Sarnianprg2016 final

Sarnia - Lambton

2016-2017

RESOURCE GUIDE FOR PARENTS AND PARENTS-TO-BE OF CHILDREN 0-6 YEARS

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Welcome

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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.

The all-in-one resource for busy parents!

Where to Begin

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Assaulted Women’s Help Line....................1-866-863-0511 La Leche League Canada...........................1-800-665-4324 Lambton Public Health..(519) 383-8331 or 1-800-667-1839 Telehealth (24 hours a day).....................1-866-797-0000

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Call 2-1-1 for: Information and referral helpline to community, social, government and health services.

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• Non-emergency police number • • • • • • • • • • • • • • • • • • •

Food banks Walk in clinics Alzheimer support Mental health help Meals on Wheels Emergency shelters for homeless Services for domestic violence victims Public health Telehealth Ontario Crisis services Provincial and local helpline phone numbers Settlement help for newcomers Housing help centres Youth drop in programs Child, youth and family counselling Emergency utility assistance Understanding which government service might help or assistance Disability support programs Parenting programs

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The all-in-one resource for busy parents!

RESOURCE GUI DE PARENT GUIDE INC.

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Phone: 519.645.7342 Email: info@parentguide.ca Website: parentguide.ca Publisher: Jennifer McCallum Facilitator: Peter Barnes Design: Lynnsey Gheysen Murray Sales: sales@parentguide.ca (519) 645-7342

Editorial Contributors: 211, 1 Best Start Resource Centre, 16,25-27,43,44,69,96 Canadian Child Care Federation, 61 Canadian Dermatology Association, 97 Canadian Hearing Society, 70 Canadian Medical Association, 82 Canadian Paediatric Society, 32,47,56,57,58,60,73,83 Canadian Society for Exercise Physiology, 71,72 D. Sacks (fever), 83 Dr. Michelle Mottola, UWO, 18 Family and Children’s Services of Waterloo Region, 103 Grand River Hospital, 32,33,43,83 Health Canada, 16-18,44-47 Healthy Canadians, 102 Healthy Environment for Kids, 96 Infant and Toddler Safety Association, 104,105 Lambton Public Health, 41,45,86-92 London Children’s Connection, 113 Middlesex London Health Unit, 46,74,104,105 Motherisk, 17 My Turn Committee, 70 Nipissing District Developmental Screen, 69 Ontario Association of Optometrists, 70 Ontario Ministry of Health and Long Term Care, 84 Parachute Canada, 102 Pediatric Oral Health & Dentistry, 94,95 Please Be Seated Coalition, 104,105 Public Health Agency of Canada, 16,56 Region of Waterloo Public Health, 16-18,34,35,4047,56-61,69-75,94-97,102-105,113 SIDS Canada, 56 Society of Gynecologists and Obstetricians, 18 Transport Canada, 104,105 Windsor-Essex County Health Unit, 93-95

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Cover Photography: www.kimmikphotography.ca

Thank you to Kimberly Ridsdale for the 2016 cover photograph. Your child could be on the cover next year!

Enter our annual photo contest!

Coming Spring 2016!

All rights reserved.

Reproduction in whole or in part without written permission from the publisher is prohibited.

ISBN# 978-1-927542-10-1

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Copyright 2016.

New Parent Resource Guide 10th Edition

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

The all-in-one resource for busy parents!

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Letter From the Publisher Congratulations on becoming a parent. You are about to begin the most exhilarating, emotional, exhausting, and fabulously rewarding time of your life.

We are here to help you and know what you are going through. It wasn’t that long ago that I arrived home from the hospital with my first baby. I had a lot of questions and I needed answers quickly. This guide is intended to be a reference for you to keep handy for many years to come.

Take a read through it now so that you know where to return to when you are looking for answers.

Thank you to the many community organizations and businesses that have supported us in the printing of the 2016 edition. We pride ourselves in working with only the best and most credible resources in our community. By working closely together, we can assure you that you are receiving consistent and up-to-date information.

A very special THANK YOU to the Sarnia-Lambton Committee: Lynn Cook - OEYC, Doug Ball - County of Lambton, Claire Giles - OEYC, LKM, Margarita Weaver - Lambton Public Health, Virginia McEwan - SCCYS, Alison Morrison - Pathways, and Diana Pearson - Bluewater Health, Nancy Wai, Lambton Public Health, and Matt Joosse, Lambton Public Health. This guide would not be possible without your commitment to its success.

You will notice that only key contacts are included in this guide. For a full list of resources in your community, visit our website at www.parentguide.ca Enjoy this special time and treasure each moment. Remember that you are not alone and we are here to help you every step of the way.

Jennifer

Jennifer McCallum, Publisher and Founder Engaging parents since 2001

The all-in-one resource for busy parents!

newborn registration

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Every child born in Ontario must be registered with the Registrar General. The Newborn Registration Service allows you to register your baby’s birth and apply for their birth certificate, Canada Child

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Benefits, and Social Insurance Number at the same time.

RESOURCE GUIDE Go to: http://bit.ly/Yd0App.

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 7

| pregnancy 13

Resources..................................................................................22-24 Abuse - Are You and Your Baby Safe?........................................................25

| after baby’s birth

Resources........................................................................................30 All About Baby Chart............................................................................31 Now Your Baby is Here.........................................................................32 Physical Changes After Having a Baby....................................................33 Birth Control for New Parents................................................................34 Skin-to-Skin.................................................................................35

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| breastfeeing/ feeding your child 37

| parenting 49

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Resources....................................................................................14-15 Healthy Choices Start Now....................................................................16 Smoking Cessation...............................................................................17 Physical Activities Before and After Birth.................................................18 Healthy Weight Gain During Pregnancy..................................................19

| help and support 21

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Resources......................................................................................8-11

Mental Health and Wellness...............................................................26-27

Resources..................................................................................38-39 Baby’s Feeding Record..........................................................................40 Breastfeeding - Importance for Baby and Mother........................................41 Getting Started.....................................................................................42 How do I Know Breastfeeding is Going Well?............................................43 When Should I Get Help?......................................................................44 Weaning......................................................................................45 First Foods...........................................................................................46 Feeding Your Toddler and Preschooler......................................................47 Resources.................................................................................50-53 Safe Sleep for Your Baby.......................................................................56 Healthy Sleep Habits.............................................................................57 The Period of PURPLE Crying...................................................................58 Positive Parenting.................................................................................59 Never Shake a Baby............................................................................60 Make Story Time a Part of Every Day........................................................61

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| child development 63

| health and well being 77

| safety 99

| child care and education

Resources...................................................................................64-65 Your Child’s Development.......................................................................69 Don’t Wait and See..............................................................................70 Physical Activity...............................................................................71-72 Temper Tantrums...................................................................................73 Raising a Healthy Child.........................................................................74 Teaching Your Child How to Deal with Stressful Feelings............................75

Resources.................................................................................78-81 Health and Wellbeing............................................................................82 Fever and Sickness...............................................................................83 Immunizations......................................................................................84 Immunization Record Chart.....................................................................85 Childhood Ilnesses Chart...................................................................86-92 Teething...............................................................................................93 Dental Care.....................................................................................94-95 Health and the Environment...............................................................96-97

Resources...........................................................................................100 Safety in the Home.........................................................................101-102 Guidelines for Supervision of Children....................................................103 Car Seats and Booster Seats.........................................................104-105

Resources...................................................................................108-110 Preparing Your Child for Child Care.......................................................113

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| special needs 115

Resources....................................................................................116-118 Special Needs Funding.......................................................................119

Charts and Milestones..............................120 Index....................................................124

Visit our website for a complete list of resources and additional articles.

The all-in-one resource for busy parents!

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community What you will find in this section...

Living, Working, Playing Municipal Contacts Libraries Multicultural Groups Newcomers Websites Worth Visiting

Visit www.parentguide.ca for additional resources and articles

| Community Living, Working, Playing

• • • •

Youth drop in programs Child, youth and family counselling Emergency utility assistance Understanding which government service might help or assistance • Disability support programs • Parenting programs

Feeling connected to your community is important at any stage of your life.

Search the following sites for information in your community.

For Ontario Early Years Centres see page 50 www.ontarioearlyyears.ca Sarnia-Lambton County www.city.sarnia.on.ca www.lambtononline.ca www.lambtonhealth.on.ca www.lclmg.org/lclmg www.lclibrary.ca www.211ontario.ca www.onehsn.com/Lambton

Ontario Government www.ontario.ca Service Ontario: Provincial government services and programs. Visit over 60 centres across Ontario 1-800-267-8097 www.serviceontario.ca

211 Call: 211 or visit www.211ontario.ca 211 - Information and referral helpline to community, social, government and health services.

Call 2-1-1 for: • Non-emergency police number • Food banks • Walk in clinics • Alzheimer support • Mental health help • Meals on Wheels • Emergency shelters for homeless • Services for domestic violence victims • Public health • Telehealth Ontario • Crisis services • Provincial and local helpline phone numbers • Settlement help for newcomers • Housing help centres

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Find information on: • Arts and culture • Business and economy • Driving and roads • Education and training • Environment and energy • Government • Health and wellness • Home and community • Jobs and employment • Law and safety • Rural and north • Taxes and benefits • Travel and recreation

Community | Municipal Contacts County of Lambton www.lambtononline.ca Municipality of Brooke-Alvinston 3236 River St., Box 28, Alvinston ON (519) 898-2173 www.brookealvinston.com Township of Dawn-Euphemia 4591 Lambton Line, Dresden ON (519) 692-5148 www.dawneuphemia.ca Township of Enniskillen 4465 Rokeby Line, Petrolia ON (519) 882-2490 www.enniskillen.ca Municipality of Lambton Shores 7883 Amtelecom Pkwy, Forest ON (519) 786-2335 www.lambtonshores.ca Village of Oil Springs 4591 Oil Springs Line, Oil Springs ON (519) 834-2939 www.oilsprings.ca Town of Petrolia 411 Greenfield St., Petrolia ON (519) 882-2350 www.town.petrolia.on.ca Town of Plympton-Wyoming 546 Niagara St., Wyoming ON (519) 845-3939 www.plympton-wyoming.com Village of Point Edward 135 Kendall St., Point Edward ON (519) 337-3021 www.villageofpointedward.com City of Sarnia 255 North Christina St., Sarnia ON (519) 332-0330 www.sarnia.ca

Township of St. Clair 1155 Emily St., Mooretown ON (519) 867-2021 www.twp.stclair.on.ca Township of Warwick 6332 Nauvoo Rd., Watford ON (519) 849-3926 www.warwicktownship.ca

Libraries Bkbjwanong First Nation Public Library (519) 682-0100 Lambton County Libraries www.lclibrary.ca Alvinston 3251 River St., Box 44, Alvinston ON (519) 898-2921 Arkona 16 Smith St., Arkona ON (519) 828-3406 Bridgen 1540 Duncan St., Brigden ON (519) 864-1142 Brights Grove 2618 Hamilton Rd., Bright’s Grove ON (519) 869-2351 Camlachie 6707 Camlachie Rd., Camlachie ON (519) 899-2202 Corunna 417 Lyndoch St., Corunna ON (519) 862-1132 Courtright 1534 Fourth St., Courtright ON (519) 867-2712

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| Community Sarnia Children’s Library 122 Christina St. S., Sarnia ON (519) 337-3291 Shetland 1279 Shetland Rd., Shetland ON (519) 695-3330 Sombra

Florence 531 Florence St., Box 102, Florence ON (519) 692-3213 Forest 61 King St., Box 370, Forest ON (519) 786-5152 Grand Bend 15 Gill Rd., Box 117, Grand Bend ON (519) 238-2067 Inwood 6504 James St., Inwood ON (519) 844-2491 Mallroad 1362 Lambton Mall Rd., Sarnia ON (519) 542-2580 Mandaumin 3021 Confederation Line, Sarnia ON (519) 383-8085 Mooretown 1166 Emily St., Mooretown ON (519) 867-2823 Oil Springs 4596 Oil Springs Line, Box 126, Oil Springs ON (519) 834-2670 Petrolia 4200 Petrolia Line, Box 70, Petrolia ON (519) 882-0771 Point Edward 220 Michigan Ave., Point Edward ON (519) 336-3291 Port Franks 9997 Port Franks Rd., Port Franks ON (519) 243-2820 Port Lambton 507 Stoddard St., Port Lambton ON (519) 677-5217 Sarnia

3536 St. Clair Pkwy., Sombra ON (519) 892-3711 Thedford 115 Main St., Unit 2, Thedford ON (519) 296-4459 Watford 5317 Nauvoo Rd., Watford ON (519) 864-4000 Wilkesport 1349 Main St., Wilkesport ON (519) 864-4000 Wyoming 536 Niagara St., Box 357, Wyoming ON (519) 845-0181

Parenting More resources on page 52-54

Lambton Public Health 160 Exmouth St., Point Edward ON (519) 383-8331 or 1-800-667-1839 www.lambtonhealth.on.ca see ad on inside front cover, 80

1362 Lambton Mall Rd., Sarnia ON (519) 542-2580 10

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Community | Ontario Early Years Centres www.ontarioearlyyears.ca Lambton-Kent-Middlesex 63 MacDonald St., (Morris St. Entrance), Forest ON (519) 786-6161 or 1-888-561-2080 see ad on page 55 Sarnia-Lambton 1457 London Rd., Sarnia ON (519) 542-6100 see ad on page 55 Parent Guide Inc. • ages and stages articles • local resources • print and online resource guides www.parentguide.ca

Newcomers Sarnia Newcomers Club (519) 337-8517 www.sarnianewcomers.ca Settlement in Ontario Information www.settlement.org

Web Sites Worth Visiting AboutKidsHealth www.aboutkidshealth.ca Canadian Paediatric Society Caring For Kids 2305 St. Laurent Blvd., Ste. 100, Ottawa ON (613) 526-9397 www.caringforkids.cps.ca Canadian Partnership for Children’s Health and Environment c/o 130 Spadina Avenue, Suite 301, Toronto ON www.healthyenvironmentforkids.ca Health Canada (613) 957-2991 or 1-866-999-7612 www.hc-sc.gc.ca Ministry of Children and Youth Services (416) 325-5666 or 1-800-387-5559 www.children.gov.on.ca

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What is a Doula?

A doula is someone who provides non-clinical support and care to a woman (and her partner) during childbirth and the postpartum period. To find a doula in your area see page 14.

Read more at www.parentguide.ca

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pregnancy What you will find in this section...

Cord Blood Banking Doulas Family Planning and Fertility Awareness Midwives Pregnancy Support Prenatal Classes and Programs

Visit www.parentguide.ca for additional resources and articles

| Pregnancy Cord Blood Banking CReATe Cord Blood & Peristem Stem Cell Bank 790 Bay St., Ste. 626, Toronto ON (416) 813-4700 or 1-888-494-0003 www.createcordbank.com Progenics Cord Blood Cryobank 701 Sheppard Ave. E., Ste. 310, Toronto ON (416) 221-1666 or 1-866-921-1666 www.progenicscryobank.com

Family Planning and Fertility Awareness Fertility Matters 1-800-263-2929 www.fertilitymatters.ca Lambton Public Health 160 Exmouth St., Point Edward ON (519) 383-8331 or 1-800-667-1839 www.lambtonhealth.on.ca see ad on inside front cover, 80

Victoria Angel Registry of Hope

Midwifery

Public Cord Blood Bank 379 Church St., Ste. 402, Markham ON (905) 471-1113 1-888-868-0888 www.victoriaangel.org

Association of Ontario Midwives 789 Don Mills Rd., Ste. 608, Toronto ON (416) 425-9974 www.aom.on.ca

Doulas CAPPA www.cappa.net DONA International www.dona.org Doula C.A.R.E. Inc. Maple Grove Village, P.O.Box # 61058, Oakville ON (905) 842-3385 or 1-888-879-3199 www.doulacare.ca Ontario Doulas www.ontariodoulas.org

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College of Midwives of Ontario 55 St. Clair Ave. W., Ste. 812, Box 27, Toronto ON (416) 327-0874 www.cmo.on.ca The regulating and governing body for midwives.

Find a Midwife www.ontariomidwives.ca Midwifery Services of Lambton-Kent 1315 Michigan Ave., Sarnia ON (519) 337-2229 www.lambtonkentmidwives.ca

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Pregnancy | Pregnancy Support Lambton Public Health 160 Exmouth St., Point Edward ON (519) 383-8331 or 1-800-667-1839 www.lambtonhealth.on.ca see ad on inside front cover, 80 The Pregnancy Centre 551 Exmouth St., #204, Sarnia ON (519) 383-7115 www.pregnancycentre.org

Prenatal Classes and Programs Aamjiwnaang First Nations Prenatal Classes 1300 Tashmoo Ave., Aamjiwnaang First Nations, Sarnia ON (519) 332-6770 Lambton Public Health 160 Exmouth St., Point Edward ON (519) 383-8331 or 1-800-667-1839 www.lambtonhealth.on.ca see ad on inside front cover, 80 North Lambton Community Health Center 59 King St. W., Forest ON (519) 786-4545 www.nlchc.com The Pregnancy Centre 551 Exmouth St., #204, Sarnia ON (519) 383-7115 www.pregnancycentre.org

Walpole Island Health Centre Wallaceburg ON (519) 627-0765

Did you know?

You should never use bumper pads, duvets, comforters, pillows, sheepskins or sleep positioners in baby’s crib! Save the money and don’t add this to your baby registry! See page 56 for more information on Safe Sleep!

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| 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; undercooked 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 patés 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

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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 Lambton’s Tobacco Hotline 519-383-3810 or 1-800-667-1839 ext. 3810 or www.smokershelpline.ca. For local information about quitting, contact your local health unit or health care provider (see page 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 26-27).

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 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 80 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.health.gov.on.ca/en/ms/healthcareconnect/public

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| 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

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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 • 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 What you will find in this section...

Abuse Addiction Support Bereavement Breakfast Programs Childrenâ&#x20AC;&#x2122;s Aid Society Counselling Family/Group Support Family/Social Services Food Banks Help Lines Housing Visit www.parentguide.ca for additional resources and articles

| Help and Support Abuse

Addiction Support

Assaulted Women’s Helpline (416) 863-0511 or 1-866-863-0511 www.awhl.org

Drug and Alcohol Helpline 1-800-565-8603 24 hours/7 days a week www.drugandalcoholhelpline.ca

Bridge The Gap Program Family Counselling Centre, 1086 Modeland Rd., Sarnia ON (519) 336-0120 www.bridgingtheservicegap.com

Ontario Problem Gambling Helpline 1-888-230-3505 www.opgh.on.ca

Family Counselling Centre 24/7 Distress Line (519) 336-3000 or 1-888-347-8737 www.familycounsellingctr.com Sexual Assault Survivors’ Centre 420 East St. N., Unit 11, Sarnia ON 24 Hour Crisis Line (519) 337-3320 www.sexualassaultsarnia.on.ca Three Fires EZHNOWENMINDWAA Women’s Shelter Wallaceburg ON (519) 627-3635 www.walpoleislandfirstnation. caoperations/womens-shelter Victim Services of Sarnia-Lambton (519) 344-8861 ext. 5238 1-888-281-3665 ext. 5238 www.victimservices.on.ca Women’s Interval Home Sarnia ON (519) 336-5200 or 1-800-265-1412 www.womensintervalhome.com

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Smokers’ Helpline - Canadian Cancer Society 1-877-513-5333 www.smokershelpline.ca

Bereavement Bereaved Families of Ontario www.bereavedfamilies.net Bereaved Parents Support Group Sarnia (519) 337-5411 Coping Bereavement Support Groups of Ontario Inc. 1740 Blair Rd., Cambridge ON (519) 650-0852 or 1-877-554-4498 www.copingcentre.com Pregnancy and Infant Loss Network 1-888-301-7276 www.pailnetwork.ca

Breakfast Programs Lambton Public Health 160 Exmouth St., Point Edward ON (519) 383-8331 or 1-800-667-1839 www.lambtonhealth.on.ca see ad on inside front cover, 80

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Help and Support | Children’s Aid Society Sarnia-Lambton Children’s Aid Society 161 Kendall St., Point Edward ON (519) 336-0623 www.slcas.on.ca

SOUTHWEST COUNSELLING SERVICES

Counselling Canadian Mental Health Association Lambton County 210 Lochiel St., Sarnia ON (519) 337-5411 www.lambtonkent.cmha.ca Family Counselling Centre 1086 Modeland Rd., Sarnia ON (519) 336-0120 24/7 Distress Line (519) 336-3000 or 1-888-347-8737 www.familycounsellingctr.com Mnaasged Child & Family Services 9158 Tecumseh Dr., Kettle Point ON (519) 786-6680 www.mnaasged.ca SouthWest Counselling Services 704 Mara St., Unit 207, Point Edward ON (519) 336-3100 www.swcounselling.ca We are a professional collective of qualified counsellors with a genuine passion for helping individuals and families navigate their way through life’s difficulties and challenges. see ad on this page and page 81 STARRting Point (Simplify The Access to Children’s Residences and Resources) 1086 Modeland Rd., Bldg. 1030, Sarnia ON (519) 336-0120 or 1-800-831-3031 www.familycounsellingctr.com

SWCOUNSELLING.CA 519-336-3100

Family/Group Support Lambton Public Health 160 Exmouth St., Point Edward ON (519) 383-8331 or 1-800-667-1839 www.lambtonhealth.on.ca see ad on inside front cover, 80

Family/Social Services Family Services Canada www.familyservicecanada.org The Salvation Army 2 Overlea Blvd., Toronto ON (416) 425-2111 or 1-800-SAL-ARMY www.salvationarmy.ca

Food Banks Aamjiwnaang First Nations Food Bank 1300 Tashmoo Ave., Aamjiwnaang First Nations, Sarnia ON (519) 332-6770 Aamjiwnaang First Nations Good Food Box 1300 Tashmoo Ave., Aamjiwnaang First Nations, Sarnia ON (519) 332-6770 Contact House Food Bank 18 Main St. S., Forest ON (519) 786-5036 parentguide.ca

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| Help and Support Inn of the Good Shepherd 115 John St., Sarnia ON (519) 344-1777 www.theinnsarnia.ca Kettle & Stony Point Food Bank 9158 Tecumseh Dr., Kettle Point ON (519) 786-6680 www.kettlepoint.org Petrolia Food Bank 4156 Petrolia Line, Petrolia ON (519) 882-3950 Salvation Army Food Bank 970 Confederation St., Sarnia ON (519) 344-1142 www.salvationarmy.ca St. Vincent De Paul Society www.ssvp.on.ca 106 East St., Sarnia ON (519) 337-7089 3 James St., Forest ON (519) 786-4396 4187 Petrolia Line, Petrolia ON (519) 882-0541 385 Lyndock St., Corunna ON (519) 862-3980 5397 Nauvoo Rd., Watford ON (519) 876-3086 The Garden Fresh Box (519) 344-2062 ext. 2033 www.lambtonhealth.on.ca The Salvation Army 2 Overlea Blvd., Toronto ON (416) 425-2111 or 1-800-SAL-ARMY www.salvationarmy.ca

Help Lines Assaulted Women’s Helpline (416) 863-0511 or 1-866-863-0511 www.awhl.org Baby’s Breath PO Box 21053, St. Catharines ON 1-800-363-7437 www.babysbreathcanada.ca Drug and Alcohol Helpline 1-800-565-8603 24 hours/7 days a week www.drugandalcoholhelpline.ca Kids Help Phone 1-800-668-6868 www.kidshelpphone.ca Mental Health Helpline 1-866-531-2600 www.mentalhealthhelpline.ca Motherisk Program www.motherisk.org General exposures in pregnancy and breastfeeding (416) 813-6780 Motherisk Helpline 1-877-439-2744 Motherisk Helpline 1-877-327-4636 Alcohol and Substance 1-800-436-8477 Morning Sickness 1-888-246-5840 HIV and HIV Treatment Ontario Problem Gambling Helpline 1-888-230-3505 www.problemgamblinghelpline.ca Poison Information Centre (416) 813-5900 or 1-800-268-9017 www.ontariopoisoncentre.com Telehealth Ontario 1-866-797-0000

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Help and 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 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 • Women’s Interval Home (519) 336-5200

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| Help and 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

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Help and 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.

Very rarely women may feel like hurting themselves or their baby. If this happens to you or a loved one, get help right away.

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after babyâ&#x20AC;&#x2122;s birth

What you will find in this section...

Postpartum/Post Natal Support

Visit www.parentguide.ca for additional resources and articles

| After Babyâ&#x20AC;&#x2122;s Birth Postpartum/Post Natal Support 911 - For Emergencies 211 - For information and referral helpline to community, social, government and health services Aamjiwnaang First Nations Home Visiting Program 1300 Tashmoo Ave., amjiwnaang First Nations, Sarnia ON (519) 332-6770 Lambton Public Health 160 Exmouth St., Point Edward ON (519) 383-8331 or 1-800-667-1839 www.lambtonhealth.on.ca see ad on inside front cover, 80

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Pacific Post Partum Support Society 1-855-255-7999 www.postpartum.org St. Clair Child and Youth Services 129 Kendall St., Point Edward ON (519) 337-3701 www.stclairchild.ca Telehealth Ontario 1-866-797-0000 VON Canada National Office 1-888-VON-CARE (866-2273) www.von.ca

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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.

Baby’s Name: ________________________________

Take your baby for well-baby/child visits at these times:

Gender: Female ___________

Male___________ • 48 hours after hospital discharge to a health care provider (doctor, nurse practitioner, midwife) Baby’s Birthdate:______________________________ • Again, within the first week after discharge to their ongoing health care provider Mother’s Name: _______________________________ • At 2 weeks of age Mother’s Birthdate: ____________________________ • Regular visits at 1, 2, 4, 6, 9, 12, 15, 18 and 24 months; and then once a year Partner’s Name: _______________________________ • See page 67 for information about the 18 month enhanced well-baby visit Birth Weight: ______________________ grams/lbs At well-baby/child visits the health care provider Length: _________ cm Head Circumference: _______ cm will check your child’s growth and development and give routine vaccines (see page 80).

Apgar Score: 1 minute:_____ 5 minutes: ______ 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 (-): ______ Babies usually return to their birth weight in 10 to Blood Type (Group & Rh): ___________________ 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 Track your child’s growth below. Your health care Hospital Follow-up appointment dates and times: provider will plot your baby’s growth on a growth chart to check your child’s growth pattern over time.

Bili Clinic: ___________________________________ For more information, go to www.whogrowthcharts.ca Post Birth Clinic:

_____________________________ If you have concerns about your child’s growth, contact your health care provider.

Breastfeeding Support Services: _____________________ Other: _______________________________________ Post Discharge Clinic: Post-birth Weight: ___________ grams

EBC

Bili

Date

Weight grams or lbs/oz

Length (inches)

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

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| 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. 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 40-47) • 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 plenty of fluids. 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 18) 32

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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. Put the baby to 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 lots of fluids 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 34 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 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)

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 4hours and doesn’t have more than one 6 hour stretch between breastfeeding in 24 hours.

If all criteria are followed LAM is 98% effective in preventing pregnancy.

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 are latex or silicone that 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 works by stopping sperm from reaching an egg. *99.1% effective.

A small T-shaped device containing a hormone that thickens cervical mucus. It stops sperm from reaching an egg and may stop an egg from being released. A health care provider inserts this into the uterus. *99.8% effective.

Progestin only birth control comes as either a daily oral minipill 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.

Additional Information Effectiveness varies and depends on the user strictly following all 3 of the specific criteria.

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 immediately after delivery or 4 weeks after birth.

Reliable, long-term birth control for up to 5 years. but can be removed at any time.

Usually no impact on breastmilk supply if breastfeeding is well established.

Can be started anytime following birth.

If breastfeeding is well established breastmilk supply is usually not affected. An oral progestin only contraceptive will allow mother to discontinue the medication easily if it affects her breastmilk supply. Long acting forms such as depo provera should be used only once mother knows her breastmilk supply is not affected.

Combined Hormonal Birth Control (the pill, the patch, vaginal ring)

Contain small amounts of hormones (progestin and estrogen) that stop an egg from being released each month and thickens cervical mucus. *92–99.7% effective.

Not recommended until at least 3 weeks after birth if not breastfeeding.

Surgical Sterilization Procedures (permanent)

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.

Female sterilization can be done 48 hours after delivery or wait until at least 4 weeks after delivery.

Male sterilization can be done at anytime.

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

* Efficacy rates for these methods vary from typical use to perfect use.

Studies have shown that estrogen reduces breast milk supply.

Can be used anytime following birth.

Available over the counter at drug store (pharmacy) or Sexual Health Clinic.

Effectiveness may be less in women over 165lb (75kg). Talk to a health care professional before use.

Questions? Contact your health care provider.

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

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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 both of you.

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.

• Moms and Dads can do it • You can do it sitting up or lying down* • It’s never too late to start! *If you are feeling tired while holding your baby skin-to-skin, see page 56 for safe sleep practices.

Benefits for Babies: Benefits for Parents: • Cry less and are calmer • Reduced stress • Stay warmer • Increases bonding and attachment • Stabilizes blood sugar, heart rate and • Learn when your baby is getting breathing hungry • Protected by some of your good bacteria • Gain confidence caring for your baby • Breastfeed better • Helps mothers with breastfeeding • Improves mother’s milk supply

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 on the nipple • 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 32 for more information. parentguide.ca

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breastfeeding /feeding your child

What you will find in this section...

Breast Pump Rentals and Sales Where to Find Breastfeeding and Feeding Support

Visit www.parentguide.ca for additional resources and articles

| Breastfeeding/Feeding Your Child Breast Pump Rentals and Sales Kettle & Stony Point Health Services Indian Lane, Kettle & Stony Point FN, ON (519) 786-5647 www.kettlepoint.org La Leche League Canada 1-800-665-4324 www.lllc.ca Lambton Public Health 160 Exmouth St., Point Edward ON (519) 383-8331 or 1-800-667-1839 www.lambtonhealth.on.ca see ad on inside front cover, 80 McLaren Pharmacy 5299 Nauvoo Rd., Watford ON (519) 876-2213 www.mclarenpharmacy.com North Lambton Community Health Center 59 King St. W., Forest ON (519) 786-4545 www.nlchc.com Shoppers Drug Mart 1-800-746-7737

where to find breastfeeding and feeding support Aamjiwnaang First Nations Breastfeeding Support 1300 Tashmoo Ave., Aamjiwnaang First Nations, Sarnia ON (519) 332-6770 Bilingual Online Ontario Breastfeeding Services www.ontariobreastfeeds.ca Bkejaanong Biiweziimag Kinomaagziwaad Walpole Island ON (519) 627-2263 Breastfeeding Buddies North Lambton Community Health Centre (NLCHC) (519) 786-4545 ext. 231 Breastfeeding Buddies provide breastfeeding advice and support to new mothers. ‘Buddies’ are trained volunteers who have personal breastfeeding experience. These individuals provide both one-to-one and group support and help connect breastfeeding mothers to community resources.

Canadian Lactation Consultants Association www.clca-accl.ca inFact Canada

(infant Feeding Action Coalition) 6 Trinity sq., Toronto ON (416) 595-9819 www.infactcanada.ca 38

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Breastfeeding/Feeding Your Child | International Lactation Consultant Association www.ilca.org

Motherisk 1-877-FAS-INFO (1-877-327-4636) www.motherisk.org

Search for a lactation consultant near you North Lambton Community Health La Leche League Canada 1-800-665-4324 www.lllc.ca Lambton Public Health 160 Exmouth St., Point Edward On (519) 383-8331 or 1-800-667-1839 www.lambtonhealth.on.ca see ad on inside front cover, 80 Midwifery Services of Lambton-Kent 1315 Michigan Ave., Sarnia ON (519) 337-2229 www.lambtonkentmidwives.ca

Center 59 King St. W., Forest ON (519) 786-4545 www.nlchc.com Telehealth Ontario 1-866-797-0000

NEW....

Telehealth Ontario Breastfeeding Support Line (24 hours a day) 1-866-797-0000

NOTES: __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________

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| Breastfeeding/Feeding Your Child 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 Drinking Milk (Does Right Amount not () (Swallows) (mL) swallow) (√) (if applies) (√)

Void Urine (Pee) ()

Void 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 38.

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Breastfeeding/Feeding Your Child | 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 and babies fed formula have more digestive problem • Breast milk protects babies from ear, respiratory, stomach and 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 38 and 39 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 World Health Organization www.who.int

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| Breastfeeding/Feeding Your Child 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 35.

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 using 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 more frequently. Many mothers worry they do not have enough milk but the more your baby feeds with a good 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 good 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

Dental It is important that parents wipe gums of infant with a clean wash cloth after each feeding.

Once your child’s teeth have come in, brush with an infant tooth brush. See page 94-95 for more information.

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2 DAYS

At least 2 WET

1 WEEK 4 DAYS

At least 4 WET

6 DAYS

Size of an egg

7 DAYS

2 WEEKS

At least 3 large, soft and seedy YELLOW

At least 6 HEAVY WET WITH PALE YELLOW OR CLEAR URINE

Size of an apricot

5 DAYS

3 WEEKS

This document has been prepared with funds provided by the Government of Ontario.

03/2009

From Day 4 onward your baby should gain 20 to 35g per day (2/3 to 1-1/3 oz) and regain his or her birth weight by 10 to14 days.

At least 3 BROWN, GREEN, OR YELLOW

At least 3 WET

Size of a walnut

3 DAYS

Babies lose an average of 7% of their birth weight in the first 3 days after birth. For example, a 3.2 kilogram or 7-pound baby will lose about 230 grams or 1/2 pound.

At least 1 to 2 BLACK OR DARK GREEN

At least 1 WET

Size of a cherry

1 DAY

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.

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

Your Baby’s Age

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?

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| Breastfeeding/Feeding Your Child 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 Lambton’s Tobacco Hotline 519-383-3810 or 1-800-667-1839 ext. 3810 44

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Breastfeeding/Feeding Your Child | 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 http://www.ohrc.on.ca/en/search/site/breastfeeding%20brochure or call (416) 597-4900 or 1-866-625-5179

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| Breastfeeding/Feeding Your Child 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 ironrich 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. Don’t share utensils with your child. That is one way for kids to get cavities because the bad bacteria it is introduced into their mouth • 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)

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.

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

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Breastfeeding/Feeding Your Child | 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 or avoid juice. If given, offer no more than 125-175 mL (4-6 oz) 100% juice per 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 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 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 What you will find in this section...

Adoptions/Foster Parenting Best Start Hubs Ontario Early Years Centres Parenting - General Parenting and Family Literacy Centres Parenting Education Classes Parenting Support Groups/Programs Postpartum/Post Natal Support

Visit www.parentguide.ca for additional resources and articles

| Parenting Adoptions/Foster Parenting

Kinnwood Central Public School 63 MacDonald St. (Morris St. Entrance), Forest ON (519) 786-6161 OEYC (519) 786-6161 ext. 230

Adoption Council of Canada 211 Bronson Ave., Unit 210, Ottawa ON (613) 235-0344 or 1-888-54ADOPT www.adoption.ca

Little Friends Child and Family Development Centre and Urban Aboriginal Best Start Hub 295 Essex St., Sarnia ON (519) 339-0945 OEYC (519) 542-6100

Sarnia-Lambton Children’s Aid Society 161 Kendall St., Point Edward ON (519) 336-0623 www.slcas.on.ca

Riverview Central School 3926 St. Clair Parkway, Port Lambton ON (519) 892-3151 OEYC (519) 892-3151

Best Start Hubs Best Start was formed to make sure that each child gets the best possible start in life. Best Start focuses on: • Early learning and child care services • Healthy development during a child’s first years

St. Joseph Catholic School 535 Birchwood Dr., Corunna ON (519) 862-5071 OEYC (519) 862-5071 ext. 224 St. Philip Catholic School 420 Queen St., Petrolia ON (519) 882-1614 OEYC (519) 882-2100

To find out more contact: County of Lambton Social Planning and Children’s Services Department (519) 344-2062 or 1-800-387-2882 www.lambtononline.ca Brooke Central Public School 7989 Brook Line, Alvinston ON (519) 847-5165 OEYC (519) 847-5165 Coronation Park 1014 Oak Ave., Sarnia ON (519) 344-9601 Ecole Les Rapides, Carrefour francais 1103 Michigan Ave., Sarnia ON (519) 542-2129 OEYC (519) 542-2129

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Ontario Early Years Centres www.ontarioearlyyears.ca Ontario Early Years Centres are places where parents and caregivers can: • take part with their children in a range of programs and activities • get answers to questions • get information about programs and services that are available for young children • talk to early years professionals, as well as other parents and caregivers in the community.

1-866-821-7770

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Parenting | Ontario Early Years Centre www.ontarioearlyyears.ca Lambton-Kent-Middlesex 63 MacDonald St., (Morris St. Entrance), Forest ON (519) 786-6161 or 1-888-561-2080 see ad on page 55 Alvinston Outreach 7989 Brooke Line, Alvinston ON (519) 847-5165 ext. 21 Arkona Outreach 16 Smith St., Arkona ON (519) 786-6161 Camlachie Outreach 6784 Camlachie Rd., Camlachie United Church, Camlachie ON (519) 786-6161 Grand Bend Outreach Grand Bend Public School Gill Rd., Grand Bend ON (519) 786-6161 Kettle Stony Point Outreach 6247 Indian Ln., Forest ON (519) 786-4940 Petrolia Satellite 420 Queen St., Petrolia ON (519) 882-2100 Thedford Outreach Lambton County Library at the Legacy Centre, 16 Allen St. Thedford, Thedford ON (519) 786-6161 www.ontarioearlyyears.ca

Wyoming Wyoming United Church, 730 Second St., Wyoming ON (519) 786-6161 Ontario Early Years Centre Sarnia-Lambton 1457 London Rd., Sarnia ON (519) 542-6100 www.ontarioearlyyears.ca see ad on page 55 St. Clair Child and Youth Services Family Drop-In Centre OEYC Satellite 180 College St. N., Sarnia ON (519) 337-7811

Parenting - General Canadian Association of Family Resource Program www.frp.ca Canadian Paediatric Society Caring For Kids 2305 St. Laurent Blvd., Ste. 100, Ottawa ON (613) 526-9397 www.caringforkids.cps.ca Lambton Public Health 160 Exmouth St., Point Edward ON (519) 383-8331 or 1-800-667-1839 www.lambtonhealth.on.ca see ad on inside front cover, 80

Watford Outreach 5331 Nauvoo Rd., Trinity Anglican Church, Watford ON (519) 786-6161

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| Parenting Learning Disabilities Association of Canada 250 City Centre Ave., Ste. 616, Ottawa ON (613) 238-5721 www.ldac-taac.ca Learning Disabilities Association of Lambton County 940 Michigan Ave., Northern Collegiate, Sarnia ON (519) 541-9687 www.sarnia.com/groups/lda-lc Sudden Infant Death Syndrome (SIDS) 586 Eglinton Ave. E., Ste. 308, Toronto ON (416) 488-3260 or 1-800-363-7437 www.sidscanada.org Walpole Island Children’s Services Unit Walpole Island ON (519) 627-2263

PARENTING AND FAMILY LITERACY CENTRE École catholique Saint-Thomas-d’Aquin 931 Champlain Rd., Sarnia ON (519) 542-5423 www.cscprovidence.ca see ad on page 54

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Parenting Education Classes Lambton Public Health 160 Exmouth St., Point Edward ON (519) 383-8331 or 1-800-667-1839 www.lambtonhealth.on.ca see ad on inside front cover, 80 North Lambton Community Health Center 59 King St. W., Forest ON (519) 786-4545 www.nlchc.com Ontario Early Years Centre Lambton-Kent-Middlesex 63 MacDonald St., (Morris St. Entrance), Forest ON (519) 786-6161 or 1-888-561-2080 www.ontarioearlyyears.ca see ad on page 55 Ontario Early Years Centre - SarniaLambton 1457 London Rd., Sarnia ON (519) 542-6100 www.ontarioearlyyears.ca see ad on page 55 Ontario Early Years Cetre - SarniaLambton - Lochiel Family Drop-In Centre 180 College St. N., Sarnia ON (519) 337-7811

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Parenting | Parenting Support Groups/Programs

Postnatal/Postpartum Support

Make the Connection - Walpole Island Childrenâ&#x20AC;&#x2122;s Services Unit Walpole Island ON (519) 627-2263

911 - For Emergencies

Mommy & Me 421 Oozloffsky St., Petrolia ON (519) 882-1600 Multiple Births Canada 1-866-228-8824 www.multiplebirthscanada.org Ontario Early Years Centre Lambton-Kent-Middlesex 63 MacDonald St., (Morris St. Entrance), Forest ON (519) 786-6161 or 1-888-561-2080 www.ontarioearlyyears.ca see ad on page 55 Ontario Early Years Centre - SarniaLambton 1457 London Rd., Sarnia ON (519) 542-6100 www.ontarioearlyyears.ca see ad on page 55 Ontario Early Years Cetre - SarniaLambton - Lochiel Family Drop-In Centre 180 College St. N., Sarnia ON (519) 337-7811 The Pregnancy Centre 551 Exmouth St., #204, Sarnia ON (519) 383-7115 www.pregnancycentre.org

211 - For information and referral helpline to community, social, government and health services Aamjiwnaang First Nations Home Visiting Program 1300 Tashmoo Ave., Aamjiwnaang First Nations, Sarnia ON (519) 332-6770 Lambton Public Health 160 Exmouth St., Point Edward ON (519) 383-8331 or 1-800-667-1839 www.lambtonhealth.on.ca see ad on inside front cover, 80 International Caesarean Awareness Network (Canada) 1-800-686-ICAN www.ican-online.ca Pacific Post Partum Support Society 1-855-255-7999 www.postpartum.org St. Clair Child and Youth Services 129 Kendall St., Point Edward ON (519) 337-3701 www.stclairchild.ca Telehealth Ontario 1-866-797-0000 VON Canada National Office 110 Argyle Ave., Ottawa ON (613) 233-5694 or 1-888-VON-CARE (866-2273) www.von.ca

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Parenting and Family Literacy Centres

Child and Family Centres

Centres pour enfants et familles FREE drop-in centres where parents, caregivers and their children from birth to 6 years of age can play and learn together, while spending time with other families.

Other resources and services available free of charge: • book-lending library • information about the education system • community resources for special needs, health and more École catholique Saint-Thomas-d’Aquin 931 Champlain Road, SARNIA 519-542-5423 Monday to Friday, 9 a.m. to 1 p.m.

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Ontario Early Years Lambton-Kent-Middlesex and Sarnia-Lambton Our centres offer programs and activities for parents, caregivers and children up to age 6 to interact and learn from each other.

Celebrating 10 Years!

All of our programs are FREE of charge and are available to accommodate all families in our community.

By playing and exploring, children learn to understand their own feelings, make friends and solve problems.

s Weekly playgroup held in communities across Lambton County

Parents and caregivers can meet and learn from each other, talk with staff about questions or concerns and have fun with their children.

CALL TODAY FOR MORE INFORMATION

Lambton-Kent-Middlesex 519-786-6161 ext. 230 or 1-888-561-2080 Sarnia-Lambton Best Start 519 542-6100 1-888-542-6101

Find Us At: www.ontarioearlyyears.ca Click Location, Select South West, Select Lambton-Kent-Middlesex or Sarnia-Lambton

www.ourbeststart.ca

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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: See page 81 for resources • A smoke-free environment for baby before and after birth to help you provide a • Baby sleep on their back for naps and at night smoke-free environment • Cribs, cradles, bassinets that meet Canadian Safety Regulations for your baby.

• 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!

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 • 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!

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Parenting | healthy sleep habits Good sleep habits are very important for healthy 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 The Period of PURPLE Crying® Finding the soothing solution Starting at about two weeks of age, some babies begin crying more and may be hard to soothe. As a result, parents may feel guilty and angry if they aren’t able to console them. The Period of PURPLE Crying explains that if the baby is not ill and parents have tried everything they can think of to soothe the baby, it is okay if they cannot stop their baby from crying.

This is true even if the crying lasts for hours. Not being able to soothe an infant does not make mom and dad bad parents. Some babies are just going to cry. It will end, and life will return to normal.

The letters in PURPLE stand for:

P

U

R

P

L

E

PEAK OF CRYING Your baby may cry more each week.

The most at 2 months, then less at 3-5 months

UNEXPECTED Crying can come and go and you don’t know why

RESISTS SOOTHING Your baby may not stop crying no matter what you try

PAIN-LIKE FACE A crying baby may look like they are in pain, even when they are not

LONG LASTING Crying can last as much as 5 hours a day, or more

EVENING Your baby may cry more in the late afternoon and evening

How to Cope Even if you know that non-stop infant crying is not your fault, crying can still be hard to cope with. The keys to getting through it are trying different things and having a plan.

Try Different Things— Basic Soothing Tips for a Fussy Baby • • • • •

Feed Your Baby Hold Your Baby Check Your Baby’s Diaper Create “white noise” Take a Break

• • • • •

Check Your Baby’s Temperature Cuddle, coo, read, sing Check Your Baby’s Clothes Take Baby for a Walk Rock baby gently, walk around, dance slowly

Plan Ahead for Support • Practise staying calm. Remember crying is normal; all babies cry.

• Place the baby in the crib if immediate relief is needed.

• Form a back up plan for support.

• Talk to your partner, a friend, family member, counsellor or health care professional and let them help.

• Join a play or support group (see page 50-55).

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Parenting | positive parenting

Positive Parenting is an effective, practical way of raising children. 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 and 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 50-55.

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

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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? Be balanced in/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 learns 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 5-11 years of age should have 2 hours or less a day

Other Healthy Media Habits Include: • The bleeping lights, and fan sounds can cause disruption to 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 What you will find in this section...

Mental Health and Behavioural Concerns Speech and Language Hearing Dental Development/Physical Concerns/Special Needs Vision Nutrition Parenting Supports

Visit www.parentguide.ca for additional resources and articles

| 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

Mental Health Helpline 1-866-531-2600 www.mentalhealthhelpline.ca

Pathways Health Centre for Children 1240 Murphy Rd., Sarnia ON (519) 542-3471 or 1-855-542-3471 www.pathwayscentre.org see ad on page 118

St. Clair Child and Youth Services 129 Kendall St., Point Edward ON (519) 337-3701 www.stclairchild.ca

SPEECH & LANGUAGE Soundstart - Lambton Preschool Speech and Language - Pathways Health Centre for Children 1240 Murphy Rd., Sarnia ON (519) 542-2074 or 1-855-542-3471 www.soundstart.org see ad on page 117

HEARING Canadian Hearing Society www.chs.ca Pathways Health Centre for Children 1240 Murphy Rd., Sarnia ON (519) 542-3471 or 1-855-542-3471 www.pathwayscentre.org see ad on page 118

DENTAL Health Smiles Ontario (HSO) Toll free 1-866-532-3161or your local health unit. www.ontario.ca/page/get-dentalcare#section-0 64

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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.

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Child Development | PARENTING SUPPORTS Lambton Public Health 160 Exmouth St., Point Edward ON (519) 383-8331 or 1-800-667-1839 www.lambtonhealth.on.ca see ad on inside front cover, 80

General Concerns

For general concerns speak to your health care provider or call your local health unit.

North Lambton Community Health Center 59 King St. W., Forest ON (519) 786-4545 www.nlchc.com

Lambton Public Health

Ontario Early Years Centre - LambtonKent-Middlesex 63 Macdonald St., (Morris St. Entrance), Forest ON (519) 786-6161 or 1-888-561-2080 www.ontarioearlyyears.ca see ad on page 55

see ad on inside front cover, 80

160 Exmouth St., Point Edward ON (519) 383-8331 or 1-800-667-1839 www.lambtonhealth.on.ca

Ontario Early Years Centre - SarniaLambton 1457 London Rd., Sarnia ON (519) 542-6100 www.ontarioearlyyears.ca see ad on page 55 Ontario Early Years Centre - SarniaLambton - Lochiel Family Drop-in Centre 180 College St. N., Sarnia ON (519) 337-7811

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Lambton Children's Planning Network (LCPN)

County of Lambton

One in four children are not

Parent and Professional Resource Centre (PPRC) 1-888-542-6101

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Best Start Child and Family Centres Best Start Child and Family Centres offer a one-stop opportunity for parents and caregivers to support children's earliest development. Part of Lambton's Best Start strategy, the centres offer quality services and experiences that promote lifelong learning, good health, and long term success.

Early Years Literacy Professionals

Licensed child care centre for children 0-12 years (only in designated areas)

Go to page 50 for your local Best Start Child and Family Centres (hub) parentguide.ca

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Child Development | your child’s development Healthy Baby Healthy Brain Brain

development

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website

www.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.

Your child will:

Age in months

• Turn their head and then look in direction of a new sound

6

• 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?”)

12

• 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)

18

• 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 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 79) 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 and 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!

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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 activities for babies and toddlers, visit http://www.activeforlife.com/activities-for-babies-and-toddlers

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| Child Development Physical Activity For Infants (0-12 months) Movement is a child’s first language. Regular movement is essential to healthy brain development and learning those motor skills such as crawling and grasping. 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.

Give your baby an active start Physical activity for an infant means: • Having tummy time • Reaching for or grasping for balls or toys • Crawling around the home Go to Active for Life for more information to get your baby active www.activeforlife.com/give-baby-active-start/ Activities for babies and toddlers, please visit www.activeforlife.com/activities-for-babiesand-toddlers

physical activity for toddlers and preschoolers During the preschool and early years when children learn and understand the relationship between how and why their bodies move.

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 everyday helps children.

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

Physical Literacy Physical literacy is the development of basic movement skills, such as jumping, kocking, hopping, throwing and running.

During the early years, the focus should be on having fun and helping children learn the ABCs of Physical Literacy.

Agility - running, jumping, and dribbling Balance - crawling, hopping, skating and stretching Coordination - throwing, catching, kicking and running Have fun with your children everyday!

For more information and ideas for being active with your child, go to www.activeforlife.com

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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 • Give choices. The more children feel in control, the less likely they are to have a tantrum 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. parentguide.ca

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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

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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 parentsDo 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 What you will find in this section...

Allergies and Asthma Dentistry Dietitians Health Care Health Centres Health Unit/Public Health Hospitals Immunizations Mental Health Sexual Health Services Smoking Cessation Walk-in Clinics Well Baby and Child Clinics

Visit www.parentguide.ca for additional resources and articles

| Health and Wellbeing Allergies and Asthma

Dentistry

Allergy and Asthma Information Association National Office P.O. Box 100, Etobicoke ON (519) 284-4222 or 1-888-250-2298 www.aaia.ca

Healthy Smiles Ontario 1-866-532-3161 www.health.gov.on.ca Kids 17 and under may be eligible if: they are residents of Ontario; they are members of a household with an Adjusted Family Net Income of $20,000 per year or below; and, they do not have access to any form of dental coverage (including other government-funded programs, like Ontario Works).

Anaphylaxis Canada 2005 Sheppard Ave. E., Ste. 800, Toronto ON (416) 785-5666 or 1-866-785-5660 www.anaphylaxis.ca Lambton Celiac Association Sarnia ON (519) 542-6255 or 519-383-6779 or 1-800-363-7296 Lambton Public Health 160 Exmouth St., Point Edward ON (519) 383-8331 or 1-800-667-1839 www.lambtonhealth.on.ca see ad on inside front cover, 80

Dietitians Dietitians of Canada www.dietitians.ca EatRight Ontario (416) 325-0510 or 1-877-510-5102 www.eatrightontario.ca

Medic Alert 2005 Sheppard Ave. E., Ste. 800, Toronto ON (416) 696-0267 or 1-800-668-1507 www.medicalert.ca The Lung Association 1750 Courtwood Cres., Ste. 300, Ottawa ON (613) 569-6411 or 1-888-566-LUNG (5864) www.lung.ca

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Health and Wellbeing | Health Care

Health Centres

Emergencies Call 9-1-1 or go to the hospital closest to you

Aamjiwnaang Health Centre - Eâ&#x20AC;&#x2122;mino Bmaad-Zijig Gamig Health Centre 1300 Tashmoo Ave., Sarnia ON (519) 332-6770

Health Care Connect Call 1-800-445-1822 www.health.gov.on.ca This service refers people without a regular family health care provider to physicians and nurse practitioners who are accepting new patients in their community.

Find a Family Doctor www.doctors4sarnialambton.com Find a Health Care Location Near You www.ontario.ca/locations/health Your health Care Options Medical Services directory is a user-friendly searchable database of walk-in and after hours clinics, urgent care centres, and family health care providers.

Telehealth Ontario 1-866-797-0000 TTY : 1-866-797-0007 Free Access to a Registered Nurse-24 Hours a day, 7 days a Week.

My Family Doctor: ________________________________ Closest Walk-In Clinic: ________________________________ Closest Urgent Care Centre:

Grand Bend Area Community Health Center 69 Main St. E., Grand Bend ON (519) 238-2362 Kettle and Stony Point Health Centre 6275 Indian Lane, Kettle Point ON (519) 786-5647 North Lambton Community Health Center 59 King St. W., Forest ON (519) 786-4545 www.nlchc.com Walpole Island Health Centre Walpole Island, Wallaceburg ON (519) 627-0765

Health Unit/Public Health

Canadian Public Health Association (613) 725-3769 www.cpha.ca Lambton Public Health 160 Exmouth St., Point Edward ON (519) 383-8331 or 1-800-667-1839 www.lambtonhealth.on.ca see ad on inside front cover, 80

________________________________ Closest Hospital - Emergency Room: ________________________________

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| Health and Wellbeing Hospitals

Immunizations

Bluewater Health 89 Norman St., Norman Site, Sarnia ON (519) 464-4400 www.bluewaterhealth.ca

Immunize Canada (613) 725-3769 ext. 122 www.immunize.ca

Bluewater Health 450 Blanche St., Charlotte Eleanor Englehart (CEE) Site, Pertolia ON (519) 882-4325 www.bluewaterhealth.ca

Lambton Public Health 160 Exmouth St., Point Edward ON (519) 383-8331 or 1-800-667-1839 www.lambtonhealth.on.ca see ad on inside front cover, 80

London Health Sciences Centre 800 Commissioners Rd. E., London ON (519) 685-8484 www.lhsc.on.ca London Road Diagnostic Clinic 481 London Rd., Sarnia ON (519) 332-3434 Family Health Line_LPH 2014.pdf

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Health and Wellbeing | Mental Health

Walk-in Clinics

Canadian Mental Health Association 180 Dundas St. W., Ste. 2301, Toronto ON (416) 484-7750 www.cmha.ca

London Road Diagnostic Clinic 481 London Rd., Sarnia ON (519) 332-3434

Canadian Mental Health Association Lambton County 210 Lochiel St., Sarnia ON (519) 337-5411

Well Baby and Child Clinics

Mental Health Helpline 1-866-531-2600 www.mentalhealthhelpline.ca

Sexual Health Services Lambton Public Health 160 Exmouth St., Point Edward ON (519) 383-8331 or 1-800-667-1839 www.lambtonhealth.on.ca see ad on inside front cover, 80

Smoking Cessation Canadian Cancer Society 10 Alcorn Ave., Ste. 200, Toronto ON 1-888-939-3333 www.cancer.ca

Aamjiwnaang First Nations Healthy Babies 1300 Tashmoo Ave., Aamjiwnaang First Nations, Sarnia ON (519) 332-6770 Lambton Public Health 160 Exmouth St., Point Edward ON (519) 383-8331 or 1-800-667-1839 www.lambtonhealth.on.ca see ad on inside front cover, 80 Moms And Dads Are Us Kettle And Stony Point Community And Health Services (519) 786-5647 St. Clair Child and Youth Services 129 Kendall St., Point Edward ON (519) 337-3701 www.stclairchild.ca

Lambton Public Health 160 Exmouth St., Point Edward ON (519) 383-8331 or 1-800-667-1839 www.lambtonhealth.on.ca see ad on inside front cover, 80 Smokersâ&#x20AC;&#x2122; Helpline - Canadian Cancer Society 1-877-513-5333 www.smokershelpline.ca

SOUTHWEST COUNSELLING SERVICES SWCOUNSELLING.CA 519-336-3100

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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 and wash your hands 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 and 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 79) Is it a cold or the flu? Find out all about Childhood Illnesses on page 86-92.

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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

Normal temperature range

35.8°C to 38°C (96.4°F to 100.4°F)

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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Diphtheria, Diphtheria, Pertussis, Pertussis, Pneumococcal Tetanus, Polio, Conjugate Tetanus, Haemophilus Polio

Rotavirus

Meningococcal Conjugate

**

Meningococcal conjugate A, C, Y, W135

** These vaccines are given in school.

*

Measles, Measles, Mumps, Mumps, Chickenpox Rubella, (Varicella) Rubella Chickenpox (MMR) (MMRV)

**

Hepatitis B

Diphtheria, Tetanus, Pertussis (Tdap) Seasonal

Mandatory vaccinations

**

HPV

You are now eligible to receive one lifetime (publicly funded) dose of the Tdap vaccine. http://www.health.gov.on.ca/en/pro/programs/immunization/docs/immunization_schedule.pdf 2015

Parents need to provide proof of immunization or exemption directly to public health. Failure to notify public health could result in suspension from school. For more information, contact your local health unit or health care provider (see page 79), or go to Canadian Paediatric Society: www.cps.ca or Ministry of Health and Long Term Care: www.ontario.ca/vaccines.

June 2014

Proof of Immunization:

*

Every year (in autumn)

14–16 years old (10 years after 4–6 year old booster

Grade 8 female students

Grade 7 students

4–6 years old

18 months old

15 months old

12 months old

6 months old

4 months old

2 months old

Age at vaccination: Completed months and years

Publicly Funded IMMUNIZATION SCHEDULE for Ontario

SCHEDULE 1. Routine Schedule for Children Beginning Immunization in Early Infancy (starting 2 months of age)

| Health and Wellbeing

Health and Wellbeing | Immunization Record Date

Child's Name_________________

Immunization Received

For the most up-to-date Immunization Chart go to: www.health.gov.on.ca or contact Lambton Public Health at: (519) 383-8331 or 1-800-667-1839

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TRANSMISSION

Complication of cold

Virus spread person to person via droplets or by indirect contact with contaminated hands, objects, surfaces.

Incubation period 1-4 days.

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

Ear Infections (Otitis Media)

Influenza

Strep Throat

New parent resource guide 2016-2017 Up to 8 days after onset of symptoms .

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

* 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.

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

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)

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.

Bacteria in respiratory secretions.

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

Not reportable to Public Health.

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

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

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.

Not reportable to Public Health.

Report to Public Health.

Exclude until well enough to participate.

Usually 5-7 days.

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

Not reportable to Public Health.

Not reportable to Public Health.

REPORTING

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.

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

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

RECOMMENDED ACTION

Not infectious

1 day before to 7 days after onset.

INFECTIOUS PERIOD

Earache or irritability, fever and cold symptoms.

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

SIGNS AND SYMPTOMS

Whooping Cough (Pertussis)

Scarlet Fever

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

Common Cold (Rhinovirus, corona virus)

Respiratory Infections

DISEASE

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Childhood Illnesses Chart

TRANSMISSION

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).

Parasite in stool of infected persons.

Spread person to person. Common in child care settings. Incubation period 1-4 weeks.

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

Giardia

Hepatitis A

2 weeks before to 1 week after onset of jaundice.

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

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)

Report to Public Health.

Report to Public Health.

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 treated and no diarrhea for 24 hours.

Proper hand hygiene and food handling is important.

Treatment is prescribed by a physician.

Report to Public Health.

Exclude until no diarrhea or other symptoms for 24 hours.

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

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

Report to Public Health.

Exclude until no diarrhea or other symptoms for 24 hours.

From onset of diarrhea until several weeks after symptoms stop.

REPORTING

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

Report to Public Health.

INFECTIOUS PERIOD

Exclude until no diarrhea or other symptoms for 24 hours.

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

SIGNS AND SYMPTOMS

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

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

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 2016-2017 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.

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

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.

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

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.

For duration of diarrhea. Usually up to 5 days.

While having diarrhea.

Report to Public Health.

REPORTING

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

RECOMMENDED ACTION

Duration of illness and up to 72 hours after symptoms resolve

INFECTIOUS PERIOD

Sudden onset of headache, vomiting, fever followed by diarrhea

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

cramps.

Nausea, vomiting, watery diarrhea,

SIGNS AND SYMPTOMS

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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.

Not reportable to Public Health.

Not reportable to Public Health.

Not reportable to Public Health.

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

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

Not reportable to Public Health.

REPORTING

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

Health and Wellbeing |

Childhood Illnesses Chart

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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.

Hepatitis B

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.

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

Virus spread person to person through contact with respiratory secretions.

Exposure may pose a concern to pregnant women in their first trimester.

Fifth Disease (Parvovirus B19)

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.

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

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

Hand, Foot & Mouth Disease (Coxsackie A)

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

Fever and fatigue but without any other symptoms

Virus spread person to person.

Requires intimate contact. Virus in urine, saliva

Cytomegalovirus (CMV)

INFECTIOUS PERIOD

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

SIGNS AND SYMPTOMS

Small red pimples which develop into blisters, then become encrusted.

Usually affect face, hands, neck and extremities.

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

Chickenpox (VaricellaZoster)

Other Infections

DISEASE

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).

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

Do not exclude unless too ill to participate. Emphasize proper handwashing between diaper changes.

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

Report to Public Health.

Not reportable to Public Health.

Not reportable to Public Health.

Not reportable to Public Health.

Report to Public Health.

REPORTING

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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.

Exposed children and staff may need antibiotics or vaccine.

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

7 days before to 9 days after onset of swelling

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.

RECOMMENDED ACTION

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

INFECTIOUS PERIOD

Not reportable to Public Health.

Report to Public Health immediately.

Report to Public Health immediately.

Report to Public Health immediately.

Speed is essential in limiting outbreaks of measles.

REPORTING

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 2016-2017 While under treatment, exclude from gymnasiums, swimming pools and activities that may expose others.

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

While lesions are visible

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

Highly communicable .

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.

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.

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

Not highly infectious.

Difficult to diagnose until rash appears.

Infectious during fever up to 24 hours after fever breaks.

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

RECOMMENDED ACTION

Treat infected individual.

Examine members of family or institution. Reinforce handwashing and personal hygiene. Wash toys, bedding and clothes.

Vacuum sleeping and living areas.

INFECTIOUS PERIOD

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

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

SIGNS AND SYMPTOMS

Report to Public Health.

Not reportable to Public Health.

Not reportable to Public Health.

Not reportable to Public Health.

REPORTING

| Health and Wellbeing

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 choose 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 1st 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 clean, wet cloth or small soft bristled toothbrush 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 tap water or a rice sized grain of fluoridated toothpaste.

• 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 water 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 on soothers 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.

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Health and Wellbeing | Three to Five Years • By three years of age, children should brush their teeth for two to three minutes twice 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.

• Adults should brush their child’s teeth until they turn seven.

• Brush their twice a day, especially before bedtime.

• Use a child-sized, soft-bristled toothbrush.

• Apply a small amount of toothpaste, about the size of a pea size, to the toothbrush.

Be sure to brush the hard-to-reach molars near the back. ­How safe are dental x-rays?

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.

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 79) for more dental information or about dental care programs for children. parentguide.ca

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| Health and Wellbeing health and the environment MAKE THE HOME SAFE FROM HARMFUL SUBSTANCES - Protecting Pregnant Women and Children Chemicals in the home can have long-term effects on the health of a developing fetus and 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 78-79) 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 96

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Health and Wellbeing | health and the environment Protecting Children in the Sun Skin cancer is a result beyond just burns and high levels of exposure - there is a cumlative effect of skin cell damage from regular exposure to UVR which can result in skin cancer.

Babies • Babies have very thin skin and sunburn easily • 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, pants, sunglasses, and a hat to protect your baby from the sun • If keeping your baby out of direct sunlight with shade and clothing is not an option, talk to your child’s healthcare provider about using sunscreen on your baby • Contact your healthcare provider immediately when a baby under one year gets sunburn - severe sunburn is an emergency in babies.

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 • Apply broad spectrum sunscreen of at least SPF 30 to all areas exposed to the sun, except for near the eyes and mouth. Re-apply every 2 hours or after water sports, sweating, or towelling off.

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 Age Group Newborn to 6 months

Suggested % of DEET

Recommended Number of Applications Per Day

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

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safety

What you will find in this section...

First Aid Training Poison Safety and Security

Visit www.parentguide.ca for additional resources and articles

| Safety First Training safetyAid Resources

Canadian Red Cross First Aid Programs 5700 Cancross Crt., Mississauga ON 1-888-307-7997 www.redcross.ca St. John Ambulance 701 Ontario St., Sarnia ON 1-877-726-9928 www.sja.ca

Poison Poison Information Centre (416) 813-5900 or 1-800-268-9017 www.ontariopoisoncentre.com

Safety and Security Canada Safety Council 1020 Thomas Spratt Pl., Ottawa ON (613) 739-1535 www.safety-council.org Canadian Consumer Information Gateway 255 Albert St., 10th Flr., Ottawa ON (613) 946-2576 www.consumerinformation.ca Canadian Food Inspection Agency 1-800-442-2342 www.inspection.gc.ca Handles food recalls and complaints on unlabelled ingredients Canadian Toy Testing Council 1973 Baseline Rd., Ottawa ON (613) 228-3155 www.toy-testing.org

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City of Sarnia Fire Rescue Services 240 East St. N., Sarnia ON (519) 332-1122 www.city.sarnia.on.ca Lambton Public Health 160 Exmouth St., Point Edward ON (519) 383-8331 or 1-800-667-1839 www.lambtonhealth.on.ca see ad on inside front cover, 80 Elmer the Safety Elephant www.elmer.ca Injury Free Zone www.injuryfreezone.com Life Saving Society www.lifesaving.ca Ministry of Transportation (MTO) Road Conditions (416) 235-4686 or 1-800-268-4686 www.mto.gov.on.ca National Crime Prevention Centre www.publicsafety.gc.ca 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

New parent resource guide 2016-2017

Safety | Safety in the home At any stage of development, both supervision and changes to your home will help to keep your child safe.

Supervision is the best way to prevent child injuries.

• Supervision means: watching your child, removing them from danger and teaching them about risks

General Home Safety: Prevent falls • Move funiture away from windows • Secure furniture like a bookcase or TV to the wall • Install stair gates at top and bottom of all staircases in the home. Fasten wall-mounted gates at the top of the stairs using screws. Pressure gates can fall over if leaned on • Keep children from jumping on furniture • Keep doors and windows leading to balconies closed and locked • Keep one hand on your baby on change table. Keep supplies within reach • Use safety straps when your child is in a high chair, swing, bouncy chair and stroller • Place baby seats on the floor instead of on a table or counter Prevent burns • Set water heater temperature at 49°C or 120°F • Install smoke alarms on every level of your home and near sleeping areas • Place fire screens or gates around fireplaces • Do not drink hot liquids when near your child Prevent poisoning • Remove or keep poisonous plants out of reach of children • Store cleaning and other poisonous products out of sight and out of reach of children • Ensure medications are kept out of sight and reach of children

Find a list of poisonous plants at: www.ontariopoisoncentre.com or call 1-800-268-9017

Prevent drowning • Carefully watch young children in the bath at all times. Always keep them in sight and wihin arm’s reach • If you choose to use an infant bath seat or bath ring, know that THE PRODUCT WILL NEVER KEEP AN UNSUPERVISED BABY SAFE, even for a few seconds. A drowning hazard is associated with the use of infant bath seats and bath rings

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| 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 With all products, follow manufacture’s instructions, including child’s height, weight and activity level.

Second-Hand Products: Check with the manufacturer and Health Canada for recalls (above) before buying or using a second-hand product.

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 There is an increased risk of an infant drowning with the use of infant bath seats and bath rings. Do not leave your child unsupervised in these seats, even for a few seconds. Keep your baby in sight and within arm’s reach AT ALL TIMES. Never leave an older child to watch the baby in the bath.

Baby gates Install baby gates at top and bottom of all staircases in the home. Wall mounted gates must be used at the top of the stairs. Pressure gates can fall over if leaned on.

Blind and curtain cords Never leave cords hanging. These are strangulation hazards for babies and young children. Keep cords high and out of reach of children. Use cordless window coverings if possible. If there are cords, cut them short and tie them up high, or cut them in half at the loop.

Cribs For your child’s safety, only use cribs manufactured after September 1986. Cribs made before this date do not meet current standars and put children at risk of serious injuries, including death. 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 to prevent suffocation. (See page 28 for safe sleep guidelines.)

Playpens Playpens are not intended to be used for unsupervised sleep because they do not meet the same safety requirements and are not as durable as cribs. Keep sides securely locked in place. Never leave your baby in a playpen with any side down. A baby can roll into the space between the mattress and the mesh side and suffocate. baby Slings and carriers The use of baby carriers and slings (worn by the caregiver) has led to serious injuries of babies in Canada. Most injuries happen when the baby falls from a sling or carrier. This can happen when the caregiver trips and falls, when the product breaks, or when the baby slips over the side or through the leg openings. Slings that use knots or rings to the two ends of fabric together pose potential safety risks.

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Safety | guidelines for supervision of children Supervised means that the caregiver can see the child and 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 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 www.ontario.ca/carseats

Car and Booster Seats are Required by Ontario Law • Rear-facing car seats for children weighing less than (9 kg) 20 pounds • Forward-facing car seats for children weighing between (9 – 19 kg) 20 and 40 pounds • Booster seats for children who are: o Under (145 cm) 4 feet 9 inches, or

o Between (18 to 36 kg) 40 and 80 pounds, or o Under eight years of age

Please 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 79).

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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 (20.4 kg) 45 pounds.

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 (30 kg) 65 pounds.

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 (30 kg) 65 pounds.

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 (54 kg) 120 pounds.

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 (145 cm) 4 feet 9 inches tall.

For more information visit: www.ontario.ca/carseats

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child care and education What you will find in this section...

Child Care - Resources Child Care - Subsidy Child Care Centres Education - General Home Child Care Education Literacy Parent and Family Literacy Centre School Boards

Visit www.parentguide.ca for additional resources and articles

| Child Care and Education OneList 150 N Christina St., Sarnia ON (519) 344-2062 or 1-800-387-2882 www.onehsn.com/Lambton Find Child Care in your area quickly with the new OneList for Lambton County.

See ad on page 111

Child Care - Resources Association of Early Childhood Educators Ontario 40 Orchard View Blvd., Ste. 211, Toronto ON (416) 487-3157 or 1-866-932-3236 www.aeceo.ca Canadian Child Care Federation 383 Parkdale Ave., Ste. 201, Ottawa ON (613) 729-5289 or 1-800-858-1412 www.cccf-fcsge.ca Centre of Excellence for Early Childhood Development (514) 343-6111 ext.2541 www.excellence-earlychildhood.ca Child Care Advocacy Association of Canada (613) 594-3196 www.ccaac.ca

Ministry of Education www.edu.gov.on.ca/childcare Ministry of Finance Ontario Child Care Supplement for Working Families 1-866-668-8297 www.trd.fin.gov.on.ca

Child Care - Subsidy County of Lambton Social Planning and Children’s Services 150 Christina St. N., Sarnia ON (519) 344-2062 or 1-800-387-2882 www.onehsn.com/lambton see ad on page 111

Child Care Centres For a full list of child care centres in your area visit www.onehsn.com/Lambton C.A.C.H.É. Child Care - Pathways Health Centre for Children 1240 Murphy Rd., Sarnia ON (519) 542-3471 www.pathwayscentre.org see ad on page 118

County of Lambton Social Planning and Children’s Services 150 Christina St. N., Sarnia ON (519) 344-2062 or 1-800-387-2882 www.onehsn.com/lambton see ad on page 111

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Child Care and Education | Conseil scolaire catholique Providence www.cscprovidence.ca see ad on page 112 La Ribambelle Daycare Saint-Thomas-dâ&#x20AC;&#x2122;Aquin 931 Champlain Rd., Sarnia ON (519) 542-5423 or 1-800-575-0674 Saint-Philippe - Before and After School Program 7195 St. Philippes Line, Grande Pointe ON (519) 352-9579 Tilbury Tots Early Learning Centre Daycare Saint-Francis 11 St. Clair St., Tilbury ON (519) 682-0804 Tilbury Tots Early Learning Centre Daycare Sainte-Catherine 24162 Winterline Rd., Pain Court ON (519) 351-3111 Tilbury Tots Early Learning Centre Daycare Sainte-Marie 90 Dale Drive, Chatham ON (519) 354-5580

Education - General Alternative & Continuing Education Chatham-Kent (519) 351-2689, Wallaceburg(519) 627-7452 Sarnia (519) 383-8787 ON

Canadian Home and School Federation 250 Holland Ave., Rm. 211, Ottawa ON (613) 798-2837 www.canadianhomeandschool.com Canadian Parents for French 2055 Dundas St. E., Ste. 103, Mississauga ON (905) 366-1012 or 1-800-667-0594 www.cpfont.on.ca

Home Child Care Lambton Rural Child Care - Home Child Care (519) 882-3480 or 1-800-265-0257 www.lrchildcare.com Wee Watch Home Child Care (519) 336-7948

Home Education Ontario Federation of Teaching Parents (OFTP) 1-800-704-0448 www.ontariohomeschool.org

Literacy Tri-County Literacy Network 111 Heritage Rd., Ste 103, Chatham ON (519) 355-1771 or 877-333-4833 www.TCLN.on.ca

Association of Early Childhood Educators Ontario 40 Orchard View Blvd., Ste. 211, Toronto ON (416) 487-3157 or 1-866-932-3236 www.aeceo.ca parentguide.ca

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| Child Care and Education PARENTING AND FAMILY LITERACY CENTRE École catholique Saint-Thomas-d’Aquin 931 Champlain Rd., Sarnia ON (519) 542-5423 www.cscprovidence.ca see ad on page 54

School Boards Conseil scolaire catholique Providence Head Office 7515 Forest Glade Dr., Windsor ON (519) 948-9227 or 1-888-768-2219 www.CscProvidence.ca see ad on page 112

Conseil scolaire Viamonde (416) 614-0844 or 1-888-538-1702 www.csviamonde.ca Lambton Kent District School Board 200 Wellington St., Sarnia ON (519) 336-1500 or 1-800-754-7125 www.lkdsb.net St Clair Catholic District School Board 420 Creek St., Wallaceburg ON (519) 627-6762 or 1-866-336-6139 www.st-clair.net Walpole Island First Nation Board of Education R.R.3, Walpole Island, Wallaceburg ON (519) 627-0708

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Child Care and Education |

The County of Lambton is pleased to offer OneList, an online centralized child care application and information service that simplifies the process of applying for child care. Applying for child care or getting on a waiting list is easier that ever. OneList provides you with: » the ability to research different child care providers and the type of care offered; » maps of locations of child care programs close to your home or work; » the option to apply simultaneously to any number of licenced child care programs for multiple children; » information about the child care free subsidy program; » access to change your application anywhere, anytime; and » a highly secure website that ensures your privacy

Helping parents/guardians with the cost of child care

What Can I Expect To Pay? Net Family Income

Approximate Cost per Family

$20,000 $30,000

$0.00 per day $4.00 per day

$40,000 $50,000

$8.00 per day $19.00 per day

$60,000

$31.00 per day

$70,000

$42.00 per day

WWW.LAMBTONONLINE.CA

Child Care Subsidy For an appointment call the County of Lambton Social Planning & Children's Services Department at 519-344-2062 ext. 2201 or 1-800-387-2882

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Give your child the gift that will last a lifetime!

Your child deserves the best start! ✓ PLAY-BASED LEARNING ✓ DAY CARE / BEFORE AND AFTER SCHOOL CHILDCARE SERVICES ✓ FULL DAY JK AND SK ✓ 100% FRANCOPHONE ENVIRONMENT ✓ HIGH-LEVEL BILINGUALISM ✓ ROOTED IN CATHOLIC VALUES

We’re expecting you!

MyFrenchSchool.com

Come visit us!

ÉCOLES ÉLÉMENTAIRES CATHOLIQUES

Saint-Thomas-d'Aquin

Saint-Philippe

931 Champlain Road, Sarnia • 519 542-5423

7195 St. Philippes Line, Grande Pointe • 519 352-9579

Saint-Francis

Sainte-Catherine

11 St. Clair Street, Tilbury • 519 682-3243

24162 Winterline Road, Pain Court • 519 354-2913

La Ribambelle Daycare • 1 800 575-0674

Tilbury Tots Early Learning Centre Daycare • 519 682-0804

Before and After School Program • 519 352-9579

Tilbury Tots Early Learning Centre Daycare • 519 351-3111

Sainte-Marie 90 Dale Drive, Chatham • 519 354-1225

Tilbury Tots Early Learning Centre Daycare • 519 354-5580

An education that’s amongst the best in Ontario!

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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.

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 them home with you

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.LambtonOneHSN.com 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 50-55)

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special needs

Visit parentguide.ca for additional resources and articles

| Special Needs Where to Begin Community Care Access Centre 1150 Pontiac Dr., Sarnia ON (519) 337-1000 or 1-800-265-1445 www.sarnia.ccac-ont.ca Pathways Health Centre for Children 1240 Murphy Rd., Sarnia ON (519) 542-3471 or 1-855-542-3471 www.pathwayscentre.org see ad on page 118 Community Living 551 Exmouth St., Sarnia ON (519) 332-0560 www.communitylivingsarnia.org St. Clair Child and Youth Services 129 Kendall St., Point Edward ON (519) 337-3701 www.stclairchild.ca The agency is a progressive Children’s Mental Health Centre dedicated to helping children and youth in coping with and adapting to life’s challenges. With vision, creativity and flexibility, we work with parents and the community in providing integrated early intervention, prevention, residential and non-residential treatment services.

STARRting Point (Simplify The Access to Children’s Residences and Resources) 1086 Modeland Rd., Bldg. 1030, Sarnia ON (519) 336-0120 or 1-800-831-3031 www.familycounsellingctr.com

Autism Spectrum Disorders Autism Canada (519) 695-5858 www.autismcanada.org Builds awareness and offer treatment choices for parents.

Autism Ontario 1179A King St. W., Ste. 4, Toronto ON (416) 246-9592 www.autismontario.com Intensive Behavioural Intervention www.autismontario.com Pathways Health Centre for Children 1240 Murphy Rd., Sarnia ON (519) 542-3471 or 1-855-542-3471 www.pathwayscentre.org see ad on page 118 Sarnia-Lambton Autism Society of Ontario (519) 882-1132 www.autismsociety.on.ca Support and information for parents of children with autism. Infromation for professionals.

Child Care/Schooling C.A.C.H.É. Child Care - Pathways Health Centre for Children 1240 Murphy Rd., Sarnia ON (519) 542-3471 or 1-855-542-3471 www.pathwayscentre.org see ad on page 118 Safe Harbour Family Services 297 Stuart St., Sarnia ON (519) 337-8906

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Special Needs | Financial Assistance Assistance for Children With Severe Disabilities (ACSD) (519) 254-1651 ext. 2298 or 1-800-3877327 ext. 2298 www.gov.on.ca/CSS/ County of Lambton Social Planning and Children’s Services 150 Christina St. N., Sarnia ON (519) 344-2062 or 1-800-387-2882 www.onehsn.com/lambton see ad on page 111 Easter Seals Ontario 100 Concorde Gate, Unit 700, North York ON (416) 421-8377 or 1-800-668-6252 www.easterseals.org To register a child for financial assistance: 1-866-630-3336 or (416) 421-8146 ext.

383. To request incontinence grants call 1-800-668-6252 ext. 314.

Ministry of Children and Youth Services (416) 325-5666 or 1-800-387-5559 www.children.gov.on.ca Ministry of Health and Long-Term Care 900 Bay St., Toronto ON 1-800-268-1154 www.health.gov.on.ca



  Are you worried that your child is not understanding or talking as early or as well as he should be?

Does your child seem frustrated when she tries to talk?

Do you or others have difficulty understanding your child’s speech?

Call SoundStart (519) 542-2074 or 1-855-542-3471

www.soundstart.org Spina Bifida & Hydrocephalus Association 555 Richmond Street West, Suite 1006, PO Box 103, Toronto ON (416) 214-1056 or 1-800-387-1575 www.sbhao.on.ca Providing education, information, resources, support and guidance for parents, children, youth, adults and families living with spina bifida and/or hydrocephalus in Ontario.

Hearing Audiology/Hearing Assessment College of Audiologists and Speech Language Pathologists of Ontario 1-800-993-9459

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| Special Needs Blue Water Family Hearing Centre 316 George St. Ste. 102 Sarnia, 399 Eureka St., Petrolia ON (519) 344-8887 or 1-866-455-7690 www.familyhearingcentre.ca Pathways Health Centre for Children 1240 Murphy Rd., Sarnia ON (519) 542-3471 or 1-855-542-3471 www.pathwayscentre.org see ad on this page

Speech and Language SoundStart - Lambton Preschool Speech and Language - Pathways Health Centre for Children 1240 Murphy Rd., Sarnia ON (519) 542-2074 or 1-855-542-3471 www.soundstart.org see ad on page 117

NOTES: __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________

Pathways offers a defined range of paediatric rehabilitation, service coordination, transition planning, ECE Resource and Home Support services in accessible, inclusive and familycentred settings throughout the Sarnia-Lambton community.

C.A.C.H.Ă&#x2030; Child Care Service

Toddler (18-30 months) Preschool (31 months-6 years) School Age summer program (6-12 years)

Aquatics

A variety of programs are offered to all ages and abilities in our therapeutic pool.

Phone: 519-542-3471 www.pathwayscentre.org 1240 Murphy Road, Sarnia ON N7S 2Y6 Supporting children, youth and young adults to achieve their potential through effective partnerships 118

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Special Needs | Special Needs Funding All children and youth deserve to have a healthy, happy childhood and 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 more information visit: Ministry of Children and Youth Services www.children.gov.on.ca

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charts and milestones Keep track of all those important firsts!

Healthy Weight Gain During Pregnancy.....................19 All About Baby - first record .....................................31 Babyâ&#x20AC;&#x2122;s Feeding Record ............................................40 How Do I Know Breastfeeding Is Going Well? ..........43 Fever and Sickness ..................................................83 Immunization Record .........................................84,85 Childhood Illnesses Chart ...................................86-92 When Do Teeth Come In? ........................................93 Important Contacts ...............................................121 Height Chart .......................................................122 Weight Chart ......................................................123

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Important Contacts Police, Fire, Ambulance, Emergency.......................................................... 911

Help Lines EatRight Ontario...........................................................................1-877-510-5102 La Leche League Canada...............................................................1-800-665-4324 Kids Help Phone..........................................................................1-800-668-6868 Poison Information Centre..............................................................1-800-268-9017 Telehealth (24 hours a day)..........................................................1-866-797-0000

public health Lambton Public Health..................(519) 383-8331 Toll Free.......................................1-800-667-1839

NEW....

Telehealth Ontario Breastfeeding Support Line (24 hours a day) 1-866-797-0000

our family information Parentâ&#x20AC;&#x2122;s Names: Address: Phone:

Cell:

Parent Work Phone:

Parent Work Phone:

Neighbour:

Phone:

Babysitter:

Phone:

Childcare:

Emergency Contact:

Phone: Phone:

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Index 211.............................................................. 8 Aamjiwnaang First Nations Breastfeeding Support... 38 Aamjiwnaang First Nations Food Bank........... 23 Aamjiwnaang First Nations Good Food Box.... 23 Aamjiwnaang First Nations Healthy Babies..... 81 Aamjiwnaang First Nations Home Visiting Program............................................ 30,53 Aamjiwnaang First Nations Prenatal Classes... 15 Aamjiwnaang Health Centre - E’mino Bmaad-Zijig Gamig Health Centre............ 79 AboutKidsHealth.......................................... 11 Abuse.....................................................22,25 Addiction Support........................................ 22 Adoption Council of Canada......................... 50 Adoptions/Foster Parenting........................... 50 After baby’s birth............29,30,31,32,33,34,35 Alcohol and pregnancy................................. 17 All about baby............................................. 31 Allergy and Asthma Information Association Anaphylaxis Canada.............................. 78 Alternative & Continuing Education...............109 Alvinston....................................................... 9 Alvinston Outreach....................................... 51 Antibiotic Resistance is a Problem!................. 82 Are baby teeth really that important?.............. 94 Arkona......................................................... 9 Arkona Outreach......................................... 51 Assaulted Women’s Helpline......................... 22 Assaulted Women’s Helpline......................... 24 Assistance for Children With Severe Disabilities (ACSD).................................117 Association of Early Childhood Educators Ontario.. 108 Association of Early Childhood Educators Ontario..................................109 Association of Ontario Midwives................... 14 Audiology/Hearing Assessment....................117 Autism Canada...........................................116 Autism Ontario...........................................116 Autism Spectrum Disorders...........................116 Baby’s Breath.............................................. 24 Baby’s Feeding Record................................. 40 Bedtime Routines.......................................... 57 Bereaved Families of Ontario........................ 22 Bereaved Parents Support Group Sarnia......... 22 Bereavement................................................ 22 Best Start ........................................ 41,50,66,67

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Bilingual Online Ontario Breastfeeding Services...38 Birth control for new parents.......................... 34 Bkbjwanong First Nation Public Library............. 9 Bkejaanong Biiweziimag............................... 38 Blue Water Family Hearing Centre................118 Bluewater Health.......................................... 80 Bowel Movements........................................ 33 Breakfast Programs....................................... 22 Breastfeeding /feeding.............................37-47 Breast Pump Rentals .................................... 38 Breastfeeding Buddies.................................. 38 Breasts........................................................ 33 Bridgen......................................................... 9 Bridge The Gap Program.............................. 22 Brights Grove................................................ 9 Brooke Central Public School......................... 50 C-section..................................................... 33 C.A.C.H.É. Child Care - Pathways Health Centre for Children..................... 108,116,118 Camlachie..................................................... 9 Camlachie Outreach..................................... 51 Campylobacter ........................................... 87 Canada Safety Council................................100 Canadian Association of Family Resource Program................................... 51 Canadian Association of Optometrists............ 64 Canadian Cancer Society............................. 81 Canadian Child Care Federation..................108 Canadian Consumer Information Gateway.....100 Canadian Food Inspection Agency................100 Canadian Hearing Society............................ 64 Canadian Home and School Federation.........109 Canadian Lactation Consultants Association.... 38 Canadian Mental Health Association..........23,81 Canadian Paediatric Society................11,41,51 Canadian Parents for French........................109 Canadian Partnership for Children’s Health and Environment..................................... 11 Canadian Public Health Association............... 79 Canadian Red Cross First Aid Programs.........100 Canadian Toy Testing Council......................100 CAPPA........................................................ 14 Car and Booster Seats..........................104,105 Centre of Excellence for Early Childhood Development ........................................108

New parent resource guide 2016-2017

Index Charts........................................................120 Healthy Weight Gain During Pregnancy.... 19 All About Baby - first record..................... 31 Baby’s Feeding Record............................ 40 How Do I Know Breastfeeding Is Going Well?.. 43 Fever and Sickness................................. 83 Immunization Record...........................84,85 Childhood Illnesses Chart....................86-92 When Do Teeth Come In?........................ 93 Important Contacts.................................121 Height Chart.........................................122 Weight Chart........................................123 Chickenpox................................................. 90 Child Care/Schooling..................................116 Child Care ................................................107 Child Care Advocacy Association of Canada..108 Child Care and Education..................... 108-113 Child Development... 63-65,69,70,71,72,73,74,75 Childhood Illnesses Chart..........................86-92 Children’s Aid Society.................................. 23 City of Sarnia................................................ 9 City of Sarnia Fire Rescue Services................100 CMV.......................................................... 90 College of Midwives of Ontario..................... 14 Common Cold............................................. 86 Common Signs of Teething............................ 93 Community........................................8,9,10,11 Community Care Access Centre....................116 Community Living........................................116 Conjunctivitis............................................... 91 Conseil scolaire catholique Providence...... 109,110 Conseil scolaire Viamonde...........................110 Constipation................................................ 47 Contact House Food Bank............................. 23 Coping Bereavement Support Groups of Ontario Inc.................................................. 22 Coping with Emotional Changes in Pregnancy... 17 Cord Blood Banking..................................... 14 Coronation Park........................................... 50 Corunna....................................................... 9 Counselling................................................. 23 County of Lambton......................................... 9 County of Lambton Social Planning and Children’s Services....................50,108,117 Courtright...................................................... 9 Coxsackie A................................................ 90

CReATe Cord Blood & Peristem..................... 14 Cryptosporidium ......................................... 87 Cytomegalovirus.......................................... 90 Dental................................................42,64,94 Developmental/Physical Concerns/Special Needs.... 64 Dietitians of Canada.................................... 78 DONA International..................................... 14 Doula C.A.R.E. Inc....................................... 14 Doulas........................................................ 14 Drug and Alcohol Helpline........................22,24 E.coli.......................................................... 87 Ear Infections (Otitis Media).......................... 86 Easter Seals Ontario....................................117 Eating Fish.................................................. 16 EatRight Ontario......................................64,78 École catholique........................................... 52 École catholique Saint-Thomas-d’Aquin..........110 Ecole Les Rapides, Carrefour francais............. 50 Elmer the Safety Elephant.............................100 Emergencies................................................ 79 Escherichia coli ........................................... 87 Family/Group Support.................................. 23 Family/Social Services.................................. 23 Family Counselling Centre ........................22,23 Family Planning and Fertility Awareness.......... 14 Family Services Canada................................ 23 Feeding your toddler and preschooler............. 47 Fertility Matters............................................ 14 Fever and sickness....................................... 83 Fifth Disease................................................ 90 Financial Assistance....................................117 Find a Health Care Location Near You........... 79 Find a Midwife............................................ 14 Finding a Family Doctor................................ 79 First Aid Training........................................100 First foods................................................... 46 Florence...................................................... 10 Food Banks................................................. 23 Food Safety................................................. 16 Forest......................................................... 10 Gastroenteritis ............................................ 87 General Concerns........................................ 65 General Home Safety..................................101 German...................................................... 92 Giardia ..................................................... 87 Grand Bend................................................ 10

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Index Grand Bend Area Community Health Center... 79 Grand Bend Outreach.................................. 51 Guidelines for screentime.............................. 61 Guidelines for supervision of children............103 Head Lice.................................................... 89 Health and the environment.......................96,97 Health and wellbeing...............................77-97 Health Canada............................................ 11 Health Care Connect.................................... 79 Health Centres............................................. 79 Health Smiles Ontario (HSO)......................... 64 Health Unit/Public Health.............................. 79 Healthy Baby Healthy Brain ......................... 69 Healthy choices start now.....................16,32,47 Healthy sleep habits..................................... 57 Healthy Smiles Ontario................................. 78 Healthy Weight Gain During Pregnancy......... 19 Hearing...........................................64,70,117 Hearing Screening....................................... 32 Help and Support.....................................22-27 Help Lines................................................... 24 Hemorrhoids................................................ 33 Hepatitis A.................................................. 87 Hepatitis B.................................................. 90 Herpes Simplex ........................................... 89 Hospitals..................................................... 80 Immunization Record.................................... 85 Immunize Canada........................................ 80 Impetigo..................................................... 89 inFact Canada.........................................38,41 Influenza..................................................... 86 Inuries can be prevented!.............................103 Injury Free Zone..........................................100 Inn of the Good Shepherd............................. 24 Intensive Behavioural Intervention..................116 International Caesarean Awareness Network... 53 International Lactation Consultant Association.. 39 Introducing Cow’s Milk................................. 45 Inwood....................................................... 10 Jaundice Screening...................................... 32 Kent-Middlesex............................................ 65 Kettle & Stony Point Food Bank...................... 24 Kettle & Stony Point Health Services............... 38 Kettle and Stony Point Health Centre.............. 79 Kettle Stony Point Outreach........................... 51 Kids Help Phone.......................................... 24

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Kinomaagziwaad......................................... 38 Laid Back Breastfeedomg.............................. 42 La Leche League.......................................39,41 Lambton-Kent-Middlesex OEYC................... 11,51 Lambton - Lochiel Family Drop-in Centre.......... 65 Lambton...................................................... 65 Lambton Celiac Association........................... 78 Lambton County Libraries................................ 9 Lambton Kent District School Board...............110 Lambton Public Health.......................... 10,14,15, 22,23,30,38,39,51,52,53,65,78,79,80,81,100 Lambton Rural Child Care - Home Child Care.. 109,111 La Ribambelle Daycare.................................. 109 Learning Disabilities Association of Canada.... 52 Learning Disabilities Association of Lambton County..................................... 52 Learn your baby’s feeding cues...................... 35 Libraries........................................................ 9 Life Saving Society......................................100 Literacy......................................................109 Living, Working, Playing................................. 8 London Health Sciences Centre...................... 80 London Road Diagnostic Clinic..................80,81 Make story time a part of every day............... 61 Make the Connection - Walpole Island Children’s Services Unit........................... 53 Mallroad..................................................... 10 Mandaumin................................................. 10 McLaren Pharmacy....................................... 38 Measles..................................................91,92 Medic Alert................................................. 78 Meningitis................................................... 91 Mental health and wellness........24,26,27,64,81 Midwifery................................................... 14 Midwifery Services of Lambton-Kent............14,39 Ministry of Children and Youth Services....11,117 Ministry of Education ..................................108 Ministry of Finance......................................108 Ministry of Health and Long-Term Care..........117 Ministry of Transportation (MTO)...................100 Mnaasged Child & Family Services................ 23 Mommy & Me............................................. 53 Mooretown.................................................. 10 Motherisk.................................................... 39 Motherisk Program....................................... 24 Mouth Disease............................................. 90

New parent resource guide 2016-2017

Index Multiple Births Canada................................. 53 Mumps ...................................................... 91 Municipal Contacts......................................... 9 Municipality of Brooke-Alvinston....................... 9 Municipality of Lambton Shores....................... 9 National Crime Prevention Centre.................100 Never shake a baby..................................... 60 Newborn Screening..................................... 32 Newcomers................................................. 11 Norovirus.................................................... 88 North Lambton Community Health Center............ .........................................15,38,39,52,65,79 Norwalk..................................................... 88 Now your baby is here................................. 32 Nutri- eSTEP................................................ 64 Nutrition..................................................... 64 Oil Springs.................................................. 10 OneList.......................................................... 108 Ontario Association of Optometrists............... 64 Ontario Doulas............................................ 14 Ontario Early Years Centre.11,50,51,52,53,55,65 Ontario Federation of Teaching Parents.........109 Ontario Government....................................... 8 Ontario Problem Gambling Helpline...........22,24 Pacific Post Partum Support Society............30,53 Parachute...................................................100 Parent Guide Inc.......................................... 11 Parenting............................ 10,49-53,56-61,65 Parenting and Family Literacy Centre.............110 Parvovirus B................................................ 90 Pathways Health Centre for Children... 64,116,118 Pertussis...................................................... 86 Petrolia....................................................... 10 Petrolia Food Bank....................................... 24 Petrolia Satellite........................................... 51 Physical Activities before/after birth............... 18 Physical Activity After Baby is Born................ 18 Physical Activity For Infants (0-12 months)....... 71 Physical Activity in Pregnancy........................ 18 Physical changes after having a baby............. 33 Physical Literacy........................................... 72 Pinkeye....................................................... 91 Pinworm .................................................... 92 Point Edward............................................... 10 Poison Information Centre.......................24,100 Port Franks.................................................. 10

Port Lambton............................................... 10 Positive parenting......................................... 59 Postpartum/Post Natal Support...................... 30 Pregnancy...............................................13-19 Pregnancy and Infant Loss Network................ 22 Pregnancy Support....................................... 15 Prenatal Classes and Programs...................... 15 Preparing your child for child care................113 Preventing Flat Heads in Babies..................... 56 Progenics Cord Blood Cryobank.................... 14 Proof of Immunization................................... 84 Protecting Against Bug Bites.......................... 97 Protecting against second hand smoke............ 96 Protecting Children in the Sun........................ 97 Providence............................................... 54,112 R.S.V. (Respiratory Syncytial Virus)................. 86 Raising a healthy child.................................. 74 Red Measles................................................ 91 Rhinovirus, corona virus................................ 86 Ringworm ................................................... 92 Riverview Central School............................... 50 Roseola....................................................... 92 Rotavirus..................................................... 88 Rubella....................................................... 92 Safe Harbour Family Services.......................116 Safe sleep for your baby............................... 56 Safety................................................... 99-105 Safety and Security.....................................100 Saint-Thomas-d’Aquin.................................... 52 Sainte-Catherine..........................................109 Saint-Philippe - Before and After School Program..109 Salmonella ................................................. 88 Salvation Army Food Bank............................ 24 Sarnia-Lambton............................................ 11 Sarnia-Lambton Autism Society of Ontario......116 Sarnia-Lambton Children’s Aid Society........23,50 Sarnia-Lambton County................................... 8 Sarnia Children’s Library............................... 10 Sarnia Newcomers Club............................... 11 Scabies ...................................................... 89 Scarlet Fever................................................ 86 School Boards............................................110 Service Ontario ............................................ 8 Sexual Assault Survivors’ Centre.................... 22 Sexual health after the birth of your baby....... 33 Sexual health services................................... 81

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Index Shetland..................................................... 10 Shigella...................................................... 88 Shoppers Drug Mart..................................... 38 Signs your baby is ready for solids................ 46 Six steps to keep you healthy......................... 82 Sixth Disease............................................... 92 Skin-to-skin.................................................. 35 Smokers’ Helpline - Canadian Cancer Society...22,81 Smoking Cessation...................................17,81 Sombra....................................................... 10 SoundStart - Lambton Preschool Speech and Language - Pathways Health Centre for Children.......... 64,118 SouthWest Counselling Services................... 23,81 Special Needs..................................... 115-119 Special Needs Funding................................119 Speech & Language...............................64,118 Speech and Language Development............... 70 Spina Bifida & Hydrocephalus Association.....117 St. Clair Child and Youth Services..30,53,64,81,116 St. Clair Child and Youth Services Family Drop-In Centre OEYC Satellite.................. 51 St. John Ambulance.....................................100 St. Joseph Catholic School............................ 50 St. Philip Catholic School.............................. 50 St. Vincent De Paul Society............................ 24 STARRting Point.....................................23,116 St Clair Catholic District School Board...........110 Stem Cell Bank............................................ 14 Strep Throat................................................. 86 Sudden Infant Death Syndrome (SIDS)............ 52 Teething...................................................... 93 Telehealth Ontario.....................24,30,39,53,79 Temper tantrums........................................... 73 Texture........................................................ 46 The ABC’s of Children’s Dental Care.............. 94 Thedford..................................................... 10 Thedford Outreach....................................... 51 The Garden Fresh Box.................................. 24 The letters in PURPLE stand for....................... 58 The Lung Association.................................... 78 The Period of PURPLE Crying®....................... 58 The Pregnancy Centre...............................15,53 The Salvation Army..................................23,24 Three Fires EZHNOWENMINDWAA Women’s Shelter.................................... 22 Tilbury Tots Early Learning Centre Daycare..... 109 128

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Town of Petrolia............................................. 9 Town of Plympton-Wyoming............................ 9 Township of Dawn-Euphemia........................... 9 Township of Enniskillen................................... 9 Township of St. Clair...................................... 9 Township of Warwick..................................... 9 Transport Canada Information......................100 Tri-County Literacy Network..........................109 Tummy Time To Play!.................................... 71 Vaginal Flow............................................... 33 Varicella Zoster............................................ 90 Victim Services of Sarnia-Lambton.................. 22 Victoria Angel Registry of Hope Public Cord Blood Bank.................................... 14 Village of Oil Springs..................................... 9 Village of Point Edward.................................. 9 Virus or Bacteria – Different or the Same?....... 82 Vision.....................................................64,70 Vitamin D.................................................... 42 VON Canada National Office...................30,53 Walk-in Clinics............................................ 81 Walpole Island Children’s Services Unit.......... 52 Walpole Island First Nation Board of Education..110 Walpole Island Health Centre....................15,79 Watford...................................................... 10 Watford Outreach........................................ 51 Weaning your child..................................... 45 Web Sites Worth Visiting.............................. 11 Wee Watch Home Child Care......................109 Well Baby and Child Clinics......................... 81 What is a Doula? ...................................... 12 What is Shaken Baby Syndrome? ................. 60 What you can do if your child has a fever...... 83 Where can I get my car seat installed?..........104 Where to Begin - special needs....................116 Where to Look for Child Care......................113 Whooping Cough........................................ 86 Wilkesport.................................................. 10 Women’s Interval Home................................ 22 World Health Organization .......................... 41 Wyoming................................................10,51 Yersinia...................................................... 88 Your child’s development.............................. 69 Your picky eater........................................... 47

New parent resource guide 2016-2017

Lambton Children's Planning Network Dear Parents, Congratulations on beginning the exciting journey of parenthood. It is the most important job you will ever do. As this Resource Guide demonstrates in Lambton County you are not alone as there are many organizations and services to support you including a group called the Lambton Children’s Planning Network.

The Network is a group of committed people representing a diverse range of organizations. There are also folks who are part of this group whose job it is to represent the voice of families. The primary task of the Network is to plan for services that promote the well-being of children and families. The group meets once a month and is supported administratively by the County of Lambton.

There are also numerous working groups that are tackling key priority items such as child care, the health of infants, improving access to services, supporting priority neighbourhoods, and literacy.

Lambton County, for the past seven years, has been fortunate enough to be one of three Best Start Demonstration Sites in the Province of Ontario with a task of implementing the Best Start Transformation Agenda. The task of the Lambton Children’s Planning Network has been to tackle the implementation of this agenda. The interest in transformation is based on what we know about developing healthy, happy and productive members of society. It has been recognized and supported by years of research that the happy and healthy children of today are the healthy, productive and caring adults of tomorrow. The Lambton Children’s Planning Network along with its many community partners has a plan with a set of priorities to make sure the vision it has set “a community that enriches the lives of children and families for a better tomorrow” becomes a reality.

If you are interested in more information please check our web site at www.ourbeststart.ca

1)The Right to Basic Needs Every child has the right to love and be loved, healthy food, clothes for all seasons, a safe home, clean air, water and earth.

2)The Right to a Nurturing Home Every child has the right to feel safe and loved in his/her home and to spend time with family and friends.

3)The Right to Justice and Protection Every child has the right to be safe and respected at all times and in all places, at home, school, on the Internet, and in public.

4)The Right to Culture, Faith and Beliefs Every child has the right to be treated

7)The Right to be Heard Every child has the right to his/her emotions and to share these feelings respectfully. To be heard and to listen to others.

8)The Right to an Education Every child has a right to learning and training - to be the best that he or she can be.

9)The Right to Make Friends Every child has the right to have friends and the responsibility to be a friend.

10)The Right to Peace Every child has a right to love, peace and happiness.

equally. To learn and practice his/her faith and culture without fear.

5)The Right to be Different Every child has the right to be himself or herself and to treat others as he or she would like to be treated.

TO BE ME!

6)The Right to Play Every child has the right to play, explore, express and dream. TO BE A KID! TO DREAM BIG!

11)The Right to Privacy Every child has the right to privacy when thinking, changing clothes and learning.

12)The Right to Equal Access Every child has the right to access healthcare, public places and opportunities to a good life.

Created by the children for the children and endorsed by County Council

1-888-542-6101

www.ourbeststart.ca