RAK Magazine Tucson Winter 2023 Issue by Raising Arizona Kids magazine

WINTER 2023: Dec • Jan • Feb

a subdivision of RAISINGARIZONAKIDS

RAISINGTUCSONKIDS Catalina Foothills • Marana • Oro Valley • and the Surrounding Areas

PREGNANCY, BABIES & POSTPARTUM

Places to Meet Other Parents Breastfeeding, Pumping & Formula Babywearing Lending Library Reid Park Zoo, Ghost Ranch Exotics & more!

DAD TALK Postpartum Depression in Dads Dad's Blueprint How to Bond with the Baby

PLUS:

DENTAL & VISION HEALTH

Hawkins Reed of Show Low (8 months pictured).

Winter 2023: Dec • Jan • Feb

CONTENTS FEATURES 24 Pregnancy • • • •

Lily & Llama Screening for Gestational Diabetes All About C-Sections Budgeting for Baby

28 Postpartum • Breastfeeding, Pumping & Weaning • Freeze-Dried Breast Milk • Choosing to Formula Feed From the Start • At-Home Self-Care For Moms • How to Set Visitor Boundaries When You Have a New Baby • Pelvic Floor Physical Therapy • Holding the Mother, Not Just the Baby • Embrace the Joy of Babywearing with Tucson Babywearers’ Lending Library • What is a Newborn Care Specialist and Why Do You Need One • 5 Places to Meet Other Parents in Tucson • Perinatal Mood and Anxiety Disorders

40 Babies • Navigating the Maze: Finding Safe and Affordable Childcare • Baby Brains • Preventing Food Allergies From the Start • Navigating the “Terrible Twos” • Car Seats & Coats • Staff Favorite Baby Products • Local Baby Companies

50 Dad Talk • What About the Dads • Dad’s Blueprint • How Dads Can Bond With Their Baby • Husband-Coached Childbirth • Postpartum Depression in Dads • Why People Don't Ask About Dads During Pregnancy and Birth RAISINGTUCSONKIDS.com

35 DEPARTMENTS 2 Dialogue

Experiencing Motherhood

4 Books

• Books to Welcome a New Baby to the Family • Book Picks for Moms and Dads

8 Relationships

• Supporting Your Newborn Through Your Divorce or Separation • Intimacy Tips for New Parents

56 Travel

Make Some Memories with Mother Daughter Trips

58 Things-to-Do

• World of Play at Reid Park Zoo • Ghost Ranch Exotics Offers Private Animal Encounters

60 Community

Girl Scouts of Southern Arizona: Providing Community Support for Girls in Need

12 Dental & Vision Health • • • • • • • • •

How to Make Sure Your Child Isn’t the 1 in 4 with an Undetected Vision Issue Your Child’s Eyes As They Age Food for Thought Winter Sports that Need Mouth Guards Eye Protection and Sports Increasing Access to Care for Patients with Special Needs Oral Health and Your Kids Frequently Asked Questions About Braces How to Make Flossing Fun for Kids Dec • Jan • Feb WINTER 2023

DIALOGUE

KATELYN MCKENZIE PHOTOGRAPHY

Tucson • Catalina Foothills • Marana Oro Valley • and the Surrounding Areas

Experiencing

Motherhood

“FOUR BOYS?! Are you going to try for a our great topics like intimacy for new girl?” the well-meaning woman at the store parents, budgeting for a baby, C-sections, asks, with a big smile on her face. I chuckle breastfeeding, formula feeding, and more. and say that I’d keep trying even if I knew You’ll find some of my favorite baby it was a boy. Four boys later and I’m an products, self-care tips for moms, and how expert on trucks, dinosaurs, and all the little to set boundaries after birth. troublemaking (and dangerous) schemes For the dads, we’ve curated content in they concoct daily. I also can’t tell you how our Dad Talk section about daddy boot many times I’ve explained that we don’t camps, postpartum depression in fathers, a bring in critters from outside—and don’t get look at why dad is often forgotten, tips for me started on the snakes. bonding with the baby, and other helpful Having babies has been a joyful topics. I hope you share this copy of Raising experience for me over the last nearly 11 Arizona Kids with your partner or a father years, and while I contribute much of that to you know. a great support system, I’d be lying if I said I If you’re in the toddler stage like we didn’t struggle during postpartum with each are, you’ll also appreciate our approach on child. It took two births for me to really get tackling the ‘terrible twos’ and navigating a grasp on a healthy postpartum (although tantrums. Plus, how to prevent food I’m still struggling with taking it easy). allergies, find affordable childcare, and Last winter, I was recovering from plenty of ‘seasoned mom’ content. emergency surgery at 31 weeks pregnant This winter, I’m spending more time that led to an airflight to a valley hospital with family, playing in the snow, and being equipped with a NICU and a weeklong ICU grateful for my health. I hope you also stay. I went on (shockingly) to have a healthy take time to relax, celebrate the holidays, baby boy at 38 weeks. He’s featured on the and enjoy those little moments with your cover of this issue and is now 9 months old. loved ones. Fingers crossed we avoid all the This recent postpartum was different sicknesses this winter! for me. Something about our medical P.S. Don’t forget to register for Camp experience forced me to see the miracle in Fair AZ and Everything Summer! After a our recovery and healthy delivery (at home, long COVID-induced hiatus, it’s back and nonetheless!) I was more intentional with better than ever on February 24, 2024! my time; spent more time relaxing, and less Kate Reed, Publisher time trying to pretend I could do it all. I Do you have a topic you accepted help, took more naps, and really would love us to write soaked in those newborn days. Whether this is your first or fourth about? Email publisher@ baby I invite you to look at some of rakmagazine.com

2 WINTER 2023 Dec • Jan • Feb

WINTER 2023: DEC • JAN • FEB VOL 1: NO 1 PUBLISHER Kate Reed EDITOR Monique Seleen CONTRIBUTORS Liz Adams • Karen Aurit • Michael Aurit Alex Barr • Edward Casillas • Michelle Conarty Jonathan Davies • Dr. Tiffany Di Giacinto Nancy Donnell • Dr. Kathryn Fife • Ellen Fisher Rachel Galvez • Patrick Hutchins • Amy Lacy Dr. John Lahr • Dr. Meghan MacClearn Rodrigo Mendoza • Tien Nguyen • Rosalind Prather Trent Reed • Nancy Rimbergas • Dr. Heather Schneider Chris Seleen • Lori Stauffer • Elaina Verhoff Jaclyn Waggoner • Dr. Julie A. Wendt • Teresa Wilson Delta Dental • Delta Vision Men’s Mental • Pima County Libraries Southwest Human Development ART DIRECTOR Michèlle-Renée Adams COVER PHOTOGRAPHY Kate Reed MARKETING CONSULTANTS Tina Gerami-Bynum • Shari Greene Raising Arizona Kids magazine (ISSN 1051-4295) was created to connect Valley families to local resources and share real-life stories about the challenges and joys of raising children. Copyright © 2023 by Raising Arizona Kids, Inc. All rights reserved. Reproduction in whole or part without written permission is prohibited. Content guidelines are available at raisingarizonakids.com

@RAKmagazine on Twitter; RaisingArizonaKids on Facebook, Instagram and Linkedin; RAKmagazine Pinterest and Youtube. CONTACT US editorial@RAKmagazine.com familytime@RAKmagazine.com advertising@RAKmagazine.com subscriptions@RAKmagazine.com 932 South Hunters Run, Show Low, AZ 85901 480–991–KIDS (5437) • raisingarizonakids.com IN PARTNERSHIP WITH

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BOOKS: New Baby

Books to Welcome a New Baby to the Family By Pima County Libraries | *All book descriptions courtesy of the publisher

SO, YOU’RE GOING to be a sibling? The Child Mind Institute says, “Bringing a new baby into the family is exciting, but it can also be challenging for older siblings. Books are a great way to help them make the transition and adjust to a new arrival.”

2 – 6 YEARS

Babies Don’t Eat Pizza by Dianne Danzig With kid-friendly humor and honesty, this book covers waiting for baby and life with baby from birth through toddlerhood.

Just Right Family by Silvia Lopez Meili, who is six years old and adopted from China, learns that her parents are going to adopt a baby from Haiti. She’s not happy. Why do they need a new baby? Their family is just right as it is. As Meili learns more about her new sibling and the importance of being a big sister, will she realize that a new addition can be just right for their family too?

Little Miss, Big Sis by Amy Krouse Rosenthal G POINT STUDIO

The big news is this: Little Miss becomes a big sis! Little Miss learns the wonders of becoming a big sister as she and her family celebrate the momentous arrival of a new baby.

Lola Reads to Leo by Anna McQuinn

BABY – 5 YEARS

Little Frog’s Tadpole Troubles by Tatyana Feeney Little Frog is not impressed with his baby siblings. They can’t jump. They can’t play drums. They can’t do anything! All they do is keep Mommy and Daddy busy—too busy for Little Frog. But with a little time, big brother realizes that tadpoles grow into little frogs, just like him. And having nine new playmates makes his family better than ever.

Mama’s Belly by Kate Hosford Mama’s Belly is a celebration of motherly (and daughterly) love and a soothing story for older siblings that even with the spotlight on a new baby, there is always enough love for everyone.

You’re the Biggest by Lucy Tapper With gorgeous full color illustrations, the story follows two charming foxes on a wonderful journey, discovering the unique role of an older sibling.

4 WINTER 2023 Dec • Jan • Feb

Lola helps her mommy and daddy around the house and tells Leo stories to cheer him up when he cries. Simple text and bright and charming illustrations celebrate family, reading, and what it means to be a big sister.

Maple by Lori Nichols When Maple is tiny, her parents plant a maple tree in her honor. She and her tree grow up together, and even though a tree doesn’t always make an ideal playmate, it doesn’t mind when Maple is in the mood to be loud—which is often. Then Maple becomes a big sister, and finds that babies have their loud days, too. Fortunately, Maple and her beloved tree know just what the baby needs.

My Brother the Duck by Pat Zietlow Miller Is Stella’s new baby brother a duck? All the evidence seems to be pointing in that direction, but Stella knows that scientists can’t just wing it. Further research is definitely required. RAISINGTUCSONKIDS.com

The New Baby by Mercer Mayer Whether he’s rocking her to sleep, helping change diapers, or pushing the stroller, both parents and children alike will relate to this beloved story. A perfect way to help a soonto-be older sibling welcome a younger one!

Nine Months by Miranda Paul A soon-to-be big sister and her parents prepare for the arrival of a new baby in the family. Alternating panels depict what the family is experiencing in tandem with how the baby is growing, spanning everything from receiving the news about the new baby to the excitement of its arrival.

Ninja Baby by David Zeltser Now with a sibling, Nina will face the one thing she cannot do alone: be part of a family. With verve and humor, David Zeltser tells the story of an unusually gifted child, and the family that is more than a match for her.

Peter’s Chair by Ezra Jack Keats This is a gentle and reassuring story about sibling rivalry and a perfect gift for any family expecting a new baby.

We Are Brothers, We Are Friends by Alexandra Penfold Being a big brother is a big job. There are games to play and adventures to be had. And if trouble comes, it’s big brother to the rescue because there’s no better friend than a brother.

Wolfie the Bunny by Ame Dyckman Families of all kinds will delight in this sweet New York Times bestselling tale of new babies, sibling rivalry, bravery, unconditional love...and veggies!

You’re a Big Sister by Marianne Richmond A new little one brings lots of changes some unexpected, some confusing, some exciting and all a wonderful adventure! An endearing story, this book celebrates all the best parts of a growing family.

You Were the First by Patricia MacLachlan A touching tribute to baby’s early milestones— those unforgettable moments that will always be cherished. From first smiles to first cuddles and even to that first kiss, here’s a loving ode to every child’s—and parent’s— momentous “firsts.” RAISINGTUCSONKIDS.com

4 – 8 YEARS

Another Brother by Matthew Cordell A delightful picture book about new siblings and growing families, in which Davy navigates the birth of twelve brothers!

Famously Phoebe by Lori Alexander Will Phoebe learn to share the spotlight and assume the role she was born to play: big sister? This sweet tale of sibling rivalry resolved is perfect for every older brother and sister.

I’m Big Now! by Anthea Simmons Being big is hard. Sometimes you want to do the baby things you used to do before! In this funny journey of discovery, one little girl decides to try out being a baby again, but discovers it is more fun being the big sister of the family.

It’s Big Brother Time! by Nandini Ahuja Baby’s loud. Baby’s messy. Sometimes Baby really smells. Maybe Baby just doesn’t know the rules? Good thing it’s big brother time—he can show Baby how to be the best baby ever!

It’s Big Sister Time! by Nandini Ahuja Baby’s loud. Baby’s messy. Sometimes Baby really smells. Maybe Baby just doesn’t know the rules? Good thing it’s big sister time—she can show Baby how to be the best baby ever!

I Used to Be Famous by Becky Cattie Kiely’s been famous her entire life, but when a baby sister appears on the scene, she feels like a has-been. Now Kiely has to figure out how to gain back the attention of her adoring fans (her family), even if it means sharing the spotlight.

The New Small Person by Lauren Child In her signature visual style, Lauren Child gets to the heart of a child’s evolving emotions about becoming a big brother or sister.

Once Upon a Baby Brother by Sarah Sullivan Lizzie loves to make up stories and tell them to anyone and everyone, even though now that her annoying baby brother, Marvin, has joined the family, no one has time to listen. She’s so full of ideas, it seems like nothing can stop her. And then one day, something does. What’s a star writer to do?

Pecan Pie Baby by Jacqueline Woodson All anyone wants to talk about with Mama is the new “ding-dang baby” that’s on the way, and Gia is getting sick of it! If her new sibling is already such a big deal, what’s going to happen to Gia’s nice, cozy life with Mama once the baby is born? Dec • Jan • Feb WINTER 2023

BOOKS: For Parents BOOK PICK FOR MOMS

ENOUGH ABOUT THE BABY: A Brutally Honest Guide to Surviving the First Year of Motherhood By Becky Vieira

Review by Monique Seleen

BOOK PICK FOR DADS

The Expectant Father By Armin A. Brott & Jennifer Ash Rudick Review by Chris Seleen

IF YOU’RE A new mom—or even if you’ve been through pregnancy and postpartum before—you have got to read “Enough About the Baby” by Becky Vieira. I devoured this book and found myself not only laughing out loud at some parts (Becky holds nothing back!), but also nodding in agreement at almost every part. My only regret is that the book wasn’t out for me to read before having my son. “Enough About the Baby” is packed with advice on what to expect after pregnancy, and how to navigate the frustrations and challenges that come with having a baby. Becky shares many of her own personal (and relatable) experiences while also including interviews with moms and experts to get to the bottom of the toughest and most taboo topics—from managing nosey in-laws and an anxious partner, to surviving the first postpartum poop, and when to seek out treatment for postpartum depression. This book is filled with hacks, tips, and tricks, but most importantly, Becky reminds new moms that motherhood shouldn’t be martyrdom, that it’s not selfish to put your own needs first, and that whatever you’re going through—you are not alone!

6 WINTER 2023 Dec • Jan • Feb

THIS NEW YORK TIMES–bestselling book for dads-to-be is not only informative, but will help any new dad feel prepared for the parenthood journey ahead. I was gifted it from one of my friends who became a dad about six months before me. As soon as we shared our pregnancy news, he gave me his copy of the book and recommended I read it. I’m glad I did. The author, Armin Brott overviews each month of pregnancy giving dads ideas on how to support their partner, prepare for the baby’s arrival, and take care of themselves, too. I appreciated that each chapter covers: • What’s going on with your partner, emotionally and physically • What’s going on with the baby, from fertilized egg to newborn • What’s going on with you as you adjust to the new life stage of fatherhood • How to stay involved: specific ways you can help (and feel included), such as attending birthing classes with your partner or starting a college fund If you read the latest, fully revised fourth edition it also includes: • Information about adoptions, multiples, infertility and assisted reproductive technology, and dads in the military • A special section on labor and delivery and what to expect on the big day • A special section on what comes next in the first few months after the baby’s arrival • A handy resource section that connects dads to the best information on every topic related to pregnancy and fatherhood If you’re a first-time dad or know someone who’s about to be, this is definitely a must-read book to get prepared for fatherhood! RAISINGTUCSONKIDS.com

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RELATIONSHIPS: Co-Parenting

SUPPORTING YOUR NEWBORN through your DIVORCE OR SEPARATION By Michael Aurit, JD, MDR

NEW PARENTS who separate or divorce can feel a wide range of emotions: incredible joy and love for your beautiful baby while simultaneously processing the separation from your partner. Choosing to have a positive and cooperative “co-parenting relationship” is the most critical choice for your baby’s long-term emotional well-being. Here are some key points about newborns to help you create a parenting time schedule that supports everyone: 1. Consistency is essential for a baby’s development. Create a plan that sticks to a predictable routine when possible. 2. Frequent contact with both parents creates a secure attachment. Time with both parents every day is ideal for a baby. Most commonly, an infant lives with one parent, and the other parent visits. Daily or twice-daily visits are ideal when baby is first born, but at least every few days are essential.

8 WINTER 2023 Dec • Jan • Feb

3. New research suggests that one or more overnights with the non-residential parent can also be beneficial when steps are taken to ensure the baby feels safe and secure. Parents also may choose to share equal time with infants, rotating every day or two. 4. Create similar environments for your baby in both houses. Use the same type of crib, soothing sounds, blankets, and similar soothing techniques that work. 5. Babies benefit when both parents care for them. Babies bond with those who care for them. When one parent visits, welcome them to baby duty! This creates an opportunity to feed, bathe, play with, and soothe the baby. Diaper duty and rocking the baby to sleep are also wonderful bonding opportunities. When both parents act as caregivers early on, babies can form deep bonds with both parents. Even the youngest babies are aware of how you interact as co-parents. They listen, feel, and store emotional memories—positive

and negative. Staying positive and working together to focus on what’s best for your baby is one of the most important things you do as a new parent. Courageous Co-Parenting is Raising Arizona Kids’s column for separating or divorced parents to learn conflict resolution skills, strategies, and attitudes for healthy co-parenting. These concepts apply to all parents. Please feel free to share the column with your co-parent. Michael Aurit, JD, MDR, is a Professional Mediator and Co-Founder of The Aurit Center for Divorce Mediation in Scottsdale, Arizona. He is President of The Academy of Professional Family Mediators. He is also an Adjunct Professor at The Straus Institute for Dispute Resolution at Pepperdine University School of Law and Arizona State University’s Sandra Day O’Connor School of Law. Michael is married to Karen Aurit, and they live in Phoenix, Arizona with their three and five-year-old daughters. Michael can be reached at michael@auritmediation.com. To learn more, visit www.auritmediation.com.

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RELATIONSHIPS: Healthy Love Habits

Intimacy Tips for New Parents By Karen Aurit, LAMFT

DIRTY DIAPERS AND SPIT-UP aren’t exactly the secret ingredients in the recipe for intimacy. Research published by the Journal of Sexual Medicine shows that both women and men experience a loss of desire from the exhaustion of being a new parent. Romance may not come naturally when we are exhausted from parenting; however, intimacy is possible and is a basic necessity for creating a long-term bond with your partner and a healthy family. Here are four ways to be close even when you’re so tired you can barely remember your name. Laugh a Little, or a Lot! There is no way to prepare for the surprises of parenting. Try playing a game of “I didn’t realize having a baby would mean…” and share your funny moments. Laughing together activates pleasure sensors in the brain and creates a “natural high,” contributing to feelings of intimacy. A Helping Hand. Notice when your partner is feeling stressed and jump in to

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support them. You might take over preparing dinner, cleaning the kitchen, shopping for groceries, or tagging them out–taking over ‘baby duty’ when they most need a break. Taking note of the good feelings of being there for each other creates intimacy. Gratitude Goes a Long Way. “Thank you so much for getting up last night with baby— you are incredible.” “As tired as you are, you got up to make me coffee—I appreciate you.” Simple, heartfelt words of appreciation create intimate moments. You might leave your partner a post-it love note telling them how important they are to you or give them the surprise of their favorite Starbucks drink or book they’ve wanted to read. Rekindle the Flame with a Daily MiniHabit. Together, create a consistent habit that takes five minutes or less. You might read two pages of a book together and discuss it, or light a candle and start a coffee-break ritual. It can be as simple as expressing one specific gratitude for the other before bed or having a two-minute massage exchange! The key to creating intimacy is to do the habit daily–no

matter what. Experiencing intimacy while caring for a newborn is a top priority. You don’t have to wait for “the perfect time” to stay close. Your closeness and unity is the greatest gift you can give your baby. So, go ahead, laugh a little, lend a helping hand, express gratitude, and embrace those daily mini-habits to keep the flame of intimacy burning bright! Healthy Love Habits is Raising Arizona Kids’s relationship column for learning simple habits to create the healthy and loving connection you desire and deserve. Karen Aurit, LAMFT, is Director and Co-Founder of The Aurit Center for Divorce Mediation in Scottsdale. Karen is a Licensed Associate Marriage and Family Therapist who specializes in mindfulness theory. She is also an Adjunct Professor at The Straus Institute for Dispute Resolution at Pepperdine University School of Law and Arizona State University’s Sandra Day O’Connor School of Law. Karen is married to Michael Aurit, and they live in Phoenix with their two daughters. To learn more, visit auritmediation.com RAISINGTUCSONKIDS.com

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Dental &Vision Health TO SUPPORT PARENTS and caregivers in creating a path to better health and wellness, Delta Dental of Arizona is proud to present this dental and vision health resource guide, offering answers to frequently asked questions, tips to prevent oral and eye diseases, and new ways Delta Dental of Arizona is helping care for the entire family.

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DENTAL & VISION HEALTH: Vision Tips

FAST FACTS • Just one out of every seven preschoolers receive an eye exam to complement a vision screening they may receive during an annual wellchild visit or from the school nurse. • Close to 175,000 American preschoolers struggle with common, but untreated, vision problems. • Research indicates that the problem is getting worse over time. Poor vision in this young population is expected to increase 26% by 2060.

Did You Know? DELTA DENTAL OF ARIZONA has been providing vision benefits across Arizona since 2007. DeltaVision (administered by EyeMed Vision Care) is affordable, convenient vision insurance for individuals, families and businesses. For more information, visit deltadentalaz. com/vision or smilepoweraz.com

How To Make Sure Your Child isn’t

the 1 in 4 with an Undetected Vision Issue IT IS HARD to imagine that newborn babies can only see about eight to 12 inches away, with anything beyond all a blur. It is even harder to imagine just how crucial a strong visual system is for a child’s overall development, with 80% of learning in the first 12 years coming through the eyes. With such a huge window of opportunity, parents and caregivers alike can take advantage of toys and play to help stimulate and sharpen a child’s vision. Babies When a baby can safely sit on his or her own, a simple game of roll-the-ball can help stimulate depth perception and eye movement/ tracking. Be sure to choose a soft ball (preferably with high contrast) and start close, slowly working further back from the child. While the goal here is to stimulate a baby’s sense of sight, keep in mind this time is a treasure trove for verbal and social development, too. The parent or caregiver is smart to describe what they are doing at all times and reinforce turn-taking skills. For younger babies, brightly colored mobiles will fit the bill.

Toddlers and preschoolers Now poised to interact at a more complex level, try engaging the toddler with ageappropriate puzzles or parquetry blocks (brightly colored geometric shapes) to learn spatial awareness and appreciate figure-ground relationships, which is the ability to focus on one specific piece of information in a busy background. A game like I Spy is perfect. School-age kids Swap out the tablet for activities such as connect-the-dots, fill in the dots, mazes or tracing, as these activities can enhance fine motor skills, eye-hand coordination and eye movement/tracking skills. Staying up to date with eye exams can help ensure the child is not the one in every four school-age kids who has an undetected vision problem. And be certain to opt for a comprehensive eye exam, which can uncover issues like farsightedness and eye coordination that would likely be missed during a basic school screening.

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Dec• Jan • Feb WINTER 2023

DENTAL & VISION HEALTH: Vision Problems

Your CHILD’S EYES as they Age By Dr. John Lahr

Through a child’s eyes, the world can be full of wonder, where everyday objects possess extraordinary powers, and simple pleasures create lasting memories. However, beyond the ability to see the world with spirit and imagination, a child’s actual vision needs are just as unique and important. Even under normal circumstances, a child’s vision can change more frequently than the average adult. The problem is that we usually do not see it happening. Children may not complain about their vision and think the way they see is normal. Parents also may not easily recognize the signs. Infant Vision: Birth To 24 Months Babies are not born with all their visual abilities. Just like they learn to walk and talk, babies learn to see. If an infant’s eyesight isn’t on the right track, eye and vision problems can cause developmental delays. Between six months of age and two years, a child should have an eye exam with an optometrist or ophthalmologist. The doctor will check for nearsightedness, farsightedness, astigmatism, amblyopia (or “lazy eye”), proper eye movement and eye alignment, how the eye reacts to light and darkness, and potential signs of eye health problems. Signs of a possible vision problem: • Chronic redness in the eye • One eye moves and the other does not • One of the eyes is mis-aligned compared to the other • One eye does not open • Persistent rubbing • A bulge in the eye • A drooping eyelid • Squinting

• Tilting the head when looking at things • Eyes do not follow a toy moved from side to side in front of the child Preschool Vision: 2 to 5 About 80% of learning in a child’s first 12 years come through the eyes. But according to the American Public Health Association, 10% of preschoolers already have vision deficiencies. Taking steps now to see that vision is developing normally can help a child get off to the right start in school. The American Optometric Association recommends that after their initial exam in infancy, children should again receive an eye exam before entering school. Signs of a possible vision problem: • Looks cross-eyed, or eyes do not work in unison • Closes one eye while reading or examining an object • Tilts the head when looking at something • Rubs eyes when not sleepy • Excessive tear production • Overly sensitive to light • Has white, grayish-white or yellow colored matter in the pupil of the eye • Bulging eyes • Redness in eyes that does not lessen in a few days

School-Aged Vision: 6 To 18 As children get older, parents should take their children to the eye doctor even if they do not complain of problems seeing. And one in every four children has a vision problem that can interfere with learning and behavior. While simple eye checks, including vision screenings at school, can help detect common problems such as difficulty seeing from a distance, they may not catch all types of vision disorders. And they are not designed to evaluate the health of the eyes. Signs of a possible vision problem: • Needs to hold a book very close while reading • Squinting • Recurrent headaches • Complaints of achy, tired eyes • Eyes don’t seem to work in unison Early detection and vision correction improves their development and future. Dr. John Lahr is the medical director at EyeMed Vision Care, which administers Delta Dental of Arizona’s DeltaVision plans, and has 48 years of experience in eye care delivery and vision care.

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DENTAL & VISION HEALTH: Foods

FOOD for THOUGHT By Dr. Heather Schneider

YOU ARE WHAT YOU EAT! There is a direct connection between the foods that toddlers, children, and teens eat and both their oral and eye health. Nutrition and Oral Health A diet rich in lean protein, calcium, fiber, and antioxidants paired with low sugar and low acidity is not only the perfect recipe for healthy teeth and gums, but it promotes overall wellness in individuals of all ages. Some quick tips: • Consuming sugary foods too often can lead to tooth decay. Sugar is also highly inflammatory, and overconsumption is linked to multiple diseases. Opt for low sugar choices as often as possible. • Protein is a good source of phosphorus, which helps build strong tooth enamel, aids in cellular repair and feeds your muscles, skin and bones. • Find ways to get fiber. Fibrous foods require more chewing, which cleans the surface of the teeth and removes

food particles while stimulating saliva production. Fiber also helps regulate blood sugar and maintains a clean gut by moving waste out. • Calcium keeps teeth strong, especially tooth enamel, defending the entire mouth from erosion and cavities. Calcium is also important for bone health and supports both muscles and nerves. • Antioxidants, including vitamins A, C, E, and K help prevent plaque buildup, fight gum disease, and heal and repair soft tissue. Additionally, vitamin A is essential for immune function, C is supportive of wound healing, E is beneficial for cellular repair and K aids in blood clot formation. In addition to the above, highly acidic foods can damage tooth enamel. For example, the sugar in soda is metabolized by oral bacteria and creates acid, which attacks the teeth with vigor. Ongoing acid attacks weaken tooth enamel and exponentially increase the risk of cavities and

gum disease. This is not to say to cut out sugary drinks altogether, but rather be mindful of the family’s intake. When enjoying juice or soda, use a biodegradable straw and encourage family members to rinse their mouth with water when they are done for an added level of protection. Soda, of course, is not alone on the smileruining mission. Foods with high acidity include most citrus and tropical fruits, most iced treats on a stick, tomatoes (and by extension – ketchup), corn, pizza, lunchmeat, energy drinks, sports drinks and fried foods. Consider moderating these foods and substituting them with plant-based proteins, natural sweeteners like raw honey or maple syrup, fresh vegetables, beans and lentils, ginger, and popsicles made with natural ingredients. Other mouth and body-happy food choices? • Flaxseed, which can easily be mixed into a smoothie, is rich in Omega-3 fatty acids, which can reduce inflammation and may protect against gum disease. • Strawberries have malic acid, an enzyme that cleans teeth and helps remove

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DENTAL & VISION HEALTH: Resources

Dr. Heather Schneider is the dental director at Delta Dental of Arizona and has more than 20 years of experience in dental administration, dental education and clinical dentistry.

A TSK RNE CHE M IL A

NEIGHBORHOOD OUTREACH ACCESS TO HEALTH (NOAH) and Delta Dental of Arizona partnered on a free cookbook made in collaboration with nutritionists and oral health experts featuring nearly two dozen easy-to-make recipes that promote wholeperson health for the entire family. The book, titled the “Mouth-Healthy Cookbook,” includes kid-friendly instructions for many of the recipes to encourage time in the kitchen together. It is divided into five sections – breakfast, main dishes, snacks, desserts, and beverages – has an ingredient list for every recipe for ease of grocery shopping and stepby-step instructions. Download now for free at deltadentalaz.com/cookbook

Let’s Get SOCIAL! DELTA DENTAL OF ARIZONA offers a wealth of information, FAQs, games, recipes, and craft ideas relating to oral and vision health 24/7 on its family-friendly blog, deltadentalazblog.com. And if you’re an educator, Delta Dental has you covered as well! Delta Dental of Arizona has partnered with Arizona PBS

EAGREEZ

Nutrition and Eye Health Despite what cartoons taught us, there is more to nutrition and eye health than simply eating carrots (though they do help!). Several foods can help reduce the risk of chronic eye diseases. Leafy green vegetables, egg yolks, durum wheat and corn are packed with Lutein and Zeaxanthin, both critical in potentially reducing the risk for macular degeneration and cataracts. Research also indicates Vitamins E and C, both powerful antioxidants, protect cells in the eyes from unstable molecules called free radicals, which break down healthy tissue. Vitamin C can also aid in the production of collagen, a protein that provides structure to the cornea and sclera (the white part of the eye). You can find Vitamin E and/or C in tasty snacks, like sunflower seeds, almonds, peanuts, peanut butter, spinach, pumpkin, red bell peppers, kiwi, strawberries, pineapple and potatoes. In addition to reducing inflammation and protecting against gum disease, Omega-3 fatty acids with high levels of EPA and DHA play a vital role in the development and maintenance of retinal function and preventing dry eyes. Other foods with Omega-3 fatty acids include fish and eggs. And finally, the Zinc found in lean meats, beans, nuts, seeds and lentils play a vital role in producing melanin, a protective pigment in the eyes.

with Recipes Curated by Nutrition, Dental Experts

L IU D

surface stains, and happen to be full of vitamin C • Chili peppers are rich in Vitamin A, which can help reduce inflammation and infection in the tissues of the gums. • Milk, cheese, and yogurt are high in phosphate and calcium, which helps neutralize the acid while supporting strong bones.

FREE Cookbook

Kids on HealthySmileLearning.org, a FREE resource site in both English and Spanish featuring oral health curriculum.

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Dec• Jan • Feb WINTER 2023

WINTER SPORTS that need

MOUTH GUARDS

Hockey Close contact and flying pucks are all dangerous to the pearly whites. Wearing a mouthguard protects the teeth, gums and tongue. Skiing and Snowboarding Flying down the slopes with the risk of running into someone, hitting the hardpacked snow or crashing into a tree are all risky for teeth. Wearing a mouthguard while skiing or snowboarding can help prevent damage in the event of a facial injury. Basketball and Wrestling These winter sports are sans snow but pose all the risks for a facial injury. Close contact with opponents can result in knocking out a tooth (a flying elbow is a definite possibility). Wear a mouthguard to reduce the risk.

Eye Protection and Sports By Dr. John Lahr

WHETHER THEY are helping judge a sharp turn down the ski slope or when to hit an oncoming pitch, eyes are key players in all sports activities. So, no matter what sport or sports a child plays, they should always have one thing in common: playing defense when it comes to the eyes. Nearly all sports pose some type of risk for eye injury. By making the right moves in protecting a child’s eyes can significantly lessen the risk of eye injury, and even give them a competitive edge by increasing performance. Here are a few tips that can help keep a child’s eyes protected and well equipped no matter what sports they play: Baseball: Protect the head from a wild pitch, thrown bat or pop-fly ball by investing in a face guard made of polycarbonate, an impactresistant plastic, and encourage the child to wear eye guards. Basketball, tennis, racquetball and soccer: Also encourage eye guards to safeguard from flying elbows, fingers and balls as well as wayward elbows, feet and even racquets. Football: As a full-contact sport, football dictates that all players should wear eye guards and face shields to prevent injury. Triplecheck this is always the rule and never the exception. Hockey: Invest in a high-quality mask to defend from flying sticks, pucks and players. Tennis or Racquetball: Eye guards should be

worn to guard eyes from a misjudged ball or flying racquet. Skiing: If a contact lens wearer, make sure the child has sports lenses on hand. Sports lenses are often made of polycarbonate materials with appropriate coatings for the lighting, which are the best way to safely shield the eyes from wind, snow, sun and glare. Swimming: Again, eye guards are excellent here to help keep lake, ocean and chemically treated pool water from getting in the child’s eyes. In addition, encourage children to take out their contact lenses before swimming. Bacteria and other microorganisms that live in water have a better chance of giving an eye infection if swimming while wearing contacts. Hiking or Camping: Keep an eye out for insect bites and poison ivy, oak and sumac, all of which will be a nightmare if they make contact with the child’s eyes. Also ensure they keep any sunscreens or repellents clear from their eyes as both can cause long-term damage. If an eye injury occurs, seek immediate medical attention from an eye care professional, especially if there is pain, blurred vision or loss of vision. Dr. John Lahr is the medical director at EyeMed Vision Care, which administers Delta Dental of Arizona’s DeltaVision plans, and has 48 years of experience in eye care delivery and vision care.

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CYNTHIA ANN F

DENTAL & VISION HEALTH: Sports

Dental + Vision for the whole family!

Get affordable coverage and great care with Delta Dental + DeltaVision®. DeltaDentalAZ.com/Go

DENTAL & VISION HEALTH: Special Needs

Oral Health

JAREN WICKLUND

and Children with Special Needs

Delta Dental of Arizona Increasing Access to Care for Patients with Special Needs ACCORDING TO THE 2023 Delta Dental of Arizona Oral Health Survey, there is a significant increase in the number of individuals (77%) who believe that taking proactive steps to safeguard their oral health leads to a healthier lifestyle, but people – children and adults alike – with IDDs are often less likely to seek care to manage their oral health. What is an IDD? Short for intellectual or developmental disability, IDD includes several chronic conditions that are due to mental and/or physical impairments. IDD can begin at any time, up to one’s early 20s and often last a lifetime. What are common IDDs? Autism spectrum disorder, cerebral palsy, fetal alcohol spectrum disorders, Down syndrome, and attention deficit hyperactivity disorder (ADHD) are all examples of common IDDs. For those with an IDD, a visit to the dentist can be overwhelming, and dentists are not always provided with the training, tools or time to care for patients who require

special accommodations. Thanks to Delta Dental of Arizona, that is changing. Effective April 1, 2024, most of their dental plans will give children and adults with special health care needs access to increased benefits. These benefits will include additional visits to the dentist's office and/or consultations that can be helpful prior to the first treatment to help patients learn what to expect and what is needed for a successful dental appointment; extra dental cleanings; and necessary treatment delivery modifications. To ensure all network dentists and their staff are trained to meet the unique needs of their patients with special health care needs, Delta Dental and the University of Pennsylvania have partnered on free virtual training series for dental offices aimed at building awareness of the barriers to equitable oral health for individuals with disabilities and developing competency to provide oral health care to this vulnerable population. More information on Delta Dental of Arizona’s dental benefits for people with special health care needs will be available in early 2024, so keep an eye on deltadeltalaz.com

CHILDREN WITH SPECIAL NEEDS are at higher risk for oral health issues for a variety of reasons. Often, medications have high sugar content, causing dry mouth that leads to a buildup of plaque and bacteria. In addition, children with special needs may hold food in their mouths for too long without swallowing, causing extra sugar to stick to their teeth, or they may have physical challenges with a brushing and flossing routine. Here are common issues to look out for: • Tooth decay, gum disease and missing teeth • Teeth that are not aligned • Teeth grinding and clenching • Holding food in their mouth for too long • Breathing through the mouth • Pushing the tongue against the back of the teeth Also, be aware that teeth may appear later in life – sometimes even after the second birthday – in children with Down syndrome, and mouth trauma and injury from falls or accidents are more frequent in children with seizure disorders or cerebral palsy.

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DENTAL & VISION HEALTH: Dental Tips

SUGARFIGHTING Swaps...

ORAL HEALTH and YOUR KIDS CAVITIES ARE ONE of the most common chronic diseases among children in the U.S. About one in five children 5 to 11 has at least one untreated cavity. In Arizona, that number is even higher. More than half of Arizona’s kindergarten children have tooth decay, higher than the national average. According to the 2023 Delta Dental of Arizona Youth Oral Health Report, dental issues are keeping kids out of the classroom. In fact, 12% of parents of kids 3 to 12 report that their child experienced a dental health issue in the past 12 months, missing an average of four days of school as a result. The survey also reports that despite parents' efforts to improve their children's oral hygiene habits, it has been a challenging task. While children are adhering to the guidelines recommended by dental professionals, parents face various barriers in the process. These obstacles include the temptation of sweets, boredom, and a general lack of understanding. However, parents are aware of the influence their own actions have on their children's oral health. They recognize that if left alone, dental issues could potentially affect their children's self-esteem, body image, and social life. They also recognize how it impacts their own lives. Just over two in five (43%) parents have been forced to deal with at least one consequence when their child experienced a dental issue. Among those parents who are employed, many admit they had to miss work (25%). Takeaway: Parents' involvement is crucial for their child's oral hygiene.

EATING TOO MUCH sugar at lunch time, or at any meal throughout the day, is bad for kids’ oral and overall health and can leave them feeling sluggish or struggling to focus on. Consider these quick swaps when packing a child’s lunch:

BECAUSE GOOD ORAL and vision health starts at infancy, Delta Dental of Arizona’s individual and family plans encourage parents to get regular checkups for their kids with the Free Until Three™ feature. Simply put, there is no charge to cover dependents under the age of 3.

• Whole wheat bread instead of white bread • Multigrain crackers instead of potato chips • Apple slices instead of cookies • White milk or water instead of fruit juice • Mini carrots instead of candy bars • Low-fat yogurt instead of chocolate pudding • No-sugar-added jelly instead of regular jelly • Grapes instead of raisins • Fresh fruit instead of pre-packaged fruit cups • Hummus instead of store-bought ranch dip

Learn more at smilepoweraz.com

Find more tips at deltadentalazblog.com

Did You Know?

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Dec • Jan • Feb WINTER 2023

DENTAL & VISION HEALTH: Braces

Frequently Asked Questions About Braces

MARIIA VITKOVSKA

By Dr. Heather Schneider

MANY PARENTS will at some time in their lives need to consider braces for their child or children, which always comes with a myriad of questions about the treatment. Here are answers to some of the most frequently asked questions orthodontists get from parents about braces.

Q: What causes crooked teeth? A: There are a few factors that can cause crooked teeth. A misaligned jaw can cause the mouth to close incorrectly. Malocclusion is a genetic condition that causes teeth to become crowded, crooked or protruding. Additionally, habits like sucking one’s thumb can cause crowded teeth. An improper bite can interfere with chewing and speaking, cause abnormal wear to tooth enamel, and lead to problems with the jaw.

Q: When should I take my child to get braces? A: It is recommended that children be screened by an orthodontist either at the first sign of an orthodontic problem or by age 7 to catch any issues before they become bigger ones. At 7, a child’s face and mouth are still growing, making the teeth and jaw easier to adjust. The best age for braces is specific to the individual, so talk to the child’s orthodontist about the best plan of action. Early treatment is key and a referral to an orthodontist is not required.

Q: Why would my child need braces? A: Sometimes crooked teeth or a misaligned jaw are genetic, while other times they develop from habits or accidents. Braces correct the appearance of teeth, but also improve chewing and speaking abilities when teeth create other problems. Early treatment helps achieve facial balance by ensuring healthy growth patterns of the facial and jaw bones as well as adequate spacing for incoming adult teeth.

thin arch wires that require fewer adjustments and less discomfort than ever before.

Q: How can parents or caregivers reduce a child’s fear or anxiety about braces? A: Despite advances, often youth still are afraid

to correct than straightening crooked teeth. The child’s orthodontist will be able to give an accurate time frame. Most people, on average, need to wear braces for one to three years.

when it comes to braces. Have a conversation with the orthodontist together as there are often treatments that can be adapted based on the child’s level of discomfort or fear. Also, encourage strength in numbers by suggesting the child bring a friend or loved one – maybe grandma or grandpa – to join them at the appointment. Music is also helpful. Encourage them to bring in earbuds and music they like so they can tune out some of the dental noises happening around them.

Q: How have braces evolved? A: In years past, orthodontics involved more

Q: How much do braces cost? A: The cost of straightening a child or teen’s teeth

bands and just the process of fitting and pushing the bands in between teeth to get them on was uncomfortable. Not to mention, oversized brackets, which are glued to the front of the teeth. Traditional metal brackets are much smaller these days and there are now cosmetic options – including ceramic brackets, braces that can be applied to the back of the teeth, and clear aligners. Thanks to NASA, new metals that are heat activated were discovered and are used as

depends on the method chosen and length of the treatment and aftercare plan. On average, metal or ceramic braces range from $3,000 to $8,000.

Q: How long will my child have braces? How long do braces last? A: Over and under-bites generally take longer

Dr. Heather Schneider is the dental director at Delta Dental of Arizona and has more than 20 years of experience in dental administration, dental education and clinical dentistry.

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DENTAL & VISION HEALTH: Flossing

ISTOCK

February is NATIONAL CHILDREN'S DENTAL HEALTH MONTH at Children's Museum of Phoenix

How to Make

FLOSSING FUN for Kids By Tiffany Di Giacinto

WHILE THEY MAY seem insignificant, baby teeth are vital to the development of a child’s mouth. Flossing should start when the child has two teeth that touch to remove plaque and food debris. Here are a few methods that both teach kids to floss and encourage them to make it a lifelong habit. Floss Family Style A family that flosses together smiles brighter together! Kids love to mimic what their grown-ups are doing, so lead by example and floss with the kids. This is perfect for extra bonding time and allows you to notice any issues children might have with flossing too hard or missing the molars. Create a Reward System Telling a child that they will have a healthy smile if they floss every day may not be convincing enough. Kids love having a fun reward to look forward to at the end of a task. Make a reward chart for brushing and flossing, offering a sticker after each flossing session. At the end of the week, give a reward.

Then set higher reward goals for flossing for the entire month, and so on. Sing a Song Music can help make a child’s oral care routine more fun. Make up a melody unique to flossing. Here is one that goes to the tune of “Row, Row, Row Your Boat:” Floss, floss, floss your teeth, Do it every day, Gently floss between the teeth, Pluck the plaque away. This can be done with virtually any children’s song. Try changing the words to fit their favorite song or challenge them to create a song from their imagination. Tiffany Di Giacinto is the senior director of brand and product at Delta Dental of Arizona and mother of four school-age kids — all of whom have learned to floss like a boss.

THE CHILDREN’S MUSEUM OF PHOENIX and Delta Dental of Arizona Foundation (DDAZF) have partnered to bring oral health programming to the Museum for the month of February – National Children’s Dental Health Month. For 16 consecutive years the Museum and DDAZF have joined forces to provide oral health education programs to Museum visitors. The Museum will host interactive activities, shows and educational information all related to the mouth, teeth and oral health all month long. FREE "Smile Bags" will be given away daily 9 a.m. to 4 p.m. all month long to all visitors including field trip visitors. "Smile Bags" contain toothbrushes, toothpaste, floss and fun facts about dental health. For a schedule of activities at the Children’s Museum of Phoenix throughout the month of February, please visit childrensmuseumofphoenix.org

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Dec • Jan • Feb WINTER 2023

PREGNANCY: Products

Lily & Llama:

Providing pre-packed maternity hospital bags for expecting moms By Michelle Conarty

PHOENIX MOM, Michelle Conarty and her husband were overjoyed with excitement when welcoming their first boy, Aiden (5), in 2018, followed by their second boy, Austin (3), in 2019. Although both pregnancies were exciting, Michelle recalls experiencing confusion and stress that came with preparing for a baby. “Like many new moms, I had to educate myself on how to prepare for birth, including what to pack in my hospital bag,” she said. “The hospital checklists I found online were inconsistent and the entire process was overwhelming.” With her first baby, Michelle said she ended up packing many items she didn’t need, and forgot items that would have been helpful. While feeling more prepared with her second baby, she still found packing her bag for the hospital to be a lot of work. “I thought to myself, ‘Packing a hospital birth bag shouldn’t have to be so hard, confusing or time consuming,’” she said. “I

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recognized there was an opportunity in the market to help new and veteran moms to worry about one less thing during pregnancy.” In April, 2021, Michelle launched Lily and Llama, curating pre-packed hospital bags for expecting moms, and says the response has been incredible. “The main mission of L+L is to help expecting parents worry about one less thing during pregnancy, while feeling confident about bringing the right items to the hospital.” Why it’s important to have a prepared hospital bag Expecting parents have a lot to prepare for, between the nursery, strollers, car seats, hospital bags and everything in between. The items inside Lily and Llama’s pre-packed hospital bags come in a large weekender tote bag, and are delivered directly to customers’ doors, saving moms money and hours of time. “Our products are not only must-haves

for the hospital, but the neutral colors, and high-quality items are essentials for new moms and babies to use for many months and years beyond birth,” said Michelle. Who could benefit from Lily and Llama’s pre-packed bundles? While new moms have expressed how much Lily and Llama’s products have helped them, Michelle said they also benefit veteran moms who simply want to worry about one less thing during pregnancy. “We have a lot of returning customers who gift our Lily and Llama to other expecting mamas, as it makes the perfect baby shower or holiday gift,” she said. Lily and Llama offers different bundle options to fit varying budgets, and moms will find inclusive sizing options ranging from small to 3X. For more information or to order a prepacked bag, visit lilyandllama.com RAISINGTUCSONKIDS.com

PREGNANCY: Health

Screening for Gestational Diabetes

A glucose test that’s healthy for you & your baby By Monique Seleen AROUND 24 to 28 weeks during your pregnancy, you’ll have to get the dreaded glucose test. If you haven’t experienced it for yourself, you’ve probably heard horror stories about it from other moms. But, it doesn’t have to be that way! In fact, during my pregnancy, I was lucky enough that my midwife’s office offered a healthy, effective, and safe –not to mention better tasting— alternative to that disgusting drink I have heard other moms complain about. It’s called The Fresh Test, and it’s made with just three simple and organic ingredients. It’s NonGMO, additive and preservative free, and honestly it tasted like a refreshing lemonade (this is coming from someone who is not a sugary drink consumer at all!). The Fresh Test is FDA Registered as an equivalent glucose load test beverage, and adheres to extensive testing and quality control to meet the American Diabetes Association’s standards. Currently there are six providers in Arizona that offer The Fresh Test including: • Emergence Midwifery + Wellness in Gilbert • Agape Blooming in Tempe • Conscious Choices Birth Center in Snowflake • Glow Midwifery in Gilbert • Karin Braun Balance in Gilbert • Tree of Life Midwifery in Phoenix Mallorie Resendez Bassetti, Certified Nurse Midwife and owner of Glow Midwifery, is one of the providers offering The Fresh Test (and the midwife who cared for me during my pregnancy). Here is what she had to say about this glucose-screening option: “The midpregnancy diabetes screening RAISINGTUCSONKIDS.com

has a reputation for being one of the more unpleasant parts of pregnancy. And there is a good reason my patients groan when I bring it up - the sugar drink often causes nausea, vomiting, and dizziness. But because it is so important, pregnant women across the country suffer through the side effects so they can get vital information about their health. Fortunately, a new version of this sugar drink has been developed that prioritizes a pleasant experience and clean ingredients. The Fresh Test is an FDA-approved glucose drink for gestational diabetes screening tests. The ingredients are simple - just sugar, lemon, and mint - and my patients swear that it tastes good! Whereas alternatives to the old drink involved things like pancakes or jellybeans, The Fresh Test has the exact right amount of the exact right kind of sugar, which keeps the test valid and accurate. Once moms know about it, the choice becomes really easy for them. The Fresh Test comes in 1, 2, and 3 hour versions so you’re covered no matter which diabetes test you have to do. The only thing I don’t like about it is that it wasn’t around for my own pregnancies!” Even if your current provider doesn’t offer The Fresh Test, you can still purchase it and request that they use it instead of the traditional drink. Of course, you’ll want to talk to your provider ahead of time about this. For more information or to purchase the beverage, visit thefreshtest.com Dec • Jan • Feb WINTER 2023

PREGNANCY: Health

All About C-SECTIONS By Monique Seleen

Answers by Dr. Meghan MacClearn, OBGYN

APPROXIMATELY 32 percent of all live births in the United States will end up as a Cesarean birth, otherwise known as a C-section. Whether you are planning for this type of delivery or not, it can be helpful to understand what the process for a C-section is like, circumstances that would require one, recovery tips, and more. We asked Dr. Meghan MacClearn, Obstetrics and Gynecology Physician at Banner Medical Center some important questions all about C-sections: What are some situations where a mother may need an emergency C-section? A C-section would be performed in an emergency if there are signs of distress in the baby or mother during the labor process. What are some reasons a doctor may recommend a mother have an elected C-section? • The baby is not facing the right direction for safe delivery (breech) • The placenta is covering the cervix completely or partially which would jeopardize baby and mother during delivery • There is significant concern for the baby being oversized • Medical concerns which would impact the baby or the mother's health if underwent labor

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Can you explain what the process is like before, during, and after a C-section is performed? If the C-section is scheduled, then the mother will be prepped like any surgery. She will be asked to have nothing to eat or drink for 8 hours prior to the procedure. In the OR, mom will undergo either a spinal or epidural anesthesia to ensure adequate pain control. Drapes are placed and the anesthesia is tested to ensure adequate pain control. The patient’s partner is then welcomed into the delivery room and surgery is then started. The mother can feel pressure and touch during the surgery but should not feel any pain or sharp sensations. The baby is then delivered and taken over to the warmer in the delivery room. The surgery is finished, dressing placed and then the mother is taken to a recovery room. All in all, it can take 20 minutes up to an hour or more depending on any complications. What are the risks involved with a C-section? There is a risk of bleeding and needing a blood transfusion (also a risk with a vaginal delivery), infection, damage to any surrounding structures in abdomen (bowel, bladder, nerves, arteries, veins, ureters), need for additional procedures, possible hysterectomy (also risk with vaginal delivery),

possible death (also risk of vaginal delivery). What are the benefits of having a C-section when deemed medically necessary? It provides a safe route for delivery of the baby when a vaginal delivery is not safe or feasible due to the circumstances. How long does it typically take to recover from a C-section? What are some tips you’d recommend to help someone recovering from a C-section? A mother who had a C-section is often in the hospital for 2-4 days. They should limit how much they can lift (less then 10-15 pounds) for the first 6 weeks to allow for healing of the different layers. They will be sore for the first 1-2 weeks and slowly start gaining energy. No driving for usually 1-2 weeks. Dr. Meghan MacCleary, DO is an Obstetrics & Gynecology specialist at Banner Medical Center in Glendale, AZ. She graduated from Arizona College of Osteopathic Medicine / Midwestern University in 2014 and did her residency in Obstetrics and Gynecology at Medstar Washington Hospital Center in 2018. She believes an open and honest communication is key with her patients to provide the best and complete care and ensure that they understand the treatment plan. She enjoys spending time with her husband and son, traveling, and exploring new places.

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PREGNANCY: Finance

BUDGETING FOR BABY:

Financial Tips for Expecting Parents By Rachel Galvez

THERE’S A LOT to consider as you prepare to expand your family, but one of the most important considerations is budgeting for your baby’s arrival. Regardless of your financial situation, there are ways to create a plan that fits your family’s needs and budget.

The average cost of raising a child in the first year can be quite high. This is why it’s so important to start saving for baby expenses as soon as you find out you’re expecting. To keep those funds safe and secure, consider opening a basic savings account or money market account at a local credit union. Your funds will be easy to access with online and mobile banking tools, plus you’ll have the peace of mind of knowing you can stop by a local branch if you have questions.

New baby expenses Let’s break down some of the typical expenses that come with a new baby: • Diapers: Babies go through about 3,000 diapers in their first year! To prepare for this expense, add a monthly restock to your budget, register for diapers for your baby shower, or buy in bulk to help make that cost more manageable. Also consider cloth diapers, which are an initial expense, but can save you money and create less of an impact on the environment. • Feeding: However you choose to feed your baby there are some essential items you’ll need to have. Most insurance companies cover the cost of a breast pump, so check with your provider and research the models they cover to find the right one for you. Also keep in mind the cost of formula, bottles, and cleaning accessories. RAISINGTUCSONKIDS.com

ISTOCK

When to start saving – now!

These items make great registry additions! • Baby Gear: Consider talking to friends and family to learn their top newborn and toddler must-haves. It might surprise you that many of the baby items on popular websites aren’t really so crucial after all (looking at you, wipe warmer). • Enrichment Basics: Babies don’t necessarily require large amounts of toys. As your child grows, invest in toys that help them develop their motor skills, learn about the world around them, and expend energy. There are ways to save money on these items too.

How to save money There are plenty of ways to save money on all the essential baby items. Here are some strategies: • Hand-Me-Downs: One of the most affordable options is to get hand-me-downs from family, friends, or online groups. • Secondhand Shopping: If you are on a budget, consider buying secondhand

items. You can find great deals on gently used items at stores like Kid-to-Kid or at Rhea Lana resale events. You can also search for offers in your area on websites like OfferUp or through online parenting groups. Be sure to inspect all secondhand items for damage and research any product recalls. Amid the whirlwind that comes with expecting a new addition to your family, remember that your journey can be both joyful and financially responsible. By starting your savings early, carefully considering your baby’s needs, and making smart choices when it comes to baby essentials, you can embark on this exciting chapter with financial confidence. Rachel Galvez is the Marketing Partnerships Manager at Arizona Financial Credit Union. As a mother of two, Rachel is committed to empowering families with the information they need to make smart financial decisions now and set their children on the path to financial success in the future. Dec • Jan • Feb WINTER 2023

POSTPARTUM: Breastfeeding

Breastfeeding, Pumping, & Weaning

Everything you need to know to help you have a smooth feeding journey Did you know there are laws to By Jaclyn Waggoner

protect you in your breastfeeding and pumping journey?

CONGRATULATIONS! Your baby is here and you would like to start pumping! Here are some tips and things to know ahead of time to get your pumping journey off to a great start:

BREAST MILK INTAKE: On average, babies take in 24-30 ounces of breast milk in a 24-hour period. An important thing to remember is that you only need 1-1.5 ounces of breast milk for every hour you are apart. An 8-hour workday should only need 8-12 ounces of milk! Save or freeze milk in 2-4 ounce increments to help prevent waste. PUMPING TIPS: Prep your body by doing some gentle lymphatic massage and compressions before you pump to wake up your hormones. • Put on some relaxing music or watch old videos or photos of your baby • Continue with some gentle massage or compressions as you are pumping to help maximize milk output • Pump 2-5 minutes past the last drops of milk

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• Legally you can breastfeed or pump in any public place. • Breastfeeding employees are entitled to reasonable break times and a clean, private space (that is not a bathroom) to pump in.

TRAVEL SOULS

WHEN TO PUMP: Exclusively Pumping. If you are exclusively pumping, it is important to establish a good milk supply, so pumping round the clock every two to three hours is vital! Science tells us that frequently emptying the breasts, along with frequent skin-to-skin contact with your new baby, are the keys to a great supply. Breastfeeding and Returning to Work. If you are exclusively breastfeeding but want to start pumping to prepare to go back to work, the best time to pump is in the early morning hours when your milk-making hormones are highest. Pump once a day for a few weeks before you return to work. Paced Bottle Feeding is another important factor in balancing the breastfeeding and working relationship! Making sure your care provider is practicing Paced Bottle Feeding can be so important in protecting the breastfeeding relationship.

Breastfeeding and Pumping Laws:

• Change your pump parts regularly to optimize pumping WEANING: Weaning is a very personal decision. The American Academy of Pediatrics recommends providing breast milk for the first two years of baby’s life. However, breastfeeding is a relationship between you and your baby, and only you two will know when it is time to stop. If feeding is going well and you are both enjoying it, then there is no reason to stop. Many moms find after a year they no longer want to or need to pump at work. So how do you wean from pumping? • Gradually weaning is the key to prevent mastitis and clogs. • Cut back on your pumping times a little at a time. Instead of a 20-minute pump, cut back to 15 minutes for a week, etc. • Or you can cut out one pumping session, see how your body responds, and then slowly remove the rest. • Gradually your body will adjust and get

used to not needing to make milk during those times. • If you’d like, you can continue to either breastfeed baby when you are together, or pump at home to continue the relationship longer without pumping at work. Taking a prenatal breastfeeding class while pregnant can be really helpful in what to expect, what milk production looks like, and coming up with a good plan for pumping and going back to work! Moonlight Milkies LLC offers virtual classes to meet all of those needs, as well as flange fittings and help with common breastfeeding concerns after the baby has arrived via in-home visits or virtual consults. Visit moonlightmilkies.com for more information. Jaclyn Waggoner is a Certified Lactation Counselor and the owner of Moonlight Milkies LLC. Waggoner uses her own 11 years of breastfeeding experience and education to help support families to reach their feeding goals. RAISINGTUCSONKIDS.com

POSTPARTUM: Breast Milk

Freeze-Dried Breast Milk Discover the freedom and flexibility of formula utilizing your own breast milk By Liz Adams MILK BY MOM is on a mission to modernize how we feed breastfed babies by providing customers with the convenience and flexibility of formula with all the goodness of breast milk. Milk by Mom is a Phoenix-based breast milk freeze-drying company that also offers services nationwide, including Puerto Rico and Hawaii. When Milk by Mom’s founder, Tirza Jova was getting ready for her first cross-country adventure from Arizona to her family’s home in Rhode Island with her firstborn who was about ten months old, the thought of traveling with her breast milk was daunting. “I was excited for my daughter’s first in-person meeting with my family,” shares Tirza. “But the challenges of traveling with a new baby weighed on me at the same time.” She learned about freeze-drying after researching options for traveling with a breastfeeding baby. She spent hundreds of hours researching baby products and baby development while pregnant, yet had never come across freeze-drying her breast milk as an option for travel. Finally, she discovered a great alternative to breast milk storage and transportation, and was amazed by its convenience and superior nutrition benefits compared to formula and traditional freezing. Freeze-drying her breast milk took a huge stressor off Tirza’s travel and became a lifesaver many times after that trip. Fast forward a year or so, and Tirza was still working in corporate America and juggling the challenges of being a full-time working and breastfeeding mom with two daughters under the age of two. Freeze-drying her breast milk was a huge factor in making it all work. Her experience was such a game changer that she decided to create a company to make this service more widely available to other mamas and caregivers across the United States. Tirza founded Milk by Mom to empower breastfeeding mothers. She’s a mom of RAISINGTUCSONKIDS.com

two with a full-time job who started a new business while breastfeeding, so she knows the decisions and sacrifices breastfeeding moms face because she’s navigated them daily. “I want to help by expanding this service to the mom community and share my knowledge and experience with a great alternative when it comes to milk storage and transportation,” she explains. “Moms shouldn’t have to stumble on it after weeks of research; they should know it as a common option.” As the first Milk by Mom customer, Tirza enjoyed firsthand the benefits and

convenience of freeze-dried breast milk. She hopes that by making this service more widely available, Milk by Mom can help educate and empower parents in our local community and nationwide to provide their little ones with the goodness of breast milk by modernizing how we feed breastfed babies. For more information, or to learn how to have your milk freeze-dried, visit milkbymom.com Liz Adams is the Communications Director for Milk by Mom.

Dec • Jan • Feb WINTER 2023

POSTPARTUM: Formula Monique Seleen of Mesa with her newborn son, Carter in March 2022.

important steps to help me naturally signal to my body that the milk was not needed. This included: • Wearing a tight fitting sports bra for a few weeks after delivery • Placing cold compresses and frozen cabbage leaves on my breasts every few hours • Not exposing my breasts to direct water contact for a few days (In the shower, I’d keep my back toward the water, wore a bathing suit top, and nipple guards) • No direct stimulation to my breasts or nipples (if I saw any milk naturally being expressed, I was advised just to leave it be) It was a bit painful for the first 10 days or so, but after that, things eased up and went right back to normal.

The Benefits

Choosing to

FORMULA FEED from the Start By Monique Seleen

I ENTERED THE hospital with decisive orders on my birth plan that said: “Bottle feeding only. No breastfeeding.” I chose this not for any medical reason, not because of low milk supply, or because I couldn’t get my son to latch correctly. I chose it because it’s what made the most sense for me. I share my story because it is not one I have heard many women talk about. And as time has passed, the more I’ve opened up about my decision to formula feed from the start, the more questions I’ve received from friends, family, other moms, and moms-to-be. I’m not here to convince you one way or the other, but if you’re curious, or maybe even considering it for yourself, here’s a little glimpse into my experience.

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Making the Choice About halfway through my pregnancy, I made up my mind that I was going to formula feed and that was that. I told my husband, my midwife, and wrote it on my birth plan and never looked back. My midwife—who is extremely patientfocused in her practice—honored and respected my decision with no pushback, and so did my labor and delivery nurses. I think a lot of this had to do with the fact that I was confident in my choice and wasn’t looking for anyone’s opinion or reassurance.

Drying Up Your Milk Supply Just because I chose not to breastfeed didn’t mean my body automatically knew what to do. My midwife walked me through some

I feel like we’ve all heard the benefits of breastfeeding, but here are some not-so-talkedabout benefits of formula feeding: • It promotes bonding with ALL caretakers. My husband did all the night feedings for the first three weeks so I could sleep and recover, which allowed him some great father-son bonding time. Any time my mom was available to help out, she was able to feed and bond with him, too. • It takes pressure off the mom. After delivery, I felt like the weight was lifted; it was no longer my sole responsibility to keep our son alive. The first night home from the hospital, my mom volunteered to stay the night to help us get some much needed rest. My husband and I got a blissful 8 hours of sleep, and I didn’t have to be woken up at all. I could also freely go out to appointments (hello postnatal massage!), meet a friend for lunch, or run some errands without worrying about getting back in time for the next feeding. • You always know exactly how much they’re eating. Because we were measuring out the formula and pouring it into a bottle, we could accurately track how many ounces our son was eating in a day. This helped us know that he was getting the calories his body needed, and in return, he met (and exceeded) all his growth charts, and slept great too! Overall, I had an extremely positive experience exclusively formula feeding my son. It’s one of the best decisions I made, and I will do it all over again if we have another. RAISINGTUCSONKIDS.com

POSTPARTUM: Self-Care

At-Home SELF-CARE for Moms

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By Nancy Rimbergas

WE SEE YOU, busy Mom! When was the last time you gave yourself the gift of time for wellness? Sometimes the thought of taking a timeout feels laughable, but maintaining your good vibes is an essential component of stress relief and wellness. Permission to Relax First things first, give yourself the green light to luxuriate! I want to take you through an at-home self-care routine, featuring Earth Based Body skincare products, locally made in Tucson using desert-inspired hydrating ingredients. Take it from the Top Begin with a blissful bath or steamy shower. Treat your hair to a natural oil soak—coconut or olive oil works wonders. Remember that you only need the oil at the ends of your hair. Activate it with a bit of warmth, wrap it up in a shower cap, and let the moisture magic happen. Post-shower, slather your skin with a naturally hydrating body cream. Pay special attention to any areas that are holding tension and indulge in a mini massage. Earth Based Body’s creams like Cactus Crush or Serene Marine, infused with hydrating hyaluronic acid, are fantastic for a moisture boost as they build resilience. For a hydrating deep dive, try Boho Coco with smoothing coconut oil, shea butter, and vitamin E. RAISINGTUCSONKIDS.com

Selfcare in Your Hands Did you end up with some extra natural oil on your hands? Great! Use it to massage into your nails and surrounding areas. If you need extra targeted hydration on dry hands, consider The Succulent Stick universal body balm as a cuticle oil alternative. Every Mom loves a multi-tasker, right? The Succulent Stick can also help with dry patches of all kinds and can be your secret weapon to: • Treat cracked heels. • Tame fly-aways. • Calm skin post-wax. • Soothe chafe. Hands That Glow Treat your hands like royalty with Rose Glow luxe hand cream. Packed with botanical hyaluronic acid to maintain moisture, rose water to soften, and organic aloe juice to hydrate, it’s a spa day in a tube. The luminous mineral veil minimizes imperfections. It absorbs quickly without the greasy feel. Want that luxe cream to work its magic even deeper? Wrap your hands in plastic or a warm towel for 10 minutes. Use this time for yoga breaths, meditation, or a gratitude list. Remember, this hand care ritual is just a slice of your self-care pie. Be generous with it and let it sink in while you enjoy the glow.

Prime, Polish, and Protect With all the dry air, cold weather, and hectic schedules this time of year, we all need a go-to balm that keeps things moving anywhere you are. Multi-use Lippies are great for hydrating lips, cheeks, or both. Choose from two different tinted balms or a classic peppermint balm called Get Fresh that melts right in. Self-Care and De-Stress Making time for yourself may feel indulgent or selfish, but that is far from the truth. Even small acts of self-care or selfkindness can go a long way in decreasing the feelings of exhaustion, burnout, stress and even depression that busy mothers often feel. When you add in a self-care ritual to your routine, no matter how much time you have, you’ll have more love to share with your family and friends. Take a moment, Mom, because you absolutely deserve it! For more information Earth Based Body or to purchase any of the products mentioned, visit earthbasedbody.com Nancy Rimbergas is the Founder of Earth Based Body, a succulent skincare brand made in Tucson to provide dry skin solutions to the desert-dweller in all of us. She has channeled her passion for art, Arizona, and natural skincare into a brand that celebrates desert ingredients known to be the most hydrating on Earth. Dec • Jan • Feb WINTER 2023

MONKEY BUSINESS IMAGES

POSTPARTUM: Visitors

How to Set VISITOR BOUNDARIES When You Have a New Baby By Alex Barr

WHEN FAMILIES FIRST get pregnant, the focus is often on doctor’s appointments, baby registries, and dealing with the common pregnancy discomforts. One important thing that many families forget to discuss is Visitor Boundaries.

Why are boundaries important? When someone comes to visit after you have your baby, setting boundaries can set you up for success to make sure you have the support and time you need to heal and bond with your baby. Many people want to help and provide support during that postpartum time, but often don’t know exactly how to do so. Setting boundaries is the best way to share that!

When should you talk about boundaries? The best time to talk about boundaries with your family and friends is now! It’s never too early to discuss how you want to be supported in the postpartum time. This can start by talking with your partner about a few things: • How do we want to be supported? • How can we communicate that to our support team? • What are some things a visitor could help with? • How long do we want visitors to stay?

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• When do we want people to start visiting? (i.e. while giving birth, 2 weeks postpartum, 6 weeks, etc.) • What will we do and say if our boundaries aren’t being respected?

What are some things visitors can help with? • Household tasks: Tidying, dishes, caring for animals, etc. • Nourishment: Bringing food of any kind, bringing by a cup of coffee, grocery shopping or pickups • Emotional support: Allowing space for processing pregnancy and birth, bringing laughter into the home, etc.

When should people start coming to visit? This is entirely up to you, and it will look different for every family! Take some time to think about who will be visiting postpartum and when you would like them to come see you. Reach out to them and share: • That you consider them a part of your support team and you’re excited for them to support you and your growing family! • When you would like them to visit. • What some of your expectations are. • What they can help with when they come. Clear and direct communication is often

best in these situations. By having these conversations early, it allows for people to adjust to the idea of supporting you. This also helps by making sure you will have visitors spaced out. Many times a newly postpartum family will be overwhelmed by the number of visitors in the first few weeks and then lack support in the weeks that follow. Having a new baby is exciting, and your friends and family likely want to be a part of that celebration with you. Just remember, you are the new parents, and it’s okay to set some boundaries. If you’re looking for more ways to advocate for yourself, your body, and your baby as you prepare for birth, check out the fun and positive classes from Dare to Birth, which will help you learn the skills and knowledge you need to feel BRAVE, INFORMED, and PRESENT through pregnancy, childbirth, and the fourth trimester. Visit daretobirth.com to learn more. Alex Barr is the creator of Dare to Birth, a Phoenixbased birth advocate, certified full-spectrum doula, child birth educator, and a queer, plus-size/fat activist. Alex’s mission is to disrupt the negative narrative around birth and empower pregnant people to trust their intuition and advocate for a more positive and informed birth experience. RAISINGTUCSONKIDS.com

POSTARTUM: Health

PELVIC FLOOR PHYSICAL THERAPY How Does It Work? And Do You Need It? By Dr. Kathryn Fife, PT, DPT, WCS THE PELVIC FLOOR is an important group of muscles. They create a hammock stabilizing your pelvis, and are responsible for your continence, pelvic support, contract for orgasm and lubrication during sex, and play a major role in pressure management. When your pelvic muscles are functioning well, you should be able to: • Empty your bladder and bowel completely without straining • Have no leakage of gas, urine or poop • Experience pleasurable, pain-free sex • Experience a pain-free core, low back, and pelvis When these muscles are dysfunctional we see: • Pain • Leakage • Constipation and incomplete emptying • Prolapse Pelvic Floor Physical Therapy: Pelvic floor therapists are a specialized section of physical therapy dedicated to treating all dysfunctions related to the pelvic floor muscles. Who is pelvic floor therapy for? Pelvic floor physical therapy typically treats patients ages four and up, as well as all genders. It is recommended for patients with bowel, bladder, sexual or pain dysfunctions in their pelvis (this includes low back pain). During pregnancy, physical activity and strengthening is important to reduce the risk of complications and decrease pain related to hypermobility. If you do not feel confident in the type of exercises you should be doing, I recommend seeing a therapist. If you are having pain that limits you, it’s also recommended to see a physical therapist. All postpartum patients should seek consultation with pelvic floor physical therapy to address physical recovery. During delivery and throughout pregnancy your body changes a lot and requires rehab to get back to proper functioning. RAISINGTUCSONKIDS.com

How to see a physical therapist dedicated to the pelvic floor? Pelvic floor therapists are specialists. In Tucson, there are insurance-run providers (with over 4 week wait times), and there are out of network or self-pay providers (with about a 1 to 3 week wait time). Physical therapy continues to become more and more accessible depending on your insurance or desire to pay out of pocket, and you can even be treated in the comfort of your own home if you desire. What to expect during your first visit? During your first visit you will be asked questions about your bladder control and frequency, as well as your bowel control and frequency. You’ll also be asked a series of questions regarding returning to intimacy, pain, scars, tears, strength and much more. Your posture will be assessed as well as screening for several dysfunctions. If you have concerns or questions, this is a great time to bring them up to your specialist. What about internal examinations? Yes… internal examinations do occur if appropriate. Your vaginal canal is lined with pelvic floor muscles and your therapist will want to evaluate this following consent and clearance from your physician or midwife. We are evaluating muscle function, tone, strength, and assessing for decreased support or causes or pain. Please do not delay treatment because you

are uncomfortable with an internal exam; there is plenty to work on, and internal exams are not always necessary for full recovery. Pelvic Floor Screening: All postpartum pelvic floor physical therapy examinations should screen for: • Prolapse • Pelvic floor strength and tone • Perineal scar mobility • C-section scar mobility • Diastasis Recti (abdominal separation) • Lumbopelvic strength and posture • Pain with sex Pelvic floor therapists are trained to screen and start treatment for all the conditions above. If you’re worried about pelvic floor therapy being embarrassing or painful, remember that therapy is meant to relieve your discomfort, never to make it worse. Dr. Kathryn Fife is the founder of Sunstone Physical Therapy in Tucson, AZ. She obtained a Doctorate of Physical Therapy from the University of Minnesota and has completed a residency in Women’s/Pelvic Health, in addition to the Women’s Health Clinical Specialist Board Certification (WCS). As a Pelvic Health Specialist, Dr. Fife takes a holistic approach to ensure that all her patients receive well-rounded treatments that address their specific needs and deficits. She takes a special interest in guiding women through their postpartum recovery.

Dec • Jan • Feb WINTER 2023

POSTPARTUM: Support

Holding the Mother, Not Just the Baby: Navigating the Early Postpartum Period

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By Rosalind Prather

WHEN A BABY is born, it’s common for everyone to focus their attention on the adorable bundle of joy. While celebrating the newest family member is wonderful, it’s equally vital to pay attention to the mother’s needs.

Understanding the Overwhelming Early Postpartum Days: The early postpartum days can be a whirlwind of emotions and exhaustion for new mothers. While they are overjoyed with the arrival of their baby, they are also grappling with multiple challenges including: • sleep deprivation • hormonal fluctuations • physical recovery from childbirth • the major learning curve of caring for a newborn • social isolation, which can lead to loneliness and sadness • unrealistic expectations (often imposed by society) to become perfect caregivers overnight This is when the support of friends and family becomes invaluable. “Holding the mother” means recognizing and validating her struggles, and providing her with the emotional, physical, and practical support she needs during this period.

Ways to Support a New Mom: Supporting a new mom doesn’t require grand gestures. Sometimes, it’s the small acts of kindness that make the most significant

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impact. Here are a few easy ways to support a new mom during the early postpartum days: • Offer to help with household chores, such as cleaning, cooking, and grocery shopping. These tasks can feel overwhelming for a new mom. • Provide emotional support by listening and offering a shoulder to lean on. Let her express her feelings without judgment or advice, unless she asks for it. • Encourage her to rest and take breaks when needed. Offer to watch the baby while she takes a nap or enjoys a quiet moment. • Prepare nourishing meals or organize a meal train with friends and family to ensure she has nutritious food readily available. • Run errands or accompany her to doctor’s appointments, as driving and managing daily tasks can be challenging in the early postpartum period.

Tips for Moms Who Struggle to Ask for Help: Many new moms find it challenging to ask for help, even when they desperately need it. Here are some tips if you struggle to seek assistance: • Acknowledge Your Needs: Recognize that asking for help is a sign of strength, not weakness. Your well-being matters, and reaching out is essential for your physical and emotional health. • Communicate Your Feelings: Openly express your thoughts and feelings to your partner, friends, and family. Let them know

what you need and how they can support you effectively. • Delegate Tasks: Understand that it’s okay to delegate responsibilities to others. You don’t have to do everything yourself. Enlist the help of those around you. • Create a Support Network: Surround yourself with a support network of friends, family, or support groups. Share your experiences and concerns with others who can relate. • Self-Care: Prioritize self-care by setting aside time for activities that bring you joy and relaxation. Taking care of yourself allows you to better care for your baby. Birth is not the finish line, as it can so commonly be mistaken. It is the beginning point. We’ve all heard “When a baby is born, so is a mother. Winter is the perfect time to think of all of the warm, safe and loving support new mothers deserve during this transformative period. By recognizing the challenges they face, offering assistance, and providing an empathetic ear, we can help mothers navigate the early postpartum days with confidence, grace, and joy. Rosalind Prather is a third-generation small business owner and momtrepreneur in Tucson, AZ. She is the Cofounder of Trusting Connections Nanny Agency and Timeless Play. She is the proud mother of two girls. She is married to Bryan, her cowboy and true soulmate and considers family life and motherhood her greatest joy. trustingconnections.com RAISINGTUCSONKIDS.com

POSTPARTUM: Resources

Embrace the

JOY of BABYWEARING

with Tucson Babywearers’ Lending Library By Ellen Fisher BRINGING A NEW LIFE into the world is a magical journey, but it can also be overwhelming. As cooperative board members of Tucson Babywearers, we understand the challenges that parents face. That’s why we’re thrilled to introduce you to the wonderful world of baby wearing and our Lending Library, going strong since 2013! Why Baby Wearing Matters Baby wearing is more than just a convenient way to carry your little one; it’s a practice rooted in tradition and loaded with benefits. Here are just some of the many reasons why baby-wearing is beneficial: • Bonding: Holding your baby close promotes a strong emotional connection between parent and child. • Convenience: Keep your hands free while still providing comfort and security for your baby. • Comfort for Baby: Babies love the warmth and rhythm of the caregiver’s heartbeat, which is calming and soothing for them (and for caregivers!). • Promotes Development: Baby wearing can enhance a baby’s physical, cognitive, and language development. • Easy feeding: Parents who babywear recognize hunger cues earlier, and can also discreetly nurse or bottle feed the baby while on the go. About the Lending Library Our Lending Library is a treasure trove of baby carriers that you can borrow. It’s a fantastic way to explore different options without making a commitment. Here’s how it works: • Membership: Join Tucson Babywearers as a member for $30/year. • Browse and Borrow: Explore our collection of wraps, soft-structured carriers, ring slings, and more. • Borrowing Period: Enjoy a carrier for RAISINGTUCSONKIDS.com

four weeks and return the next month. • Expert Guidance: Our volunteers are here to guide you in choosing the perfect carrier for your needs. • Affordable: No need to invest in multiple carriers; borrow and discover what suits you best. • Location: We vary our meet up spot usually at a local public library meeting room! • Fit-checks (always FREE): Bring your carrier from home and we’ll help you get you and baby safe and comfy! Choosing the Right Carrier for You There are various types of carriers, each offering unique benefits. Here’s a brief overview of the different types out there: • Wraps: Ideal for newborns, wraps provide a snug, customizable fit. • Soft-Structured Carriers: These are user-friendly (usually with buckles) and comfortable for long periods of wear. • Ring Slings: Quick and easy to use,

perfect for shorter outings. • Meh Dais and Onbuhimos: Great for toddlers and those who prefer back carries. In the journey of parenthood, we seek to make things a little easier for you. Tucson Babywearers’ Lending Library allows you to explore the world of baby wearing, experience its incredible benefits, and discover the perfect carrier for your family. If you have any questions or would like to start exploring our Lending Library, please reach out to us at Tucsonbabywearers@ gmail.com or follow us on Instagram @ tucsonbabywearers. We’re here to support you on your parenting adventure! Happy Babywearing! Ellen Fisher is a dedicated cooperative board member of Tucson Babywearers, and balances her role in higher education with her commitment to promoting babywearing. Since 2016, she’s proudly worn her three young kids and continues to share her expertise to help caregivers safely embrace the benefits of babywearing. Dec • Jan • Feb WINTER 2023

POSTPARTUM: Support

What is a

NEWBORN CARE SPECIALIST and Why Do You Need One? By Amy Lacy

WELCOMING A NEWBORN into your family is an exciting and life-changing experience, but it can also be overwhelming and challenging, especially for first-time parents. During those initial weeks and months, sleepless nights, feeding schedules, diaper changes, and soothing a crying baby can take a toll on your physical and emotional wellbeing. This is where a Newborn Care Specialist (NCS) comes to the rescue, providing valuable support and expertise to help ease the transition into parenthood.

What is a Newborn Care Specialist? A Newborn Care Specialist, also known as a Night Nanny or Infant Care Specialist, is a trained professional specializing in newborn care. They are typically hired to provide support during the first few weeks or months after a baby is born. NCSs are well-versed in all aspects of newborn care, from feeding and sleep training to diapering, bathing, and general infant health. They have extensive knowledge in recognizing the unique needs of newborns and addressing them effectively.

Why Do You Need a Newborn Care Specialist? • Expertise and Guidance: One of the primary reasons to consider hiring an NCS is their expertise. They undergo

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specialized training and often have certifications in newborn care. Their knowledge can be invaluable, particularly for new parents who may not have prior experience with infants. • 24/7 Support: Newborns do not adhere to a schedule, and their needs can arise anytime. A Newborn Care Specialist can provide round-the-clock support, allowing parents to get the rest they need. This is crucial for the physical and mental wellbeing of both parents. • Sleep Deprivation Relief: Sleep deprivation is one of the most challenging aspects of caring for a newborn. An NCS can assist in creating a sleep schedule, implementing sleep training techniques, and ensuring the baby is comfortable and secure during the night. This can significantly reduce the strain of sleepless nights on new parents. • Feeding Expertise: NCSs are well-versed in various feeding methods, including breastfeeding and bottle-feeding. They can offer guidance on latching, feeding positions, and ensure the baby gets the proper nutrition they need for healthy development. • Assistance with Postpartum Recovery: New mothers often need time to recover physically after childbirth. An NCS can

provide support with postpartum care, allowing mothers to heal and regain their strength more effectively. • Developmental Milestones: NCSs are knowledgeable about infant developmental milestones. They can guide parents on activities that promote sensory and cognitive development, helping the baby reach important milestones. • Emotional Support: The early days of parenthood can be emotionally taxing. An NCS can provide emotional support and reassurance to parents, helping them navigate the challenges that come with caring for a newborn. A Newborn Care Specialist can be a valuable addition to your support network when welcoming a new baby. Their expertise, round-the-clock availability, and emotional support make them a wise investment for new parents. While hiring an NCS is an added expense, the peace of mind and reduced stress they provide are well worth it, allowing parents to cherish the precious moments with their newborn while also taking care of themselves. Amy Lacy is a Newborn Care Specialist and New Parent Educator with over 25 years working with infants and families. newbornnestingco.com

RAISINGTUCSONKIDS.com

Places to Meet Other Parents in TUCSON

By Monique Seleen PARENTHOOD CAN FEEL lonely when you’re alone with a baby all day. But when you can meet other moms and dads in the community, it can make the whole journey feel a little less isolating. Here are 5 places throughout the Tucson area where you can not only keep your little one entertained, but are likely to interact with other parents going through similar stages of life:

World. e h t e r o l p Ex r Dinner! o f e m o H Be

Pima County Libraries: Pima County Libraries host a variety of kid-friendly activities including storytimes, sensory play, bubble parties, puppet shows, crafts, and more! These activities are usually free to attend (some may require advanced registration) and are a great place to chat with other parents while your kids play.

The Children’s Museum of Tucson: With locations in both Oro Valley and Tucson, the Children’s Museum has a variety of exhibits, programs, and activities for kids up to 10 years old to play and imagine. Your children will enjoy the hands-on fun and learning, while you have the chance to strike up conversation with other parents.

Wild Katz Children’s Adventure Playground: Let your little ones burn off some energy as they climb to new heights at Bearkat Boulder, test their ninja warrior skills in the BeastBox and get lost in the giant Jaguar Jungle playground! Join in the fun with your kids, or sit and enjoy some adult-conversation in one of the many parent seating areas.

Quail’s Nest Parent-Child Classes at Tucson Waldorf School: These parent-child classes support your child’s development while letting you make lasting connections with other families. Quail’s Nest gives you and your little one a peaceful, home-like environment carefully arranged for creativity through crafts, stories, circle time, and indoor and outdoor playtime.

Chill in the Antarctic, swing in the jungle, or climb a redwood!

iStroll Marana & Oro Valley Fitness Classes: iStroll gives both moms and dads a full body workout while keeping your baby moving and happy in the stroller! It’s more than a workout class, it’s also a place to make lifelong friends and develop a strong support group. In addition to workouts, there are also a variety of events such as storytimes, crafts, moms’ night out, and more. RAISINGTUCSONKIDS.com

Tucson ReidParkZoo.org Dec • Jan • Feb WINTER 2023

POSTPARTUM: Mental Health

PERINATAL MOOD and ANXIETY DISORDERS (PMAD)

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By Teresa Wilson, MS, RN

YOUR BODY AND MIND go through many changes during and after pregnancy. Depression and anxiety are debilitating conditions that strike 1 in 7 women during pregnancy and the year following childbirth. It affects women across all cultural, ethnic, and socio-economic boundaries.

THESE DISORDERS INCLUDE: Depression • Baby Blues – Not a mild form of depression. Mothers feel sad, worried, or tired within a few days of giving birth. For many women, the baby blues go away in a few days. • If these feelings don’t go away or you feel sad, hopeless, or anxious for longer than 2 weeks, you may have Postpartum Depression (PPD).

Anxiety & Panic Disorders • Anxiety symptoms • Agitated, irritable • Inability to sit still • Excessive concern about baby’s or her own health

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• On high alert • Appetite changes • Rapid weight loss • Sleep disturbances • Difficulty falling/staying asleep • Constant worry • Racing thoughts • Shortness of breath • Heart palpitations

Obsessive-Compulsive Disorder (OCD). (Most under-reported & undertreated disorder of childbirth) Classic symptoms include: • Obsession with germs and cleanliness • Checking on baby, hypervigilance • Intrusive, repetitive thoughts, usually of harm coming to baby • Tremendous guilt & shame

Panic Disorder symptoms • Episodes of extreme anxiety • Shortness of breath • Chest pain • Sensations of choking or smothering, dizziness

• Excessive worry or fear • Restlessness, agitation • Irritability • Hot or cold flashes • Trembling • Rapid heart rate • Numbness or tingling sensations

Post Traumatic Stress Disorder (PTSD) • Reliving past traumatic events • Flashbacks & flooding • Distressing memories, thoughts, feelings, or external reminders of the event(s) • Spontaneous memories of the traumatic event(s) • Recurrent dreams/nightmares • Avoidance of triggers • Isolation from family/friends/providers • Persistent & distorted sense of blame of self or others • Numbing • Hyperarousal/Hypervigilance • Dissociation • Markedly diminished interest in activities

Bipolar Disorders RAISINGTUCSONKIDS.com

• Several types of bipolar and related disorders • Cause extreme mood swings that include emotional • Highs ® Mania or Hypomania • Lows ® Depression

Psychosis • Most severe and rare postpartum reaction • Occurs in 1-2 in 1000 postpartum women • Onset usually within the first 2 weeks postpartum • 50% of first-time mothers with psychosis had no previous psychiatric hospitalization • Bipolar depression poses a huge risk • Psychosis occurs in 20% to 30% of women with known bipolar disorder

Postpartum Depression The exact cause of PPD is not known and may be the result of many different factors, but hormonal changes may trigger symptoms of postpartum depression. Symptoms of PPD begin within one year after delivery and last more than two weeks. Many mothers feel overwhelmed when a new baby comes home. But if you have any of the

following symptoms of PPD for more than two weeks, call your doctor, nurse, or midwife: • Feeling angry or moody • Feeling sad or hopeless • Feeling guilty, shameful, or worthless • Eating more or less than usual • Sleeping more or less than usual • Unusual crying or sadness • Loss of interest, joy, or pleasure in things you used to enjoy • Withdrawing from friends and family • You cannot care for yourself or your baby (e.g., eating, sleeping, bathing) • Thoughts of harming the baby or yourself

• Talk about your feelings with your partner, supportive family members, and friends. • Talk with other mothers so that you can learn from their experiences. • Join a support group. Ask your doctor, nurse, or midwife about groups in your area. The Tucson Postpartum Depression Coalition (TPDC) seeks to support maternal emotional health through education, support, and advocacy. To learn more, access resources, or sign up for the mailing list for the quarterly educational meetings, visit tucsonpostpartum.org.

What to do if you are experiencing a PMAD:

Teresa Wilson, MS, RN, has worked as a perinatal and maternal-child nurse for 40 years. Her goal has always been to care for mothers and their families whenever she encounters them. Wanting to learn more and to do more to improve maternal mental health, she joined the Board of Directors for the Tucson Postpartum Depression Coalition (TPDC). As a board member, Teresa strives to improve the recognition of anxiety and depression and find solutions for mothers affected by mood and anxiety disorders.

In addition to talking to a health care professional, here are some ways to begin feeling better or getting more rest: • Rest as much as you can. Sleep when the baby is sleeping. • Don’t try to do too much or to do everything by yourself. Ask your partner, family, and friends for help. • Make time to go out, visit friends, or spend time alone with your partner.

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BABIES: Childcare

Navigating the Maze:

Finding Safe and Affordable Childcare for Babies and Toddlers By Southwest Human Development

AS A PARENT of a child under the age of five, you understand the unique challenge of balancing your child’s care with your own work, responsibilities, and personal time. Finding safe and affordable childcare to make that balance happen often feels like navigating a maze. Fortunately, with the right knowledge and strategies, you can increase your odds of finding a reliable childcare arrangement that offers peace of mind while also allowing you to focus on your daily tasks. Here are some tips to find the best childcare solution for your family: Start Early: The Importance of Planning Ahead The quest for safe and affordable childcare should begin long before you actually need it. Waiting until the last minute can limit your options and increase stress. Here is why starting early is essential:

40 WINTER 2023 Dec • Jan • Feb

• Planning: Before diving into the world of childcare options, take some time to assess your family’s unique needs and preferences. What is your budget for childcare? What are your working hours and commute like? Are you looking for full-time, part-time or occasional care? Do you prefer in-home or center-based care? • Research and Evaluation: Now that you know your specific requirements, take the time to research different childcare options available in your area. Evaluate their quality, reputation, and cost. This early research can help you identify potential caregivers or centers that align with your preferences and budget. • Waitlists: Many quality child care centers have waitlists, some even spanning months or years. Starting your search early allows you to secure a spot when the time comes. • Financial Planning: Knowing your child care budget ahead of time allows you to make necessary financial arrangements and explore potential subsidies or assistance programs, which can be limited and highly sought after. RAISINGTUCSONKIDS.com

RAWPIXEL

Types of Child Care: Understanding Your Options Child care options can vary widely, and it’s essential to understand the different types available to you. Some popular choices include: • Family and friends. Many parents start with trusted family members or friends who are willing to help with child care. While cost-effective, this option may not always align with your schedule or provide the educational benefits a formal childcare setting can offer. • In-Home Care. In-home caregivers, often referred to as nannies or au pairs, can provide personalized care in the comfort of your own home. However, they can be expensive and may require careful vetting to ensure safety. • Childcare Centers. These formal childcare facilities offer structured programs and are regulated by state standards. They are an excellent choice for socialization and early education. Affordability and quality can vary. • Family Daycare. Smaller than childcare centers, family day care providers offer a more home-like environment. They often care for a small group of children and can be more affordable than larger centers. • Preschool Programs. If your toddler is older, enrolling them in a part-time or full-time preschool program can be an educational and socializing option, which also eases the transition to school. Safety First: Ensure a Secure Childcare Environment Your child’s safety is paramount. When evaluating potential childcare options, consider the following: • Licensing and Accreditation. Ensure that the facility or caregiver is properly licensed and accredited. Child care centers, family child care homes, and preschool programs should be registered and meet local regulations. This demonstrates a commitment to quality care and adherence to safety standards. Additionally, look for programs that are accredited by relevant professional organizations. For example, the National Association for the Education of Young Children (NAEYC) accredits high-quality early childhood education programs, which can be a strong indicator of quality. • Cleanliness and Hygiene. Visit the location and observe its cleanliness and hygiene. Ask about their COVID-19 safety measures if applicable. • Staff Background Checks. Inquire about the background checks and training of the caregivers or staff. Trustworthy professionals should be well-qualified. • Safety Protocols. Discuss their safety protocols, such as emergency procedures, child-proofing, and surveillance. Ensure the environment is child-friendly and free from hazards. Familiarize yourself with the provider’s policies on sickness, emergencies, and discipline and ensure you agree with their approach to these matters. Quality Counts: What to Look For The quality of child care matters. When evaluating potential child care options, consider the following: • Staff to Child Ratios . Ensure that the provider maintains a reasonable child-to-staff ratio for adequate supervision and quality care. • Interactions. Observe how caregivers interact with the children RAISINGTUCSONKIDS.com

in their care. Do they engage with warmth and respect? Are they attentive to children’s needs and emotions? • Curriculum and Activities. Inquire about the curriculum or daily activities. Are they age-appropriate and stimulating? Is there a balance between structured learning and playtime? Budgeting for Childcare: Affordability Affording childcare can be a significant challenge for many families. Here are some strategies to make childcare more affordable: • Budget Wisely. Create a dedicated child care budget as part of your overall financial plan. Factor in costs like diapers, formula, and extra clothing if needed. • Tax Credits. Investigate whether you qualify for tax credits or deductions related to child care expenses. These can significantly reduce your financial burden. • Subsidies and Assistance Programs. Research local, state, or federal programs that provide financial assistance for child care. Eligibility criteria can vary, so be sure to explore these options. • Flexible Work Arrangements. Discuss the possibility of flexible work arrangements with your employer, such as telecommuting or flexible hours, which can reduce the need for full-time childcare. Trust Your Instincts: The Importance of Gut Feel Sometimes, it all comes down to a gut feeling. When you visit a child care facility or meet with a potential caregiver, trust your instincts. Do you feel comfortable with the setting and the people? Do you sense genuine care and enthusiasm for your child’s well-being? These intangible factors can be just as important as practical considerations. Seek Recommendations and References One of the best ways to gauge the quality of a child care provider is by talking to other parents who have used their services. Ask for references from the provider and seek out online reviews. Pay attention to how satisfied previous clients were with the care provided, whether parents felt the provider communicated effectively, and if there were any safety or hygiene concerns. Online resources and social media groups are valuable platforms for connecting with other parents and gathering feedback about local child care options. The Importance of Ongoing Communication Once you’ve chosen child care for your baby or toddler, maintain open communication with the caregivers or providers. Regular check-ins and discussions about your child’s development, routine, and any concerns you may have will help ensure a positive and nurturing environment for your little one. In conclusion, the process of finding safe and affordable child care for your baby or toddler can be a challenging journey, but it’s worth the effort for the peace of mind it offers. Starting your search early, understanding your options, prioritizing safety, budgeting wisely, trusting your instincts, seeking recommendations, and maintaining open communication are all vital steps in securing the best child care for your precious child. With the right planning and knowledge, you can navigate this maze and find a solution that works for your family’s unique needs. Dec • Jan • Feb WINTER 2023

MARCOS ELIHU CASTILLO RAMIREZ

BABIES: Health

Baby Brains By Tien Nguyen, MD

FROM THE INSTANT your baby takes their first breath, as a mother, you are imprinting on your baby’s development. The first touch, eye contact, sound of your voice is creating a nurturing bond. As a mother, your parenting will make a lasting impact on your child’s development. Research has shown that the first thousand days of your baby’s brain development is a very crucial factor in shaping your child long term. During the first three years, the brain grows and develops significantly, and the environment and experiences your baby has will last forever. The average newborn brain triples in size by the time your child is two years old. Your baby is born with lifetime supply of neurons, but most synapses form by the time they are three years old based on experiences. During these years, your baby is learning how to think, problem solve, and respond to emotions. The brain is hardwired for social, emotional, and intellectual development by the age of five. Here are few examples showing how you, as a mother, are making a lasting impact on your baby’s development:

42 WINTER 2023 Dec • Jan • Feb

Language: The first three years of life plays the most important period for speech and language development. Face to face communication between you and your baby supports their ability to learn and speak. Sing to your child, narrate your actions. It is never too early to read books. The American Academy of Pediatrics (AAP) recommends reading aloud, rhyming, playing and cuddling with your child every day to help with early brain development. Contrary to belief, you are not spoiling your baby through these actions. Let your child turn the page, describe the pictures, read at any time. Your local library is a great resource. Put the technology away! Multiple studies have found that spending time on the screens may have a negative impact on language skills (smaller vocabularies) for infants and young toddlers. The AAP does not recommend screentime for children younger than two years old. Positive Parenting: Studies have shown that raising your baby in a supportive and nurturing environment impacts them cognitively. Praise your baby on their strengths instead of focusing on their

weaknesses and failures. For example, say more words of affirmation such as “good”, “yes”, “well done” instead of focusing on saying “bad”, “no.” Give them a lot of loving attention and reward them for good behavior. Cuddling and holding them will make them feel loved and secure. Listen to your child’s feelings and needs as they grow older. However, positive parenting also means setting limits and having consistent rules and reasonable consequences. As a mother, you are one of the most important aspects in your baby’s development, but it takes a team to raise your baby, and you are not alone. It is important to routinely visit your pediatrician to monitor for physical growth (including brain development), milestones (mental, social, physical) and to keep your child healthy with routine childhood vaccines. Dr. Tien Nguyen is a board-certified pediatrician at Desert Pediatrics (Desertpedsaz.com) in Tucson, Arizona. She completed medical school at the University of Arizona and her pediatric residency at UCLA. She believes in the importance of preventative medicine and enjoys working with families to help them raise happy, healthy children. RAISINGTUCSONKIDS.com

BABIES: HEALTH

Preventing

FOOD ALLERGIES from the Start

Important Tips for Parents to Expose their Children to Common Allergens ANDREY KUZMIN

By Dr. Julie A Wendt, M.D

FOOD ALLERGIES, especially in little ones that are not yet verbalizing or do not have the words to describe their symptoms, is one of the scariest things that I treat. Food reactions have also become very confusing due to the increasing amount of processed and ultraprocessed food in the American diet. For this reason, I wrote, “What’s Eating Our Kids? A Parent’s Guide to Food Allergy, Intolerance, and Toxicity.”

Common foods that cause allergic reactions • milk • peanut • tree nuts • soy • egg

• wheat • shellfish • fish • sesame

Allergic reactions and symptoms Allergies can be immediate, usually causing severe symptoms within minutes to hours after exposure, or delayed, in which symptoms can take days to weeks to manifest. Typical symptoms of an immediate allergy are: • shortness of breath • wheezing • chest tightness • swelling of the throat or tongue • nausea • vomiting • diarrhea • hives • flushing These can usually be reversed with an RAISINGTUCSONKIDS.com

epinephrine auto-injector (or epipen), and less severe symptoms can be decreased with the use of an antihistamine.

Delayed allergic reactions include • eczema and other rashes • difficulty swallowing food • reflux • food catching in the throat • difficulties with absorption • diarrhea In this case, identification and avoidance of the specific trigger food is the most appropriate treatment.

Introducing common allergen foods Currently, Allergist-Immunologists believe that encouraging safe, early exposure leads to increased tolerance and a lower risk of developing food allergies. Food can be introduced when the child is developmentally able to eat the offered meal—typically sometime between four and six months of age. For example, many cultures introduce peanuts with a puffed product that melts in the mouth known as La Bamba. My advice is to introduce one food allergen at a time and once introduced, continue regular, low-level exposure. The more consistent the better, so daily is better than once per week. After a few weeks of consistent and successful exposure, another food can be introduced. While this early exposure will greatly reduce the likelihood of allergies, it cannot eliminate food allergies altogether. Children

with eczema, especially severe eczema, are at greatest risk to develop food allergies. Children with eczema should introduce foods under their Allergist-Immunologist’s supervision.

Seeking treatment While there is no cure for food allergies, they can be managed. Avoidance has been the standard of care among AllergistImmunologists, but within the last decade Food Oral Immunotherapy (FOIT) has entered mainstream medicine. FOIT involves feeding the child, starting below the known allergic threshold, and increasing slowly and regularly. Once started, to maintain tolerance of the trigger food, FOIT cannot be stopped to maintain tolerance. FOIT should be performed under the supervision of a board-certified AllergistImmunologist. All patients should have a plan of action should they accidentally ingest a food in a quantity that causes a reaction and carry medicine, such as an epinephrine autoinjector (epipen), for emergencies. More information on food allergies can be found in my latest book - “What’s Eating Your Kids? A Parent’s Guide to Food Allergy, Intolerance, and Toxicity.” Visit relieveaz.com to purchase your copy today. Dr. Julie Wendt is the owner of Relieve Allergy, Asthma & Hives in Scottsdale, where she provides advanced treatment for adult and pediatric patients with allergy, asthma, hives and related conditions. Dec • Jan • Feb WINTER 2023

BABIES: Parenting

Navigating the

“TERRIBLE TWOS” How to Handle a Toddler That Hits or Bites By Rodrigo Mendoza

PARENTING TODDLERS can be a complex journey, especially when you are confronted with aggressive behaviors like hitting or biting. As your little one explores the world around them, they might occasionally express their frustration through hitting or biting. While it’s undoubtedly challenging, understanding why toddlers resort to such behaviors, and learning effective strategies to manage it, can make this phase more manageable.

form of expression. • Emotional Expression: Toddlers haven’t yet developed full emotional regulation skills. When they’re overwhelmed by strong feelings like frustration, they may lash out physically. • Imitating Behavior: Children learn by observing, so if they’ve observed hitting or biting behaviors in their environment, they may mimic it without understanding the consequences.

Understanding Your Toddler’s Behaviors • Communication Deficits: Toddlers, for the most part, lack the skills to represent their needs or emotions in a socially appropriate manner. When their attempts to communicate verbally fail, frustration may lead to aggression as an alternate

What to Do When Your Toddler is Hitting or Biting • Stay calm: Take a deep breath and try to understand what’s happened before and after your child’s behavior, before you decide on a course of action. • Evaluate: What happens when these

44 WINTER 2023 Dec • Jan • Feb

behaviors are presented? Is it to escape a presented task? Are they trying to get negative or positive attention or gain a preferred item? • Be consistent. Set boundaries that indicate that this behavior is unacceptable. Make sure your child immediately knows the consequences of hitting or biting. • Support positive behavior. Praise your child when they use words to communicate. Teaching Alternative Behaviors Teaching your child alternative behaviors before hitting or biting occurs can help minimize the outbursts. Here are some strategies for minimizing the likelihood of hitting or biting: • Teach your child use simple words like “stop”, “help” or “want”, depending on RAISINGTUCSONKIDS.com

BABIES: Safety

Car Seats & Coats

what it is they need. • Learn to identify the early signs of frustration or anger. Teach your toddler to use words when you observe them getting frustrated. You can teach them to say small phrases such as, “no please” or “frustrated.” • Use signs or signals. If your child cannot say words, you can teach them to sign or give you a picture that represents frustration. Whatever they can use to present a signal for you and other people that they are frustrated.

By Lori Stauffer

M CI

RAISINGTUCSONKIDS.com

Rodrigo Mendoza holds a Bachelor of Science in University Studies from Brigham Young University and a Master’s in Applied Behavior Analysis from ASU. He is a Licensed and Board Certified Behavior Analysts (BCBA) and the Program Director of the ABA Department at T.E.A.M. 4 Kids Pediatric Therapy.

When to Seek Professional Help If you find that despite your best efforts, your child’s hitting or biting continues, it may be time to seek professional help. A behavior analyst can offer guidance and strategies for managing your child’s behavior effectively. By recognizing your child’s signs of frustration and implementing strategies prior to the behaviors, you can help your toddler navigate this stage and emerge with better emotional regulation and communication skills.

Setting Up Your Child’s Environment for Success • Encourage your child to talk about their emotions. Be attentive and responsive to their attempts to communicate. You guide rather than create their responses. • Engage in supervised group activities with other children. As you learn to identify the early signs of frustration or anger, the activities will provide an opportunity for teaching alternative behaviors (e.g., sharing, waiting, and turn-taking). • Use visual schedules to create predictability in your child’s routine. This can help reduce anxiety and frustration, which are common antecedents for aggression.

WHILE WE DON'T have the harsh winters in most of Arizona that they do in other parts of the country, our temps still dip down across the state. Busting out heavier jackets can often be a source of celebration for those of us tired of the summer heat. For your child in a car seat though, a bulky coat can be dangerous. According to Consumer Reports Test Center, parents can test the coat and straps for safety following these steps: • Put the coat on your child. Sit the child in the car seat and fasten the harness. Tighten the harness until you can no longer pinch any of the webbing with your thumb and forefinger. • Without loosening the harness at all, unhook it and remove the child from the car seat. Take the coat off and put your child back in the car seat. Buckle the harness straps as they were when the child was wearing the coat. • If you can pinch the webbing between your thumb and forefinger now, the coat is too bulky to be worn under the harness. Why is this important? Puffy jackets can leave two to four inches of slack in the straps, which is enough for a child to slide out of the seat in a crash! Rather than using these big coats, it’s better to use layers. How many layers to use depends on temps and if you warm up the car ahead of time. Here are additional options to keep your child warm in the car: • Put a blanket over them to keep them warm. • Use fitted blankets approved by your car seat manufacturer. The approval is critical as the manufacturer has crash tested these items with their seat. • Turn the coat around and put it on backwards over the harness straps. This works well for older children too. Remember, most crashes occur within six miles of home at a relatively slow speed. Even at 30 mph, the force on a 10-pound infant is more than a 10-pound bowling ball falling from a threestory window. Ensuring passengers are riding safely — no matter what time of year — can mean the difference of life and death. Lori Stauffer from Scottsdale Fire Department is a Child Passenger Safety Technician. She is a member of SafeKids Maricopa and the Arizona Fire and Burn Educators Association. Dec • Jan • Feb WINTER 2023

BABIES: Products

Staff Favorite

BABY PRODUCTS

Monique’s PICKS

1. Grab Green Baby Laundry Detergent Pods. We were gifted these laundry

detergent pods and have been hooked ever since. They’re gentle on baby’s skin, but also formulated to tackle newborn stains from breastmilk, formula, and diaper disasters.

2. Baby Merlin’s Magic Sleep Suit. This

was our favorite sleep suit to use when starting the transition out of swaddles (around 4 months or so). We used this all the way until our son could roll in it (around 7-8 months old) and he slept so solidly in it! They make a warm microfleece suit and a cooler cotton one, depending on temperatures.

3. Lovevery Play Kits. These toys are

durable, designed for all the age-appropriate developmental milestones, and have honestly been some of my son’s favorite toys. If you sign up for the subscription, you’ll get a new box of toys every 2-3 months.They are so worth it!

4. Indestructibles baby books. Aside

from board books, some of my favorites have been the Indestructibles. They are chew proof, rip proof, non-toxic, and 100% washable.

5. Smock Bibs. After my son started purees

and solid foods, I discovered these smock bibs. I was desperate for something to preserve his clothes from stains and avoid multiple outfit changes a day. These are easy to put on, have a pocket to catch food, are wipeable, and can be thrown right in the washing machine!

46 FALL 2023 Sept • Oct • Nov

Kate’s PICKS:

Upseat Baby. When your little one is

new to sitting up but you want them to feel supported you’ll love this item! It’s multipurpose since it comes with a tray; ergonomic to encourage upright posture and healthy hip development.

1-2.6 TOG Sleep Sacks. While there are a few different materials, I prefer the soft bamboo for our little ones. We use the 1 TOG sacks from Kyte Baby during warmer weather and the long sleeve 2.6 TOG sacks from Gunamuna for winter. Our nursery temperature often falls to the low 50s in the winter time, but if you live in Phoenix or Tucson you might only need a 1 or 1.5 TOG!

Oogie Bear, Boogie Wipes, and Baby Nasal Aspirator. Babies don’t have the ability to blow their noses and easily get stuffed up. For this winter season I recommend having these products in your arsenal. Ooogie Bear has a soft tip that allows you to grab those pesky boogers from squirming babies, the boogie wipes are great for wiping snotty noses, and the aspirator is helpful for clearing mucus.

Winter Stroller Cover. Every stroller is a little different so you’ll have to order what fits your brand, but these are great for getting out of the house when it’s chilly. We love to take walks when it’s in the 40s (often the high during winter!) so we need the baby to be comfortable.

10. Baby Carrier Cover. I use my Happy Baby carrier almost every day and winter time is no different. Whether we’re taking a walk around the neighborhood, attending an event, or just grocery shopping. I got mine from Etsy, but there are a few different styles and brands! It features warm sherpa & fleece, a cozy removable hood, and a warm pocket for my hands! I love that it works for front or back carrying.

11. Puracy Stain Remover. If you’re dealing with baby stains this is the best stain remover! I leave a bottle in each room where I can pretreat stains as they happen. RAISINGTUCSONKIDS.com

12. 8 Sheep Magnesium. This stuff smells so sweet–almost like a vanilla treat! Made with only natural ingredients I feel good about using it on my babies. I even have a jar for myself! After bath time I massage a little of this magic onto their body before jammies and we all sleep a little better. Bonus, it’s great for sore muscles and growing pains!

13. FridaBaby The FLAKEFIXER. If your baby is like mine, you might end up with a scaly little head. And while Cradle Cap is harmless, it’s a little unsightly! You can purchase special soap or ointment like Happy Cappy, Frida Baby, or Tubby Todd, but you can also use olive oil or coconut oil, let it sit, scrub gently with the special brush, and wash out.

14. Travel Bottle Rack and Brush. Paired with the travel sized bottle of Dapple Bottle & Dish Soap you can bring this set with you when you aren’t at home.

15. Baby Bottle Sterilizer and Dryer. With 4 boys and lots of germs, this device came in handy to use at the end of the day with our washed bottles and pump parts. It also works great for pacifiers and teething toys! The only downside is that it’s large and takes up a lot of space in our cabinet.

16. DreamTech H12 Pro. Ok, ok, I know this isn’t a ‘baby product,’ BUT if you have babies & kids, dogs and lots of hard floors like we do, you’ll appreciate this product! It cleans up just about anything (cheerios, scrambled eggs, muddy paw prints, and more!) and I don’t have to sweep before mopping! It self cleans and uses hot air to dry the rollers so there’s no funky smell. Definitely add one of these to your registry–you won’t regret it!

17. Wonderbly Personalized Book. These adorable books are a perfect keepsake for a new baby. You’ll love reading it every day! Pick a book for your newborn, a big sibling, a bedtime story, nursery rhymes, or even a holiday book. There are so many sweet styles to choose from. Dec Sept• • Jan Oct • Feb • Nov WINTER FALL 2023

BABIES: Local Businesses

Supporting Small Businesses:

Local Tucson Baby Companies By Monique Seleen

Whether you’re searching for well-made baby items for your own child, or looking for a gift to bring to a baby shower, here are two locally owned businesses in Tucson offering one-of-kind, top-quality, and made-with-love products:

The Nest Baby Boutique THE NEST OPENED in 2022 after owner Charlotte Lasselsberger said she felt like there wasn’t a boutique style store for Tucson moms to find unique toys, organic clothing, and well-made wooden toys. By keeping all products customer focused, The Nest sells the things they know their customers are looking for at a price point that is not much different than what can be found elsewhere. “We listen to what brands and patterns our customers are looking for and try to stock really special pieces that fit with local flavor, but are also durable and super cute,” said Charlotte. Whether you’re looking for adorable trendy baby outfits, soft bamboo sleepers, the perfect accessories, or cute toys and books, you’ll find something unique at The Nest. “We make sure to bring in a wide variety of brands so there will be something for everyone,” said Charlotte. The Nest is located at: 6370 N Campbell Ave, St. 130 Tucson, AZ 85718 Open Tuesday – Saturday: 10 a.m. to 5 p.m., Sunday: Noon to 4 p.m. thenesttucson.com

Mildred and Dildred MILDRED AND DILDRED is a locally-owned specialty Toy Store that has been serving the Tucson community since 2007. Autumn Ruhe, mom and owner of Mildred and Dildred, grew up in Tucson and said she opened the store because she’s always been a big fan of toys. At Mildred and Dildred you will find a variety of fun, unique, and educational toys, books, games, and novelties, for all ages and all kinds of play. “We try to carry toys that are ‘kid-powered’,” said Autumn. “This means that the child’s imagination is what makes the toy ‘work’, though we do have some fun electronic toys too.” All of the toys are carefully selected whether for nostalgia, novelty, or to keep up with the latest interests. Mildred and Dildred also hosts a weekly story time every Tuesday at 9:30 a.m. The 20 minute event is designed for toddlers, though all ages are welcome. The store is open for walk-in shopping every day from 10 a.m. to 5 p.m. Located at 1725 N. Swan Rd Tucson. mildredanddildred.com

48 WINTER 2023 Dec • Jan • Feb

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Dad Talk

IVAN-BALVAN

Let's celebrate the many roles that fathers play in their children's lives through this collection of personal reflections and resources just for dads.

What About the Dads? By Trent Reed

WHEN MY WIFE was pregnant with my first child, I already felt like I was at a disadvantage. My wife had a 5-year-old when we met, so she was already a seasoned parent having experienced pregnancy and childbirth before. She knew what to expect — didn’t need to read the first-time parent books, was familiar with how her body would change, and everything seemed very routine. But I found myself questioning everything. Moms are often the focal subject during pregnancy—and for good reason, of course. When we’d go to prenatal visits I sat quietly, just taking in as much information as possible. The appointment never really felt like it was for me. Even during labor, I often feel sort of in the way; shuffling around the midwives and letting my wife labor independently—her preference. I was just there, waiting. When we had a miscarriage (our second) a few years ago, I cried when she called me from Home Goods. She had just been running

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errands when she started to bleed in the middle of the aisle. We had wanted that baby so badly, and back-to-back miscarriages broke our hearts. We were only 10 weeks along, but that baby was so loved already. No one ever asked how I was holding up. It didn’t really bother me then — but I had to swallow my sadness. After the babies are born, everyone wants to know how the new addition is doing, how the siblings are managing, how mom is sleeping, how she’s feeling, and so on. But no one ever asks about dad. I never minded, and frankly, I never even thought about it. I wasn’t the one carrying the baby weight, feeling the painful kicks and body rolls. I wasn’t the one with heartburn and aching ligaments and swollen feet. I wasn’t the one in the ICU at 31 weeks praying for a full-term baby while healing from major surgery. When each baby arrived, I wasn’t the one struggling with cracked nipples, a lack of

sleep, or healing after delivery. But — I did struggle internally. After our fourth baby arrived, a friend was asking me about my wife and the baby, and I showed her some pictures. She then looked at me and asked, “And how are YOU doing?” I was taken aback. I wasn’t even sure how to answer that question because no one had ever asked me that. I realized that dads’ struggles matter too. And it’s time to start sharing that with the parenting community. So, from now on when you see a dad who recently had a baby…ask him, “And what about dad? How are you doing?” Trent is a father to four boys ranging from 9 months to 10 years old. He's a newly turned stay-at-home-dad but helps his wife, Kate, with some of the behind the scenes work for Raising Arizona Kids (and is heading up this Dad Talk section!). He loves fishing, gardening , and he's become quite the chef in his spare time. RAISINGTUCSONKIDS.com

DAD TALK: fatherhood

Dad’s Blueprint: Building Foundations for Flourishing Fatherhood By Edward Casillas TRANSITIONING into fatherhood is a phase that comes with a blend of emotions and responsibilities. It’s a journey that reshapes not only your identity but also your relationships. Here’s a guide to help you navigate this new adventure:

2. Embrace Preparation • Education: Delve into prenatal classes to grasp the basics of pregnancy and infant care. It’s essential to understand the physical and emotional changes your partner is going through. • Discussion: Engage in open conversations with your partner about expectations, parenting roles, and shared responsibilities to foster a supportive environment. 3. Support During Pregnancy • Presence: Attend prenatal appointments and be present during crucial moments. Your support is a pillar of strength for your partner. • Healthy Lifestyle: Encourage and adopt a healthy lifestyle, ensuring a nutritious diet and regular exercise, which is beneficial for mother, baby, and the entire family. 4. Navigate Newborn Care • Shared Responsibilities: Divide caregiving tasks to ensure both parents can rest and bond with the baby. Establishing a routine early on can help manage time effectively and avoid unnecessary arguments. • Patience: Newborns require round-theclock care. It’s a learning curve, and patience is your ally in mastering parenting skills. RAISINGTUCSONKIDS.com

NARONGRIT SRITANA

1. Build a Support Network • Peer Interaction: Engage in groups like “Dad Together” to share experiences and learn from other fathers. Peer support is instrumental in gaining fresh perspectives and overcoming challenges. • Professional Guidance: Don’t hesitate to seek professional counseling to navigate through complex emotions or relationship dynamics.

5. Partner Postpartum • Understanding Postpartum Mood Disorders (PPMD): Familiarize yourself with signs of postpartum depression and anxiety. You will most likely be the first person to know if your partner is struggling. Also, realize as a father you can be affected by postpartum as well. Prioritize your mental health and take breaks when needed. • Communication: Keep the lines of communication open with your partner about feelings and challenges. Schedule five-minute check-ins to begin and end your day, ensuring you’re on the same page. 6. Embrace Healthy Coping Strategies • Stress Management: Explore healthy coping mechanisms like mindfulness, exercise, or engaging in hobbies to manage stress. Self care equals better care for your family. • Time Management: Balance personal, work and family time to foster a harmonious life. If something outside you and your family’s well-being can wait, let it wait. The newborn phase is short-lived, so manage the moments that matter most.

7. Co-Parent and Resolve Conflicts • Teamwork: Embrace teamwork and establish a consistent parenting approach with your partner. Approach conversations about your parenting styles before your baby is born, to ensure a stable environment when they arrive. • Conflict-Resolution Skills: Learn and apply conflict-resolution strategies to handle disagreements constructively, especially when sleep-deprived, emotions are running high. As you delve into this new chapter, remember, informed preparation and a solid network are your pillars towards a nurturing, confident fatherhood. Across Arizona, the “Dad Together” initiative fosters a fraternity of dads, enhancing parenting through candid dialogue and camaraderie. It’s a singular quest—to propel fathers forward, ensuring a loving home and a balanced life for their families. Edward Casillas aims to help struggling families succeed and remain intact. A 2021 Casey Excellence for Children Birth Father Award Winner, Edward serves as the Program and Services Development Manager at the Family Involvement Center. He’s also involved as a parent leader with the Alliance Parent Partnership Council and is active with the Birth Parent National Network. Dec • Jan • Feb WINTER 2023

DAD TALK: Bonding

HOW DADS can BOND with their BABY By Patrick Hutchins

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for fathers who, for whatever reason, have been away from their children. Dou Bro’z strives to promote its slogan: M.E.N, or Masculine Evolved Nurturing – meaning men should not have to throw out what their fathers/grandfathers taught them, but instead allow those teachings to evolve to fit this generation. For more information or to register for a course, visit dou-broz.com Patrick Hutchins is the founder of Dou-Bro’z, a Doula/Childbirth education service for dads. He’s on a mission to change the narrative about men and childbirth by educating men on their hormonal changes during the pregnancy to birth cycle. He is a father of four, grandfather of two, and resides in Chandler. RAISINGTUCSONKIDS.com

ISTOCK

AS I SIT here and think back to when I first became a dad, it was arguably one of the most terrifying and stressful times of my life! I had all kinds of questions along with emotions that ranged from happy to sad to confused – all of this I would eventually find out was normal and just my body preparing me for fatherhood. One of the biggest questions I had was how to form a bond with my child while in the womb. I’ll be totally honest with you, as a young dad I didn’t have a clue. But as I got more excited, my eagerness to learn grew. I observed and studied old cultures, some of which had various rituals the fathers had to undergo (needless to say those weren’t for me) but I’d ask myself, how can I use this today? Here are some of the things I learned to help me form a bond with my baby: • Be present. Being there from the start shows you are willing to share the experience from start to finish. • Talk to your baby. I would speak and read directly to my child via the mother’s stomach, and to my surprise he reacted! This let me know that I could form that bond I so desired even before he would see or smell me. • Show up to the appointments (if you can). I was all in and there at every appointment and every ultrasound. Our bond grew to the point that when he was restless in his mother’s womb, the sound of my voice would soothe him. • Skin-to-skin time. Take off your shirt and hold that baby close to you. Let them smell your scent and hear your heart beat and rhythm. • Take part in the day-to-day operations. Once our baby was home, our bonding continued. I took over the morning shift. I fed, bathed, and changed him .We had conversations about what my plans for his future were and how he’s going to conquer the world one day. Statistics show that when fathers are involved, children do better socially, emotionally, and academically. Just remember this: Kids don’t need you to be perfect just present. Interact, embrace, engage and give unconditional LOVE! If you’re looking for more ways to get involved as a dad, check out Dou-Bro’z – a Phoenix-based doula service for fathers whose goal is to change the narrative for men and dads when dealing with childbirth/child care. Through a series of courses called “Him, Her, Baby” men are educated about the hormonal changes from the pregnancy to the birth cycle. They also teach various bonding techniques

DAD TALK: Childbirth Classes

HUSBAND-COACHED CHILDBIRTH: The Bradley Method®

JODI HALL PHOTOGRAPHY

By Nancy Donnell, AAHCC

ARE YOU EXPLORING your options for birth classes? The Bradley Method® of Natural Childbirth prepares couples for birth, most often without the use of pain medications or unnecessary interventions. Marjie and Jay Hathaway created The Bradley Method® under the guidance of Dr. Robert A. Bradley, MD. Their book, “HusbandCoached Childbirth,” is the basis of the method, and demonstrates through evidence and experience how birth is a normal physiological process that a couple can experience with joy, helping them to function smoothly as a team.

Husband or Partner as Labor Coach The level of training dads receive is a key difference that makes The Bradley Method® unique. Through this training, dads learn how to support the laboring woman with: • Massage • Counter pressure • Position changes • Cool cloths • Juice and ice chips He acts as her advocate to speak up on her behalf and provides a reassuring presence and support. Most importantly, a dad is taught how to become an encouraging relaxation expert, so the couple can work together in labor to help the mother feel calm and confident. RAISINGTUCSONKIDS.com

Dr. Bradley, an obstetrician with over 22,000 births of experience said, “The loving encouragement from a trained coach can do more for the comfort and relaxation of his wife than any amount of medication.”

What are the results? One Arizona mother wrote to her Bradley™ instructor: “I had my check-up with my doctor and the first thing she wanted to discuss is what a great team my husband and I were during our delivery. I was surprised she remembered us so vividly, but she went on to say how she doesn’t really see that, and how amazing it was to see how supportive he was and how in sync we were. Thank you again for teaching us the tools to make bringing our daughter into this world so incredible!”

Comprehensive training During the 12-week course, both parents are taught: • How to stay healthy and as low-risk as possible through nutrition and exercise • What happens in each stage of labor • How to create an effective birth plan • How to discuss their choices in a positive way • How to handle variations and complications

Classes also cover postpartum care, newborn care choices, and getting started with breastfeeding. Classes include a variety of relaxation practices and labor rehearsals, giving both mom and dad in-depth hands-on training in proven, effective techniques.

Dad Bonding The dad’s role doesn’t end with birth, of course. Fathers continue to play a critical role in children’s health and development. In utero, babies learn their father’s voice, and after birth, they respond to his familiar voice. Babies also benefit by being held against dad’s bare chest, comforted by his warmth and steady rhythmic heartbeat. Studies show that fathers and infants can be equally as attached as mothers and infants, and that skillful father involvement is related to positive child health outcomes in infants with cognitive, social, and emotional developmental benefits that last a lifetime. The Bradley Method® prepares mother, baby, and father as a team toward the goal of healthy families. Nancy Donnell, AAHCC, is a currently affiliated instructor of The Bradley Method® who has been teaching in Arizona since 2001. To learn more or to find an instructor near you, visit bradleybirth.com Dec • Jan • Feb WINTER 2023

DAD TALK: Mental Health

Postpartum

DEPRESSION

in Dads

MONKEY BUSINESS IMAGES

By Men’s Medical

POSTPARTUM DEPRESSION is real and distressing for new parents, and it can often include fathers. This can be a reaction to a mother with postpartum depression, or it may be its own entity. As with new mothers, postpartum reactions can be misunderstood, ignored, or kept silent. In men, depression can present as irritability, poor sleep, a “shorter fuse,” and it is often mixed with anxiety. Many men with depression describe feeling that they have disproportionate responses: getting stuck at a red traffic light is no longer 20 seconds at a traffic light; it can feel catastrophic, leading to cascading negative thoughts. First-time parents often try to seek traditional family and gender roles. Fathers may find themselves trying to be sources of emotional and financial stability when they really do not feel stable at all. It is not a reasonable expectation. Fathers can often be freighted with the perceived responsibility to stay strong and silent, thereby leaving their fears and frustrations unspoken. Fatherhood—especially new fatherhood— is a profound transition. For many, this may take the form of a grief reaction. Fathers may grieve the freedom they had when they were

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single, the financial freedom of being a couple without children, and more. Social pressure can imply that fatherhood is the greatest gift in life, but it may not always feel that way. New fathers may feel silently guilty, making the situation worse. This combination of unspoken grief and resentment can lead fathers to have feelings such as “I don’t like my children,” or “I just want my sleep back,” among other common thoughts. Since fatherhood is “supposed” to be joyful, new fathers may be fearful to express these emotions. Many fathers do not realize that these thoughts are normal. Fathers feeling frustrated, irritable, and anxious do not necessarily need a diagnosis of postpartum depression. But they can seek help. This does not have to be elaborate, timeconsuming, or costly. Here are some simple ways to cope: • Connect with other new fathers. A conversation with a peer can help any father realize that his frustrations are common and understandable. It can also be helpful to share tips with one another. Set aside a regular, scheduled time to connect with another new father. Even if it is just a phone call, it can ease the pressure.

• Consult with a counselor or therapist. There are a range of options to meet in person or by telehealth. This is a healthy, objective way to help find a “toolbox” to deal with emotions, and a constructive way to adapt to parenthood with an honest but positive approach. • Consider trying medication. For men who are particularly burdened with anxiety, depression, and related symptoms, medication can help. Newer medications for depression and anxiety are usually inexpensive, take effect quickly, and do not have the risk of dependence. A new father may discuss medication with a primary care provider (PCP), psychiatric mental health nurse practitioner, or psychiatrist. Andrew Varalli PMHNP is a psychiatric mental health nurse practitioner. Matt Freeman DNP, MPH is a primary care nurse practitioner and chronic disease epidemiologist. Iris Karas MEd, CAGS is a behavioral health consultant with specialties in parenting and men’s health. They share a practice, Men’s Medical, in Tucson.

RAISINGTUCSONKIDS.com

DAD TALK: Mental Health

The Forgotten Half

By Jonathan Davies PREGNANCY AND CHILDBIRTH are incredible, life-altering experiences for both parents. While much of the attention and focus understandably gravitates toward the mother during this period, it's crucial not to overlook the role of the father. Here are some reasons behind why this has become a societal norm and ways that we can work to include fathers in the conversation during pregnancy: • Historical Gender Roles: In many societies, women have historically been seen as the primary caregivers and nurturers, especially during childbirth, and fathers were often sidelined and excluded from discussions about pregnancy and childbirth. • Assumption of Disinterest: Many assume that fathers are simply not interested in the process during pregnancy, but many fathers are deeply involved and eager to support their partners during this significant life event. • Lack of Knowledge and Education: Many people may not inquire about dads during pregnancy and birth simply because they lack knowledge and awareness about the role fathers play in the process, but fathers have important roles to fulfill. • Fear of Overstepping Boundaries: People may worry that fathers prefer to keep their emotions and experiences to themselves. However, it's essential to create an open and supportive environment where fathers feel comfortable discussing their thoughts and feelings. The Importance of Involving Dads While it's crucial to understand why people might not ask about dads during pregnancy and birth, it's equally important to emphasize the significance of fathers' involvement in this journey. This includes: RAISINGTUCSONKIDS.com

• Emotional Support: Fathers who can provide emotional support offer comfort during difficult moments, and can be a reassuring presence for their partners. • Shared Responsibility: Involving fathers in discussions about pregnancy and birth allows for shared decisionmaking and planning, promoting a sense of unity. • Bonding Opportunities: Engaging in discussions about the baby's development, attending prenatal classes, and participating in birthing plans can deepen the bond between a father and child. • Education and Preparation: Involving fathers in discussions about pregnancy and birth is essential for their preparation as they learn what to expect during labor, how to provide support, and how to care for their partner and baby after birth. • Advocacy: Fathers can be powerful advocates for their partners during childbirth by ensuring that the birth plan is followed, providing emotional support, and communicating the mother's wishes to the medical team.

• Address Gender Stereotypes: Challenge and deconstruct traditional gender roles and stereotypes that limit fathers' involvement during pregnancy and birth. • Inclusive Healthcare: Healthcare providers should actively involve fathers in prenatal and birthing processes, offering them guidance and opportunities to participate. Pregnancy and childbirth are lifechanging experiences that profoundly affect both parents. While it's essential to focus on the well-being of the mother, it's equally important to recognize and involve fathers in the process. By promoting education, open conversations, and changing societal expectations, we can create a more inclusive and supportive environment for both parents, ultimately enhancing the experience of pregnancy and childbirth for all. Jonathan Davies is the Head of Content at DaddiLife, a proud dad to two, who’s written extensively about modern day fatherhood. Jonathan loves being outdoors with his family and is particularly passionate about encouraging employers to support dads to work more flexibly.

Changing the Narrative To address the issue of people not asking about dads during pregnancy and birth, it's essential that we start to change the narrative and create a more inclusive and supportive environment for both parents. Here are some steps we can take: • Promote Education: Raise awareness about the importance of fathers' involvement during pregnancy and birth through educational campaigns and resources. • Encourage Open Conversations: Create spaces where both parents feel comfortable discussing their thoughts, fears, and expectations related to pregnancy and childbirth. • Normalize Paternal Involvement: Share stories of fathers who have played active and supportive roles during pregnancy and birth to normalize the idea of fathers being an integral part of the process.

LIUDMILA CHERNETSKA

Why People Don't Ask About Dads During Pregnancy and Birth

Dec • Jan • Feb WINTER 2023

TRAVEL

Make Some Memories with

MOTHER DAUGHTER TRIPS By Elaina Verhoff • Phots courtesy of Elaina Verhoff

When the kids were little, family vacations came with more than a little stress. Snacks, activities, gear, sleep schedules…. It was, well, A LOT. Now that they’re teenagers, travel is much easier and a ton of fun. My daughter is a senior in high school now, and we’ve been taking several mother-daughter trips the past few years to maximize our quality time before she heads off to full-fledged adulthood. If you’re looking for ideas on where to go and what to do for a mother daughter trip of your own, here are a few highlights from our adventures.

California. Whether you’re road tripping to SoCal or flying up to the Bay area for a music festival, California is the perfect destination. Pick something your daughter is interested in and weave a trip around it! For us, it’s music. We have gone to see The 1975 (her favorite band) perform in San Diego and several bands we both love at the BottleRock music festival that takes place in Napa each May. Of course, the beach is also a draw, and we’ve enjoyed exploring Laguna Beach (also a mecca for art lovers), La Jolla, Los Angeles, and Del Mar. If

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you’re foodies, take advantage of all the juice and acai bars, incredible breakfast burritos, and fresh seafood. And if you’re into Asian food, don’t miss Din Tai Fung – our favorite spot for dumplings and more.

Flagstaff. Escape the summer heat and have a girls’ retreat with your daughter in the pines of Flagstaff. I recommend getting an Airbnb. We chose one in the heart of downtown, easy walking distance to Pizzicletta, Forêt, and our favorite Sunday Farmer’s Market. Take a gondola ride up the mountain at Snow Bowl, go for a hike, or catch the beautiful stars at Lowell Observatory. Our summer getaway was a bit of a workation for both of us. She got her summer reading done and I worked remotely – while we sipped coffee and nibbled cinnamon rolls at the many cool cafes in Flag.

New York. If eating, walking, and the arts are your thing, the two of you will love a trip to New York. I recommend going in fall when the weather and leaves are turning. See a Broadway show, visit the art and photography museums (MOMA! Guggenheim! The Met! Fotografskia!), indulge in a hamburger at

Gramercy Tavern (the fall décor will make you swoon), chicken shawarma and dips at Shuka, or grab a sandwich from Court Street Grocers and people-watch in Washington Square Park. We stayed in the Flatiron District, which was a great central location. We also loved walking across the Brooklyn Bridge to DUMBO and taking a ferry back, shopping and boba in Lolita, corn dogs in Koreatown, and of course soaking up the Central Park vibes. Joe’s Pizza next to the park has the real deal New York slice! Getting away from the packed schedules of school, work, and extracurriculars has given us the time to get to know each other better. The exploration of new places (and figuring out public transportation!) builds confidence and independence for your young adult. And it lets you soak up your daughter as much as you can before you have to let her go. Elaina Verhoff is a Phoenix-based public relations professional, freelance writer, and the proud mother of her young entrepreneur son Riley (age 19), and high school senior daughter Lily (age 17). She is savoring her time with them before they spread their wings and leave the nest. RAISINGTUCSONKIDS.com

Are you busy… RaisingARIZONAKids? Support is Here for the Valley & Tucson! Sign up for our FREE eNewsletter and get more local parenting information and calendar events right to your phone or computer. Sign Up Today! RaisingARIZONAKids.com/newsletter

THINGS TO DO: Support

WORLD OF PLAY

at Reid Park Zoo By Monique Seleen

Photo courtesy of the Reid Park Zoo

An Exotic Experience

Ghost Ranch Exotics Offers Private Animal Encounters By Monique Seleen

WORLD OF PLAY, a new and interactive nature play zone for kids is now open at the Reid Park Zoo. This new immersive play area features a variety of sensory exhibits where kids of all ages and abilities can climb, slide, swing and let their imaginations run as they learn about nature and biodiversity from the animals’ perspective. Starting in frozen Antarctica, kids can waddle like a penguin as they chill out in an ice cave complete with cool lighting, tunnels, and a slide feature. At the next stop, they can discover the South American rainforest and uncover animals that call it home, as they climb inside a field research hut, recreate animal sounds, or slither across a narrow rope bridge. They’ll also experience the majesty of the North American redwoods atop a towering 30-foot sequoia tree, can climb a giant spider web, dig for fossils, or get their energy out through unstructured play on a variety of slides and nature-themed playground equipment. World of Play is included in Zoo admission and is open during regular zoo hours.

GET UP CLOSE and personal with capybaras, kangaroos and other exotic animals at Ghost Ranch Exotics in Marana—just outside of Tucson. Previously known as Funny Foot Farm, Ghost Ranch Exotics relocated from Tucson to a 16 acre ranch in Marana. Owner Ken McNeil and his wife wanted a way to share their animal-loving passion with the public after previously owning a pet store. Now offering private tours, visitors have the unique chance to interact with, feed, and pet a variety of exotic animals including capybaras, kangaroos, porcupines, warthogs, emus, water buffalos, birds, and more! Led by an exert tour guide, you will not only get an up-close interactive experience, but will learn fun facts about the animals while in a safe environment. “It’s totally hands on with every animal,” said owner, Ken McNeil. “You’ll get to feed and pet almost everything.” Unfortunately, a devastating storm that hit this past July brought about reckless damage to the newly relocated ranch, knocking down fences, tearing off roofs, and causing costly repairs. “I didn’t believe it when they told me that the ranch was destroyed,” said McNeil. “It was very disappointing. We put everything we had into it.” Thanks to a generous donation from Lowe’s Home Improvement and money raised through a Go Fund Me account, Ghost Ranch Exotics has been able to slowly rebuild and just has some minor things left to repair. “It’s never going to look new again, but it is functional,” said McNeil. Amazingly, most of the animals remained unharmed and tours were able to resume within the week of the storm’s damage. As Ghost Ranch Exotics continues to get back on its feet, they are looking forward to all the plans they have for the future including building a lazy river experience for visitors to swim with the capybaras—their most popular exotic animal. “I hope people feel that their experience is as magical as I feel these animals are,” said McNeil. “I personally love animals and know that feeling I get when I get to pet and feed a new animal and that’s what I want our visitors to feel.” Private tour experiences start at $200 and last anywhere from 30 minutes to an hour. On the third Sunday of the month, local Arizona residents and any Military personnel can get in for a special rate of just $40 per person.

For more information, visit reidparkzoo.org

For more information or to schedule a tour, visit ghostranchexotics.com

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RAISINGTUCSONKIDS.com

Ghost Ranch Exotics & F unny Foot Farm 40 Special Rate per Person Every 3rd Sunday of the Month! Plus, Exclusive Offer for Locals & Actice Military. $

Purchase tickets at ghostranchexotics.com

Birthday Parties & Events

Enjoy an exclusive 2 hours experience with a private tour of exotic animals, with time to leisurely mingle with goats, cows, donkeys, and water buffalos. Plus use of our picnic area to celebrate. $700 for up to 10 guests. $25 for each additional guest. Please call 520-276-4469 to book your event.

9027 Ghost Ranch Rd, Marana, AZ 85653 RAISINGTUCSONKIDS.com

Dec • Jan • Feb WINTER 2023

COMMUNITY: Support

Girl Scouts of Southern Arizona:

Providing Community Support for Girls in Need By Monique Seleen

THROUGH ITS VARIOUS Collaborative Programs, Girls Scouts of Southern Arizona has been finding ways to reach out to girls in the community. The programs, designed for girls ages 5 through 17, are tailored to meet them exactly where they’re at while helping them develop valuable skills, gain confidence, and strengthen relationships. “It’s really about making sure it’s an opportunity for all girls, and especially girls who are going through challenging times to have that supportive environment ,” said Angie Lopez, Director of Staff Supported Programs for Girl Scouts of Southern Arizona. Each program is uniquely designed with its own benefits, but all have the same goal in mind: To build girls of courage, confidence, and character. These community-based Collaborate Programs have been a part of Girls Scouts of Southern Arizona for over 15 years, and are made possible through donations and various fundraising efforts, making them completely free of charge to the nearly 2000 participating girls.

Programs include: • Foster Care: Girls impacted by the foster care system and living in local group homes are visited by trained Girl Scouts staff members who create a fun, safe, and empowering space while exploring topics such as self-esteem, self-worth, healthy relationships, leadership, and life skills. • Girl Scouts Beyond Bars (GSBB): This is a Girl Scout troop within the walls of the Arizona Department of Corrections – Perryville Complex. It connects girls and their incarcerated caregivers through activities that instill self-esteem, teamwork,

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and leadership skills, while preserving and nurturing the crucial caregiver-child bond. • EmpowHERment programs: Designed for youth impacted by or at-risk for involvement with the juvenile justice system, this troop places a special emphasis on empowering youth to engage in positive pursuits and explore critical life skills. The girls learn from a diverse set of program facilitators, who bring unique perspectives and experiences in a positive and stigma-free environment. • School-Based Programs: School-based programs provide the Girl Scout Leadership Experience—STEM, outdoors, life skills, and entrepreneurship—directly at schools. This offers reliable program opportunities in a safe, consistent, and familiar location. • Juliettes: This is an Individually Registered Member (IRM), named after founder, Juliette Gordon Low. Juliettes choose how to participate based on their schedule. Girls can get started right away by earning badges independently, or attending events to meet other Girl Scouts in their area. By partnering with the community, Girl Scouts of Southern Arizona is striving to provide all girls the benefits of being a Girl Scout by making it accessible, no matter their situation, or any hardships or challenges they may be facing. “I hope they develop a stronger sense of self, courage to try new things, and confidence,” said Lopez. “We have a saying around here to ‘Invest in girls and change the world.’” For more information on Girl Scouts of Southern Arizona visit girlscoutssoaz.org RAISINGTUCSONKIDS.com

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Tucson Unified – Creating a Joyful, Safe Place for Student Success

tusd1.org/Register