NPRG - 2018 - 17th Edition by Parent Coach Club

• Information, programs and support for families before pregnancy, during pregnancy and after baby is born • Services that help babies and children grow and develop • Hearing screening for newborns and infants; assessment of speech and language skills, and treatment for pre-schoolers • Parenting workshops and supports • Nutrition information for families • Child safety • Sexual health information for parents and teens • Healthy living at home and at school • Links with health services in London-Middlesex

WELCOME, WHEN YOU HAVE QUESTIONS, KNOWING WHERE TO TURN ON A GOOD DAY IS DIFFICULT ENOUGH, BUT DURING CRISIS IT IS NEXT TO IMPOSSIBLE. Internet searches can bring up thousands of options, but how can you be sure they are correct? Our goal is to provide you with starting points - the most credible and reliable local organizations that are here to serve you. If you have questions and need answers now, these are the organizations to talk to. These organizations can provide you with the most up-to-date and accurate information you need to make informed decisions on what is right for your family. If you would like a more comprehensive list of resources, please visit our website

• POLICE, FIRE, AMBULANCE, EMERGENCY 911 • COMMUNITY INFORMATION SERVICES 211 • ASSAULTED WOMEN’S HELPLINE 1-866-863-0511

WHERE TO BEGIN

• ANOVA (519) 642-3000 or 1-800-265-1576 • MENTAL HEALTH HELPLINE 1-866-531-2600 • FIND A PUBLIC HEALTH UNIT www.ontario.ca/locations/health • FIND A WALK-IN CLINIC www.ontario.ca/locations/health • TELEHEALTH ONTARIO (24 Hours a Day) 1-866-797-0000 • EATRIGHT ONTARIO 1-877-510-5102 • LA LECHE LEAGUE CANADA 1-800-665-4324 • KID’S HELP PHONE 1-800-668-6868

IMPORTANT CONTACTS

• MOTHERISK PROGRAM 1-877-439-2744 • POISON INFORMATION CENTRE 1-800-268-9017 parentguide.ca

The all-in-one resource for busy parents!

RESOURCE GUI DE PARENT GUIDE INC.

CREDITS

School Age

PHONE: 519.645.7342 EMAIL: info@parentguide.ca WEBSITE: parentguide.ca PUBLISHER: Jennifer McCallum FACILITATOR: Peter Barnes DESIGN: Brandon Caskanette SALES: info@parentguide.ca (519) 645-7342

EDITORIAL CONTRIBUTORS:

211, 1,8,33,114 Best Start Resource Centre, 18,27,28,29,45,46,92 Canadian Child Care Federation, 61 Canadian Dermatology Association, 95 Canadian Hearing Society, 70 Canadian Medical Association, 80 Canadian Paediatric Society, 34,49,56,57,58,60,73,81 Canadian Society for Exercise Physiology, 71,72 D. Sacks (fever), 81 Dr. Michelle Mottola, UWO, 20 Family and Children’s Services of Waterloo Region, 101 Grand River Hospital, 34,35,45,81 Health Canada, 18,19,20,46-49,60 Healthy Canadians, 100 Healthy Environment for Kids, 94 Infant and Toddler Safety Association, 102,103 Lambton Public Health, 43,47,84-90 London Children’s Connection, 110,111 Middlesex London Health Unit, 48,74,102,103 Motherisk, 19 My Turn Committee, 70 Nipissing District Developmental Screen, 69 Ontario Association of Optometrists, 70 Ontario Ministry of Health and Long Term Care, 82 Parachute Canada, 100 Pediatric Oral Health & Dentistry, 92,93 Please Be Seated Coalition, 102,103 Public Health Agency of Canada, 18,56 Region of Waterloo Public Health, 18,19,20,36,37,4249,56-61,69-75,92,93-95,100-103,110,111 SIDS Canada, 56 Society of Gynecologists and Obstetricians, 20 Transport Canada, 102,103 Windsor-Essex County Health Unit, 100,92,93

RESOURCE GUIDE

COVER PHOTOGRAPHY: www.kimmikphotography.ca

Thank you to Kimberly Ridsdale for the 2018 cover photograph. Your child could be on the cover next year! Enter our annual photo contest! Coming Spring 2018! All rights reserved. Reproduction in whole or in part without written permission from the publisher is prohibited.

Editorial Advisory Committee: Thank you to the members of the Editorial Advisory Committee who have worked diligently to provide consistent, up-to-date parenting information to our readers.

A Special Thank You To:

ISBN# 978-1-927542-14-9

The all-in-one resource for busy parents!

NEW PARENT RESOURCE GUIDE 2018

RESOURCE GUI DE

Marg La Salle RN., BScN, IBCLC, CCHN (c), BFI Lead Assessor, for the thorough review of the content in this guide.

LETTER FROM THE PUBLISHER

Congratulations!

You are about to experience the most wonderful, love-filled, emotional time of your lifeâ&#x20AC;Śas a parent! Our goal is to make sure you know you are not alone; that you have this guide and our online community behind you every step of the way. You will find lots of helpful articles and resources included in the guide answering your questions when they arise. Keep this guide handy and refer to it often. You will find only the most credible businesses and organizations included; ones we are confident can support you through this important stage of your life. When you connect with us online you will find a safe haven of encouragement, kindness, connection, and a gathering of like-minded people. Share, connect, learn, and grow with parents who are going through exactly what you are. We offer online courses, free daily encouragement emails to remind you how fabulous you are, and many ways to connect with other parents. You are never alone when you become part of our Parent Guide Family! Hope to see you there, online at www.parentguide.ca

Jennifer McCallum - Jennifer McCallum, Mom, Publisher and Founder ENGAGING PARENTS SINCE 2001

NEWBORN REGISTRATION Every child born in Ontario must be registered with the Registrar General. The Newborn Registration Service allows you to register your babyâ&#x20AC;&#x2122;s birth and apply for their birth certificate, Canada Child Benefits, and Social Insurance Number at the same time. GO TO: HTTP://WWW.SERVICEONTARIO.CA/NEWBORN

Scan to go directly to the Newborn Registration Website

The New Parent Resource Guide and partners assume no liability for any errors or omissions in advertising, editorial, and/or listings. The information in this guide is not intended to replace or substitute the individualized care that you receive from your qualified health care professional. All advertising and editorial copy is provided as a resource only. Editorial, listings, and advertising in the New Parent Resource Guide does not constitute an endorsement of any kind, nor does exclusion indicate lack of endorsement. Every effort was made to locate all relevant resources.

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TABLE OF CONTENTS Each category provides you with a main list of resources as well as important articles to help guide you through these very important first years. This guide is intended for use in conjunction with www.parentguide.ca where you can enter specific categories or locations for a complete list of resources. Enjoy and happy parenting!

COMMUNITY

PAGE 7

8-11 ...... RESOURCES

PREGNANCY 14-15 16 18,19 20 21

PAGE 13

...... RESOURCES ...... WHAT TO PACK FOR THE HOSPITAL ...... HEALTHY CHOICES START NOW ...... PHYSICAL ACTIVITIES BEFORE AND AFTER BIRTH ...... HEALTHY WEIGHT GAIN DURING PREGNANCY

HELP AND SUPPORT

PAGE 23

24-26 ...... RESOURCES 27 ...... ABUSE - ARE YOU AND YOUR BABY SAFE?. 28,29 ...... MENTAL HEALTH AND WELLNESS

AFTER BABY’S BIRTH 32 33 34 35 36 37

...... ALL ABOUT BABY CHART ...... RESOURCES ...... NOW YOUR BABY IS HERE ...... PHYSICAL CHANGES AFTER HAVING A BABY ...... BIRTH CONTROL FOR NEW PARENTS ...... SKIN-TO-SKIN

INFANT FEEDING 40 41 42 43 44 45 46,47 48 49

PAGE 39

...... BREASTFEEDING - IMPORTANCE FOR BABY AND MOTHER ...... BREASTFEEDING - GETTING STARTED ...... HOW DO I KNOW BREASTFEEDING IS GOING WELL? ...... BABY’S FEEDING RECORD CHART ...... WHEN SHOULD I GET HELP? ...... WEANING ...... RESOURCES ...... FIRST FOODS ...... FEEDING YOUR TODDLER AND PRESCHOOLER

PARENTING 52-54 56 57 58 59 60 61

PAGE 31

PAGE 51

...... RESOURCES ...... SAFE SLEEP FOR YOUR BABY ...... HEALTHY SLEEP HABITS ...... CRYING - FINDING THE SOOTHING SOLUTION ...... POSITIVE PARENTING ...... NEVER SHAKE A BABY ...... MAKE STORY TIME A PART OF EVERY DAY

TABLE OF CONTENTS

PAGE 63

CHILD DEVELOPMENT

RESOURCES ...... THE CONFIDENT PARENT COURSE ...... YOUR CHILD’S DEVELOPMENT ...... DON’T WAIT AND SEE ...... PHYSICAL ACTIVITY ...... TEMPER TANTRUMS ...... RAISING A HEALTHY CHILD ...... TEACHING YOUR CHILD HOW TO DEAL WITH STRESSFUL FEELINGS ...... PAGE 77

HEALTH AND WELLBEING

RESOURCES ...... HEALTH AND WELLBEING ...... FEVER AND SICKNESS ...... IMMUNIZATIONS ...... CHILDHOOD ILNESSES CHART ...... TEETHING. ...... DENTAL CARE ...... HEALTH AND THE ENVIRONMENT ...... PAGE 97

78,79 80 81 82 84-90 91 92,93 94,95

SAFETY

RESOURCES ...... SAFETY IN THE HOME ...... GUIDELINES FOR SUPERVISION OF CHILDREN ...... CAR SEATS AND BOOSTER SEATS ...... PAGE 105

64,65 66,67 69 70 71,72 73 74 75

98 100 101 102,103

CHILD CARE AND EDUCATION

RESOURCES ...... 106-108 PREPARING YOUR CHILD FOR CHILD CARE. ...... 110,111 PAGE 113

PROFESSIONAL SERVICES

RESOURCES ...... 114 TIPS FOR TRAVELLING WITH CHILDREN. ...... 116 PAGE 119

SPECIAL NEEDS

RESOURCES ...... 120 SPECIAL NEEDS FUNDING. ...... 121

INDEX ...... 122-126

COUPONS ...... 127-128

parentguide.ca

COMMUNITY

Visit parentguide.ca for additional resources and articles

| COMMUNITY COMMUNITY RESOURCES GOVERNMENT RESOURCES 211 ONTARIO

Call 211 www.211ontario.ca ONTARIO GOVERNMENT

www.ontario.ca

ELGIN COUNTY LIBRARY

(519) 631-1460 www.library.elgin-county.on.ca WOODSTOCK/OXFORD COUNTY WOODSTOCK PUBLIC LIBRARY

(519) 539-4801 www.woodstock.library.on.ca

SERVICE ONTARIO:

Provincial government services & programs. Visit over 60 centres across Ontario 1-800-267-8097 www.serviceontario.ca HEALTH UNITS/PUBLIC HEALTH ELGIN ST. THOMAS PUBLIC HEALTH

(519) 631-9900 or 1-800-922-0096 www.elginhealth.on.ca see ad on page 54 MIDDLESEX-LONDON HEALTH UNIT

(519) 850-2280 www.healthunit.com see ad on pages inside front,10,41,83,120 inside back OXFORD COUNTY PUBLIC HEALTH & EMERGENCY SERVICES

(519) 539-9800 or 1-800-755-0394 www.oxfordcounty.ca/health

LIBRARIES LONDON/MIDDLESEX LONDON PUBLIC LIBRARY (519) 661-4600 www.lpl.ca see ad and listings on page 11 MIDDLESEX COUNTY LIBRARY (519) 245-8237 www.middlesex.library.on.ca ST. THOMAS/ELGIN COUNTY ST. THOMAS PUBLIC LIBRARY (519) 631-6050 www.st-thomas.library.on.ca 8

NEW PARENT RESOURCE GUIDE 2018

OXFORD COUNTY LIBRARY

(519) 485-7394 www.ocl.net

MUNICIPAL CONTACTS For information on Parks and recreation, tourism, garbage, parking, construction, permits, social supports, child care, roads and transportation, events, maps and more. LONDON/MIDDLESEX COUNTY CITY OF LONDON (519) 661-4500 www.london.ca MIDDLESEX COUNTY (519) 434-7321 www.middlesex.ca MUNICIPALITY OF ADELAIDE METCALFE (519) 247-3687 www.adelaidemetcalfe.on.ca MUNICIPALITY OF LUCAN BIDDULPH (519) 227-4491 www.lucanbiddulph.on.ca MUNICIPALITY OF MIDDLESEX CENTRE (519) 666-0190 www.middlesexcentre.on.ca MUNICIPALITY OF NORTH MIDDLESEX Parkhill ON (519) 294-6244 www.northmiddlesex.on.ca

COMMUNITY | MUNICIPALITY OF SOUTHWEST MIDDLESEX 153 McKellar St., Glencoe ON (519) 287-2015 www.southwestmiddlesex.ca MUNICIPALITY OF STRATHROYCARADOC 52 Frank Street, Strathroy ON (519) 245-1070 www.strathroy-caradoc.ca MUNICIPALITY OF THAMES CENTRE 4305 Hamilton Rd., Dorchester ON (519) 268-7334 www.thamescentre.on.ca VILLAGE OF NEWBURY 22910 Hagerty Rd., P.O. Box 130, Newbury ON (519) 693-4941 www.newbury.ca ST. THOMAS/ELGIN COUNTY CITY OF ST. THOMAS (519) 631-1680 www.stthomas.ca ELGIN COUNTY (519) 631-1460 www.elgincounty.ca AYLMER 46 Talbot St. W., Aylmer ON (519) 773-3164 www.aylmer.ca MUNICIPALITY OF BAYHAM 9344 Plank Rd. P.O. Box 160, Straffordville ON (519) 866-5521 www.bayham.on.ca MUNICIPALITY OF CENTRAL ELGIN 450 Sunset Dr., St. Thomas ON (519) 631-4860 www.centralelgin.org MUNICIPALITY OF DUTTON DUNWICH 199 Currie Rd., Dutton ON (519) 762-2204 www.duttondunwich.on.ca

TOWNSHIP OF MALAHIDE 87 John St. S., Aylmer ON (519) 773-5344 www.malahide.ca TOWNSHIP OF SOUTHWOLD 35663 Fingal Ln., Fingal ON (519) 769-2010 www.southwold.ca MUNICIPALITY OF WEST ELGIN 22413 Hoskins Ln, Rodney ON (519) 785-0560 www.westelgin.net WOODSTOCK/OXFORD COUNTY OXFORD COUNTY 21 Reeve St., Woodstock ON (519) 539-9800 www.oxfordcounty.ca TOWNSHIP OF BLANDFORD BLENHEIM 47 Wilmot St. S., Drumbo ON (519) 463-5347 www.blandfordblenheim.ca TOWNSHIP OF EAST ZORRA-TAVISTOCK Box 100, 90 Loveys St., Hickson ON (519) 462-2697 www.ezt.ca TOWN OF INGERSOLL 130 Oxford St., Ingersoll ON (519) 485-0120 www.ingersoll.ca TOWNSHIP OF NORWICH 285767 Airport Rd., Norwich ON (519) 468-2410 www.twp.norwich.on.ca TOWNSHIP OF SOUTH-WEST OXFORD 312915 Dereham Line, Mt. Elgin ON (519) 877-2702 www.swox.org TOWN OF TILLSONBURG 10 Lisgar Ave., Tillsonburg ON (519) 842-9200 www.tillsonburg.ca

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| COMMUNITY CITY OF WOODSTOCK 500 Dundas St., Woodstock ON (519) 539-1291 www.cityofwoodstock.ca TOWNSHIP OF ZORRA 274620 27th Line, Ingersoll ON (519) 485-2490 www.zorra.on.ca

PARENTING More resources on page 52-54 HEALTH UNITS/PUBLIC HEALTH ELGIN ST. THOMAS PUBLIC HEALTH

(519) 631-9900 or 1-800-922-0096 www.elginhealth.on.ca see ad on page 54 MIDDLESEX-LONDON HEALTH UNIT

(519) 663-5317 www.healthunit.com see ad on pages inside front,10,41,83,120 inside back

NEW PARENT RESOURCE GUIDE 2018

OXFORD COUNTY PUBLIC HEALTH & EMERGENCY SERVICES

(519) 539-9800 or 1-800-755-0394 www.oxfordcounty.ca/health PARENT GUIDE ACADEMY

(519) 645-7342 www.parentguideacademy.com Download a free PDF printout of “The Confident Parent Success Path”. Parenting has never been so easy and clear when you follow this step-by-step success path. see ad on pages 30,66,67 PARENT GUIDE INC. • local resources • ages and stages articles • print and online resource guides www.parentguide.ca

COMMUNITY | DEVELOP language skills

CONNECT with families

ENCOURAGE a love of reading Books for Babies & Storytimes

www.lpl.ca

519-661-4600

LONDON PUBLIC LIBRARY LOCATIONS BEACOCK 1280 Huron St., London ON (519) 451-8140 BYRON 1295 Commissioners Rd. W., London ON (519) 471-4000 CARSON 465 Quebec St., London ON (519) 438-4287 CENTRAL AND CHILDRENâ&#x20AC;&#x2122;S LIBRARY 251 Dundas St., London ON (519) 661-4600 CHERRYHILL 301 Oxford St. W., London ON (519) 439-6456

CROUCH 550 Hamilton Rd., London ON (519) 673-0111 EAST LONDON 2016 Dundas St. E., London ON (519) 451-7600 GLANWORTH 2950 Glanworth Dr., London ON (519) 681-6797 JALNA 1119 Jalna Blvd., London ON (519) 685-6465 LAMBETH 7112 Beattie St., London ON (519) 652-2951 LANDON 167 Wortley Rd., London ON (519) 439-6240

MASONVILLE 30 North Centre Rd., London ON (519) 660-4646 POND MILLS 1166 Commissioners Rd. E., London ON (519) 685-1333 SHERWOOD 1225 Wonderland Rd. N., London ON (519) 473-9965 STONEY CREEK 920 Sunningdale Rd. E., London ON (519) 930-2065 WESTMOUNT 3200 Wonderland Rd. S., London ON (519) 473-4708

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PREGNANCY

Visit parentguide.ca for additional resources and articles

| PREGNANCY PREGNANCY RESOURCES CORD BLOOD BANKING INSCEPTION LIFEBANK

1620 Tech Ave., #1, Mississauga ON (905) 206-2790 or 1-866-606-2790 www.insception.com PROGENICS CORD BLOOD CRYOBANK

701 Sheppard Ave. E., Ste. 310, Toronto ON (416) 221-1666 or 1-866-921-1666 www.progenicscryobank.com

DOULAS ONTARIO DOULAS

www.ontariodoulas.org YOUR VILLAGE LONDON

(519) 204-2157 www.yourvillagelondon.ca Offering services from birth and beyond. Specializing in Prenatal and Postpartum education, care and support. 30 minute free consultation. It really does take a village! see coupon on page 127

FAMILY PLANNING AND FERTILITY AWARENESS BILLINGS NATURAL FAMILY PLANNING ASSOCIATION

1262 Hillcrest Ave., London ON (519) 455-6512 INFERTILITY AWARENESS ASSOCIATION OF CANADA

2100 Marlowe Ave., Ste. 39, Montreal QC (514) 484-2891 or 1-800-263-2929 www.iaac.ca SERENA (SYMPTO-THERMAL METHOD)

(613) 728-6536 or 1-888-373-7362 www.serena.ca

NEW PARENT RESOURCE GUIDE 2018

THE FERTILITY CLINIC

(519) 663-2966 www.lhsc.on.ca/About_Us/Fertility_Clinic

MIDWIFERY INFORMATION AND SERVICES MIDWIVES OF MIDDLESEX AND AREA (MOMA)

1634 Hyde Park Rd., London ON (226) 721-0777 www.momamidwives.ca TALBOT CREEK MIDWIVES

66 West Ave., St. Thomas ON (519) 637-2224 www.talbotcreekmidwives.com THAMES VALLEY MIDWIVES

434 Maitland Street, Suite #1, London ON (519) 433-5855 www.tvm.on.ca WOMANCARE MIDWIVES

345 Westminster Ave., Unit 101, London ON (519) 645-0316 www.midwives.on.ca

PREGNANCY SUPPORT BEGINNINGS PREGNANCY CARE CENTRE

602 Dundas St., Woodstock ON (519) 421-2127 or 1-877-367-8688 www.beginnings.ca BIRTHRIGHT LONDON

854 Richmond St., London ON (519) 432-7197 or 1-800-550-4900 CHILDREN’S AID SOCIETY OF LONDON AND MIDDLESEX

1680 Oxford St. E., P.O. Box 7010, London ON (519) 455-9000 51 Front St. E., W-6 Kenwick Mall, Strathroy ON (519) 245-4330 www.caslondon.on.ca see ad on page 26

PREGNANCY | CHIPPEWA FIRST NATION HEALTH CENTRE

322 Chippewa Rd., Muncey ON (519) 289-5641 FRESH START MATERNITY SUPPORTS

118 Centre St., St.Thomas ON (519) 637-7775 www.fsms.ca LONDON CRISIS PREGNANCY CENTRE

261 Piccadilly St., London ON (519) 432-7098 (Crisis Line) (519) 432-2073 (Business Line) www.loncpc.ca MENNONITE COMMUNITY SERVICES>

16 Talbot St. E., Aylmer ON (519) 519-773-3689 (October-May) or (519) 765-3026 (June-October) MUNCEY HEALTH CENTRE

279 Jubilee Rd., Muncey ON (519) 289-2220

PRENATAL CLASSES AND PROGRAMS ELGIN ST. THOMAS PUBLIC HEALTH

1230 Talbot St., St. Thomas ON (519) 631-9900 or 1-800-922-0096 www.elginhealth.on.ca see ad on page 54 MIDDLESEX-LONDON HEALTH UNIT

OXFORD COUNTY PUBLIC HEALTH & EMERGENCY SERVICES

410 Buller St., Woodstock ON (519) 539-9800 or 1-800-755-0394 www.oxfordcounty.ca/health SMART START FOR BABIES

London ON (519) 646-2961(appointment required) www.healthunit.com

SHOPPING CHEEKY MONKEY - PREGNANCY, BABY, TODDLER

1215 Fanshawe Park Rd. W. London ON 1061 Wonderland Rd. S., London ON (519) 645-6706 or 1-877-645-6706 www.cheekymonkey.ca

Cheeky MonkeyÂ® provides a friendly atmosphere, knowledgeable staff and a careful selection of high quality, innovative products to choose from. You will find a unique collection of local and Canadian made products and eco-friendly finds along with other every-day essentials. Shop mom & baby care products, clothing, shoes, toys and other must-haves for those busy first years. see ad on pages 17,33,46,back cover

50 King St., London ON (519) 663-5317 Health Connection (519) 663-5317 ext. 2280 www.healthunit.com see ad on inside front and pages,10,41,83,120, inside back

parentguide.ca

| PREGNANCY WHAT TO PACK FOR THE HOSPITAL

If you are planning a hospital birth, it is a good idea to pack your bag at least three weeks in advance of your due date. Here are some essentials that you will find helpful during labour and after baby is born. 1. Your birth plan and items that will help achieve the plan i.e soft music, birthing ball, tennis balls in a sock to help relieve back pain, hard candy etc. 2. Electronics – Camera, phone and chargers 3. Extra undies and extra-adsorbent pads 4. Nursing bra – this one is so often overlooked, but so needed 5. Flip-flops and warm socks – hospital floors are cold 6. Nightgown if you don’t want to wear a hospital gown 7. Toiletries and lip balm 8. Going-Home Outfit for baby and yourself – remember you will probably still look 5-6 months pregnant after baby is born – bring comfortable shoes 9. Your own pillow 10. A baby book or journal – for first footprints, thoughts, and birthing details. See page 32 for a record of all those important details Don’t forget to pack this guide with you to help answer all those questions you are about to have! “We are proud to offer breastfeeding support to our community for 14 years. Our staff are very well trained, we carry a large selection of bras and breastfeeding accessories, have a nursing room, hold prenatal breastfeeding workshops in our store and have a La Leche League manual at each store for our customers and staff to access. Hope to see you there soon!”

Becky and Krista www.cheekymonkey.ca 16

NEW PARENT RESOURCE GUIDE 2018

519.645.6706 â&#x20AC;¢ cheekymonkey.ca

Bumbo 3-in-1 Multi Seat

YOUR BABY,

enjoy

THE MOMENTS

Our Locations

Fanshawe & Hyde Park Wonderland & Southdale

| PREGNANCY HEALTHY CHOICES START NOW - BEFORE YOUR BABY IS BORN, YOU CAN… • Eat following Canada’s Food Guide • Take a daily prenatal vitamin with folic acid and iron • Have an alcohol-free pregnancy • Be active regularly • Brush and floss your teeth • Live smoke-free • Plan to breastfeed • Take time for yourself • Be at a healthy weight • Regularly check weight gain with health care provider and be screened for gestational diabetes

EATING FISH Fish is an excellent source of protein, vitamin D and nutrients such as the omega 3 fats DHA and EPA. Canada’s Food Guide says to eat two servings of fish each week. If you could become pregnant, are pregnant or breastfeeding, you should avoid fish that are high in mercury. Unborn babies and infants of mothers who eat high levels of mercury may, in time, have problems with learning, walking and talking.

For more information visit: http://bit.ly/1rqwHEZ

FOOD SAFETY

Pregnant women are at increased risk of getting Listeriosis! Listeriosis is a rare but serious infection that is caused by consuming a type of bacteria called listeria. Listeria is sometimes found in food, water and soil. A woman who develops listeriosis during the first three months of pregnancy may miscarry. If she develops the infection later in the pregnancy, she can pass the infection onto her baby, resulting in early delivery, stillbirth or a very sick newborn. When a listeriosis infection occurs during pregnancy, antibiotics given promptly to the pregnant woman can often prevent infection of the unborn baby or newborn. To protect against listeria, pregnant women should not eat: Non-dried deli meats such as lunch meats, wieners and sausages; under cooked meat and poultry; raw, unpasteurized milk and dairy products; soft cheeses (even if pasteurized); raw sprouts; raw fish, seafood, especially oysters and clams; foods made with raw or lightly cooked eggs such as Caesar salad dressing; unpasteurized juices such as apple cider; refrigerated pâtés or meat spreads; and refrigerated smoked seafood.

SIGNS AND SYMPTOMS OF PRETERM LABOUR (before 37 weeks of pregnancy) If you experience any of these go to the hospital right away: • Bad cramps or stomach pains that don’t go away • Lower back pain/pressure or a change in lower backache • A feeling that the baby is pushing down • Contractions or change in the strength or number of them • An increase in the amount of vaginal discharge

• Bleeding, trickle or gush of fluid from your vagina

WARNING SIGNS DURING PREGNANCY If you experience any of these go to the hospital right away: • A feeling that something is just not right • Blurred vision or spots before your eyes • A significant change in your baby’s movement • Fever, chills, dizziness, vomiting or bad headaches • Sudden or severe swelling of feet, hands or face • Bleeding from your vagina

NEW PARENT RESOURCE GUIDE 2018

PREGNANCY | SMOKING CESSATION Tobacco smoke affects you and your baby. What can you do? • If you smoke, think about quitting or cutting down. To talk to someone who is trained to help you quit, contact Smokers’ Helpline at 1-877-513-5333 or www.smokershelpline.ca. For local information about quitting, contact your local health unit or health care provider (see page 78-79) • Ask your health care provider for help • Make your home and car smoke-free spaces • Stay away from second-hand smoke More information about these topics can be found at www.pregnets.org www.healthycanadians.gc.ca/pregnancy 1-800-622-6232 www.beststart.org (translations available in multiple languages)

COPING WITH EMOTIONAL CHANGES IN PREGNANCY Emotional changes in pregnancy are common for women and their partners. Changes occur in relationships, energy levels, lifestyles, hormones and concerns for the future. Learn about these changes and talk with your partner or health care provider about how you are feeling. To cope with these changes: eat well, get enough sleep and rest, take care of yourself. Sometimes women may have depression or other mood disorders in pregnancy. If you feel that the emotional changes you are having are not normal for you, talk with your health care provider. Many women have mood disorders during pregnancy that may continue after baby is born (see pages 28-29).

ALCOHOL AND PREGNANCY Your baby’s brain is developing throughout pregnancy so the safest choice during pregnancy is no alcohol at all. In fact, it is best to stop drinking if you are trying to get pregnant. If you have had some alcohol in pregnancy call Motherisk at 1-877-327-4636. If you have questions about alcohol and pregnancy or about getting help contact your local health unit or health care provider (see page 78-79). QUESTION - SHOULD I GET THE FLU SHOT WHEN I AM PREGNANT?

ANSWER - “Pregnant women, especially those in the second and third trimesters, and women up to six weeks after delivery are at a higher risk of developing complications, such as pneumonia, from influenza. Flu shots are safe and recommended for all pregnant women.” Health Canada, www.health.gov.on.ca Need more information about preparing for your birthing experience, for example, a list of what to bring to the birth? See page 79 for hospital contact information and page 14 for midwifery contact information. NEED A FAMILY DOCTOR? CALL HEALTH CARE CONNECT

at 1-800-445-1822 to register. Translation service for 140 languages. Or go to www.ontario.ca/healthcareconnect

parentguide.ca

| PREGNANCY PHYSICAL ACTIVITIES BEFORE/AFTER BIRTH PHYSICAL ACTIVITY CAN • Improve mood and self-image • Help with appropriate weight gain in pregnancy • Build strength for labour and delivery and speed recovery after giving birth • Promote relaxation, better sleep and reduce stress • Improve bladder control by strengthening pelvic floor muscles • Increase energy levels, muscle tone, strength and endurance TIPS FOR ENJOYING PHYSICAL ACTIVITY • Wear a supportive bra and supportive shoes • Drink water • Wear clothing that suits the activity and the weather • Eat enough food before exercising to keep up your energy level • Listen to your body! If you are tired, rest PHYSICAL ACTIVITY IN PREGNANCY All women with low risk pregnancies are encouraged to be active during pregnancy. Talk to your health care provider about the level of physical activity that is right for you. • For most women walking at any stage of pregnancy is encouraged • For women who have not been active before pregnancy - wait to begin any exercise “program” until your 4th month of pregnancy • Begin exercising for 15 minutes 3 times per week – go up to no more than 4 times per week for 30 minutes at a time • Choose activities with a low risk of falling • Muscle strengthening is considered safe with precautions • After 4 months of pregnancy, exercises should not be done while lying on your back PHYSICAL ACTIVITY AFTER BABY IS BORN Ask your health care provider when you may begin exercise and activity after the birth of your baby. • Walk outside or indoors at a track or mall • Being active with others might help motivate you to be active – try walking with other new parents • Exercise after baby has been fed and is settled FOR MORE INFORMATION Contact the Exercise and Pregnancy Helpline at: 1-866-937-7678

NEW PARENT RESOURCE GUIDE 2018

PREGNANCY | HEALTHY WEIGHT GAIN DURING PREGNANCY Gaining too much, or too little weight during pregnancy can put your baby at risk. How much weight gain recommended is based on your body mass index (BMI) before pregnancy. How quickly you gain weight is also important. It is recommended that a small amount of weight be gained in the 1st trimester, with most of your weight gain taking place in the 2nd and 3rd trimesters. Women who gain a healthy amount of weight may lower their child’s risk of childhood obesity and they may have fewer complications such as: • Caesarean section v • Pre-term birth

• Long labour • Large-for-gestational age baby

Pre-Pregnancy BMI Category (kg/m2 )

Rates of Weight Gain in the 2nd and 3rd trimester

Recommended Range of Total Weight Gain

Underweight

<18.5

1 lb/week (Range: 1-1.3 lb/week)

28-40 lbs

Normal Weight

18.5-24.9

1 lb/week (Range: 0.8-1 lb/week)

25-35 lbs

Overweight

25.0-29.9

0.6 lb/week (Range: 0.5-0.7 lb/week)

15-25 lbs

Obese

≥30.0

0.5 lb/week (Range: 0.4-0.6 lb/week)

11-20 lbs

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HELP AND SUPPORT

Visit parentguide.ca for additional resources and articles

| HELP & SUPPORT HELP AND SUPPORT RESOURCES ABUSE ANOVA: A FUTURE WITHOUT VIOLENCE (formerly Sexual Assault Centre London / Women’s Community House): 24-HOUR HELPLINE:

(519) 642-3000 or 1-800-265-1576 www.anovafuture.org ASSAULTED WOMEN’S HELPLINE (416) 863-0511 or 1-866-863-0511 www.awhl.org CHANGING WAYS OF LONDON INC. 388 Dundas St., London ON (519) 438-9869 www.Changingways.on.ca CHILDREN’S AID SOCIETY Elgin – (519) 631-1492 London/Middlesex – (519) 455-9000 Oxford – (519) 539-6176 DOMESTIC ABUSE SERVICES OXFORD (DASO) 975 James St., Woodstock ON (519) 539-4811 or 1-800-265-1938 www.daso.ca INGAMO HOMES 432 Springbank Ave. N., Unit 20, Woodstock ON (519) 421-0383 ext 223/221 www.ingamohomes.com LONDON ABUSED WOMEN’S CENTRE 69 Wellington St., London ON (519) 432-2204 www.lawc.on.ca REGIONAL SEXUAL ASSAULT & DOMESTIC VIOLENCE TREATMENT PROGRAM St. Joseph’s Health Care London 268 Grosvenor St., London ON (519) 646-6100 EXT. 64224 www.sjhc.london.on.ca/sexualassault

NEW PARENT RESOURCE GUIDE 2018

SEXUAL ASSAULT CENTRE LONDON See “Anova” on this page ST. THOMAS-ELGIN 2ND STAGE HOUSING 15 Golding Pl., St. Thomas ON (519) 637-2288 or 1-877-396-2288 THE SALVATION ARMY - LONDON CENTRE OF HOPE 281 Wellington St., London ON (519) 661-0343 www.centreofhope.ca VIOLENCE AGAINST WOMEN SERVICES - ELGIN COUNTY - EMERGENCY SHELTER & COUNSELLING FOR ABUSED WOMEN 76 Wellington St., St. Thomas ON (519) 633-0155 or 1-800-265-4305 www.vawsec.on.ca WOMEN’S COMMUNITY HOUSE See “Anova” on this page ZHAAWANONG SHELTER 109-343 Richmond St., London ON (519) 432-0122 (Crisis Line) or 1-800-605-7477 www.atlohsa.com

ADDICTION SUPPORT ADDICTION SERVICES OF THAMES VALLEY 200 Queen’s Ave., Ste. 260, London ON (519) 673-3666 www.adstv.on.ca CENTRE FOR ADDICTION & MENTAL HEALTH (519) 858-5110 or 1-888-495-2261 DRUG AND ALCOHOL HELPLINE 1-800-565-8603 24 hours/7 days a week www.drugandalcoholhelpline.ca HOPE’S GARDEN (EATING DISORDERS SUPPORT & RESOURCE CENTRE) 379 Dundas St., Ste. 210, London (519) 434-7721 www.hopesgarden.org

HELP & SUPPORT | MENTAL HEALTH & ADDICTIONS CRISIS CENTRE 648 Huron St., London ON (519) 434-9191 Crisis Line: (519) 433-2023 or 1-866-933-2023 www.cmhamiddlesex.ca/crisis-services ONTARIO PROBLEM GAMBLING HELPLINE 1-888-230-3505 www.opgh.on.ca PARENT ACTION ON DRUGS CHALLENGES, BELIEFS & CHANGES (CBC) (416) 395-4970 www.parentactionondrugs.org SMOKERS’ HELPLINE - CANADIAN CANCER SOCIETY 1-877-513-5333 www.smokershelpline.ca THE SALVATION ARMY - LONDON CENTRE OF HOPE 281 Wellington St., London ON (519) 661-0343 www.centreofhope.ca TURNING POINT INC. (519) 659-2250 www.turningpointinc.ca

BEREAVEMENT BEREAVED FAMILIES OF ONTARIO www.bereavedfamilies.net COPING BEREAVEMENT SUPPORT GROUPS OF ONTARIO INC. 1740 Blair Rd., Cambridge ON (519) 650-0852 or 1-877-554-4498 www.copingcentre.com

BULLYING/AGGRESSION CHILDREN’S AID SOCIETY OF LONDON AND MIDDLESEX 1680 Oxford St. E., P.O. Box 7010, London ON (519) 455-9000 51 Front St. E., W-6 Kenwick Mall, Strathroy ON (519) 245-4330 www.caslondon.on.ca see ad on page 26 CHILDREN’S AID SOCIETY OF OXFORD COUNTY 712 Peel St., Woodstock ON (519) 539-6176 or 1-800-250-7010 www.casoxford.on.ca FAMILY AND CHILDREN’S SERVICES OF ST. THOMAS AND ELGIN 410 Sunset Dr., St. Thomas ON (519) 631-1492 or 1-800-260-6960 www.caselgin.on.ca THE CANADIAN SAFE SCHOOL NETWORK 111 Peter St., Ste. 617, Toronto ON (416) 977-1050 or 1-877-337-0336 www.canadiansafeschools.com

COUNSELLING FAMILY SERVICE THAMES VALLEY 125 Woodward Ave., London ON (519) 433-0183 www.familyservicethamesvalley.com Individual, couple and family counselling to assist with a broad range of life stresses and difficulties. Credit counselling for assistance with financial & debt management difficulties. Planning assistance for families of children with developmental disabilities.

PREGNANCY & INFANT LOSS NETWORK 1-888-301-7276 www.pailnetwork.ca

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| HELP & SUPPORT HELP LINES ABUSE

see page 27 BABY’S BREATH (SIDS) (905) 688-8884 or 1-800-363-7437 www.babysbreathcanada.ca CMHA CRISIS SERVICES (519) 433-2023 (24 Hours) Crisis & Intake team www.london.cmha.ca If you are experiencing a mental health crisis please call: (519) 433-2023 to receive the support you need through Crisis Services.

Foster Dreams, Adopt Hope

Caring for children takes a community. Become a foster or adoptive family. Call today to find out how you can give a child a safe, loving home at (519) 455-9000 x2777 or visit us at:

www.caslondon.on.ca Safe Children, Bright Futures

OXFORD-ELGIN CHILD & YOUTH CENTRE FRONT DOOR WALK-IN COUNSELLING WOODSTOCK LOCATION - Tuesdays 912 Dundas St., Woodstock ON ST.THOMAS LOCATION - Thursdays 99 Edward St., St. Thomas ON (519) 539-0463 or 1-877-539-0463 www.ocyc.on.ca TALK-IN CLINICS (519) 433-0334 One cost-free, confidential counselling session for children & youth from ages 0-18 and their families. Call for times & locations. VANIER CHILDREN’S SERVICES 871 Trafalgar St., London oN (519) 433-0334 www.vanier.com

FOOD BANKS THE HEALTH LINE (519) 641-5519 www.thehealthline.ca 26

NEW PARENT RESOURCE GUIDE 2018

KIDS HELP PHONE 1-800-668-6868 LONDON & DISTRICT DISTRESS CENTRE (519) 667-6711 www.londondistresscentre.com MENTAL HEALTH HELPLINE 1-866-531-2600 www.mentalhealthhelpline.ca MIDDLESEX-LONDON HEALTH UNIT 50 King St., London ON (519) 663-5317 Health Connection (519) 663-5317 ext. 2280 www.healthunit.com MOTHERISK PROGRAM General exposures in pregnancy & breastfeeding (416) 813-6780 www.motherisk.org 1-877-327-4636 Alcohol and Substance 1-800-436-8477 Morning Sickness 1-888-246-5840 HIV and HIV Treatment 1-877-439-2744 Motherisk Helpline (416) 813-6780 Motherisk Helpline POISON INFORMATION CENTRE (416) 813-5900 or 1-800-268-9017 www.ontariopoisoncentre.com TELEHEALTH ONTARIO 1-866-797-0000

SEPARATION AND DIVORCE MERRYMOUNT FAMILY SUPPORT & CRISIS CENTRE 1064 Colborne St., London ON (519) 434-6848 www.merrymount.on.ca For Postpartum/Post Natal Support and Information see pages 28-29 and page 33.

HELP & SUPPORT | ABUSE - ARE YOU AND YOUR BABY SAFE? Does your partner… q yell at you? q call you names? q blame you for being pregnant? q break your things? q hurt or kill your pets? q threaten to hurt you? q always need to be in charge? q keep you from seeing friends and family?

q keep you from seeing your health care provider? q control what or how much you eat? q control the money? q threaten to take the kids away? q hit or kick you? q hurt your breasts, belly or between your legs? q force you to have sex?

If you said YES to any of the above questions, you and your baby may be in DANGER. All kinds of ABUSE can hurt you. Abuse during pregnancy can cause you to: q feel sad and alone q feel anxious q feel bad about yourself q have pain and injuries q turn to alcohol and drugs q not eat or sleep well q lose your baby

Abuse during pregnancy can cause your baby to: q be born too small q be born too early q be stillborn q have injuries or infections q have later health problems q be abused after birth

Abuse usually gets worse over time. It will NOT STOP when your baby is born. Talk to someone you TRUST. There is support. You are not alone. What can you do? q tell someone you trust what is going on q find people to help you: family and friends, a public health nurse, your doctor or midwife, a counsellor, your prenatal educator, a shelter for women q develop a safety plan q get help to leave the abusive relationship Are you a family member, neighbour, friend, co-worker? Want to know how to help? Visit www.neighboursfriendsandfamilies.ca Adapted with permission by the Best Start Resource Centre

Ü WHERE TO GET HELP • Police call: 911 - 24 hours a day, 7 days a week • Assaulted Women’s Help Line call: 1-866-863-0511, TTY# 1-866-863-7868 or visit www.awhl.org; offers help in 150 languages 24 hours a day, 7 days a week • In London/Middlesex County call: parentguide.ca ANOVA at (519) 642-3000 www.anovafuture.org • In Elgin County call: Violence Against Women Services at 1-800-265-4305 www.vawsec.on.ca

• In Oxford County call: Domestic Abuse Services Oxford 1-800-265-1938 www.daso.ca

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| HELP & SUPPORT MENTAL HEALTH AND WELLNESS - LIFE WITH A NEW BABY • Eat well, exercise regularly and get enough sleep • Take time to relax and reduce your stress level • Pamper yourself - do something you like to do • Accept help from family and friends; do not expect too much of yourself

• Build a support network of family, friends, neighbours, co-workers and others • See your health care provider regularly • Get help and treatment if you feel mentally or physically unwell

A parent’s mental health and wellness is important to the family’s wellbeing. Sometimes parents, during their pregnancy or after the baby arrives, may feel depressed, anxious, or have strange or disturbing thoughts that keep coming back. Talking with someone (a doctor, midwife, nurse practitioner, public health nurse, social worker, counsellor or clergy) about the way they are feeling can help them get the care they need. This may include counselling, support groups or medication ordered by their health care provider. About 50-80% of all new mothers experience the “blues” during the first few days or weeks after the birth of their baby. The “blues” usually go away after 2 weeks. This is not your fault. You are not alone. There is help for you and your family.

IS IT THE “BLUES”?

POSSIBLE CAUSES OF THE “BLUES”:

Tears (mom will cry very easily)

Hormonal changes after birth

Feeling sad or feeling alone

Physical discomfort after delivery of baby

Feeling very tired from lack of sleep

Tiredness from frequent feeding & waking

Feeling anxious and irritable

Lack of confidence with role of “mother”

Little or no appetite (not hungry)

Lack of support

What a Partner, Family and Friends Can Do: Listen and provide support Encourage the new mother to seek professional help Educate yourself about mental health Ask how you can help Help with housework and meals (or arrange for help) Help with the care of the baby as much as possible Develop your relationship with the baby Take some time for yourself Find someone to talk to

READ MORE ON THIS TOPIC CANADIAN MENTAL HEALTH ASSOCIATION: WWW.CMHA.CA

NEW PARENT RESOURCE GUIDE 2018

HELP & SUPPORT | MENTAL HEALTH AND WELLNESS - LIFE WITH A NEW BABY 1 in 5 Parents will have a postpartum mood disorder. Have you had some of these symptoms for more than two weeks? YOU MAY: q Not feel yourself q Be sad and tearful q Feel exhausted, but unable to sleep q Have changes in eating or sleeping pattern q Feel overwhelmed and can’t concentrate q Have no interest or pleasure in activities you used to enjoy q Feel hopeless or frustrated q Feel restless, irritable or angry q Feel extremely high and full of energy q Feel anxious - you may feel this as aches, chest pain, shortness of breath, numbness, tingling or “lump” in the throat q Feel guilty and ashamed, thinking you are not a good parent q Not bond with the baby, or feel afraid to be alone with the baby WHAT YOU CAN DO: • Ask for help • Take time for yourself • Get counselling or join a support group

• Take care of yourself (see page 28) • Share your feelings with someone you trust • Consider medications

DON’T WAIT! THERE IS HELP FOR YOU AND YOUR FAMILY If you are experiencing a lot of stress or other mental health concerns, reach out for help from: • Your health care provider (family doctor, midwife, nurse, OB/GYN) • Telehealth Ontario: 1-866-797-0000 or TTY 1-866-797-0007 • Mental Health Services - Information Ontario: 1-866-531-2600 (24 hours a day) • Your local hospital emergency department GET HELP • Call 911 or go to your local hospital emergency department. • HOPEline Postpartum Depression Phone Line (519) 672-HOPE (4673)

Very rarely women may feel like hurting themselves or their baby. If this happens to you or a loved one, GET HELP RIGHT AWAY. parentguide.ca

Step 1 : DOUBT I question all my parenting decisions & I am not making conﬁdent choices.

Step 2: BUILD I am building my support team & I know how to connect and ﬁnd answers to my parenting questions.

Step 4 : BALANCE

I know the steps I need to take to ﬁnd balance in all areas of my life.

Step 3 : DISCOVER I know my strengths & I am discovering my secret powers.

Step 5 : PEACE I feel conﬁdent in my parenting choices. I ﬁnd peace at home & I am free to love myself & my family completely.

Download The Conﬁdent Parent Success Path FREE at

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AFTER BABYâ&#x20AC;&#x2122;S BIRTH

Visit parentguide.ca for additional resources and articles

| AFTER BABY’S BIRTH ALL ABOUT BABY Ask your hospital nurse or midwife to fill this in – take it with you on visits to your health care provider. Take your baby for well-baby/child visits at these times:

Baby’s Name: ________________________________ Gender: Female ___________

Male___________

Baby’s Birthdate:______________________________ Mother’s Name: _______________________________ Mother’s Birthdate: ____________________________ Partner’s Name: _______________________________ Birth Weight: ______________________ grams/lbs Length: _________ cm Head Circumference: _______ cm Apgar Score: 1 minute:_____ 5 minutes: ______

• 48 hours after hospital discharge to a health care provider (doctor, nurse practitioner, midwife) • Again, within the first week after discharge to their ongoing health care provider • At 2 weeks of age • Regular visits at 1, 2, 4, 6, 9, 12, 15, 18 and 24 months; and then once a year See page 69 for information about the 18 month enhanced well-baby visit At well-baby/child visits the health care provider will check your child’s growth and development and give routine vaccines (see page 82). For more information go to: www.caringforkids.cps.ca

Bili Results: ________ Date: (Hours old) _________

WEIGHT GAIN/GROWTH

Repeat Bili: _________ Date: ___________________

It is normal for newborn babies to lose some weight during the first 3 to 4 days after birth.

Coombs Positive (+): ________ Negative (-): ______ Blood Type (Group & Rh): ___________________

Babies usually return to their birth weight in 10 to 14 days.

Feeding Method on Discharge:__________________

Babies usually have growth spurts at around 2 to 3 weeks, 6 weeks, 3 months and 6 months of age.

Discharge Date:______________________________

Infants usually double their birth weight by 4 to 5 months and triple their birth weight by 1 year.

Discharge Weight: ____________ grams or lbs/oz Hospital Follow-up appointment dates and times: Bili Clinic: ___________________________________ Post Birth Clinic: _____________________________ Breastfeeding Support Services: _____________________ Other: _______________________________________ Post Discharge Clinic: Post-birth Weight: ___________ grams

EBC

Track your child’s growth below. Your health care provider will plot your baby’s growth on a growth chart to check your child’s growth pattern over time. For more information, go to www.whogrowthcharts.ca If you have concerns about your child’s growth, contact your health care provider. Date

Bili

Weight grams or lbs/oz

Length (in/cm)

Date:_____________

First appointment with your health care provider:

NEWBORN REGISTRATION – YOU MUST REGISTER YOUR CHILD: THE 4-IN-1 NEWBORN BUNDLE

Every child born in Ontario must be registered to be eligible for child benefits. The Newborn Registration Service allows you to register your baby’s birth and apply for their birth certificate, Canada Child Benefits and Social Insurance Number at the same time. Go to:http://www.serviceontario.ca/newborn

NEW PARENT RESOURCE GUIDE 2018

AFTER BABY’S BIRTH |

Fanshawe & Hyde Park • Wonderland & Southdale cheekymonkey.ca 519.645.6706

POSTPARTUM/POST NATAL SUPPORT 911 - For Emergencies 211 - For information and referral helpline to community, social, government and health services CMHA CRISIS SERVICES 862 Richmond St., London ON (519) 433-2023 (24 Hours) www.london.cmha.ca HOPELINE POSTPARTUM DEPRESSION PHONE LINE (519) 672-HOPE (4673) www.helpformom.ca MERRYMOUNT FAMILY SUPPORT & CRISIS CENTRE 1064 Colborne St., London ON (519) 434-6848 PACIFIC POST PARTUM SUPPORT SOCIETY 1-855-255-7999 www.postpartum.org

PUBLIC HEALTH ELGIN ST. THOMAS PUBLIC HEALTH 1230 Talbot St., St. Thomas ON (519) 631-9900 or 1-800-922-0096 www.elginhealth.on.ca see ad on page 54 MIDDLESEX-LONDON HEALTH UNIT 50 King St., London ON (519) 663-5317 Health Connection (519) 663-5317 ext. 2280 www.healthunit.com see ad on pages inside front,10,41,83,120, inside back OXFORD COUNTY PUBLIC HEALTH & EMERGENCY SERVICES 410 Buller St., Woodstock ON (519) 539-9800 or 1-800-755-0394 www.oxfordcounty.ca/health TELEHEALTH ONTARIO 1-866-797-0000 VON CANADA NATIONAL OFFICE 1-888-VON-CARE (866-2273) www.von.ca WELL BABY/CHILD CLINICS (519) 663-5317 ext. 1122 www.healthunit.com

parentguide.ca

| AFTER BABY’S BIRTH NOW YOUR BABY IS HERE NEWBORN SCREENING After birth, every baby may participate in the Ontario Newborn Screening Program which is a simple blood test that screens for 29 disorders. Identifying problems early is important for your baby’s health. Results are reported to your health care provider. HEARING SCREENING All infants are offered the Ontario Infant Hearing Program which is a simple, painless, hearing test done in hospital or community shortly after birth. JAUNDICE SCREENING Jaundice is common in newborns. Jaundice is caused by the break down of red blood cells which then release bilirubin. This bilirubin gives a yellowish colour to the skin and eyes of newborns; this is called jaundice. Most jaundice shows up in the first 3 to 5 days after birth and is not harmful to your baby; however, sometimes the level of bilirubin is so high that it may harm your baby. This is why routine screening is done. A blood test is recommended after the baby is 24 hours of age and before 72 hours of age. This test measures the amount of bilirubin in the baby’s body and tells the doctor if your baby will need treatment. If the baby has a higher than average bilirubin level, you may be asked to have a follow-up visit with the doctor. HOW CAN YOU PREVENT JAUNDICE?

Breastfeeding your baby often in the first hours and days of life reduces their risk of jaundice. If you are having challenges with breastfeeding, it is important to get help right away. See page 41 for where to get support with breastfeeding. WHEN TO SEE A HEALTH CARE PROVIDER After leaving the hospital, it is recommended that your newborn be seen by a health care provider within 48 hours of discharge and again at one week of age. Call your health care provider if your baby: • Is not feeding well or is refusing to feed • Is sleepy all the time and is hard to wake up • Has skin and/or whites of the eyes that appear yellow, or are becoming more yellow • Has fewer wet diapers or bowel movements than expected (see page 45) • Shows signs of dehydration (decreased number of wet diapers, weight loss, difficult to wake, dark and/or strong smelling urine, weak cry, dry mouth/tongue, cracked lips) For more information go to: www.caringforkids.cps.ca

HEALTHY CHOICES START NOW - AFTER YOUR BABY IS BORN, YOU CAN… • Feed your baby only breast milk for the first six months and continue to breastfeed for two years or more (see pages 40-49) • Feed your baby at signs of hunger and stop at signs your baby has had enough • Eat a variety of foods as recommended by Canada’s Food Guide. Drink according to your thirst. Drinking too much fluid can actually interfere with breastfeeding. For more information about what to eat, call EatRight Ontario at 1-877-510-5102 • Start being active slowly and only do exercises that you feel comfortable doing (see page 20) 34

NEW PARENT RESOURCE GUIDE 2018

AFTER BABYâ&#x20AC;&#x2122;S BIRTH | PHYSICAL CHANGES AFTER HAVING A BABY NORMAL EXPECTATIONS

WHEN TO GET HELP

VAGINAL FLOW

It is normal to bleed for 2 to 6 weeks. The colour and amount will change gradually from bright red to pink to a small amount of brown. From time to time you may have a brighter flow.

If the bleeding increases (fills 1 pad in 30 minutes with bright red blood, or pass a lemon sized clot), go to the hospital Emergency Department.

PERINEUM (AREA BETWEEN YOUR VAGINA AND RECTUM)

Your perineum may be swollen or sore. Practice good hand washing when using the bathroom and changing pads. For a few days you may wish to continue using the plastic cleansing bottle with warm water after urinating. Change your sanitary pad frequently. Any stitches you have will dissolve in a few days.

If you have increased pain, redness, swelling, or a foul smelling discharge from your stitches, call your health care provider, or go to the hospital Emergency Department or an Urgent Care Clinic.

INCISION AFTER A CAESAREAN BIRTH (C-SECTION)

Once the dressing has been removed from your incision, you may shower as often as you like. Let the warm water run over your incision and pat it dry gently. Wear loose clothing that does not rub or irritate. For support and comfort, you can cover the incision with a light pad. If the nurse has applied steri strips to your incision before discharge and they havenâ&#x20AC;&#x2122;t fallen off, please remove these after 7 days unless your health care provider has told you something else.

If you have a fever, redness, tenderness, swelling, discharge or the incision starts to open, call your health care provider, or go to the hospital Emergency Department or an Urgent Care Clinic.

BREASTS

Your breasts will begin to feel heavier 48 to 72 hours after delivery. The fullness may last 1 to 3 days, depending on measures taken for relief. If milk is not adequately removed from the breast, painful engorgement may occur. Offer your baby the breast more often or hand express to relieve the fullness. You may use cool cloths and pain medication to help you feel more comfortable.

If you have problems such as tender, sore or cracked nipples or a painful, firm, and/or red area on your breast get help from someone skilled with helping breastfeeding mothers right away. Sometimes it is also necessary to get medical treatment for concerns such as an infection. See page 41 for where to go for help.

PAIN MANAGEMENT

Each day you should require less pain medication and your body should be improving and feeling more normal.

If you cannot reduce the amount of pain medication you require or find you need more, call your health care provider, or go to the hospital Emergency Department or an Urgent Care Clinic.

BOWEL MOVEMENTS

You will most likely have a bowel movement within 2 to 3 days following the birth of your baby. To provide support to your perineal stitches during a bowel movement, hold a clean sanitary pad over them. To keep bowel movements soft, drink whenever thirsty and eat fruits and vegetables, whole grains and bran products.

HEMORRHOIDS

If you have hemorrhoids (swollen veins around the rectum), you may find ice packs helpful for the first 24 to 48 hours. A special cream or witch hazel compress (available at pharmacy) can also be used for relief.

SEXUAL HEALTH AFTER THE BIRTH OF YOUR BABY You may have sexual intercourse when your bleeding has stopped, your stitches have healed, your abdominal incision is no longer tender and when you feel emotionally ready. See page 36 for birth control information. FOR MORE INFORMATION CONTACT YOUR LOCAL HEALTH UNIT OR HEALTH CARE PROVIDER.

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| AFTER BABY’S BIRTH BIRTH CONTROL FOR NEW PARENTS During the prenatal period it is a good idea to consider your birth control options after delivery. There are many birth control options that are safe and eﬀective during breastfeeding. The timing of introduction of any birth control method is important. To discuss your options, speak to your health care provider, a lactation consultant or a public health nurse. Contact the Sexual Health Program at 519-883-2267. Methods Lactational Amenorrhea Method (LAM)

Barrier Methods (condoms, spermicides, diaphragm, cervical cap)

Non-Hormonal Intrauterine Devices (IUD) Hormonal Intrauterine Systems (IUS) Progestin Only Birth Control (progestin only pills, Depo provera) Combined Hormonal Birth Control (the pill, the patch, vaginal ring) Surgical Sterilization Procedures (permanent)

Emergency Contraceptive Pills (ECP) (Plan B) Does not terminate or interrupt a pregnancy

Description Breastfeeding can be used as a natural form of birth control after giving birth as long as: 1. Your monthly periods have not returned 2. Your baby is under 6 months 3. Your baby gets all food from sucking at the breast, breastfeeds at least every 4 hours and doesn’t have more than one 6 hour stretch between breastfeeding in 24 hours. *98% effective if all 3 criteria are absolutely followed. Female condoms are polyurethane sheaths that line the vagina to stop sperm from going into the vagina. *79-95% effective. Male condoms are a thin covering of latex that is rolled onto the erect penis to stop sperm from going into the vagina. * 85–98% effective. Spermicides are chemicals that kill sperm and are inserted into the vagina before sex. *71–82% effective. Diaphragms/cervical caps cover the cervix to block sperm from going into the uterus. These must be used in combination with spermicide. *Diaphragm 84-94% effective; Cervical cap 40-91% effective A small T-shaped device, usually wrapped with copper, that is inserted into the uterus by a health care provider. It changes the chemistry in the uterus to stop sperm from reaching an egg. Reliable, long-term birth control for up to 5 years, but can be removed at any time. *99.1% effective. A small T-shape device containing a hormone that thickens the cervical mucus, thins the lining of the uterus and may also stop an egg from being released. It is inserted into the uterus by a health care provider. Reliable, long-term birth control for up to 5 years, but can be removed at any time. *99.8% effective. Progestin only birth control comes as either a daily oral mini-pill or an injection (Depo provera) which is given by a health care provider every 10-13 weeks. They contain a hormone that thins the lining of the uterus, thickens the cervical mucus and may stop an egg from being released. *Pill 92–99.7% effective; Depo provera 97-99.7% effective. Contains small amounts of hormones (progestin and estrogen) that stop an egg from being released each month and thickens cervical mucus. *92–99.7% effective. Female sterilization is when a doctor cuts or blocks the tubes that carry the eggs to the uterus. This is done in a hospital. *99.5% effective. Male sterilization is when a doctor cuts or blocks tubes that carry sperm from the testicles. This may be done in a doctor’s office. *99.9% effective. These pills must be taken as soon as possible and within 5 days of unprotected sex .This is an emergency method. *Effectiveness ranges from 95% on Day 1, to 58% on Days 3–5.

Additional Information Consult with a public health nurse or lactation consultant before starting this method.

These methods are hormone free, user controlled and only needed when you are actually having sex. Condoms can be used immediately after birth. Only condoms prevent sexually transmitted infections. Diaphragms and cervical caps cannot be used until 6 weeks post delivery and should be ﬁtted or reﬁtted postpartum. Can be inserted 6 weeks after birth.

Can be inserted 6 weeks after birth. If breastfeeding is well established breast milk supply is usually not aﬀected. It is wise to select a short acting form of Progestin Only Birth Control before beginning a long acting form such as Depo-provera in case you notice a change in your milk supply and wish to change to a diﬀerent method of contraception.

Can be started 3 weeks after birth if not breastfeeding. In breastfeeding women, research has shown estrogen can reduce breast milk supply. Speak with your healthcare provider. Male sterilization can be done at any time.

Can be used anytime following birth. Available over the counter at drug store (pharmacy) or Sexual Health Clinic. May be less eﬀective in women over 165lb (75kg). Talk to a health Adapted with the permission of The Regional Municipality of Waterloo (Public Health and Emergency Services). care professional before use.

Adapted with the permission of The Regional Municipality of Waterloo (Public Health and Emergency Services).

NEW PARENT RESOURCE GUIDE 2018

AFTER BABY’S BIRTH | SKIN-TO-SKIN IT’S EASY! HERE’S HOW: Place your baby wearing only a diaper, with their tummy on your or your partner’s bare chest. If you wish, you can then place a light blanket over baby and the person holding the baby skin-to-skin.

Your bare chest is the best place for your baby to be. Healthy babies should be placed skin-to-skin immediately following birth for at least an hour or until completion of the first feeding or as long as mother wishes. When your baby is skin-to-skin, they can hear you, smell you, see you and it can help you get to know each other. Premature babies and those delivered by C-section also benefit from skin-to-skin. As your baby grows, continue cuddling them skin-to-skin often. • Anyone can do it • You can do it sitting up or lying down* • It’s never too late to start! BENEFITS FOR BABIES: • Cry less and are calmer • Stay warmer • Stabilizes blood sugar, heart rate and breathing • Protected by some of your good bacteria • Breastfeed better

BENEFITS FOR PARENTS: • Reduced stress • Increases bonding and attachment • Learn when your baby is getting hungry • Gain confidence caring for your baby • Helps mothers with breastfeeding • Improves mother’s milk supply

*Remember to return your baby to their crib if you get sleepy. This is the safest place for baby.

LEARN YOUR BABY’S FEEDING CUES Watch your baby, not the clock. Feed your baby when they start to show early feeding cues. EARLY FEEDING CUES: • Makes sucking noises • Searches with an open mouth • Sticks their tongue out and licks • Brings hands to mouth • Restlessness

LATE FEEDING CUES: • Crying • Fussiness • Exhaustion • Falls asleep

SIGNS YOUR BABY IS FULL: • Stops sucking or comes off the breast and doesn’t fuss or show further feeding cues • Turns head away • Feels settled and relaxed • Arms and legs stretch out

If you have been told that your baby has jaundice, you may need to wake your baby up for feeds. See page 34 for more information. parentguide.ca

INFANT FEEDING

Visit parentguide.ca for additional resources and articles

INFANT FEEDING

IMPORTANCE FOR BABY

IMPORTANCE FOR MOTHER

• There are over 200 known substances in breast milk and they all work together for the optimal growth and development of your baby

• Breastfeeding makes it easy to feed your baby – there’s no need to make artificial baby milk (formula), boil water or sterilize bottles

• Breastfeeding early and often in baby’s first days of life can help prevent jaundice

• Breastfeeding helps the uterus return to its normal size more quickly

• Breast milk is easy to digest & babies fed formula have more digestive problems • Breast milk protects babies from ear, respiratory, stomach & bowel infections • Formula fed babies have a higher risk of developing high blood pressure, diabetes and obesity • Breastfeeding may help to protect against Sudden Infant Death Syndrome (SIDS)

• Many women who breastfeed find it easier to return to their pre-pregnancy weight • Women who breastfeed have a lower risk of getting brittle bones or cancer of the breast or ovaries • Breastfeeding your baby costs 5-6 times less than artificial baby milk (formula) • Breastfeeding helps reduce your risk of heart disease later in life

• Breastfeeding may help reduce risk of eczema, asthma and allergy • Giving baby breast milk and nothing else protects baby from having low iron in the blood for up to 6 months of age

QUESTIONS? Ontario 24/7 Breastfeeding Hotline I–866-797-0000 La Leche League 1-800-665-4324 See page 41 for Breastfeeding Support Services

READ MORE ON THIS TOPIC: LA LECHE LEAGUE www.lllc.ca CANADIAN PAEDIATRIC SOCIETY www.caringforkids.cps.ca INFANT FEEDING ACTION COALITION (INFACT) www.infactcanada.ca BEST START www.beststart.org HEALTH CANADA http://bit.ly/2gZnVlt WORLD HEALTH ORGANIZATION www.who.int 40

NEW PARENT RESOURCE GUIDE 2018

INFANT FEEDING

GETTING STARTED Skin-to-skin contact is important for babies. Holding your baby skin-to-skin often in the first few weeks while you are awake can help establish breastfeeding and increase your milk supply. This time spent together will also help you get to know your baby’s feeding cues. To read more about skin-to-skin and feeding cues see page 37.

LAID BACK BREASTFEEDING Laid back breastfeeding is a natural way for your baby to latch on to your breast. Start by sitting in a comfortable laid back position. Hold your baby skin-to-skin in between your breasts with their tummy on your chest and their arms placed to allow as much skin as possible to be in contact with you. Baby’s arms should not be tucked beneath them. Hold baby by placing your arms to support their back and bottom. This position will allow your baby’s natural reflexes to guide them to your breast. Remember tummy on mommy!

MILK SUPPLY Breastfeed often and as soon as possible after birth to establish your milk supply. On day 2-3 most babies will want to feed frequently. Many mothers worry they do not have enough milk but the more your baby feeds with a deep latch, the more milk you will make. As your baby grows you may notice a pattern of more frequent feeds before a growth spurt. It is normal for some babies to feed frequently during the night. If you are thinking about giving your baby a bottle or pacifier, please check with your health care provider because this could interfere with breastfeeding. Get the information you need to make an informed decision.

VITAMIN D All babies need additional vitamin D. Health Canada recommends a daily vitamin D supplement of 400 IU (10 μg) for babies and young children (from birth to 2 years) being breastfed or receiving breast milk. Infant formula has vitamin D added to it.

HOW DO I KNOW IF MY BABY HAS A GOOD LATCH? A deep latch is the key to successful breastfeeding. Your baby is latched well if: • You feel your breast is being "pulled" with no pain • You hear a quiet "ka" sound and see your baby swallowing • You see a wide open mouth with lips curled out and baby’s chin is pressed into your breast • Your nipples look the same shape, just longer after a feeding

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NEW PARENT RESOURCE GUIDE 2018

At least 2 WET

4 DAYS

At least 4 WET

At least 3 BROWN, GREEN, OR YELLOW

At least 3 WET

Size of a walnut

5 DAYS

6 DAYS

7 DAYS

2 WEEKS

M O T H E R S

Size of an egg

From day 4 onward, most babies gain weight regularly.

At least 3 large, soft and seedy YELLOW

At least 6 HEAVY WET WITH PALE YELLOW OR CLEAR URINE

Size of an apricot

3 WEEKS

2016

Breast milk is all the food a baby needs for the first six months. You can get advice, help and support from: – Your health care provider. – Telehealth Ontario’s specialized breastfeeding services support line at 1-866-797-0000 or TTY at 1-866-797-0007. – Bilingual Online Ontario Breastfeeding Services directory at www.ontariobreastfeeds.ca.

Your baby should have a strong cry, move actively and wake easily. Your breasts feel softer and less full after breastfeeding.

Most babies lose a bit of weight in the first 3 days after birth.

At least 1 to 2 BLACK OR DARK GREEN

At least 1 WET

3 DAYS

1 WEEK

N U R S I N G

At least 8 feeds per day. Your baby is sucking strongly, slowly, steadily and swallowing often.

2 DAYS

Size of a cherry

1 DAY

F O R

Reprinted with permission by the Best Start Resource Centre Some breastfed babies will have very large watery stools. After 6 weeks of age some breastfed babies may have one soft stool every 1-7 days. This is normal as long as baby is healthy, gaining weight well and still having at least 6 heavy wet diapers in 24 hours.

Other Signs

Your Baby’s Weight

Per day, on average over 24 hours

Soiled Diapers: Number and Colour of Stools

Per day, on average over 24 hours

Wet Diapers: How Many, How Wet

Your Baby’s Tummy Size

Per day, on average over 24 hours

How Often Should You Breastfeed?

Your Baby’s Age

G U I D E L I N E S

Babies need to feed at least 8 times in 24 hours. Follow this chart for the number of wet and dirty diapers your baby should have. Your baby should move actively, wake easily and have a strong cry. After feeding they should come off the breast looking relaxed.

HOW DO I KNOW BREASTFEEDING IS GOING WELL?

| INFANT FEEDING

INFANT FEEDING

BABY’S FEEDING RECORD Your baby needs to get at least 8 feeds in a 24-hour period. This may mean waking your baby through the night to make sure he/she get the 8 feeds until your baby has regained his/her birth weight. Feeding Date/Time

Skinto-Skin ()

Left ()

Sucking

Expressed

Breast Sucking Milk (Does Drinking Right Amount (Swallows) not () (mL) () swallow) (if applies) ()

Urine (Pee) ()

Stool (Poop) Colour ()

Comments or Questions

Ensure baby is drinking. Use breast compressions to increase milk flow when baby is sucking but not drinking. To see what good drinking looks like, visit www.nbci.ca For breastfeeding support, see page 47.

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INFANT FEEDING

WHEN SHOULD I GET HELP:

It is important to call your doctor, midwife, public health nurse (see page 41), lactation consultant or Telehealth Ontario 24/7 Breastfeeding Supports (1-866-797-0000) if: • Your nipples or breasts hurt. • You have a fever or feel sick. • Your baby is not having at least three poopy diapers a day after the first four days. • Your baby is not having at least six heavy wet diapers after day five. • Your baby is having black poops after he is four days old. • Your baby is very sleepy and always has to be woken up to eat. • You are thinking about weaning. • You are feeling worried about breastfeeding. • You are worried about yourself or your baby for any reason.

IS IT SAFE FOR ME TO DRINK ALCOHOL WHEN BREASTFEEDING?

Alcohol passes into breast milk so the safest choice is to avoid drinking alcohol while breastfeeding. If you are going to have an occasional alcoholic drink: • Breastfeed before you drink • Limit the amount you drink to one standard drink • Wait 2.5 to 3 hours after having one standard drink before the next feeding • If you plan on having more than one drink, express and store breast milk before drinking For more information contact Motherisk at 1-877-327-4636, or visit http://www.motherisk.org/women/updatesDetail.jsp?content_id=347

A STANDARD DRINK IS:

341 mL (12 oz) glass of 5% alcohol content (beer, cider or cooler) 142 mL (5 oz) glass of wine with 12% alcohol content 43 ml (1.5 oz) serving of 40% distilled alcohol content (rye, gin, rum, etc.)

IF I SMOKE SHOULD I BREASTFEED?

Breastfeeding is the healthiest choice for your baby even if you smoke. If you do smoke, it is best for your health and your baby’s health if you quit. If you are having difficulty quitting smoking, talk to your doctor about nicotine replacement therapy (NRT). To decrease the effects of smoking on your baby: • Breastfeed before you smoke or use NRT • Do not allow smoking in the house or car • Remove smoking clothing and wash your hands before holding your baby For information and help with quitting or cutting back call the free Smokers Helpline at 1-877-513-5333. 44

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INFANT FEEDING

WEANING YOUR CHILD The World Health Organization and Health Canada recommend exclusive breastfeeding for the first 6 months of life, the introduction of solids foods at 6 months, and continued breastfeeding up to age 2 years and beyond. This is healthiest way to nourish your baby. When it is time to wean your child, it is best to wean gradually to give you and your child time to adjust. If you are breastfeeding, give yourself time to let your milk supply decrease slowly, without discomfort. If you stop breastfeeding before your child is nine months of age, you will need to feed your child a commercial infant formula. If your child is between nine and twelve months of age, you may wean your child to a commercial infant formula or pasteurized whole cow’s milk (see information below) For important information about how to sterilize equipment and to prepare and feed infant formula talk to your health care provider or local health unit.

INTRODUCING COW’S MILK Pasteurized whole cow’s milk (homogenized, 3.25% MF) may be offered when your baby is 9-12 months old and eating a variety of foods from the four food groups, including iron-rich foods each day.

Babies can go from breastfeeding to drinking from an open cup. Help your baby learn to drink from an open cup by offering sips of water starting at six months of age. At first your baby will need lots of help but they will get better with practice.

THINGS TO KEEP IN MIND: • Only give pasteurized milk. Unpasteurized milk contains bacteria that can harm your baby • Lower fat milk (skim, 1% or 2%) should not be given until your baby is at least 24 months of age. Your baby needs the higher fat content of whole milk for proper growth and brain development • Soy, rice and other vegetarian beverages are missing nutrients that a baby needs. They should not be offered during the first two years

WHAT IF I’M RETURNING TO WORK OR SCHOOL? Many mothers continue to breastfeed when they return to work/school. Plan ahead and consider times in your schedule during work/school to express your milk or breastfeed your baby. Discuss your plans with your employer. You can also continue to breastfeed before and after work/school.

KNOW YOUR RIGHTS! VISIT THE ONTARIO HUMAN RIGHTS COMMISSION AT WWW.OHRC.ON.CA OR CALL (416) 597-4900 OR 1-866-625-5179

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INFANT FEEDING

INFANT FEEDING PRODUCTS CHEEKY MONKEY - PREGNANCY, BABY, TODDLER

1215 Fanshawe Park Rd. W., London ON 1061 Wonderland Rd. S., London ON (519) 645-6706 or 1-877-645-6706 www.cheekymonkey.ca

WONDERING ABOUT TONGUE TIES AND LIP TIES & BREASTFEEDING? SEE PAGE 93.

Cheeky Monkey® provides a friendly atmosphere, knowledgeable staff and a careful selection of high quality, innovative products to choose from. You will find a unique collection of local and Canadian made products & eco-friendly finds along with other every-day essentials. Shop mom & baby care products, clothing, shoes, toys and other must-haves for those busy first years. see ad below & on pages 17,33,back cover

Fanshawe & Hyde Park • Wonderland & Southdale cheekymonkey.ca 519.645.6706

NEW PARENT RESOURCE GUIDE 2018

INFANT FEEDING

WHERE TO FIND BREASTFEEDING AND FEEDING SUPPORT BILINGUAL ONLINE ONTARIO BREASTFEEDING SERVICES

www.ontariobreastfeeds.ca CANADIAN LACTATION CONSULTANTS ASSOCIATION

www.clca-accl.ca INTERNATIONAL LACTATION CONSULTANT ASSOCIATION

www.ilca.org Search for a lactation consultant near you LA LECHE LEAGUE CANADA

1-800-665-4324 www.lllc.ca MIDWIVES MIDDLESEX AND AREA (MOMA)

(226) 721-0777 www.momamidwives.ca TALBOT CREEK MIDWIVES (519) 637-2224 www.talbotcreekmidwives.com THAMES VALLEY MIDWIVES (519) 433-5855 www.tvm.on.ca WOMANCARE MIDWIVES (519) 645-0316 www.midwives.on.ca MOTHERISK

PUBLIC HEALTH ELGIN ST. THOMAS PUBLIC HEALTH

(519) 631-9900 or 1-800-922-0096 www.elginhealth.on.ca see ad on page 54 MIDDLESEX-LONDON HEALTH UNIT (519) 663-5317

Health Connection (519) 663-5317 ext. 2280 www.healthunit.com see ad on inside front and pages, 10,41,83,120, inside back

1-877-FAS-INFO (1-877-327-4636)

OXFORD COUNTY PUBLIC HEALTH & EMERGENCY SERVICES

www.motherisk.org

(519) 539-9800 or 1-800-755-0394 www.oxfordcounty.ca/health TELEHEALTH ONTARIO

1-866-797-0000

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INFANT FEEDING

FIRST FOODS YOU MAY START FEEDING SOLID FOODS AT SIX MONTHS OF AGE WHEN YOUR BABY SHOWS SIGNS OF BEING READY. Iron-rich foods such as meat, meat alternatives and infant cereal with added iron should be the first foods offered to your baby. After introducing iron-rich foods, offer your baby a variety of vegetables, fruit, milk products and grain products from your family table prepared safely for your baby. Tips for Introducing Solid Foods

• Feed your baby in a sitting position facing you • At first, offer a small amount (5-15 mL) of food once a day using a spoon • Gradually increase the amount of food and the number of times food is offered in a day • When starting a new food watch for signs of allergy • When starting foods that are common allergens such as eggs, fish, milk products, soy and wheat, introduce only one a day and wait 2 days before offering another one • Offer finger foods prepared safely that your baby can eat themselves with their hands • Continue to breastfeed according to your child’s cues. When feeding solids, you decide what food to offer and when to offer it and let your baby decide whether or not to eat and how much • Don’t force your baby to eat a new food. If a food is refused, try again another day • Do not give your baby honey or food made with honey for the first year. It can cause food poisoning (botulism)

Signs your baby is ready for solids: • Controls head well • Sits in a high chair • Opens mouth for food • Closes lips over spoon • Swallows food in mouth FOR A COMPLETE GUIDE TO FEEDING YOUR BABY SAFELY, CONTACT YOUR LOCAL HEALTH UNIT OR YOUR HEALTH CARE PROVIDER. FOR MORE INFORMATION CALL EATRIGHT ONTARIO 1-877-510-5102 OR GO TO: WWW.EATRIGHTONTARIO.CA

NEW PARENT RESOURCE GUIDE 2018

Texture

Introduce textures into your baby’s diet according to your baby’s development. Increase the texture from puréed, finely minced and soft mashed foods, to lumpier foods over time, as soon as your baby is able to manage. Many babies can handle lumpy textures at six months. If you wait too long to offer lumpier foods, it may be harder to get your baby to eat them. Older babies should be able to manage small pieces of tender cooked diced, minced or shredded soft foods. Even if your baby has no teeth they can learn to chew. By 12 months of age, children should be eating foods from the family table with changes to make it safe to eat. For example, cut grapes, wieners and sausages lengthwise and then into small pieces. WARNING: Children under 4 years of age should not be given seeds, nuts, popcorn, hard candy, round or sticky foods that may cause them to choke.

INFANT FEEDING

FEEDING YOUR TODDLER AND PRESCHOOLER HEALTHY CHOICES START NOW - AS YOUR CHILD GROWS, YOU CAN…

• Offer a variety of foods from the four food groups of Canada’s Food Guide • Continue to breastfeed according to your child’s cues. Give solid foods to your child at regularly planned meal and snack times ( no “grazing” in between) • Include vegetables or fruit at each meal and snack • Keep portion sizes small. Offer more if they are still hungry after finishing • If you child does not wish to breastfeed you can offer water between meals and snacks • Serve healthy beverages such as milk instead of sugar sweetened drinks • Eat together as a family and model healthy eating

TIPS FOR FEEDING YOUR TODDLER AND PRESCHOOLER

• Limit 100% fruit juice to 125 ml (1/2 cup) a day • Children may need to see a food 15-20 times before they will try it; be patient • Don’t play games or bribe your child to eat • Never use food as a reward or punishment • Vitamin supplements are usually not necessary, even for picky eaters

YOUR PICKY EATER

The amount of food a child eats will vary from day to day and meal to meal. It’s normal for a child to eat very well one day and very little the next. A relaxed approach to food is best. Offer a variety of foods from Canada’s Food Guide (www.healthcanada.gc.ca/foodguide) and let your child decide whether or not to eat, and how much to eat. Never pressure or force your child to eat. For more information visit EatRight Ontario at: www.eatrightontario.ca or call 1-877-510-5102

CONSTIPATION:

Bowel habits are different for every child. Some children go more than once a day; others may skip a day or two. This pattern alone is not a sign of constipation; it may just be your child’s normal pattern. If your child has painful bowel movements that are hard, dry, pebble-like and difficult to pass, your child may be constipated. After 2 months of age, it can be normal for breastfed babies to go 7-10 days without a bowel movement. If you have questions or concerns about your child’s bowel habits, call your health care provider. AGES OF CHILD

REASONS FOR CONSTIPATION

WHAT YOU CAN DO

Birth to six months

• Not enough fluids (feedings)

• Increase number of feedings and talk to your health care provider

Six to twelve months (after introduction of solid foods)

One year and older

• Not enough fluids • Not enough dietary fibre • Inactivity

• Not enough fluids • Not enough dietary fibre • Weaning to cow’s milk • Too much cow’s milk • Inactivity • Toilet training issues

• Offer the breast more often • Offer water in a cup with meals • Offer more fibre-rich foods such as oatmeal and other whole grains, fruits and vegetables • Help your child be more active • Offer the breast more often • Offer more water during the day • Offer more high fibre foods (whole grains, fruits and vegetables) • Limit cow’s milk to 500-750 ml/day. Continue to breastfeed according to your child’s cues • Encourage your child to be more active • Be relaxed and flexible about toilet training

IMPORTANT: Do not give your baby or child laxatives, enemas, suppositories, or any medications without talking to the health care provider first, For more information visit: Canadian Paediatric Society at www.caringforkids.cps.ca

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PARENTING

Visit parentguide.ca for additional resources and articles

| PARENTING PARENTING RESOURCES ADOPTIONS/FOSTERING

FAMILY CENTRE CARLING-THAMES

CHILDREN’S AID SOCIETY OF LONDON AND MIDDLESEX 1680 Oxford St. E., P.O. Box 7010, LONDON ON (519) 455-9000 51 Front St. E., W-6 Kenwick Mall, STRATHROY ON (519) 245-4330 www.caslondon.on.ca see ad on page 26

335 Belfield St., London ON (519) 432-0488

CHILDREN’S AID SOCIETY OF OXFORD COUNTY 712 Peel St., Woodstock ON (519) 539-6176 or 1-800-250-7010 www.casoxford.on.ca FAMILY AND CHILDREN’S SERVICES OF ST. THOMAS AND ELGIN 410 Sunset Dr., St. Thomas ON (519) 631-1492 or 1-800-260-6960 www.caselgin.on.ca ONTARIO EARLY YEARS CENTRES AND FAMILY CENTRES FAMILY CENTRES FAMILY CENTRE ARGYLE

1990 Royal Cres., London ON (519) 455-2791

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FAMILY CENTRE WESTMINSTER

690 Osgoode Dr. London ON (519) 649-1248 FAMILY CENTRE WESTMOUNT

1019 Viscount Rd., London ON (519) 473-2825 FAMILY CENTRE WHITE OAKS

565 Bradley Ave., London ON (519) 685-1400 www.familyinfo.ca Family Centres are designed to make life easier for all families by offering a single door to the many opportunities in their neighbourhoods and across London. Everyone is welcome. See what we have to offer and get connected to your community! Family Centres are being developed in neighbourhoods by London’s Child and Youth Network. Don’t waste a minute! Find one in your neighbourhood and hurry over to check us out! ONTARIO EARLY YEARS CENTRES For locations visit: www.ontarioearlyyears.ca

PARENTING | PARENTING EDUCATION/ SUPPORT

PARENTS...

THE CONFIDENT PARENT

(519) 645-7342 www.parentguideacademy.com Follow The Confident Parent Success Path to live a life with joy and confidence. Treasure and embrace each moment, find support through difficult moments, gain knowledge through a certified Positive Discipline Parent Educator, connect with other parents, and receive ideas, printouts, and hundreds of ways to make your life easier and more enjoyable as a parent. see ad on pages 30,66,67 GLEN CAIRN COMMUNITY RESOURCE CENTRE

244 Adelaide St. S., London ON (519) 668-2745 www.gccrc.ca LONDON MULTIPLE BIRTHS ASSOCIATION (LMBA)

P.O. Box 52031, R.P.O Commissioners Rd. E., London ON (519) 472-4455 www.londonmultiples.com LONDON PUBLIC LIBRARY

(519) 661-4600 www.lpl.ca see ad on page 11 MERRYMOUNT FAMILY SUPPORT & CRISIS CENTRE

1064 Colborne St., London ON (519) 434-6848 www.merrymount.on.ca MIDDLESEX-LONDON HEALTH UNIT

(519) 663-5317 Health Connection (519) 663-5317 ext. 2280 www.healthunit.com see ad on inside front and pages 10,41,83,120, inside back

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MOTHER REACH LONDON & MIDDLESEX

1064 Colborne St., Merrymount Family Support & Crisis Centre, London ON (519) 672-HOPE (4673) For general inquiries: (519) 434-6848 www.helpformom.ca MULTIPLE BIRTHS CANADA

P.O. Box 432, Wasaga Beach ON (705) 429-0901 or 1-866-228-8824 www.multiplebirthscanada.org MUTUAL AID PARENTING PROGRAM (M.A.P.P.)

(519) 455-9000 Ext. 396 Nâ&#x20AC;&#x2122;AMERIND FRIENDSHIP CENTRE

260 Colborne St., London ON (519) 672-0131 www.namerind.on.ca

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www.ontarioearlyyears.ca PARENT GUIDE ACADEMY

VANIER CHILDREN’S SERVICES

871 Trafalgar St., London ON (519) 433-0334 www.vanier.com YOU GOT THIS - DAILY ENCOURAGEMENT

Parents, you are never alone. Receive FREE daily email encouragement. www.parentguide.ca Parenting is hard, but together we are stronger. This daily encouragement just may be your newest best friend and biggest supporter!

1119 Jalna Blvd., London ON (519) 686-8600 Pregnant or Parenting Ad 2017 B+W FINAL:Parent Guide FOR POSTPARTUM www.slnrc.org

9:15 AM Pa / 6/26/17 POST NATAL SUPPORTS SEE PAGE 33

Pregnant or Parenting? We are here to help We oﬀer all families in Elgin County: • Online prenatal classes • Prenatal and postpartum breas�eeding support • Postpartum home visits • Telephone and web-based informa�on • Drop-in support, Monday-Friday 8:30-4:00 • Ongoing visits through the Healthy Babies Healthy Children Program Call us for more informa�on 519-631-9900 or 1-800-922-0096 x1400 1230 Talbot Street, St. Thomas

www.elginhealth.on.ca 54

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| PARENTING SAFE SLEEP FOR YOUR BABY Here are some things you can do to help your baby SLEEP SAFELY and reduce the risk of Sudden Infant Death Syndrome (SIDS). HAVE: • A smoke-free environment for baby before and after birth • Baby sleep on their back for naps and at night • Cribs, cradles, bassinets that meet Canadian Safety Regulations • A firm crib mattress, tight fitting sheet • Crib completely empty of toys and loose bedding • Crib next to adults’ bed for first six months and away from windows, blinds, lamps, candles, outlets, cords, etc. • Baby sleep in a crib, cradle or bassinet for ALL sleep. Playpens, strollers, carriers, car seats, slings, couches, chairs and other furniture are NOT made for sleeping • Baby in light clothing, not too hot and dressed in actual sleepwear when putting them to bed SHARING THE SAME SLEEP SURFACE WITH BABY IS NOT SAFE! If you share a sleep surface with your baby be sure to talk with your health care provider and learn how to reduce the risks. SHARE THIS INFORMATION WITH ANYONE WHO MAY CARE FOR YOUR BABY! For more information on how to help your baby sleep safely, contact: Health Canada http://www.hc-sc.gc.ca/cps-spc/pubs/cons/child-enfant/sleep-coucher-eng.php Public Health Agency of Canada: www.publichealth.gc.ca/safesleep PREVENTING FLAT HEADS IN BABIES Babies skulls are very soft and the bones can be affected by pressure. Babies also have weak neck muscles. If placed in the same position, babies usually turn their head to the same side and the skull can flatten (positional plagiocephaly). A little bit of flattening goes away on its own; more serious flattening may last but will not affect a baby’s brain. Check with your health care provider if you have any concerns. TO HELP PREVENT A “FLAT HEAD”: • Each day, switch your baby’s head position from one end of the crib to the other end: toes to headboard one day, toes to footboard the next and so on • Limit the time your baby spends in car seats, strollers and other seats where the back of your baby’s head lies against a flat surface • From birth, play daily with your baby during tummy time (read page 71) For more information go to www.caringforkids.cps.ca

Never use bumper pads, duvets, comforters, pillows, sheepskins or sleep positioners in baby’s crib! 56

NEW PARENT RESOURCE GUIDE 2018

PARENTING | HEALTHY SLEEP HABITS Healthy sleep habits are important for normal growth, development and learning. From newborns who need about 16 hours of sleep a day to preschoolers who need 10 to 12 hours a day - most children need lots of sleep! In the first few months, babies’ sleep patterns are not regular. Most will sleep 2 to 4 hours at a time and will want to feed every time they wake up. Parents’ sleep will be broken by baby’s need to feed, so sleeping when baby sleeps is a good idea. After about three months, most babies begin to feed less often and their brains begin to organize their sleep - longer sleeps at night, shorter sleeps in daylight. For a baby, six hours is a long night’s sleep. If bedtime is 7 pm, know that baby might be up by about 1 am! By 12-24 months, some children are able to sleep longer at night without feedings. Children may wake at night if they are hungry, upset, sick, or having changes in routine. At this age, let the child try to fall back to sleep on their own. If they do not settle after a few minutes, go in to care for them. If your child has slept poorly, they may need longer naps the next day (and so will you!). BEDTIME ROUTINES It takes time for a child to learn healthy sleep habits. Parents can help their child learn those habits by keeping sleep time predictable and by being consistent with bed time routines (at nap and night time). Starting at about 3 month of age babies have more regular hours of sleep and parents can start sleep routines. A sleep routine can include putting the child to bed at about the same time every day; reading a story; cuddling in a darkened room; singing softly or other quiet actions that relax your child. Keep the routine simple so it can be used anywhere, anytime. Ask everyone who looks after your child to follow the same routine; this way your child will know when it is time to go to sleep.

TIPS • Know the signs that your child shows when they are tired and ready for sleep. Overtired children have a harder time falling asleep • Put your child down on their back when they are sleepy but awake. This will help your child learn to fall asleep on their own and in their own bed • Keep night time feeding and diaper changing very quiet with the lights low so your child stays sleepy

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| PARENTING CRYING - FINDING THE SOOTHING SOLUTION Starting at about two weeks of age, some babies begin to cry more and may be hard to soothe. Crying is your baby’s way of talking to you or telling you something. Parents can quickly begin to feel very tired, frustrated and even angry if they are not able to stop their baby from crying. Parents and caregivers cannot always soothe a crying baby. • Most babies cry often: crying spells can last 20-60 minutes or longer • Most babies cry more at night • Most babies have at least one fussy time each day; it is often in the evening • Most babies cry more at 6-8 weeks of age • It is normal for a baby to cry more often in the first 5 to 6 months of life; babies tend to cry less as they grow older THINGS TO TRY TO HELP SOOTHE YOUR BABY: • Feed your baby • Hold your baby skin-to-skin (see page 37) • Hold your baby close and give your full attention • Talk to your baby in a soft, smooth and continuous voice • Cuddle, coo, read and sing to your baby • Rock your baby gently, walk around, and dance slowly • Loosely swaddle your baby while in your arms • Change the diaper • Place the baby in the crib and create soft background noise • Check your baby for signs of illness (read page 81) Visit the Canadian Paediatric Society Website at www.caringforkids.cps.ca for more information. IF YOU ARE FEELING FRUSTRATED OR ANGRY BY THE BABY’S CRYING, PUT BABY DOWN IN A SAFE PLACE AND CALL SOMEONE TO HELP YOU.

YOU CAN’T SPOIL A BABY BY HOLDING THEM WHEN THEY CRY.

NEW PARENT RESOURCE GUIDE 2018

PARENTING | POSITIVE PARENTING

Positive Parenting is an effective, practical way of raising children that focuses on the positive. It is based on making strong nurturing relationships, having good communication and giving positive attention to help your child as they grow. Some of the ways parents can interact with their children are: talking, playing, encouraging, laughing and doing special things together, setting clear limits and having consistent expectations with regard to child behaviour. Positive parenting involves creating a family environment that is loving and supportive. A Positive Parent is: • A TEACHER when they - allow their child to learn in an atmosphere of acceptance, encouragement and expectations of success - offer choices and encourage problem solving and decision-making • LOVING when they - are warm and nurturing, showing love no matter what a child is like, or what they do - listen for and respond sensitively to each child’s needs - understand how their child is feeling and respect their child • REASONABLE when they - are consistent and predictable - set and communicate clear limits and expectations - give consequences for poor behaviour that are natural & reasonable, but not harsh or blaming • UNDERSTANDING when they - understand each child’s temperament and work with it - build on the strengths of each child - are flexible with each child • PROTECTIVE when they - are actively involved with each child - provide a physically and emotionally safe environment for each child • A ROLE MODEL when they - act in the way they would want their child to act

Joining a group or going to parent education sessions can help you feel less alone and more confident in your parenting, as well as give you up-to-date information to help you raise your child. Your local Ontario Early Years Centre (OEYC) and Family Centres are a great place to get support for positive parenting and early learning. For more information on local parenting programs, see pages 52-54. For information about pregnancy, child development and government services available to help you give your children from birth to 6 years of age the best start in life, go to www.children.gov.on.ca

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| PARENTING NEVER SHAKE A BABY What is Shaken Baby Syndrome?

Shaken Baby Syndrome (SBS) is a name used to describe what happens when the baby or young child is shaken with force. This causes the brain or eyes to bleed and may cause broken bones or even death. Shaken Baby Syndrome is a form of child abuse and can happen in a moment of frustration or anger; the damage is life long.

Infant crying is the most common trigger for Shaken Baby Syndrome (SBS). • NEVER SHAKE A BABY even for a moment! • Never use physical discipline when caring for a baby or child (e.g. spanking, slapping or shaking) • Learn how to deal with your feelings of tiredness, frustration and anger • Know all caregivers for your baby and talk with them about what to do when the baby cries PLAN AHEAD – TIPS FOR PARENTS • Plan ahead when you are still pregnant to have extra help so you can sleep and rest on a regular basis • Place the baby in the crib if immediate relief from crying is needed – take a break and call someone for help • Practise staying calm – exercise, eat healthy foods, learn ways to relax – talk with a friend, join a play or support group (see page 98) • Moms, dads and caregivers need to know what to do with a crying baby (read page 28) and what to do if they need a break • If you are feeling frustrated or angry, talk to a friend, family member, counsellor or health care professional • Know the caregiver. Never leave your child with someone you don’t trust, someone who has trouble controlling their anger, or someone who does not want to care for your baby FOR MORE INFORMATION ON THIS TOPIC GO TO: CANADIAN PAEDIATRIC SOCIETY www.caringforkids.cps.ca BEST START RESOURCE CENTRE www.beststart.org Translation of resources is available in multiple languages

NEW PARENT RESOURCE GUIDE 2018

PARENTING | MAKE STORY TIME A PART OF EVERY DAY It is never too early to read with your child – the sooner, the better! Reading with your child helps develop their speech, language, math skills, hearing, vision and memory. When you read with your child • Talk about the pictures. You don’t always need to read all of the words. Use your home language or whichever language you are most comfortable using • Ask questions and make connections between the story or pictures and your child’s life: “There’s a picture of an apple. It’s a big, red apple. It looks like the apple we ate for lunch today.” • Be enthusiastic when you read. Make noises, laugh and sing. Have fun together! • Sit close together when you can; it helps your child them to pay attention and makes them feel good/loved • Words and numbers are everywhere! Find them on the bus, at a store, and on the street. You may also want to sign up your child for a program where s/he can read, play, and learn together with other children (see pages 52-54). WHAT ABOUT SCREEN TIME? Set limits on how and when you and your child use technology. Technology can be helpful, but it can also interfere with the important interactions between parent and child. Your child’s brain is wired to learn best by moving and interacting face-to-face with real people, not screens. GUIDELINES FOR SCREEN TIME (INCLUDING PHONES, TV, COMPUTER AND VIDEOGAMES): • Children from birth to 2 years of age should have NO screen time • Children from 2 to 4 years of age should have less than 1 hour a day; less is better • Children 5 to 17 years of age should have 2 hours or less a day OTHER HEALTHY MEDIA HABITS INCLUDE: • Keeping electronics out of your child’s bedroom so that they will not interfere with your child’s sleep. • Putting electronics away at meal times and turning them off when not in use. • Preview all media to make sure it is okay for your child’s age and offers some form of learning. • Being aware of your own media habits and changing them if necessary. As your child grows, they learn many of their values and ideas from you. Save your screen time for when your child is napping.

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CHILD DEVELOPMENT

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| CHILD DEVELOPMENT DO YOU HAVE CONCERNS ABOUT YOUR CHILD’S DEVELOPMENT? If you have concerns about your child’s development at any age speak to your health care provider. Don’t wait and see if they will ‘catch-up’ to other children their age. The earlier a child receives support, the more likely they are to reach their potential. Key areas of developmental concerns are listed below as well as some community agencies who can help support you and your child.

MENTAL HEALTH & BEHAVIOURAL CONCERNS

DEVELOPMENTAL/PHYSICAL CONCERNS/SPECIAL NEEDS

CMHA CRISIS SERVICES

THAMES VALLEY CHILDREN’S CENTRE

862 Richmond St., London ON (519) 433-2023 (24 Hours) Crisis and Intake team www.london.cmha.ca MENTAL HEALTH HELPLINE

1-866-531-2600 www.mentalhealthhelpline.ca SPEECH & LANGUAGE tykeTALK (THAMES VALLEY PRESCHOOL SPEECH & LANGUAGE PROGRAM)

50 King St., London ON (519) 663-0273 or Intake Coordinator: (519) 663-5317 ext. 2342 www.tyketalk.com see ad on page 120 HEARING CANADIAN HEARING SOCIETY

www.chs.ca INFANT HEARING PROGRAM/ SOUTHWEST REGION

50 King St., London ON (519) 663-0273 or 1-877-818-8255 www.infanthearingprogram.com DENTAL CINOT (CHILDREN IN NEED OF TREATMENT)

1-866-797-0000 or your local health unit www.healthyontario.com

NEW PARENT RESOURCE GUIDE 2018

779 Base Line Road East, London ON (519) 685-8680 www.tvcc.on.ca

VISION Children need to have their eyes examined at six months of age and then once a year. Eye exams are covered by OHIP for children 18 years of age and under. CANADIAN ASSOCIATION OF OPTOMETRISTS

www.opto.ca ONTARIO ASSOCIATION OF OPTOMETRISTS

1-800-540-3837 www.optom.on.ca NUTRITION EATRIGHT ONTARIO

www.eatrightontario.ca Registered dietitians offer advice and tips on healthy eating and can answer your questions about healthy nutrition. NUTRI- ESTEP

www.nutritionscreen.ca Check the eating habits of children 18 months to 5 years of age to see if there are any concerns.

CHILD DEVELOPMENT | GENERAL CONCERNS For general concerns speak to your health care provider or call your local health unit. ELGIN ST. THOMAS PUBLIC HEALTH

(519) 631-9900 or 1-800-922-0096 www.elginhealth.on.ca see ad on page 54

MIDDLESEX-LONDON HEALTH UNIT

(519) 663-5317 Health Connection (519) 663-5317 ext. 2280 www.healthunit.com see ad on inside front and pages 10,41,83,120, inside back OXFORD COUNTY PUBLIC HEALTH & EMERGENCY SERVICES

(519) 539-9800 or 1-800-755-0394 www.oxfordcounty.ca/health

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CHILD DEVELOPMENT | YOUR CHILD’S DEVELOPMENT HEALTHY BABY HEALTHY BRAIN Brain development is important for healthy child development. The website HealthyBabyHealthyBrain.ca offers parents many ideas to help them support their baby’s brain development. It has short videos and comments from experts on topics such as nutrition, sleep, play, literacy, physical activity, attachment, self-regulation, discipline and stress. Start early. Love builds brains. Playing builds brains. Health builds brains. Baby’s world matters. The Nipissing District Developmental Screen (NDDS) is a tool to help you see how your child is developing from birth to 6 years of age. The NDDS contains questions on what important things your child can do at different ages; these are called developmental milestones.

AGE IN MONTHS

YOUR CHILD WILL: • Turn their head and then look in direction of a new sound

• Babble using a variety of sounds “ga, gu, da, ba” • Smile and laugh with you • Understand simple questions (“Where is the ball?”, “Where are your shoes?”) • Show interest in picture books while you read

• Play games with you (e.g. “peek-a-boo”, “pat-a-cake”) • Use a variety of simple gestures (waving, reaching up)

• Follow directions using “on” and “under” (“put the cup on the table”) • Point to at least 3 different body parts when asked (“Where are your ears?”) (Source from www.beststart.org/OnTrack_English)

You can get the NDDS and more information on healthy child development by contacting your local health unit or health care provider (see page 78-79) Register your child at www.nnds.ca to get: • An NDDS screening tool to see how your child is developing • E-mail reminders to screen your child as they grow • Tips and activities to encourage your child’s development

YOUR CHILD’S 18 MONTH WELL-BABY VISIT A regular health check-up is important so you can know that your child is healthy and developing as they should be. At 18 months, your health care provider will give your child a more detailed medical check-up and any immunizations needed. They will talk with you about your child’s development using the NDDS and answer your questions. If there are any concerns, they can connect you with community services to help give your child the best support for their needs. BE SURE TO MAKE THE APPOINTMENT FOR YOUR CHILD’S “18 MONTH WELL-BABY VISIT” WITH YOUR HEALTH CARE PROVIDER.

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| CHILD DEVELOPMENT DON’T WAIT AND SEE GET HELP EARLY In the past, there was a “wait and see” approach to child development. Now we know that it is very important to get help for a child early if there is a concern. If you have questions about your child’s development, contact your local health unit or health care provider (see pages 64-65) or your health care provider. SPEECH AND LANGUAGE DEVELOPMENT Very early in their lives, children learn to understand what you are saying and to make sounds of their own. Learning to speak is very important to your child’s success in school and in life. Without help, children can struggle with listening and speaking, learning to read and playing with other children. HEARING Language development is very important for your child’s success in school. If your child has a hearing problem, it can slow down their language development and they will need special help. Your newborn baby will have hearing screening done and may require another hearing test at a later time. Children who have many ear infections may need to have their hearing checked. For more information visit the Canadian Hearing Society at www.chs.ca VISION Children need to have their eyes examined at 6 months, 3 years, before starting school and then every 12 to 24 months as recommended by your optometrist. Difficulty learning, behaviour problems and poor social skills can be the result of poor vision. Eye exams are covered by OHIP for children 18 years of age and under. To find an optometrist visit www.optom.on.ca. READING TO YOUR CHILD HELPS THEIR DEVELOPMENT. Reading with your child can help them develop speech, language, hearing, vision and memory abilities. When you read to your child: • Point out familiar objects instead of reading the entire story sometimes • Use words to describe the pictures “See the dog?” “What does the doggie say?” “Woof, Woof” • Show that reading is a special experience by being lively when you read. Make noises, laugh and sing. Have fun! • Sit close together; it helps little ones to pay attention & makes them feel good • Choose books with repeating or common lines that invite your child to join in Together, say lines out loud from a favourite book or rhyme when your child is in the high chair or tub IT IS NEVER TOO EARLY TO READ TO BABIES AND CHILDREN – THE SOONER THE BETTER! 70

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CHILD DEVELOPMENT | PHYSICAL ACTIVITY FOR INFANTS (0-12 MONTHS) Infants need to be physically active at different times through the day for their growth and development. It is important for parents and caregivers to get down on the floor and play with the baby every day, both inside the home and outdoors. PHYSICAL ACTIVITY FOR AN INFANT MEANS: • Having tummy time (see information on this page) • Reaching for or grasping balls or other toys • Crawling around the home DID YOU KNOW? • Infants should sit for no more than 1 hour at a time when they are awake (e.g. sitting in a stroller, high chair or car seat) • Screen time of any kind is NOT recommended for infants. Screen time is time spent in front of a T.V. or computer screen

TUMMY TIME TO PLAY! Tummy time is play time with your baby lying on their stomach on a hard surface, with a parent or caregiver within reach. It lets your baby see the world from a different view which is important for their development. It also helps prevent your baby from getting a flat head.

HOW CAN I PLAY WITH MY BABY DURING TUMMY TIME? NEWBORN TO 3 MONTHS: • Place your baby’s chest on a rolled towel for a few minutes while awake to play • Place toys on both sides of your baby’s head so your baby can see them WHEN YOUR BABY CAN LIFT THEIR HEAD: • Use mirrors and toys around your baby to encourage reaching • Lay on your tummy and play Peek-A-Boo; hold up a blanket between you and encourage your baby to pull down the blanket Little by little, increase the amount of tummy time you spend with your baby For detailed information about physical activity guidelines, go to: www.csep.ca/guidelines

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| CHILD DEVELOPMENT PHYSICAL ACTIVITY FOR TODDLERS AND PRESCHOOLERS Toddlers and preschoolers should get a total of at least 180 minutes (3 hours) of physical activity spread through each day for their growth and development. BEING ACTIVE EVERY DAY HELPS CHILDREN:

• Build healthy hearts • Grow stronger • Have fun and be happy

• Improve movement skills • Have a healthy body weight • Feel good about themselves

BEING ACTIVE AS A TODDLER OR PRESCHOOLER MEANS:

• Any activity that gets a child moving • Climbing stairs and moving around the home

• Playing outside and exploring • Crawling, brisk walking, running or dancing

As children get older they need more energetic play, such as hopping, jumping, skipping, running, swimming and bike riding. Children 5-11 years of age should have a total of at least 60 minutes (1 hour) of energetic play each day. DID YOU KNOW? • Young children should NOT sit for more than 1 hour at a time when awake (e.g. sitting in a stroller, high chair or car seat; watching TV or playing with computers, video games) • Screen time (e.g. T.V., computer, electronic games) is NOT recommended for children under the age of 2 years • Screen time should be LIMITED to less than 1 hour a day for children 2 to 4 years old; LESS IS BETTER • Screen time should be limited to 2 hours a day or less for children 5 to 11 years of age (schoolwork done on the computer is included in that 2 hours) MORE DAILY PHYSICAL ACTIVITY PROVIDES GREATER BENEFITS, SO PLEASE: • Limit use of playpens and infant seats • Set limits for screen time • Take your child outside every day • Stop during long trips for play time • Make time for play with other children • Create safe places for play

HAVE FUN WITH YOUR CHILD EVERY DAY!

For detailed information about physical activity guidelines, go to: www.csep.ca/guidelines 72

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CHILD DEVELOPMENT | TEMPER TANTRUMS ARE COMMON IN CHILDREN BETWEEN 2 AND 4 YEARS OLD. TANTRUMS OFTEN HAPPEN WHEN CHILDREN:

• Are over-tired, excited or hungry • Need to get rid of anger and tension • Are not able to do something they want to do • Are asked to do something they do not want to do • Are frustrated when they cannot communicate their feelings, desires or needs DURING THE TANTRUM…

• Stay calm and speak softly • Move your child to a safe place so they won’t get hurt • Hold your child; this may help to calm them (Note: this does not work for all children) • Do not slap or shake your child. This could seriously harm your child AFTER A TEMPER TANTRUM…

• Encourage your child to express their feelings in a positive way • Give lots of hugs; comfort them and tell them you love them • Provide quiet play with your toddler • Do not punish your child TO PREVENT TEMPER TANTRUMS…

• Stick to the child’s routine as much as possible (meals, naps) • Provide regular meals and healthy snacks as your child has a small stomach • Be active with your child. Daily exercise is important for everyone. Go for a walk or visit the park • Make your home “toddler or child safe” • Set rules and be consistent

FOR MORE INFORMATION VISIT: WWW.CARINGFORKIDS.CPS.CA. FOLLOW THE BEHAVIOUR AND PARENTING LINK. Be a role model. know your own tolerance and triggers; do not have temper tantrums of your own because children learn what they see.

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| CHILD DEVELOPMENT RAISING A HEALTHY CHILD – HELP YOUR CHILD LEARN HEALTHY BEHAVIOURS 1. KNOW THAT YOU ARE YOUR CHILD’S NUMBER ONE TEACHER! • Be a healthy role model: • Eat healthy • Live active • Live smoke-free • Be drug-free and follow the Low Risk Drinking Guidelines found at www.ccsa.ca/Eng/topics/alcohol/drinking-guidelines/Pages/default.aspx • Start conversations with your child at an early age. Talk about making healthy choices on being physically active, eating healthy foods and use of alcohol and other substances 2. STAY CONNECTED - YOU HAVE THE POWER TO INFLUENCE A CHILD’S LIFE! • Cook meals together-it provides a great opportunity for sharing the day’s events • Take time to have fun and be active together • Ask about your child’s friends and get to know their friend’s parents 3. USE “TEACHABLE” MOMENTS • Listen when your child talks and help them to make healthy choices • Look for everyday examples of healthy behaviours and talk about how they help a person to be healthy • Talk about behaviours and attitudes you see in books, movies, TV shows or in social media and possible consequences

NEW PARENT RESOURCE GUIDE 2018

CHILD DEVELOPMENT | TEACHING YOUR CHILD HOW TO DEAL WITH STRESSFUL FEELINGS As children develop, they need to learn ways of soothing or calming themselves if they are feeling stressed; this is called “self-regulation”. Self-regulation is a set of skills that children learn beginning at birth and continuing on into early adulthood. Parents have the most important role in helping their children learn how to calm themselves. BIRTH TO 1 YEAR: When caring adults respond to a baby’s cries by feeding, changing or holding them, babies learn to trust that their needs will be met. This trust allows them to calm themselves down when they are upset. When this happens again and again, children learn to control their emotions. TODDLERS (1 TO 2 YEAR OLDS) need a lot of help from parents and caregivers to deal with their emotions (e.g. calm themselves down). Encourage your toddler to express their feelings through language and gestures. PRESCHOOLERS (2 TO 5 YEAR OLDS) need reminders from adults to take turns, share, wait, be friendly, calm down and focus on tasks. Parents and caregivers need to role model how to stay calm, pay attention and act in the way they would want their child to act. Help your children name their feelings (glad, sad, mad, scared, etc.). Point out that other people have these feelings too (adapted from Best Start, Building Resilience in Young Children Booklet) WHEN A CHILD GETS HELP FROM AN ADULT TO SELF-REGULATE, THEY WILL BE ABLE TO: • Follow directions more easily • Communicate their needs more appropriately • Solve problems and complete tasks more easily • Use information from previous experiences • Get along well with others For more information and examples visit www.aboutkidshealth.ca or see the resource Learning to Play and Playing to Learn: What Families Can Do from www.beststart.org (click on For parents- Do you have young children).

DID YOU KNOW? Each child handles stress and stimulation differently. You can reduce stress and over-stimulation by: having regular meal and snack times, having quiet time during the day and turning off the TV during meal times.

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HEALTH AND WELLBEING

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| HEALTH AND WELLBEING HEALTH AND WELLBEING RESOURCES ALLERGIES AND ASTHMA

HEALTH UNITS/PUBLIC HEALTH

ALLERGY AND ASTHMA INFORMATION ASSOCIATION NATIONAL OFFICE

ELGIN ST. THOMAS PUBLIC HEALTH (519) 631-9900 or 1-800-922-0096 www.elginhealth.on.ca see ad on page 54

P.O. Box 100, Etobicoke ON (519) 284-4222 or 1-888-250-2298 www.aaia.ca ANAPHYLAXIS CANADA 2005 Sheppard Ave. E., Ste. 800, Toronto ON (416) 785-5666 or 1-866-785-5660 www.anaphylaxis.ca ASTHMA ACTION HELP LINE 1-800-668-7682

DENTISTRY CINOT (CHILDREN IN NEED OF TREATMENT) 1-866-797-0000 or your local health unit www.mhp.gov.on.ca/en/healthy-communities/dental/ DR. ZHENG DENTAL OFFICE 141 Wharncliffe Rd. S. (South of Robert Q), London ON (519) 680-1880 www.drzhengdentistry.com see ad on page 79 PEDIATRIC ORAL HEALTH & DENTISTRY 389 Hyde Park Rd., London ON (519) 679-9860 www.dentistryforkids.ca see ad on page 93

DIETITIANS EATRIGHT ONTARIO

(416) 325-0510 or 1-877-510-5102 www.eatrightontario.ca

HEALTH AND WELLNESS ABOUTKIDSHEALTH

www.aboutkidshealth.ca

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HOSPITALS ALEXANDRA HOSPITAL 29 Noxon St., Ingersoll ON (519) 485-1700 www.alexandrahospital.on.ca CHILDREN’S HOSPITAL OF WESTERN ONTARIO

800 Commissioners Rd. E., London ON (519) 685-8484 www.chwo.org FOUR COUNTIES HEALTH SERVICES

R.R.3, Newbury ON (519) 693-4441 www.mhalliance.on.ca LONDON HEALTH SCIENCES CENTRE

800 Commissioners Rd. E., London ON (519) 685-8500 www.lhsc.on.ca ST. JOSEPH’S HEALTH CARE LONDON

268 Grosvenor St., London ON (519) 646-6100 www.sjhc.london.on.ca

HEALTH AND WELLBEING | 189 Elm St., St. Thomas ON (519) 631-2020 www.stegh.on.ca

VANIER CHILDRENâ&#x20AC;&#x2122;S SERVICES 871 Trafalgar St., London ON (519) 433-0334 www.vanier.com

STRATHROY MIDDLESEX GENERAL HOSPITAL

PERSONAL CARE

ST. THOMAS ELGIN GENERAL HOSPITAL

395 Carrie St., Strathroy ON (519) 245-1550 www.mhalliance.on.ca THE HOSPITAL FOR SICK CHILDREN

555 University Ave., Toronto ON (416) 813-7654 ext. 2971 www.skfamilyknowledgegroup.ca TILLSONBURG DISTRICT MEMORIAL HOSPITAL

LICE SQUAD CANADA (519) 473-4078 or 1-866-838-5423 www.licesquad.com Lice Squad is a professional head lice removal company offering fast and effective services & pesticide-free products. Parent and teacher-trusted since 2001. see coupon on page 127

167 Rolph St., Tillsonburg ON (519) 842-3611 WOODSTOCK GENERAL HOSPITAL

310 Juliana Dr., Woodstock ON (519) 421-4211 www.wgh.on.ca

MENTAL HEALTH CANADIAN MENTAL HEALTH ASSOCIATION 180 Dundas St. W., Ste. 2301, Toronto ON (416) 484-7750 www.cmha.ca MENTAL HEALTH HELPLINE 1-866-531-2600 www.mentalhealthhelpline.ca MENTALHEALTH4KIDS.CA (519) 474-5617 www.mentalhealth4kids.ca MIND YOUR MIND www.mindyourmind.ca

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| HEALTH AND WELLBEING HEALTH AND WELLBEING - PROVIDING A POSITIVE EXPERIENCE SIX STEPS TO HELP KEEP YOU HEALTHY

1. Wash your hands often using soap and water or an alcohol-based hand rub. Ensure hands are washed: • After coughing, sneezing or blowing your nose • After using the washroom • After shaking hand • Before touching your face • Before preparing food and eating • Before putting in contact lenses or touching your eyes 2. Avoid touching your face as much as possible. 3. Cough and sneeze into a tissue or your elbow. Throw out used tissues right away. 4. Do not share objects that have been in other people’s mouths, e.g. toothbrushes, drinks, water bottles, unwashed utensils, cigarettes, lip products, mouthpieces and musical instruments. 5. Stay home if you are sick. This will help prevent spread of infections to co-workers and the general public. 6. Frequently clean common surfaces such as keyboards, doorknobs, counter tops, etc. VIRUS OR BACTERIA – DIFFERENT OR THE SAME?

• Both viruses and bacteria cause infections and can cause serious illness • Both viruses and bacteria are easily spread in similar ways: • coughing or sneezing infected droplets to others directly, or • touching surfaces, or objects that have been infected with viruses or bacteria & then touching your mouth or eyes without washing your hands • Most respiratory infections are caused by a virus (e.g. common cold, flu) • Viral infections can get better in 4 to 5 days, but some may last longer • Some viruses can be treated with antiviral medication • Antibiotics only work against bacteria; your doctor may not be able to give you antibiotics for your illness ANTIBIOTIC RESISTANCE IS A PROBLEM!

What is antibiotic resistance? • Increased or improper use (such as for colds, flu or other viruses) of antibiotics can lead to antibiotic resistance • Antibiotic resistance means that a drug is no longer effective in killing a certain bacteria • Anyone can become infected with an antibiotic resistant bacterium For more information contact your local health unit or health care provider (see page 78-79)

IS IT A COLD OR THE FLU? FIND OUT ALL ABOUT CHILDHOOD ILLNESSES ON PAGE 84-90.

NEW PARENT RESOURCE GUIDE 2018

HEALTH AND WELLBEING | FEVER AND SICKNESS When your child is sick with an infection (caused by either bacteria or a virus) a fever is a common symptom. A fever is when your child’s temperature is above the normal temperature range.

METHOD

Rectum

36.6°C to 38°C (97.9°F to 100.4°F)

Mouth

35.5°C to 37.5°C (95.9°F to 99.5°F)

Armpit

34.7°C to 37.3°C (94.5°F to 99.1°F)

Ear

35.8°C to 38°C (96.4°F to 100.4°F)

NORMAL TEMPERATURE RANGE

Source: Canadian Paediatric Society (2012) http://www.caringforkids.cps.ca Digital, plastic thermometers should always be used; use a separate one for rectal and a separate one for oral temperature taking. Do not use glass, mercury thermometers. For information on how to correctly take a temperature, visit www.caringforkids.cps.ca. WHAT YOU CAN DO IF YOUR CHILD HAS A FEVER: • Call your health care provider if your infant is less than 6 months of age • If your child is older than six months then give more to drink. Breastfeed whenever your child shows an early feeding cue and offer the breast at least every few hours. If your child does not want to breastfeed offer nourishing soups and juice • Take off extra clothing and blankets, leave enough to avoid shivering • Check your child’s temperature often • Do not give medication unless recommended by your health care provider* • Call your health care provider if the fever does not go away after 72 hours (3 days) or if your child has other signs of sickness Alcohol rubs or baths and sponging with water are not recommended. *A child or teenager with a fever should not be given Aspirin or Acetylsalicylic Acid (ASA) Other signs your child may be sick: • Acting differently (tired, weak, sleepy, loss of appetite, fussy or a lot of crying) • A runny nose • Coughing • Vomiting • Rash • Difficulty breathing • Diarrhea • Change in skin colour (pale or looks yellow) FOR URGENT CONCERNS CALL TELEHEALTH AT 1-866-797-0000.

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| HEALTH AND WELLBEING

NEW PARENT RESOURCE GUIDE 2018

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TRANSMISSION

NEW PARENT RESOURCE GUIDE 2018

Virus is in respiratory secretions. Spread person to person by direct contact with contaminated secretions or indirect contact with contaminated hands, objects, and surfaces. Frequent cause of illness in children under 2 yrs. Incubation period 2-8 days.

R.S.V. (Respiratory Syncytial Virus)

Not reportable to Public Health.

Up to 8 days after onset of symptoms .

Fever, runny nose, cold-like symptoms that may develop into more serious symptoms such as coughing, difficulty breathing, rapid breathing and wheezing.

Exclude until well enough to participate â&#x20AC;&#x201C; usually 3-8 days.

Report to Public Health. Exclude until 5 days after start of antibiotics or 3 weeks if no treatment given. Contacts may need antibiotics and/or vaccine.

From onset of runny nose until 3 weeks after onset of paroxysms or whooping.

Begins as cold with profuse runny nose and cough. Cough gets progressively worse and occurs in paroxysms, or spasms. Face red or purple during coughing spells and child may vomit. Fever uncommon.

* HAND WASHING: REMEMBER HAND WASHING IS THE SINGLE MOST IMPORTANT PROCEDURE WE CAN FOLLOW TO PREVENT THE TRANSMISSION OF DISEASE. FOR ALL DISEASES, HAND WASHING IS ALWAYS A RECOMMENDED ACTION.

Bacteria in respiratory secretions. Spread from person to person, via droplets. Very infectious. Incubation period 6-20 days

Whooping Cough (Pertussis)

Scarlet Fever

Not reportable to Public Health.

Exclude until 24 hours after treatment begun Exclude for 2-3 weeks after onset of illness if untreated.

Fever, sore throat. General discomfort and tender glands on the neck. Rash on neck, back, chest and inner surface of the thighs. Face looks flushed. Rash feels like fine sandpaper and is not itchy. Skin peels 2-3 weeks after the rash disappears.

Until 24 hours after treatment begun. If untreated 10-21 days.

Bacteria spread from person to person via droplets. Incubation period 1-3 days.

Strep Throat

Not reportable to Public Health.

REPORTING

Report to Public Health.

Do not exclude unless too ill to take part in the activities.

RECOMMENDED ACTION

Exclude until well enough to participate. Usually 5-7 days.

Virus spread person to person via droplets or by indirect contact with contaminated hands, objects, surfaces. Incubation period 1-4 days.

Influenza

Not infectious

1 day before to 7 days after onset.

INFECTIOUS PERIOD

24 hours before symptoms have developed until 5-7 days after onset of symptoms.

Earache or irritability, fever and cold symptoms.

Complication of cold

Ear Infections (Otitis Media) Sudden onset of fever, chills, headache, generalized aches and pains, loss of appetite, cough. Weakness and cough can last several days to weeks. Influenza can result in serious complications for the elderly and those with chronic health problems.

Runny nose, sore throat, cough, decreased appetite occasionally fever

Spread person to person via droplets; indirect spread via contaminated hands, objects, surfaces.

SIGNS AND SYMPTOMS

Common Cold (Rhinovirus, corona virus)

RESPIRATORY INFECTIONS

DISEASE

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CHILDHOOD ILLNESSES CHART

TRANSMISSION

Hepatitis A

irus excreted in stool of infected persons. Spread person to person; may also be spread in contaminated food or water. Incubation period 15-50 days

Parasite in stool of infected persons. Spread person to person. Common in child care settings. Incubation period 1-4 weeks.

Giardia

Until 24hrs after diarrhea has resolved and no longer excreting cysts.

2 weeks before to 1 week after onset of jaundice.

Most children have no symptoms. May have loss of appetite, vomiting, cramps, diarrhea, mushy stool, excessive gas.

Most children have no illness. May have fever, loss of appetite, nausea, vomiting, jaundice (yellow colour in skin and eyes).

For duration of the diarrhea.

Only verotoxigenic or VTEC strains cause illness in humans. Fever, diarrhea, blood in stool, cramps. Children and elderly are at most risk of serious complications.

Bacteria excreted in stool of infected persons. Poultry, beef, unpasteurized milk or other food and farm animals may be a source of infection. Incubation period 12-60 hours.

E.coli (Escherichia coli)

Exclude until treated and no diarrhea for 24 hours. Proper hand hygiene and food handling is important. Treatment is prescribed by a physician.

Exclude until no diarrhea or other symptoms for 24 hours.

For duration of the diarrhea.

Increase in frequency of stools and/or change to unformed, loose or watery stool. Fever, loss of appetite, nausea, vomiting, abdominal pain, mucus or blood in stool may also occur. Diarrhea may be dangerous in infants and young children because the loss of fluid may cause dehydration.

Microorganism excreted in stool of infected persons. May be viral, bacterial or parasitic. Spread directly from person to person; indirectly from hands of staff and children, objects, surfaces, food, or water contaminated with microorganisms

Gastroenteritis

Exclude until no diarrhea or other symptoms for 24 hours.

From onset of diarrhea until several weeks after symptoms stop.

Watery diarrhea, abdominal cramps, nausea, headaches and sometimes vomiting. Symptoms may last 1-2 weeks or as long as a month. Symptoms can come and go over time. Immunocompromised people are at risk of serious complications

Parasite excreted in stool of infected persons and animals. Spread person to person and in contaminated food or water. Incubation period 2-25 days.

Cryptosporidium

RECOMMENDED ACTION

Exclude until no diarrhea or other symptoms for 24 hours.

INFECTIOUS PERIOD

For duration of diarrhea. If untreated 2-7 weeks.

SIGNS AND SYMPTOMS

Diarrhea, cramps, abdominal pain, fever, nausea and vomiting, sometimes blood in stool.

Bacteria excreted in stool. Poultry, beef, unpasteurized milk or other contaminated food may be source of infection. Infected pets may be a source. Incubation period 1-10 days.

Campylobacter

GASTROINTESTINAL INFECTIONS

DISEASE

Report to Public Health.

Report to Public Health if a group of people are experiencing the same symptoms.

Report to Public Health.

REPORTING

HEALTH AND WELLBEING |

CHILDHOOD ILLNESSES CHART

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TRANSMISSION

Virus spread person to person in the stool and by vomiting. Incubation period 1-2 days.

Virus excreted in stool of infected persons. Spread person to person. Most common cause of diarrhea in child care settings. Incubation period 2 days.

Bacteria acquired mainly from food, especially eggs and egg products, beef, poultry, unpasteurized milk. Incubation period 6-72 hours.

Bacteria excreted in stool of infected persons. Spread occurs person to person, through contaminated food, water or milk, and by flies. Incubation period 1-7 days.

Bacteria excreted in stool of infected persons.Transmitted through consumption of contaminated food (especially pork),and water, contact with infected people and animals, especially pigs. Incubation period 3-10 days.

Norovirus (Norwalk)

Rotavirus

Salmonella

Shigella

Yersinia

GASTROINTESTINAL INFECTIONS

DISEASE

NEW PARENT RESOURCE GUIDE 2018 Watery diarrhea, cramps, abdominal pain, fever, headaches, nausea and vomiting. Diarrhea is more severe in children.

For duration of diarrhea or other symptoms. If untreated, 2-3 months

For duration of diarrhea. Highly infectious. If untreated up to 4 weeks.

While having diarrhea.

Sudden onset of headache, vomiting, fever followed by diarrhea

Diarrhea, fever, blood and/or mucus in stool, cramps.

For duration of diarrhea. Usually up to 5 days.

Duration of illness and up to 72 hours after symptoms resolve

INFECTIOUS PERIOD

Fever and vomiting precede watery diarrhea. Dehydration may occur rapidly in infants. Children and elderly are most at risk of serious complications.

Nausea, vomiting, watery diarrhea, cramps.

SIGNS AND SYMPTOMS

Exclude until symptomfree for 24 hours.

Exclude until treated and no diarrhea for 24 hours. Additional precautions are necessary for foodhandlers, childcare providers and health care providers.

Health.

Report to Public

Health.

Report to Public

Health.

Report to Public

Report to Public Health.

Exclude until no diarrhea and/or vomiting for 48 hours.

Exclude until treated and no diarrhea for 24 hours. Treatment is not always recommended

Report to Public Health.

REPORTING

Exclude until no diarrhea and/or vomiting for 72 hours.

RECOMMENDED ACTION

| HEALTH AND WELLBEING

CHILDHOOD ILLNESSES CHART

TRANSMISSION

Bacteria spread person to person by direct contact.

Impetigo

Spread person to person through close direct contact or undergarments or bed clothes that have recently been contaminated. Incubation period 4-6 weeks in persons without previous exposure.

Spreads person to person in saliva and infected sores. Incubation period 2-12 days

Herpes Simplex

Scabies

Spread person to person. Requires close, direct contact. Infested hats, clothes may also be involved in spread.

Head Lice

SKIN AND SCALP INFECTIONS

DISEASE

Very itchy rash. In infants under 2 years, rash may occur anywhere on body. In older children, rash usually appears on fingers, elbows, armpits, abdomen. Mite burrows under skin leaving eggs and faeces in black-red bumps.

Fluid-filled vesicles, pustules and crusted rash on face or exposed parts of body (arms and/or legs).

Many initial infections occur without any symptoms. May cause high fever, many painful ulcers in mouth. May recur as cold sores.

Most children have no symptoms. Some will have itching of scalp. Nits (eggs) are seen attached to hairs near scalp.

SIGNS AND SYMPTOMS

Until mites and eggs are destroyed by treatment. Usually after 1 or occasionally after 2 courses of treatment a week apart.

From onset of rash until 1 day after start of treatment with antibiotics.

For 2-7 weeks during first infection; 5 days during recurrent infections Antiviral medication will shorten the duration of illness.

Until treated and lice and nits (eggs) are removed.

INFECTIOUS PERIOD

Exclude until one treatment completed. Treatment of contacts may be necessary to control outbreak.

Exclude until antibiotic treatment has been taken for 1 full day.

Wash hands after contact with children with illness Exclude those with severe illness. Exclusion not indicated for recurrent cold sores.

According to organizationâ&#x20AC;&#x2122;s policy, exclude until treated with a product that contains an active ingredient that kills head lice and all nits (eggs) are removed. Check all children and staff for presence of lice and nits and exclude accordingly.

RECOMMENDED ACTION

Not reportable to Public Health.

REPORTING

HEALTH AND WELLBEING |

CHILDHOOD ILLNESSES CHART

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TRANSMISSION

Virus spread person to person and via air. Very infectious. May develop following contact with person having shingles. Incubation period 14-21 days.

Virus spread person to person. Requires intimate contact. Virus in urine, saliva

Virus spread person to person by direct contact with nose and throat discharges, saliva, fluid from blisters or from stool. Incubation period 3-7 days

Virus spread person to person through contact with respiratory secretions. Exposure may pose a concern to pregnant women in their first trimester.

Virus found in blood, semen, vaginal fluids and saliva. Can be spread by unprotected sex, blood contact, bites and from infected mother to newborn at time of birth. Incubation period 4-25 weeks.

Chickenpox (VaricellaZoster)

Cytomegalovirus (CMV)

Hand, Foot & Mouth Disease (Coxsackie A)

Fifth Disease (Parvovirus B19)

Hepatitis B

OTHER INFECTIONS

DISEASE

NEW PARENT RESOURCE GUIDE 2018

This infection targets the liver. Symptoms may include flu-like illness, nausea and vomiting, joint and muscle pain, rash and jaundice. Many people do not experience any symptoms. May lead to liver disease or liver cancer.

From weeks before onset to months or years after recovery from illness. May be infectious for life

Greatest before onset of rash. Probably not communicable after onset of rash.

Most contagious during first week of illness. Can continue to transmit virus in stools for weeks. Most common in summer and fall.

Fever, sore throat, lack of energy, sores in the mouth, and a rash with blisters usually located on the palms of the hands, soles of the feet and sometimes on the buttocks

Mild fever, very red rash begins on cheeks (slapped face appearance) followed in 1 to 4 days by a lace-like rash on the trunk and extremities which fades but may come and go for 1 to 3 weeks.

Virus may be present in urine and saliva for many months.

1-2 days before start of rash, to until lesions are dry and crusted over (about 5 days after start of rash)

INFECTIOUS PERIOD

Fever and fatigue but without any other symptoms

Small red pimples which develop into blisters, then become encrusted. Usually affect face, hands, neck and extremities.

SIGNS AND SYMPTOMS

Not reportable to Public Health.

Do not exclude if well enough to take part in activities.

Report to Public Health.

Not reportable to Public Health. Do not exclude unless too ill to participate. Emphasize proper handwashing between diaper changes.

No exclusion required. Immediately report any bites that cause bleeding. Hepatitis B vaccine and/or Hepatitis B immune globulin may be indicated (under special circumstances).

Not reportable to Public Health.

Report to Public Health.

REPORTING

No exclusion required. Able to return to school/work as soon as well enough to participate in normal activities

Exclude children until lesions are dry and crusted over Ensure handwashing. (Varicella-Zoster Immune Globulin (VZIG) may be indicated under certain circumstances)

RECOMMENDED ACTION

| HEALTH AND WELLBEING

CHILDHOOD ILLNESSES CHART

TRANSMISSION

Virus in respiratory secretions. Spread from person to person, through the air. Very infectious. Incubation period 7-21 days.

Spread from person to person, requiring close direct contact. Can be viral or bacterial

Virus in respiratory secretions. Spread from person to person through the air and through direct contact with the saliva of an infected person. Incubation period 14-25 days.

Bacteria spread person to person by contact with secretions from eye. Incubation period usually 24-72 hours.

Red Measles (Measles)

Meningitis

Mumps

Pinkeye (Conjunctivitis)

OTHER INFECTIONS

DISEASE

Redness, itching, pain, discharge from eye. After sleep the discharge forms dry, yellowish crusts on eyelashes.

Enlargement of salivary glands causing swelling of cheeks and face. May have fever, headache, abdominal pain. Many children have no illness.

Fever, marked fussiness, sleepiness, vomiting, stiff neck, severe headache, pinpoint rash, coma, seizures. Bacterial infections can be very severe.

Fever, cough, runny nose, inflamed eyes for 1 to 3 days before onset of rash. Raised red, blotchy rash starts on face and spreads rapidly over body. Illness lasts 5 to 10 days

SIGNS AND SYMPTOMS

For duration of illness or until 24 hours after treatment started.

Exclude only if discharge is pus (yellow, thick) and then until the antibiotic has been taken for one full day

Exclude for 9 days after onset of swelling. Ensure all children are vaccinated.

7 days before to 9 days after onset of swelling

Not reportable to Public Health.

Report to Public Health immediately.

Exposed children and staff may need antibiotics or vaccine.

Until treated with antibiotics for 24 hours (if caused by bacteria).

REPORTING

Report to Public Health immediately. Speed is essential in limiting outbreaks of measles.

RECOMMENDED ACTION

Exclude all cases until at least 4 days after onset of rash. All contacts born after 1970 without proof of immunization should be immunized. Exclude all children who lack proof of immunization from school/daycare until vaccinated or until 2 weeks after last case in a facility. Immune Globulin may be indicated.

4 days before onset of rash until 4 days after onset of rash

INFECTIOUS PERIOD

HEALTH AND WELLBEING |

CHILDHOOD ILLNESSES CHART

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TRANSMISSION

Spreads person to person by hand from anus to mouth or indirectly through clothing, bedding, food, dust (in heavily contaminated areas/ households), toys or other egg contaminated articles. Incubation period 2-6 weeks

Spread is not clearly understood. Common in children 6-24 months of age. Incubation period is about 10 days.

A fungal infection spread by direct or indirect contact with lesions of infected persons or animals. Incubation period 10-14 days.

Spreads person to person,through contact with nasal secretions or direct contact with infected person. There is risk of severe damage to fetus if a pregnant woman gets rubella during the first trimester. Incubation period 14-23 days.

Pinworm

Roseola (Sixth Disease)

Ringworm

German Measles (Rubella)

OTHER INFECTIONS

DISEASE

NEW PARENT RESOURCE GUIDE 2018 Exclude for 7 days after onset of rash. All contacts should be vaccinated or have blood test to prove immunity.

7 days before until at least 4 days after onset of rash. Highly communicable .

Many children infected have no signs of illness or rash. May have mild fever, sore throat, swollen glands in neck and behind the ears. Rash consists of small red spots which start on scalp and face and spread rapidly over entire body.

While under treatment, exclude from gymnasiums, swimming pools and activities that may expose others.

While lesions are visible

Report to Public Health.

Not reportable to Public Health.

Do not exclude unless too ill to participate. Wash hands well to prevent spread.

One or more circular lesions on skin, scalp or nails. It is slightly raised with red edges and is scaling and itchy. It spreads outward on the skin.

Not reportable to Public Health.

REPORTING

Treat infected individual. Examine members of family or institution. Reinforce handwashing and personal hygiene. Wash toys, bedding and clothes. Vacuum sleeping and living areas.

RECOMMENDED ACTION

Not highly infectious. Difficult to diagnose until rash appears. Infectious during fever up to 24 hours after fever breaks.

As long as the worms are laying eggs. Eggs remain infective in environment for about 2 weeks once outside the host.

INFECTIOUS PERIOD

Starts with fever. Once fever resolves small red spots start on the middle of the body and spreads to arms, legs neck and face. (ncbi website) Rash lasts up to 2-3 days. Occasionally child will have high fever. Febrile seizures are the most common complication

Intensely itchy anal area, especially at night. Disturbed sleep, irritability.

SIGNS AND SYMPTOMS

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CHILDHOOD ILLNESSES CHART

HEALTH AND WELLBEING | TEETHING WHAT CAN I EXPECT?

Teething is a natural process. Your baby is born with a set of 20 teeth hidden beneath the gums. Teething is the process of these teeth working their way through the gums. The first teeth usually appear between 6 to 10 months of age, with the rest following over the next 2 to 3 years. However, each child is different. It is important that these first teeth are kept healthy as they each keep a place for the adult teeth, which usually erupt between the ages of 6 to 12 years.

COMMON SIGNS OF TEETHING

Your baby may: • drool • be more cranky and irritable • have red cheeks, and red, swollen gums • show a need to chew on things

Don’t confuse teething with illness. Fever, stuffiness, runny nose, and diarrhea are not caused by teething. You should see your doctor if these symptoms occur. HOW CAN I HELP MY BABY DURING TEETHING?

Directly massage irritated gums with your finger or a clean, wet, refrigerated cloth. Give your baby a teething ring or a chilled wet cloth to chew on. Avoid giving your baby hard foods like raw carrots that could cause choking. Do not give “teething biscuits” as they contain sugar and could also be a choking hazard. OVER-THE-COUNTER GELS FOR TEETHING SHOULD NOT BE USED.

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| HEALTH AND WELLBEING DENTAL CARE YOU CAN PREVENT EARLY CHILDHOOD TOOTH DECAY

Early Childhood Tooth Decay is a specific pattern of dental cavities that occur in the very young child. Fortunately, it is entirely preventable by early introduction to good oral hygiene practices and attention to proper feeding habits. THE ABC’S OF CHILDREN’S DENTAL CARE

Always hold your baby while feeding. If you decide to feed your baby by bottle, never prop the bottle or put your baby to bed with the bottle.*.

Begin cleaning your baby’s teeth as soon as they appear in the mouth. A clean, wet washcloth or a soft bristled baby-sized toothbrush works well.

Children should be seen by a dentist or dental hygienist by their first birthday. *Breast milk is the only natural food for infants.

ARE BABY TEETH REALLY THAT IMPORTANT? Yes! Not only do baby teeth allow your child to eat, drink and speak, they also aid in forming a pathway for the adult teeth to grow in. BIRTH TO THREE YEARS • Use a small soft bristled toothbrush once first tooth erupts. If baby has not had a tooth eruption, oral hygiene should be done with a clean, wet cloth to clean baby’s teeth and gums after feeding • As soon as teeth appear, brush your baby’s teeth at least twice a day using a small, softbristled toothbrush and water • Once a month, lift your baby’s top lip to check teeth (especially near the gumline) for white or brown spots. It is also a good idea to check the gum area above teeth for any sign of a blister or redness. If you see signs of either, take your baby to the dentist • When your baby is able to sit up alone, continue to breastfeed but also give baby a cup to drink from sometimes. • Between mealtimes, avoid placing anything but water in cups. The risk of tooth decay increases the more often teeth are exposed to sugar, so only offer beverages that contain sugar (e.g. juice, chocolate milk) at mealtimes • Never use corn syrup or sweeteners if you have decided to give your baby a soother • Germs that cause cavities are passed from person to to person. Never put anything in your mouth and then into your baby’s mouth or allow sharing of objects that go into the mouth with others • Breastfeed according to your child’s cues but establish regular meal and snack times with your child between the ages of six and 12 months • Transition children to open cups by their first birthday and avoid using sippy cups • At two years of age, or when teeth are touching, start flossing your child’s teeth • Do not allow a child to run with a toothbrush in their mouth

NEW PARENT RESOURCE GUIDE 2018

HEALTH AND WELLBEING | THREE TO FIVE YEARS • By three years of age, children should brush their teeth for two to three minutes a day with toothpaste containing fluoride. Children need adult help and supervision to ensure all teeth surfaces are brushed and also to avoid swallowing toothpaste • Brush twice a day, especially before bedtime • Use a child-sized, soft-bristled toothbrush • Apply a small amount of toothpaste, about the size of a grain of rice, to the toothbrush. Be sure to brush the hard-to-reach molars near the back OW SAFE ARE DENTAL X-RAYS? H X-rays provide information to the dentist that may be essential to the provision of the best care. There is very little risk. The dentist is careful to limit the amount of radiation exposure by the use of lead aprons and high-speed films.

TONGUE TIES AND LIP TIES & BREASTFEEDING

Infants with tongue ties and/or lip ties often have a poor latch in which there is often an inadequate seal around the breast and disorganized swallowing which can be very painful for the mother and lead to poor weight gain and symptoms of reflux and colic for the infant. A relatively simple procedure to remove the frenums or ties which are restricting the lip and tongue, often lead to marked improvement in the ability to breast feed successfully. Using a soft tissue laser minimizes bleeding and scar tissue and can be accomplished usually without sedation or local anesthetic. Post op exercises are required and consultation with a lactation consultant and physio therapy or ‘body work’ are strongly recommended as this team approach seems to lead to the most successful outcome for both Mom and baby.”

Dr. Clive Friedman

Pediatric Oral Health & Dentistry

All children should see a dentist by one year of age. At that time, ask your dentist to do a risk assessment on your child. Starting your child off with a positive dental experience will help your child achieve a happy, healthy smile.

Contact your local health unit or health care provider (see page 78-79) for more dental information or about dental care programs for children.

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| HEALTH AND WELLBEING HEALTH AND THE ENVIRONMENT MAKE THE HOME SAFE FROM HARMFUL SUBSTANCES - Protecting Pregnant Women & Children Chemicals in the home can have long-term effects on the health of a developing fetus & children. Small amounts of harmful substances add up; you can reduce the amount, by following six simple tips: 1. BUST THAT DUST • Clean floors often with a damp mop or good quality vacuum. Use a damp cloth when dusting. Take off shoes at the door 2. GO GREEN WHEN YOU CLEAN • Choose fragrance-free laundry and cleaning products. Scrub sinks and tubs with baking soda. Mix vinegar and water to mop floors, wipe counters and wash windows. Avoid “plug-ins” and other air “fresheners” 3. RENOVATE RIGHT • Pregnant women and young children should stay away from areas being renovated. Paint used in older homes likely contains lead. Cover old painted surfaces with new paint instead of sanding or scraping 4. GET DRASTIC WITH PLASTIC • Avoid using plastic in the microwave, even if the label says “microwave safe”. Choose fresh or frozen foods when possible. Use glass, ceramic or stainless steel for hot food or drinks 5. DISH SAFER FISH • Choose low-mercury fish, especially when pregnant. If you eat canned tuna, choose “light” over “white” (albacore) 6. REDUCE RADON • Use a test kit to find out the radon level in your home Radon is a harmful gas that develops in the ground and can get into homes. High levels increase risk of developing lung cancer. Almost all homes have some radon; it has no smell or taste and you can’t see it. For more information, contact your local health unit or health care provider (see page 76-77) or go to: www.healthyenvironmentforkids.ca

PROTECTING AGAINST SECOND HAND SMOKE There is no known safe level of exposure to second hand smoke (SHS). Children who breathe SHS have a higher risk of sudden infant death syndrome, cancer, respiratory and cardiac disease, and more frequent upper respiratory tract problems, such as coughs, pneumonia, bronchitis, croup, asthma and ear infections. Exposure to SHS can also influence a child’s ability to reason and understand, and can have a negative effect on learning, behaviour and attention span. It is illegal for anyone to smoke or hold lit tobacco in a motor vehicle while a person under the age of 16 years is present in the vehicle. The law applies to both moving and non-moving vehicles even if any window, sunroof, rooftop, door or other feature of the vehicle is open. For more information see the handout “Information on Second and Third-Hand Smoke” at www.beststart.org 94

NEW PARENT RESOURCE GUIDE 2018

HEALTH AND WELLBEING | HEALTH AND THE ENVIRONMENT PROTECTING CHILDREN IN THE SUN BABIES

• Keep babies out of direct sunlight for their first year by using a stroller with a hood, staying under an umbrella or in a heavily shaded spot. Use long sleeves and long pants to protect your baby from the sun. SUNSCREEN IS NOT RECOMMENDED FOR BABIES UNDER SIX (6) MONTHS OF AGE! CHILDREN

• Limit time in the sun, especially during peak UV periods which are usually between 11 a.m. and 4 p.m., April through September • Avoid being in the sun for long periods of time at the start of the season. Gradually increase the amount of time you spend outdoors with your child over a period of several days. When possible, stay indoors or in the shade during the hottest time of the day, 10 a.m. to 2 p.m. • Skin cancer is a result beyond just burns and high levels of exposure - there is a cumulative effect of skin cell damage from regular exposure to UVR which can result in skin cancer. For more sun safety information and tips, visit: www.caringforkids.cps.ca/handouts/sun_safety PROTECTING AGAINST BUG BITES

• Wear light coloured, long sleeved shirts and long pants • Keep short the time spent outdoors during dusk and dawn • Use an insect repellent containing DEET. Eucalyptus plant compounds and soybean oil are other options. Always apply using manufacturers’ instructions. Use the lowest percentage (amount) of DEET needed for the time you want to be outdoors. DEET is not recommended to be used on children under 6 months of age • Do not apply repellents to portions of children’s hands that are likely to contact the eyes or mouth • Wash off repellent-treated skin when children come indoors SUGGESTED % OF DEET

AGE GROUP

RECOMMENDED NUMBER OF APPLICATIONS PER DAY

Newborn to 6 months

DEET is not recommended for this age group. Use netting or limit

time outdoors at dusk and dawn to prevent mosquito bites

6 months to 2 years

10% or less

Not more than one (do not apply to hands or face)

2 years to 12 years

10% or less

Not more than 3

Older than 12 years

Up to 30%

Follow instructions on label

http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/life-vie/insect-eng.php parentguide.ca

SAFETY

Visit parentguide.ca for additional resources and articles

| SAFETY FIRST AID TRAINING SAFETY RESOURCES

LONDON CHILDREN'S CONNECTION - I'M HOME PROGRAM - FOR CHILDREN 10-12 YRS Various Locations, London ON (519) 685-1400 www.lcc.on.ca

ST. JOHN AMBULANCE 741 King St., London ON (519) 432-1352 or 1-877-726-9928 www.sja.ca

MARKETPLACE - CANADA’S INVESTIGATIVE CONSUMER PROGRAM www.cbc.ca/marketplace

CANADIAN RED CROSS FIRST AID PROGRAMS 5700 Cancross Crt., Mississauga ON 1-888-307-7997 www.redcross.ca

POISON POISON INFORMATION CENTRE (416) 813-5900 or 1-800-268-9017 www.ontariopoisoncentre.com

SAFETY CANADIAN FOOD INSPECTION AGENCY 1-800-442-2342 www.inspection.gc.ca CONSUMER PRODUCT SAFETY HEALTH CANADA 1-866-662-0666 www.hc-sc.gc.ca ELGIN ST. THOMAS PUBLIC HEALTH (519) 631-9900 or 1-800-922-0096 www.elginhealth.on.ca see ad on page 54 HEALTH CANADA (613) 957-2991 or 1-866-999-7612 www.hc-sc.gc.ca

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MIDDLESEX-LONDON HEALTH UNIT (519) 663-5317 www.healthunit.com see ad on pages inside front ,10,41,83,120, inside back OXFORD COUNTY PUBLIC HEALTH & EMERGENCY SERVICES (519) 539-9800 or 1-800-755-0394 www.oxfordcounty.ca/health PARACHUTE 1-888-537-7777 www.parachutecanada.org TRANSPORT CANADA INFORMATION - CAR SEAT SAFETY AND RECALLS 1-800-333-0510 www.tc.gc.ca/roadsafety

Daily Encouragement

Who doesn't need a little parenting pat on the back each day? YOU GOT THIS is our way of reminding you just how amazing you are!

"It's like hearing from my best friend every morning!"

| SAFETY SAFETY IN THE HOME FOR RECALL INFORMATION, VISIT HEALTH CANADA AT: WWW.HEALTHYCANADIANS.GC.CA/RECALL-ALERT-RAPPEL-AVIS/INDEX-ENG.PHP

SCAN TO VIEW THE CURRENT RECALLS

Follow manufacturer’s instructions, including child’s height, weight and activity level. Check product for damage before each use. Stay close by and watch your child. BABY WALKERS Baby walkers have been banned in Canada since 2004. They are dangerous and should be destroyed. Do not use a baby walker. BABY BATH SEATS Babies can easily tip or fall over and drown. Always stay within arms reach of your child. Never leave an older child to watch the baby in the bath. BABY GATES Baby gates made before 1990 are dangerous. Fasten baby gates to the wall at the top of the stairs with screws. Pressure gates can fall over if leaned on. BLIND AND CURTAIN CORDS Cords that can make a loop of 15cm (6 in) are not safe. Cut cords short and tie them up high, or cut them in half at the loop, or attach them to the wall with a tension device. Keep all furniture away from windows. CRIBS Do not use a crib made before September 1986 as it does not meet current safety regulations. Also, cribs older than 10 years are more likely to have broken, worn, loose or missing parts, and to be missing warnings or instructions. Check that crib bars are less than 6 cm (2-3/8”) apart, mattress support is screwed to the crib frame, mattress is firm with no gaps at sides, and crib sides stay up and lock into place. See page 28 for safe sleep guidelines. PLAYPENS Check that sides stay up and lock into place, mattress has no gaps at sides and mesh sides have “mosquito-netting” sized mesh. SLINGS There should be no rips in seams or straps and no damaged hardware. Secure straps before placing the baby in the sling. Position your baby upright and keep your baby’s face in view. Be sure that your baby’s chin is not pressed into their chest and make sure that your baby’s face is not pressed into the carrier, your body, or any clothing. Your baby’s legs should have room to move and not be bunched up against their stomach. Be sure your baby’s back is well supported. Check on your baby often. STROLLERS, HIGH CHAIRS, CHANGE TABLES Always use safety straps in child’s strollers and high chairs. Make sure the brakes work and are used when the stroller is stopped. When using the change table, keep one hand on the baby and have needed items in reach. For more information see: www.parachutecanada.org or call 1-888-537-7777 or visit: http://www.hc-sc.gc.ca/cps-spc/pubs/cons/child-enfant/index-eng.php 100

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SAFETY | GUIDELINES FOR SUPERVISION OF CHILDREN Supervised means that the caregiver can see the child & is close enough to protect the child from harm. CHILDREN 0 TO 4 YEARS OLD Children in this age group must be supervised at all times! CHILDREN 5 TO 7 YEARS OLD Children in this age group may play unsupervised for up to 30 minutes when a parent (or age-appropriate caregiver) is at home, can check-in regularly with the child and is able to see the child. Many children in this age group can be taught to walk to school by themselves, however, it is best that children in Kindergarten and Grades 1 and 2 are accompanied by a caregiver when walking to school or waiting for the school bus. Please note: These are only guidelines. Parents are encouraged to consider their childâ&#x20AC;&#x2122;s needs and other information specific to their family when making decisions with regard to the amount of supervision required. INJURIES CAN BE PREVENTED! Falls are the leading cause of injury in children, making up half of the visits to the hospital from children birth to four years of age. We know that 90% of falls are preventable and that 65% happen in the home. How can parents and caregivers keep children active, safe and secure?

HOLD, FOLLOW AND WATCH HOLD means touching the child and keeping him close. FOLLOW means having the child close enough that you can touch him at all times. WATCH means keeping your eyes on the child the whole time. The age of the child, what is around the child, and how good the child is at an activity will tell you if you need to HOLD, FOLLOW or simply WATCH. Make sure to child-proof your home and teach and repeat the safety messages often. FOR MORE INFORMATION PLEASE CONTACT YOUR LOCAL HEALTH UNIT OR HEALTH CARE PROVIDER (SEE PAGE 78-79).

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| SAFETY CAR SEATS AND BOOSTER SEATS - CHILD PASSENGER SAFETY Car crashes are a leading cause of injury related death among children. If used correctly, car and booster seats can reduce the risk of injury or death in a crash. By law, approved car seats or booster seats must be used for all children who are travelling in a vehicle. All car seats used in Canada must meet Canadian Motor Vehicle Safety Standards (CMVSS) set by Transport Canada. In order to ensure that safety standards are met, always follow the instructions provided by the car seat manufacturer. For more information, go to the Infant and Toddler Safety Association website at www.infantandtoddlersafety.ca.

CAR AND BOOSTER SEATS ARE REQUIRED BY ONTARIO LAW • Rear-facing car seats for children weighing less than 20 pounds (9 kg) • Forward-facing car seats for children weighing between 20 and 40 pounds (9 – 19 kg) • Booster seats for children who are: o Under 4 feet 9 inches (145 cm), or o Between 40 and 80 pounds (18 to 36 kg), or o Under eight years of age

lease note, these are minimum requirements. It’s best to keep your child in the car seat they are using until they no longer meet the weight or height requirements of that seat. IT IS IMPORTANT NOT TO RUSH YOUR CHILD TO THE NEXT STAGE The law is the minimum standard, but your child is safest moving to the next stage as outlined below.

STAGE 1 – REAR-FACING Newborns are safest in an infant only car seat. Many babies will outgrow some brands of infantonly seats before they can move out of the rear-facing stage, so another rear-facing car seat with a higher height and weight range will be needed. Your baby is safer waiting to move to Stage 2 until they are two years old or no longer meets the weight or height requirements of the car seat. Your baby is safest in the rear facing position until they outgrow the height or weight limits of their seat.

WHERE CAN I GET MY CAR SEAT INSTALLED? You are responsible for installing your car seat. For help: þ Read the car seat manual þ Read the vehicle owner’s manual þ View an installation video

IT’S OK FOR MY FEET TO TOUCH

When you have installed your car seat, you may want to have it inspected. Contact your local health unit for car seat clinics available in your area (see page 78-79). 102

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SAFETY | CAR SEATS AND BOOSTER SEATS STAGE 2 – FORWARD-FACING Parents often rush their child into a forward-facing car seat but some car seats can be used rearfacing up to 45 pounds (20.4 kg). Forward-facing car seats have a tether strap to limit how far forward the car seat will move in a sudden stop or crash. It must be fastened to the tether anchor in the vehicle. Your child is safest in a forward-facing car seat until they have outgrown the forwardfacing height or weight limits of their car seat. Many forward-facing seats can be used to 65 pounds (30 kg).

STAGE 3 – BOOSTER Parents and children often rush to use the booster seat, but your child is safest in a forward-facing car seat until they have outgrown the forward-facing height or weight limits of the car seat. Many forward-facing car seats can be used to 65 pounds (30 kg). The booster seat raises the child up so the lap and shoulder belts are positioned correctly. The lap belt must rest across the thighs and the shoulder belt must rest in the middle shoulder region – not touching the neck. Some booster seats will hold children up to 120 pounds (54 kg). Your child can safely move to using the seat belt only when they are tall enough for the lap and shoulder belts to be positioned correctly without the booster seat. This usually happens when the child is 4 feet 9 inches tall (145 cm).

FOR MORE INFORMATION VISIT: www.infantandtoddlersafety.ca

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CHILD CARE AND EDUCATION

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| CHILD CARE AND EDUCATION CHILD CARE AND EDUCATION RESOURCES BEFORE/AFTER SCHOOL PROGRAMS LONDON CHILDREN’S CONNECTION Administrative Office, 346 Wonderland Rd. S., London ON (519) 471-4300 www.lcc.on.ca see ad on page 110 OXFORD COMMUNITY CHILD CARE SCHOOL AGE PROGRAMS (7 LOCATIONS) www.oxfordccc.ca YMCA OF WESTERN ONTARIO CHILD CARE SERVICES (30 LOCATIONS) (519) 451-3743 ext. 694 www.ymcawo.ca/child-care YWCA ST. THOMAS - ELGIN (519) 631-9800 www.ywcastthomaselgin.org

Expect more from

education. Traditional, accredited Montessori programs for children 18 months to Grade 8.

• Central & Westmount locations • Part- and full-day pre-school options

www.montessori.on.ca • 519-433-9121

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CHILD CARE VISIT WWW.ONTARIO.CA For information on finding child care, types of child care and subsidies. For a full list of child care please visit: www.parentguide.ca or ALL KIDS BELONG PROGRAM: LONDON/MIDDLESEX: (519) 434-8247 ST.THOMAS/ELGIN: (519) 631-2321 A Merrymount program that promotes the inclusion of all children into licensed child care settings at no cost to the child’s parent or guardian. Resource consultants are available to assist child care staff and families so children ages birth through 12 with special needs can successfully participate in child care programs. LA RIBAMBELLE DAYCARE www.CscProvidence.ca FRÈRE-ANDRÉ 400 Base Line Rd. W., London ON (519) 471-6680 SAINTE-JEANNE-D’ARC 35 Fallons Lane, London ON (519) 457-3141 SAINT-JEAN-DE-BRÉBEUF 270 Chelton Road, London ON (519) 963-1219 see ad on page 109 LONDON AND MIDDLESEX CHILD CARE WAITLIST www.familyinfo.ca/waitlist LONDON CHILDREN’S CONNECTION Administrative Office, 346 Wonderland Rd. S., London ON (519) 471-4300 www.lcc.on.ca see ad on page 110 MERRYMOUNT FAMILY SUPPORT & CRISIS CENTRE - 24 HR EMERGENCY & RESPITE CARE 1064 Colborne St., London ON (519) 434-6848 www.merrymount.on.ca

CHILD CARE AND EDUCATION | NEXT TO MOM INC. 231 College St., Belmont ON (519) 644-0201 www.nexttomom.ca see ad on page 111 OXFORD COMMUNITY CHILD CARE Sainte-Marguerite-Bourgeoys 700 Bristol St., Woodstock ON (519) 539-2911 www.CscProvidence.ca see ad on page 109 PRESCHOOL OF THE ARTS 115 Askin St., London ON (519) 657-3342 www.preschoolofthearts.ca see ad on page 71 see coupon on page 127

OXFORD COUNTY SOCIAL SERVICES AND HOUSING Ontario Early Years Centre, 21 Market Square, P. O. Box 1614, Woodstock ON (519) 539-9800 ext.3360 www.oxfordcounty.ca

PRESCHOOLS ALVARY NURSERY SCHOOL C 290 Ridout St. S., London ON (519) 438-6638 www.calvarynurseryschool.ca see ad on page 110 LONDON WALDORF SCHOOL 7 Beaufort St., London ON (519) 858-8862 www.londonwaldorf.ca

WESTERN DAY CARE CENTRE 1848 Blue Heron Dr., London ON (519) 657-5295 27 Emery St. W., London ON (519) 679-4224 www.westerndaycare.ca

PRESCHOOL OF THE ARTS 115 Askin St., London ON (519) 657-3342 www.preschoolofthearts.ca see ad on page 71 see coupon on page 127

CHILD CARE - SUBSIDY

PRIVATE SCHOOLS

CITY OF LONDON - NEIGHBOURHOOD AND CHILDREN’S SERVICES – CHILD CARE SERVICES 151 Dundas St. 4th Flr., P.O. Box 5045, London ON (519) 661-4834 www.london.ca/childcare

LONDON WALDORF SCHOOL 7 Beaufort St., London ON (519) 858-8862 www.londonwaldorf.ca

COUNTY OF MIDDLESEX - CHILD CARE SERVICES 399 Ridout St. N., London ON (519) 434-7321 ext. 2289 www.middlesex.ca ONTARIO WORKS - ST. THOMAS-ELGIN 423 Talbot St., St. Thomas ON (519) 631-9350 www.city.st-thomas.on.ca

MATTHEWS HALL 1370 Oxford St. W., London ON (519) 471-1506 www.matthewshall.on.ca MONTESSORI ACADEMY OF LONDON 711 Waterloo St., London ON (519) 433-9121 www.montessori.on.ca see ad on page 106

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| CHILD CARE AND EDUCATION SCHOOL BOARDS CONSEIL SCOLAIRE CATHOLIQUE PROVIDENCE (519) 673-1035 or 1-800-407-2338 www.CscProvidence.ca see ad on page 109 CONSEIL SCOLAIRE VIAMONDE (416) 614-0844 or 1-888-583-5383 www.csviamonde.ca

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LONDON DISTRICT CATHOLIC SCHOOL BOARD (519) 663-2088 www.ldcsb.on.ca THAMES VALLEY DISTRICT SCHOOL BOARD (519) 452-2000 www.tvdsb.on.ca

My future starts here! Academic excellence Francophone environment Full bilingualism Rooted in Catholic values Daycare / Childcare 1st choice of francophone parents

French Catholic school: my first great success! MyFrenchSchool.ca Frère-André

Saint-Jean-de-Brébeuf

La Ribambelle Daycare | 800 575-0674

Sainte-Jeanne-d’Arc

Sainte-Marguerite-Bourgeoys

La Ribambelle Daycare | 800 575-0674

Oxford Community Child Care | 519 539-4419

400 Base Line Road West London | 519 471-6680

35 Fallons Lane London | 519 457-3141

270 Chelton Road London | 519 963-1219

700 Bristol Street Woodstock | 519 539-2911

Come visit our Catholic elementary schools!

| CHILD CARE AND EDUCATION PREPARING YOUR CHILD FOR CHILD CARE

Placing your child in the care of others can be stressful for you and your child. It is common for parents and children to show feelings of fear, worry or sadness. How quickly your child becomes used to their new setting can be affected by: your child’s age and stage of development, your child’s past experiences with other caregivers, the skills of the new caregiver, how well your child fits into the new setting, and your ability to prepare yourself and your child for the separation. Careful planning can help make the change as smooth as possible.hem home with you

6 TIPS TO HELP PREPARE YOUR CHILD FOR CHILD CARE 1. Share your child’s likes and dislikes to help the caregiver understand your child 2. Have some short visits in the beginning to help build trust with the new caregiver 3. Bring your child’s favourite toy or blanket 4. Take time to say good-bye once; don’t stall as this can make your child more fearful 5. Accept that your child may need time to get used to the new caregiver 6. Tell your child that it is OK for them to feel sad and that you will come back to take 110

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CHILD CARE AND EDUCATION | FINDING CHILD CARE AND CHOOSING THE RIGHT CAREGIVER You know your child best! This fact will help you choose the type of caregiver and setting to best match your child’s needs. There are three basic types of care: child care centres, preschools, and home child care. Licensed child care settings are routinely inspected to make sure they are following the rules in order to keep their license. Unlicensed child care settings are not inspected; it is up to parents to check and see that safe and proper care is being given.

WHERE TO LOOK FOR CHILD CARE • Visit www.familyinfo.ca for a list of licensed child care • Visit http://www.edu.gov.on.ca/childcare/finding.html to search for licensed child care centres or private home child care agencies • Visit www.parentguide.ca for maps and a list of child care centres in your area • Friends, relatives or neighbours may be able to recommend a caregiver • Visit a Family Centre or Ontario Early Years Centre near you (see page 52)

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PROFESSIONAL SERVICES

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| PROFESSIONAL SERVICES PROFESSIONAL SERVICES RESOURCES FINANCIAL

INSURANCE

211 www.211ontario.ca Information and referral helpline to community, government, and social services

BARBARA MOORE - SUN LIFE FINANCIAL - INVESTMENTS AND INSURANCE SOLUTIONS 1 Commissioners Rd. E., London ON (519) 641-0202 www.sunlife.ca/barb.moore Helping clients make informed financial choices to build savings and protect themselves against unexpected life events.

CHILD CARE SUBSIDY: CITY OF LONDON - NEIGHBOURHOOD & CHILDREN’S SERVICES – CHILD CARE SERVICES 151 Dundas St. 4th Flr., P.O. Box 5045, London ON (519) 661-4834 www.london.ca/childcare COUNTY OF MIDDLESEX - CHILD CARE SERVICES 399 Ridout St. N., London ON (519) 434-7321 ext. 2289 www.middlesex.ca ONTARIO WORKS - ST. THOMAS-ELGIN 423 Talbot St., St. Thomas ON (519) 631-9350 www.city.st-thomas.on.ca OXFORD COUNTY SOCIAL SERVICES AND HOUSING Ontario Early Years Centre, 21 Market Square, P. O. Box 1614, Woodstock ON (519) 539-9800 ext.3360 or Apply online for childcare subsidy www.oxfordcounty.ca FAMILY SERVICE THAMES VALLEY 125 Woodward Ave., London ON (519) 433-0159 www.familyservicethamesvalley.com SOCIAL ASSISTANCE www.mcss.gov.on.ca The Online Application for Social Assistance allows residents of Ontario to find out if they might be eligible, and to start the application process, for: Ontario Works can help you with the cost of food and housing if you are in temporary financial need. Temporary Care Assistance can help if you are looking after a child in financial need and you are not the child’s birth or adoptive parent. Ontario Disability Support Program can help you with the cost of food and housing if you have a disability and are in financial need. Assistance for Children with Severe Disabilities can help with some of the extra costs of caring for a child who has a severe disability.

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BROCKMAN & ASSOCIATES INSURANCE BROKERS - PETER R. BARNES 630 Wharncliffe Rd. S., London ON (519) 681-9525 www.brockman-ins.com see ad on page 115

KEEPSAKES LONDON WP CREATIONS (519) 719-1245 www.weepiggies.com Creating beautiful one-of-a-kind keepsakes you and your family can cherish for years to come! Shadow boxes, Lifecasting, Sterling Silver Jewelry & 3D Photo Crystals. see coupon on page 127

PHOTOGRAPHY KIMMIK PHOTOGRAPHY (519) 933-5491 www.kimmikphotography.ca see ad on page 72. see coupon on page 127

TRAVEL ELGIN TRAVEL & CRUISES 417 Wellington St., Elgin Mall, St. Thomas ON (519) 633-6300 www.elgintravel.ca see ad on page 117

| PROFESSIONAL SERVICES TIPS FOR TRAVELLING WITH CHILDREN

INVOLVE THE CHILDREN Depending on your child’s age, include them in the planning of your trip. Give them the responsibility to research and plan out your stay. What activities will you do, what museums will you visit, how will you get around the city? 100% guarantee that it will not include time on the internet. DON’T LET THE CHILDREN PACK THEIR OWN BACKPACK If you don’t want a backpack full of candy, plan on overseeing this task. Until the kids get to be teenagers, this is one job you will want to do yourself. Plus, you can add in some surprises for the kids that will keep them entertained while waiting in the airport or on the plane. KEEP THE ACTIVITIES COMING On a recent trip, we drove to Florida. To pass the hours and keep the kids from arguing, we handed out one new activity each hour. These were all inexpensive dollar store items. Some of the items were to use right away, some were to give to other kids they meet and others were games they could play together. HAVE A NUMBER OF FAMILY GAMES READY IN CASE OF DELAY Who doesn’t love the Alphabet game when you are on the road??? I also love the game where you try to find a license plate from each province/state, depending on where you are travelling. ENCOURAGE THEM TO KEEP A TRAVEL JOURNAL Get your kids drawing and listing things they’ve seen and people they have met. Collecting postcards from places you visit and asking them to write themselves a message on the back means they can reach adulthood with a library of memories all their own. REMEMBER THE MEDICINE Our kids have specific medication that works best for them. Make sure to pack all the essentials and a few more just in case! Keep a small first aid kit on you at all times; you can never have enough bandaids when you have kids!

“

Have a plan to meet up in case you get separated Always have a plan to meet or contact each other if you get separated. Make sure the children know who is safe to go to and where to get help if they get lost.

REMEMBER THE HAND SANITIZERS AND BABY WIPES They’re useful for washing hands, cleaning toilet seats, airplane tables, and wiping down restaurant tables. If you are flying, check with your airline to see how large the hand sanitizer container can be. BE FLEXIBLE AND HAVE FUN This is by far the best advice I can give you. When travelling with children be prepared for all your plans to go astray. Be flexible and keep a great sense of humour. It is times like these when favourite memories are made.

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SPECIAL NEEDS

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| SPECIAL NEEDS SPECIAL NEEDS RESOURCES WHERE TO BEGIN COMMUNITY SERVICES COORDINATION NETWORK (CSCN) 171 Queens Ave., Ste. 750, London ON (519) 438-4783 or 1-877-480-2726 www.cscn.on.ca CSCN staff work with families to coordinate access to various services and supports for children and adolescents who have complex multiple needs. The agency is the single point of access to residential based services that are funded by the Ministry of Children and Youth Services, for children and adolescents with complex needs.

CPRI - CHILD AND PARENT RESOURCE INSTITUTE 600 Sanitorium Rd., London ON (519) 858-2774 www.cpri.ca The Child and Parent Resource Institute (CPRI) provide voluntary services to children and youth with complex mental health and/or developmental challenges.

DRI - DEVELOPMENTAL RESOURCES FOR INFANTS 779 Base Line Rd. E., London ON (519) 685-8710 www.tvcc.on.ca/resource/developmentalresource-infants-dri Developmental Resources for Infants is a combination of resources from four different organizations working together to provide easy-to-access, family-centred services. DRI offers information, intake and service coordination for children 2 years and under with developmental concerns. It is a partnership of CPRI, Home Visiting Program for Infants, Thames Valley Children's Centre, Children's Hospital and the Developmental Follow-up Clinic at Children’s Hospital.

SOUTH WEST LOCAL HEALTH INTEGRATION NETWORK 1-800-811-5146 www.healthcareathome.ca/southwest South West LHIN works with people of all ages to ensure they can make informed choices about their care, when and where they need it. They also provide information about local community support service agencies, and can link people to these providers to arrange services.

THAMES VALLEY CHILDREN’S CENTRE 779 Base Line Rd. E., London ON (519) 685-8700 www.tvcc.on.ca Thames Valley Children’s Centre (TVCC) works to support children and their families to achieve the highest possible quality of life. Clients range in age from birth to 19. Services offered support a range of special needs including physical disabilities, communication disorders, developmental delays and autism spectrum disorders.

tykeTALK (THAMES VALLEY PRESCHOOL SPEECH AND LANGUAGE PROGRAM) 50 King St., London ON (519) 663-0273 Intake Coordinator: (519) 663-5317 ext. 2342 www.tyketalk.com see ad on this page

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SPECIAL NEEDS | SPECIAL NEEDS FUNDING All children and youth deserve to have a healthy, happy childhood & a chance to be the best they can. Some need extra help because they have one or more problems relating to their: • physical health • emotional health • behaviour • development • mental health The Ontario government provides and funds many special programs and services to help these children and their families. HOW TO APPLY FOR HELP There are many programs and services to help children with special needs and their families. Each program has its own eligibility requirements. FOR DETAILS CONTACT: Ministry of Children and Youth Services 217 York Street, Suite 203, P.O. Box 5217, London, ON N6A 5R1 Tel: (519) 438-5111 Fax: (519) 672-9510 Toll Free: 1-800-265-4197 TTY: (519) 663-5276 FOR MORE INFORMATION VISIT: Ministry of Children and Youth Services www.children.gov.on.ca

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| INDEX 10 ways to help your child learn skills........... 83 211.........................................................1,8,33,114 AboutKidsHealth............................................... 78 Abuse.............................................................24,27 Addiction Services of Thames Valley.............. 24 Addiction Support............................................. 24 Adoptions/Fostering......................................... 52 After a Caesarean birth ................................... 35 After a temper tantrum…................................ 73 After baby’s birth...............31,32,33,34,35,36,37 Alcohol and Breastfeeding.............................. 46 Alcohol and pregnancy.................................... 19 Alexandra Hospital........................................... 78 All about baby chart......................................... 32 Allergies and Asthma....................................... 78 Allergy and Asthma Information ANOVA: A Future Without Violence............. 1,24 Association National Office............................. 78 Anaphylaxis Canada......................................... 78 Antibiotic Resistance is a Problem!................ 80 Are baby teeth really that important?............ 92 Are YOU and your baby safe?......................... 27 Assaulted Women’s Helpline........................... 24 Asthma Action Help Line................................. 78 Aylmer.................................................................. 9 Baby’s Breath (SIDS)......................................... 26 Baby’s Feeding Record..................................... 43 Barbara Moore - Sun Life Financial..............114 Bedtime Routines............................................. 57 Before/After School Programs......................106 Beginnings Pregnancy Care Centre................ 14 Being active every day helps........................... 72 Bereaved Families of Ontario......................... 25 Bereavement..................................................... 25 Best Start........................................................... 43 Birth Certificate................................................... 3 Birth control for new parents......................... 36 Birthright London............................................. 14 Bowel Movements............................................ 35 Breast Pump Rentals and Sales...................... 46 Breastfeeding...39,40,41,42,43,44,45,46,47,48,49 Breastfeeding - Importance for baby and mother........................................ 40 Breastfeeding - Getting Started...................... 41 Breastfeeding - How do I know it’s going well?......................................................... 42 Breastfeeding - Support................................... 47 Breastfeeding - When Should I get help?...... 44 Breastfeeding - Weaning................................. 45 Brockman & Associates Insurance Brokers - Peter R. Barnes................... 114,115 Bullying/Aggression.......................................... 25 C-section............................................................ 35

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Calvary Nursery School...................... 107,110 Campylobacter ................................................. 85 Canada Child Benefits........................................ 3 Canadian Association of Optometrists.......... 64 Canadian Food Inspection Agency................. 98 Canadian Hearing Society................................ 64 Canadian Lactation Consultants Association.... 47 Canadian Mental Health Association............. 79 Canadian Red Cross First Aid Programs........ 98 Car Seat Safety and Recalls............................. 98 Car seats and booster seats...................102,103 Central and Children’s Library........................ 11 Centre for Addiction and Mental Health....... 25 Changing Ways of London Inc........................ 24 Cheeky Monkey......... 15,17,33,46,back cover Chickenpox........................................................ 88 Child care .................................................105,111 Child Care and Education.106,107,108,110,111 Child Care Subsidy..........................................107 Child Care Types.............................................111 Child development ............................. 63,64,65,69,70,71,72,73,74,75 Childhood Illnesses Chart...........................84-90 Children’s Aid Society..............14,24,25,26,52 Children’s Hospital of Western Ontario......... 78 Chippewa First Nation Health Centre............ 15 CINOT............................................................64,78 City of London - Neighbourhood and Children’s Services..................................107 City of London..................................................... 8 City of St. Thomas .............................................. 9 City of Woodstock............................................. 10 CMHA Crisis Services..............................26,33,64 Common Cold................................................... 84 Common Signs of Teething............................. 91 Community.....................................................7-11 Community Resources....................................... 8 Community Services Coordination Network....120 Confident Parent............................... 30,66,67 Conjunctivitis..................................................... 89 Conseil scolaire catholique Providence ................................................................................. 108,109 Conseil scolaire Viamonde................................... 108 Constipation...................................................... 49 Consumer Product Safety................................ 98 Coping Bereavement Support Groups of Ontario Inc.................................................... 25 Coping with Emotional Changes in Pregnancy...................................................... 19 Cord Blood Banking.......................................... 14 CounsellIng..................................................25, 26 County of Middlesex - Child Care Services.......107 Coxsackie A........................................................ 88

INDEX | CPRI - Child and Parent Resource Institute.........120 Crying - finding the soothing solution........... 58 Cryptosporidium .............................................. 85 Cytomegalovirus............................................... 88 Deet.................................................................... 95 Dental................................................. 64,78,92,93 Dental care...................................................92,93 Dentistry............................................................. 78 Developmental/physical concerns/special needs.................................................................. 64 Dietitians............................................................ 78 Domestic Abuse Services................................. 24 Don’t Wait and See........................................... 70 Doulas................................................................ 14 Dr. Zheng Dental Office......................... 78,79 DRI - Developmental Resources for Infants....120 Drug and Alcohol Helpline............................... 25 During the tantrum…....................................... 73 E.coli................................................................... 85 Ear Infections..................................................... 84 Early Feeding Cues........................................... 37 Eating Fish.......................................................... 18 EatRight Ontario...........................................64,78 Elgin County......................................................... 9 Elgin County Library........................................... 8 Elgin St. Thomas Public Health ......................................8,15,33,47,54,65,78,98 Elgin Travel & Cruises......................... 114,117 Emotional Changes in Pregnancy................... 19 Escherichia coli.................................................. 85 Family and Children’s Services of St. Thomas and Elgin............................................................ 52 Family Centres................................................... 52 Family Doctor.................................................... 19 Family Planning and Fertility Awareness....... 14 Family Service Thames Valley..................25,114 Feeding Cue’s.................................................... 37 Feeding your toddler and preschooler.......... 49 Fever and sickness............................................ 81 Fifth Disease...................................................... 88 Financial...........................................................114 Finding Child care and Choosing the Right Caregiver.........................................111 First Aid Training............................................... 98 First foods.......................................................... 48 Food Banks........................................................ 26 Food Safety........................................................ 18 Four Counties Health Services........................ 78 Fresh Start Maternity Supports...................... 15 Gastroenteritis ................................................. 85 Get help early.................................................... 70 Getting started.................................................. 44 Giardia ............................................................... 85

Glen Cairn Community Resource Centre...... 53 Government Resources..................................... 8 Guidelines for supervision of children.........101 Hand, Foot and Mouth Disease...................... 88 Head Lice........................................................... 85 Health and the environment......................94,95 Health and Wellbeing..................................78-95 Help and Support........................ 24,25,26,27,29 Health and Wellness......................................... 78 Health Care Connect........................................ 19 Health Units/Public Health........................... 8,78 Healthy Baby Healthy Brain ........................... 69 Healthy choices start now.....................18,34,49 Healthy sleep habits......................................... 57 Healthy Weight Gain During Pregnancy........ 21 Hearing..........................................................64,70 Hearing Screening............................................ 34 Help and Support................... 24,25,26,27,28,29 Hemorrhoids..................................................... 35 Hepatitis A......................................................... 85 Hepatitis B......................................................... 88 Herpes Simplex ................................................ 87 HOPEline Postpartum Depression Phone Line .......................................................................29,33 How safe are dental x-rays?............................ 93 Hospitals.......................................................78,79 How Can I Help My Baby During Teething?............................................... 91 How can I play with my baby during tummy time?..................................................... 71 How can you prevent jaundice?...................... 34 Impetigo............................................................. 87 Incision .............................................................. 35 INFACT Canada.................................................. 43 Infant Feeding ........................39,40,41,42,43,44,45,46,47,48,49 Infant Feeding Products................................... 40 Infant Hearing Program/ Southwest Region............................................. 64 Infertility Awareness Association of Canada ............................................................................ 14 Influenza............................................................ 84 Ingamo Homes.................................................. 24 Injuries can be prevented..............................101 Insception Lifebank.......................................... 14 Insurance.........................................................114 International Lactation Consultant Association... 47 Introducing cow’s milk..................................... 47 Jaundice Screening........................................... 34 Keepsakes........................................................114 Kids Help Phone................................................ 26 Kimmik Photography......................... 114,127 La Leche League..........................................40,47

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| INDEX La Ribambelle Daycare..................................106 Latch................................................................... 44 Learn your baby’s feeding cues...................... 37 Libraries............................................................... 8 Lice Squad Canada................................ 79,127 Lip Ties............................................................... 93 London/Middlesex County................................ 8 London Abused Women’s Centre................... 24 London & District Distress Centre.................. 26 London and Middlesex Child Care Waitlist.106 London Children’s Connection................. 110 London Crisis Pregnancy Centre.................... 15 London District Catholic School Board........108 London Health Sciences Centre...................... 78 London Multiple Births Association............... 53 London Public Library......................... 8,11,53 London Waldorf School.................................107 London WP Creations......................... 114,127 Marketplace - Canada’s Investigative Consumer Program................... 98 Matthews Hall.................................................107 Measles.........................................................89,90 Meningitis.......................................................... 89 Mennonite Community Services..................... 15 Mental Health & Addictions Crisis Centre..... 25 Mental health & behavioural concerns........... 64 mentalhealth4kids.ca....................................... 79 Mental Health.................................................... 79 Mental Health and Wellness - Life with a New Baby...................................................28,29 Mental Health Helpline..........................26,64,79 Merrymount Family Support & Crisis Centre .......................................................... 26,33,53,106 Middlesex-London Health Unit inside front,8,10,15,26,33,47,53,65,78,83,98, inside back Middlesex County............................................... 8 Middlesex County Library.................................. 8 Midwifery Information and Services.............. 41 Midwives............................................................ 14 Midwives of Middlesex and Area (MOMA)...14,47 Milk Supply........................................................ 44 Mind Your Mind................................................ 79 Motherisk Program......................................26,47 Montessori Academy Of London...........106,107 Multiple Births Canada.................................... 53 Mumps .............................................................. 89 Muncey Health Centre..................................... 15 Municipal contacts ............................................. 8 Municipality of Adelaide Metcalfe.................... 8 Municipality of Bayham..................................... 9 Municipality of Central Elgin............................. 9 Municipality of Dutton Dunwich....................... 9

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Municipality of Lucan Biddulph........................ 8 Municipality of Middlesex Centre..................... 8 Municipality of North Middlesex...................... 8 Municipality of Southwest Middlesex.............. 9 Municipality of Strathroy-Caradoc.................... 9 Municipality of Thames Centre......................... 9 Municipality of West Elgin................................. 9 Mutual Aid Parenting Program....................... 53 Never shake a baby.......................................... 60 Newborn Screening.......................................... 34 Newborn Registration................................... 3,32 Next to Mom Inc................................. 107,111 Norovirus........................................................... 86 Norwalk.............................................................. 86 Now your baby is here..................................... 34 Nursing....................................see Breastfeeding Nutri- eSTEP....................................................... 64 Nutrition............................................................. 64 N’amerind Friendship Centre.......................... 53 Ontario Association of Optometrists............. 64 Ontario Doulas.................................................. 14 Ontario Early Years Centres.......................52,54 Ontario Government.......................................... 8 Ontario Problem Gambling Helpline.............. 25 Ontario Works - St. Thomas-Elgin..........107,114 Oxford Community Child Care......................106 Oxford County................................................ 9,52 Oxford County Library....................................... 8 Oxford County Public Health & Emergency Services.............8,15,33,47,65,79,98 Oxford County Social Services and Housing....................................................107 Oxford-Elgin Child & Youth Centre................. 26 Pacific Post Partum Support Society.............. 33 Pain Management............................................. 35 Parachute........................................................... 98 Parent Action on Drugs.................................... 25 Parent Guide Inc. ............................................. 10 Parenting ...................10,51,52,53,54,55,56,57,58,59,60,61 Parvovirus B...................................................... 88 Pediatric Oral Health & Dentistry..............78,93 Perineum........................................................... 35 Personal Care.................................................... 79 Pertussis............................................................. 84 Photography....................................................114 Physical Activities before/after birth.............. 20 Physical Activity For Toddlers and Preschoolers.............................................. 72 Physical Activity in Pregnancy......................... 20 Physical changes after having a baby............. 35 Pinkeye............................................................... 89 Pinworm ............................................................ 90

INDEX | Poison................................................................. 98 Poison Information Centre.........................26,98 Positive parenting............................................. 59 Postpartum/Post Natal Support..................... 33 Pregnancy......................13,14,15,16,18,19,20,21 Pregnancy Support......................................14,15 Prenatal Classes and Programs...................... 15 Preparing your child for child care...............110 Preschool of the Arts........................ 71,107,127 Preschools.......................................................107 Preventing Flat Heads in Babies..................... 56 Private Schools................................................107 Professional Services...............................114,116 Progenics Cord Blood Cryobank..................... 14 Protecting Against Bug Bites........................... 95 Protecting against second hand smoke........ 94 Protecting Children in the Sun........................ 95 Public Health ..........................................33,47,78 R.S.V. (Respiratory Syncytial Virus)................. 84 Radon................................................................. 94 Raising a healthy child..................................... 74 Red Measles...................................................... 89 Regional Sexual Assault & Domestic Violence Treatment Program ......................................... 24 Ringworm .......................................................... 90 Rhinovirus, corona virus.................................. 84 Roseola............................................................... 90 Rotavirus............................................................ 86 Rubella............................................................... 90 Safe sleep for your baby.................................. 56 Safety............................... 97,98,100,101,102,103 Safety in the home.........................................100 Salmonella ........................................................ 86 Scabies .............................................................. 87 Scarlet Fever...................................................... 84 School Boards.................................................108

Serena (Sympto-Thermal Method)................. 14 Service Ontario.................................................... 8 Sex after baby................................................... 35 Sexual Assault Centre London........................ 24 Sexual health after the birth of your baby.......... 35 Shigella............................................................... 86 Shoppers Drug Mart......................................... 46 Shopping............................................................ 16 Signs and Symptoms of Preterm Labour........ 18 Signs your baby is ready for solids................ 48 Six steps to keep you healthy......................... 80 Sixth Disease .................................................... 90 Skin-to-skin........................................................ 37 Smart Start for Babies...................................... 15 Smoking Cessation......................................19,46 South West Local Health Integration Network ..........................................................................120 Social Insurance Number.................................. 3 Special Needs................................... 119,120,121 Speech & language........................................... 64 St. John Ambulance.......................................... 98 St. Josephâ&#x20AC;&#x2122;s Health Care London..................... 78 St. Thomas-Elgin Second Stage Housing........... 24 St. Thomas/Elgin County................................. 8,9 St. Thomas Elgin General Hospital................. 79 St. Thomas Public Library.................................. 8 Starting Solids................................................... 48 Strep Throat...................................................... 84 Stress.................................................................. 75 Talbot Creek Midwives................................14,47 Talk-In Clinics..................................................... 26 Teaching Your Child How to Deal with Stressful Feelings .................................... 73 Teething............................................................. 91 Telehealth Ontario .................................26,33,47 Temperature...................................................... 81

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| INDEX Temper Tantrums............................................. 73 Thames Valley Children’s Centre.............64,120 Thames Valley District School Board...........108 Thames Valley Midwives.............................14,47 The ABC’s of Children’s Dental Care............... 92 The Canadian Safe School Network............... 25 The Confident Parent........................ 30,66,67 The Fertility Clinic.............................................. 14 The Health Line................................................. 26 The Salvation Army......................................24,25 Tillsonburg District Memorial Hospital.......... 79 Tips for Enjoying Physical Activity................... 20 Tips for feeding your toddler and preschooler...... 49 Tips for Introducing Solid Foods..................... 48 Tips for travelling with Children....................116 Tongue Ties and Lip Ties................................. 93 To help prevent a “flat head:........................... 56 To prevent temper tantrums…....................... 73 Town of Ingersoll................................................ 9 Town of Tillsonburg............................................ 9 Township of Blandford Blenheim..................... 9 Township of East Zorra-Tavistock..................... 9 Township of Malahide........................................ 9 Township of Norwich......................................... 9 Township of South-West Oxford...................... 9 Township of Southwold..................................... 9 Township of Zorra............................................ 10 Transport Canada Information ...................... 98 Travel................................................................114 Tummy Time To Play!....................................... 71 Turning Point Inc............................................... 25 tykeTALK................................................ 64,120 Using frozen breast milk.................................. 47 Vaginal Flow....................................................... 35 Vanier Children’s Services......................26,54,79 Varicella-Zoster................................................. 88

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Village of Newbury.............................................. 9 Violence Against Women Services ................. 24 Vision.............................................................64,70 Vitamin D........................................................... 44 VON Canada National Office........................... 33 Warning signs during pregnancy ................... 18 Weaning your child........................................... 47 Well Baby/Child Clinics..................................... 33 Western Day Care Centre..............................107 What if I’m returning to work or school?....... 47 What is Shaken Baby Syndrome? .................. 60 What to pack for the hospital......................... 16 When Should I Get Help?................................. 46 Where can I get my car seat installed?........102 Where to Begin - Special Needs....................120 Where to find breastfeeding and feeding support................................................ 47 Where to Look for Child Care.......................111 Whooping Cough.............................................. 84 Womancare Midwives.................................14,47 Women’s Community House & Second Stage Housing................................................... 24 Women’s Rural Resource Centre.................... 24 Woodstock/Oxford County............................. 8,9 Woodstock General Hospital........................... 79 Woodstock Public Library.................................. 8 World Health Organization.............................. 43 Yersinia............................................................... 86 You Got This....................................... 55,68,99 Your Child’s 18 Month Well-Baby visit........... 69 Your child’s development................................ 69 Your picky eater................................................ 49 Your Village London............................. 14,127 YWCA St. Thomas - Elgin................................106 Zhaawanong Shelter........................................ 24

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