Region of Waterloo - NPRG 2018

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99 Regina Street South, Waterloo ON N2J 4V3 150 Main Street, Cambridge ON N1R 6P9 519-575-4400 (TTY: 519-575-4608) www.regionofwaterloo.ca/ph

Find us on Facebook: /ROWPublicHealth Follow us on Twitter: @ROWPublicHealth Follow us on Instagram: @ROWPublicHealth

Dear Parent(s), Congratulations on the birth of your new baby! You have the most important role in the life of your new baby. In the birth package you received from the hospital or your midwife, there is information on healthy child growth and development, and community programs to support you and your child. There are also two resources to support you as a parent: • Tips for New Parents: Making the most of the early years • Healthy Babies Healthy Children: Supporting you and your child Keep this New Parent Resource Guide handy for future reference as your child develops, and take it with you to ALL of your baby’s appointments for updating. Show your health care provider the Passport to Health and your Baby’s Feeding Record. Please note, it is important that your newborn is seen by a health care provider within 48 hours of leaving the hospital. If you have any questions about your baby or supports available to your family, please contact Region of Waterloo Public Health at 519-575-4400 to speak to a public health nurse. Sincerely, Lesley Rintche, RN, BScN

Manager, Child and Family Health and Nursing Practice

Important phone numbers:

Police, Fire, Ambulance, Emergency ........................................................................................................................................... 911 Community Information Services ................................................................................................................................................211 Addictions, Mental Health and Crisis Services (HERE247) ..........................................................................1-844-437-3247 Women’s Crisis Services .................................................................................................... 519-742-5894 or 1-800-410-4482 Telehealth (including breastfeeding support) 24 hours a day, seven days a week ................................. 1-866-797-0000 ......................................................................................................................................................................... TTY: 1-866-797-0007 EatRight Ontario .....................................................................................................................................................1-877-510-5102 Healthy Babies Healthy Children ........................................................................................................................... 519-575-4400 Ontario Early Years Centres .............. Cambridge 519-740-8353; Kitchener 519-571-1626; Waterloo 519-741-8585


PASSPORT TO HEALTH Parents please ask your hospital nurse or midwife for the information below. Take it with you on visits to your health care provider. Baby’s Name: ________________________________ Gender: Female ___________

Male___________

Baby’s Birthdate:______________________________

Mother’s Name: _______________________________ Mother’s Birthdate: ____________________________ Partner’s Name: _______________________________

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

q 48 hours after hospital discharge to a health care

provider (doctor, nurse practitioner, midwife). If you attend Public Health Breastfeeding Services, Postbirth Clinic (PBC), or Bili Clinic you do not need to book a separate 48 hour check-up with your family health care provider.

q Again, within the first week after discharge to your ongoing health care provider.

q At two weeks of age q Regular visits at one, two, four, six, nine, 12, 15, 18 and

Circle Unit of Measurement

Birth Weight: _________________ grams or lbs./oz.

24 months; and then once a year

Length: _______ cm or inches Head Circumference: _____ cm or inches

See page 40 for information about the 18 month enhanced well-baby visit.

Apgar Score: one minute:_____ five minutes: ______

At well-baby/child visits your health care provider will check your child’s growth and development and give routine vaccines (see page 7).

Bili Results: ________ Date: (Hours old) _________ Repeat Bili: _________ Date: ___________________

For more information go to: www.caringforkids.cps.ca Mother to visit OB/GYN at six weeks postpartum

Coombs Positive (+): ________ Negative (-): ______

WEIGHT GAIN/GROWTH

Blood Type (Group & Rh): ___________________

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

Feeding Method on Discharge:__________________

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

Discharge Date:______________________________

Growth spurts may occur at any time. Babies usually have growth spurts at around two to three weeks, six weeks, three months and six months of age.

Discharge Weight: ____________ grams or lbs./oz. Follow-up appointment dates and times: Bili Clinic: ___________________________________ Post Birth Clinic: _____________________________

Infants usually double their birth weight by four to five months and triple their birth weight by one year. Track your child’s growth below. Your health care provider will plot your baby’s growth on a growth chart to check your child’s growth pattern over time. For more information, go to www.dietitians.ca/growthcharts

Public Health Breastfeeding Services: ____________________ If you have concerns about your child’s growth, contact your health care provider. Other: _______________________________________ Post Discharge Clinic: Post birth

Bili

Weight: ________ grams or lbs./oz. Date:___________

Date

Weight grams or lbs./oz.

Length inches or cm

First appointment with your health care provider:

NEWBORN REGISTRATION – REGISTER YOUR CHILD WITH THE FOUR IN ONE NEWBORN BUNDLE BEFORE THEIR FIRST BIRTHDAY 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 parentguide.ca

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The all-in-one resource for busy parents!

RESOURCE GUI DE PARENT GUIDE INC. PHONE: 519-645-7342 EMAIL: info@parentguide.ca WEBSITE: parentguide.ca PUBLISHER: Jennifer McCallum FACILITATOR: Peter Barnes DESIGN: Brandon Caskanette SALES: info@parentguide.ca 519-645-7342

CREDITS EDITORIAL CONTRIBUTORS:

School Age

Active for Life 25,37 Best Start Resource Centre 15,16, 17, 18, 20, 21, 23, 40, 42, 52 Cambridge Memorial Hospital 1,4, 5 CanAdaptt 23, 52, 58 Canadian Cancer Society 52 Canadian Dermatology Association 53 Canadian Medical Association 50 Canadian Partnership for Children’s Health & Environment 52 Canadian Paediatric Society 22-24,26,27,34-36,38,43,51 Canadian Self-Regulation Initiative 43 Canadian Society for Exercise Physiology 25,37,40 Center on the Developing Child at Harvard 40 Circle of Security 25 Community Dental Health Services Research Unit (Ontario Government) 48 Dr. Michelle Mottola - UWO 59 Early Literacy Alliance of Waterloo Region 39 Grand River Hospital 1,4, 5,12,13,51 Government of Canada 30, 31 Health Canada 19,20, 27, 32-34,52,53 57-59 Hospital for Sick Children 24,36 Infant Mental Health Promotion 6 Institute of Child Study 26 Kidsability 39 Machealth Public 56 Middlesex London Health Unit 32,56 Ministry of Children and Youth Services 38 Ministry of Transportation of Ontario 29 Motherisk 23, 58 NCAST (2000) 24,36 Nipissing District Developmental Screen 40,48 NutriSTEPŽ 6,35,41 OneList Waterloo Region 54, 55 Ontario Association of Optometrists 42 Ontario Ministry of Health and Long-Term Care 7, 57 Ontario Society of Physical Activity Promoters in Public Health 37 Parachute Canada 32 Pediatric Dentistry and Orthodontics 48,49 Please be Seated Coalition 29 Pregnets 52,58 Public Health Agency of Canada 38 Region of Durham 44 Region of Waterloo Positive Parenting Community Committee 42 Region of Waterloo Public Health and Emergency Services 1,4, 5,16-46 ,48-59 Registered Nurses Association of Ontario 18,24 SIDS Canada 24 Society of Gynecologists and Obstetricians 14, 56, 57 Toronto Public Health 21 Windsor Essex County Health Unit 47 World Health Organization 1,19, 56

RESOURCE GUIDE

COVER PHOTOGRAPHY: www.kimmikphotography.ca Thank you to Kimberly Ridsdale for the 2018 cover photograph. Your child could be on the cover next year! Enter our annual photo contest! Coming Spring 2018! All rights reserved. Reproduction in whole or in part without written permission from the publisher is prohibited. ISBN# 978-1-927542-15-6

FOLLOW US ON: Facebook - www.facebook.com/ParentGuide Twitter - @parentguide Instagram - parentguide Copyright 2018. New Parent Resource Guide 15th Edition

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NEW PARENT RESOURCE GUIDE 2018

EDITORIAL REVIEW TEAM: Child and Family Health staff of the Region of Waterloo Public Heath Debbie Wang, RSW Deborah Azim Fleming, RSW Judith Kitching, RD

Julie Hill, RN Karin Morell Karl Fuss

Marie Debrun, RN Patricia Maxwell, RN Rebecca Dahle, RN

Samantha Pestl, RN Sarah Harjee, RN Sheryl Wilk, RN

Thanks also to the Region of Waterloo staff and managers, Region of Waterloo hospital partners and other community partners who provided updated content and support. Accessible formats of this resource are available upon request. Please call 519-575-4400 (TTY 519-575-4608) to request an accessible format.

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 healthcare provider. 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.


LETTER FROM REGION OF WATERLOO PUBLIC HEALTH As parents-to- be and parents, you have the most important role in the life of your unborn baby, newborn and young child. That is why Region of Waterloo Public Health is pleased to sponsor the 2018 edition of the New Parent Resource Guide. In these pages, you will find information, services and supports to help you get your child off to the healthiest start possible. Best wishes for you and your family,

Dr. Liana Nolan

Medical Officer of Health, Region of Waterloo

LETTER FROM THE PUBLISHER

Congratulations!

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

Jennifer

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

The all-in-one resource for busy parents!

RESOURCE GUI DE

parentguide.ca

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BABY’S FEEDING RECORD Your baby needs to get at least eight feeds in a 24-hour period. This may mean waking your baby through the night, to make sure they get at least eight feeds, until your baby has regained their birth weight. For when to see your health care provider and information on dehydration see page 12. Feeding Date/Time

Skinto-Skin ()

Left ()

Right ()

Sucking Drinking (Does swallow) ()

Expressed Breast Sucking Milk (Does Amount not swallow) (mL or oz.) (if applies) ()

Urine (Pee) ()

Stool (Poop) Colour ()

Comments or Questions

Ensure your baby is drinking. Use breast compressions to increase milk flow when baby is sucking but not drinking. For breastfeeding support, call Region of Waterloo Public Health at 519-575-4400 (9 a.m. to 4 p.m. Monday to Friday) or Telehealth Ontario at 1-866-797-0000 (24 hours/seven days a week). see WYNI app https://www.wechu.org/feeding-your-baby/wyni-breastfeeding-information-when-you-need-it for a helpful way to track your baby's feeding.

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BABY'S FEEDING RECORD

Feeding Date/Time

Skinto-Skin ()

Left ()

Right ()

Sucking Drinking (Does swallow) ()

Expressed Breast Sucking Milk (Does Amount not swallow) (mL or oz.) (if applies) ()

Urine (Pee) ()

Stool (Poop) Colour ()

Comments or Questions

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The First Five Years Matter the Most A good start helps your baby later in school and in life

Actions to Support Your Baby’s Growth and Development

Meet with your health care provider for check-ups at: q 48 hours after hospital discharge q 1 and 2 weeks q 1, 2, 4, 6, 9, 12, 15, 18 and 24 months; and then once a year Have your child immunized on time everytime. Visit www.regionofwaterloo.ca/ImmunizationSchedule q Newborn and older Make your home a safe place for your child. Complete a home safety checklist at www.regionofwaterloo.ca/childhomesafety q Newborn to 12 weeks Get to know more about your baby’s sleep cycle and how to respond. Reserve a free spot at www.earlyyearsinfo.ca/sleep-sessions Newborn and older q Start thinking about your child care needs. Register for licensed child care near you at www.onelistwaterlooregion.ca

PUBLIC HEALTH AND EMERGENCY SERVICES

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519-575-4400 (TTY: 519-575-4608)

NEW PARENT RESOURCE GUIDE 2017

q 1 month and older Check your baby’s growth with the Nippising Developmental Screen at www.ndds.ca q 1 month and older Sign up for a free library card. Read with your baby every day. q 6 months and then once a year Visit the eye doctor to have your baby’s eyes checked; free if you have an Ontario Health Insurance Plan. Visit www.optom.on.ca q 12 months and older Visit the dentist to have your child’s teeth checked. Call 519-575-4400 for information about financial assistance for dental care. NutriSTEP® name and logo are Registered trademarks of Sudbury & District Health Unit.

q 18 months to 5 years Find out if your child is a healthy eater using Nutri-eSTEP at www.nutritionscreen.ca q 3 to 5 years Register your child for kindergarten.

2436724 07/17

q Newborn and older Breastfeed your baby. For free breastfeeding support call Public Health at 519-575-4400.


■* ■ ■ ■**

Meningococcal Conjugate ACYW-135

** Men-C-ACYW135, HB, and HPV are given in schools.

■*

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

Accessible formats of this document are available upon request. Please call 519-575-4400 (TTY 519-575-4608) to request an accessible format.

Meningococcal Conjugate C (Men-C-C)

All adults aged 18 and older are now eligible to receive one lifetime (publicly funded) dose of the Tdap vaccine. This lifetime dose replaces one of the Td booster doses given every 10 years. Adapted from Ontario Ministry of Health & Long Term Care. (2016). https://www.ontario.ca/page/vaccines

Rotavirus

* Men-C-C and MMR vaccines must be given after the first birthday.

Every year (in autumn)

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

Grade 7 students

4–6 years old

18 months old

15 months old

12 months old

6 months old

4 months old

Diphtheria, Diphtheria, Pertussis, Pertussis, Pneumococcal Tetanus, Polio, Conjugate Tetanus, Haemophilus (Pneu-C-13) Polio influenzae (Tdap-IPV) (DTaP-IPV-Hib)

■**

Hepatitis B

Diphtheria, Tetanus, Pertussis (Tdap)

Seasonal Influenza (Flu)

Updated September 2017

Mandatory vaccinations

■**

HPV

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

2 months old

Age at vaccination: Completed months and years

For more information, call Region of Waterloo Public Health and Emergency Services at 519-575-4400 (TTY 519-575-4608), or go to Canadian Paediatric Society: www.cps.ca or Ministry of Health and Long Term Care: www.ontario.ca/vaccines.

In July 2014, new vaccines were added to the schedule of immunizations your child must have for school attendance. Parents are now required to provide proof of their child’s immunizations for Meningococcal disease (Meningitis), Pertussis

Publicly Funded Immunization Schedule for Ontario

(Whooping Cough) and Varicella (Chickenpox; required only for children born 2010 or later) in addition to immunizations for Measles, Mumps, Rubella, Tetanus, Diphtheria, and Polio. Proof of immunization or a valid statement of exemption should be provided directly to Public Health and Emergency Services. Failure to notify Public Health and Emergency Services could result in suspension from school.

Every child should get routine vaccinations from their health care provider according to the immunization schedule on this page. These are paid for by the Ontario government. If you do not have a health care provider or health card, contact Region of Waterloo Public Health and Emergency Services to discuss your options to ensure your child receives their vaccines.

IMMUNIZATIONS

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TABLE OF CONTENTS

NOW THAT YOUR BABY IS HERE

12,13 ...... NOW YOUR BABY IS HERE 14 ...... BIRTH CONTROL FOR NEW PARENTS HELP AND SUPPORT

15 ...... ABUSE 16,17 ...... MENTAL HEALTH AND WELLNESS BREASTFEEDING/FEEDING YOUR CHILD

18 ...... SKIN-TO-SKIN 19,20,21,22,23 ...... BREASTFEEDING YOUR BABY CARING FOR A NEWBORN

24 25 26 27

...... SAFE SLEEP ...... SLEEP AND YOUR NEW BABY ...... SOOTHING YOUR CRYING BABY ...... NEVER SHAKE A BABY

SAFETY

28 ...... TUMMY TIME 29 ...... BUCKLE ME UP - CAR SEAT SAFETY 30,31,32 ...... SAFETY IN THE HOME FEEDING YOUR CHILD

33 ...... FIRST FOODS 34 ...... MILK AND YOUR GROWING CHILD 35 ...... FEEDING YOUR TODDLER AND PRESCHOOLER

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TABLE OF CONTENTS

PARENTING

HEALTHY SLEEP HABITS ...... PHYSICAL LITERACY ...... SCREEN TIME ...... TALK, WRITE, READ, SING AND PLAY ...... YOUR CHILD'S DEVELOPMENT ...... DON'T WAIT AND SEE ...... POSITIVE PARENTING ...... TEMPER TANTRUMS ...... PARTNER SUPPORT ...... TOILET LEARNING ......

36 37 38 39 40 41 42 43 44 45

HEALTH AND WELLBEING

TALK FOR TOTS ...... TEETHING ...... DENTAL CARE ...... HEALTH AND WELLBEING ...... FEVER AND SICKNESS ...... HEALTH AND THE ENVIRONMENT ......

46 47 48,49 50 51 52,53

PREPARING YOUR FAMILY FOR CHANGES/PREGNANCY

PREPARING YOUR CHILD FOR CHILD CARE ...... PREPARING FOR YOUR NEXT PREGNANCY ...... PREPARING YOUR CHILD FOR A NEW BABY ...... YOUR HEALTHY PREGNANCY ......

54,55 56 56 57,58,59

NEED HEALTH CARE NOW? SEE PAGE 82 FOR A LIST OF URGENT CARE CLINICS AND WALK-IN CLINICS NEAR YOU!

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DIRECTORY IN ALPHABETICAL ORDER BREASTFEEDING/FEEDING YOUR CHILD BREAST PUMP RENTALS AND SALES...........................................64 BREASTFEEDING EDUCATION/SUPPORT....................................64

INFANT FEEDING ROOMS..............................................................65

CHILD CARE AND EDUCATION

CHILD CARE RESOURCES..............................................................68 CHILD CARE SUBSIDY....................................................................68 BEFORE/AFTER SCHOOL PROGRAMS.........................................68 CHILD CARE.....................................................................................69

HOME EDUCATION.......................................................................71 LANGUAGE.......................................................................................71 LITERACY..........................................................................................71 SCHOOL BOARDS...........................................................................72

COMMUNITY INFORMATION LIVING, WORKING, PLAYING..........................................................74 MUNICIPAL CONTACTS.................................................................75 LIBRARIES.......................................................................................76

MULTICULTURAL GROUPS............................................................77 NEWCOMERS...................................................................................77 WEB SITES WORTH VISITING.......................................................78

HEALTH AND WELLBEING ALLERGIES AND ASTHMA.............................................................80 DENTISTRY......................................................................................80 DIETITIANS......................................................................................80 EMERGENCIES................................................................................80 FIND A HEALTH CARE LOCATION................................................80 FINDING A FAMILY DOCTOR........................................................80 FITNESS..........................................................................................80 HEALTH UNITS/PUBLIC HEALTH..................................................81 HOSPITALS.......................................................................................81

IMMUNIZATIONS.............................................................................81 MENTAL HEALTH...........................................................................82 PERSONAL CARE............................................................................82 PHONE SUPPORT..........................................................................82 SEXUAL HEALTH...................................................................82 SMOKING CESSATION...................................................................82 URGENT CARE CLINIC...................................................................82 WALK-IN CLINICS...........................................................................82

HELP AND SUPPORT ABUSE..............................................................................................84 ADDICTION SUPPORT....................................................................84 BEREAVEMENT...............................................................................84 COUNSELLING.................................................................................84 EMPLOYMENT.................................................................................85 FAMILY AND CHILDREN’S SERVICES..........................................85

FAMILY/GROUP SUPPORT...........................................................86 FOOD BANKS................................................................................86 HELP LINES.....................................................................................86 SEXUAL HEALTH...............................................................................86 HOUSING......................................................................................88 SHELTERS........................................................................................88

PARENTING ADOPTIONS....................................................................................90 JUST FOR PARTNERS...................................................................90 ONTARIO EARLY YEARS CENTRES.............................................90

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PARENTING GENERAL....................................................................91 PARENTING SUPPORT GROUPS/PROGRAMS...........................92 POSTNATAL/POSTPARTUM MENTAL HEALTH SUPPORT........93


DIRECTORY IN ALPHABETICAL ORDER

PREGNANCY AND LABOUR SUPPORT CORD BLOOD BANKING................................................................96 DOULAS.........................................................................................96 FAMILY PLANNING.........................................................................96 MIDWIFERY INFORMATION/SERVICES.....................................96

PREGNANCY SUPPORT..............................................................96 PRENATAL CLASSES/PROGRAMS..............................................97 YOUTH PRENATAL CLASSES..........................................................97

PROGRAMS AND ACTIVITIES CAMPS...............................................................................100 CHILDREN’S PROGRAMS............................................................101

MUSEUMS..........................................................................102 MUSIC................................................................................102

SAFETY CAR SEAT SAFETY........................................................................104 FIRST AID TRAINING.......................................................................104 POISON....................................................................................104

RECALLS/PRODUCT SAFETY....................................................104 SAFETY AND SECURITY............................................................104 HELMET SAFETY...........................................................................105

SHOPPING AND PROFESSIONAL SERVICES BABY ACCESSORIES...................................................................108 CLOTHING - GENTLY USED........................................................108 DIAPERS....................................................................................109

FINANCIAL.........................................................................109 PHOTOGRAPHY..........................................................................110

SPECIAL NEEDS DEVELOPMENTAL/PHYSICAL CONCERNS/ SPECIAL NEEDS/AUTISM.............................................................112 FINANCIAL ASSISTANCE.............................................................112

SPEECH AND LANGUAGE.............................................................112 VISION.....................................................................................112

INDEX.............................................................................................113

COUPONS................................................................................123

MORE ARTICLES AND RESOURCES AT

The all-in-one resource for busy parents!

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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 issues early is important for your baby’s health. Results are reported to your health care provider. https://www.newbornscreening.on.ca/

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 normal break down of red blood cells in your baby which then release bilirubin. This bilirubin gives a yellow colour to the skin and eyes of newborns. Most jaundice shows up in the first three to five days after birth and does not hurt your baby. If the bilirubin level in your baby’s blood gets too high, it can cause a problem for your baby.

Dehydration: Babies can quickly become dehydrated. They can either not get enough fluid or lose too much fluid. Call your health care provider or visit the emergency department. Signs your baby is dehydrated: • decreased urination • difficult to wake and sleepy • dark and strong smelling urine • weak cry • increased thirst • absence of tears • dry skin, mouth and tongue • faster heart beat • sunken eyes • greyish skin • sunken soft spot (fontanelle) on your baby’s head

A blood test is done on the baby to measure the bilirubin level at 24 to 72 hours of age. If your baby has a high level of bilirubin you may be asked to have a follow-up appointment, a second blood test, or your baby may need treatment at the hospital. Call your health care provider if you notice your baby’s skin is becoming more yellow, your baby is not feeding well or is sleepy all the time.

When To See A Health Care Provider 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 21) • Shows signs of dehydration For more information go to: www.caringforkids.cps.ca 12

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NEW PARENT RESOURCE GUIDE 2018

What to Expect in the First Three Months By Best Start www.beststart.org/resources/hlthy_chld_ dev/K82-E-hospitalhandout.pdf


NOW YOUR BABY IS HERE

MOTHER’S PHYSICAL CHANGES AFTER HAVING A BABY NORMAL EXPECTATIONS

WHEN TO GET HELP

VAGINAL FLOW

It is normal to bleed for two to six 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 red flow.

If the bleeding increases (fills one pad in 30 minutes with bright red blood, or you pass an egg sized clot), go to the hospital Emergency Department immediately.

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 peeing. Change your sanitary pad frequently. Any stitches you have will dissolve in a few days. You may use a sitz bath for stitches.

If you have a fever, 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 haven’t fallen off, please remove these after seven 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 (Engorgement)

Your breasts will begin to feel heavier 48 to 72 hours after delivery. The fullness may last one to three 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 (acetaminophen [Tylenol] or ibuprofen [Advil/Motrin]) to help you feel more comfortable and relaxed, and to facilitate the breast milk letdown.

If you experience a red, hot, painful area on your breast, have fever or flu-like symptoms, call your health care provider. If you have tender, sore or cracked nipples get breastfeeding support. See page 22 for where to go for help.

PAIN MANAGEMENT

In the hospital you may have been taking acetaminophen or ibuprofen for pain and a stool softener. 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. If you have chest or leg pain go to the hospital Emergency Department immediately.

BOWEL MOVEMENTS

You will most likely have a bowel movement within two to three 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, oats, 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 most pharmacies) 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. Be aware that you can get pregnant again very soon after birth, even if you are breastfeeding. See page 14 for birth control information. For more information call Region of Waterloo Public Health at 519-575-4400. parentguide.ca

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

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

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

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

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

NEW PARENT RESOURCE GUIDE 2018

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

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

Can be inserted 6 weeks after birth. If breastfeeding is well established breast milk supply is usually not affected. Breast milk supply is not affected by this method. If desired may be started right after birth.

If breastfeeding, wait at least 4 weeks until breast milk established and baby gaining appropriate weight. Speak with your healthcare provider. Male sterilization can be done at any time. Can be used anytime following birth. Available over the counter at drug store (pharmacy) or Sexual Health Clinic. May be less effective in women over 165lb (75kg). Talk to a health care professional before use.


ABUSE ARE YOU AND YOUR BABY/CHILD SAFE? Does your partner… q keep you from seeing your health care provider? q yell at you? q control what or how much you eat? q call you names? q control the money? q blame you for being pregnant? q threaten to take the kids away? q break your things? q hit or kick you? q hurt or kill your pets? q hurt your breasts, belly or between your legs? q threaten to hurt you? q force you to have sex? q always need to be in charge? q keep you from seeing friends and family? If you said YES to any of the above questions, you and your baby/child may be in DANGER. All kinds of ABUSE can hurt you. Abuse 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, if you are pregnant

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

q q q q q q

Abuse usually gets worse over time. If you are pregnant, 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 get services to develop a safety plan q get help if you choose to leave the abusive relationship q hide your electronic tracks www.wcswr.org/cover-your-tracks 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 WHERE TO GET HELP • In an emergency, call Police at 911 • Women’s Crisis Services of Waterloo Region 1-800-410-4482 or visit www.wcswr.org • Assaulted Women’s Helpline 1-866-863-0511, TTY# 1-866-863-7868, #SAFE (#7233) or visit www.awhl.org; offers help in 150 languages 24 hours a day, seven days a week • Family Violence Project of Waterloo Region 519-743-6333 or visit www.fvpwaterloo.ca • Waterloo Region Sexual Assault/Domestic Violence Treatment Centre 519-749-6994 or visit www.keepingsafe.ca parentguide.ca

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MENTAL HEALTH AND WELLBEING DURING PREGNANCY AND WITH A NEW BABY

Self Care Is For Everyone

It is important to take care of yourself throughout your life. This is especially true when you are planning a pregnancy, are pregnant, have had a baby or are a new parent. The following are things you can do to take care of yourself: • Eat well - eat a variety of foods as recommended • Build a support network by the Canada’s Food Guide. Drink plenty of • See your health care provider regularly fluids. For more information about what to eat • Reach out and get help if you feel mentally or physically unwell call EatRight Ontario at 1-877-510-5102 • Exercise regularly and get enough sleep • Take time to relax and reduce your stress level • Do something you like to do What a partner, family and friends can do: • Listen and provide support to the new parent • Encourage the new parent to seek professional help • Educate yourself about mental health • Ask how you can help

• Help with housework and meals (or arrange for help) • Develop your relationship with the baby • Take some time for yourself • Find someone to talk to

READ MORE ON THIS TOPIC at Best Start Resource Centre for mental health www.beststart.org, Pregnancy is Not Always What You Expect http://www.beststart.org/ resources/ppmd/TakeCareMentalHealth_EN_rev.pdf, or Canadian Mental Health Association www.cmha.ca

WHAT IS “BABY BLUES”?

Up to 80 per cent of women feel sad or anxious during the first weeks after the birth of a baby - it’s often called the “baby blues.” If these symptoms continue or become worse, a woman may be experiencing depression. Depression and anxiety around the birth (or adoption) of a baby can affect up to 20 per cent of mothers.

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MENTAL HEALTH AND WELLBEING

DURING PREGNANCY AND WITH A NEW BABY

During pregnancy or after the baby is born one in five women may experience difficult moods (Perinatal Mood Disorders) including depression and anxiety. Men can also experience emotional difficulty. Have you had some of these symptoms for more than two weeks? You may: q Not feel like yourself q Be sad and tearful q Feel exhausted, but unable to sleep q Have changes in eating or sleeping patterns 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 q Have repeated scary thoughts about the baby Very rarely women may feel like hurting themselves or their baby. If this happens to you or a loved one, get help right away. Call 911, go to your local hospital emergency department, or call the Here 24/7 Crisis Line at 1-844-437-3247 (HERE247). This is not your fault. You are not alone. There is help available. A parent’s mental health and wellness is important to the family’s wellbeing. Talking with someone you trust about the way you are feeling can help you get the care you need. This may include counselling, support groups or medication ordered by your health care provider. 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, obstetrician/gynecologist [OB/GYN]) • Your counsellor, social worker or spiritual/faith leader • Region of Waterloo Public Health 519-575-4400 • Call 1-844-437-3247 (HERE 247) to access addictions, mental health and crisis services • Mental Health Services – Information Ontario: 1-866-531-2600 (24 hours a day) Source: Best Start, 2013 (www.beststart.org)

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SKIN-TO-SKIN AND BABY’S FEEDING CUES

SKIN-TO-SKIN

It’s easy! Here’s how: While awake, and in a semi-reclined position, place your baby wearing only a diaper, with their tummy on your bare chest. If you wish, you can then place a light blanket over both of you. Encourage your partner to hold your baby skin-to-skin as well. Your bare chest is the best place for your baby to be. Healthy babies should be placed on Mom’s chest skin-to-skin as soon as possible after birth for at least an hour to help them adjust to their new environment. 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. BENEFITS OF SKIN-TO-SKIN FOR BABIES: • Cry less and are calmer • Stay warmer • Stabilizes blood sugar, heart rate and breathing • Protected by some of your good bacteria • Breastfeed better

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

If you are feeling tired while holding your baby skin-to-skin, see page 24 for safe sleep practices. 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 • Restless

LATE FEEDING CUES: • Cries • Fusses • Exhausted • Falls asleep

SIGNS YOUR BABY IS FULL: • Turns head away • Feels settled and relaxed • Arms and legs stretched out • Stops sucking

If you have been told that your baby has jaundice, you may need to wake your baby up for feeds. See page 12 for more information. 18

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BREASTFEEDING YOUR BABY Breastfeeding

Breastfeeding is the normal and natural way of feeding infants. Your breast milk is perfectly suited to your infant and it changes as your baby grows. The World Health Organization, Health Canada and the Canadian Paediatric Society recommend that babies be given only breast milk for the first six months of life. Breast milk should continue to be given up to two years of age and beyond, along with appropriate foods for your baby’s age and stage. Supportive family and friends can help to make breastfeeding successful. The Ontario Human Rights Code supports the right of mothers to breastfeed anytime, anywhere.

Why Should I Breastfeed?

The benefits of breastfeeding increase the longer you breastfeed. Breastfeeding has many benefits for baby, mother and society as it: • Promotes the healthy growth and development of infants • Helps mothers recover from childbirth

• Protects infants from illness • Is environmentally friendly and free

INFANTS WHO DO NOT BREASTFEED ARE AT GREATER RISK OF:

MOTHERS WHO DO NOT BREASTFEED ARE AT GREATER RISK OF:

• Ear, lung and bowel infections • Asthma and allergies • Obesity and diabetes • Sudden Infant Death Syndrome (SIDS) • Some childhood cancers • Infection from contaminated artificial baby milk (formula)

• Breast and ovarian cancers • Osteoporosis • Rheumatoid arthritis • Chronic diseases

If you have made an informed decision to feed artificial baby milk (formula) to your baby, call Region of Waterloo Public Health at 519-575-4400 or visit www.regionofwaterloo.ca/ArtificialBabyMilk/Formula for more information.

Read More On This Topic Best Start

www.beststart.org La Leche League

www.lllc.ca

Region of Waterloo Public Health

www.regionofwaterloo.ca/breastfeeding

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BREASTFEEDING YOUR BABY 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 18.

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 two to three 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 frequent feeds before a growth spurt. It is normal for some babies to feed frequently during the night. If you make an informed decision to use artificial nipples (bottles) and pacifiers (soothers), avoid using these products during the first four to six weeks while breastfeeding is being established as they decrease the amount of time your baby spends at the breast.

Vitamin D

Health Canada recommends a daily vitamin D supplement of 400 IU (10 µg) for babies and young children (from birth to two years) being breastfed or receiving breast milk.

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

Expressing Breast Milk

Expressing breast milk means removing milk from your breasts. It can be done by hand or with a pump. You can express breast milk to soften engorged breasts or to collect milk to give to your baby if you are going to be separated. It is important to handle and store expressed breast milk safely.

To book an appointment with a Public Health Nurse at the Breastfeeding clinic call 519-575-4400 or visit www.regionofwaterloo.ca/ BreastfeedingServices

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For a video on hand expression and other breastfeeding topics, go to: http://bit.ly/1PNgZPR


At least 2 WET

4 DAYS

1 WEEK

At least 4 WET

At least 3 BROWN, GREEN, OR YELLOW

At least 3 WET

Size of a walnut

5 DAYS

6 DAYS

7 DAYS

2 WEEKS

M O T H E R S

Size of an egg

From day 4 onward, most babies gain weight regularly.

At least 3 large, soft and seedy YELLOW

At least 6 HEAVY WET WITH PALE YELLOW OR CLEAR URINE

Size of an apricot

3 WEEKS

2016

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

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

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

At least 1 to 2 BLACK OR DARK GREEN

At least 1 WET

3 DAYS

N U R S I N G

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

2 DAYS

Size of a cherry

1 DAY

F O R

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. * Adapted with permission from Best Start Resource Centre

Reprinted with permission

Other Signs

Your Baby’s Weight

Per day, on average over 24 hours

Soiled Diapers: Number and Colour of Stools

Per day, on average over 24 hours

Wet Diapers: How Many, How Wet

Your Baby’s Tummy Size

Per day, on average over 24 hours

How Often Should You Breastfeed?

Your Baby’s Age

G U I D E L I N E S

How Do I Know Breastfeeding Is Going Well? 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.

BREASTFEEDING YOUR BABY

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BREASTFEEDING YOUR BABY When Should I Get Help?

It is important to call your doctor, midwife, public health nurse (519-575-4400), lactation consultant or Telehealth Ontario 24/7 Breastfeeding Supports (1-866-797-0000) if: • Your baby is very hard to wake for a feed • Your baby is crying and will not settle after feedings • Your nipples are sore and are not getting better • You have fever, chills, flu-like symptoms or a red painful area on your breast • Your baby is not having enough wet and dirty diapers (see the chart on page 21) If you need support or information, the following services can help: NAME OF SERVICE

DESCRIPTION

LOCATION & CONTACT INFORMATION

Breastfeeding Support Services at Grand River Hospital

Breastfeeding support for patients and women who delivered at Grand River Hospital. Call for more information and for an appointment. Support available from birth to seven days after birth.

Grand River Hospital 835 King St W Kitchener 519-749-4355

Covered by OHIP

By appointment seven days a week - In person - Telephone

Cambridge Paediatric & Breastfeeding Clinic

Book an appointment with a lactation consultant. A referral from your doctor or midwife is required.

200 Franklin Blvd. Cambridge

Covered by OHIP

By appointment - In person

Public Health Breastfeeding Services

One on one breastfeeding support with a public health nurse. Not available on weekend/holidays.

Waterloo Region*

Free

Monday - Friday - In person - Telephone

Midwifery Groups: Blue Heron Born Cambridge Genesis K-W St. Jacobs

Breastfeeding support for midwifery clients from birth to six weeks after birth.

Waterloo Region*

Free

By appointment - In person

Two Rivers Family Health Team

Lactation consultant available for patients of the Two Rivers Family Health Team in Cambridge.

350 Conestoga Blvd. Unit 15 Cambridge 519-629-4615 ext. 271

Covered by OHIP

By appointment - In person

Breastfeeding Buddies

Get matched with a trained volunteer who has breastfed. One to one phone support and community sites. Breastfeeding Café weekly. Call for details.

Waterloo Region* 519-772-1016

Free

Varies - In person - Telephone

La Leche League

Group meetings or telephone help provides motherto-mother breastfeeding support. Accredited Leaders lead discussions where mothers receive breastfeeding information and support in their role as a breastfeeding parent.

Waterloo, Kitchener and Cambridge locations 519-579-3800 1-800-665-4324 www.lllc.ca

Free

Meeting times vary by location. Call for the meeting times for the location you are interested in. - In person - Telephone

Private Lactation Consultant Services

International Lactation Consultant Association (ILCA). See website “search tool” to search for a practicing lactation consultant.

www.ilca.org

Fees vary

By appointment - In person

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TIMES AVAILABLE AND SERVICES OFFERED

519-620-3600

519-575-4400

Contact your Midwife

*Cambridge, Kitchener, Waterloo, North Dumfries, Woolwich, Wilmot and Wellesley

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BREASTFEEDING YOUR BABY 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 two and a half to three 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 five per cent alcohol content (beer, cider or cooler) 142 mL (five oz.) glass of wine with 12 per cent alcohol content 43 ml (1.5 oz) serving of 40 per cent 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 and car • Remove the clothing you wore when smoking and wash your hands before holding your baby For free information and help with quitting or cutting down call: Smoker’s Helpline at 1-877-513-5333.

Breastfeeding And Returning To Work

In Ontario, the Human Rights Code protects your right to breastfeed anytime, and anywhere. This includes your right to be accommodated when you return to work or school so that you can continue to breastfeed for as long as you choose. Many mothers continue to breastfeed when they return to work or school. Plan ahead and consider times in your schedule to express your milk or breastfeed your baby. Consider meeting with your employer before returning to work so that you can discuss a schedule and an acceptable space to accommodate your needs. For more information on your right to breastfeed visit the Ontario Human Rights Commission website: http://www.ohrc.on.ca/en/pregnancy-and-breastfeeding-brochure

How Do I Know My Baby Is Ready For Solid Food?

Wait until your baby is six months old and showing signs of being ready before offering solids (see page 33 for more information on signs of readiness). parentguide.ca

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Safe Sleep for Your Baby

z

Z

Z

Preventing sudden infant death in Canada

z

SAFE SLEEP

Provide a smoke-free environment before and after your baby is born.

Always place your baby on his or her back to sleep, at naptime and night time.

Your baby is safest when he or she sleeps in a fitted one-piece sleepwear that is comfortable at room temperature and does not cause your baby to overheat.

Provide your baby with a safe sleep environment that has a firm surface and no pillows, comforters, quilts, bumper pads or toys.

Sharing the same sleep surface with your baby is not safe. Place your baby to sleep in a crib, cradle, or bassinet next to your bed.

Breastfeeding can protect your baby.

Original concept developed by Public Health Agency of Canada, for more information go to www.publichealth.gc.ca/safesleep.

Infant Sleep Habits

This chart gives a general guide to the amount of time babies sleep over a 24-hour period (includes night-time and day-time naps).

Age

Amount Of Sleep Over a 24-Hour Period

Birth to two months:

16 -18 hours

Two month to six months:

14 – 16 hours

6 months to 1 year:

13 - 15 hours

• Sleep is not regular • Feed frequently, according to your baby’s feeding cues (see page 18) • May sleep two to four hours at a time

• Sleep is more regular

• Most babies begin to feed less often • Sleep more at night and less during day

Tips:

• Learn the signs that show your baby is tired and ready for sleep (yawning, rubbing eyes, eyes opening and closing, fussing and crying) • An over-tired baby will have a harder time falling asleep • Keep night feedings/diaper changes quiet with lights low and no lights from electronic devices like phones • Around three to four months many babies have more regular cycles of sleep. If ready, you can try putting your baby down to sleep when they are sleepy, but still awake, so they can begin learning to fall asleep on their own. For more information go to www.caringforkids.ca or www.aboutkidshealth.ca For information about sleep for toddlers and preschoolers and sleep routines see page 36.

Find out how you can help your new baby (birth to three months old) sleep. Sign up for the free Sleep and Your New Baby session offered at your local Ontario Early Years Centre. Register online at 24

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Sleep and Your New Baby Get to know more about your baby’s sleep cycle and how to respond.

Reserve your spot today at

www.earlyyearsinfo.ca/ sleep-sessions

Offered at your Ontario Early Years Centre Cambridge - 149 Ainslie Street North, 519-740-8353 Kitchener - 154 Gatewood Drive, 519-571-1626 Waterloo - 161 Roger Street, 519-741-8585

A free session for parents of newborns from birth to 12 weeks of age. You may bring a family member or friend for support.

Register online now!

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SOOTHING YOUR CRYING BABY Crying is normal for babies. It is your baby’s way of talking to you or telling you something is wrong. Learn to recognize and respond to early signs that your baby needs you. Don’t wait until your baby is really upset before responding or it will be harder to soothe your baby. See the chart below for possible reasons your baby may be crying, and some things you can do. POSSIBLE REASON

WHAT YOU CAN DO

Hunger

• Feed and burp your baby. Your baby may be hungrier on some days

Needs to be held or to be close to a person

• Hold your baby “skin-to-skin” (see page 18) • Hold your baby close and give your full attention • Cuddle, coo, read and sing to your baby • Rock your baby gently, walk around, and dance slowly • Take a bath with your baby

Pain or discomfort

• Pick up and comfort your baby, change their diaper, burp/rub baby’s back • Changing baby’s position may help

Too hot or too cold

• Dress your baby for the temperature of the room and the weather

Tired or over-stimulated

• Loosely swaddle your baby while in your arms with at least one arm free so baby can soothe themselves with their hand • Turn lights off and keep the surroundings quiet • Talk to your baby in a soft, smooth and continuous voice • Rock your baby gently • Place your baby on their back in the crib and create soft background noise

Needs a change

• Read, sing and talk to your baby • Play with your baby – give your baby tummy time (see page 25) • Change rooms so your baby can look at different things • Take your baby for a walk in the stroller or go for a car ride with the baby

Illness

• Check your baby for signs of illness (see page 51) • If your baby’s cry sounds different or they cannot be soothed after trying everything, see your doctor or call Telehealth Ontario at 1-866-797-0000

Adapted with permission from the Institute of Child Study. This chart is an adaptation of one funded by the Ontario Neurotrauma Foundation to the Institute of Child Study, University of Toronto. It is available in 21 languages from this website: http://legacy.oise.utoronto.ca/research/ONF-SBSPrevention//?cms_page=ONF-SBSPrevention/index.html

Did You Know?

• Babies cry an average of two to two and a half hours a day, peaking around two months and gradually decreasing by four or five months of age • Most babies cry more at night • Most babies have at least one fussy time each day; it is often in the evening Healthy babies cry and sometimes nothing works to stop the crying; just keep trying to soothe them. If you are feeling frustrated or angry by the baby’s crying, put the baby down in a safe place and call someone to help you. See page 27 for important information. Visit the Canadian Paediatric Society website at www.caringforkids.cps.ca for more information. 26

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NEVER SHAKE A BABY!

What Is Shaken Baby Syndrome?

Shaken Baby Syndrome is a name used to describe what happens when a 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. • Never Shake a Baby even for a moment! • Never use physical discipline when caring for a baby or child (no spanking, slapping or shaking) • Learn how to deal with your feelings of tiredness, frustration and anger • Know all your baby’s caregivers; talk with them about what to do when the baby cries (see page 26) Plan Ahead – Tips For Parents • Plan ahead when you are pregnant to have extra help so you can sleep and rest regularly • Practice staying calm, be active, eat well, learn ways to relax, join a support group • Place the baby in the crib if you need relief from their crying – take a break and call someone • If you are feeling frustrated or angry, talk to a friend, family member, or health 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 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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NEVER SHAKE TUMMY TIME SOOTHING A BABY! YOUR CRYING BABY Crying is normal for babies. It is your baby’s way of talking to you or telling you something is wrong. Learn to To recognize Tummy Time Play and respond to early signs that your baby needs you. Don’t wait until your baby is really upset before responding or it will be harder to soothe your baby. See the chart belowtime for ispossible reasons your baby may crying, andonsome things can do. Tummy play time with your baby lying on be their stomach a blanket onyou the floor. A parent or caregiver should always be within reach. Tummy time: AGE OF INFANT WHAT YOU CAN DO • Lets your baby see the world from a different view and helps prevent a flat head (see below). Hunger • Helps your baby develop • Feed and burp yourand baby. Your baby mayand be hungrier on them some days their neck arm muscles prepares for crawling. Needs toPlace be heldmirrors, or to be toys•or Hold yourpicture baby “skin-to-skin” (see pageyour 18) baby, where your baby can see soft books around close to athem personand encourage • Hold your baby close and give your full attention your baby to reach for them. Also may be “Just Unknown” • Cuddle, coo, read and sing to your baby • Rock your for babyagently, walk and dance Start with once or twice a day minute oraround, two. When yourslowly baby starts to fuss, pick up your baby. • Take a bath with your baby Little by little, increase the amount of tummy time you spend with your baby. Pain or discomfort Pick lift up and comfort changetowel their diaper, baby’s back Tip: Until your baby•can their head,your usebaby, a rolled underburp/rub your baby’s chest for support. • Changing baby’s position may help Too hot or too cold Tired or over-stimulated

• Dress the baby for the temperature of the room and the weather • Loosely swaddle your baby while in your arms with at least one arm free so baby can soothe themselves with their hand • Turn lights off and keep the surroundings quiet • Talk to the baby in a soft, smooth and continuous voice • Rock the baby gently physically active several times a day for their development. Tummy • Place the baby on their back in the crib and create soft background noise

Being Active With Your Baby (0-12 Months)

Infants should be time (see above), reaching for and grasping toys, rolling on the floor, crawling and learning to walk are all agoods your to be active. Needs change ways to encourage • Read, sing and talkinfant to your baby Play with your your babybaby tummyevery time (see page 25) • Get down on the floor or• ground andbaby play– give with your day. Changethan roomsone so the baby at canalook at different • Infants should not sit for •more hour time when things awake (i.e., in a high chair or stroller). the baby for a walk in the stroller or go for a car ride with the baby • Children under two years• Take of age should have no screen time (i.e., time in front in front of a TV or other Illness screen). • Check the baby for signs of illness (see page 51) Find ideas for being active with your infant at: www.haveaballtogether.ca and • If the baby’s cry sounds different or the baby cannot be soothed after trying everything, see your doctor or call Telehealth Ontario at 1-866-797-0000 www.activeforlife.ca Adapted withFlat permission Preventing Head from the Institute of Child Study. This chart is an adaptation of one

fundedplaced by theon Ontario Neurotrauma Foundation to the Institute Child Study, of When their back, babies usually turn their head to the of same side and University the skull can Toronto. is available in 21 languages from website flatten. AItlittle bit of flattening goes away onthis its own. More serious flattening may last, but http://legacy.oise.utoronto.ca/research/ONF-SBSPrevention//?cms_page=ONF-SBSPrevention/index.html will not affect a baby’s brain. Check with your health care provider if you have any concerns. To Didhelp You prevent Know? a “flat head”:

cry an average 2 to 2.5head hours a day, peaking around 2 months and gradually decreasing • Babies Each day, switch yourofbaby’s position from one end of the by months agetoes to headboard one day, toes to crib4 or to 5the otherof end; footboard so on. • Most babiesthe crynext moreand at night •• Most Limit babies the time your baby’s against a flat surface have at least onehead fussylies time each day; it is often in the evening such as sitting in a car seat or stroller. Healthy cry and sometimes nothing works to stop the crying; just keep trying to soothe them. • From babies birth, play daily with your baby during If tummy you are time feeling frustrated or angry by the baby’s crying, put the baby down in a safe place (see above). and call someone to help you. See page 28 for important information. For more information go to:Society www.caringforkids.cps.ca Visit the Canadian Paediatric website at www.caringforkids.cps.ca for more information. 28

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Buckle me up!

PUBLIC HEALTH AND EMERGENCY SERVICES

Car crashes are a leading cause of injury related death among children. When used correctly, car seats and booster seats can reduce the risk of injury or death in a crash. Car seats and booster seats are required by law in Ontario.

It is important that you do not rush your child to the next stage. Keep your child in a rear-facing car seat as long as possible to decrease the risk of head and spinal cord injuries.

I am a baby My rear-facing car seat protects my head, neck and soft bones. Keep me this way until after I am one year old. I will fit into some rear-facing seats until I’m 18 kg (40 lb).

My harness: • • • •

Is below my shoulder Is one finger tight at my collar bone Has my chest clip at armpit level Lays flat and is snug

My seat: • Is at a 45 degree angle • Moves less than 2.5 cm (1 in) side to side or forward where connected

I am a toddler it is ok if my feet touch!

I must be at least one year old, 10 kg (22 lb) and can walk unassisted to be in a forward-facing car seat. Keep me rear-facing as long as possible.

My harness: • • • • •

Is below my shoulder when rear-facing Is above my shoulder when forward-facing Is one finger tight at my collar bone Has my chest clip at armpit level Lays flat and is snug

My seat: • When my seat is forward-facing, the tether strap is attached to the tether anchor and is pulled tight • Moves less than 2.5 cm (1 in) side to side or forward where connected

I am a school-aged child I must be at least 18 kg (40 lb) to sit in a booster seat. My booster seat helps the seat belt to fit me better.

My shoulder belt: • • • •

Crosses the centre of my shoulder Crosses the centre of my chest Lays flat Is pulled snug

My lap belt: • Rests on my upper leg (thigh) • Does not ride up on my belly • Is pulled snug

www.regionofwaterloo.ca/CarSeatSafety

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SAFETY IN THE HOME

Is your home safe for young children? Home Safety Checklist

General Home Safety Check off what you are already doing, circle what you would like to try. Prevent burns

Prevent fire

❏ Set hot water tank temperature to 49°C/120°F ❏ Put screen in front of fireplace

❏ Have a smoke alarm and carbon monoxide detector on every level of your home and outside sleeping areas

Prevent choking and suffocation

❏ Test and check smoke alarms and carbon monoxide detectors every year

❏ Do not give nuts, hot dogs, whole grapes, hard candy, gum or raisins to children under four years of age ❏ Cut blind and curtain cords short and place them out of child’s reach ❏ Keep plastic bags out of reach or tie them in knots ❏ Throw out corners cut off milk bags

Prevent falls ❏ Keep furniture away from windows ❏ Attach furniture like a dresser, bookcase or TV to the wall ❏ Climbing on tables, counter and other raised surfaces should not be allowed ❏ Keep windows and doors locked ❏ Use window guards to prevent windows from opening more than ten cm (four inches)

❏ Keep lit candles away from children, pets, furniture and curtains ❏ Lock matches and lighters out of child’s reach

Prevent poisoning ❏ Label house plants and keep them out of reach ❏ Lock chemicals and cleaning products out of child’s reach. Choose friendlier cleaning products like vinegar and baking soda ❏ In older homes, check for lead paint and asbestos

Prevent shocks ❏ Install plug covers in electrical outlets ❏ Keep electrical cords out of sight, behind furniture

❏ Keep doors, stairs and floor clear of toys, clothes, shoes ❏ Install safety gates at top and bottom of stairs ❏ Always hold, follow or watch your child

This list gives you a place to start, but you can do more to make your home safer!

For more information contact: Region of Waterloo Public Health 519-575-4400 TTY: 519-575-4608 www.regionofwaterloo.ca/ph Canadian Partnership for Children’s Health and Environment www.healthyenvironmentforkids.ca For product recalls (including toys) Health Canada www.healthycanadians.gc.ca Parachute Canada, Preventing Injuries. Saving Lives. www.parachutecanada.org Click on “Injury Topics”

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SAFETY IN THE HOME

You can help prevent injuries in your home. Supervision is the best prevention. Check off what you are already doing, circle what you would like to try. Where do you start? 1. 2. 3.

Get on your hands and knees to see what may put your child in danger. Know what your child can do and what they may be doing next like rolling, standing, walking, climbing and running. Stay close by and watch your child to help prevent injuries.

Kitchen Safety Prevent burns

❏ Keep kettles, hot foods and liquids at the back of the counter ❏ Cook on back burners of the stove, and turn handles inward ❏ Do not open the oven door if child is close by ❏ Stir food or liquid heated in microwave first, then test temperature ❏ Do not hold child when cooking ❏ Do not hold child when eating hot foods, drinking hot drinks or when cooking ❏ Cool food before feeding your child

Prevent cuts and bruises

❏ Lock cupboards and drawers that contain sharp, heavy or dangerous items ❏ Place heavy items like pots at the bottom of the cupboard ❏ Dry and put away knives and glassware

Prevent poisoning

❏ Store cleaning products out of reach in a locked cupboard

Bathroom Safety Prevent burns and cuts

❏ Lock curling irons and razors out of reach ❏ Test the water temperature with your elbow before putting child in bathtub ❏ Turn off the hot water tap first and the cold water tap last

Prevent falls

❏ Wipe up spills ❏ Use a non-slip rug on floor ❏ Put a non-slip bathtub mat in the bathtub

Prevent drowning

❏ Keep bathroom door closed ❏ Keep the lid on toilet seat down ❏ Always stay with a young child while in the bathtub or bathroom ❏ Empty water from bathtub after bath

Prevent poisoning

❏ Ensure medications have child safe lids and are out of reach in a locked cupboard

Bedroom Safety Crib safety

Play Safety Prevent animal bites

Prevent falls

Prevent choking and suffocation

❏ Make sure crib meets safety standards and is in good condition ❏ Keep hand on child and use safety strap when using diaper change table ❏ Keep diaper change items within reach ❏ Stop using crib if child can climb out ❏ Keep children less than six years off the top bunk of bunk beds

Prevent choking and suffocation

❏ Do not use heavy blankets, quilts, pillows, stuffed animals or bumper pads in crib ❏ Keep infants off adult beds, including waterbeds ❏ Do not give a pillow to a child under two years ❏ Always hold your infant when feeding them

❏ Do not leave children alone with pets

❏ Keep small items like balloons, beads or coins out of reach ❏ Use toys made for the child’s age ❏ Check toys for removable, loose or broken parts like wheels, squeakers, magnets or long strings ❏ Use a toy box with no lid, or with non-locking lid that has air holes

Prevent poisoning

❏ Use non-toxic crayons, paints, markers, and waterbased glue ❏ Avoid soft plastic and vinyl toys. Look for PVC-free and phthalate-free toys

Be prepared Put emergency numbers by your phone: “911” Poison Control: 1-800-268-9017 Your doctor’s phone number

Emergency Room Cambridge Memorial Hospital: 519-740-4922 Grand River Hospital: 519-749-4242 St. Mary’s Hospital: 519-749-6410

Get a first aid kit, know where it is and how to use it. Take a first aid and CPR course.

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Keeping your child safe from falls Falls are the number one cause of all childhood injuries. About five children under the age of six visit the emergency department every day in Waterloo Region due to injuries from falls. Common ways a child can fall:

■ ■

Falling off change tables, couches and beds Falling out of high chairs, strollers and baby seats when not buckled in Your child could roll off a change table if not strapped on.

Always buckle up the straps on a change table to keep your child from falling out. Keep supplies close at hand.

■ ■ ■

Jumping on the bed, couch or other furniture Injuries Playing on the stairs happen quic Climbing on furniture Most falls cakly. n prevented. be

✔ Gather diapering supplies to keep within arm’s reach before changing your baby. ✔ Never turn away from your baby when they are on a raised surface such as a change table, bed, sofa, or a counter at the doctor’s office or health centre. ✔ Consider changing your baby on the floor. Your child will try to go up or down stairs.

✔ Install a permanently mounted gate at the top of the stairs before your baby reaches four months of age. This is when some babies may start to crawl.

Your child could fall out of his high chair if not buckled in.

Always buckle up the straps of his high chair to keep your child from falling out.

Use safety gates at the bottom and top of stairs.

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A spring-loaded gate can be used at the bottom of the stairs.

✔ Always buckle up the safety straps on your baby’s stroller, high chair, change table, car seat and baby seat.

Your child could hurt his head falling off his bike.

✔ Always have your child wear a helmet for wheeled activities such as when using tricycles, bicycles and scooters.

A permanently mounted gate should always be used at the top of the stairs.

Make sure your child always wears a properly fitting bike helmet when riding.


Solids start at six months… From birth to six months, all your baby needs is breast milk. ✔ Continue to breastfeed for up to two years and more ✔ Give your breastfed baby a daily vitamin D supplement (400 IU)

Wait until your baby is six months of age and showing these signs of being ready before offering solid foods in addition to breast milk: ✔ Controls head well ✔ Sits up in a high chair ✔ Shows interest in food and in eating

✔ ✔ ✔ ✔

Opens mouth wide for food Closes lips over spoon Swallows food in mouth Turns body or head away when full

Tips! ✔ Start with iron-rich foods first such as cooked meat, ✔ Do not offer honey until your baby is one year of age fish, eggs, beans, tofu and iron fortified infant cereal ✔ Do not offer your baby hard, small and round, or smooth ✔ Start with a variety of soft textures such as pureed, and sticky food that may cause your baby to choke finely minced, ground, soft mashed, soft lumpy and ✔ If there is a family history of allergy, talk to your health finger foods care provider before starting solids ✔ Let your baby decide how much to eat and when to stop For a complete guide to starting solids with your baby, call 519-575-4400 (TTY: 519-575-4608) or go to: www.regionofwaterloo.ca/ph (search Feeding Your Baby Solid Foods)

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MILK AND YOUR GROWING CHILD Breastfeed For The First Six Months And Beyond • From birth to six months, all your baby needs is breast milk. • At six months when your baby shows signs of being ready (see page 33) offer solid food in addition to breast milk. • Health Canada recommends breastfeeding for up to two years of age and beyond. • There is no best time to stop breastfeeding; it is different for every mother and child. • When you and your baby are ready, weaning should be gradual to allow your milk supply to decrease slowly, without discomfort. • If your baby is not receiving breast milk and is younger than nine months of age, you will need to feed your baby commercial artificial baby milk (formula).

For support with later stage breastfeeding and weaning, book an appointment with a Public Health Nurse at the Breastfeeding Clinic. Call 519-575-4400

For important information about how to sterilize equipment and to prepare and feed artificial baby milk (formula), talk to your health care provider or call Region of Waterloo Public Health at 519-575-4400. • Pasteurized cow’s milk (homogenized, 3.25% MF) may be offered when your baby is nine to 12 months months old and eating a variety of iron-rich foods each day such as meat, poultry, fish, eggs, legumes, tofu and iron fortified infant cereal. • If it is your child’s main milk source, offer 500 mL/day. Limit to no more than 750mL/day. • Only give pasteurized milk. Unpasteurized milk contains bacteria that can harm your baby. • Offer homogenized (3.25% MF) milk until your child is two years old, after that lower fat milk (skim, 1% or 2%) may be offered. Your young child needs the higher fat content of whole milk for proper growth and brain development.

Things to keep in mind: • Fortified soy beverage should not be given as a main milk source until your baby is at least 24 months old. • Rice, almond and other plant-based beverages are not suitable as a baby’s or young child’s main milk source. 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.

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FEEDING YOUR TODDLER AND PRESCHOOLER Children learn eating habits early in life, so it is important to get them off to a good start. By following these messages you will help your child to become a healthy eater.

Healthy Choices Start Now - As A Parent Or Caregiver, You Decide: What Foods To Offer

• Continue to breastfeed for up to two years of age and beyond • Offer a variety of foods from the four food groups of Canada’s Food Guide every day For more information go to www.healthcanada.gc.ca/foodguide • Include a vegetable or fruit at each meal and snack • Always have a nutritious food item on the table that your child likes and will eat • Serve healthy beverages such as milk or water instead of sugar sweetened drinks • Avoid offering juice; offer fruit instead. If offering juice, limit to 125 mL (1/2 cup) a day • Offer water for thirst between scheduled meals and snacks

When To Offer Meals And Snacks

• Young children need three small meals and two to three snacks each day • Provide healthy meals and snacks every two and a half to three hours at around the same time each day

Where Your Child Will Eat

• Children eat best sitting down at a table • Sit and eat with your child – this lets you supervise them and model healthy eating • Turn off the TV and do not allow toys, phones or other distractions at the meal table

Let Your Child Decide:

Which Foods To Eat (If Any)

• Prepare one meal for the family and let your child choose what to eat • If your child does not want to try a new food, that's okay. They may need to see a food 15 or more times before they will try it • Do not force your child to eat

How Much To Eat

• The amount of food your child eats will change from meal to meal and day to day • Let your child eat as little or as much as they want, it’s okay to leave food on the plate • Keep portion sizes small. Offer more if they are still hungry after finishing • Between meal and snack times encourage your child to be active to help them get hungry

For more information: Visit EatRight Ontario at: www.eatrightontario.ca or call 1-877-510-5102 Go to: www.ellynsatterinstitute.org parentguide.ca

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HEALTHY SLEEP HABITS Sleep is very important to your child’s growth and development and can affect behaviour, attention, learning and memory.

How Much Sleep Does My Child Need?

Every child is different. This chart is a general guide to the amount of sleep a child needs. Age of child

Hours of sleep over a 24-hour period

Toddlers (One to three)

10 - 13 hours

Preschoolers (three to five)

10 - 12 hours

Bedtime Routines

Good sleep habits start from birth. Parents can help by setting a bedtime routine at the same time nightly. A bedtime routine can include: • Having a bath • Brushing teeth • Reading a story • Singing softly • Other quiet activities that relax your child Keep the routine simple so it can be used anywhere, anytime. Tip: Keep electronics out of your child’s bedroom as the light from “devices” can interfere with your child’s sleep (and yours!) For more information go to www.caringforkids.ca or www.aboutkidshealth.ca If you are concerned about your child’s sleep, talk to your health care provider.

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PHYSICAL ACTIVITY Move More:

• Children one to four years old should get at least 180 minutes (three hours) of physical activity spread throughout the day such as walking, running, dancing, climbing stairs, playing outside and exploring. • By five years of age children should be getting at least 60 minutes (one hour) of energetic play each day such as jumping, skipping and bike riding.

Move Often:

• Encourage your child to get up and move more often, and to sit less. • Young children (up to four years of age) should not sit or be restrained in a high chair, or stroller, or other product for more than one hour at a time when awake. • Children five years and older should spend several hours a day doing a variety of structured and unstructured light physical activities. • Children of all ages should be encouraged to spend more time outdoors playing throughout the day. • Follow the screen time recommendations for your child’s age on page 38.

What Is Physical Literacy?

• Physical literacy is about developing the movement skills and confidence to be physically active. • Children develop physical literacy through daily active play when they run, jump, hop, throw, catch, kick, swim, skate and more. • Allow your child to explore a variety of activities and play in both structured and unstructured settings, to help them develop the foundation to live an active life.

Be a good role model for your child - be active and have fun with your child everyday! Find ideas for being active with your child at: www.haveaballtogether.ca and www.activeforlife.ca For the Canadian 24-hour Movement Guidelines see www.csep.ca/guidelines parentguide.ca

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SCREEN TIME Screen Time and Your Child

Technology can be helpful but your child’s brain develops best when your child can move and interact face-to-face with real people and not screens. Limit the time your child spends in front of a screen, because it may affect their learning, sleep and weight.

Canadian Screen Time Guidelines

Less than 2 years

2-4 years

5-17 years

Screen time not recommended

Under 1 hour / day

Under 2 hours / day

This document was adapted with the permission of Public Health Ontario (PHO). PHO assumes no responsibility for the content of any publication resulting from translation/changes/adaptation of PHO documents by third parties.

Examples of Screen Time:

• Watching television and movies • Using the internet or social media • Playing video games (including ones where you are physically active) • Using a computer or cell phone • Texting

What can you do?

• Use screens less. • Replace screen time with energetic play. • Move more… move often (see page 37). • Avoid eating at screens. • Eat together as a family without screens. • Be a good role model. • Spend time with your child away from screens. • Follow your screen time rules. For more information about screen time visit www.caringforkids.cps.ca

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What is a Screen?

• Televisions • Tablets • Smartphones • Cellphones • Computers • Laptops • Video Gaming Devices


Talk

Talk with your child during the day about what you see and do. Your child will learn lots of new words. Try to be face-to-face and make connections with your child’s life. It’s as easy as “Here is a big red apple. It’s like the apple we ate for lunch today.”

Write

Encourage your child to draw and make letters and shapes. Holding a rattle, scribbling with a crayon, and (safely) using scissors help your child’s hand muscles get ready to hold a pencil for writing.

Read

Read with your child every day. Show them that it is fun to read and talk about books. This helps them learn about letters, words and ideas right from the start.

Sing

Sing and have fun! Songs and rhymes help your baby learn about sounds and words. You don’t need to be a rock star! Your baby just wants to hear your voice.

Play

TALK, WRITE, READ, SING & PLAY

Take time to play with your child! Play helps your child’s brain develop as they explore, create, imagine, and figure things out. Have fun together as you build a tower, splash in the tub, or do a puzzle. Follow your child’s lead and see what they come up with. There is no “right” way to play or use a toy.

Come to any library location and get your baby a free library card today! For more ideas on how to make talking, singing, writing, playing and reading a part of every day visit www.elawr.org/for-parents parentguide.ca

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YOUR CHILD’S DEVELOPMENT As children grow, they will learn new things for their age and stage of development; these are called developmental milestones. The NDDS is an easy-to-use checklist that can be used to track your child’s development starting as early as one month of age and up to age six. Call Region of Waterloo at 519-575-4400 if you have questions about your child’s development or how you can receive the NDDS. You can register for the online version at www.endds.ca.

Community Programs

Parenting programs are a great place for your child to learn age-appropriate skills and to play with other children. Your local Ontario Early Years Centre (OEYC) offers programs and supports for children from birth to six years of age and their parents and caregivers. Visit: www.earlyyearsinfo.ca for more information. See the directory in this Guide for a list of community resources that can help support your child to meet their optimal potential.

How is your child developing? Register your child today at endds.ca and you’ll get...

• • •

A checklist that captures a snapshot of your child’s development Email reminders when it’s time to do the next checklist Tips and activities to encourage your child’s development

For Practical Tips on How To Help Your Child’s Development Visit:

• www.children.gov.on.ca (click on Early Childhood link) • www.developingchild.harvard.edu and search for the following activity guide: Enhancing and Practicing Executive Function Skills with Children from Infancy to Adolescence • www.zerotothree.org/resources/221-getting-ready-for-school-begins-at-birth#downloads

Is Your Child 18 Months Old?

Now is an important time to book an appointment with a health care provider to check your child’s development. Your health care provider will give your child a more detailed medical check-up and any immunizations needed. Most importantly they will talk to you about your child’s development and answer any questions or concerns you may have. If concerns are identified they will link you with community resources to get started on helping your child reach their full developmental potential. Does Your 18 Month Old • Identify pictures in a book (“Show me the dog”)? • Use gestures (waving, pushing, reaching up)? • Show affection towards people, pets, toys (hug, kiss)? • Say 20 or more words (in any language)? Visit www.ndds.ca for more information 40

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DON’T WAIT AND SEE

Do You Have Questions or Concerns About Your Child’s Development? If there are 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 poten al. Community agencies who can help support you and your child are listed below. Mental Health & Behavioural Concerns

Developmental/Physical Concerns/Special Needs

Front Door (operated in partnership between Carizon and Lutherwood) offers access to children’s mental health services for children experiencing social, emo onal, and/or behavioural issues. Walk-in counseling is available 4 days per week. For more Informa on visit www.frontdoormentalhealth.ca

Call Region of Waterloo Public Health (519) 575-4400 for intake in to the Infant and Child Development Program (for children with developmental delays).

Speech, Language & Hearing KidsAbility (www.kidsability.ca) provides preschool speech and language services.

Dental

Contact a Dentist. For information about financial assistance call Region of Waterloo Public Health at 519-575-4400 ext. 5010

Special Needs Access Point (SNAP) for children aged 0-6 years with developmental concerns who are attending /planning to attend licenced child care in the Region of Waterloo. KidsAbility (www.kidsability.ca) provides therapy for children from birth to age 18 for children with special needs, including children with Au sm.

Vision Children need to have their eyes examined at six months of age and then once a year. Eye exams are free for children under 20 years of age if you have OHIP. Find an optometrist at http://bit.ly/1Phjo7N

Nutrition Nutri-eSTEP (www.nutri onscreen.ca) is a good tool to use to check the ea ng habits of children 18 months to 5 years of age to see if there are any concerns. EatRight Ontario (www.eatrightontario.ca) 1-877-510-510-2 Registered Die ans offer advice and ps on healthy ea ng and can answer your ques ons about Nutri-eSTEP. Parenting Supports

The Ontario Early Years Centre (www.earlyyearsinfo.ca) offers paren ng resources, informa on and programs. See the Special Needs Directory (page 112) for contact informa on and a list of other agencies that can provide support for you and your child.

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POSITIVE PARENTING Positive Parenting: Positive Parenting: • Helps you parenting connect with child, good about teaches your child of to make good choices & Positive is your a way of feel parenting thatparenting focuses and on the importance the parent-child cope with emotions relationship. Positive parenting helps parents gain the skills to guide and support their • Helps you connect with your child, feel good about parenting and teaches your child to make good choices & children’s overall growth and development. cope with emotions Visit parentingnow.ca for more information and local parenting supports. Tips to Help You Teach Your Child

Age

Infants (0-12 months)

Your child says…

You the parent (caregiver) can…

Positive parenting ideas…

Think about what your • child understands at this age. • If your baby is exploring something • Watch me and respond Respond to your babies cries (see page 26) Usually, young children • don’t things tochild make mad. them to my cries dangerous take itThey away anddo replace it with Know itdo is normal for your to cry their parents something safe • I learn that you l help because they still have so much to learn. • Watch for and respond to your babies cues

Your infant is too young to know right from wrong; it is your job to comfort, teach & guide them

me to feel calm and safe

• Keep your home safe for babies

• Use gentle touches and describe what is going on around you and what you are doing with baby

Set routines and keep to them See the situation from • your child’s point of view. • Check out the sleep sessions at the OEYC’sThis may • Learnhelp about your personality and Put yourself in your child’s place for a moment. youbaby’s understand (see page …) temperament why your child is behaving a certain way. Acknowledge your child’s feelings.

Toddlers (1-2 years old) The key to disciplining your toddler involves understanding & quick thinking

Preschoolers 3-5 years old

Redirect • Help your me deal child’s with my attention. • Name your child’s feelings • Redirect your child from an unsafe or big feelings to something positive Instead of telling them what can’t do, tell them whatnegative theybehaviour can do. • Name they feelings that others are having to • Help me learn to name my feelings

show your child what they look like

• Help your child name feelings

• Be realistic about what your toddler can do

Stay calm during emotional reactions (See Help• your child understand why their behaviour is not• acceptable. I learn by exploring, page … for information on temper tantrums) • Get to know what your child enjoys doing Explainplaying why& trying thenew behaviour is dangerous or how it affects others. • Show & tell your child what you want them • Learn when your child needs quiet and rest (See page ..for screen time guidelines)

things

to do

Give your child choices.• Be active with your child often Listen and play with your child they choose. “Come now or I’ll leave Just make sure that you• will accept whatever you at the mall” is not a real choice. • Help me to remember to share, take turns, Help your child learn wait, use kind words and how to calm down

• Be patient and creative

• Use short and simple instructions

• Role model behaviours you want

• Stop unwanted behaviour; say what

how to problem-solve. behaviour you want to see • Set clear limits and be consistent This is one of the most • important things you can teach your children. • Speak face to face in a They calm tonelearn Prepare your child for changes in schedules may start to tell you how• toIstories do and it gradually by watching you. • Explain rules and consequences and be • Talk about what your child does well test what is true

• Show & tell your child you enjoy their company playing together how to fix &mistakes.

consistent

• Give them something else to do

I like playing withsee Help• your child • If unwanted behaviour continues follow friends & fairness is • Play with yourcan child and let them take the better Children need to learn that they make things (for “Oh – the throughexample, with the consequence very important to me lead juice• spilled! Let’s clean it up together.”). • If the behaviour is irritating but is not I learn by exploring, • Offer choices (“Would you like to wear the playing and trying new things

red or yellow shirt today?”)

hurting anyone, try staying calm and ignoring it. This makes it less interesting to do

• Learn when your child needs quiet and rest Show your unconditional love. (see page for guidelines on screen time) In your actions and words, make sure that your child • knows love no It is ok foryou your child to bethem upset about consequences. matter what. • Over time your child will learn that you remain calm and follow through with consequences

Adapted For morewith information permission on positive from theparenting Best Startvisit Resource http://chd.region.waterloo.on.ca/en/childfamilyhealth/positiveparenting.asp Centre. and http://www.childrenseechildrenlearn.ca/ For more parenting tips and videos visit http://www.childrenseechildrenlearn.ca/index.htm

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TEMPER TANTRUMS Temper tantrums are a normal part of child development and occur while young children are learning to express their emotions and control their behaviours (see page 42). Tantrums often happen when children are: • • • •

Over-tired, excited or hungry Not able to do something they want to do Asked to do something they do not want to do Frustrated when they cannot communicate their feelings, desires or needs

The following suggestions may not work for every child. Find what works best for your child. To Prevent Temper Tantrums • Recognize good behaviour and encourage it • Reduce triggers such as being hungry or over tired • Set rules, be consistent and stick to your child’s routine (meals, naps) • Be active with your child everyday, play outside as much as possible • Put things that are not safe for your child to have out of your child’s reach • Give limited and realistic choices so your child feels they have some control • Distract your child and redirect their attention • Give your child words to help them express their emotions. For example, “Are you feeling sad/mad?” During A Temper Tantrum • Stay calm • Ignore the behaviour • Keep your child safe. Move furniture, toys and other children away • Hold your child if you think they may hurt themselves or others • Never spank your child or use physical discipline After A Temper Tantrum • Encourage your child to express their feelings in a positive way • Give lots of hugs, comfort your child and tell them you love them • Provide quiet play with your child • Do not punish your child

Be a role model. Know your own tolerance and triggers. Do not have temper tantrums of your own because children learn what they see. For more information visit: Children See Children Learn at www.childrenseechildrenlearn.ca or Canadian Paediatric Society at careforkids.cps.ca (follow behaviour and parenting link). parentguide.ca

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PARTNER SUPPORT Involved Adults As fathers, partners, families and friends, you have an important role in welcoming a new baby and raising a child. When you take care of a child they learn to feel safe and trust others. Being a part of a child’s life shows them that they are important and loved!

I tell my life story and we make new memories together.

I know about my child’s health immunizations, doctor and dentist visits.

I learn values by watching you be my role model. You teach me to respect myself and others.

I share child care & concerns about my child’s growth & safety.

I show love and affection to children. Play and read with me everyday!

See more at: www.dadcentral.ca for tips and resources, including: renovating your relationship www.newdadmanual.ca for tips and video clips on new baby www.regionofwaterloo.ca/breastfeeding for information on partners supporting breastfeeding www.beststart.org/resources for these and other helpful resources: • Welcoming and Celebrating Sexual Orientation and Gender Diversity in Families http://bit.ly/Rl2hpa • Building Resilience in Young Children http://bit.ly/1pOo3Rs • Daddy & me on the move http://bit.ly/2eZbjXy 44

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TOILET LEARNING

MAKING IT A POSITIVE EXPERIENCE Children will learn to give up diapers when they (not you) are ready. Most children are ready to begin toilet learning between the ages of two and four years when they: • Want to use the toilet or potty • Can walk to the potty and sit on it • Can stay dry in diapers for several hours • Can use words or gestures to let you know they need to go • Can follow one or two simple instructions • Want to be independent • Have regular bowel patterns

Helpful Tips

• Use clothes that your child can easily pull down • Make routines. Invite your child to sit on the potty at regular times during the day, like before and after sleeping, after meals and before leaving home • Notice your child’s efforts in trying to use the potty, even if they have an accident • Talk to other caregivers about how they can support your child’s learning • Give daily time, attention and encouragement to your child as they learn to use the toilet • Help your child wash their hands after every time they use the toilet

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. If your child has painful bowel movements that are hard, dry, pebble-like and difficult to pass, your child may be constipated. If your child is younger than six months of age, talk to your health care provider about what to do. What you can do for children older than six months: • Offer more fluids such as water during the day • Offer foods that are high in fibre such as whole grains, fruits, vegetables, beans and lentils • Help your child be more active during the day and be relaxed about toilet learning Important: Do not give your baby or child laxatives, enemas, suppositories, or any medications without talking to your health care provider first. For more information on toilet training or constipation, visit: Canadian Paediatric Society at www.caringforkids.cps.ca parentguide.ca

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TALK FOR TOTS

“thE talk” for tots A parents’ guide to sexual health and well-being during infancy and early childhood.

Talking with your child about healthy relationships and sexual development builds trust between you and your child, helps your child with decision making, and supports their safety and well-being. It is never too soon or too late to find teachable moments and share your values and beliefs. Here are some age appropriate topics to get you started…

What Can i do dUrinG… infanCy (0 to 2 years of age)

What to ExpECt… Between 0 and 2, your child may:

· provide opportunities for play with other children · teach correct names of body parts

· explore their own body parts including genitals · benefit from hugs

Early Childhood (3 to 5 years of age)

Between 3 and 5, your child may:

· · · ·

teach the basics of reproduction (e.g., need an egg, sperm, and a uterus) teach basic rules around privacy (e.g., touching one’s own genitals is done in private) teach child “your body belongs to you” and teach your child to say “no” or “stop” to behaviours that make them uncomfortable start conversations about what a healthy relationship is (e.g., sharing, being kind to others)

middlE Childhood (6 to 8 years of age)

· · · · · · ·

teach your child the similarities and differences between boys’ and girls’ bodies provide a basic understanding of how babies are made (i.e., sperm fertilizes an egg), sexual intercourse, and pregnancy begin talking about the physical changes with puberty (e.g., periods, wet dreams, hair growth) teach that there are a variety of sexual orientations value who your child is and let them be who they are reinforce that “your body belongs to you” and it’s okay to say “no” or “stop” to behaviours that make them uncomfortable talk about what makes a good friend

to be naked · like bathroom humour (e.g., pee, poo, fart) · enjoy or rub their own genitals · touch to close their bedroom/bathroom · choose door for privacy · be curious about other people’s bodies

Between 6 and 8, your child may: to show early signs of puberty · begin their own interests · explore language to shock, tease, joke, · use and impress friends to be curious about their own body · continue and sexuality (e.g., be naked, “playing doctor”, “acting or dressing like the same or opposite sex”)

For a list of web resources for parents, including the complete guide “thE talk” from tots to tEEns, visit: www.regionofwaterloo.ca/sexualhealth For more information call: 519-575-4400 (TTY 519-575-4608) This information was developed as part of the Waterloo Region Sexual Health Youth Strategy. 46

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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 six to 10 months of age, with the rest following over the next two to three 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 six 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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DENTAL CARE You Can Prevent Early Childhood Tooth Decay

“Early Childhood Tooth Decay” (ECTD) is a pattern of tooth decay, or cavities that occur in very young children. It is caused by a combination of too much sugar in the diet and poor brushing habits, or not brushing at all. It can be prevented by starting good brushing habits early in life and eating healthy foods.

The ABCs Of Children’s Dental Care Always hold your baby while feeding. NEVER put your baby to bed with a bottle.* Begin cleaning baby’s teeth as soon as they appear in the mouth. A clean baby washcloth works well until four to six teeth have come in. Children should be seen by a dentist or dental hygienist by their first birthday. *Breast milk is the only natural food for infants

Birth to Three Years

Use this check list to help you keep your child’s teeth healthy. Follow the dental care tips to help you care for your child’s teeth. If you answer “no” to three or more questions, please talk to your dental care provider about your child’s dental health. YES

NO

QUESTION

DENTAL CARE TIP

o

o

Are your child’s teeth cleaned by an adult twice each day?

Use a clean baby washcloth to wipe your newborn’s gums after each feeding. As soon as teeth appear, brush them twice daily using a soft baby toothbrush and water - no toothpaste. The most important time to brush is just before your baby goes to sleep at night.

o

o

Are your child’s teeth white and shiny?

Even babies and toddlers can get tooth decay. Check your child’s teeth at least once a month. Lift the upper lip to see the teeth right up to the gum line. If they look chalky, have white or brown spots or are chipped, take your child to a dental professional.

o

o

Does your child usually drink from a cup without a lid?

By 12 months, children should drink mostly from an open cup at mealtimes in their highchair. Do not let a child walk around all day with a “sippy” cup.

o

o

Does your child fall asleep with anything in his/her mouth?

Milk left pooling around the teeth may cause Early Childhood Tooth Decay. Clean your child’s teeth before bedtime. Stop breastfeeding when your child has fallen asleep. Never put your child to bed with a bottle.

o

Does your child have set times during the day for meals and snacks?

Your child should have no more than 5-6 set meal and snack times during the day. Frequent snacks, especially if sticky or sweet, may cause cavities. Examples of healthy choices are cheese, yogurt, fresh fruits, vegetables and milk. Avoid offering fruit juice or limit to 125 mL (1/2 cup) a day, even those labelled 100% fruit juice. Offer in an open cup.

o

Adapted with permission from the Community Dental Health Services Research Unit, one of the Ontario Government’s Health Systems Linked Research Units.

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DENTAL CARE Three to Five Years

At three years of age and if your child can spit on command, begin to brush with a children’s toothpaste that has fluoride. Be patient, and make it fun! Your child will soon learn that brushing is part of routine care, like washing their hair and bathing, and needs to be done whether it’s easy or not. Be sure to rinse toothpaste from your child’s mouth and do not let them swallow or eat it. Children should be encouraged to learn how to brush, but they cannot do a good job until they are eight or nine years of age. Until then, you will have to brush for them.

Are baby teeth really that important? Aren’t they just going to all fall out anyway?

Baby teeth ARE important! Baby teeth allow your child to eat, drink and speak properly. They also help in forming the pathway for the adult teeth when they come in. Your child’s last baby teeth will not get loose and fall out until they are 11 or 12 years old. Call Region of Waterloo Public Health at 519-575-4400 ext. 5010 to get information about financial assistance programs for dental treatment for children, or to book a free appointment for your child's 1st Birthday visit.

Lift the Lip to Check Baby’s Teeth

Parents should check baby’s teeth once a month for signs of tooth decay.

White chalky areas around the gum line. It can be reversed, if found early

Brown areas or decay spots along gum line. Requires early dental treatment

Spots continue to expand and tooth structure can be lost. Can result in tooth loss.

Read more on this topic: Ontario Dental Association www.oda.on.ca parentguide.ca

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HEALTH AND WELLBEING 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 • Before touching your eyes, mouth, or putting in contacts • Before eating or preparing food 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 others 6. Frequently clean common surfaces such as keyboards, doorknobs, counter tops, etc.

Virus Or Bacteria – Different Or The Same?

• Both viruses and bacteria can cause infections and 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, nose 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 four to five 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? • Antibiotic resistance means that a drug is no longer effective in killing a certain bacteria • Antibiotics are only effective against bacterial infections, not colds or the flu, caused by viruses. Increased improper use of antibiotics can lead to resistance. Your doctor may not always prescribe medications for your illness • Antibiotics are only effective if taken and finished as prescribed by your doctor. Do not stop taking antibiotic medications part way through your treatment, even if you are feeling better

You Can Make A Difference!

• Do not share prescription drugs or take drugs prescribed for someone else • See your doctor or medical practitioner for further assessment if your illness becomes more serious. Your doctor may be able to prescribe a medication or treatment • Make sure you and your family get your flu shots each year and that other vaccinations are up to date For more information contact Region of Waterloo Public Health at 519-575-4400.

Check To See If Your Well Water Is Safe To Drink….

Unsafe drinking water can cause serious illness, especially in pregnant women and babies. Private well owners should test their water at least three times per year (Spring, Summer, Fall), for bacteria such as E.coli and Coliforms, and once per year for nitrates and fluoride. To find out more check out our fact sheets at: http://chd.region.waterloo.on.ca/en/healthyLivingHealthProtection/resources/Nitrates.pdf http://chd.region.waterloo.on.ca/en/healthyLivingHealthProtection/resources/FluorideDrinkingWater_fs.pdf http://chd.region.waterloo.on.ca/en/healthyLivingHealthProtection/Private-Wells.asp

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FEVER AND SICKNESS When your child is sick they may have a fever. If you think your child has a fever, use a thermometer to check their temperature. Your child has a fever if their temperature is above the number listed below:

METHOD Rectum Mouth Armpit Ear

TEMPERATURE 38°C (100.4°F) 37.5°C (99.5°F) 37.3°C (99.1°F) 38°C (100.4°F)

Source: Canadian Paediatric Society (2014) www.caringforkids.cps.ca

Need A Family Doctor? Call Health Care Connect to register: 1-800-445-1822

How to take a temperature:

• Use one thermometer for rectal and a separate one for taking oral temperatures • Do not use glass or mercury thermometers, use digital or plastic thermometers instead • Forehead thermometers are not as accurate as other methods for taking temperatures For information on how to correctly take a temperature, visit www.caringforkids.cps.ca.

Who to contact if your child has a fever:

• Babies younger than six months old should see a doctor when they have a fever • Call your health care provider if your baby is older than six month and the fever does not go away after 72 hours (three days), or your baby has a fever combined with a rash or any other signs of illness that worry you • To talk to a Registered Nurse, call Telehealth Ontario 1-866-797-0000 (TTY: 1-866-797-0007); available 24 hours a day, seven days a week • In an emergency situation call 911

What to do if your child has a fever:

• Babies younger than six months old should see a doctor when they have a fever • If your child is older than six months, then give more to drink (such as breast milk or water) • Take off extra clothing and blankets, leave enough to avoid shivering • Check your child’s temperature often

What not to do if your child has a fever:

• Do not give medication unless recommended by your health care provider • Do not give Aspirin or Acetylsalicylic Acid (ASA) to a child or teenager with a fever • Do not use alcohol rubs or baths and sponging with water to lower a child’s fever

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)

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HEALTH AND THE ENVIRONMENT Make Your Home Safe From Harmful Substances

Chemicals in the home may impact the health of a developing fetus or child. Small amounts of harmful substances add up; you can reduce the amount by following these tips:

1. Bust That Dust

Clean floors often with a damp mop or vacuum and use a damp cloth to dust. Take off shoes at the door.

2. Go Green When You Clean

Choose fragrance-free laundry and cleaning products. Scrub sinks/tubs with baking soda. Mix vinegar   and water to mop floors, wipe counters and wash windows. Avoid air “fresheners”.

3. Renovate Right

Pregnant women and young children should stay away from areas being renovated. Paint used in older homes may contain 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”. Most metal food cans have an inner BPA coating. To avoid BPA, 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). See fish guide on page (57).

6. Choose Fragrance Free

Avoid products with “fragrance” or “parfum” in the ingredient list, such as body care products and candles.

7. Detect Smoke and Carbon Monoxide

Have a smoke detector and carbon monoxide (CO) detector on every level of your home, test monthly and change the   batteries every year.

8. Reduce Radon

Measure the radon level in your home by using a radon test kit (radon is a harmful gas). For more information, visit www.healthyenvironmentforkids.ca Resources available in many languages.

9. Avoid Second And Third-Hand Smoke

Second and third-hand smoke is harmful to your health and your children’s health. For tips on how to avoid it go online http://www.beststart.org/resources/tobacco/pdf/tobacco_handout_eng_FINAL.pdf

Smoking is banned in many indoor and outdoor places.

For more information or to make a complaint contact Region of Waterloo (519) 575-4400 http://chd.region.waterloo.on.ca/en/healthyLivingHealthProtection/Smoking-Legislation.asp

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HEALTH AND THE ENVIRONMENT Sun Safety

Too much sun can be harmful. Babies and young children have thin skin that can be damaged easily by ultraviolet (UV) radiation from the sun. This damage builds up over time and can lead to skin cancer. We want children to be outside for their physical, social, mental and emotional development, but, it is also important that children enjoy the sun safely when outside. Follow these sun safety tips when the UV Index is three or higher (which is usually between April and September from 11am to 3pm) • Cover up by wearing long sleeve shirts, pants, a wide brimmed hat, and sunglasses. • Use sunscreen and lip balm that is labelled as broad spectrum and water resistant with a minimum of 30 SPF. Reapply as directed. • Seek shade under trees, umbrellas, or other structures. Babies need extra protection. Keep them out of the sunlight for their first year by staying in the shade or covering up. Sunscreen is not recommended for babies under six months of age. For more information, visit: http://www.dermatology.ca/wp-content/uploads/2012/01/tips-parent-EN.pdf

Protecting Against Bug Bites

1. Cover exposed skin When you are outside and mosquitos are active wear light coloured, long-sleeved shirts and long pants, socks and a hat. 2. Use an Insect Repellent Before using an insect repellant read and follow manufacturer’s directions carefully. Insect repellants containing DEET and Icaridin have been approved for use in Canada. Icaridin is the repellant of first choice for use on children between the ages of six months to 12 years. When applying sunscreen and insect repellant, first apply sunscreen and let it absorb for 30 minutes, then apply repellant. 3. Protect Your Home Screens on windows and doors should be free of holes, gaps and tears to prevent insect entry. Cleanup outside areas where water accumulates and keep bushes and tall grasses trimmed to prevent water from ponding and attracting mosquitoes. AGE GROUP

SUGGESTED % OF DEET

RECOMMENDED NUMBER OF APPLICATIONS PER DAY

Newborn to 6 months

DEET and Icaridin are 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

For more information go to: http://chd.region.waterloo.on.ca/en/healthylivinghealthprotection/westnilevirus.asp parentguide.ca

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PREPARING YOUR CHILD FOR CHILD CARE

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PREPARING YOUR CHILD FOR CHILD CARE

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PREPARING FOR YOUR NEXT PREGNANCY Thinking of having another baby?

To prepare for a future pregnancy consider your emotional and physical health, age, events in a previous pregnancy, and the health of your child(ren). Consider talking with your health care provider before you become pregnant about: Your previous pregnancy and birth experience: • Diabetes or other concerns during pregnancy • Caesarian section • High or low weight gain • Preterm birth (born before 37 weeks gestation) • Birth defect • Multiple births • Baby with medical issues • Low birth weight baby (less than 2,500 grams) • Infant/fetal loss • High birth weight baby (more than 4,500 grams) • Mental health concerns Your current health and experiences: • Abuse • Mental health concerns • Tobacco, alcohol and substance use

What’s Your Reproductive Life Plan? http://www.beststart. org/resources/ preconception/ AdultReproLifePlan_ F18E.pdf

• Medication • If immunizations are up to date

Talk to your health care provider about these or other issues at your six week post birth visit/check-up or other visit to prepare for a future pregnancy.

Preparing Your Child For A New Baby

• Let your child know that the baby is coming • Talk about the changes that will happen • Answer their questions • Assure your child that you will love them just the same • Take your child to visit someone else’s new baby • Read children‘s books about new babies to your child • Help your child get used to other caregivers • If your child is going to be moved out of a crib and into a bed, do this long before the new baby arrives. This gives them time to get used to the new bed.

See www.regionofwaterloo.ca/onlineprenatal for a free, 24/7 online prenatal program. see page 106 for a list of what to bring to the hospital 56

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YOUR HEALTHY PREGNANCY Healthy Choices Start Now – From The Start Of Your Pregnancy

• Live smoke free (see pg. 58) • Be active regularly (see page. 59 ) • Take a daily prenatal vitamin with folic acid and • Plan to breastfeed. Take the “Me, Breastfeed?” two hour workshop http://bit.ly/1LNPiaB iron • Take time for yourself • See your health care provider regularly • Eat healthy by following Canada’s Food Guide: http://bit.ly/2vI2eNm Take the free, 24/7 online prenatal • Have an alcohol & substance free pregnancy program, with great PDF links! (see page. 58) Visit www.regionofwaterloo.ca/onlineprenatal • Brush and floss your teeth

Eating Fish

Canada’s Food Guide recommends eating two servings of fish each week. Choose fish that are high in omega 3 fats and low in mercury. This is important as babies exposed to high levels of mercury during pregnancy or after birth may, in time, have problems with learning, walking and talking. For more information go to www.regionofwaterloo.ca/ph and search “A Guide to Eating Fish”.

Food Safety

Listeriosis is an infection that is rare in Canada, but can be very serious for pregnant women. The Listeria monocytogenes bacteria can be found naturally in soil, water and plants. Meat, fish, dairy products and produce can be contaminated with this bacteria. Avoiding certain foods can reduce your risk of serious illness. For more information see http://chd.region.waterloo.on.ca/en/healthylivinghealthprotection/resources/listeriosis_fs.pdf For other Food Safety tips, see http://chd.region.waterloo.on.ca/en/healthyLivingHealthProtection/Food-Safety-at-Home.asp

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, or a 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 parentguide.ca

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YOUR HEALTHY PREGNANCY Coping With Emotional Changes In Pregnancy

Emotional changes in pregnancy are common for women and their partners. These changes can be coped with by taking care of yourself, see page 16. If you or your partner feels your emotional changes are challenging, or if you have anxiety, depression or other mental health concerns talk to your health care provider or see page 17.

Smoking And Pregnancy

• Smoking during pregnancy affects your unborn baby • Chemicals in tobacco smoke move from the mother's blood to the baby's blood. The baby gets less food and oxygen, and can be smaller in size and less healthy. • If you smoke, consider quitting for you and your baby's health. Smoking can increase your baby’s chances of being born early and/or at a low birth weight • Talk to your healthcare provider, or someone who is trained to help you to quit • Region of Waterloo Public Health 519-575-4400 www.regionofwaterloo.ca/QuittingSmoking • Smokers’ Helpline 1-877-513-5333 www.smokershelpline.ca • www.pregnets.org

DID YOU

KNOW?

Quitting smoking and making your home and vehicle smoke-free can improve the health of you and your family, including reducing risk of SIDS, see: http://www.beststart.org/resources/tobacco/pdf/tobacco_handout_eng_FINAL.pdf

Alcohol And Substance Use In Pregnancy

Your baby’s brain develops throughout pregnancy. The safest choice in pregnancy is no alcohol or substances. Drinking alcohol in pregnancy can cause Fetal Alcohol Spectrum Disorder (FASD). Children who have FASD have brain damage that lasts a lifetime. We do not know the effects of all substances that might be used in pregnancy. However, evidence suggests that alcohol, tobacco, cannabis, crystal meth, opiates and even some over the counter and prescription medications can affect your baby’s brain development and cause physical disabilities that last a lifetime. If you are using any alcohol, tobacco or substances use a reliable form of birth control to prevent pregnancy. If you are pregnant, trying to get pregnant or think you might be pregnant the safest choice is to stop any alcohol and substance use as soon as possible. Many pregnancies are unplanned. You may have used some alcohol or substances in pregnancy. Stopping alcohol and substance use can be difficult but support is available.

For help or questions call Motherisk at 1-887-327-4536 or Region of Waterloo at 519-575-4400

Looking for health care in pregnancy? • Call Health Care Connect at 1-800-445-1822 to register for a Health Care Provider at 1-800-445-1822 Translation service for 140 languages or go to www.ontario.ca/healthcareconnect • See page 96 for midwife contact • See page 81 for hospital contact information 58

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YOUR HEALTHY PREGNANCY Healthy Weight Gain During Pregnancy

The recommendation for weight gain 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 second and third trimesters. Being pregnant with more than one baby will change the recommended range for weight gain.

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 • Long labour • Pre-term birth • Large-for-gestational age baby Every woman is different, talk with your HCP to find out how much weight you should gain in pregnancy For more information see: http://bit.ly/2fyEZLu

Move more…

Not active before pregnancy? Use the PARmed-X with your health care provider to see if there are any activity limitations [Downloadable form: http://www.csep.ca/cmfiles/publications/parq/parmed-xpreg.pdf or Online tool: http://eparmedx.com/?page_id=24] • Active before pregnancy? Talk with your health care provider about what level of activity you can safely continue during pregnancy. • Walking at any stage of pregnancy is encouraged. How quickly you walk, and how far you go, will depend on how active you were before your pregnancy. • After four months of pregnancy, exercises should not be done while lying on your back • Choose activities with a low risk of falling

Move often…

Sitting or standing for longer than one hour at a time? This can affect your health, even if you are active in other ways. After 60 minutes of sitting or standing, move or stretch for at least one to three minutes.

Physical Activity After Baby Is Born

Walking is encouraged. Talk with your health care provider about when you can go back to other activities. For tips and more information: - Call Region of Waterloo Public Health at 519-575-4400 - Call Motherisk for questions about exercise during pregnancy or 1-877-439-2744 - Visit the Physical Activity Resource Centre website at http://parc.ophea.net/resource/active-pregnancy

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LOCAL DIRECTORY REGION OF WATERLOO 2018

This guide is intended for use in conjunction with www.parentguide.ca where you can search for specific categories or locations to find a complete list of resources. Each of the following categories provides you with key contacts to help guide you through these very important first years. These resources are your starting points of contact in the community. If you can’t find what you are looking for please contact us at: info@parentguide.ca. Enjoy and Happy Parenting!

WHAT YOU WILL FIND IN THE DIRECTORY

BREASTFEEDING/FEEDING YOUR CHILD 63 CHILD CARE AND EDUCATION 67 COMMUNITY INFORMATION 73 HEALTH AND WELLBEING 79 HELP AND SUPPORT 83 PARENTING 89 PREGNANCY AND LABOUR SUPPORT 95 PROGRAMS AND ACTIVITIES 99 SAFETY 103 SHOPPING AND PROFESSIONAL SERVICES 107 SPECIAL NEEDS 111

VISIT US ONLINE AT:

FOLLOW US ON:

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WONDERING IF BREASTFEEDING IS GOING WELL? See page 21 of this guide for more information.

NEED SUPPORT? See page 22 or 64 of this guide. Read more on breastfeeding on pages 18-23


BREASTFEEDING/FEEDING YOUR CHILD

WHAT YOU WILL FIND IN THIS SECTION... BREAST PUMP RENTALS AND SALES BREASTFEEDING EDUCATION/SUPPORT INFANT FEEDING ROOMS

Visit parentguide.ca for additional resources and articles


BREASTFEEDING/FEEDING YOUR CHILD BREAST PUMP RENTALS & SALES HEALTH CARE CENTRE PHARMACY (GRAND RIVER HOSPITAL) 835 King St. W., 3rd Floor, Kitchener ON (519) 749-4227 www.grhosp.on.ca INSTITUTE FOR PARENT AND INFANT CARE (IPIC) (519) 272-0441 or 1-800-574-2742 www.ipiceducation.ca ONTARIO HOME HEALTH 1515 King St. E., Cambridge ON (519) 624-7587 www.ont-home-health.on.ca SHOPPERS DRUG MART 1-800-746-7737 www1.shoppersdrugmart.ca

BREASTFEEDING EDUCATION/SUPPORT BREASTFEEDING BUDDIES PEER SUPPORT (519) 772-1016 BREASTFEEDING SUPPORT SERVICES AT GRAND RIVER HOSPITAL 835 King St. W., Kitchener ON (519) 749-4355 www.grhosp.on.ca CAMBRIDGE PAEDIATRIC & BREASTFEEDING CLINIC 200 Franklin Blvd., Cambridge ON (519) 620-3600 A referral from a doctor or midwife is required. Supporting: milk supply concerns, yeast, babies with colic, moms with breast infections (blocked ducts/mastitis), breast pain, and generalized infant health concerns. CANADIAN LACTATION CONSULTANTS ASSOCIATION www.clca-accl.ca PUBLIC HEALTH BREASTFEEDING SERVICES REGION OF WATERLOO: PUBLIC HEALTH & EMERGENCY SERVICES (519) 575-4400 Free in person, one on one breastfeeding support with a public health nurse 64

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INFACT CANADA (INFANT FEEDING ACTION COALITION) 6 Trinity Sq., Toronto ON (416) 595-9819 www.infactcanada.ca INSTITUTE FOR PARENT AND INFANT CARE (IPIC) (519) 272-0441 or 1-800-574-2742 www.ipiceducation.ca A clinic where parents can find practical strategies and support for any concern about their infant(s). Private Prenatal Classes and Breast Pump Rentals also available. LA LECHE LEAGUE CANADA 1-800-665-4324 www.lllc.ca REGION OF WATERLOO PUBLIC HEALTH (519) 575-4400 www.regionofwaterloo.ca/ph Free telephone, in-person, and peer group supports available TELEHEALTH ONTARIO 1-866-797-0000 TWO RIVERS FAMILY HEALTH TEAM 350 Conestoga Blvd., Unit 15, Cambridge ON (519) 629-4615 ext 271 www.tworiversfht.ca


BREASTFEEDING/FEEDING YOUR CHILD INFANT FEEDING ROOMS CAMBRIDGE CENTRE MALL INFANT FEEDING ROOM 355 Hespeler Rd., Sears--Upper Level, Infant Wear, Cambridge ON (519) 623-2327 FAIRVIEW PARK MALL BREASTFEEDING LOUNGE 2960 Kingsway Dr., Sears--Main Level, Infant Wear, Kitchener ON (519) 894-2300

Read more on breastfeeding on pages 18-23 and feeding your baby/ child on pages 33-35

KITCHENER CITY HALL BREASTFEEDING LOUNGE 200 King St. W., 1st Flr., Kitchener ON (519) 741-2286 REGION OF WATERLOO BREASTFEEDING LOUNGES 150 Main St., Cambridge ON 99 Regina St., Waterloo ON (519) 575-4400 www.regionofwaterloo.ca/ph

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École élémentaire catholique

École élémentaire catholique

(m à la 6e) 345, The Country Way Kitchener (Ontario) N2E 2S3 519-742-2261

(m à la 6e) 640, promenade Trico Cambridge (Ontario) N3H 5P2 519-650-3219

Cardinal-Léger

Garderie des lutins 519-742-7782

École secondaire catholique

Père-René-de-Galinée

(7e à la 12e) 450, chemin Maple Grove Cambridge (Ontario) N3H 4R7 519-650-9444

Centre éducatif Les p'tites sauterelles 519-650-2389

École catholique

Mère-Élisabeth-Bruyère (m à la 6e) 280, promenade Glenridge Waterloo (Ontario) N2J 3W4 519-880-9859 Centre éducatif Village d'Élisabeth 519-885-4693

Saint-Noel-Chabanel

École élémentaire catholique

Saint-René-Goupil

(m à la 6e) 221, promenade Scottsdale Guelph (Ontario) N1G 3A1 519-821-7542 Garderie L'arc-en-ciel 519-824-3675

Contactez-nous pour plus d’informations : 1-800-274-3764


CHILD CARE AND EDUCATION

WHAT YOU WILL FIND IN THIS SECTION... CHILD CARE RESOURCES CHILD CARE SUBSIDY BEFORE/AFTER SCHOOL PROGRAMS CHILD CARE HOME EDUCATION LANUAGE LITERACY SCHOOL BOARDS

Visit parentguide.ca for additional resources and articles


The following child care resources are a small sample of what is available in your community. To find and apply for early learning and child care centres near you visit: ONELIST Waterloo Region at www.OneListWaterlooRegion.ca

See ad on page 54,55 ONELIST WATERLOO REGION 99 Regina St. S., Waterloo ON (519) 575-4400 www.OneListWaterlooRegion.ca

CHILD CARE - RESOURCES 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 CHILDREN’S SERVICES ADMINISTRATION 99 Regina St. S, Waterloo ON (519) 575-4400 www.regionofwaterloo.ca ONELIST WATERLOO REGION 99 Regina St. S., Waterloo ON (519) 575-4400 www.onelistwaterlooregion.ca see ad on page 54,55

CHILD CARE - SUBSIDY CHILD CARE SUBSIDY - REGION OF WATERLOO 99 Regina St. S., Waterloo ON (519) 575-4400 www.regionofwaterloo.ca see ad on page 54,55

BEFORE/AFTER SCHOOL PROGRAMS YMCA YOUTH DEVELOPMENT PROGRAM 161 Roger St., Waterloo ON (519) 741-8585 ext. 228 www.ykids.ca see ad on page 72,102 68

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Ayr Public School 105 Hall St., Ayr ON Cedar Creek Public School 55 Hilltop Dr., Ayr ON Conestogo Public School 1948 Sawmill Rd., Conestogo ON Crestview Public School 153 Montcalm Dr., Kitchener, ON Forest Hill Public School 255 Westmount Rd., East, Kitchener ON Franklin Public School 371 Franklin St. N., Kitchener ON Highland Public School 125 Salisbury Ave., Cambridge ON John Mahood Public School 5 First St., Elmira ON Keatsway Public School 323 Keats Way., Waterloo ON Lester B. Pearson Public School 520 Chesapeake Dr., Waterloo ON Lincoln Heights Public School 270 Quickfall Dr., Waterloo ON Northlake Woods Public School 500 Northlake Dr., Waterloo ON Pioneer Park Public School 55 Upper Canada Dr., Kitchener ON Riverside Public School 14 William St., Elmira ON Sandhills Public School 1250 Victoria St. S., Kitchener ON Sandowne Public School 265 Sandowne Dr., Waterloo ON Tait Street Public School 184 Tait St., Cambridge ON Trillium Public School 79 Laurentain Dr., Kitchener ON Vista Hills Public School 314 Sweet Gale St., Waterloo ON Wellesley Public School 1059 Queen's Busch Rd., Wellesley ON Westmount Public School 329 Glasgow St., Kitchener ON YWCA YOUTH DEVELOPMENT PROGRAM www.ywcakw.on.ca (519) 744-3199 ext.209

CHILD CARE CONSEIL SCOLAIRE CATHOLIQUE MONAVENIR www.cscmonavenir.ca see ad on page 66


CHILD CARE AND EDUCATION ÉÉC Mère-Elisabeth-Bruyère 280, Glenridge Dr., Waterloo ON (519) 880-9859 Centre éducatif Village d'Élisabeth (519) 885-4693 ÉEC Cardinal-Léger 345, The Country Way, Kitchener ON (519) 742-2261 Garderie des lutins (519) 742-7782 ÉÉC St-Noel-Chabanel 640, Trico Dr., Cambridge ON (519) 650-3219 Centre éducatif Les p'tites sauterelles (519) 650-2389 OWL CHILD CARE SERVICES OF ONTARIO www.owlchildcare.org Owl serves children three months to 12 years of age, with eight centres in Kitchener, Waterloo, Cambridge and Ayr. Infant, Toddler, Preschool, Before & After School, PA Days and Camps. see ad on this page Owl – John Sweeney 185 Activa Ave., Kitchener ON (519) 742-6291 Owl – Lincoln Road 145 Lincoln Rd., Waterloo ON (519) 746-1124 Owl – Our Lady of Fatima 55 Hammet St., Cambridge ON (519) 220-1148 Owl – Saint John Paul II 75 Pebblecreek Dr., Kitchener ON (519) 894-0563 Owl - St. Brigid 50 Broom St., Ayr ON (519) 394-2273 Owl – St. Luke 550 Chesapeake Dr., Waterloo ON (519) 747-0054 Owl – St. Matthew 405 Pastern Trail, Waterloo ON (519) 885-0512 Owl – St. Nicholas 525 Laurelwood Dr., Waterloo ON (519) 883-1998

REGION OF WATERLOO CHILDREN’S SERVICES (519) 575-4400 www.regionofwaterloo.ca/earlylearningchildcare see ad on page 54,55 CHILDREN’S CENTRES Cambridge Children’s Centre 99 Beechwood Dr., Cambridge ON (519) 622-4390 Christopher Children’s Centre 30 Christopher Dr., Cambridge ON (519) 621-6525 Edith MacIntosh Children’s Centre 104 Stirling Ave. S., Kitchener ON (519) 743-6344 Elmira Children’s Centre 250 William St., Elmira, ON (519) 575-4460 Kinsmen Children’s Centre 651 Concession Rd., Cambridge ON (519) 653-9933 Home Child Care 99 Regina St. S., Waterloo ON 150 Main St., Cambridge ON (519) 575-4400 WEE WATCH Cambridge and Kitchener (519) 489-0455 Waterloo and Central Kitchener (519) 742-0012 www.weewatch.com see ad on page 71 parentguide.ca

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CHILD CARE AND EDUCATION YMCA CHILD CARE 161 Roger St., Waterloo ON (519) 741-8585 www.ykids.ca see ad on page 72,101 CAMBRIDGE Clemens Mill Ymca Child Care 335 Saginaw Pkwy., Cambridge ON (519) 622-3266 Elgin Street Ymca Child Care 685 Elgin St. N., Cambridge ON (519) 624-1303 Moffat Creek Ymca Child Care 710 Myers Rd, Cambridge ON (519) 622-2536 Stepping Stones Ymca Child Care 177 Bismark Dr., Cambridge ON (519) 622-3785 KITCHENER Brigadoon Ymca Child Care Centre 415 Caryndale Dr., Kitchener ON (519) 519-895-1190 Groh Drive YMCA Child Care 255 Thomas Slee Drive, Kitchener ON 519-741-8585 ext. 241 Head To Toe Ymca Child Care 455 University Ave. W., Kitchener ON (519) 571-0050 J.W. Gerth Ymca Child Care 171 Apple Ridge Dr., Kitchener ON (519) 748-4356 Little Pause Ymca Child Care 560 Pioneer Dr., Kitchener ON (519) 895-0060 W.T. Townshend Ymca Child Care 245 Activa Ave., Kitchener ON (519) 576-8277 Williamsburg Ymca Child Care 760 Commonwealth Cres., Kitchener ON (519) 568-7521 Winston Park Ymca Child Care 1000 Westmount Rd. E., Kitchener ON (519) 743-8322 WATERLOO Edna Staebler Ymca Child Care 450 Bernay Dr., Waterloo ON (519) 885-5722 70

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Just For Kids Ymca Child Care 485 Thorndale Dr., Waterloo ON (519) 747-5701

HOME EDUCATION ONTARIO FEDERATION OF TEACHING PARENTS (OFTP) 1-800-704-0448 www.ontariohomeschool.org

LANGUAGE CANADIAN PARENTS FOR FRENCH 2055 Dundas St. E., Ste. 103, Mississauga ON (905) 366-1012 or 1-800-667-0594 www.cpf.ca INTERNATIONAL LANGUAGE SCHOOL WATERLOO REGION DISTRICT SCHOOL BOARD 51 Ardelt Avenue, Kitchener, ON (519) 885-0800 www.wrdsb.ca YMCA IMMIGRANT SERVICES Kitchener Office: 800 King Street West, Kitchener, ON (519) 579-9622 258 Hespeler Road, Cambridge, ON (519) 621-1621 www.ymcacambridgekw.ca

LITERACY BABY CONNECTIONS - YMCA OEYC 161 Roger St., Waterloo, ON. (519) 741-8585 ex 227 www.babyconnections.ca see ad on page 98 EARLY LITERACY ALLIANCE OF WATERLOO REGION - YMCA OEYC 161 Roger St., Waterloo ON (519) 741-8585 ext. 227 www.elawr.org see ad on page 91,101, back cover


CHILD CARE AND EDUCATION FRONTIER COLLEGE (519) 496-3079 www.frontiercollege.ca LET’S READ FAMILY LITERACY INITIATIVE YMCA OEYC 161 Roger St., Waterloo ON (519) 741-8585 ext. 227 www.letsread.ca see ad on page 91,101, back cover THE LITERACY GROUP KITCHENER OFFICE: 151 Frederick Street, Suite 200, Kitchener, ON (519) 743-6090 CAMBRIDGE OFFICE: 40 Ainslie Street South, 2nd Floor, Cambridge, ON (519) 621-7993 www.theliteracygroup.com

Parents...

Daily Encouragement Sign up today to receive FREE daily encouragement to remind you how amazing you are. "It's like hearing from my best friend every morning!" FAMILY OUTREACH PROGRAM

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CHILD CARE AND EDUCATION PROJECT READ LITERACY NETWORK ~ WATERLOO WELLINGTON 124 Sydney Street Sourth, 3rd Floor, Kitchener, ON (519) 570-3054 www.projectread.ca STRONG START CHARITABLE ORGANIZATION (519) 743-9578 www.strongstart.ca

SCHOOL BOARDS CONSEIL SCOLAIRE CATHOLIQUE MONAVENIR (416) 397-6564 or 1-800-274-3764 www.cscmonavenir.ca see ad on page 66 CONSEIL SCOLAIRE VIAMONDE (416) 614-0844 or 1-888-538-1702 www.csviamonde.ca WATERLOO CATHOLIC DISTRICT SCHOOL BOARD 35 Weber St. W., Kitchener ON (519) 578-3660 www.wcdsb.ca WATERLOO REGION DISTRICT SCHOOL BOARD 51 Ardelt Ave., Kitchener ON (519) 570-0003

Child c are

Help kids reach their potential, every single day YMCAs of Cambridge & Kitchener-Waterloo 161 Roger Street, Waterloo ON N2J 1B1 519-741-8585

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ymcacambridgekw.ca/ChildCare


COMMUNITY INFORMATION

WHAT YOU WILL FIND IN THIS SECTION... LIVING, WORKING, PLAYING MUNICIPAL CONTACTS LIBRARIES MULTICULTURAL GROUPS NEWCOMERS WEBSITES WORTH VISITING

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COMMUNITY LIVING, WORKING, PLAYING Feeling connected to your community is important at any stage of your life. Search the following sites for information in your community. ONTARIO EARLY YEARS CENTRES www.earlyyearsinfo.ca see ad on page 91,101, back cover YOUR COMMUNITY WEBSITES CAMBRIDGE www.cambridge.ca www.regionofwaterloo.ca/ph www.ideaexchange.org KITCHENER www.kitchener.ca www.regionofwaterloo.ca/ph www.kpl.org WATERLOO www.city.waterloo.on.ca www.regionofwaterloo.ca/ph www.wpl.ca www.rwlibrary.ca

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


COMMUNITY The Family Outreach Program provides services to families with children living with low income in 32 neighbourhoods and communities of interest throughout Waterloo Region. Family Outreach Workers, employed through the program, work to assist families and children to access the services they need in their own communities such as: • Employment/Education - information and fundings resources • Recreation - activities, fees, subsidies • Food - when you run short • Clothing - for your family • Shelter - resources and information • Child Care and Children’s Needs - information and equipment • Counselling - for family or individuals • Transportation - resources and information THREE WAYS TO CONNECT: 1. IN THE NEIGHBOURHOOD You may already know the neighbourhood or Community centre near you. Just call or visit and ask about the Family Outreach Program. 2. COMMUNITY AGENCY If you are currently working with a local agency, ask them for more information about the Family Outreach Program. 3. BY TELEPHONE To find out how to connect with a Family Outreach Worker nearest you, call 519-742-8327 For more information visit: http://familyoutreach.ca/

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 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

MUNICIPAL CONTACTS CITY OF CAMBRIDGE 73 Water St. N., Cambridge ON (519) 623-1340 www.cambridge.ca CITY OF KITCHENER 200 King St. W., Kitchener ON (519) 741-2286 www.kitchener.ca CITY OF WATERLOO 100 Regina St., S. Waterloo ON (519) 886-1550 www.waterloo.ca TOWNSHIP OF NORTH DUMFRIES 1171 Greenfield Rd., R.R.4, Cambridge ON (519) 621-0340 www.northdumfries.ca

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COMMUNITY TOWNSHIP OF WELLESLEY 4639 Lobsinger Ln. R.R.1, St. Clements ON (519) 699-4611 www.wellesley.ca TOWNSHIP OF WILMOT 60 Snyder’s Rd. W., Baden ON (519) 634-8444 or 1-800-469-5576 www.wilmot.ca TOWNSHIP OF WOOLWICH 24 Church St. W., Elmira ON (519) 669-1647 www.woolwich.ca

LIBRARIES IDEA EXCHANGE CAMBRIDGE LIBRARIES www.ideaexchange.org CLEMENS MILL LIBRARY 50 Saginaw Parkway, Cambridge ON (519) 740-6294 HESPELER LIBRARY 5 Tannery St., Cambridge ON (519) 658-4412 PRESTON LIBRARY 435 King St. E., Cambridge ON (519) 653-3632 QUEEN’S SQUARE LIBRARY 1 North Square, Cambridge ON (519) 621-0460 KITCHENER PUBLIC LIBRARY www.kpl.org COUNTRY HILLS COMMUNITY LIBRARY 1500 Block Line Rd., Kitchener ON (519) 743-3558 CENTRAL BRANCH 85 Queen St. N., Kitchener ON (519) 743-0271 FOREST HEIGHTS COMMUNITY LIBRARY 251 Fischer-Hallman Rd., Kitchener (519) 743-0644

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GRAND RIVER STANLEY PARK COMMUNITY LIBRARY 175 Indian Rd., Kitchener ON (519) 896-1736 PIONEER PARK COMMUNITY LIBRARY 150 Pioneer Dr., Kitchener ON (519) 748-2470 REGION OF WATERLOO LIBRARY www.rwlibrary.ca AYR BRANCH 137 Stanley St., Ayr ON (519) 632-7298 BADEN BRANCH 115 Snyder’s Rd. E., Baden ON (519) 634-8933 BLOOMINGDALE BRANCH 860 Sawmill Rd., Bloomingdale ON (519) 745-3151 ELMIRA BRANCH 65 Arthur St. S., Elmira ON (519) 669-5477 HEADQUARTERS 2017 Nafziger Rd., Baden ON (519) 575-4590 LINWOOD BRANCH 5279 Ament Line, Linwood ON (519) 698-2700 NEW DUNDEE BRANCH 1176 Queen St., New Dundee ON (519) 696-3041 NEW HAMBURG BRANCH 145 Huron St., New Hamburg ON (519) 662-1112 ST. CLEMENTS BRANCH 3605 Lobsinger Line, St. Clements ON (519) 699-4341 ST. JACOBS BRANCH 29 Queensway Dr., St. Jacobs ON (519) 664-3443 WELLESLEY BRANCH 1137 Henry St., Wellesley ON (519) 656-2001


COMMUNITY REGION OF WATERLOO: PUBLIC HEALTH & EMERGENCY SERVICES - RESOURCE CENTRE 99 Regina Street South (Ground Floor), Waterloo ON 519-575-4400 ext. 2256 www.regionofwaterloo.ca/phrc WATERLOO PUBLIC LIBRARY www.wpl.ca MAIN LIBRARY 35 Albert St., Waterloo ON (519) 886-1310 ext. 29 JOHN M. HARPER BRANCH 500 Fischer-Hallman Rd. N., Waterloo ON (519) 886-1310 ext: 310 MCCORMICK BRANCH 500 Parkside Dr., Waterloo ON (519) 886-1310 x 213

MULTICULTURAL GROUPS FOCUS FOR ETHNIC WOMEN 550 Parkside Dr., Unit # A8, Waterloo ON (519) 746-3411 www.few.on.ca

NEWCOMERS MENNONITE COALITION FOR REFUGEE SUPPORT 43 Queen St. S., Kitchener ON (519) 571-1912 www.mcrs.ca NEWCOMERS WATERLOO REGION IMMIGRANT WEB PORTAL Waterloo ON (519) 886-1310 ext. 124 www.newwr.ca RECEPTION HOUSE WATERLOO REGION 101 David St., Kitchener ON (519) 743-2113 www.kwrcentre.ca SETTLEMENT IN ONTARIO INFORMATION www.settlement.org YMCA IMMIGRANT SERVICES 258 Hespeler Rd., Cambridge ON (519) 621-1621 800 King St. W., Kitchener ON (519) 579-9622 www.ymcaimmigrantservices.ca

KITCHENER-WATERLOO MULTICULTURAL CENTRE 102 King St. W., Kitchener ON (519) 745-2531 www.kwmc.on.ca MENNONITE CENTRAL COMMITTEE OF ONTARIO 50 Kent Ave., Kitchener ON (519) 745-8458 www.mcccanada.ca MULTICULTURAL RESOURCES AND SERVICESLIBRARY AND ARCHIVES CANADA 395 Wellington St., Ottawa ON (819) 934-5810 www.lac-bac.gc.ca

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COMMUNITY WEB SITES WORTH VISITING ABOUTKIDSHEALTH www.aboutkidshealth.ca

PARENT GUIDE INC. www.parentguide.ca

BEST START www.beststart.org

PARENT GUIDE ACADEMY www.parentguideacademy.com

CANADIAN PAEDIATRIC SOCIETY www.caringforkids.cps.ca

PARENTING NOW parentingnow.ca

CANADIAN PARTNERSHIP FOR CHILDREN’S HEALTH AND ENVIRONMENT 130 Spadina Avenue, Suite 301, Toronto ON www.healthyenvironmentforkids.ca

PUBLIC HEALTH AGENCY OF CANADA www.publichealth.gc.ca

EATRIGHT ONTARIO www.eatrightontario.ca

REGION OF WATERLOO: PUBLIC HEALTH & EMERGENCY SERVICES (519) 575-4400 www.regionofwaterloo.ca/ph

ENCYCLOPEDIA ON EARLY CHILDHOOD DEVELOPMENT www.child-encyclopedia.com

SOCIETY OF OBSTETRICIANS AND GYNECOLOGISTS (PREGNANCY) www.pregnancy.sogc.org

HEALTH CANADA (613) 957-2991 or 1-866-999-7612 www.hc-sc.gc.ca HEALTHY CANADIANS www.healthycanadians.gc.ca HEALTHY BABY HEALTHY BRAIN www.healthybabyhealthybrain.ca HEALTH CARE CONNECT 1-800-445-1822 www.ontario.ca/healthcareconnect INFANT MENTAL HEALTH PROMOTION (COMFORT PLAY TEACH) www.imhpromotion.ca

WWW.REGIONOFWATERLOO.CA FIND EVERYTHING FROM GARBAGE DAYS, TO TRANSIT TIMES TO WHAT SERVICES ARE IN YOUR COMMUNITY!

GET THE APP! Need help getting around the Region? Have questions about Region of Waterloo services? Download the Pingstreet app. By selecting ‘change’ a municipality you

MINISTRY OF HEALTH AND LONG TERM CARE www.health.gov.on.ca

www.regionofwaterloo.ca/en/Online-Services.asp

ONELIST WATERLOO REGION www.onelistwaterlooregion.ca

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MINISTRY OF CHILDREN AND YOUTH SERVICES (416) 325-5666 or 1-800-387-5559 www.children.gov.on.ca

MOTHERISK 1-877-327-4636 www.motherisk.org

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NEW PARENT RESOURCE GUIDE 2018

can access many municipalities including the cities of Cambridge, Waterloo and Kitchener. More info at:

You can download Pingstreet by following these links:


HEALTH AND WELLBEING

WHAT YOU WILL FIND IN THIS SECTION... ALLERGIES AND ASTHMA DENTISTRY DIETITIANS EMERGENICES FINDING A HEALTH CARE LOCATION NEAR YOU FINDING A FAMILY DOCTOR FITNESS HEALTH UNIT/PUBLIC HEALTH HOSPITALS IMMUNIZATIONS MENTAL HEALTH PERSONAL CARE PHONE SUPPORT SMOKING CESSATION URGENT CARE CLINIC WALK-IN CLINICS

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HEALTH AND WELLBEING ALLERGIES AND ASTHMA ALLERGY AND ASTHMA INFORMATION ASSOCIATION NATIONAL OFFICE P.O. Box 100, Etobicoke ON (519) 284-4222 or 1-888-250-2298 www.aaia.ca FOOD ALLERGY CANADA 2005 Sheppard Ave. E., Ste. 800, Toronto ON (416) 785-5666 or 1-866-785-5660 www.foodallergycanada.ca MEDIC ALERT 2005 Sheppard Ave. E., Ste. 800, Toronto ON 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

DENTISTRY KITCHENER DOWNTOWN COMMUNITY HEALTH CENTRE 44 Francis St. S., Kitchener ON (226) 808-5691 Free preventative dental care for children up to 17 years of age ONTARIO DENTAL ASSOCIATION www.oda.on.ca REGION OF WATERLOO: PUBLIC HEALTH & EMERGENCY SERVICES DENTAL PROGRAM (519) 575-4400 ext. 5010 www.regionofwaterloo.ca/ph Financial assistance for dental treatments available

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DIETITIANS DIETITIANS OF CANADA www.dietitians.ca EATRIGHT ONTARIO 1-877-510-5102 www.eatrightontario.ca Free telephone counselling with a Registered Dietitian for your eating and nutrition concerns.

EMERGENCIES CALL 911 OR GO TO THE HOSPITAL CLOSEST TO YOU. See page 81 for a list of hospitals.

FIND A HEALTH CARE LOCATION NEAR YOU HEALTH CARE OPTIONS www.ontario.ca/locations/health A searchable database of walk-in and after hours clinics, urgent care centres, and family health care providers.

FINDING A FAMILY DOCTOR HEALTH CARE CONNECT 1-800-445-1822 www.ontario.ca/healthcareconnect This service refers people without a regular family health care provider to physicians and nurse practitioners who are accepting new patients in their community.


HEALTH AND WELLBEING FITNESS CANADIAN ASSOCIATION FOR THE ADVANCEMENT OF WOMEN AND SPORT AND PHYSICAL ACTIVITY-MOTHERS IN MOTION 801 King Edward Ave., N202, Ottawa ON (613) 562-5667 www.caaws.ca MOTHERISK EXERCISE IN PREGNANCY HELP LINE 1-866-937-7678 SALSA BABIES - LATIN BEAT FOR TINY FEET! (519) 212-6056 www.salsababies.com Dance back into shape with the best little partner of all – your baby! With the little ones snuggled into baby carriers, new moms learn basic steps to popular Latin Dances, while babies shake maracas and bounce along to the Salsa beat.

REGION OF WATERLOO: PUBLIC HEALTH & EMERGENCY SERVICES 150 Main St., Cambridge ON 99 Regina St. S., Waterloo ON (519) 575-4400 www.regionofwaterloo.ca/ph see ad on inside front cover

HOSPITALS CAMBRIDGE MEMORIAL HOSPITAL 700 Coronation Blvd., Cambridge ON (519) 621-2333 ext. 4357 www.cmh.org CHILDREN’S HOSPITAL LONDON HEALTH SCIENCES CENTRE 800 Commissioners Rd. E., London ON (519) 685-8500 www.lhsc.on.ca

SALSA TOTS - LATIN GROOVE FOR KIDS ON THE MOVE! (519) 212-6056 www.salsa-tots.com

GRAND RIVER HOSPITAL 835 King St. W., Kitchener ON (519) 749-4300 or Emergency 519-749-4242 www.grhosp.on.ca

YMCA www.ymcacambridgekw.ca see ad on page 72, 101

MCMASTER CHILDREN’S HOSPITAL 1200 Main St. W., Hamilton ON (905) 521-2100 www.mcmasterchildrenshospital.ca

A.R. KAUFMAN FAMILY YMCA KITCHENER 333 Carwood Ave., Kitchener ON (519) 743-5201 www.arkfamilyy.ca CHAPLIN FAMILY YMCA - CAMBRIDGE 250 Hespeler Rd., Cambridge ON (519) 623-9622 www.chaplinfamilyy.ca STORK FAMILY YMCA 500 Fischer-Hallman Rd. N., Waterloo ON (519) 884-9622 www.ymcacambridgekw.ca

HEALTH UNIT/PUBLIC HEALTH CANADIAN PUBLIC HEALTH ASSOCIATION (613) 725-3769 www.cpha.ca

ST. MARY’S GENERAL HOSPITAL 911 Queen’s Blvd., Kitchener ON (519) 744-3311 or emergency (519) 749-6410 www.smgh.ca THE HOSPITAL FOR SICK CHILDREN 555 University Ave., Toronto ON (416) 813-7654 ext. 2971 www.sickkids.ca

IMMUNIZATIONS

REGION OF WATERLOO: PUBLIC HEALTH IMMUNIZATION AND VACCINE PREVENTABLE DISEASE PROGRAM (519) 575-4400 www.regionofwaterloo.ca/ph

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HEALTH AND WELLBEING MENTAL HEALTH HERE 24/7 1-844-437-3247 www.here247.ca Call anytime to access addictions, mental health and crisis services provided by 12 local agencies FRONT DOOR (519) 749-2932 www.frontdoormentalhealth.ca Access to child and youth mental health services MENTAL HEALTH HELPLINE 1-866-531-2600 www.mentalhealthhelpline.ca

PERSONAL CARE LICE SQUAD CANADA SERVICING KITCHENER WATERLOO CAMBRIDGE GUELPH AND BRANTFORD (519) 576-5423 or 1-866-838-5423 www.licesquad.com Lice Squad is a professional head lice removal company offering fast and effective services and pesticide-free products. Parent and teacher-trusted since 2001. see coupon on page 125

PHONE SUPPORT TELEHEALTH ONTARIO 1-866-797-0000 Free access to a registered nurse - 24 hours a day, seven days a week.

SMOKING CESSATION PREGNETS www.pregnets.org SMOKERS’ HELPLINE - CANADIAN CANCER SOCIETY 1-877-513-5333 www.smokershelpline.ca REGION OF WATERLOO: PUBLIC HEALTH & EMERGENCY SERVICES (519) 575-4400 www.regionofwaterloo.ca/smoking

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SEXUAL HEALTH REGION OF WATERLOO: PUBLIC HEALTH AND EMERGENCY SERVICES SEXUAL HEALTH AND HARM REDUCTION Sexual Health Clinics (519) 883-2267 http://chd.region.waterloo. on.ca/en/clinicsClassesFairs/ sexuallytransmittedinfectionshivtesting.asp

URGENT CARE CLINICS KITCHENER Urgent Care Clinic 751 Victoria Street S. (519) 745-2273 KITCHENER Urgent Care Clinic 385 Fairway Road S. (519) 748-2327 CAMBRIDGE Cambridge Walk-in Clinic 980 Franklin Blvd. (519) 654-2260

WALK-IN CLINICS CAMBRIDGE Cambridge Walk-in Clinic (519) 654-2260 980 Franklin (between Canamera and Elgin) WATERLOO Waterloo Walk-in Clinic 170 University Ave. W. (519) 725-1514 KITCHENER K-W Walk-in at Walmart (519) 279-4098 100 The Boardwalk (inside Walmart) (Off Ira Needles, between University and Victoria) LAURENTIAN WALK-IN CLINIC (519) 570-3174 750 Ottawa St. South (In Zehr’s at Joe Fresh) (Corner Strasburg and Ottawa) WEBER MEDICAL CENTRE (519) 748-6933 1400 Weber St. (between Ottawa and Fairway)


HELP AND SUPPORT

WHAT YOU WILL FIND IN THIS SECTION... ABUSE ADDICTION SUPPORT BEREAVEMENT COUNSELLING EMPLOYMENT FAMILY & CHILDREN’S SERVICES FAMILY/GROUP SUPPORT FOOD BANKS HELP LINES HOUSING SHELTERS

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HELP AND SUPPORT ABUSE ARGUS RESIDENCE FOR YOUNG PEOPLE Cambridge ON (519) 650-0452 www.argusresidence.com ASSAULTED WOMEN’S HELPLINE 1-866-863-0511 www.awhl.org CHILD WITNESS CENTRE OF WATERLOO REGION 111 Duke St. E., Kitchener ON (519) 744-0904 or 1-888-544-0904 www.childwitness.com FAMILY AND CHILDREN’S SERVICES OF THE WATERLOO REGION 200 Ardelt Ave., Kitchener ON (519) 576-0540 www.facswaterloo.org GRAND RIVER HOSPITAL CRISIS CLINIC 835 King St. W., Kitchener ON (519) 742-3611 ext. 2353 www.grhosp.on.ca VICTIM SERVICES OF WATERLOO REGION (519) 585-2363 www.vswr.ca WATERLOO REGION SEXUAL ASSAULT/ DOMESTIC VIOLENCE 911 Queen’s Boulevard, Kitchener ON (519) 749-6994 www.keepingsafe.ca WATERLOO REGION SEXUAL ASSAULT SUPPORT CENTRE CRISIS LINE (519) 741-8633 (24 Hours) www.sascwr.org WOMEN’S CRISIS SERVICES OF WATERLOO REGION Kitchener/Waterloo (519) 742-5894 Cambridge (519) 653-2422 1-800-410-4482 www.wcswr.org 84

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ADDICTION SUPPORT DRUG AND ALCOHOL HELPLINE 1-800-565-8603 24 hours/7 days a week www.drugandalcoholhelpline.ca HERE 24/7 1-844-437-3247 (1-844-HERE-247) www.here247.ca ONTARIO PROBLEM GAMBLING HELPLINE 1-888-230-3505 www.opgh.on.ca SMOKERS’ HELPLINE - CANADIAN CANCER SOCIETY 1-877-513-5333 www.smokershelpline.ca

BEREAVEMENT BEREAVED FAMILIES OF ONTARIO www.bereavedfamilies.net COPING BEREAVEMENT SUPPORT GROUPS OF ONTARIO INC. 1740 Blair Rd., Cambridge ON (519) 650-0852 or 1-877-554-4498 www.copingcentre.com PREGNANCY & INFANT LOSS NETWORK 1-888-301-7276 www.pailnetwork.ca

COUNSELLING ASK A COUNSELLOR ONLINE www.kidshelpphone.ca CARIZON FAMILY AND COMMUNITY SERVICES 400 Queen St. S., Kitchener ON (519) 743-6333 www.carizon.ca FAMILY COUNSELLING CENTRE (CAMBRIDGE) 18 Walnut St., Cambridge ON (519) 621-5090 www.fcccnd.com


HELP AND SUPPORT FAMILY MEDIATION CANADA (SEPARATION AND DIVORCE) 55 Northfield Dr. E, Suite 180, Waterloo, ON 1-877-FMC-2005 www.fmc.ca FRONT DOOR 1770 King St E, Kitchener (519) 749-2932 www.carizon.ca Free counselling for youth and adults experiencing parenting challenges HERE 24/7 1-844-437-3247 (1-844-HERE-247) www.here247.ca Intake, assessment, referral, crisis, wait list and appointment booking for 12 agencies that provide mental health and addiction services in Waterloo Region IPIC EDUCATION AND COUNSELLING SERVICES (519) 272-0441 or 1-800-574-2742 www.ipiceducation.ca K-W COUNSELLING SERVICES 480 Charles St. E., Kitchener ON (519) 884-0000 www.kwcounselling.com LUTHERWOOD FAMILY COUNSELLING SERVICES (519) 622-1670 www.lutherwood.ca WHITE OWL NATIVE ANCESTRY ASSOCIATION Wholeistic Child and Youth 65 Hanson Ave Kitchener ON 519-576-1329 ext 2798 WOOLWICH COUNSELLING CENTRE 65 Memorial Ave., Elmira (519) 669-8651 www.woolwichcounselling.org

EMPLOYMENT ANISHNABEG OUTREACH (ABORIGINAL SPECIFIC SHELTER) 151 Frederick St., Suite 501, Kitchener ON (519) 742-0300 www.anishnabegoutreach.org KITCHENER-WATERLOO MULTICULTURAL CENTRE 102 King St. W., Kitchener ON (519) 745-2531 www.kwmc.on.ca MENNONITE COALITION FOR REFUGEE SUPPORT 58 Queen St. S., Kitchener ON (519) 571-1912 www.mcrs.ca REGION OF WATERLOO: COMMUNITY SERVICES DEPARTMENT, EMPLOYMENT AND INCOME SUPPORT, LEARNING EARNING AND PARENTING (LEAP) 99 Regina St. S., Waterloo, ON 150 Main St., Cambridge, ON (519) 883-2100 (Wat) (519) 740-5700 (Camb) THE WORKING CENTRE 58 Queen St. S., Kitchener ON (519) 743-1151 www.theworkingcentre.org WATERLOO REGION EMPLOYMENT AND INCOME SUPPORT INFORMATION LINE 99 Regina St. S., Waterloo ON (519) 883-2100 www.regionofwaterloo.ca YMCA EMPLOYMENT SERVICES www.ymcaemploymentservices.ca KITCHENER 800 King St. West, (519) 579-9622 ext 241/244 CAMBRIDGE 258 Hespeler Rd., (519) 621-1621 ext 210/291 Services available in French www.ymcaemploymentservices.ca parentguide.ca

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HELP AND SUPPORT FAMILY & CHILDREN’S SERVICES FAMILY AND CHILDREN’S SERVICES OF THE WATERLOO REGION 200 Ardelt Ave., Kitchener ON (519) 576-0540 www.facswaterloo.org

FAMILY/GROUP SUPPORT AL-ANON www.al-anon.alateen.org EXTEND-A-FAMILY ASSOCIATION 91 Moore Ave., Kitchener ON (519) 741-0190 www.eafwr.on.ca FAMILY SERVICES CANADA www.familyservicecanada.org SALVATION ARMY COMMUNITY AND FAMILY SERVICES 300 Gage Ave., Unit 1, Kitchener ON (519) 745-4215 www.salvationarmy.ca SALVATION ARMY COMMUNITY AND FAMILY SERVICES 12 Shade St., Cambridge ON (519) 623-1221 www.salvationarmy.ca

FOOD BANKS CAMBRIDGE SELF-HELP FOOD BANK 54 Ainslie St. S., Cambridge ON (519) 622-6550 www.cambridgefoodbank.on.ca FOOD BANK OF WATERLOO REGION 50 Alpine Ct., Kitchener ON (519) 743-5576 www.thefoodbank.ca HOUSE OF FRIENDSHIP 51 Charles St. E., P.O. Box 1837, Kitchener ON (519) 742-8327 www.houseoffriendship.org

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ONEROOF - REACHING OUR OUTDOOR FRIENDS 242 Queen St. S., Kitchener ON (519) 742-2788 or 1-888-892-3478 www.oneroof.org ST. VINCENT DE PAUL (519) 743-5576 www.ssvp.on.ca THE SALVATION ARMY 300 Gage Ave., Unit 1, Kitchener ON (519) 745-4215 www.salvationarmy.ca

HELP LINES AMVOSA - ADVOCATES FOR MALES VICTIMIZED BY SEXUAL ABUSE 67 King St. E., 2nd Floor, Kitchener ON (519) 744-7645 ext. 320 or EARS LINE: (519) 5703277 or 1-800-553-3277 www.amvosa.ca ASSAULTED WOMEN’S HELPLINE (416) 863-0511 or 1-866-863-0511 www.awhl.org BABY’S BREATH (SIDS) PO Box 21053, St. Catharines ON (905) 688-8884 or 1-800-363-7437 www.babysbreathcanada.ca CANADIAN MENTAL HEALTH ASSOCIATION Here 24/7 1-844-437-3247 Distress Centre (519) 745-1166 Youth Line (519) 745-9909 DISTRESS CENTRE OF WATERLOO REGION (24/7) General Line (519) 745-1166 Youth Line (519) 745-9909 EARS Line (519) 570-3277 dedicated to male victims of sexual assault www.wwd.cmha.ca DRUG AND ALCOHOL HELPLINE 1-800-565-8603 24 hours/7 days a week www.drugandalcoholhelpline.ca


HELP AND SUPPORT FAMILY & CHILDREN‘S SERVICES (519) 576-0540 www.facswaterloo.org FAMILY OUTREACH PROGRAM (519) 742-8327 http://familyoutreach.ca/ more information on page 75 GOOD2TALK (FOR POST-SECONDARY STUDENTS) 1-866-925-5454 www.good2talk.ca HERE 24/7 1-844-437-3247 (1-844-HERE-247) www.here247.ca Intake, assessment, referral, crisis services, wait list and appointment booking for 12 agencies that provide mental health and addiction services in Waterloo Region.

MOTHERISK PROGRAM General exposures in pregnancy and breastfeeding (416) 813-6780 www.motherisk.org 1-877-327-4636 Alcohol and Substance
 1-800-436-8477 Morning Sickness
 1-888-246-5840 HIV and HIV Treatment
 1-877-439-2744 Motherisk Helpline
 (416) 813-6780 Motherisk Helpline ONTARIO PROBLEM GAMBLING HELPLINE 1-888-230-3505 www.problemgamblinghelpline.ca POLICE (519) 653-7700 POISON INFORMATION CENTRE (416) 813-5900 or 1-800-268-9017 www.ontariopoisoncentre.com

KW MULTICULTURAL CENTRE (519) 745-2531 www.kwmc.on.ca

REGION OF WATERLOO PUBLIC HEALTH (519) 575-4400 www.regionofwaterloo.ca/ph

K-W POMBA Parents of Multiple Births Association (519) 579-3800 www.kwpomba.ca

SEXUAL ASSAULT SUPPORT CENTRE OF WATERLOO REGION (519) 741-8633 www.sascwr.org

KIDS HELP PHONE 1-800-668-6868 www.kidshelpphone.ca

TELEHEALTH ONTARIO 1-866-797-0000

LGBT YOUTH LINE 1-800-268-9688 www.youthline.ca MENTAL HEALTH HELPLINE 1-866-531-2600 www.mentalhealthhelpline.ca Multilingual helpline serves over 170 different languages

VICTIM SERVICES OF WATERLOO REGION (519) 585-2363 www.vswr.ca WATERLOO REGIONAL WITHDRAWAL SERVICE-KITCHENER 52 Glasgow St., Kitchener ON (519) 749-4318 www.grhosp.on.ca/Addictionsubstanceprograms

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HELP AND SUPPORT SEXUAL HEALTH REGION OF WATERLOO: PUBLIC HEALTH AND EMERGENCY SERVICES SEXUAL HEALTH AND HARM REDUCTION Sexual Health Clinics (519) 883-2267 http://chd.region.waterloo. on.ca/en/clinicsClassesFairs/ sexuallytransmittedinfectionshivtesting.asp

HOUSING LONDON RONALD MCDONALD HOUSE 741 Base Line Rd. E., London ON (519) 685-3232 or 1-877-848-8188 www.rmhlondon.ca RONALD MCDONALD HOUSE 1510 Main St. W., Hamilton ON (905) 521-9983 www.rmhhamilton.ca THE SALVATION ARMY (416) 425-2111 or 1-800-SAL-ARMY www.salvationarmy.ca THE WORKING CENTRE HOUSING DESK 58 Queen St. S., Kitchener ON (519) 743-1151 ext. 117 www.theworkingcentre.org WATERLOO REGION HOUSING 235 King St. E. Kitchener, ON (519) 575-4400 www.regionofwaterloo.ca

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SHELTERS ARGUS RESIDENCE FOR YOUNG PEOPLE (519) 650-0452 www.argusresidence.com LUTHERWOOD HOUSING SERVICES Cambridge: (519) 623-9383 Kitchener-Waterloo: (519) 749-2450 www.lutherwood.ca/housing/support-services MARILLAC PLACE 109 Young St., Kitchener ON (519) 571-0722 www.marillacplace.ca WOMEN’S CRISIS SERVICES OF WATERLOO REGION (24 HOURS) www.wcswr.org Kitchener: (519) 742-5894 Cambridge: (519) 653-2422 Toll Free: 1-800-410-4482 YWCA KITCHENER-WATERLOO EMERGENCY SHELTER 84 Frederick St., Kitchener ON (519) 744-0120 www.ywcakw.on.ca

READ MORE ON HELP AND SUPPORT ON PAGES 15-17


PARENTING

WHAT YOU WILL FIND IN THIS SECTION... ADOPTIONS JUST FOR PARTNERS ONTARIO EARLY YEARS CENTRES PARENTING - GENERAL PARENTING SUPPORT GROUPS/PROGRAMS POSTNATAL/POSTPARTUM MENTAL HEALTH SUPPORT

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PARENTING

Parenting

ADOPTIONS

ADOPTION COUNCIL OF CANADA 416-2249 Carling Ave., Ottawa ON 1-888-54-ADOPT (1-888-542-3678) www.adoption.ca ADOPTION HORIZONS 7 Sunforest Ct., North York ON (416) 512-7591 www.adoptionhorizons.com BEGINNINGS COUNSELLING & ADOPTION SERVICES OF ONTARIO, INC. 1 Young St., Ste. 308, Hamilton ON 1-877-528-6665 www.beginnings.ca CHILDREN’S BRIDGE INTERNATIONAL ADOPTION (613) 226-2112 www.childrensbridge.com FAMILY AND CHILDREN’S SERVICES OF THE WATERLOO REGION 200 Ardelt Ave., Kitchener ON (519) 576-0540 www.facswaterloo.org

JUST FOR PARTNERS CARIZON FAMILY AND COMMUNITY SERVICES 400 Queen St. S., Kitchener ON (519) 743-6333 www.carizon.ca JOHN HOWARD SOCIETY OF WATERLOOWELLINGTON 310 Charles St. E., Kitchener ON (519) 743-6071 www.johnhoward.on.ca/waterloo

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ONTARIO EARLY YEARS CENTRES WATERLOO REGION www.earlyyearsinfo.ca CAMBRIDGE FAMILY EARLY YEARS CENTRE 149 Ainslie St. N., Cambridge ON (519) 740-8353 OUR PLACE FAMILY RESOURCE AND EARLY YEARS CENTRE 154 Gatewood Rd., St Francis School, Kitchener ON (519) 571-1626 YMCA ONTARIO EARLY YEARS CENTRE 161 Roger St., Waterloo ON (519) 741-8585 see ad on page 91,100,back cover

ONTARIO EARLY YEARS CENTRES ONTARIO EARLY YEARS CENTRES 1-866-821-7770 www.ontarioearlyyears.ca ONTARIO EARLY YEARS CENTRES WATERLOO REGION www.earlyyearsinfo.ca CAMBRIDGE FAMILY EARLY YEARS CENTRE 149 Ainslie St. N., Cambridge ON (519) 740-8353 OUR PLACE FAMILY RESOURCE AND EARLY YEARS CENTRE 154 Gatewood Rd., St Francis School, Kitchener ON (519) 571-1626 YMCA ONTARIO EARLY YEARS CENTRE 161 Roger St., Waterloo ON (519) 741-8585 see ad on page 91,100,back cover


PARENTING PARENTING - GENERAL BABY CONNECTIONS 161 Roger St., Waterloo ON (519) 741-8585 ex 227 www.babyconnections.ca see ad on page 91,101,back cover

CANADIAN PAEDIATRIC SOCIETY - CARING FOR KIDS (613) 526-9397 www.caringforkids.cps.ca CHILD WELFARE www.cwlc.ca CHILDREN AND PARENTS CONNECTING (CAPC) 1770 King St. E., Suite 5, Kitchener ON (519) 743-6333 www.carizon.ca HEALTHY BABIES HEALTHY CHILDREN (519) 575-4400 www.regionofwaterloo.ca Healthy Babies Healthy Children is a free and voluntary program for pregnant moms, and families with young children up to the age of six

Starting Your Parenting Journey? • Resources • Preparing for Parenthood Classes • After Baby Comes Parenting Support • Stork Secrets (postpartum peer group) • Baby Connections • Infant Massage • Nutrition and Child Development Information • Choosing Quality Child Care Information And much more!

ONTARIO

BABY’S BREATH (SIDS) PO Box 21053, St. Catharines ON (905) 688-8884 or 1-800-363-7437 www.babysbreathcanada.ca

EARLY YEARS

A place for you and your family

We are here to help

KINDERSLEEP® (519) 833-2732 1-877-324-1021 www.KinderSleep.com see coupon on page 125 MONICA PLACE 150 Ainslie St N. Cambridge 231 Herbert St, Waterloo, ON 519-743-0291 www.monicaplace.ca Support for young women (16-24) who are pregnant or have a child ONTARIO EARLY YEARS CENTRES 1-866-821-7770 www.ontarioearlyyears.ca

Visit earlyyearsinfo.ca for the site nearest you!

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PARENTING ONTARIO EARLY YEARS CENTRES WATERLOO REGION www.earlyyearsinfo.ca CAMBRIDGE FAMILY EARLY YEARS CENTRE 149 Ainslie St. N., Cambridge ON (519) 740-8353 OUR PLACE FAMILY RESOURCE AND EARLY YEARS CENTRE 154 Gatewood Rd., St Francis School, Kitchener ON (519) 571-1626 YMCA ONTARIO EARLY YEARS CENTRE 161 Roger St., Waterloo ON (519) 741-8585 719 Erbsville Rd., Waterloo ON (519) 885-0552 see ad on page 91,100,back cover REGION OF WATERLOO: PUBLIC HEALTH & EMERGENCY SERVICES (519) 575-4400 www.regionofwaterloo.ca/ph see ad on inside front cover

PARENTING SUPPORT GROUPS/ PROGRAMS BIG BROTHERS BIG SISTERS OF CAMBRIDGE www.bbbswr.org HEALTHY BABIES HEALTHY CHILDREN (519) 575-4400 www.regionofwaterloo.ca Healthy Babies Healthy Children is a free and voluntary program for pregnant moms, and families with young children up to the age of six K-W POMBA Parents of Multiple Births Association (519) 579-3800 www.kwpomba.ca LUTHERWOOD (519) 884-7755 www.lutherwood.ca

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MOVING FORWARD (PREGNANT WOMEN’S PROGRAM) 71 Ann St., Kitchener ON (519) 957-5001 www.houseoffriendship.org MULTIPLE BIRTHS CANADA 1-866-228-8824 www.multiplebirthscanada.org ONTARIO EARLY YEARS CENTRES WATERLOO REGION www.earlyyearsinfo.ca CAMBRIDGE FAMILY EARLY YEARS CENTRE 149 Ainslie St. N., Cambridge ON (519) 740-8353 OUR PLACE FAMILY RESOURCE AND EARLY YEARS CENTRE 154 Gatewood Rd., St Francis School, Kitchener ON (519) 571-1626 YMCA ONTARIO EARLY YEARS CENTRE 161 Roger St., Waterloo ON (519) 741-8585 see ad on page 91,100,back cover PEER HEALTH WORKERS Various sites across Waterloo Region, ON (519) 575-4400 www.regionofwaterloo.ca/ph PARENTING WITH PASSION PROGRAM (519) 884-0000 www.kwcounselling.com SALVATION ARMY PARENT AND CHILD RESOURCE CENTRE 75 Tillsley Dr., Kitchener ON (519) 745-4241 WATERLOO FETAL ALCOHOL SUPPORT GROUP 99 Regina St. S., Waterloo ON (519) 575-4400 ext 2223


PARENTING POSTNATAL/POSTPARTUM MENTAL HEALTH SUPPORTS STORK SECRETS: PREGNANCY AND POSTPARTUM ADJUSTMENT SUPPORT Feeling nervous, anxious, overwhelmed, uncertain about your relationship with your baby or lack of support?

REGION OF WATERLOO: PUBLIC HEALTH & EMERGENCY SERVICES (519) 575-4400 www.regionofwaterloo.ca/ph

Join this peer support program if you are pregnant or have an infant under two. The program is offered at Our Place Family Resource in Kitchener and Early Years Centre in Waterloo Register by calling Wanda Kampijan at (519) 571-1626 ext. 25

READ MORE ON PARENTING ON PAGES 35-45

GRAND RIVER HOSPITAL POSTPARTUM MOOD DISORDERS For one on one counselling support with a social worker 835 King St., W., Kitchener ON (519) 749-4300 ext. 2267 www.grhosp.on.ca

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, obstetrician/gynecologist [OB/GYN]) • Your counsellor, social worker or clergy • Region of Waterloo: Public Health & Emergency Services (519) 575-4400 • Here 24/7 (1-844-437-3247) Call to access addictions, mental health and crisis services • Mental Health Services – Information Ontario: 1-866-531-2600 (24 hours a day)

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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 96. Read more at www.parentguide.ca

The all-in-one resource for busy parents!

RESOURCE GUI DE

School Age

RESOURCE GUIDE

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PREGNANCY AND LABOUR SUPPORT

WHAT YOU WILL FIND IN THIS SECTION... CORD BLOOD BANKING DOULAS FAMILY PLANNING AND FERTILITY AWARENESS MIDWIFERY INFORMATION/SERVICES PREGNANCY SUPPORT PRENATAL CLASSES/PROGRAMS

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PREGNANCY AND LABOUR SUPPORT 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 VICTORIA ANGEL REGISTRY OF HOPE PUBLIC CORD BLOOD BANK 379 Church St., Ste. 402, Markham ON (905) 471-1113 1-888-868-0888 www.victoriaangel.org

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 THE NESTING INSTINCT (519) 998-4476 www.nestinginstinctkw.com Labour & Postpartum Doula support, Overnight Support, Breastfeeding Education, Placenta Services, Prenatal, Postpartum & Comfort Measures Workshops, Doula Training & Mentorship, Belly Binding, Mom & Baby Groups see coupon on page 125

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FAMILY PLANNING AND FERTILITY AWARENESS FERTILITY MATTERS 1-800-263-2929 www.fertilitymatters.ca SEXUAL HEALTH OPTIONS, RESOURCES & EDUCATION SHORE Centre 235 King St. E., Unit 130, Kitchener ON (519) 743-9360Â www.shorecentre.ca

MIDWIFERY INFORMATION AND SERVICES BLUE HERON MIDWIVES 30 Dupont St. E., Ste. 105, Waterloo ON (519) 954-0300 www.blueheronmidwives.com BORN MIDWIVES 766 Hespeler Rd., Unit 205, Cambridge ON (519) 267-7266 www.bornmidwives.ca CAMBRIDGE MIDWIVES 22 George St. N., Cambridge ON (519) 624-9708 www.cambridgemidwives.ca COLLEGE OF MIDWIVES OF ONTARIO (416) 640-2252 www.cmo.on.ca GENESIS MIDWIVES 751 Victoria St S, Unit 204, Kitchener ON (519) 568-8282 www.genesismidwives.ca KITCHENER WATERLOO MIDWIFERY ASSOCIATES 900 King St. W., Ste. 8, Kitchener ON (519) 569-8679 www.kwmidwifery.ca ST. JACOBS MIDWIVES 9 Parkside Dr., # 2, St. Jacobs ON (519) 664-2542 www.stjacobsmidwives.on.ca


PREGNANCY AND LABOUR SUPPORT PREGNANCY SUPPORT BIRTHRIGHT OF KITCHENER-WATERLOO 585 Queen St. S., Unit 201, Kitchener ON (519) 579-3990 or 1-800-550-4900 www.birthright.org CAMBRIDGE PREGNANCY RESOURCE CENTRE 119 Water St. N., Cambridge ON (519) 620-0204 www.pregcentre.com GROWING HEALTHY TWO-GETHER – PRENATAL NUTRITION PROGRAM (519) 743-6333 www.carizon.ca or (519) 575-4400 www.regionofwaterloo.ca/ph K-W PREGNANCY RESOURCE CENTRE 38 Francis St. S., Kitchener ON (519) 886-4001 www.pregnancycentre.ca MONICA PLACE 231 Herbert St, Waterloo, ON 519-743-0291 www.monicaplace.ca Support for young women (16-24) who are pregnant or have a child REGION OF WATERLOO: PUBLIC HEALTH & EMERGENCY SERVICES (519) 575-4400 www.regionofwaterloo.ca/ph see ad on inside front cover SEXUAL HEALTH OPTIONS, RESOURCES & EDUCATION SHORE Centre 235 King St. E., Unit 130, Kitchener ON (519) 743-9360 www.shorecentre.ca

PRENATAL CLASSES & PROGRAMS BRING ON BABY Waterloo ON (519) 404-6643 www.bringonbaby.com

CONESTOGA COLLEGE - CHILDBIRTH PARENTING SERIES Programs run at Waterloo and Doon Campus, Kitchener ON (519) 748-5220 ext. 8021 www.conestogac.on.ca HEALTHY BABIES HEALTHY CHILDREN (519) 575-4400 www.regionofwaterloo.ca Healthy Babies Healthy Children is a free and voluntary program for pregnant moms, and families with young children up to the age of six PREPARING FOR PARENTHOOD see ad on page 91,100,back cover WATERLOO YMCA Ontario Early Years Centre, 161 Roger St., Waterloo, ON (519) 741-8585 www.earlyyearsinfo.ca KITCHENER Our Place Family Resource and Early Years Centre 154 Gatewood Rd., Kitchener, ON (519) 571-1626 www.earlyyearsinfo.ca REGION OF WATERLOO: PUBLIC HEALTH & EMERGENCY SERVICES 99 Regina St. S., Waterloo ON (519) 575-4400 www.regionofwaterloo.ca/onlineprenatal Free 24/7 Online Prenatal Program TUMMIES TO TOES - REBECCA SERROUL (519) 571-9743 or 1-888-336-3558 www.tummiestotoes.ca

YOUTH PRENATAL CLASSES REGION OF WATERLOO AND EMERGENCY SERVICES YOUTH PRENATAL PROGRAM (519) 575-4400 http://chd.region.waterloo.on.ca/en/ clinicsclassesfairs/youthprenataldropinprograms.asp A free program for youth 24 years and under. Offered in Cambridge as a drop in class and in Waterloo as a registered class.

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PREGNANCY AND LABOUR SUPPORT NOTES: _____________________________________________ _____________________________________________ _____________________________________________ ____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ ____________________________________________ ___________________________________________ ___________________________________________ ___________________________________________ __________________________________________ __________________________________________ ___________________________________________ __________________________________________ ____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ _____________________________________________ 98

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PROGRAMS AND ACTIVITIES

What you will find in this section... CAMPS CHILDREN’S PROGRAMS MUSEUMS MUSIC

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PROGRAMS AND ACTIVITIES CAMPS CAMP KODIAC (FOR LD, ADHD/ADD AND MAINSTREAM CHILDREN AND TEENS) McKellar ON (905) 569-7595 or 1-877-569-7595 www.campkodiak.com ONTARIO PARKS 1-888-668-7275 www.ontarioparks.com

YMCA – STORK FAMILY YMCA – WATERLOO 500 Fischer-Hallman Rd. N., Waterloo ON (519) 884-9622 www.storkfamilyy.ca see ad on pages 72,102 YWCA KITCHENER-WATERLOO - CAMP CLOVER (BAMBERG, ON) 153 Frederick St., Kitchener ON (519) 576-8856 www.ywcakw.on.ca

ONTARIO

YMCA - A.R. KAUFMAN FAMILY YMCA KITCHENER 333 Carwood Ave., Kitchener ON (519) 743-5201 www.arkfamilyy.ca see ad on page 72,101

YMCA - CHAPLIN FAMILY YMCA CAMBRIDGE 250 Hespeler Rd., Cambridge ON (519) 623-9622 www.chaplinfamilyy.ca see ad on page 101

EARLY YEARS

Cambridge Kitchener Waterloo North Dumfries Wellesley Wilmot Woolwich

A PLACE WHERE Your family belongs and connects with others Your family’s health and well-being is supported Your family can engage in exploration and play You and your children can express yourself in fun, creative ways

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PROGRAMS AND ACTIVITIES CHILDREN’S PROGRAMS BABY CONNECTIONS - YMCA OEYC 161 Roger St., Waterloo, ON. (519) 741-8585 ex 227 www.babyconnections.ca see ad on page 91,101,backcover ONTARIO EARLY YEARS CENTRES (OEYC) 1-866-821-7770 ONTARIO EARLY YEARS CENTRES WATERLOO REGION www.earlyyearsinfo.ca CAMBRIDGE FAMILY EARLY YEARS CENTRE 149 Ainslie St. N., Cambridge ON (519) 740-8353 OUR PLACE FAMILY RESOURCE AND EARLY YEARS CENTRE 154 Gatewood Rd., St Francis School, Kitchener ON (519) 571-1626

YMCA ONTARIO EARLY YEARS CENTRE 161 Roger St., Waterloo ON (519) 741-8585 719 Erbsville Rd, Waterloo ON 519-885-0552 see ad on page 91,100,back cover OTHER OEYC LOCATIONS: HIGHLAND STIRLING COMMUNITY GROUP 216 Mill St. Kitchener (519) 745-9408 KINBRIDGE COMMUNITY ASSOCIATION McIntosh Loft 200 Christopher Drive, 2nd Floor, Cambridge, ON (519) 624-3855 KINGSDALE COMMUNITY CENTRE 80 Wilson Ave. Kitchener, ON (519) 748-6463 LANGS COMMUNITY HEALTH CENTRE 1145 Concession Road, Cambridge, ON (519) 653-1470

New babies learn to swim and make their first friends A.R. Kaufman Family YMCA 333 Carwood Ave., Kitchener

ThisIsY.ca Chaplin Family YMCA 250 Hespeler Rd., Cambridge

Stork Family YMCA 500 Fischer-Hallman Rd. N., Waterloo

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PROGRAMS AND ACTIVITIES NORTH DUMFRIES COMMUNITY HEALTH CENTRE 2958 Greenfield Rd, Ayr, ON N0B 1E0 (519) 632-1229 PRESTON HEIGHTS COMMUNITY GROUP 350 Linden Drive, Cambridge, ON (519) 650-2971 SALVATION ARMY PARENT CHILD RESOURCE CENTRE 75 Tillsley Drive, Kitchener (519) 745-4241 SILVERHEIGHTS FAMILY RESOURCE CENTRE Silver Heights School (Conestoga College) 390 Scott Road, Cambridge, ON (519) 654-2227 SUNBEAM EARLY YEARS DROP IN CENTRE Pioneer Park Christian Fellowship Church, 68 Biehn Drive, Kitchener (519) 744-9223 WILMOT FAMILY RESOURCE 175 Waterloo St, New Hamburg, ON 519-662-2731 WOOLWICH COMMUNITY SERVICES 5 Memorial Ave, Elmira, ON N3B 2P8 (519) 669-5139 YMCA - A.R. KAUFMAN FAMILY YMCA - KITCHENER 333 Carwood Ave., Kitchener ON (519) 743-5201 www.arkfamilyy.ca see ad on page 101 YMCA - CHAPLIN FAMILY YMCA - CAMBRIDGE 250 Hespeler Rd., Cambridge ON (519) 623-9622 www.chaplinfamilyy.ca see ad on page 101 YMCA – STORK FAMILY YMCA – WATERLOO 500 Fischer-Hallman Rd. N., Waterloo ON (519) 884-9622 www.storkfamilyy.ca see ad on page 101

MUSEUMS CANADIAN CLAY AND GLASS GALLERY 25 Caroline St. N., Waterloo ON (519) 746-1882 www.theclayandglass.ca

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DOON HERITAGE CROSSROADS 10 Huron Rd., Kitchener ON (519) 748-1914 www.regionofwaterloo.ca JOSEPH SCHNEIDER HAUS MUSEUM 466 Queen St. S., Kitchener ON (519) 742-7752 www.josephschneiderhaus.com KITCHENER-WATERLOO ART GALLERY 101 Queen St. N., Kitchener ON (519) 579-5860 www.kwag.on.ca MCDOUGALL COTTAGE 89 Grand Ave. S., Cambridge ON (519) 624-8250 www.mcdougallcottage.com THEMUSEUM www.themuseum.ca WATERLOO REGION MUSEUM 10 Huron Rd., Kitchener ON (519) 748-1914 www.waterlooregionmuseum.com

MUSIC GREAT LAKES MUSIC TOGETHER 288 Hiawatha Dr., Waterloo ON (519) 342-4764 www.greatlakesmusictogether.com Discover why everybody’s talking about Music Together, the internationally renowned music and movement program for infants to 7 years. Try a fun-filled class for free! see coupon on page 125 MUSIC TOGETHER OF KITCHENER WATERLOO Waterloo ON (519) 746-6550 www.musictogetherofkw.com Discover why everybody’s talking about Music Together, the internationally renowned music and movement program for infants to 7 years. Try a fun-filled class for free! see coupon on page 125


SAFETY

WHAT YOU WILL FIND IN THIS SECTION... CAR SEAT SAFETY FIRST AID TRAINING POISON RECALLS/PRODUCT SAFETY SAFETY AND SECURITY

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SAFETY CAR SEAT SAFETY ST JOHN AMBULANCE Car Seat Clinic www.sja.ca MINISTRY OF TRANSPORTATION Care Seat Installation www.ontario.ca/carseats

FIRST AID TRAINING CANADIAN RED CROSS FIRST AID PROGRAMS 5700 Cancross Crt., Mississauga ON 1-888-307-7997 www.redcross.ca ST. JOHN AMBULANCE KITCHENER WATERLOO BRANCH 250 Gage Ave., Kitchener ON (519) 579-6285 www.kwsja.com ST. JOHN AMBULANCE-CAMBRIDGE AND AREA BRANCH 56 Jaffray St., Cambridge ON (519) 740-8895 www.kwsja.com WATERLOO REGION RED CROSS 17 Cambridge St., Cambridge ON (519) 621-1840 www.redcross.ca

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

RECALLS/PRODUCT SAFETY CANADIAN FOOD INSPECTION AGENCY 1-800-442-2342 www.inspection.gc.ca Handles food recalls and complaints on unlabelled ingredients

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CONSUMER PRODUCT SAFETY - HEALTH CANADA 1-866-662-0666 www.hc-sc.gc.ca HEALTH CANADA (613) 957-2991 or 1-866-999-7612 www.hc-sc.gc.ca MARKETPLACE - CANADA’S INVESTIGATIVE CONSUMER PROGRAM www.cbc.ca/marketplace TRANSPORT CANADA INFORMATION CAR SEAT SAFETY AND RECALLS 1-800-333-0510 www.tc.gc.ca/roadsafety

SAFETY AND SECURITY BABY’S BREATH (SIDS) PO Box 21053, St. Catharines ON (905) 688-8884 or 1-800-363-7437 www.babysbreathcanada.ca CANADA SAFETY COUNCIL 1020 Thomas Spratt Pl., Ottawa ON (613) 739-1535 www.canadasafetycouncil.org CANADIAN CONSUMER INFORMATION GATEWAY www.consumerinformation.ca CANADIAN TOY TESTING COUNCIL 1973 Baseline Rd., Ottawa ON (613) 228-3155 www.toy-testing.org CHILDREN’S HEALTH AND SAFETY ASSOCIATION 1-888-499-4444 www.safekid.org ELMER THE SAFETY ELEPHANT www.elmer.ca


SAFETY INFANT & TODDLER SAFETY ASSOCIATION 385 Fairway Rd. S., Ste. 4A-230, Kitchener ON (519) 570-0181 www.infantandtoddlersafety.ca MINISTRY OF TRANSPORTATION (MTO) Road Conditions (416) 235-4686 or 1-800-268-4686 www.mto.gov.on.ca ONTARIO BLOCK PARENT® PROGRAM INC. www.blockparent.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

HELMET SAFETY Did you know that head injuries are the number one cause of serious injury and death to kids on bicycles! Read more about protecting your child with the proper helmet at: www.parachutecanada.org

HOW CAN I TELL IF THE HELMET IS THE RIGHT SIZE FOR MY CHILD? Helmets come in a variety of sizes. There are special helmets for toddlers (under age five) that provide more protection at the back of the head. Some children may outgrow the “toddler” size helmet before age five and should use a bigger helmet. Helmets come with extra padding that can be added to the inside of the helmet. Your child may need extra padding at the front or the back of the helmet so that it fits correctly. Contact the manufacturer if you have questions.

IS IT SAFE TO USE A SECOND-HAND HELMET? No, it is not a good idea to buy a helmet second-hand. You may not know if the helmet has been in a crash, and you may not know how old the helmet is. Read more on this topic at: www.parachutecanada.org

READ MORE ON SAFETY ON PAGES 29-32

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WHAT TO PACK FOR THE HOSPITAL If you are planning a hospital birth, it is a good idea to pack your bag at least three weeks in advance of your due date. Here are some essentials that you will find helpful during labour and after baby is born. 1. Your birth plan and items that will help achieve the plan i.e soft music, birthing ball, tennis balls in a sock to help relieve back pain, hard candy etc. 2. Electronics – Camera, phone and chargers 3. Extra undies and extra-absorbent pads 4. Nursing bra – this one is so often overlooked, but so needed 5. Flip-flops and warm socks – hospital floors are cold 6. Nightgown if you don’t want to wear a hospital gown 7. Toiletries and lip balm 8. Going-Home Outfit for baby and yourself – remember you will probably still look five to six months pregnant after baby is born – bring comfortable shoes 9. Your own pillow 10. A baby book or journal – for first footprints, thoughts, and birthing details Don’t forget to pack this guide with you to help answer all those questions you are about to have!


SHOPPING AND PROFESSIONAL SERVICES

WHAT YOU WILL FIND IN THIS SECTION... BABY ACCESSORIES BABY FURNITURE CLOTHING - GENTLY USED CLOTHING - MATERNITY DIAPERS FINANCIAL PHOTOGRAPHY

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SHOPPING AND PROFESSIONAL SERVICES BABY ACCESSORIES CHEEKY MONKEY - MATERNITY, BABY AND TODDLER GEAR 1215 Fanshawe Park Rd. W., London ON 590 Oxford St. E. (at Adelaide), London ON (519) 645-6706 or 1-877-645-6706 www.cheekymonkey.ca Cheeky Monkey® Providing high quality, unique and affordable maternity and baby products. Everything from clothing, feeding, sleeping, strollers, toys and more for pregnancy, birth and beyond! see coupon on page 125 DIAPERS N’ MORE 370 Highland Rd. W., Kitchener ON (519) 886-2786 www.diapersnmore.ca TADPOLE CHILDREN'S SHOPPE 95 King St. S., (On Willis Way) Waterloo ON (519) 725-7653 www.tadpoleshoppe.com see ad on page 109

MAY COURT COURT SHOP 714 Belmont Ave. W., Kitchener ON (519) 745-4412 www.maycourtshop.org MCC THRIFT SHOPS (MENNONITE CENTRAL COMMITTEE) www.thrift.mcc.org Elmira MCC Thift Shop 59 Church St. W., Elmira ON (519) 669-8475 NEW HAMBURG MCC THRIFT CENTRE 41 Heritage Dr., New Hamburg ON (519) 662-2867 THRIFT ON KENT 50 Kent Ave., Kitchener ON (519) 886-6226 SALVATION ARMY THRIFT STORES 425 Hespeler Rd., Cambridge ON (519) 624-2006 www.thriftstore.ca

CLOTHING - GENTLY USED CHILDREN’S NEEDS DISTRIBUTION CENTRE 135 Highland Rd. W., Kitchener ON (519) 745-9461 GOODWILL RETAIL STORES 1348 Weber St. E., Kitchener ON (519) 894-0628 www.goodwillindustries.ca

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SHOPPING AND PROFESSIONAL SERVICES DIAPERS DIAPERS N’ MORE 370 Highland Rd. W., Kitchener ON (519) 886-2786 www.diapersnmore.ca

REGION OF WATERLOO SOCIAL SERVICES (519) 575-4400 Job counselling, Ontario Works

TADPOLE CHILDREN'S SHOPPE 95 King St. S., (On Willis Way) Waterloo ON (519) 725-7653 www.tadpoleshoppe.com see ad on page 109

FINANCIAL CARIZON FAMILY AND COMMUNITY SERVICES 400 Queen St. S., Kitchener ON (519) 743-6333 www.carizon.ca

As Unique as your Little One Your children inspire us to bring in the very best every day

great brands

great space

great service

FAMILY OUTREACH WORKERS (519) 742-8327 95 KING ST S. (ON WILLIS WAY) UPTOWN WATERLOO www.tadpoleshoppe.com p: 519 725 7653 e: shop@tadpoleshoppe.com parentguide.ca

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SHOPPING AND PROFESSIONAL SERVICES MELISSA AVEY PHOTOGRAPHY Cambridge ON (519) 240-6494 www.aveyphoto.com Child & Family Photographer located in Cambridge and servicing Waterloo region and GTA. ZELIA BESTER STUDIOS (519) 716-2079 www.zeliabesterstudios.com

PHOTOGRAPHY KIMMIK PHOTOGRAPHY (519) 933-5491 www.kimmikphotography.ca see ad on this page see coupon on page 125 LITTLE SMILES PHOTOGRAPHY - RACHELLE CLOUTIER (226) 750-0257 www.littlesmilesphotography.ca

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NOTES: ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ _______________________________________ _______________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________ ______________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ _______________________________________


SPECIAL NEEDS

WHAT YOU WILL FIND IN THIS SECTION... DEVELOPMENTAL/PHYSICAL CONCERNS/SPECIAL NEEDS/AUTISM FINANCIAL ASSISTANCE SPEECH AND LANGUAGE VISION

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SPECIAL NEEDS DEVELOPMENTAL/PHYSICAL CONCERNS/SPECIAL NEEDS/AUTISM DEVELOPMENTAL SERVICES RESOURCE CENTRE WATERLOO REGION 205 – 1120 Victoria St. N., Kitchener ON (519) 741-1121 or 1-888-941-1121 www.dscwr.com HEALTHY BABIES HEALTHY CHILDREN (519) 575-4400 www.regionofwaterloo.ca Healthy Babies Healthy Children is a free and voluntary program for pregnant moms, and families with young children up to the age of six INFANT & CHILD DEVELOPMENT PROGRAM 99 Regina St. S., Waterloo ON (519) 575-4400 www.regionofwaterloo.ca Services for infants, toddlers and preschoolers at risk of or experiencing developmental delay KIDSABILITY (519) 886-8886 ext 1214 www.kidsability.ca CAMBRIDGE c/o Chaplin Family YMCA, 250 Hespeler Rd., Cambridge ON WATERLOO 500 Hallmark Dr., Waterloo ON SPECIAL NEEDS ACCESS POINT (SNAP) 99 Regina Street South, Waterloo ON (519) 883-2022 www.communityservices.regionofwaterloo.ca SNAP is the single point of access for referrals to services and supports for children 0-6 attending or planning to attend licensed childcare in the Waterloo Region. WATERLOO REGION FAMILY NETWORK 65 Hanson Ave., Kitchener ON (519) 886-9150 www.wrfn.info

FINANCIAL ASSISTANCE 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. 112

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MINISTRY OF CHILDREN & YOUTH SERVICES (416) 325-5666 or 1-800-387-5559 www.children.gov.on.ca MINISTRY OF COMMUNITY & SOCIAL SERVICES (519) 886-4700 or 1-800-441-9820 www.cfcs.gov.on.ca MINISTRY OF HEALTH & LONG-TERM CARE 900 Bay St., Toronto ON 1-800-268-1154 www.health.gov.on.ca

SPEECH & LANGUAGE KIDSABILITY (519) 886-8886 ext 1214 www.kidsability.ca Cambridge c/o Chaplin Family YMCA, 250 Hespeler Rd., Cambridge ON Waterloo 500 Hallmark Dr., Waterloo ON CANADIAN HEARING SOCIETY- WATERLOO REGION (519) 744-6811 www.chs.ca CENTRAL WEST INFANT HEARING PROGRAM (ERINOAKKIDS) 1-877-374-6625 www.erinoakkids.ca E.C DRURY SCHOOL FOR THE DEAF (MILTON) 1-866-906-1192 www.ecddf.ca ROBARTS SCHOOL FOR THE DEAF (LONDON) 1-866-374-6625 www.robartsschool.ca

VISION CENTRAL WEST BLIND LOW VISION PROGRAM (ERINOAKKIDS) 1-877-374-6625 CANADIAN NATIONAL INSTITUTE FOR THE BLIND (519) 742-3536 www.cnib.ca ONTARIO ASSOCIATION OF OPTOMETRISTS Eye See…Eye Learn® www.optom.on.ca


INDEX AboutKidsHealth..............................................................36,42,78

Big Brothers Big Sisters of Cambridge................................. 92

Abuse............................................................................ 15,27,56,84

Birth Control for New Parents................................................ 14

Addiction Support...................................................................... 84

Birthright of Kitchener-Waterloo............................................ 97

Adoption Council of Canada.................................................... 90

Blue Heron Midwives................................................................. 96

Adoption Horizons..................................................................... 90

Booster Seat................................................................................ 29

Adoptions..................................................................................... 90

Born Midwives............................................................................. 96

Al-Anon.......................................................................................... 86

Breastfeeding.............................................19,20,21,22,23,64,65

Alcohol and Substance Use in Pregnancy........................... 58

Breastfeeding Buddies Peer Support................................... 64

Allergies and Asthma................................................................. 80

Breastfeeding Education/Support.......................................... 64

Allergy and Asthma Information Association

Breastfeeding Services, Public Health.....................4,20,22,34

National Office............................................................................. 80

Breastfeeding Support Services at Grand River

AMVOSA - Advocates for Males Victimized by

Hospital................................................................................... 64

Sexual Abuse......................................................................... 86

Breast Pump Rentals and Sales.............................................. 64

Anishnabeg Outreach............................................................... 85

Bring on Baby.............................................................................. 97

Antibiotic Resistance.................................................................. 50

Buckle up - car seat safety....................................................... 29

Anxiety................................................................................16,17,93

Bug Bites....................................................................................... 53

Argus Residence for Young People..................................84,88

Cambridge...............................................................................70,74

A.R. Kaufman Family YMCA - Kitchener ...................81

Cambridge Centre Mall Infant Feeding Room.................... 65

Ask A Counsellor Online........................................................... 84

Cambridge Children’s Centre.....................................69

Assaulted Women’s Helpline..............................................84,86

Cambridge Family Early Years Centre

A Strong Start Charitable Foundation................................... 72

......................................................90,92,101, back cover

Ayr Public School........................................................................ 68

Cambridge Memorial Hospital...................................81

Baby Accessories......................................................................108

Disorders Support Group........................................................ 93

Baby Blues.................................................................................... 16

Cambridge Midwives................................................................. 96

Baby Connections YMCA OEYC............................70,101

Cambridge Paediatric and Breastfeeding Clinic................. 64

Baby Furniture...........................................................................108

Cambridge Pregnancy Resource Centre.............................. 97

Baby’s Breath (SIDS)..................................................... 86,91,104

Cambridge Self-Help Food Bank............................................ 86

Baby’s Feeding Record............................................................. 4,5

Camp Kodiac..............................................................................100

Bedtime Routines....................................................................... 36

Camps - Day Camps................................................................100

Before/After School Programs................................................ 68

Canada Safety Council............................................................104

Beginnings Counselling & Adoption Services

Canadian Association for the Advancement of Women

of Ontario, Inc........................................................................ 90

and Sport and Physical Activity-Mothers In Motion.......... 81

Bereaved Families of Ontario.................................................. 84

Canadian Cancer Society.......................................................... 82

Bereavement............................................................................... 84

Canadian Child Care Federation............................................. 68

Best Start....................................................15-16, 19,21,27,42,78

Canadian Clay and Glass Gallery..........................................102

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INDEX

114

Canadian Consumer Information Gateway.......................104

Children’s Health and Safety Association...........................104

Canadian Food Inspection Agency.......................................104

Children’s Hospital London Health Sciences Centre......... 81

Canadian Hearing Society- Waterloo Region....................112

Children’s Needs Distribution Centre.................................108

Canadian Lactation Consultants Association...................... 64

Children’s Programs.................................................................101

Canadian Mental Health Association.................................... 86

Children’s Safety Association of Canada............................104

Canadian National Institute for the Blind..........................112

Children’s Services Administration......................................... 68

Canadian Paediatric Society...............................................78,91

Child Development.................................................................... 38

Canadian Paediatric Society - Caring.................................... 91

Child Witness Centre of Waterloo Region............................ 84

Canadian Parents for French.................................................. 70

Christopher Children’s Centre................................................ 69

Canadian Partnership for Children’s Health

City of Cambridge....................................................................... 75

and Environment.................................................................. 78

City of Kitchener......................................................................... 75

Canadian Public Health Association...................................... 81

City of Waterloo.......................................................................... 75

Canadian Red Cross First Aid Programs.............................104

Clemens Mill Library.................................................................. 76

Canadian Toy Testing Council...............................................104

Clemens Mill YMCA Child Care................................................ 70

CAPPA............................................................................................ 96

Clothing - Gently Used............................................................108

Car Seat Safety.................................................................... 29,104

Clothing - Maternity.................................................................108

Carizon Family and Community Services........................84,90

College of Midwives of Ontario............................................... 96

Cedar Creek Public School....................................................... 68

Community............................................................................. 74-78

Central West Blind Low Vision Program (ErinoakKids)...112

Conestoga College - Childbirth Parenting Series............... 97

Central West Infant Hearing Program (ErinoakKids).......112

Conestogo Public School.......................................................... 68

Centre éducatif Village d'Élisabeth......................66,69

Conseil scolaire catholique monavenir.....66,68,69,72

Centre éducatif Les p'tites sauterelles................66,69

Conseil scolaire Viamonde....................................................... 72

Centre of Excellence for Early Childhood Development.. 68

Constipation................................................................................. 45

Chaplin Family YMCA - Cambridge............................81

Consumer Product Safety - Health Canada......................104

Chaplin Family YMCA Child Care...............................70

Coping Bereavement Support Groups ................................ 84

Checklist...........................................................................................6

Coping with Emotional Changes in Pregnancy................... 58

Cheeky Monkey - Maternity, Baby and

Cord Blood Banking................................................................... 96

Toddler Gear....................................................108,125

Counselling................................................................................... 84

Child Care....................................................................54,55,68-72

Country Hills Community Library........................................... 76

Child Care and Education.................................. 68,69,70,71,72

Cow’s Milk..................................................................................... 34

Child Care - Resources.............................................................. 68

CReATe Cord Blood & Peristem Stem Cell Bank................ 96

Child Care - Subsidy................................................................... 68

Crestview Public School............................................................ 68

Child Care Subsidy - Region of Waterloo..................68

Crying............................................................................................. 26

Children’s Bridge International Adoption............................. 90

Dental Care.............................................................................48,49

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NEW PARENT RESOURCE GUIDE 2018


INDEX Dentistry....................................................................................... 80

Emergencies................................................................................ 80

Depression..............................................................................16,93

Employment................................................................................. 85

Development............................................................................... 40

Extend-A-Family Association.................................................... 86

Developmental/Physical Concerns/Special Needs/

Fairview Park Mall Breastfeeding Lounge............................ 65

Autism...................................................................................112

Falls (safety).................................................................................. 32

Developmental Services Resource

Family and Children’s Services of the Waterloo Region... 90

Centre Waterloo Region.........................................................112

Family & Children‘s Services.................................................... 85

Diapers........................................................................................109

Family Counselling Centre (Cambridge)............................... 85

Diapers n’ More................................................................108,109

Family/Group Support............................................................... 86

Dietitians....................................................................................... 80

Family Mediation Canada (Separation and Divorce)......... 85

Dietitians of Canada.................................................................. 80

Family Outreach.......................................................................... 87

Distress Centre of Waterloo Region (24/7).......................... 86

Family Planning and Fertility Awareness.............................. 96

Doctor............................................................................................ 58

Family Services Canada............................................................. 86

Don’t Wait and See..................................................................... 41

Feeding Cues............................................................................... 18

Doon Heritage Crossroads....................................................102

Feeding Your Baby or Child..........................................33,34,35

Doula C.A.R.E. Inc........................................................................ 96

Fever and Sickness..................................................................... 51

Doula International.................................................................... 96

Financial Assistance.................................................................112

Doulas........................................................................................... 96

Find a Health Care Location.................................................... 80

Drug and Alcohol Helpline..................................................84,86

Finding a Family Doctor............................................................ 80

Early Literacy Alliance of Waterloo Region -

First Aid Training.......................................................................104

YMCA OEYC..............................................................70

First Foods.................................................................................... 33

Easter Seals Ontario................................................................112

Fitness........................................................................................... 81

EatRight Ontario....................................................................78,80

Flathead........................................................................................ 28

E.C Drury School for the Deaf (Milton)................................112

Focus for Ethnic Women.......................................................... 77

Edith MacIntosh Children’s Centre............................69

Food Allergy Canada.................................................................. 80

Edna Staebler YMCA Child Care.................................70

Food Bank of Waterloo Region............................................... 86

ÉEC Cardinal-Léger..................................................66,69

Food Banks.................................................................................. 86

ÉÉC Mare-Élisabeth-Bruyère..................................66,69

Food safety................................................................................... 57

ÉÉC St-Noel-Chabanel.............................................66,69

Franklin Public School............................................................... 68

Elgin Street YMCA Child Care.....................................70

Frontier College........................................................................... 71

Elmer the Safety Elephant......................................................104

Garderie des lutins.................................................66,69

Elmira Branch.............................................................................. 76

Genesis Midwives....................................................................... 96

Elmira Children’s Centre........................................................... 69

Good2Talk (For Post-Secondary Students).......................... 87

Elmira MCC Thift Shop............................................................108

Goodwill Retail Stores.............................................................108

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INDEX

116

Grand River Hospital...................................................81

International Language School............................................... 70

Grand River Hospital Crisis Clinic........................................... 84

IPIC Education and Counselling Service............................... 85

Grand River Hospital Post-Partum Mood Disorders......... 93

Jaundice Screening..................................................................... 12

Great Lakes Music Together..................................................102

John Howard Society of Waterloo-Wellington..................... 90

Growing Healthy Two-gether –

John Mahood YMCA Youth Development Program.68

Prenatal Nutrition Program..................................97

John M. Harper Branch............................................................. 77

Head to Toe YMCA Child Care....................................70

Just for Partners.......................................................................... 90

Health and the Environment..............................................52,53

Just for Kids YMCA Child Care....................................70

Health and wellbeing......................................................80,81,82

J.W. Gerth YMCA Child Care........................................70

Health Canada..................................................................... 78,104

Keatsway Public School............................................................. 68

Health Care Centre Pharmacy (Grand River Hospital)...... 64

KidsAbility............................................................................. 41,112

Health Care Connect................................................................. 78

Kids Help Phone......................................................................... 87

Health Unit/Public Health......................................................... 81

Kimmik Photography.........................................110,125

Healthy Baby Healthy Brain..................................................... 78

Kinsmen Children’s Centre....................................................... 69

Healthy Babies Healthy Children.........................91,92,97,112

Kitchener City Hall Breastfeeding Lounge .......................... 65

Healthy Canadians..................................................................... 78

Kitchener Downtown Community Health Centre.............. 80

Healthy Sleep Habits................................................................. 36

Kitchener Public Library............................................................ 76

Health and Wellbeing................................................................ 50

Kitchener-Waterloo Art Gallery.............................................102

Hearing Screening...................................................................... 12

Kitchener Waterloo Midwifery Associates............................ 96

Help and support...................................................8,84,85,87,88

Kitchener-Waterloo Multicultural Centre............................. 85

Help Lines..................................................................................... 87

KinderSleep®.........................................................91,125

Here 24/7.....................................................17,82,84,85,86,87,93

K-W Counselling Services......................................................... 85

Highland Public School............................................................. 68

KW Multicultural Centre............................................................ 87

Home Education......................................................................... 70

K-W POMBA............................................................................87,92

Hospitals....................................................................................... 81

K-W Pregnancy Resource Centre........................................... 97

House of Friendship.................................................................. 86

La Leche League Canada..............................................19,22,64

Housing......................................................................................... 88

Language...................................................................................... 70

Immunizations..........................................................................7,81

Learning Earning and Parenting (LEAP)............................... 85

INFACT Canada (Infant Feeding Action Coalition).............. 64

Lester B. Pearson Public School............................................. 68

Infant and Child Development program............................112

Let’s Read Family Literacy Initiative - YMCA OEYC.. 72

Infant Feeding Rooms............................................................... 65

LGBT Youth Line ........................................................................ 87

Infant Mental Health Promotion (Comfort Play Teach).... 78

Libraries........................................................................................ 76

Infant & Toddler Safety Association....................................105

Library........................................................................................... 40

Institute for Parent and Infant Care (IPIC) ......................... 64

Lice Squad Canada............................................................ 82,125

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NEW PARENT RESOURCE GUIDE 2018


INDEX

Lincoln Heights Public School................................................. 68

Multicultural Resources and Services-Library and

Literacy.......................................................................................... 71

Archives Canada................................................................... 77

Little Pause YMCA Child Care.....................................70

Multiple Births Canada.............................................................. 92

Living, Working, Playing............................................................. 74

Municipal Contacts..................................................................... 75

London Ronald McDonald House.......................................... 88

Museums....................................................................................102

Lutherwood Family Counselling Services............................. 85

Music...........................................................................................102

Lutherwood Housing Services................................................ 88

Music Together Of Kitchener Waterloo...........102,125

Marillac Place............................................................................... 88

Natural Family Planning Centre.............................................. 96

Marketplace - Canada’s Investigative Consumer

Never Shake a Baby!.................................................................. 27

Program................................................................................104

Newborn Registration..................................................................1

May Court Shop........................................................................108

Newborn Screening................................................................... 12

MCC Thrift Shops (Mennonite Central Committee).........108

Newcomers.................................................................................. 77

McMaster Children’s Hospital................................................. 81

Newcomers Waterloo Region immigrant web portal........ 77

Medic Alert................................................................................... 80

New Hamburg MCC Thrift Centre........................................108

Melissa Avey Photography.....................................................110

Now that your baby is here................................................12,13

Mennonite Central Committee of Ontario........................... 77

Nursing...................................................................................see breastfeeding

Mennonite Coalition for Refugee Support......................77,85

OneList Waterloo Region.............................54,55,68,78

Mental Health.............................................................................. 82

oneROOF - Reaching Our Outdoor Friends........................ 86

Mental Health and Wellness.........................................16,17,93

Ontario Block Parent® Program Inc...................................105

Mental Health Helpline........................................................82,87

Ontario Dental Association...................................................... 80

Midwifery Information and Services...................................... 96

Ontario Doulas............................................................................ 96

Milk and Your Growing Child................................................... 34

Ontario Early Years Centres

Ministry of Children and Youth Services...................... 78,112

.....................................78,90,91,92,100,101,back cover

Ministry of Community and Social Services.......................112

Ontario Federation of Teaching Parents (OFTP)................ 70

Ministry of Health and Long Term Care....................... 78,112

Ontario Government................................................................. 75

Ministry of Transportation (MTO).........................................104

Ontario Home Health................................................................ 64

Moffat Creek YMCA Child Care..................................70

Ontario Parks.............................................................................100

Monica Place...........................................................................91,97

Ontario Problem Gambling Helpline................................84,87

Motherisk Exercise in Pregnancy Help Line........................ 81

Our Place Family Resource and Early Years Centre

Motherisk Program.........................................................58,57,87

...................................................90,91,92,97, back cover

Moving Forward (Pregnant Women’s Program)................. 92

Owl Child Care Services of Ontario...........................69

Multicultural Groups.................................................................. 77

Owl - John Sweeney.....................................................69 Owl - Lincoln Road.......................................................69

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117


INDEX Owl - Our Lady of Fatima............................................69

Preparing for your next pregnancy....................................... 56

Owl - Saint John Paul II................................................69

Preparing your child for a new baby..................................... 56

Owl - St. Brigid..............................................................69

Preparing your child for child care...................................54,55

Owl - St. Luke................................................................69

Preventing flat head................................................................... 28

Owl - St. Matthew........................................................69

Progenics Cord Blood Cryobank............................................ 96

Owl - St. Nicholas.........................................................69

Programs and Activities..........................................100,101,102

Parachute...................................................................................105

Project Read Literacy Network ~ Waterloo Wellington.... 72

Parenting............................................................ 9,44,90,91,92,93

Public Health Agency of Canada............................................. 78

Parenting Support Groups/Programs................................... 92

Reading......................................................................................... 39

Parenting with Passion Program............................................ 92

Recalls/Product Safety.............................................................104

Partner Support.......................................................................... 44

Region of Waterloo Breastfeeding Lounge...............65

Passport to Health........................................................................1

Region of Waterloo Children’s Centres.....................69

Peer Health Workers................................................................. 92

Region of Waterloo Community Services Department,

Perinatal Mood Disorder.....................................................16,93

Employment and Income Support................................... 85

Personal Care.............................................................................. 82

Region of Waterloo Library...................................................... 76

Phone Support............................................................................ 82

Region of Waterloo: Public Health & Emergency

Photography..............................................................................110

Services Dental Program............................................80

Physical activity............................................................................ 37

Region of Waterloo: Public Health & Emergency

Physical activity for mothers.................................................... 59

Services Immunization & Vaccine Preventable

Pioneer Park Community Library........................................... 76

Disease Program......................................................81

Pioneer Park Public School...................................................... 68 Play................................................................................................. 39 Poison..........................................................................................104

118

Region of Waterloo: Public Health & Emergency Services Resource Centre.......................................77 Region of Waterloo: Public Health & Emergency

Poison Information Centre.............................................. 87,104

Services.............................1-59,82,inside front cover

Police............................................................................................. 87

Riverside Public School............................................................. 68

Positive Parenting....................................................................... 42

Robarts School for the Deaf (London)................................112

Postnatal/Postpartum Mental Health Supports......15,16,93

Ronald McDonald House.......................................................... 88

Pregnancy............................................................................... 56-59

Routines........................................................................................ 36

Pregnancy and Infant Loss Network..................................... 84

Safe Sleep..................................................................................... 24

Pregnancy and Labour Support........................................96,97

Safety.............................................................29,30,31,32,104,105

Pregnancy Support.................................................................... 97

Safety in the Home...............................................................30,31

Prenatal........................................................................56-69,96,97

Salsa Babies - Latin Beat for Tiny Feet!................................. 81

Prenatal Classes and Programs.............................................. 97

Salsa Tots - Latin Groove for Kids on the Move!................ 81

Preparing for Parenthood........................................................ 97

Salvation Army Community and Family Services................ 86

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NEW PARENT RESOURCE GUIDE 2018


INDEX Salvation Army Parent and Child Resource Centre........... 92

St. John Ambulance Kichener-Waterloo Branch...............104

Salvation Army Thrift Stores..................................................108

St. Vincent de Paul..................................................................... 86

Sandhills Public School............................................................. 68

Sudden Infant Death Syndrome (SIDS)................................. 24

School Boards............................................................................. 72

Tadpole Children's Shoppe................................108,109

Screen Time................................................................................. 38

Talk, Write, Read......................................................................... 39

Service Ontario........................................................................... 75

Talk for Tots................................................................................. 46

Settlement in Ontario Information........................................ 77

Technology................................................................................... 38

Sexual Assault Support Centre of Waterloo Region.......... 87

Teething........................................................................................ 47

Sexuality and your child............................................................ 46

Telehealth Ontario................................................................64,87

Sexual health after birth........................................................... 13

Temper Tantrums....................................................................... 43

Sexual Health Options, Resources & Education...........96,97

The Hospital for Sick Children................................................. 81

Sexual health..........................................................................82,88

The Literacy Group.................................................................... 71

Shaken Baby Syndrome............................................................ 27

The Lung Association................................................................ 80

Shelters......................................................................................... 88

The Working Centre................................................................... 85

Shoppers Drug Mart.................................................................. 64

The Nesting Instinct....................................................96

Shopping and Professional Services...................108,109,110

The Working Centre................................................................... 85

Sick child..................................................................................50,51

The Working Centre Housing Desk........................................ 88

Signs and Symptoms of Preterm Labour............................. 57

THEMUSEUM.............................................................................102

Six Steps to Help Keep you Health........................................ 50

Thrift on Kent.............................................................................108

Skin-to-Skin.................................................................................. 18

Tips for starting Solid Foods.................................................... 33

Sleep.........................................................................................24,36

Toilet Learning............................................................................. 45

Sleep and your new baby......................................................... 25

Township of North Dumfries................................................... 75

Smokers’ Helpline - Canadian Cancer Society.........58,82,84

Township of Wellesley............................................................... 76

Smoking and Pregnancy........................................................... 58

Township of Wilmot................................................................... 76

Smoking Cessation..................................................................... 82

Township of Woolwich.............................................................. 76

Society of Obstetricians and Gynecologists (Pregnancy). 78

Transport Canada Information - Car Seat Safety

Solid Foods................................................................................... 32

and Recalls...................................................................104,105

Soothing Your Crying Baby...................................................... 26

Tummies To Toes - Rebecca Serroul..................................... 97

Special Needs............................................................................112

Tummy Time................................................................................ 28

Special needs access point (Snap).......................................112

Two Rivers Family Health Team.............................................. 64

Speech & Language.................................................................112

Urgent Care Clinics.................................................................... 82

Stork Family YMCA......................................................81

Victim Services of Waterloo Region..................................84,87

St. Jacobs Midwives.................................................................... 97

Victoria Angel Registry of Hope Public Cord Blood

St. John Ambulance-Cambridge and Area Branch...........104

Bank......................................................................................... 96

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119


INDEX Vision..................................................................................... 41,112

YMCA Child Care .........................................................70

Vitamin D...................................................................................... 20

YMCA Employment Services ......................................85

Walk-in Clinics.............................................................................. 82

YMCA Immigrant Services..........................................71

Warning Signs During Pregnancy........................................... 57

YMCA Immigrant Services..........................................77

Waterloo Catholic District School Board..............................72

YMCA Ontario Early Years Centre..................................

Waterloo Fetal Alcohol Support Group................................ 92

.......................90,91,92,93,97,100,101,back cover

Waterloo Public Library.......................................................39,77

YMCA – Stork Family YMCA – Waterloo...................101

Waterloo Region Family Network.........................................112

YMCA Youth Development Program.........................68

Waterloo Region Museum.....................................................102

YWCA Kitchener-Waterloo - Camp Clover..........................100

Waterloo Regional Withdrawal Service-Kitchener.............. 87

YWCA Kitchener-Waterloo - Mary’s Place............................. 88

Waterloo Region District School Board................................ 72

YWCA Youth Development Program..................................... 68

Waterloo Region Employment and Income

Your Child's Development........................................................ 41

Support Information Line................................................... 85

Your Healthy Pregnancy................................................47,58,59

Waterloo Region Family Network.........................................112

Youth Prenatal Program.............................................97

Waterloo Region Housing........................................................ 88

Zelia Bester Studios.................................................................110

Waterloo Region Red Cross...................................................104 Waterloo Region Sexual Assault/ Domestic Violence....... 84 Waterloo Region Sexual Assault Support Centre Crisis Line............................................................................... 84 Weaning Your Child................................................................... 34 Web Sites Worth Visiting.......................................................... 78 Wee Watch...............................................................69,71 Weight gain in pregnancy......................................................... 59 Well Water.................................................................................... 50 Westmount Public School........................................................ 68 Williamsburg YMCA Child Care..................................70 Women’s Crisis Services of Waterloo Region.................84,88 Woolwich Counselling Centre................................................. 85 YMCA.............................................................................81 YMCA - A.R. Kaufman Family YMCA Kitchener...................................................72,100,101 YMCA - Chaplin Family YMCA - Cambridge................... .........................................................................72,100,101 YMCA Child Birth Education Class.............................97

120

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NOTES: ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ __________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________

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Child care

Provide every child the best possible start

Children develop a sense of independence, learn through play, explore, and build confidence in a safe and supported environment with caring, experienced educators to rely on. YMCAs of Cambridge & Kitchener-Waterloo 161 Roger Street, Waterloo ON N2J 1B1 519-741-8585

ykids.ca


ONTARIO

EARLY YEARS

Cambridge Family Early Years Centre 149 Ainslie Street North Cambridge, ON N1R 3P4 519-740-8353

Our Place Family Resource and Early Years Centre St. Francis School 154 Gatewood Drive Kitchener, ON N2M 4E4 519-571-1626

A one stop neighbourhood hub for resources and information near you! WATERLOO REGION ONTARIO EARLY YEARS CENTRES A Place Where Your family belongs and connects with others Your family’s health and well-being is supported Your family can engage in exploration and play You and your children can express yourself in fun, creative ways

YMCA Early Years Centre 161 Roger Street Waterloo, ON N2J 1B1 519-741-8585 719 Erbsville Road Waterloo, ON N2J 3Z4 519-885-0552

Visit earlyyearsinfo.ca for more programs and services throughout Cambridge, Kitchener, Waterloo and the surrounding Townships.

earlyyearsinfo.ca Waterloo Region

earlyyearsinfo.ca


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