moved mothers from the comfort and privacy of their homes to the clinical setting of the hospital. While offering improved care, the traditional hospital births often have left out the personal touches that make having a baby so memorable. Since the founding of Bellevue more than 75 years ago, our sincere goal is to make the birth of your baby an experience that will create wonderful memories for you and your family. We create a safe and personal environment of support for you as you welcome your new baby into the world.

Bellevue offers you a comfortable, homelike environment without sacrificing immediate access to medical technology. Mothers go through labor, give birth and bond with their newborns in one comfortable suite. Family members and friends are

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Our Ob/Gyn Hospitalists are an experienced team of board certified obstetricians/gynecologists who are on-site 24/7 at Bellevue. These dedicated Ob/ Gyn physicians are available at a moment’s notice to deliver your baby if your doctor can’t be present or to handle any emergencies that may arise.

Our Labor and Delivery Nurses are experts in their field. Many of them have acquired specialized certifications in Obstetric Nursing. All of our staff are CPR and NRP (Neonatal Resuscitation) certified.

Neonatologists (physicians with additional training who specialize in newborn care) are on the premises or nearby on-call 24 hours a day, seven days a week to respond to emergencies and insure continuous quality medical care for your baby. Respiratory Therapists are assigned to our nursery daily and available aroundthe-clock if needed.

Our dedicated staff of board certified Anesthesiologists is available 24/7. There is an anesthesiologist dedicated to the Labor and Delivery Unit who remains at the center 24 hours a day to

administer regional anesthesia such as epidurals, and to respond to any emergencies that may arise.

Caring with Your Comfort in Mind

The Labor and Delivery staff at Bellevue Woman’s Center encourages a variety of comfort measures for you to use during your labor. By educating yourself through regular prenatal care and childbirth classes and reading about your options, you will better understand your choices and be able to use the techniques that best suit your needs. Our staff of childbirth educators and registered nurses is available to assist you with your choices. Here are only some of the options and suggestions available to the laboring woman: Movement During Labor For a majority of women, walking and changing positions through the labor process is beneficial for emotional as well as physical comfort.

Water Therapy Warm showers (with multiple shower head options and in-shower seating) are used to enhance relaxation and comfort. Many women have taken advantage of our relaxing hydrotherapy pool with both warm water and gentle jets.

Comforting Connections Each laboring mother has a bedside telephone so that she can stay in touch with friends and family. In-

coming calls can be held at your request. It’s so nice to share the early newborn time to include family that’s far away.

Personal Requests www.Mamatoga.com

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Labor Ball Many mothers have their own large gym ball that they use during pregnancy to ease their back pain.

Used during labor, our different styles of labor balls can increase comfort and relaxation which allows labor to more easily progress.

Pain Medication A wide variety of medications are available for you if needed during labor. You and your provider will be able to work together to help determine what is best to suit your needs.

Analgesia and Anesthesia Continuous spinal epidurals are available around the clock as needed or desired.

Helping Hands Some families bring a professionally trained labor support person who stays with them through the whole labor process and assists with getting to know the new baby.

VBAC Delivery For women interested in vaginal birth after c-section (VBAC), Bellevue offers the security of 24-hour Ob/Gyn Hospitalist coverage to assist in case of complications during a natural delivery.

Cesarean Section Sometimes the unexpected happens and a surgical birth becomes safest for you or your baby. Or, if you have given birth by cesarean section before, you may plan another cesarean section. Our operating room for cesarean delivery is located a few steps from our Labor and Delivery Unit. Your support person is included in our plans for a safe birth of your baby.

After you and your support person meet and hold your new baby while still in the operating room, the new family is taken to a private recovery room. Once settled, grandparents and siblings can visit and also meet the brand new baby. If you plan to breastfeed your baby, you may wish to start right after birth, in the recovery room.

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kindness of

strangers

one mom’s suprising discovery

by Jaime DeMartino

L

ast fall when I found out I became pregnant, I was very shocked! A few weeks later when I found I was pregnant with twins, you can imagine my surprise. And the surprises didn’t stop there - after having only two days to process that I was pregnant with twins, I learned that I was carrying a very rare set of twins: Mono/ mono twins. Monoamniotic twins are identical twins that share the same amniotic sac within their mother’s uterus. Monoamniotic twins are always identical, always monochorionic and are usually termed MonoamnioticMonochorionic (“MoMo”) twins. They also share the placenta, but have two separate umbilical cords. Momo twins are a 1/10,000 case, and have a 50% survival rate.

Upon learning this information, you can imagine the stress we felt as parents-to-be. The doctor’s office I was a patient of (CareNet Medical Group in Niskayuna) was so wonderful and helpful. They immediately refered me to a MFM specialist at Albany Medical Center, but continually checked up on me through out my pregnancy.

We traveled to Albany Med every week from the middle of December to Mid-March. There we met with an array of doctors, had multiple tests and ultrasounds. It was there that we learned we were having two boys. And it was there that we learned I would be living in the hospital from 24 weeks gestation until birth (which was 33 weeks). The ultrasound techs, the doctors, the nurses, thee reception staff - couldn’t have been better.

I entered Albany Medical Center, Birth Place- Floor D6, on March 15th, 2015. To go willingly to the hospital, check in and know you will not see the inside of your home for over two months, and that when you do your entire life will be changed as you will have two babies, is beyond terrifying. I am terrified of all things medical related to begin with and hadn’t had so much as an IV before entering the hospital.

I was on monitors two to four times a day to track the babies heart rates, and ultrasounds were performed twice a week. I met with nurses hourly and doctors daily.

Residents and students rotated in and out of my room.

I longed for the comforts of home, a moment to myself - not feel so alone among strangers.

As days and weeks passed, as we had multiple threats of very early delivery, as my babies grew and thrived, as snow covered ground faded to grass - something beautiful www.Mamatoga.com

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happened. I formed the most amazing group of friends and gained the most incredible support. I imagined this would come from the outside, from my friends and family I had prior to pregnancy. And those people were there and they were wonderful as well, but something happened inside those walls I did not expect.

When I was sent to labor and delivery in the middle of the night, with threat of delivery at just 26 weeks, pumped full of drugs and liquid and experiencing my first IV, it was a stranger who held my hand. When I went each week for my ultrasounds and the babies blood flow was checked and positive and negative news was delivered, it was a sranger who delivered it. When I had questions and concerns, when I wanted to know the risks and proceedures, it was a stranger who gave me those answers.

When I was feeling ill, it was a stranger who administered my medicine. When I went in to have my c-section surgery, the scariest moment of my life, it was a stranger who held my hand as they put a needle in my spine and my body went numb. When I heard my babies scream for the first time, it was a stranger who was holding them.

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When I went through all the “wonderful” postpartum, humbling experiences, I went through them at the hands of a stranger. When I finally met my babies for the first time in the NICU, they were presented to me by a stranger.

Over the course of the 8+ weeks I spent in Albany Medical Center, and the weeks to follow that my children spent in the NICU, I experienced something that I feel sorry other people haven’t had. I was not a number on a clipboard.

I was not another round to make to check it off a list. I was cared for. I was cared for in a way that I could never imagine. My babies were cared for, my family was cared for. It was a nurse who told my parents that my babies and I were safe after delivery (“the brown haired one”, as my mom says. Who by the way wore her hair down and curly on my delivery day because I thought it was pretty that way). When I wanted to be sure my toenails were painted when I entered that delivery room, it was a nurse who sat on my hospital room floor and painted them - because I could no longer reach.

It was a nurse who did a belly cast of my tummy so I was sure to have that keepsake and that I wasn’t missing out on those special things. It was a nurse who had the postpartum tough talk with me and the new dad before we left the hospital. When I was stuck celebrating my last birthday before I became a mom in the hospital - it was a nurse who brought me my favorite ice cream and a group of doctors and residents who sang to me.

When I had a panic attack (oh hormones!) and emabarassingly almost passed out in front of visitors, it was a nurse who smoothed it over and saved me with grace. When I needed something from the store, it was a nurse who stopped and got it for me on her way in for her overnight shift. When I did wacky stuff that a person does when they are stuck in a room with nothing but fear to take over, it was these nurses and doctors who assured me, who kept my spirits up and my heart sane. It was a doctor and a resident, with many other things on their plates to do, who offered to deliver my babies, and a flood of nurses who stood by me and helped me through.

I could go on and on and describe uncountable acts these people did for me that were not necessary. They are paid to do a job, and they went above that and became a friend. From the recpetionists, to the NICU staff. From the Healing Hands volunteers to the person sweeping the floors. I was cared for by each and every one.

I am thankful every single day for how they treated me, how they cared for the safety of my babies, how they treated those close to me and for the friends I made there, that I will have long into the future.

When going through the most terrifying moments of your life, it is important to be surrounded by those who M care. Albany Medical Center is full of those people.

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PREGNANCY PROFILE Rachel Uccellini: Training for Life and Baby

I

liked being pregnant. Beyond the first trimester lethargy, I felt vibrant, energetic and my body didn’t rebel against me. Sure, I had some fairly odd cravings (cottage cheese and dried okra was a house favorite) and some abysmal heartburn, but neither really put a significant dent in my day-to-day quality of life. I wasn’t an anomaly. I was fit.

I’m always moving; it’s how I’m built. My to-do lists have lists and I’m rarely completely idle. When I became pregnant, I didn’t see how this fundamental bit of my makeup could be altered. So, it wasn’t. While I did throw an occasional overdue lounge in here and there, I still continued to run, ride my bike on a trainer (yes, stationary – I respected my center of gravity), lift weights, and ski throughout my pregnancies. Those activities were equally as essential (arguably more) to my overall wellness when I was pregnant as they are today. Balanced nutrition and physical fitness are significant constructs of my identity and I wanted to impart these healthy habits upon my daughters. So, why wouldn’t I lead by example while pregnant?

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I’m not one to throw caution to the wind. Of course, I knew I had to take it down a notch. Modifications had to be made to my physical activities just as they did to my everyday lifestyle. No standing, overhead presses, no raw fish; try to stick to the groomers and avoid unpasteurized cheeses – sure, ok: it’s only 9 months. Just like any endeavor in life, I knew it was crucial to educate myself and stay my course. Change can be challenging. Like, growing a human, marked CHANGE. But my overall perspective didn’t have to waiver. With proper expectations, I could train for life and baby.

UPHOLD PERSONAL GOALS My goal was a fairly straightforward equation: cross train + maintaining a sensible diet = fueled mind and body.

Targeting specific muscle groups during strength training and continuing cardio reduced (actually eliminated) physical discomfort during my pregnancies and improved my mood. That was due in large part to reading up on pregnancy fitness and finding a regimen that worked for me (there are scores of reputable resources available online). It’s also amazing what the right elastic maternity

support band afforded me. I just Velcroed that puppy under my belly and it was all systems GO! Lifting weights made me feel confident that I was building upon my overall tone and preparing my body to endure labor.

After a few hours of skiing, I felt a spike in my energy.

The endorphins charged me physically and mentally. My babies would feed off that energy in utero just as they would throughout our future family dynamic.

Sensible diet for me meant not restricting, but also practicing moderation. Seems fairly obvious, right? I found that eating small meals was a game changer for me. During pregnancy, it maximized my energy level because of all I’d conserved during digestion. This was an enormous mood-stabilizer that was crucial with the influx of hormones surging through my body. Of course, I’d treat myself, but not to be confused with cheating myself. I crave onion rings and red velvet cake, but pregnancy wasn’t an excuse to act on that urge everyday. I knew that crushing a high-caloric feast like that would zap my positive mood instantly, so again, moderation was key.

ALIGN WITH ADVOCATES The right team made it easier to actualize my goals. Finding a doctor who was up on sports medicine as it pertains to pregnancy along with leveraging my supportive peers reinforced that my choices were good for me and baby.

As long as I didn’t push it, I could continue the physical activities I enjoyed prior to becoming pregnant. Friends in my ski community would create a protective wall around me on the slopes and my Gym Posse would give me

thumbs up’s and nods of encouragement as I moved from machine to machine. Surrounding myself with positive motivators was invaluable with each passing trimester.

KNOW WHEN TO RECOVER AND HYDRATE The body comes first. Prenatal massage was essential for me and another reminder to constantly drink tons of water. Toward the end of my second pregnancy, I became overheated running, so I had to pump the breaks on cardio and hydrate and recover for a week. Learn from my mistake. As previously mentioned, prioritizing rest is a shortcoming of mine. Address your challenges before you’re up against them.

WILL IT AND IT WILL BE At the risk of rolling my own eyes at this one, I’m still asserting it. A great friend of mine always recites this Henry Ford quote: “Whether you think you can or you think you can’t – you’re right.” The hardest part of going for that run was lacing up my sneakers, physically reaching for my feet and mentally pushing myself out that door!

My determination didn’t go on hiatus because I chose to start a family. I’m not the first and certainly not the last woman to choose to build a strong pregnancy. That fiery will sustained me through delivery day and is now engaged (and often tested) with a toddler and an infant.

But every my time my little girl asks if she can wear her “exercising” shoes or go skiing or for a bike ride, I know M my dedication paid off. www.Mamatoga.com

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STUFF I LovE 1 Any way to get the kids to want to put sunscreen on gets a thumbs up from me.

Plus this Glitter Tots Sparkle Screen Sunscreen is so cute I might use it myself‌

2 This watermelon bow from Wee Ones is everything

3 I love the new baby line from Beauty Counter, especailly the Baby Soothing Oil

4 The sweetest accessory for spring, bunny head bands from Little Bean Shop

5 Putting this Mother Daughter bracelet set from Starling Jewelry on my list for Mother’s Day

6 Put a little extra sparkle on that first #aotd for your baby girl with this newborn bow hat from Etsy

7 One of my favorite local artists is now doing House Portraits and I am so in love with ours House Portrait by Jennifer Maher

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Start planning for summer with these super cute Camp labels from Name Bubbles

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6 1

4

5

7

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Local Resource Spotlight: Wellspring

by Kathy Donnellan

When relationships begin in the usual way and then slowly become controlling…..

“We met in high school, we met through mutual friends, we met at work, we met at a party, we started dating in college,…We met online… He was always a little insecure…

He was so charming…. He said he loved me so much and that’s why he was suspicious of other men around me… She tracks my comings and goings… He doesn’t like my friends (family)…He doesn’t want me to work…I spend a lot of my time trying to keep him calm… she says she’ll kill herself if I break up with her… I’m afraid of him… “ Domestic violence, also known as Intimate Partner Violence, is often in the headlines of the national and local news. Recently there have been a number of tragic stories involving intimate partner homicide that have taken place very close to home. A few months ago we read about the young man at SUNY Geneseo who brutally killed his ex-girlfriend and her current boyfriend before killing himself.

Last month we revisited the OJ Simpson trial through watching the television series being aired on FX. This series depicts the many times Nicole Brown Simpson tried to get away and tried to be safe from Mr. Simpson’s violent and controlling behavior.

Intimate partner violence is a pattern of behavior that is all about the abuser’s need to control their partner by using coercion, intimidation and fear. Many times, these tactics are used to ensure that the partner does 68 | MAMATOGA

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not leave the relationship or to keep them compliant within the relationship. In some instances, the victims know that if she/he even thinks about leaving their will be consequences; potentially lethal. Other times the threats are more emotional and psychological. Threats like, “if you leave, you will have no money and you will end up homeless,” “I will take the kids away from you.”, “I will come to your job/sabotage your career.” Abusers may also threaten to expose something (true or untrue) about the person’s life, or they may say that the victim is lucky to be with the abuser because “no one else would want them.” In all its forms, domestic violence takes a toll on a victim’s confidence, emotional well-being and many say their sanity. Surviving these relationships can be exhausting because victims must be vigilant to keep themselves and their children safe. Because of all these reasons and more, it can be difficult to leave the relationship. At Wellspring, we understand this and listen carefully to victims to come up with a plan to keep them safe, whether they choose to leave or stay in the relationship.

The Center for Disease Control has stated that “domestic violence is a serious, preventable public health problem that affects millions of Americans.”

The Statistics are staggering. On a national level, we know that 1 in 4 women, 1 in 6 men and 1 in 3 teens will become involved with an abusive partner. In Saratoga County domestic violence is the #1 cause of family homelessness and the #2 violent crime. Domestic violence is present among all races, socioeconomic groups and ages. It is

an issue for those in heterosexual relationships as well as in LGBTQ relationships. Given this information, it is safe to say that all of us will all at some point in our life be affected by this issue.

Not surprising to anyone is that children who live in homes with violence experience a number of short term and long term effects. Children who live in fear or learn that violence is part of an expression of love, grow up thinking that violence is an acceptable way to show love and to express your emotions. In the long term, children may experience a range of emotional problems.

At Wellspring we offer a variety of services to help victims navigate the many challenges of these relationships. The number one goal is to keep the victim

safe (emotionally and physically). We know that many of our clients get referred to us not just by hospitals and police but also by those who love them and care about them. All of us in our community can do our part to help that friend/family member/coworker who has mustered his/her courage to tell us about the abuse at home and the full time work of trying to stay safe.

What you can do: First: listen. Then don’t judge or tell them what they should do. Second: you can provide Wellspring’s information and let them know that all of our services are confidential and free of charge.

We can all work together to let victims know that they M are supported and they are not alone.

www.Mamatoga.com

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Mini City: The Local Parenting Guide for Saratoga Springs minicitysaratoga.com

minicity SARATOGA SPRINGS 70 | MAMATOGA

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