The Bump Philadelphia by The Bump

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rosie pope

beyond

basics

delivery

nest

glow

celebrate

the pregnant in heels star opens up about IVF treatments, crazy cravings and more

$4.95

it was a girl!

Vol. 8, Edition 1

nursery inspiration What you really need to buy now

Best prenatal classes, pampering & baby gear

Rhonda underwent fetal surgery for spina bifida at 24 weeks

No bump we can’t handle.

The region’s only pediatric hospital named to U.S.News & World Report’s elite Honor Roll.

For the one in 33 babies affected by birth defects, The Children’s Hospital of Philadelphia is a lifesaving resource. Expectant parents from all 50 states and more than 50 countries have come to our Center for Fetal Diagnosis and Treatment, a world leader at identifying and repairing even the rarest disorders before birth. We offer the full range of services, including the world’s first delivery unit for mothers carrying babies with diagnosed birth defects and a specialized fetal heart program, and make every effort to ensure your pregnancy is as smooth as can be.

Don’t be a stranger.

Sensory learning, neuromuscular activities, and spatial awareness, otherwise referred to as,

The Little Gym helps children reach their greatest potential. From 4 months through 12 years, classes promote development and build confidence during each stage of childhood. Call to schedule a free introductory class. www.thelittlegym.com Abington 215-886-3300 • Doylestown 215-343-9748 Exton 610-363-2350 • Hatfield 215-631-1600 Marlton 856-810-0010 • Narberth 610-664-6637 Newtown (Bucks County) 215-579-2786 Newtown Square (Delaware County) 610-356-1509 Washington Township 856-228-2818 Springhouse 215-793-4883 West Windsor 609-799-7776

from the editor

part of

k family

first things first

a blast from the past: pregnant with baby #3!

tweet us @thebump! Twitter bird illustration by Biz Stone and Phil Pascuzzo

Congratulations! The next nine months are going to be full of a lot more firsts. Some will be exciting—feeling baby’s first kicks or seeing the first sonogram. Others, like the first time you get sick in public, will not be so fun. And every day, there will be a whole world of things to learn about. That’s where we come in. This handy little guide has loads of information, from how to prep for delivery to where to get a good massage (you’re welcome) and even how to register for gifts. Need more? Go to TheBump.com and chat with our amazing network of women going through the same firsts as you!

Carley Roney editor in chief PS: Get the conversation started with fellow Bumpies at TheBump.com/community.

editor in chief Carley Roney executive editor Rebecca Dolgin Deputy Editor Elena Donovan Mauer Managing Editor Brooke Alovis editorial Team Kelly Crook, Kristin Giametta, Danielle Lipp, Jaclyn LoRaso, Amelia Mularz, Kathleen Mulpeter, Lori Richmond, Alice Stevens, Sarah Yang Vice President, Print and Production Frank Dolphens Production Team Susan Berryman, Lois Brunnert, Emily Edson, Adrian Hardisty, Jesse Hardy, Jacki Harris, Katie Hover, Kate Richter, Kasey Schroeder, Jennifer Weiland, Daryl Wills, Sheryl Ziegler Executive Vice President, Custom publishing Denise Favorule Publisher/Vice President of sales Donna Weatherby Sales Director Kim Qualls-Bryant Sales and Advertising Team Kathy Danayan Hatmaker (kdanayan@thebump.com, 877-511-0901), Kate Buchanan, Danielle Goldman, Autumn Foster, Sharon Thomas published by XO Group Inc. 195 Broadway, NY, NY 10007 Phone (212) 219-8555 Fax (212) 219-1929

our expert panel Ashley S. Roman, MD, ob-gyn; Cheryl Wu, MD, pediatrician; Shoshana Bennett, PhD, psychologist; Conner Herman and Kira Ryan, cofounders of Dream Team Baby; Tracey Mallett, fitness and lifestyle expert; Karen Moise, RN; Nicole Meadow, MPN, RD, nutritionist; Tammy Gold, parent coach; Ali Wing, founder and CEO of Giggle stores; Amy Tara Koch, author of Bump It Up; Andi Silverman, author of Mama Knows Breast

thebump.com

DAVID A. LAND

Please note: The ideas, procedures and suggestions contained in this book are not intended as health care or other professional advice, diagnosis or a substitute for consulting with your health care professional. Every baby is different and circumstances vary, so you should consult your own physician and use your own common sense. The author and publisher offer no warranties or guarantees, expressed or implied, in the completeness or advisability of the information contained in this book for your particular situation, and disclaim any liability arising from its use. All product information was supplied by the designers and manufacturers. The Bump has made every effort to portray the products true to their original colors and styles, but we cannot guarantee 100-percent accuracy. Prices and availability may change based on factors including material, regions and season. Nothing contained in this guide should be construed as an endorsement by The Bump of any designer, manufacturer or product featured herein. The Bump Magazine © 2012 XO Group Inc. All rights reserved. Reproduction, in whole or in part, is forbidden without written permission from the publisher. TheBump.com and The Bump magazine are trademarks of XO Group Inc. David Liu, Chief Executive Officer; Carley Roney, Chief Content Officer; Carol Koh Evans, Chief Operating Officer; John Mueller, Chief Financial Officer; Nic Di Iorio, Chief Technology Officer; Jeremy Lechtzin, General Counsel.

from

contents volume 8, edition 1

celebrate

what’s hot

8 the baby beat baby news from philadelphia and beyond 12 red carpet names the best and worst celeb baby monikers 14 baby by the numbers must-know baby stats 16 expect this the latest trends 18 work it out fit prenatal exercise into your busy schedule 20 totally techy baby monitors new safety gadgets 22 pack it up get your bag ready for the hospital 24 know how to save baby’s life your guide to infant CPR 26 amazing conception stories against the odds, these couples got pregnant

thebump.com

on the cover

Photography by Alexandra Grablewski. Hair and makeup by Karina Montoya for Michael Angelo’s Wonderland Beauty Parlor in NYC. Clothing by Rosie Pope Maternity. Pillow by Alexandra Ferguson.com

162 glow 60 switch it up your pregnancy beauty routine 62 feel better now! safe exercises to ease pain and help you sleep 68 prenatal pampering local spots for a little indulgence 70 what are you craving? healthy ways to satisfy those food urges 76 spread ’em...wider? how to deal with the most-hated parts of prenatal visits 80 q+a from crazy sex drives to going to the dentist

from top: shutterstock; thinkstock

28 how big is baby? weekly growth and development 32 celebrate your pregnancy! tips for commemorating the next nine months 36 pregnant in heels...and sometimes sneakers we chat with reality tv star rosie pope 42 learn a little prep for baby with one of these nearby classes 44 my pregnancy diary a local mom’s true story 50 reading list moms’ favorite pregnancy and parenting books 53 what’s your babymoon personality? creative getaway ideas 56 q+a from man showers to annoying belly touching

As Your Family Has Grown, So Have We!

Kennedy’s Women’s & Children’s Services – based at its Washington Township, NJ campus – is committed to caring for expectant women, new mothers and their babies. Each year, Kennedy welcomes nearly 1,300 new babies into the world.

• The American Institute of Ultrasound in Medicine-accredited Maternal-Fetal Medicine Unit at Kennedy, which features four ultrasound rooms, two non-stress test areas, and a family-friendly waiting room, among other amenities.

Kennedy University Hospital in Washington Township is home to:

• Two new Labor & Delivery rooms and a new obstetrical triage area.

• The 10,450-square foot Kennedy Maternity Center, which offers 22 private rooms with pull-out sleeper chairs for fathers of new babies.

• An 8-bed Ronald McDonald House Charities Pediatric Unit, recently renovated in a whimsical “Main Street USA” theme!

• Kennedy’s Neonatal Intensive Care Unit, which also houses a Ronald McDonald House of SNJ Family Room as a respite for parents of hospitalized newborns.

Kennedy’s Women’s & Children’s Services also offers an array of services ranging from breast pump rentals to support groups for new moms. Call 856/582-3098 to learn more about the many ways we support women and their growing families, or to schedule a tour of our facilities.

1 - 8 0 0 / K H S - 9 0 0 7 • w w w. k e n n e d y h e a l t h . o r g

from

k volume 8, edition 1

contents

82 dream nurseries amazing nesting ideas 88 your registry plan of attack strategies to get exactly what you want for baby 90 best cribs for every style make a statement with this practical necessity 92 find your perfect stroller the right wheels for you 94 stock up where to get baby gear 96 practical matters the not-so-fun parts of planning for baby 100 get baby-proof our ultimate safety checklist 102 registry essentials what you should put on your wish list 104 q+a from green nurseries to car-seat safety

dream nurseries 82

thebump.com

basics 126 baby health 101 your primer for keeping baby healthy 132 baby sleep myths—busted! don’t believe this advice 138 breastfeeding made easier cut down on problems with these tips 144 super babies why babies are awesome 146 your life, upside down getting through those first weeks with baby 150 just the two of us local stuff to do with baby 152 q+a from birthmarks to colic

delivery

108 labor day childbirth: what you’re in for 114 delivered—and then... what will happen in the hours right after birth 116 hospital guide where to have a baby in philadelphia 122 my birth story a pennsylvania mom shares the nitty-gritty 124 q+a from labor positions to silent births

beyond 156 baby appétit solid-food starter guide 160 hot topic: nanny vs. day care which is best? 162 are you ready for baby number 2? signs that now’s the time 164 q+a from potty-training basics to the best toys

from top: alexandra grablewski; courtesy of BLABLA

nest

Philadelphia/South Jersey thebump.com

baby beat

The scoop on the latest news and happenings in Philadelphia and beyond.

give it a shot

The Advisory Committee on Immunization Practices now recommends that pregnant women receive the Tdap vaccine to prevent them from getting whooping cough (aka pertussis)— and babies from catching it before they’re old enough to be immunized themselves.

by sarah yang

healthier babies

The preterm birth rate in the US fell to just under 12 percent in 2010, according to the National Center for Health Statistics. It’s the lowest the stat has been in about a decade. Yay!

Bye-Bye Bumpers the American Academy of Pediatrics has warned against the use of crib bumpers, stating that there’s no evidence they protect against injury, and they’re a suffocation risk. so skip the bumpers and invest in some cute fitted crib sheets and receiving blankets instead.

place to play

Want to go somewhere fun with baby? Check out Center City’s new NEST, a 12,000-square-foot center and indoor playground. It’s got play areas, a café, a photography studio, a hair salon and classes for kids ages six months to six years (215-545-6378, NESTPhilly.com).

more care

Two years after breaking ground, Einstein Medical Center Montgomery will open in late September. The LEED-certified (aka eco-friendly) building will house a maternity unit with 6 delivery rooms, 16 bassinets and 20 private rooms with wall-to-wall windows, flat-screen TVs, free Wi-Fi and sleeper sofas. Sounds pretty posh to us (EinsteinMontgomery.com).

single parents

The CDC’s National Center for Health Statistics reports that 40.8 percent of babies were born to unmarried moms in 2010.

Get more news at Blog.TheBump.com thebump.com

getty images. illustration by laura gharrity

the

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carpet names

Our picks for the best and worst baby names of all time. By Sarah Yang

the best

the not-so-great

harper

moroccan

flynn

kal-el

willa lou

bear blu

Orlando Bloom and Miranda Kerr gave their son this cute name with a touch of old-Hollywood style. Former Felicity star Keri Russell won us over with the name Willa Lou. We love adding “Lou” to a girl’s name. It’s unexpected!

levi

Mariah Carey and Nick Cannon named their son after a themed room in their house. We’re not so sure if that was the best idea, but at least they didn’t name him “Bathroom” or “Pool House.” We hope Nicolas Cage’s son is a big Superman fan, because this is Clark Kent’s birth name. This animal-themed name works for animal-rights activist Alicia Silverstone—but not really for us.

press

Former Bachelor contestant Matthew McConaughey and Shayne Lamas and gossip blogger Camila Alves went with Nik Richie jokingly called Levi—another name their unborn daughter “We’re like, for Matthew in the “Press Baby” and ‘How can we Bible. We like this then decided to [name the baby] take on junior. stick with it. Don’t before we even make baby’s name see it?’ There’s a PR stunt! so much to think With girls Violet about!” and Seraphina,

samuel

petal blossom rainbow

hilary duff we were expecting Sorry, celebrity chef a more elaborate Jamie Oliver, this name. But Ben Affleck name is too sugary and Jennifer Garner went classic. sweet—even for an adorable girl.

gemma

Kristin Davis’s daughter’s name, Gemma, is a fresh take on Emma that really sparkles.

bluebell madonna

Spice Girl Geri Halliwell should’ve just gone with Rose or Violet.

happy 1st birthday! These stars will be planning first-birthday parties for their tots. Welcome to toddlerhood! Beyoncé and Jay-Z (Blue Ivy) Jennifer Garner and Ben Affleck (Samuel) Rebecca Gayheart and Eric Dane (Georgia Geraldine) Niki Taylor and Burney Lamar (Rex Harrison)

Dish about baby and mom trends at TheBump.com/chat thebump.com

from top: splash news; pr photos

David and Victoria Beckham, Neil Patrick Harris and David Burtka, Dave Grohl, and Tiffani Thiessen all have daughters named Harper. This feminine name is literary (like Harper Lee!) too.

baby harper and dad david beckham

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baby by the numbers The must-know (and just for fun!) baby stats. by sarah yang

267 96,261

The number of baby photos you’ll have on your camera phone... after the first week

estimated “salary” a stay-at-home mom would make if she were paid for all her nanny, chef, chauffeur and other household roles, according to Investopedia.com

141

the number of times during baby’s first year that you’ll realize you’re acting like your own mother

$ 226,920

the US Department of Agriculture’s recent estimate of how much parents spend on their child over 17 years

13 14

715

loads of laundry you’ll end up doing before your baby turns one

the number of pounds one Texas baby weighed at birth last year (Whoa!)

how many years the name Jacob has been at the top of the Social Security Administration’s Popular Baby Names list

Get more stats and breaking baby news at TheBump.com/babybeat thebump.com

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expect

this

The latest, hottest (and just plain weird) pregnancy and baby trends. by bonnie vengrow

on pregnancy cravings

“[I wanted] a lot of stuff that I ate in my childhood: Kraft Macaroni & Cheese, Pop-Tarts, Cap’n Crunch.” JESSICA SIMPSON

o n cÉ be y

exposed breasts

We’re not talking wardrobe malfunctions—we’re talking intentional exposure! Breastfeeding in public is in the spotlight after Beyoncé and Miranda Kerr were seen nursing away from home. Also, to protest requests for moms to cover up, mothers in the US and UK banded together for feeding flash mobs.

french connection

Ever since the book Bringing Up Bébé came out in February 2012, parents have been adopting some French rules: limiting snacks to once a day; not being afraid to say no; waiting five minutes before checking on a crying baby; and teaching kids the importance of please and thank-you.

Not Lost in Translation They may not BE talkING yet, but six- to nine-month-olds can understand the meaning of words they hear often—like ones for food and body parts—say researchers at the University of Pennsylvania. So keep CHATTING, even if she JUST grins for now. Extra cupholders and large peekaboo windows are so last year— today’s tricked-out strollers are all about the easy fold. Check out the Origami from 4moms ($850, right), the first power-folding stroller that collapses with the push of a button, and the Quinny Moodd ($700), which has an automatic unfolding system. They’re pricey, yes, but a quick and simple fold is worth every penny.

it’s in the bag

Selma Blair and Denise Richards have each snapped up one of interior design guru Jonathan Adler’s sleek, brightly colored diaper bags for Skip Hop ($34– $80, SkipHop.com).

1 in 139

The number of home births in the US in 2009, according to the Centers for Disease Control and Prevention. That’s a 29 percent jump in just five years!

Dish about baby and mom trends at TheBump.com/chat thebump.com

from top: pr photos; courtesy of the manufacturers (2)

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work it out

How to fit prenatal exercise into your busy schedule. by elena donovan mauer

Exercise can ease aches, b oos t en erg y, help you sleep better an d ma k ch ild bir th e ea sier.

change your routine

Fit a few short workouts into your day and it will add up. Do a.m. yoga. Take the stairs, walk the long way to work or park farther away than usual. The store may offer “expectant mother” parking, but you don’t have to use it. Find ways to reward yourself for keeping up with it (massage, anyone?).

multitask

Waiting for the nursery painters to arrive? Work in some exercise. “Sit on the couch and do biceps curls, shoulder extensions and triceps curls with weights. Lean forward slightly and do triceps kickbacks,” says fitness expert Nicole Glor. “Strengthen your upper back now— holding a baby can hurt your posture.”

TUrn off the tv Exercise may just empower you and leave you feeling better than an evening of watching Dancing with the Stars will. Take walks as much as you can. Exercise helps you with the mental and emotional aspects of pregnancy too.

go bpa-free

BPA, a compound in some plastics, has been linked to birth defects. So use a BPAfree bottle (the label should say), like a Bobble. From $9 each, WaterBobble.com

Choose an exercise DVD designed for pregnant women, since it won’t include moves that are off-limits, like ones that require lying on your back. Try out a few DVDs to find the right intensity level for you. Without having to trek to the gym, you’ll save time. The Bump expert: nicole glor , personal trainer and creator of NikkiFitness Baby Bootie Camp. See her maternity moves on page 62.

More fitness tips at TheBump.com/pregfit thebump.com

from top: veer; courtesy of the manufacturer

do an at-home DVD

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Music Starting at 6 months. You and your baby will discover melody, pitch and rhythm while building a repertoire of joyful songs.

Family Ideal for ages 0-5 years. Bring all your children to the same class and enjoy fun learning activities created for groups of siblings and friends.

At Gymboree Play & Music, you and your baby will build creativity, confidence and friendships that will last a lifetime. Montgomeryville 215-412-5257 Collegeville 610-409-8111 Ardmore 610-527-4748 King of Prussia 610-527-4748 Wilmington 302-477-0553 Cherry Hill 856-216-1113

gymboreeclasses.com

mommy deals

Join for $22 with code: BABY365 (before 6-month birthday) (see index)

techy

totally baby monitors The latest safety gadgets have a ton of cool bells and whistles. by sarah yang

old reliable

This monitor covers a long range (330 meters) and has a long battery life and clear transmission. Philips Avent DECT, $94, Amazon.com

tip It uses touch-screen technology, so you can pan, scan and zoom to see everything. Summer Infant BabyTouch Digital Video Monitor, $280, BabiesRUs.com

smart sensor

A sensor pad goes under baby’s mattress and alerts you if she stops moving. Tommee Tippee Digital Video Sensor Pad Monitor, $300, BabiesRUs.com

sound of music

This one plays lullabies and has a night-light and intercom. Levana Safe n’See Digital Video Baby Monitor, $230, MyLevana.com

high-def

The sound technology in this model provides great clarity and reduces interference. Safety 1st High Def Digital Monitor, $100, Amazon.com

digital vs. analog Wondering what the difference is between a digital monitor and an analog one? Digital monitors are better at quieting interference and protecting privacy (so the neighbors won’t pick up baby’s snores while they’re on a wireless phone), but are also pricier. If you live in an apartment building, digital is worth the extra cost, less so if your neighbors are far away.

More top baby gear at TheBump.com/gear thebump.com

all images courtesy of the manufacturers

iPad-esque

Jefferson delivers

every step of the way.

• Our sub-specialists in obstetrics offer expertise to infertile couples, healthy and high-risk expectant mothers alike. • Our full-service hospital’s maternity facilities range from a well-equipped nursery for healthy infants to a Neonatal Intensive Care Unit providing leading-edge treatments for premature and otherwise fragile babies. • Every year, thousands of expectant women trust Jefferson obstetricians and nurses to provide expert care, personalized attention and comfort to them and their newborns.

www.JeffersonHospital.org/maternity

1- 800 -JEFF-NOW

pack it up

Getting your bag ready for the hospital? These moms* share their must-have labor supplies.

don’t forget your trusty pillow, because the ones at the hospital suck. anahi z. The music on my iPod helped me focus on relaxing during labor. amy w. One thing women might not think about is makeup, but if you bring some, you’ll probably be a lot more excited to take those first family photos with your baby! sandra M.

Snacks! I was starving after labor, and my husband was too.

colleen U.

Bring ChapStick! During labor, your lips get really dry. shannon G.

I packed a special bag for my hubby that had energy drinks, pajamas and a magazine in it. Anna R. Socks! The hospital floors are cold. beg

I brought refreshing aloe vera face wipes. That was a good decision! della

* Names have been changed

your checklist Insurance info, hospital forms and birth plan (if you have one) 2–3 pairs of socks (nonskid are best) Warm robe or sweater Lip balm

2 maternity bras and nursing pads (you may leak) Headband or ponytail holder Camera, battery and memory card Cell phone and charger

Toiletries: hairbrush, toothbrush, toothpaste, deodorant, face wash, makeup, shampoo, conditioner, lotion, contact lens case and solution

Snacks and change for the vending machines Baby’s car seat Baby’s goinghome outfit Mom’s goinghome outfit Baby blankets

For a complete list, go to TheBump.com/bag thebump.com

Beautiful Boutique Maternity, Newborn & Baby Portraits

Images by Cheryl

imagesbycheryl@hotmail.com | 856.427.9114 | www.ImagesbyCheryl.com 1013 West Marlton Pike | Route 70 West | Cherry Hill, NJ 08002

know how to

save baby’s life

Every parent should know infant CPR. Learn the basics, and sign up for a class. by Jennifer L.W. Fink

baby CPR, step-by-step Worried baby isn’t breathing? If he isn’t responding to your voice and touch, try flicking the bottom of his foot with your finger. No response? Move to Step 2.

step 2 call for help

Ask the person nearest you to call 911 immediately. If you’re alone, take only two minutes to do CPR on baby before calling 911, since it’s important not to let a small child go long without oxygen.

step 3 open the airway

Look, listen and feel for baby’s breath. Position your head over his nose and mouth, and look down toward his chest. If you don’t hear or feel his breath on your face or see his chest rise, try opening the airway. (It’s best if baby is on a hard surface, so place him on a floor or table.) Align his head in a neutral position, with his nose pointing slightly up, like he’s sniffing. Look, listen and feel for breath one more time. No breath? Time for Step 4.

step 4 give two breaths

Place your mouth over your baby’s nose and mouth, and give two gentle breaths. Keep your head turned toward his chest; watch for the chest to rise gently. If that doesn’t happen, move to Step 5.

step 5

start chest compressions

Place two fingers on the middle of baby’s chest, just beneath the nipple line. Start chest compressions; aim for 100 compressions that push baby’s chest down about an inch and a half deep. Tip: Sing the Bee Gees song “Stayin’ Alive”—it moves at about 104 beats per minute.

step 6 keep going

Alternate compressions and breaths—30 chest compressions, 2 breaths; 30 compressions, 2 breaths. Don’t stop CPR until you see an obvious sign that baby has responded to your care, such as breathing or moving. Keep going until baby improves or emergency medical help arrives.

step 7 brush up

on the basics

Read this over and review it every three months; that’s about the time frame in which people start to forget what they learned about baby CPR. If you take a CPR class through the American Red Cross, you’ll have extra practice, plus access to an interactive refresher course online. The Bump expert: Mary Rudolph of the American Red Cross

take a course These instructions don’t replace taking a class. Here are some local infant CPR courses— call ahead for dates and registration information. Hospital of the University of Pennsylvania (215) 829-5020 Lankenau Medical Center (800) 422-7677 Philly CPR Classes (610) 470-9070 For more, visit RedCross.org

More important baby prep at TheBump.com/newborn thebump.com

alexandra grablewski

step 1 check for responsiveness

Make yours a special delivery. The newest member of our family is about to be born – Einstein Medical Center Montgomery. Starting in September, when you’re ready to deliver, there’s no better place to be. This stateof-the-art hospital has been designed with your comfort in mind. All private rooms. Wall-to-wall windows. Room service. And your own personal designated family area. Here, you’ll be treated by our OB/GYN specialists in a beautiful facility that also has a Level IIIB Neonatal Intensive Care Unit. Now, expectant mothers have even more to look forward to.

EinsteinMontgomery.com | 1-800-EINSTEIN

amazing

conception stories

Against the odds, these couples got pregnant!

expecting a baby

“I went to the doctor thinking I had a kidney stone, only to learn I had an ectopic pregnancy. Then, because of my irregular cycles, my OB said I should consult a reproductive endocrinologist. I had three hysteroscopies, a uterine septum removal, three D&Cs, a laparoscopy, three IUIs and five IVFs. I also had five pregnancy losses. After one of them, I broke down at an appointment. A nurse grabbed me by the shoulders: ‘You have two choices,’ she said. ‘Give up, knowing that if you do, your dream of becoming a mother will probably never come true. Or keep fighting.’ Those words gave me the strength I have today. Now I’m 14 weeks pregnant.”

chandra & jacob juncker expecting a baby

“Because I knew I might not ovulate regularly, we started right away with Clomid and OPKs. After five rounds of Clomid, we learned that Jacob had varicose veins that were hurting his sperm count, and I had a cyst wrapped around my fallopian tubes. An infertility specialist recommended IVF. The first round was grueling; I developed ovarian hyperstimulation syndrome, a painful condition, and then miscarried. Jacob and I both had surgeries (he for his veins; me for the cyst), and we both needed to recover. We started an organic diet and did acupuncture. Finally, a few months ago, I took a pregnancy test on a whim. It was positive!”

marcu & ben alexander parents to Stella (age 2½) and Hadley (18 months)

“In addition to PCOS (polycystic ovary syndrome), I had a blocked tube and endometriosis, and Ben had abnormal morphology, really putting the odds against us. We stayed hopeful and tried IVF. We were fortunate, and I got my first positive pregnancy test two days after Christmas! I gave birth to Stella nearly three years ago and to our second daughter, Hadley, a year later. My conception journey taught me so much about myself. For me, it was helpful that I kept a positive outlook and allowed my mind and body to rest. Holding my babies for the first time was well worth the wait!”

tabatha & aaron steinhaus parents to twins Savannah and Callista (age 2½)

“After trying for months, my OB started me on Clomid—which gave me awful hot flashes and mood swings—but because I had PCOS, I still didn’t have a clear ovulation pattern. I then tried four cycles of IUI and still didn’t get pregnant. I took a fourmonth break before moving on to the scariest acronym of all: IVF. Before too long, I was pregnant—with identical twins! Today, my daughters are 2½, and we’re hoping to add a baby brother to our family. The infertility journey was tough, but it brought Aaron and me closer. Plus, I’ve learned that I’m strong; I can handle more than I ever imagined.”

Read more conception stories at TheBump.com/ttcstories thebump.com

alexander family: tkz photo; steinhaus family: blowing dandelions photography

krystyn & bob labate

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Serving Philadelphia and surrounding areas.

celebrate

how

big is baby?

See how she matches up to common fruits and veggies (and what the heck she’s doing in there) week by week. by paula kashtan

week 5 apple seed

Baby is starting to form her major organs, including the heart, kidneys, liver and stomach.

week 3 poppy seed

Sperm met egg and— voilà—conception! Now your zygote sets off on a six-day trek through your fallopian tube to your uterus.

week 6 sweet pea

blueberry

With joints starting to appear, baby is forming arms and legs—and growing 100 new brain cells per minute. Wow!

week 8

week 9

Continuing to straighten in the trunk, baby can move those little arms, legs, and (slightly webbed) fingers and toes.

The former embryo is now officially a fetus, and an ultrasound device may be able to pick up a view of her beating heart.

raspberry

thebump.com

olive

ALL PHOTOGRAPHY: SHUTTERSTOCK

week 7

As blood begins to circulate, baby is beginning to develop eyes, ears, a nose, cheeks and a chin.

week 14 lemon

Your fetus is busy with thumb sucking, toe wiggling, making urine and breathing amniotic fluid.

week 15 orange

Finally, all four limbs have functional joints. Your fetus squirms and wiggles like crazy, though you probably still can’t feel it. >

i’ m not fat. i’ m pregnant! week 12 plum

As you move into the second trimester, almost all of baby’s systems are fully formed. From here, they grow and mature.

week 13 peach

While the intestines make their way from the umbilical cord to the fetus’s tummy, baby is developing teeth and vocal cords.

week 10 prune

Arm joints work, bones and cartilage are forming and baby’s vital organs are starting to function.

week 11 lime

Now baby’s fingers and toes no longer are webbed, and her hair follicles, tooth buds and nail beds are forming.

Philadelphia/South Jersey thebump.com

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week 17 onion

Baby’s skeleton is hardening, and those little fingers and toes are now defined with one-of-a-kind prints.

week 16 avocado

Tiny bones are now forming in the ears, and eyebrows, lashes and hair are starting to fill in.

week 18 week 19 mango

Vernix caseosa, a greasy white goo, now coats baby’s skin. Some of it could remain at birth.

get the 411

thebump.com

week 20 cantaloupe

Your baby is gulping down amniotic fluid for nutrition and to practice swallowing. Her taste buds work!

sweet potato Baby has become

amazingly mobile. She yawns, hiccups, rolls, kicks, punches, sucks, twists and swallows.

weeks 33–36 honeydew

Baby can recognize and react to simple songs and may even remember them after birth. She now pees about a pint each day.

week 37 to delivery watermelon

Your full-term (yay!) baby gains about half an ounce a day, and her brain continues to develop rapidly.

are we there yet?

weeks 29–32 squash

Baby is going through major brain and nerve development, and her energy is surging. Her irises react to light, and all five senses work.

weeks 22–24 papaya

Settling into sleep cycles, baby snoozes 12 to 14 hours a day. Skin is becoming more opaque, and it’s taking on a pink glow.

weeks 25–28 eggplant

Baby is getting her immune system ready by soaking up lots of antibodies. Her eyes are forming too.

Get baby updates at TheBump.com/updates Philadelphia/South Jersey thebump.com

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celebrate your pregnancy! Tips, tricks and advice for the biggest sparkling-cider-worthy moments of the next nine months.

radiant photography/radiantphotogallery.com

by elena donovan mauer

thebump.com

congrats, you’re pregnant!

when it happens You can usually find out you’re pregnant about two weeks after conception. It can take about 14 days for a home pregnancy test to pick up those pregnancy hormones in your system. And the first person you’re likely to share the news with is your partner. This is a celebration that, normally, couples share alone, and it can be a pretty sweet moment. the traditional way A happy—or stunned—shriek from the bathroom is a fairly typical way to let him in on the news, but you might want to opt for something a little less intense. If it’s first thing in the morning, you might want to get back in bed and tell him while you cuddle. One momto-be brought it up at dinner while talking about upcoming vacation plans. some new ideas Want to get more creative? Make a card that says, “You are the love of my life, but that’s not all you are. You are also…” and on the inside, it says, “...going to be a daddy!” Or have your older child (or even a pet) wear a shirt that says, “big brother” or “big sister.”

sharing the news with family

Thinkstock

when it happens You might be dying

to tell your close family or best friend the news, or you might be enjoying sharing the secret with your partner for a little longer. So it’s completely a personal decision when to tell people you’re expecting. Some moms-to-be like to wait until they see baby’s heartbeat on an ultrasound at eight weeks, at which point the risk of miscarriage drops to 3 percent, or after they get a normal ultrasound at 16 weeks, when it falls to only 1 percent. But many moms-to-be tell a few close family members or friends earlier on, rationalizing that if anything happened to the pregnancy, they’d tell them anyhow—and because it’s good to have support in those early days, especially if you’re fatigued or dealing with morning sickness. No matter when you do it, announcing the news can be exciting and make the pregnancy feel real.

the traditional way A lot of Bumpies reveal the news at a family dinner or gathering. If your parents live far away, and you don’t want to wait until the next time you see them, try video chat for a more personal touch than telling them over the phone. Decide whether you want to be direct: “Mom, I’m pregnant!” or subtle: “So when you become a grandma…” some new ideas Take a group photo and instead of, “Say cheese!” tell them, “Say [your name] is pregnant!” and capture their reactions on camera. Or fill a fortune cookie with a message that says, “You are going to be an aunt!” to give to your sister to open.

spreading the word at work

when it happens Many women wait until the end of their first trimester to tell their work they’re expecting. The news should come to your boss straight from you, not through office gossip. You also don’t want her to figure it out before you tell her, so try to do it by the time your bump is showing. the traditional way Try to break the news after you’ve completed an assignment—this sends the message that your condition hasn’t affected your productivity so far, and that you have every intention of doing your job (and doing it well) for the remainder of your pregnancy. Another smart move: Before you talk, put together a plan outlining how your duties will be covered during your leave. Your boss is much more likely to greet the news with enthusiasm if she knows you’ve got the situation covered. some new ideas Actually, stick to the tried and true here. It works. >

Philadelphia/South Jersey thebump.com

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your big facebook moment

when it happens The moment you say you’re pregnant on social media is the moment everyone knows, including those high school friends you haven’t spoken to since the class reunion. So it’s really important that you’re prepared for unsolicited comments on your pregnancy from anyone and everyone (like, “Oh, I thought your face was looking fatter!”). Also, don’t do this before you’ve told your boss or any close friends and family members who’d be miffed that they didn’t hear it straight from you. the traditional way Social media is still relatively new in our society, so there are no etiquette rules for how to do this. We’ve noticed lots of moms-to-be posting a profile shot of their belly, mentioning how far along they are and when the baby’s due. You’re likely to get a ton of “likes” and comments wishing you well! some new ideas Join TheBump.com and every time you visit, you can share information about your pregnancy on Facebook with just a couple of clicks. The info you’ll post includes how big baby is this week and how his development is progressing. Everyone will be amazed and excited to follow you and baby on your journey.

the traditional way Oftentimes, the celebration happens when the momand dad-to-be reveal baby’s gender to the grandparents or other close family members or friends. You might walk into the next family gathering wearing a pink “It’s a girl!” shirt or give your parents a wrapped gift and tell them baby’s gender is inside. Fill the box with progressively smaller nesting boxes, each with layers of pink or blue tissue to keep them guessing! some new ideas Instead of looking while the ultrasound technician checks out baby’s sex, cover your eyes (and resist the urge to peek). Then have the technician write out the sex and put it in a sealed envelope. Bring it to your local baker and have them create a personalized cake. Have a little cake-cutting party—when you slice it open, it will have pink or blue frosting inside. Everyone can be surprised together!

when it happens Some parents wait until baby’s birth to find out if it’s a boy or a girl, but a whopping 85 percent of users on TheBump.com told us they knew the gender in advance. And lately, it’s been more than just pointing to little body parts on an ultrasound screen and saying, “It’s a boy!” or “It’s a girl!”

thebump.com

lulliloo photography

gender reveal

baby shower

when it happens You’ll want to tell whoever’s hosting your baby shower to throw it after you find out if it’s a boy or a girl (if you find out in advance!) so you can register for all the gifts you want before the invites go out. You want to include enough time between your event and your due date to get baby’s nursery ready— and you don’t want to cut it too close in case baby comes early. But you do want to have a cute baby bump for all the photo ops! Long story short? Around month six or seven is the ideal time for a baby shower.

lulliloo photography

the traditional way

Typically, the shower has been an all-female event, such as a luncheon or tea, where your nearest and dearest shower you with gifts for the new baby. Traditional games include “Baby Shower Bingo,” “Guess the Baby Food Flavor” and one where every guest brings a photo of herself as a baby and everyone tries to guess who’s who. Sometimes, guests even vote on names for your baby. some new ideas Baby showers don’t have to be predictable. Some momsto-be are having spa-themed parties where guests (and the guest of honor, of course) get their own pedicures or mini massages. We’ve also seen cocktail parties—with some delicious, fizzy mocktails for the expecting mom—and even coed showers, where both the mom-to-be and the dad-to-be are honored in a less girly venue, like your favorite bar and grill. Heck, your guy might want to have his own guys-only version of a shower (sorry, you won’t be invited).

heading to the hospital

when it happens Obviously, this is when you start labor, or the day you’re scheduled for a c-section or induction. For you, it may not be so easy, but for the people around you, it will be exciting. You’ll want to have a plan in place for whom you want to call when it’s time, and different scenarios of how you’ll get to the hospital or birthing center (like if you’re at work or at home alone). the traditional way Call your partner and maybe your parents and in-laws and tell them to meet you there! Some moms we know have posted on social media when it was time and had their inboxes flooded with notes of encouragement from friends. some new ideas You really shouldn’t exert yourself to get any fancier than that, but maybe you could ask your partner to bring along a bottle or two of champagne or sparkling cider so you can finish the celebration after baby finally arrives. Plan your shower at TheBump.com/shower

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pregnant in heels

and ksoerms etimes snea

By Elena Donovan Mauer

Rosie Pope is a triple threat in the pregnancy world. She’s the star of Bravo’s Pregnant in Heels, has her own fashion line and is the author of Mommy IQ. One early morning before her show, she stopped by our shoot and opened up about everything from fertility to maternity fashion. >

thebump.com

Alexandra Grablewski. Hair and makeup by Karina Montoya for Michael Angelo’s Wonderland Beauty Parlor in NYC; Long Sleeve Striped Sylvie T-shirt in red and Pret Skirt Classic in midnight navy, both by Rosie Pope Maternity

We chatted with Rosie Pope while she was pregnant with baby number three.

S p e c i a l i z i n g i n m at e r n i t y & n e w b o r n p o r t r a i t u r e 609.410.0620 â&#x20AC;˘ allyson@allysoncrozierphotography.com â&#x20AC;˘ allysoncrozierphotography.com

Serving the Philadelphia & NJ communities

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TB What did you learn? RP I encourage people when they’re

thinking of getting pregnant to have the tools to maximize the chances of conceiving. Now I work with Clearblue Easy and their fertility monitors and ovulation sticks. So many women don’t know these tools exist until they’ve gotten to a point of frustration. Get educated on the process early and you can cut down on some of the anxiety.

TB What surprised you most about dressing your pregnant body?

RP My yearning for more casual clothes.

I love design and dressing up, but when you’re pregnant, a lot of times you want to be comfortable but still look great. During this pregnancy, I’m running around a lot. I wear casual pieces that can translate from desk to dinner. My fashion line really reflects what’s going on with me. Right now, the thing I have to wear is heels. The thing I want to wear is sneakers!

TB On a tough day, what’s your

favorite pregnancy pick-me-up?

RP Muffins. I’ve always liked muffins, and

when I’m pregnant, I like them even more.

rosie’s book! TB Be honest: Do expectant

parents really need your help?

RP I think everybody on the road to

parenthood gets anxious about one thing. Some people get all the gear and equipment. Others want a big baby shower. Whatever it is, they want someone to guide them and help them become a really good parent. Some people have a great support team. Others don’t.

TB What do parents-to-be obsess about that really isn’t necessary?

RP Wipe and bottle warmers. You’re

setting yourself up for disaster, because there’s going to be a time when you can’t warm that bottle or those wipes and you’re going to freak out. Babies have survived for millennia without bottle warmers and wipe warmers. It’s better to keep it simple.

TB Have you noticed women getting primped for the delivery room?

RP Yes! With Facebook and Twitter,

there are a lot of places where husbands and mothers-in-law can post your picture moments after baby is born. Most of us don’t look so snazzy after hours of labor. So they want people to come in, give them a blowout, a bit of blush, mascara—so they look great in the photos. I don’t think there’s anything wrong with that.

Get the celeb pregnancy scoop at TheBump.com/celeb thebump.com

andrei jackamets/bravo

The Bump What was it like talking about your fertility journey on your TV show? Rosie Pope I had secondary infertility, so I got pregnant with my first son without a problem. It didn’t work that easily the second time. Everybody tells you it’s like riding a bike: After you’ve done it once, you can do it again. It wasn’t that simple. It took about two years to get pregnant. Talking about it wasn’t easy, but I think it was therapeutic. I respect people who want to keep things like this private, but I wanted to talk about it so others don’t feel alone. Infertility affects many people.

Rosie lends a hand to parents-to-be on her show.

PROMOTION

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“i’m the daddy” gear

DaddyScrubs offers “I’m the Daddy” gear for labor, delivery and beyond. Our scrubs, tees, hoodies and accessories make perfect baby shower gifts to help new dads feel special and appreciated. Check out our Brag Book of real dads sporting their delivery room duds on our Facebook page. Order yours today at DaddyScrubs.com.

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Bebe au Lait is the #1 nursing cover brand. Known for stylish prints and luxurious fabrics, their covers feature a patented Rigiflex™ neckline so mom can see baby while nursing. Multi-functional and fullyadjustable, they also include internal terrycloth pockets for storage and clean-up. BebeauLait.com

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learn a little

Don’t just get bigger. Get smarter! Prep for baby with one of these cool, local classes. by Bonnie Vengrow

childbirth education

Get a primer in the stages of labor and the scoop on pain-relief techniques—whether you want drugs or not. Find out what happens if there are complications during childbirth and what to expect after delivery. You’ll also learn about optimal fetal positioning and practice moves that can make delivery more comfortable. take it at Maternal Wellness Group, $150 per couple, (215) 888-7698

cesarean childbirth

breastfeeding prep

Getting the hang of breastfeeding is much easier if you already know the basics. This class covers how to properly position baby, get her to latch correctly and know she’s feeding enough. You’ll also learn about milk production and how to pump and store milk. take it at Blossoming Bellies, $35, (267) 261-0284

ask a pediatrician

Have all your baby care questions answered by a pediatrician—without having to make an appointment. Topics covered in this open forum include immunizations, choosing a pediatrician, child safety, jaundice and deciding whether to breastfeed or bottle-feed. take it at Abington Memorial Hospital, free, (215) 481-6800

infant care

In this crash course, you’ll get how-tos on swaddling, bathing and diapering. You’ll also discuss how a newborn looks and acts (because you’re in for some surprises!). take it at Hospital of the University of Pennsylvania, $35, (215) 829-5020

pain management

Most childbirth classes teach breathing and relaxation techniques, but this one offers other pain-management tools. You’ll learn and practice how to find relief with a birth ball, massage and pressure points, aromatherapy, positioning, and hot and cold therapies. take it at Paoli Hospital, $40, (866) 225-5654

becoming a sibling

Kids ages three to seven learn what it will be like to become a big brother or sister. A tour of the nursery and maternity ward is included. TAke it at Lankenau Medical Center, $30, (866) 225-5654

Choose a birth class at TheBump.com/birthclass thebump.com

ALEXANDRA GRABLEWSKI. dress by more of me maternity design

If you know you’re having a c-section, this is the class for you. You’ll get details on what really happens during the surgery, including how the anesthesia works, plus advice on recovering after the birth. take it at Holy Redeemer, (800) 818-4747

S pecializing in ne wbor n por tr aits and first y ear of lif e.

www. k err yh arr is on. ne t 302-494-4141 Philadelphia/South Jersey thebump.com

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my pregnancy diary february 17

n Deinse By Stephan ie Va ladelphia) (age 36; from Phi

september 25

Although I’d been feeling a little “off,” I suspected it was just PMS. I’d been told that it wouldn’t be easy for me to conceive, so pregnancy was the last thing on my mind. After a few more days, however, I asked my husband, Brandon, to pick up some pregnancy tests. None of them worked right! It was 2 a.m., but I couldn’t wait. We went to a 24-hour store and bought a digital test, and within the hour it spelled out “Pregnant.”

january 10

The day I’d been waiting for— our 20-week ultrasound! “Do you want to know if it’s a boy or a girl?” the technician asked. “Yes!” we responded. We were having a boy!

When I was 25 weeks pregnant, we returned from an evening of shopping to find our street blocked off. Someone had set our building on fire. We lost everything. While the days and weeks that followed were the hardest of my life, people whom we’d never met (including strangers from The Bump who’d read our story!) reached out and helped us rebuild.

march 26

I was only 30 weeks along, so imagine my surprise when I had to stop mid-shift at work because my baby was coming—right then and there! I’d been in labor all day and hadn’t known it. An ambulance brought me to the hospital, where I gave birth within an hour to Tristan Alexander. He was 10 weeks early and weighed 3 pounds, 11 ounces, and was 17.5 inches long. For the next 58 days, Tristan stayed in the NICU.

june 11

Tristan’s homecoming day had finally come! Nothing had gone as planned, but we were so happy that Tristan was healthy and coming home. Through it all, I think having a preemie made me cherish moments with my son in a whole new way.

stephanie’s local faves Hospital

Hospital of the University of Pennsylvania, Philadelphia, (215) 662-4000 OB-GYN

Arrienne Hudnall, MSN, CRNP, Philadelphia, (215) 662-4829 maternity clothes

Second Mile Center, Philadelphia, (215) 662-1663 baby clothes

Ross, Philadelphia, (215) 928-9140 infant gear

Babies “R” Us, Springfield, (610) 544-9207 crave-satisfying restaurant

Local 44, Philadelphia, (215) 222-2337

Read more pregnancy stories at TheBump.com/pg thebump.com

w w w. r y a n e s t e s . c o m | 4 8 4 . 2 5 2 . 5 0 7 6

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Call Women’s and Children’s Services to schedule your maternity tour, childbirth and breastfeeding

stuff you can actually do (yay!)

Maybe you thought these things were off-limits during pregnancy, but they’re not (completely). Paint Your Nails

Choose a polish brand that’s free of dibutyl phthalate (DBP), toluene and formaldehyde. And apply it (or have it done) somewhere that’s well-ventilated so you (and baby) aren’t breathing in harmful fumes.

Highlight Your Hair

Wait until the second trimester to do chemical hair treatments. Since highlights are covered in foil and aren’t applied to your scalp, there’s less risk of chemicals getting absorbed into your skin than there is with other dye processes.

Eat (some) Soft Cheeses

You can eat a soft cheese like Camembert or Brie, but only if it’s been pasteurized (to kill any listeria, a harmful bacteria). So check the label to be sure. And when in doubt, avoid it.

Lift Weights

Strength training can actually help reduce pregnancy aches and pains, so go for it! If you’re a beginner, use 10-pound or lighter dumbbells. Stretch your muscles before and after, and don’t exhaust yourself.

Find more facts at TheBump.com/isitsafe thebump.com

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reading list Moms’ favorite books, from pregnancy to baby care. Stock your shelf! by the bump editors

the baby bump by Carley Roney and the editors of TheBump.com

Sorry for the shameless plug, but seriously, we can’t help but recommend our own book. We worked with amazing doctors and moms who have been through it all, and this book covers everything you want—and need—to know about pregnancy and baby. It’s full of tips on everything from ultrasounds to your wardrobe to help you get through these crazy nine months.

so that’s what they’re for! by Janet Tamaro

the belly book by Amy Krouse Rosenthal

“It’s a great “Breastfeeding pregnancy is a practicejournal. It begins makes-perfect at week one, skill. This makes so start filling learning fun it out ASAP.” and humorous.” beanieweanie BartsGirl

fearless pregnancy

baby bargains, 9th edition

by Victoria Clayton, et al.

by Denise & Alan Fields

“It addresses your big fears. Helpful in the first trimester, when I worried about miscarriage.” vanillacourage

“It’s a must. It will answer so many questions about making baby-gear purchases.” Lstaylor73

the happiest baby on the block by Harvey Karp, MD

“Lifesaving during my son’s first few months. I buy it for all my friends.” debbiej

More advice at TheBump.com/chat thebump.com

all images courtesy of the manufacturers

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what’s your babymoon personality? Beach bum, shopaholic or urban adventurer? Choose your travel style and get some creative ideas for your prebaby getaway. by sarah yang

if you’re a...

Soak up the warmth and rest those sore muscles at a beach that’s near or far. If you’re a fan of sand and surf, there are plenty of places to choose from.

Longing for a true getaway? Here are some options for an international retreat.

beach bum

florida With tons of great beaches

and resorts, you’ll have your pick of spots for a Florida babymoon. Try the LaPlaya Beach & Golf Resort in Naples for romantic dinners and moments on the sand. Your partner can hit up the golf course while you’re indulging at the resort’s spa.

from top: thinkstock; shutterstock

california Up and down the coast

of California are some pretty stunning beaches. The Cliffs Resort in Pismo Beach is located about three hours northwest of Los Angeles and offers an And Baby Makes Three package. The deal includes a massage for both mom- and dad-tobe, a $50 dinner voucher at the resort’s restaurant, a welcome basket filled with diapers and a onesie, a movie, ice cream (satisfy those cravings!) and even breakfast the next morning.

turks and caicos Parrot Cay, a

private island resort in the Caribbean, is a luxurious hotel with complimentary yoga and Pilates, an extensive spa menu (with special prenatal massages), two gourmet restaurants and plenty of excursions to choose from for exploring the island.

world traveler

venice If you’re feeling good enough for a plane ride, Luna Hotel Baglioni in Venice has a babymoon package that includes a two-night stay, breakfast, a discount at its restaurant, a gift, a mocktail, a massage for mom-to-be, a cooking class and more. montreal Who needs Paris (or that

long flight!) when you can head over to French-speaking Montreal? With cultural attractions, beautiful 18th- and 19th-century buildings, and tons of great restaurants and cafés, there’s so much to do and see.

new orleans Want to go domestic? Try New Orleans. The city is rich with influences from Europe, the Caribbean and Africa. Stroll through the French Quarter, go on a swamp tour, or visit a haunted cemetery. It’s also practically mandatory to taste the city’s famous foods: gumbo, crawfish, jambalaya, beignets and more. > Venice’s Grand Canal

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Miami’s Colony Hotel

if you’re a...

spa lover

Use your babymoon to rejuvenate with some soothing spa treatments.

sedona, arizona This scenic, artsy

shopaholic

Dying to stock up on maternity and baby clothes, accessories and nursery décor? Why not visit a city with amazing shopping options? You might be exhausted after hitting all the shops, so make sure to get lots of rest at a luxe hotel and maybe even indulge in a spa treatment.

miami Shop to your heart’s content in

this glamorous city. Hit up the Aventura Mall or the Bal Harbour shops for upscale boutiques. Or try the Cocowalk or Lincoln Road for some outdoor shopping. For maternity and baby gear, check out Olian on Miracle Mile or Sweet Pea & Me in Palm Beach Gardens. Afterward, get some grub at one of the city’s delicious restaurants, go to an art museum, or take a dip in the pool or ocean.

new york city You can shop all over Manhattan’s neighborhoods, from the Upper East Side and SoHo to Herald Square. Look at the famous store windows at Bloomingdale’s, Bergdorf Goodman and Saks Fifth Avenue. Browse maternity clothes at Rosie Pope Maternity and Bump Brooklyn— they both have some great finds. And when you’re finished with your retail therapy, treat yourselves to a Broadway show or head over to the Empire State Building or the Statue of Liberty.

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vermont If you’re craving nature

and some peace and quiet, you’ll love the Topnotch Resort and Spa in Stowe. It’s a country retreat with gorgeous mountain views. Its world-famous spa has plenty of offerings for moms-tobe, including a conventional maternity massage, a maternity shiatsu massage and a maternity guided visualization (kind of like meditation to de-stress). Your guy can also get one of the various massages, plus a gentlemen’s facial or a refining face treatment for men. Scenic Vermont

from top: alamy; thinkstock

if you’re a...

town is full of galleries and restaurants. The L’Auberge de Sedona has European charm and an extensive spa menu. You can get a maternity massage that’s customized to the stage of pregnancy you’re in. Afterward, hike along the West Fork of Oak Creek trail or stroll the Mexican-style Tlaquepaque Arts & Crafts Village.

if you’re an...

urban adventurer

Not sure what you’ll be in the mood to do? Head to one of these urban destinations, which offer a variety of activities. Seattle’s Skyline

tip jetting off? Use this advice for a smooth flight Time It Right

Some airlines may not let you fly after week 36. Book the Aisle

You’ll have to use the bathroom, and it’s easiest to get in and out of an aisle seat.

seattle This pleasant city in the Pacific Northwest has

the best of both worlds—it’s urban, but it also has some beautiful nature to enjoy while you’re there. (Be sure to see the breathtaking view from Kerry Park!) Check out Pike Place Market for tasty treats—everything from burgers and fresh produce to chocolate truffles—plus cool locally made jewelry, clothing and gifts, but stay away from the fish stalls if the smell makes you a little queasy. And don’t miss Seattle Center: It has 4 museums, 11 theaters, 5 gardens and 6 fountains, and it’s home to the famous Space Needle.

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chicago Take your pick of museums, parks, theater, sporting

events and to-die-for dining in this happening (but not too overwhelming!) lakeside city. Hit the town and have a laugh at the famed improv club The Second City—whose alumni include many Saturday Night Live stars. (You just might get to see the next big comedy up-and-comer!) Make sure to check out The Art Institute of Chicago if you’re a Monet fan, and then take a stroll through nearby Millennium Park’s Lurie Garden, which is full of flowers, butterflies and birds in the spring and summer. You’ll also want to see one of the Chicago teams play while you’re in town.

get comfy

Wear loose clothes and put your feet up to avoid swollen legs. Take a Walk

Get up and move around frequently to prevent blood clots. hydrate Drink plenty of water to keep from getting parched or constipated.

More advice at TheBump.com/pregtraveltips

celebrate Man showers, sympathy pregnancies, unwanted belly touching and more…

My partner wants to have a “last hurrah” before baby’s born. Are other dads-to-be having “man showers”? Yes, some guys are having “man showers” or “dadchelor parties,” but they’re not totally mainstream yet. We did a survey and found that one in five Bumpies said their guys had been to one of these pre-papa events—which run the gamut from trips to Vegas to a fishing day trip. Part of what’s igniting this new trend is that men (like women) are starting families a little later in life, so they have more disposable income to spend—and what better way to celebrate baby than by throwing a party or taking a trip? And honestly, your partner is probably a little freaked out over losing luxuries like taking last-minute weekend trips, sleeping in or hanging out with his friends when he becomes a dad. We say give the man shower your seal of approval. But we would lay down one rule: Have it early—as in, at the latest, a month before your due date. You don’t want to go into labor while your guy is out at a bar or, worse, while he’s in another city! Should I talk to baby in utero? Can he even hear me in there? By midpregnancy (around 16 weeks), your baby can probably hear you. Scientific research suggests that babies respond to the sounds around them—a loud noise can cause your baby to move suddenly.

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Some scientists also say that babies in the womb respond to music and voices. Many a mom has felt her baby move in response to music, and some moms, dads and scientists believe that babies can be comforted by hearing songs, voices and stories that they first heard in utero. So sure, why not try talking to your baby? Thing is, you might feel silly chatting up your own belly at first. So try reading a children’s book. (Or the newspaper. Your baby won’t know the difference.) Or sing your favorite song. Just don’t expect miracles. Despite some well-published hype years ago, there’s no good evidence to suggest that listening to music (or anything else) in utero will make your child smarter.

How should I wear my seat belt with my baby bump in the way? Buckling up may be tricky now—over the belly or under?—and you might consider forgoing a seat belt because it seems uncomfortable or because you worry it could smush baby. But don’t even think about it. The March of Dimes reports that there are nearly 170,000 car crashes involving pregnant women each year, and according to The American College of Obstetricians and Gynecologists (ACOG), research suggests that four out of five babies that were lost in car accidents would’ve been saved if their pregnant mothers had worn safety belts. So always buckle up. >

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celebrate

The Bump experts: Michael P. Nageotte, MD, medical director

of the MemorialCare Center for Women at Long Beach Memorial Medical Center and Miller Children’s Hospital Long Beach in Long Beach, CA; Christian Hoffman, MD, medical director and chair of the department of obstetrics/ gynecology at Robert Wood Johnson University Hospital Hamilton in Hamilton, NJ; and Mindy Lockard, etiquette consultant and president of Mindy Lockard Gracious Living

How can I tell people to stop touching my belly? It’s so annoying when people rub your bump like a magic lamp. But resist the urge to yell, “Hands off!” Being rude or snarky will only get you worked up. Instead, be firm, direct and polite: “I’d prefer that you don’t touch my belly. It makes me feel uncomfortable.” And if it helps, keep in mind that people mean well—they just find you (and your bump) irresistible!

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Is there any truth to “sympathetic pregnancies”? Do dads-to-be get symptoms? Couvade syndrome, also called sympathetic pregnancy, is when your guy decides that as long as you’re suffering through morning sickness, heartburn, back pain and other pregnancy-related symptoms, he will too. (He just better not dare ask for help from you.) It’s not really recognized as a medical condition, and there’s debate over whether it’s a physical or mental one at all.

When should baby shower invitations be sent out? The typical baby shower takes place around your sixth or seventh month, and invitations should be sent out four weeks before that. So you’re looking at the five- or six-month mark. Earlier than that, guests may forget. Any later, and they may have already made plans. Etiquette expert Mindy Lockard suggests mailing your invitations. Evites are great, but they can easily go to spam, and some guests might not check their email religiously. And remember to finish your registry by the time invites go out, so guests can see your list.

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Here’s how to do it safely—and comfortably! ACOG recommends wearing the lap belt portion low on your hip bones and below your belly. Put the shoulder belt portion to the side of your belly and across the center of your chest. Make sure the belt fits snugly and don’t place the shoulder belt under your arm. Wearing a safety belt too loosely or too high on your belly can cause broken ribs or other injuries if you’re in a car crash. Take a few more precautions if you’re the driver. ACOG suggests limiting driving to no more than five or six hours a day, and if you’re driving for that long, make plenty of stops so you can stretch and relax. Be sure the steering wheel is at least 10 inches from your breastbone. Can’t create that much space between your bigger belly and the steering wheel? Tilt the steering wheel so it’s angled toward your breastbone—that way, your car’s air bag can protect you in case of an accident.

But even if it’s not a real medical concern, cut your guy some slack if he comes down with a case of couvade. He’s probably just super-excited that you’re about to be parents and wants to do all he can to get involved, down to carrying that baby with you. Sign up for pregnancy classes together so he can learn all about delivery and infant care. Then make sure he’s 100 percent better by the time the baby arrives, since you’ll need him to be healthy and hands-on from day one.

More answers at TheBump.com/pregnancy thebump.com

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ready for takeoff time it right Some airlines won’t let you fly after week 36. If you’re showing, it’s a good idea to carry a doctor’s note saying how far along you are, just in case you get questioned.

buckle up We know your belly’s big, but you never know when turbulence could hit. Wear the buckle low on your hip bones, right underneath your belly.

book an aisle seat You don’t need us to tell you that you might have to get up to use the bathroom. It’s also easier to get into an aisle seat than to climb over to a window seat.

take a walk If your flight is over four hours long, get up and walk the aisle to prevent blood clots in your legs—you’re more susceptible to them while you’re pregnant.

make yourself comfortable Wear loose clothing and put your feet up whenever you can to prevent swollen ankles.

drink lots of water Plane air is dry! Plus,

staying hydrated can prevent constipation, and that’s worth an extra pit stop! Trip-safe tips at TheBump.com/pregtraveltips

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Hopping a flight? Try these tips for a smooth trip.

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switch it up

Sorry, but now that you’re pregnant, you’re going to need to make some changes. That includes your beauty routine.

You want to use products that are ultra-safe for baby—and will help you look and feel your best all nine months long (or at least as best as you can when you’ve got morning sickness, swollen ankles and sleepless nights!). Don’t worry—this will be painless. Here’s what to do.

thebump.com

Antonis achilleos

by sarah yang

hair

You use Dye for an allover color. Swap it for Highlights, which can be

applied so that they don’t come as close to your skin as allover color does. That’s because even though dyes appear to be safe, no scientific studies have proven so conclusively. So you’ll feel much better with a little space between your scalp and the solution. Wait until the second trimester to do it and be sure to tell your stylist you’re pregnant so she can use products with fewer harsh or potentially harmful chemicals, such as pure henna (it’s made from veggies!). tip Go for super-trendy ombré highlights, which start inches from your scalp. And you won’t have to worry about your roots showing in a few weeks.

skin

You use Products with retinoids, parabens, heavy fragrances or petroleum, or zit zappers with salicylic acid, benzoyl peroxide, Accutane or tetracycline. Swap it for Beauty goods with fewer chemicals, especially the biggies listed above—they’ve been associated with birth defects and fetal growth problems, or it’s simply not known how they affect baby in utero. Beyond that, though, your doctor will probably tell you that you don’t have to limit yourself, since there aren’t a lot of skincare ingredients proven to cause health problems in unborn babies. Just keep in mind that your skin might be more sensitive than it was pre-pregnancy, so the fewer chemicals you’re exposed to, the less likely you are to have a reaction. tip Make a mask with whole milk Greek yogurt—the thick stuff works for any type of skin and is loaded with lactic acid for exfoliation and fat for moisture, says beauty and lifestyle expert Alexis Wolfer, founder of The Beauty Bean, an online beauty destination. Start with a couple tablespoons of yogurt and add other natural ingredients to suit your needs: a mashed banana to help with acne, honey for dry skin, or ground oats or finely ground walnuts or almonds to perk up a dull complexion.

face

You use Foundation set with a generous helping of powder. Swap it for A tinted moisturizer. That pregnancy glow thing doesn’t happen to everyone—sorry, mama—and you can’t fake it by piling on makeup. A tinted moisturizer will give you a dewy, more natural-looking finish. To get the exact shade and coverage you want, mix your foundation and your moisturizer. And skip the powder for now. It may do a great job covering up that shiny T-zone, but it has a tendency to cake when applied to oily skin. We suggest investing in some blotting papers instead. tip For days when you’re feeling fat (even though you are, of course, supposed to be getting bigger!), Wolfer suggests putting some highlighter on your cheekbones and contouring your jawline with bronzer. If you’re using tinted moisturizer, make sure the coverage extends down your neck so you don’t get that mismatched-face look.

nails

You use Any old bottle of nail polish. Swap it for Polishes that are free of

dibutyl phthalate (DBP), formaldehyde and toluene. Like with hair dye, there’s no clear evidence that nail polish is unsafe. But DBP has been associated with hormone production problems in a fetus, toluene may cause reproductive issues, and formaldehyde can cause breathing problems and may cause cancer. None of those things are worth the risk! You may want to skip the polish or be extra-careful about what you use. Most major brands, including OPI and Essie, have removed those ingredients from their formulas, so look at the label and use a brand you trust (some not-so-well-known companies have lied in the past!). And skip removers with acetone—the fumes could be harmful. tip Limit your exposure to nail salon fumes by booking your manicure or pedicure during off-peak hours or requesting a seat near the door or an open window. Or avoid a room full of the toxic stuff by doing the job yourself at home.

More beauty and style tips at TheBump.com/fashion

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feel better now!

Don’t think of it as exercise. These pregnancy-safe moves will ease back and leg pain and help you sleep. by elena donovan mauer photography by alexandra grablewski

you’ll need:

Yoga mat Water Foam roller— we added a cover with bumps for an extra massage (by SilverSport)

leg roll

3- to 5-pound dumbbells (make them 6- to 8pounders if you’re more experienced) Gym shoes (optional)

This maneuver will give you a nice calf massage and promote circulation, which could reduce swelling. Sit and put your arms down at either side. Bend your right leg so your foot is flat on the floor. Straighten your left leg, placing it over your roller. Push down with your arms and right leg, as you roll your left leg over the roller. Do it 1 to 2 minutes per muscle area; then switch to the other leg. >

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More relief for aching calves! Get on your hands and knees and push yourself up into an inverted V so that your legs are straight. Push up and back with your

arms so your legs get a nice stretch. Relax your neck and head. Hold for 30 seconds. Then bend each knee, one at a time, to deepen the stretch.

variation If your wrists are aching because of carpal tunnel, do these stretches standing against a wall.

spinal extension

Some moms-to-be find it tough to work out their back during pregnancyâ&#x20AC;&#x201D;since you need to lie on your stomach for many back exercisesâ&#x20AC;&#x201D; but this yoga-based pose is totally doable. Just get on your hands and knees, with your hands directly under your shoulders, and knees directly under your hips. You can put your hands flat on the mat, but if your wrists hurt, just make fists. Then, extend the opposite arm and leg at the same time and hold for several seconds. Do 10 reps on each side.

cat and cow pose

Got backaches? On all fours, curve your back up (like a cat) and drop your head; then do the opposite, arching your back down and looking up. Repeat 5 to 10 times. >

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styling by heather hall; hair and makeup by stefanie syat for bernstein & andriulli; white tank by more of me maternity design; yoga mat and towel by Gaiam

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wall-assisted lunges

When you’re pregnant, your center of gravity is off, which makes it much easier to lose your balance, so use the wall to keep yourself stable and safe during these lunges. With one hand against the wall, step forward, extend one leg in front of the other, and bend at the knee. Be careful not to extend your knee beyond your ankle. If you’re having a tough time keeping your balance, take stepping out of the equation: Stand still with your feet apart and simply dip down and then up. Do 3 sets of 10 on each side. The benefit? This works your thighs and butt. Plus, working your muscles helps your body settle down to “repair” at bedtime, and that translates to a better night’s sleep for you.

reverse fly

Prevent further back pain by strengthening your back muscles (this will also help you be able to hold and feed baby without hurting your posture). Holding dumbbells, stand with feet shoulderwidth apart and knees bent. Bend forward from your hips and raise both arms out to the sides, squeezing your shoulder blades together behind you. Do 3 sets of 20.

nicole’s tips

Eat bananas Something about the potassium in bananas helps prevent muscle cramps.

Thanks to Nicole Glor, creator of NikkiFitness Baby Bootie Camp and The Slimnastics Workout, who put together the moves and showed us how to do them!

Drink up Drink lots of water to prevent dehydration and help with those aches and pains.

Do yoga YogaFit PreNatal is a great DVD for challenging, pregnancysafe yoga.

Create your workout plan at TheBump.com/fitness thebump.com

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prenatal pampering As if you needed an excuse for a little indulgence. These nearby spots offer it. by Bonnie Vengrow

Designed just for moms-to-be, Nurture Spa’s prenatal massage promises to soothe aching muscles, relieve tension, help with back pain and improve circulation. And—did we mention?—it’s so relaxing (215-862-7010, NurtureSpa.com).

stylish clothes

A Pea in the Pod is your go-to source for chic pregnancy clothes from designers like Rosie Pope, Vince and Nicole Miller (856662-3844, APeainthePod.com). Worn Yesterday carries gently used maternity pieces from upscale brands like True Religion, Burberry and Catimini (215482-3316, WornYesterday.com).

luxe beauty products

The sweet smells wafting from Duross & Langel will draw you in; the dizzying array of handmade bath lotions, soaps, scrubs and candles will keep you there. After loading up on goodies for yourself (hey, you deserve it!), check out the products for men, kids and pets (215-592-7627, DurossandLangel.com).

one-on-one attention

If you’re nervous about working out, or you just want a fitness regime customized to your needs, sign up for private classes with certified personal trainer Phil Nicolaou. He’ll work with you to create a routine that will leave you toned and feeling great (610-5743587, PhilNicolaou.com). Get spa-safety tips at TheBump.com/spasafe

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what are you craving? You can’t explain why, but it’s fatty (or sweet or salty) and you want it. Now. Here are some healthy ways you can satisfy those cravings.

We’ve all heard the cliché: partners sent out searching for pickles and ice cream to satisfy a 3 a.m. urge. It may not be those exact foods, but pregnant women know this is no joke. Food cravings are strong and hard to ignore. But when the foods you want aren’t the healthiest, you have a dilemma. How do you satisfy the need to snack without throwing healthy eating out the window? After all, most pregnant women only require 300 extra calories per day (and that’s just a healthy snack or two). Here’s what to do if you’re craving crappy food.

M&M’s Pretzel candies without a problem,” she says. “But if it’s been in the freezer, it takes a lot longer to chew through.” And the longer it takes you to eat something, the less likely you are to overeat it. Mora also suggests using fruit to satisfy your sweet tooth. Mangoes, bananas and grapes are among the sweetest fruits, and unlike candy, they also deliver fiber and nutrients such as potassium and vitamins A and C. Craving something with a bit of crunch? Snack on a handful of trail mix. Sweeten it up with a small piece of dark chocolate or dried fruit.

candy

cheeseburger

Be it gummy bears, jelly beans or peanut butter cups, candy is a popular pregnancy craving. To keep from going overboard, put your favorite candy in the freezer, says Paola Mora, RD, CDN, who counsels pregnant women at Montefiore Medical Center in New York City. “I will eat an entire bag of

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If a burger is what you crave, opt for one made with turkey or veggies rather than beef. Turkey and soy-based burgers deliver iron and protein, both of which your baby-growing body needs, says Mora. But they’ll often do it with fewer calories and less fat than a typical beef burger. Adding a slice of cheese is a good way to get some calcium—choose a low-fat version. And load up on as many vegetable toppings as you can: lettuce, tomatoes, pickles, onions, mushrooms, roasted peppers. Veggies are packed with vitamins and fiber that will help you feel fuller longer. But the most important thing to remember with burgers, Mora says, is making sure they’re fully cooked. “The meat should have no pink whatsoever,” she says. As part of pregnancy, your immune defenses are muted, which means your ability to fight off bacteria in undercooked meat is compromised. >

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by Cynthia Ramnarace

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While a pint of Chunky Monkey has the calcium your body needs to grow baby, it also has 10 grams of saturated fat, 27 grams of sugar and 290 calories per serving—there are four of those in that pint! The key here is portion control: Spoon out one serving, about half a cup. Or opt for frozen yogurt, real fruit sorbets or artificially sweetened ice cream bars. “Some sweeteners, like Splenda, are perfectly safe to have during pregnancy,” says Mora.

pizza

The good news is, it’s easy to turn pizza into a healthy option, says Bridget Swinney, RD, author of Eating Expectantly. Opt for lowerfat Canadian bacon instead of sausage or pepperoni. And load up your pie with lots of vegetables: Olives, mushrooms, zucchini and bell peppers add fiber and are rich in nutrients such as vitamin C and potassium. It’s also a great opportunity to add spinach to your diet, which helps fetal brain and eye development, Swinney says. “Antioxidants like lutein aren’t in prenatal vitamins,” she says. “Spinach is a great source of lutein.” When ordering your slice—or making it yourself—choose a whole-wheat crust, a flour tortilla or a piece of pita bread. Select a low-fat cheese to save on calories and dip your crust in tomato sauce to get an extra dose of lycopene and other nutrients.

french fries

French fries feed a pregnant woman’s craving for salt and potassium. The problem is, they’re high in calories and fat, and are a starchy, blood-sugar-boosting

thebump.com

carbohydrate. To get your fix a healthier way, go for sweet potato fries. Sweet potatoes have a lower glycemic index than white potatoes, so they may make you feel fuller longer. If you’re whipping them up at home, toss the sweet potatoes with a little olive oil and salt and bake them. You’ll get the same great taste without the fat and calories added by a turn in the deep fryer. Or have a baked potato (including its nutrient-rich skin) and top it with veggies like broccoli, cauliflower or onion. Eating a whole spud will satisfy your potato craving while keeping you from overindulging. After all, it’s easy to stop at just one potato; it’s tough to know when to stop with fries.

nachos

Prevent overdoing the nachos by dishing some out onto a side plate for yourself. Go heavy on the vegetable-rich salsa and easy on the high-fat sour cream. Resist the urge to go back for seconds!

“Vegetarian refried beans may be lower in fat and are a great source of fiber and iron.” When you make them, use baked chips and low-fat cheese and sour cream. And add diced avocado. It has folate, an important brain-building nutrient for baby. Spice things up with a serving of vegetarian refried beans—they may be lower in fat and are a great source of fiber and iron, one of the most important pregnancy nutrients because of its role in blood production. >

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chocolate milk shake

When morning sickness settles in, a milk shake might be the only food you can stomach (literally). But consider the calories: A large chocolate shake from a popular ice cream joint packs 1,290 calories, 58 grams of fat and—get this—168 grams of sugar. That’s nearly a full cup of sugar! Opt for a small and you’ll cut that in half: 620 calories, 30 grams of fat and 77 grams of sugar. Not great, but better. After all, eating too much sugar during pregnancy increases your risk of excessive weight gain and gestational diabetes, says Mora. To satisfy this craving without the sugar overload, Swinney recommends making a smoothie instead. Combine frozen bananas, cocoa powder and low-fat frozen yogurt or low-fat milk with ice in a blender. Or if that’s too much work, opt for a teeny bit of ice cream over a shake: a 2.5-ounce scoop of chocolate will run about 170 calories, 9 grams of fat and 19 grams of sugar.

chicken nuggets

other unhealthy stuff

Pregnancy experts haven’t figured out exactly why women crave certain foods while pregnant, but they know how to prevent unhealthy snacking. “We do know that eating regular meals and snacks can keep a woman from overindulging,” says Swinney. “By eating a little protein at meals and with snacks, and eating high-fiber foods like fruits and vegetables, you can keep that late-night fridge rummaging to a minimum.”

The Bump experts: Paola Mora, RD, CDN, nutritionist at Montefiore Medical Center in New York City; and Bridget Swinney, RD, author of Eating Expectantly

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Those golden-brown nuggets look so innocent. But consider: At one fast-food chain, a 10-piece order delivers 470 calories and 30 grams of fat. And that doesn’t count the fries you’ll probably order with them.

“If you just have a little craving and can get by with a few nuggets, that’s one thing, but if you need a super-size order and get the fries too, that’s a not-so-super meal,” says Swinney. So instead of loading up on nuggets, order a plain chicken sandwich—grilled is best, but even a basic crispy sandwich (not extra-crispy) has fewer calories than an order of nuggets does. Another advantage: Portion control is easier with a sandwich than it is with a box of nuggets. Pair the chicken with a salad and you’ll get fiber to help you feel fuller longer (and prevent constipation!).

Daily nutrition plan at TheBump.com/nutrition thebump.com

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spread ’em... wider?

Face it: Going to the OB isn’t how you’d choose to spend your free time. These are the five most-hated parts of prenatal visits—and some tricky tactics to help you deal. by meagan francis

By the time the nurse calls your name, your butt is numb and you’ve played 16 games of Angry Birds on your phone (fun, but not exactly how you planned to spend your afternoon). And if your partner came along, he’s probably getting pretty antsy and annoyed. how to deal When you make your appointment, ask for the first time slot in the morning. The earlier the appointment, the less likely the office is to be running behind, says Robin Elise Weiss, pregnancy and childbirth educator and author of The Complete Illustrated Pregnancy Companion. Didn’t get an early slot? Call ahead and see if things are running on schedule—the receptionist may tell you you’re in the clear to show up a little later.

you hate your “private” parts being on display

You know spreading ’em is part of the routine, but that doesn’t make pelvic exams any more fun. It can feel embarrassing when somebody you barely know is checking out your most private areas—and you likely can’t help but wonder if they’re critiquing your, um, haircut.

thebump.com

how to deal Remind yourself that you’re seeing your doctor for a reason: You trust her. And remember that this may feel really intimate to you, but to your OB, it’s everyday stuff. “Ob-gyns have seen every size, shape and form, and we aren’t passing judgment on your appearance,” says Rebecca Shiffman, MD, director of Maternal Fetal Medicine at Lincoln Medical and Mental Health Center in Bronx, New York. And by the time baby’s born, you’ll be so used to this, your modesty will be gone.

you hate pain & discomfort

Let’s face it: Internal exams, vaginal ultrasounds and having your blood drawn can be more than a little uncomfortable. how to deal At the beginning of the visit, talk with your doctor about what sensations to expect. While you’re getting an internal exam, try to relax. The less you tense up, the less discomfort you’ll feel. You can also use relaxation methods like taking deep breaths or listening to music on your iPod, says Shiffman. During blood work, look away and chat with the nurse or your partner to distract you from what’s going on with the needle, advises Weiss. You just might find that it hurts less. >

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glow

you hate getting about 2.5 minutes with your doc

You’d think after all that time you spent hanging out in the waiting room, you’d get to have a nice, long talk with your OB. But instead, you feel like she’s in and out of the exam room before you can even think of any questions to ask her. Of course, as soon as she leaves, you’ve got a million. (“Hey—wait!”) how to deal Come prepared. Write out your questions in advance and bring the list with you. Whip it out as soon as the doc is done examining you—or heck, as soon as she walks in the door—and fire away. Also, know that your doc is probably completely unaware that you’re feeling rushed. She just knows she has a schedule to keep (and she’s probably behind!), so go ahead and ask the office if you can schedule a longer appointment to discuss your concerns next time. (But if you go this route, ask whether you’ll be billed extra and whether your insurance is likely to cover it.)

you hate having your birth plan get the brush-off

You put a lot of time and thought into that birth plan, but when you handed it to your doctor, she barely glanced at it before sticking it in your chart. how to deal Prioritize. Your doctor may not have time to read a novel of a birth plan. So give her the highlights—the stuff that’s most important to you. An example: Whether or not you get an IV might not matter to you, but if not being allowed to eat and drink while in labor is a deal breaker, make it known. Also, think of your birth plan as a discussion. “Talk to your care provider and explain how you’re feeling. Be ready to listen too,” says Weiss. In a face-to-face chat, your doctor is more likely to pay attention and take your preferences seriously than if it’s just on paper. The Bump experts: ROBIN ELISE WEISS, author of The Complete Illustrated Pregnancy Companion; and REBECCA SHIFFMAN, MD, director of Maternal Fetal Medicine at Lincoln Medical and Mental Health Center in Bronx, NY

she’s too busy One big no-no: hovering by the door, or generally just giving off the vibe that she’s ready to jump to the next patient. So if your doc has her hand on the doorknob before you even tell her how you’re feeling, or if she’s not in the moment enough to make eye contact, guess what? You’re not getting the time you deserve.

she’s not listening If the doc still refers to your time on the NuvaRing when you’ve told her on numerous occasions that you were on the Pill, chances are she hasn’t really been listening to you. We all have days when we’re frazzled (and you certainly should allow for some wiggle room), but it’s the OB’s job to know your medical history.

she’s disrespectful If the doc doesn’t respect your beliefs or answer your questions, that’s most definitely breakup material. Of course you should look to her for expert advice, but if she’s defensive or inflexible when talking about your choices on things like birth control or pain meds, you may want to look elsewhere.

Know what prenatal tests to expect at TheBump.com/tests thebump.com

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glow Sex drive, going to the dentist, high heels and more...

My sex drive is through the roof! What the heck is going on? Pregnant women typically fall into two camps: those who can’t get enough between the sheets, and those whose idea of a perfect evening right now is a peaceful night’s sleep. If you’re in group A, you can thank the rising levels of estrogen and progesterone, which are helping to boost your desire for nonstop nookie. The hormones increase the amount of blood flow to the pelvic area and the amount of lubrication down there, says C. Joseph Cadle, MD, ob-gyn at Kaiser Permanente of Georgia. Plus, they make your boobs more sensitive. As long as your doctor has given the okay, it’s safe to have sex throughout your pregnancy. We say enjoy it while it lasts—once baby’s here, you’ll probably have to wait around six weeks before you and your partner can have sex again. Can I use artificial sweeteners like Equal or Splenda? “The FDA has approved aspartame, acesulfame-K and sucralose for use during pregnancy,” says Suzanne MerrillNach, MD, an ob-gyn in San Diego. So you can safely use Equal or NutraSweet (aspartame), Sunett (acesulfame-K), stevia (rebaudioside A) and Splenda (sucralose). But stay away from Sweet’N Low (saccharin)—it may stay in fetal tissue, and doctors don’t know how it affects a fetus.

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Still, artificial sweeteners should be used sparingly. They contain few vitamins and minerals, so filling up on them could mean you’re not getting the nutrition you need. You should also limit your intake of natural sweeteners, like sucrose, dextrose, honey, corn sugar, fructose and maltose, because they contain empty calories and can mess with your blood sugar levels. They’re safe to use during pregnancy, unless you have diabetes, but because they contain large amounts of sugar, don’t go too crazy. Is there a time of day that’s best for taking my prenatal vitamin? Don’t worry about one time of day being better for your body’s absorption or anything like that. “The best time to take your prenatal vitamin is when you’ll remember to take it,” says Sharon T. Phelan, MD, professor of obstetrics and gynecology at The University of New Mexico School of Medicine. For some women, that might be in the morning, with breakfast. For others, it might be at bedtime, right after brushing your teeth. If your prenatal vitamin makes you feel nauseated—which is pretty common in the first trimester—be sure to take it with food. If that doesn’t help, talk to your health care provider about other options. You may be able to substitute chewable vitamins for your big prenatal pill (just check with the doctor first).

Veneers and other cosmetic procedures should wait until after delivery, and although there haven’t been any risks identified with professional teeth whitening while pregnant, some dentists might prefer that their patients have it done after baby’s born.

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Why do I feel hot all the time, and how can I cool off? During pregnancy, the amount of blood in your body increases by as much as 50 percent. To better handle it, your blood vessels dilate, letting the blood come to the surface, which can make you feel hot. “In the third trimester, your metabolic rate also increases, which can add to the overheated feeling,” says Kelly M. Kasper, MD, ob-gyn at the Indiana University School of Medicine. The good news? Your blood volume—and internal thermostat—will return to normal after delivery. Until then, dress in light layers so it’s easy to remove clothing. Drink water—it prevents dehydration and makes you feel more comfortable, especially when it’s hot outside. The Bump experts: C. Joseph Cadle, MD, ob-gyn at Kaiser Permanente; Suzanne MerrillNach , MD, ob-gyn in San Diego; Sharon T. Phelan, MD, ob-gyn and professor at The University of New Mexico School of Medicine; Chris Kammer, DDS, Lifetime Family Dentistry; Kelly M. Kasper , MD, ob-gyn at the Indiana University School of Medicine; and Hilda Hutcherson, MD, ob-gyn at Columbia University Medical Center

Is it okay to keep wearing high heels? Wearing heels doesn’t impose any intrinsic danger to your joints or ligaments, says Hilda Hutcherson, MD, ob-gyn. But it’s your alreadycompromised balance that can and should be cause for concern, especially in the third trimester, when your center of gravity is way off and you’re more likely to fall. Trade the stilettos for flats as your due date approaches.

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Should I go to the dentist while I’m pregnant? Yes! You should get regular dental exams and preventive dental care during pregnancy because your progesterone hormone levels are on the rise, which can cause your gums to have a weird response to plaque bacteria, says Chris Kammer, DDS, of Lifetime Family Dentistry and president of The American Academy for Oral Systemic Health. This buildup can make your gums puffy and red, and may even make you bleed when you brush your teeth (yikes!). Taking extra care of your teeth at home and having frequent cleanings at your dentist’s office will help control plaque buildup and also control the inflammation in your gums. If inflammation and plaque buildup are left untreated, you can get a dental infection, which is particularly scary during pregnancy—some studies link a mom’s poor dental care to premature births and problems with baby’s development. So follow the recommended schedule your dentist gives you for cleanings and exams (usually every six months). Your dentist might also tell you to come in more often if he sees that your gums are trapping more food and bacteria than usual. Any cavities and root canals can and should be treated to reduce the risk of infection. “It’s better to get these procedures done when you’re in your second trimester, since in your third trimester you may have a harder time staying comfortable during a long dental appointment,” says Kammer.

What’s safe and what’s not at TheBump.com/isitsafe

nest

dream

nurseries

Amazing nesting ideas youâ&#x20AC;&#x2122;ll definitely want to copy. by elena donovan mauer

thebump.com

use decals

Playful wall decals, like this floral giraffe, let you have some fun with baby’s décor without making a huge commitment, since they’re easy to remove and replace. When baby’s older and loves fairies, bye-bye giraffe.

play with color

Baby doesn’t need a boring, pastel color scheme. Here, a black and white palette is offset with several vivid hues for a look that’s eclectic, not matchy.

nursery images from Room for Children: Stylish Spaces for Sleep and Play by Susanna Salk. all product images courtesy of the manufacturers

create plenty of storage

Choose furniture and accessories with more storage than you think you need. We love this room’s under-crib cubby, roomy toy basket and bookshelf with a door to hide the ugly stuff. Baby’s belongings will accumulate over time, and you’ll need somewhere to stash it all neatly.

reupholster

A classic chair gets an update with blackand-white-striped upholstery. If you’ve got a hand-me-down or a piece that doesn’t quite work, consider having it revitalized with a new, patterned fabric.

get the look 1 Elephant decal, $32, LandofNod.com 2 Sheepskin rug, $30, IKEA

3 Wooden

giraffe toy with wheels, $29, PastelToys.com > 2

bold carpet tiles by flor Philadelphia/South Jersey thebump.com

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dress up the dresser

Eye-catching drawer pulls can give any dresser the look of custom furniture.

use classic toys as décor

Wooden trains, colorful vintage storybooks, an old-school piggy bank—if you’re looking to add pops of color, do it with toys and books that have a timeless design.

paint the ceiling

Add interest to the highest point in baby’s room: the ceiling. You can create colorful stripes using special painter’s tape and regular wall paint. Ask the staff at the paint store for guidance on getting perfectly straight lines.

baby-proof the rugs

We love the look of area rugs, but they can be a slipping and tripping hazard—especially when you’re groggy and doing a middle-ofthe-night feeding. To mommy-proof, use nonslip pads or special rug gripper tape to secure all area rugs to the floor.

get the look 1 Zuo Modern Baby S chair, $150 for 2, Amazon.com 2 Flensted Kites mobile, $60, Guggenheim.org 3 Alouette crib in walnut, $1,490, PetitNest.com >

1 2

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go black on just one wall

Philadelphia/South Jersey thebump.com

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decorate the door too!

More nursery pics at TheBump.com/nurseryideas thebump.com

go nuts with personalization Don’t be shy about putting baby’s name and initials all over his space.

know what’s okay to reuse

Sure, it’s cool to unearth an heirloom rocker, but beware of the safety of old items like a crib or changing table. Over time, cribs tend to wear down and get rickety. Plus, new safety regulations are tighter than in the past. And you don’t want to risk baby getting injured.

bring the outdoors in

A patio rocker rocks just as well in the nursery, and an indoor/outdoor rug is easy to clean!

bold up the bookshelf

Add personality by painting the back of a white bookshelf a cool hue like lime. Nurseries from Room for Children: Stylish Spaces for Sleep and Play by Susanna Salk. Check it out for more creative kids' room ideas!

get the look 1

Wicker rocker, $180, Pier 1 Imports

2 Hand-knit bunny doll, $52, BlablaKids.com 3 Rug, $138 for 4' x 6', Dash andAlbert.com

Philadelphia/South Jersey thebump.com

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your registry plan of attack

your list

Start it by using the checklist on page 102.

With the right strategy, you’ll get exactly what you need and want for baby.

Ideally, you’ll want to wait until the fifth month of your pregnancy—so you can be (pretty) sure items won’t go out of stock before the birth. Plus, if you’re finding out baby’s sex (around week 20), you’ll want to wait until you get the news, since it’s bound to influence your choices. But make sure to complete your list before baby shower invitations go out.

who to shop with

This isn’t a solo mission, so invite your partner to join you. If he can’t make it, it doesn’t hurt to bring along mom, your sister or a friend who’s done this before, but just one is all you need (so you don’t get overwhelmed with opinions).

where to register

To make this as easy as possible, pick one or two key retailers that stock all of the items you’d like. Make sure at least one of them has an online registry so you can edit your list from home. You don’t want to have to make a million trips to the store.

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how to prep

Before you go, talk to friends or relatives who are new moms, or head on over to TheBump.com/community to make some new-mom friends. Get their reviews on the baby gear they use and the full skinny on why they like or dislike certain items. Then, while you’re at the store, take a look and, if you can, test them out for yourself. Diaper bag, $125, DwellStudio.com; Hayley crib sheets, $19 each, Pottery BarnKids.com

all images courtesy of the manufacturers

when to register

what to do

step 1: big-ticket items Start with large

stuff, like nursery furniture. You’ll likely want to buy most of this yourself, since cribs and dressers have to be ordered, and they’re pricier than the average shower gifts tend to be. Then register for things most babies need: a car seat, a stroller (or sling or carrier), a bathtub (unless you’ll use the sink) and a playard. step 2: the day-to-day Next, think about baby’s everyday life. How will you feed her? A breastfed baby might not need the nipples and warmers that a bottle-fed baby uses. But if you plan to give her expressed breast milk (while you’re apart), you’ll want the bottle gear and a breast pump too. Now, how will you keep her calm and happy? Swings, bouncers and toys come in handy for fun—and for soothing and learning. Add first-aid gear and diapering supplies as well. And, of course, you’ll need crib sheets.

don’t overdo it

It’s tempting to register for a cute potty chair or toddler shoes, but don’t go crazy scanning stuff that baby won’t need for months (or years). It’d be nice to get them, but your gift givers might then decide to buy a ton of those and skimp on the stuff you’ll need right away. So focus on more pressing items, like clothing in newborn and 0–3 months sizes, and receiving blankets. Add just a few of the irresistible older-kid things that make you ooh and aah.

save money

Cost is a huge factor—if money’s tight (for you or for your gift givers), you’ll probably want to shy away from the expensive stroller— but whatever the price, look closely at what you get for your money. Is

the stroller easy to steer (and does it work the way you want it to)? Will it grow with baby, or will you have to replace it later? Sometimes purchasing one higher-priced item will end up saving you money, since that’s all you’ll ever need. Also look for double-duty gear: Some playards can be used as bassinets, and some diaper bags can transition from newborn to toddler.

make your picks

Can’t decide which fill-in-the-blank to get? With every decision, consider where you live and how you’ll use your baby gear. If you’re in an apartment, look for a space-saving mini playard and a folding high chair. If you drive a lot, a travel system (car seat/stroller combo) makes it easy to transport baby. But if you’re a walker, maybe a baby carrier or a bassinet-style stroller is a better bet. In the end, your choices all come down to your lifestyle.

BabyHome Onfour bouncer (above), $145, Amazon.com; Magic Globe rocker (left), $300, MamasandPapas .com for stores

See our gear picks at TheBump.com/gear

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best cribs for every style Yes, a crib is a practical necessity, but that doesn’t mean it isn’t also a style statement. by sarah yang

minimalist marvel

modern

The Oeuf Sparrow crib adds high design to just about any nursery. $730, OeufNYC.com

best of both worlds The Maclaren Nursery Cabine Sleeper is a super-chic mix of white and wood tone. Plus, it has a hidden drawer for extra storage. $1,595, Amazon.com

tradition

gray matters

Looking for something unexpected? Go for the Land of Nod Low-Rise crib in gray. $900, LandofNod.com

al With its slightly distressed look, the Serena & Lily Soho crib adds an old-fashioned feel to baby’s room. $695, Serena andLily.com

budget pick

A hit with moms, the Graco Lauren Convertible crib gets you a lot of bang for your buck. Plus, it transitions from a crib to a toddler bed, daybed and even to a full-size headboard, so you can get plenty of use out of it. $150, Target.com

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beauty sleeper

If you like sleigh beds, you’ll love the elegant Pottery Barn Kids Sleigh Fixed Gate crib, which has three height options to grow with baby. $699, PotteryBarnKids.com

all images courtesy of the manufacturers

vintage vibe

ready to roll

The Bloom Alma Mini Urban crib’s compact and unique design makes it miraculously fit into even the tiniest nursery. Plus, it’s on wheels, so it’s easy to roll from room to room. $400, Amazon.com

space saving

ultimate adapter

The Transformer of cribs, the Stokke Sleepi starts off as a round sleeper the length of a bassinet and then converts to get larger and larger as baby gets bigger (until she’s about 10!). $900, Amazon.com

sleek standby

The no-frills IKEA Gulliver crib has a simple design, measures a slim 29½" wide and 53½" long, adjusts to two different heights and converts to a toddler bed. $100, IKEA.com

safety check Baby’s crib should definitely have: Certification To be sure it meets safety regulations, check that it’s been certified by the Juvenile Product Manufacturers Association. Properly placed slats Side bars no more than 2 3/8 inches apart (about the width of a soda can) will keep baby’s body from sliding out and getting stuck.

Low corner posts Anything higher than 1/16 of an inch is too high—baby’s clothing could get caught on it. a Firm mattress While a soft, quilted mattress might sound comfy, it actually poses a suffocation risk for baby. Look for a firm mattress, which will also give baby’s back better support.

Tight fit to the mattress To prevent baby from getting caught between the mattress and the sides of the crib, you shouldn’t be able to get more than two fingers between them. Make sure it’s snug. The right setup Keep baby’s crib away from blinds and drapes, which are strangulation hazards.

Find baby’s crib at TheBump.com/cribs

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find your perfect stroller There are so many options. The trick is to decide how and where you’ll use your new set of wheels. by Bonnie Vengrow and Sarah Yang

on-thego mom

uppababy cruz

The UPPAbaby Cruz weighs only 18 pounds and is just 22 inches wide, but it doesn’t skimp, with a reversible seat, a roomy storage basket and an SPF 50 sunshade. $460, UPPAbaby.com

britax b-agile stroller

chicco liteway

bugaboo cameleon

stokke xplory

The one-hand-fold B-Agile is made to fit any Britax infant seat (known for being supersafe), so it’s easy to insert and remove baby’s seat without waking her. $250, Target.com

If you want lightweight and portable, this is the stroller for you. It folds twice for ultracompact storage—but it also has a storage basket and a fully reclining seat. $140, BabiesRUs.com

baby jogger city elite

A favorite of urban parents, the City Elite quickly and easily folds (with just one hand!) and adjusts to baby’s height— and yours and your partner’s too. $400, AlbeeBaby.com

thebump.com

Who wouldn’t look good pushing this stylish stroller? It converts from newborn carriage (with cool pram look) to car-seat toter to toddler hauler. $880, Bugaboo.com

This model grows with baby. It’s got everything: rearfacing, front-facing, bassinet attachment, a smooth ride, five reclining positions and SPF 50 sun protection. $1,100, Shop.Stokke.com

all images courtesy of the manufacturers

city mom

fit mom

joovy zoom 360

There are reasons to take this baby off-roading: shockabsorbing suspension, a roomy seat that reclines in multiple positions, an oversize sun canopy, compact fold and plenty of storage. $270, Amazon.com

bumbleride indie

bob revolution se

phil&teds promenade double

bugaboo donkey

Baby will appreciate the big canopy with SPF 45 UV lining, the footrest and the flat position for sleeping; you’ll love the adjustable handle, strong-but-light frame and big storage basket. From $490, Bumbleride.com

The Revolution is lightweight and will hold babies up to 70 pounds. The front wheel locks in place or swivels, depending on whether you want a smooth jog or precision steering. $450, Amazon.com

mom of twins

bob revolution se duallie

Finally—a double stroller that fits through door frames, pushes evenly with just one passenger and works smoothly both in the mall and on the jogging trail! $659, Amazon.com

This is a single stroller that can be converted into a double with two full-size seats or bassinets. It’s stylish, comfy and safe. $1,000, PhilandTeds.com

Here’s another cool convertible model. The Donkey’s side storage basket can be replaced with another seat or a bassinet. Perfect for twins—or for two kids of different ages. $1,500– $1,660, Bugaboo.com

Philadelphia/South Jersey thebump.com

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stock up Where to get gear for baby that you’ll really love. by bonnie vengrow

betty’s children shop

When a onesie just won’t do, head here for special-occasion clothes that always hit the mark. Think: sweet dresses for girls and sailor suits for boys. The shop also has a variety of bibs, jewelry, toys and blankets. find it at 1010 Lincoln Ave., Prospect Park; (610) 532-3750; BettysChildrenShop.com

butterflies & blossoms

spool sewing

Feed your urge to nest with a stop at Spool Sewing, a sewing shop filled with cheerful fabrics. Even if you’re not handy with a needle and thread, its beginner-friendly classes will give you the skills you need to make cute throw pillows or a quilt for the nursery. find it at 1912 South St., Philadelphia; (215) 545-0755; SpoolSewing.com

busybee homestore and design center

Browse this upscale store’s luxe baby furniture from brands like Oeuf and Stokke, high-end strollers and high chairs, recycledfabric throws and modern gliders. It also has stylish nursery lighting, handmade stuffed animals, cute money banks, silver rattles, onesies and elaborate dollhouses. find it at 734 South St., Philadelphia; (215) 592-9600; BusybeePhilly.com

closic’s baby & teen furniture

This store offers a huge variety of furniture, bedding, lighting and décor. Styles run the gamut from traditional to modern, and brands like Dutailier, Bratt Decor and Alto are represented. You’ll find books for parents and grandparents, adorable onesies and T-shirts, strollers from UPPAbaby and BOB, and cute diaper bags. You can also customize your rocking chair—so cool! find it at 4201 Miller Rd., Wilmington, DE; (302) 764-7787; ClosicsFurniture.com

sarah’s kiddles

Sarah’s Kiddles has a great collection of sweet infant and kid’s clothes from labels such as Kissy Kissy, Egg by Susan Lazar, Ragdolls & Rockets and Vineyard Vines. Or pick up a hand-loomed sweater of your own design. The store is also stocked with an array of dolls, photo frames, books and night-lights. find it at 527 Bay Ave., Point Pleasant Beach, NJ; (732) 295-5744; SarahsKiddles.com

Get the scoop on local stores at TheBump.com/philadelphia thebump.com

jim bastardo

Here, you’ll find gently used, high-end kids’ clothes, toys and furniture for a fraction of the retail price. The selection is wide and changes constantly—items are accepted by season—and the store is stocked with brands such as Ralph Lauren, Janie and Jack, Melissa & Doug and Sarah’s Silks. find it at 3 N. Five Points Rd., West Chester; (610) 430-7601; ButterfliesandBlossoms.net

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Local event information under "West Chester/Media, Western Mainline, Reading and Lower Bucks"

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practical matters These aren’t exactly the fun parts of planning for baby, but they’re probably on your mind. by lisa milbrand

There’s so much cool stuff on your to-do list in the weeks leading up to parenthood— dreaming up a nursery, debating baby names, being sure to taste each flavor of cupcake at your baby shower. But don’t forget the more practical considerations, like shoring up your new baby’s security. This is what you should be checking and double-checking in the weeks before your newest responsibility arrives. Bone up on your rights under the Family and Medical Leave Act and ask your company’s HR department about your options for maternity and paternity leave. Depending on your companies’ policies, you and your partner may be allowed anywhere from a few days to several weeks of paid leave—and even longer unpaid. If you decide to take unpaid leave, start budgeting (and saving) well in advance. See what else your company may provide. Some companies offer free backup child care (or even full-time child care), help with finding child care, adoption-expense reimbursement, flexible spending accounts for prescriptions and other health- and wellness-related expenses, or other benefits you can use.

insure baby’s future

Get yourself some life insurance. Most financial experts give you a guideline of 8 to 10 times your annual salary to cover expenses for baby in the event of your death, but depending on your individual circumstances, that number may not be enough. “If you live in a home that’s not cheap, and you can’t rely on wealthy parents to take care of your kids if something happens to you and your spouse, consider

thebump.com

having several million dollars in level term insurance,” says Ian M. Weinberg, CFP, CEO of Family Wealth & Pension Management in Woodbury, New York. Keep in mind that even if you’re not providing a lot of income—or you’re planning to stay at home with your new baby—you should still be insured. “You would have to cover any lost income and also cover the cost of a caregiver for your children,” he says. And while life insurance is important, you’ll also need to insure against the possibility of an injury that could keep you out of work. Some people receive shortand long-term disability insurance through their work—you should determine if that amount would be enough to get you through several months of being out of work if something were to happen to you. >

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check your benefits

We specialize in: • Baby registry assistance • Nursery preparation • Parent education The Philadelphia region’s 1st and premier baby planner since 2007. Your guide to preparing for baby and adjusting to life as new parents.

• Baby nurse placement • Baby shower & party planning • Car seat inspection

Preparing you for a bundle of new experiences Call 484.716.4795 www.premierbabyconcierge.com info@premierbabyconcierge.com Facebook: PremierBabyConcierge Twitter: @PremierBaby

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Visit us at www.UpsideShades.com to pick the perfect shade for your baby’s room!

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make a will

Figure out who would be your child’s guardian if you and your partner weren’t around. This may be the trickiest part of making a will—choosing who would be the best person to take care of your kids—and couples often argue about it. “Deciding who would best take care of their kids is the biggest issue,” says Weinberg. “Keep in mind that the responsibilities can—and probably should—be split between a few different people.” Choose one set of people to actually care for your child, and another to care for his finances in the event of your death. Put your child’s future in the hands of people you trust. Instead of making your child a beneficiary of your insurance, set up a trust that can funnel the money to the child. This helps to ensure that it will be spent in the best possible way. “You should name a trustee who will be very fiscally responsible, whose only job is to look out for the best financial interest of your children,” he says. Have an estate attorney help you set up a simple trust while you’re doing your will. Don’t forget other key documents. You may also want to create a health proxy and durable powers of attorney that address some other what-ifs that could potentially come up in your future.

balance your budget

Sit down and plan out your monthly budget for when baby arrives. “You need to figure out your current and projected budget,” says Matthew D. Saneholtz, CFA, CFP, a financial adviser in Plantation, Florida. “That means keeping in mind your wants and desires for the first few years of having a child.” If you’re planning to stay at home, make sure you do the math and thoroughly go over your budget to be sure that you can realistically make the leap. If you’re planning to work, start considering your child care options and determine which will fit best with your family and income. Day care is less expensive than hiring a full-time nanny, but a nanny can give a level of personal attention that a day care doesn’t.

start saving

Even if your nest egg is on the small side, any savings you can squirrel away now can help you deal with the new expenses that come with your newborn. “With each paycheck, take a portion and place it in a separate savings account,” says Saneholtz. “Creating this ‘baby fund’ will supply you with the money to subsidize lost income or purchase baby essentials.” Most financial planners recommend having six months of living expenses set aside to cover unexpected issues.

consider a college fund

With college expenses escalating, it makes sense to start saving for education early and often. But financial experts say you have to put your financial future ahead of your child’s. “You need to get your financial life in order before even thinking about college savings, which means eliminating bad debts, establishing an emergency fund and saving for your own retirement,” Saneholtz says. “When your financial house is in order, 529 plans are a great savings tool for future educational costs.” But a 529 isn’t your only option. Depending on your financial situation, you may be better off socking away money in a taxable account or investing in tax-exempt municipal securities, or savings bonds. A financial adviser can help you figure it out. Even if you can’t afford to put much money away right now, consider asking others to help fund your child’s future. “Tell your family members that one of your big goals is to save for college for your children,” Weinberg advises. You might be able to request that “in lieu of teddy bears and other knickknacks,” they either gift your child money that you can invest in a 529 or invest in a 529 themselves. “That can help make a significant difference in your child’s financial future,” he says. The Bump experts: Ian M. Weinberg , CFP, CEO of Family Wealth & Pension Management in Woodbury, NY; and Matthew D. Saneholtz , CFA, CFP, financial adviser in Plantation, FL

Create your budget at TheBump.com/costs thebump.com

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get baby-proof Prep your pad room by room with our ultimate safety checklist. part 1: before baby arrives general safety Install

a UL-certified carbon monoxide detector on every story of your house if you use gas or oil appliances or have an attached garage. Check the batteries of any detectors you already have Do the same routine with smoke detectors Purchase a fire extinguisher and learn how to use it (and put it somewhere easy to find!) Stock your medicine cabinet or first-aid kit Post emergency numbers near each phone Install a temperature guard on your water heater at a maximum of 120°F Get any peeling paint sealed or removed by a professional, especially if your home was built before 1978 (it could have lead)

around the house Put

nonslip pads under all rugs S om e of Cover all sharp this stuff ta furniture edges time ! Try kes to get with safety pads started a t least Block outlets three mo nth with furniture before yo s ur or outlet covers due date . Cut any looped blind or curtain cords, and install safety tassels and cord stops Check the house and yard for poisonous plants and consider getting rid of them Place wipes and supplies within your reach from the changing table, but out of baby’s Put a padded rug below the changing table Position the crib away from windows, lamps, heaters, wall decorations and cords

in the car Install

an approved rear-facing car seat in the middle of the backseat Hang sunshades on the back windows to shield baby’s eyes from strong rays

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part 2: before baby crawls throughout the house

M ove dangerous items (cleaners, knives, heavy things) high out of baby’s reach Latch closed low drawers and cupboards Install baby-safe doorstops Move all electric cords out of baby’s reach S ecure heavy furniture such as bookcases and cabinets to walls to prevent tipping P lace TVs and other heavy items on sturdy furniture as close to the wall as possible Move all tall, wobbly lamps behind furniture Put gates at the top and bottom of stairs B lock any space of more than four inches between stair or balcony rails I nstall window guards and stops, and window safety bars P ut pets’ food and water out of reach Install fireplace screens around all hearths

bathroom

M ake sure all medications have childproof tops and that the cabinet has a secure latch Put soft covers on the bath spout and knobs Place nonslip mats in and beside the bathtub Install safety locks on toilets

garage

Lock away tools and toxic substances Test the garage door safety sensor

nursery

Remove mobiles and other hanging things Move crib away from items baby could climb

kitchen

I nstall covers for stove and oven knobs, an oven door latch and a stove burner guard Put safety latches on fridge doors

backyard

Make sure backyard gates latch securely I f you have a pool, surround it with a locked fence at least four feet tall

What to childproof before baby walks at TheBump.com/walksafe thebump.com

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registry essentials This may not be everything you’ll put on your baby wish list, but it is the stuff you definitely shouldn’t leave off.

furniture/bedding

gear

health/safety

crib crib mattress 3–4 fitted crib sheets 4–6 receiving blankets 2 –3 waterproof mattress pads dresser changing pad 2–3 changing-pad covers

bassinet or Moses basket high chair swing b ouncy seat or rocker i nfant and/or convertible car seat w aterproof car-seat liner car window shade playard 2–3 playard sheets stroller umbrella stroller baby sling or carrier diaper bag changing mat diaper pail/refills activity mat

baby monitor pacifiers thermometer nasal aspirator baby nail clippers and emery boards first-aid kit infant bathtub bathtub spout cover 4–6 hooded bath towels 6–8 washcloths baby shampoo and wash diapers and wipes lotion and ointment brush and comb set gentle laundry detergent

4–6 side-snap tees 4 –8 long- and shortsleeved onesies 4–8 footed outfits 4–6 undershirts 9–12 pairs of socks 1–2 sleep sacks or swaddle wraps 1–2 caps 1 –2 pairs of noscratch mittens

foodie friends Zoo bibs, $8 each, SkipHop.com

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feeding 4–8 bibs 6–8 burp cloths breast pump and accessories breast-milk storage containers or bags 2–4 nursing bras breast pads nipple cream nursing pillow and cover 10–16 bottles and nipples insulated bottle tote bottle brush bottle sterilizer bottle warmer dishwasher caddy

Shopping 101 at TheBump.com/babyregistry thebump.com

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nest Eco-friendly nurseries, car-seat safety, birth announcements and more…

What can I do to make baby’s nursery eco-friendly? The most obvious place where you can make some eco-friendly choices is with the flooring, paints and window treatments. Instead of using traditional wood flooring, go for bamboo or eucalyptus—both are highly renewable resources. Stick with paints that contain all-natural ingredients, like mineral pigments, plant oils, crushed limestone and milk. Find window treatments made of fabric, like organic cotton. Mini blinds are made of PVC and can give off gas when heated by the sun. Avoid furniture made of plywood, particleboard and medium-density fiberboard—the glue contains formaldehyde, and the pieces can wear down faster and release chemical fumes. Spring for a quality freestanding humidifier with a HEPA filter to deal with any pollutants. I’m stressed about getting it all done before baby arrives! Any tips? From decorating the nursery to getting the right baby gear, there’s a lot to do. And you are on a deadline. There’s only a small group of things that must be done before baby arrives: buying essentials like a car seat and crib (or bassinet); stocking up on newborn must-haves like clothes, bedding and diapers; getting feeding gear (if you’re bottle-feeding; if you’re breastfeeding, all baby needs is you!); and doing some light baby-proofing.

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Focus on those items first. Once you have that stuff done, you can move on. Write a checklist to stay organized. List your to-dos in order of importance. That way, if the things at the very bottom aren’t done by the time baby arrives, it’s okay because the big stuff is out of the way. And don’t be shy about asking for help! No one can do it all without going crazy.

How do I know which car seat is safest for baby? A car seat should fit both baby and the car, and meet safety standards set by the National Highway Traffic Safety Administration (NHTSA). You’ll have to decide whether you want an infant car seat or a convertible seat. (Consumer Reports recommends parents get an infant seat, because their testing found it provides a better, safer fit for newborns.) Get baby’s car seat before she arrives, and install it and learn how to work it, so you’ll be a pro when it’s time to strap baby in. Be sure the car seat fits as snugly as possible to the vehicle’s seat. Press on the car seat and pull the straps until they are as tight as possible. If the seat belts in your car don’t have an automatic locking mechanism, you can purchase a locking clip. And if you’re still worried about whether you installed the car seat correctly, have it checked at a safety inspection station. Go to NHTSA.gov to find a nearby location. >

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How can I design a nursery that will grow with baby? Pick a theme (if you want), but stick to thematic items that are easily replaceable, like wall decals, lamps and toys. Big-ticket items like furniture should be neutral, so they‘ll work with different bedding and art down the line. If you’re buying a dresser that you’ll use as a changing table, be sure it will look okay once you no longer need that changing pad. Going with a convertible crib? Make sure you love the way it will look as a bed later on (otherwise, you may want to skip the conversion kit and buy a twin bed instead).

good for three months. Freeze in single or double portions and use freezer zip-top bags. They save room in your freezer, make for quick thawing (just submerge the bag in hot water) and let you defrost only what you need.

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I want to plan out baby’s birth announcements before she arrives. What should I do? It’s a great idea to prep before baby arrives. Whether you choose a printed announcement or an e-card, pick your design in advance. If you opt for printed announcements, figure out what you’d like to write (except the birth details, of course) and if you’ll include a photo. Then it’s easy to pop in the particulars after the birth. Buy your stamps and address the envelopes now— believe us, it’ll be way easier than after baby’s here. You can go online to sites like Tiny Prints, Minted or Paper Culture to choose and customize photo birth announcements. Or go to Etsy to find unique announcements—some sellers even have custom ones you can print out yourself at home. If you don’t want to mail anything, send e-announcements. They’re easy, thrifty and ecofriendly. We love Paperless Post, Pingg and Evite for stylish e-cards. If your friends and family are supertech-savvy, use Red Stamp, an iPad and iPhone app that offers stylish announcements you can send by email, text, Facebook, Twitter or even paper postcards. If you’re more of a brick-andmortar type, drop by your local stationer’s shop and choose a bespoke announcement that fits your style—but expect to spend more for it. You can also order custom-printed cards online from stationers like Luxe Paperie.

How can I prepare my pets for when baby comes home? To keep your pets from getting too stressed when baby comes home, prepare them throughout your pregnancy. Introduce your pet to new noises and smells. Turn on your infant swings or play recordings of babies crying. Get your pets to sniff the stuff you’re buying for baby, like diapers, lotions and shampoos. What are some Prep them for new rules, good meals like when and where they’re to cook and allowed in the house. If freeze now so I you can, train pets not to jump on the crib or into your can have them lap (that’s where baby will ready when be!), or engage in potentially baby comes? harmful behaviors like Soups, stews, swatting or nibbling. casseroles, And don’t forget to have chilies, lasagna your animals checked out by the vet before baby comes and pasta sauces along to make sure they’re are best for healthy and up-to-date freezing and stay on all their vaccinations.

Tips and ideas for baby’s room at TheBump.com/nursery thebump.com

thebump.com

Get the inside scoop on fertility, pregnancy, birth and everything baby, plus chat with thousands of mommies and mommies-to-be.

stage-by-stage advice

interactive tools

Find info you need, when you need it—from getting pregnant and being a mama-to-be to baby’s first year and caring for toddlers.

local online communities and resources

Use our tools page—a personalized pregnancy checklist, addictive baby namer, easy-to-use registry and more.

real birth stories

Join in conversations happening 24/7 with other moms, plus the best stores and services—right in your area.

Read real-deal accounts from new mommies. Ooh and ahh at their new additions and submit your own story!

From the creators of The Knot, thebump.com is the go-to website for hip moms-to-be and new moms.

delivery

labor day

The day you deliver your baby will be one of the , most days of your life.

unpredictable

stage 1 labor (aka holy crap, this kid is coming!)

Labor, the first stage of the birth process, lasts from the first signs baby’s coming (see “Signs of Labor” on the opposite page) until your cervix is fully dilated and ready to deliver.

the kickoff

Some moms-to-be know when their body starts prepping for delivery by one of those mucusy, watery events. For others, the

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craziest

process happens gradually: Your cervix thins out and begins to dilate.

contractions: the real deal

You’ll definitely know you’re in labor when you start to have regular contractions, which will feel like a strong tightening in your belly and could be super-painful or just a little uncomfortable (it all depends on the mom-

to-be). These are different from Braxton-Hicks contractions, because the pressure usually starts in your back and moves forward to your lower belly. In the Braxton-Hicks, it’s often just in your belly and infrequent. Real contractions will start about 15 minutes apart and last about 60 to 90 seconds, and then speed up to about 5 minutes apart.

why it hurts so much

The goal of those contractions is to get your cervix to dilate to make way for baby. How long you’ll be in early labor—this time period when contractions are there but aren’t quite as urgent as they’ll be when you’re in active labor— varies a lot, but the average for first-time moms is 6 to 12 hours.

make it count

Once you think you’re in labor, start watching the clock (use our Contraction Counter at TheBump.com/contractions to keep track). Call your OB’s office and let them know what’s happening. The doctor will tell you at what point to head to the hospital, but be warned: It might not be right away. That’s because many hospitals won’t admit you until you’re in active labor, so during early labor, you’re probably better off at home.

your to-dos

So what do you do while hanging out at home? Make sure you’re finished packing for the hospital and try to relax. Staying calm and doing deep breathing can actually help your body work its dilation magic. So can changing positions often, so try alternating moving around

with resting. Take a walk, nap, shower, listen to music, ask your partner for a back massage— whatever you feel like doing.

starting active labor

You’ll probably know when your body shifts into active labor: Your contractions will suddenly require more of your attention. If you could walk and talk during a contraction before, you probably can’t now. You’ll likely be in the hospital at this point (if not, go ASAP!), and you could be in bed, walking around, sitting in a birthing tub or on a birthing ball. This is when things start to really hurt—and when most moms-to-be opt for pain relief. Regular, strong contractions during active labor make your cervix dilate from about 4 centimeters to 7 centimeters.

making the transition

During the time when your cervix dilates from about 7 centimeters to 10 centimeters— the transition phase—it will be pretty intense. Yikes! The contractions come even faster and more furiously, lasting about 60 to 90 seconds each. And because it’s overwhelming, some women feel like giving up. Just know that “I can’t do it anymore” is a totally normal way to feel, and you definitely can do it.

the urge to push

You may also start to feel the notorious “urge to push” (kinda like having to go number two badly—but worse). The problem? You shouldn’t push until your OB or nurse checks your cervix to make sure it’s fully dilated (otherwise, you risk injuring it). >

signs of labor How will you know it’s really time? Look for these clues labor’s coming: Loss of the mucus plug This thick mucus (like a glob of snot) might exit your bod. Broken water It may be a trickle, as opposed to a gush. If your water breaks, call the doctor. Regular contractions If they’re five minutes apart, it’s probably time! urge to clean Many women also get a nesting instinct right before.

Philadelphia/South Jersey thebump.com

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delivery

stage 2 pushing and delivery (aka why you did kegels)

stage 3 delivery of the placenta (aka sorry, but you’re not done)

Once you’re fully dilated and you get the go-ahead to push...well, push! You’ll get some coaching as you bear down at each contraction. For some women, especially moms who have birthed before, the pushing stage may only last a few minutes. For others, it can take a few hours. This stage comes with the ultimate reward: your brand-new baby.

After baby’s born (hooray!), you’ve got to deliver the placenta. Your uterus continues to contract. (Don’t worry—these contractions don’t normally hurt!) Those postbaby contractions cause the placenta to separate from the uterus and leave the body. This usually takes less than half an hour. Then you really are (finally) done. Woo-hoo! Now enjoy that baby and try to rest. >

pain relief

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Whether you go all-natural or get drugs, there are ways to hurt less. t wha

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Using the same breathing techniques that chill you out when you’re stressed to deal with the ouchies.

At the start of each contraction, take a really deep “cleansing” breath like at the beginning of a yoga class.

Get more guidance and plenty of practice by taking a childbirth class. See page 112 for options.

relaxation techniques

Operating under the notion that pain is a state of mind. Trying to get more comfortable and to distract yourself.

Imagine yourself in a happy place. Play calming songs. Get a massage from your partner. Stuff like that.

It’s hard to know exactly what’s going to work once you get there, so have a whole bag of tricks to try.

epidural

Usually a combo of meds that block your brain from feeling pain and that (mostly) numb your lower half.

It’s delivered throughout labor and delivery through a tube inserted into your back.

You’ll be stuck in bed, since you’ll be hooked up to an IV and a fetal monitor to track baby’s heart rate.

Medications like morphine, Demerol, Stadol and Nubain, which are all narcotics.

Systemic meds are injected into the bloodstream or a muscle and affect the entire body.

They only really take the edge off. You may get nauseated, and baby can be exposed to them.

breathing

systemic medication

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HIS SAFETY IS THE MOST IMPORTANT AMENITY.

Safety. It’s why The Chester County Hospital is affiliated with The Children’s Hospital of Philadelphia—one of the country’s leading pediatric hospitals. It’s why we have the county’s only Level III Neonatal Intensive Care Unit. And it’s why we’re the only hospital in Southeastern PA with both CHOP pediatricians and neonatologists onsite around the clock. Highly specialized care for your baby. Peace of mind for you. It’s what we deliver daily. 1892

The Chester County Hospital and Health System ChesterCountyHospital.org | 610-431-5000

delivery

delivery room tools forceps These are generally used to try to shift baby’s position and may also help guide the head out.

scissors Just in case you (sorry! really!) need an episiotomy.

vacuum If pushing is proving ineffective, your doc will use this to pull the baby out with suction.

amniotic hook It looks a lot scarier than it feels, we promise. This long crochet-like hook is used to break your water if it hasn’t yet.

hemostat This clamp is used for containing a bleed and clamping the umbilical cord for cutting.

scalpel This will probably only be used if you have a c-section.

want to know more? Take a childbirth class! These are some popular choices. Lamaze Used by one-fourth of mothers, Lamaze is the most popular method. You’ll learn simple, natural strategies to deal during labor, like rhythmic breathing, hydrotherapy, massage, position changes and walking. Your partner will learn to encourage and support you.

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Bradley Natural childbirth is the goal of this method—about 90 percent of class participants end up delivering without meds. The Bradley technique focuses on self-awareness and trusting your body, and emphasizes relaxation (not distraction) for dealing with pain and stress.

Alexander This method teaches posture and movement techniques to ease muscle tension and improve balance, coordination, back pain and digestion. With it, you’ll learn to coordinate your breathing and strengthen your pelvic muscles in preparation for delivery.

HypnoBirthing No, not like that guy you saw in Vegas. HypnoBirthing relies on the power of suggestion to help you relax and let your muscles work to give birth. Affirmations and visualizations are used to guide thoughts and breathing and to decrease stress and fear.

See amazing birth photos at TheBump.com/birthpics thebump.com

We know kids are a whole different animal. In partnership with Nemours/ Alfred I. duPont Hospital for Children, Bryn Mawr Hospital provides a comprehensive pediatric program including: • Pediatric inpatient unit • Pediatric physician specialists • Dedicated pediatric emergency room For more information call 1.866.CALL.MLH or visit mainlinehealth.org/bmhpediatrics.

We joyfully welcome

Celia May

Born August, 2011 at The Birthplace at Riddle Hospital, recipient of the HealthGrades Maternity Care Excellence Award.™ For a video tour of the Riddle Birthplace, visit mainlinehealth.org/riddlebirthplace

delivery

delivered— and then...

You’ve been so focused on delivery, but what about those minutes and hours right after? by erika rasmusson janes

you’ll get the shakes

Don’t be surprised if you feel really jittery right after the birth (vaginal or c-section). “Most women will experience full-body shaking after delivery,” says Michele Hakakha, MD, an ob-gyn in Beverly Hills, California, and author of Expecting 411: Clear Answers & Smart Advice for Your Pregnancy. This is normal and probably has nothing to do with being cold. Rather, “the shakes occur from the immediate hormonal shifts that happen after delivery.” They might also be a reaction to anesthesia or an endorphin release. Don’t worry—they’ll go away within a few minutes or, at most, a few hours. You’ll have to just ride this one out.

stitches down there are likely

You’ve probably heard that episiotomies aren’t a routine procedure, but the truth is, even if the doctor doesn’t make an incision, you might need some stitches (sorry!), since minor vaginal tearing happens in as many as 75 percent of vaginal births—and it’s more common for first-time mamas. The good news is, if you opt for an epidural, you probably won’t feel the tear or incision (or the stitches). And if you have an unmedicated birth, you’ll get a shot to numb the area first.

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your baby might not be interested in breastfeeding

You’ve probably heard that it’s important to breastfeed as soon as possible after birth to start a nursing relationship early. That’s true, but don’t be surprised if baby isn’t interested in feeding right away. “Most babies usually don’t want to eat for 15 to 30 minutes after delivery,” Hakakha says. So don’t push her to nurse if she doesn’t seem into it, but still hold her close. “During this time, skin-to-skin contact is very important to help initiate bonding for both baby and mom,” says Hakakha. “So take this time to look at her, smell her and feel her.”

you’ll feel like a punching bag

You think people loved touching your pregnant belly? Wait ’til the doctors and nurses get their hands on your postpartum pooch. “After delivery, the uterus has to shrink from the size of a large watermelon down to the size of a cantaloupe,” says Yvonne Bohn, MD, coauthor of The Mommy Docs’ Ultimate Guide to Pregnancy and Birth. Oxytocin helps this process by causing uterine contractions—nope, you’re not done with those—but your doctor or midwife might also try to help it along a bit. “They’ll massage your uterus to help it contract down,” Bohn says. “And your nurse will press on your belly and massage it every 15 minutes for the first two hours after delivery. This can be very painful, especially if you didn’t have an epidural.”

thinkstock

Sure, you know the drill—you’ve read about it a thousand times and watched it on A Baby Story. Your doctor tells you to push, and you do—a lot—and then your new (slightly slimy) baby is hoisted into your arms. Or you get wheeled into an operating room for a c-section and have similar baby hoisting from behind a curtain. But then what?

there will be blood

“Within the 10 minutes after delivery, you lose more blood than would fill a pint-size container of ice cream,” says Hakakha. In the days postpartum, it’s normal to experience large amounts of bleeding after you’ve been sitting or lying still or while breastfeeding. It’s also normal to pass some large clots in the 24 hours after delivery, Hakakha says. (But if you’re passing clots that are bigger than an apricot, or passing them every hour, let your doc know.) You’ll continue to bleed— at a decreasing rate, similar to a period—for four to six weeks postdelivery.

your, um, lady parts can swell

Not surprisingly, vaginal deliveries do a number on your nether region. But you might be shocked at how much you can swell as you heal down there—especially if

you pushed for a long time. Take it from us: Ice packs are your friend. They’ll help numb any discomfort and bring the swelling down.

you’ll sweat

You’ll likely find yourself sweating quite a bit during the first weeks postbaby. “And by sweating, I mean tremendous night sweats,” says Hakakha. That’s because your body’s estrogen level will massively drop, messing with your body’s temperature regulation. Don’t worry—it will get back to normal within a month or two. The Bump experts: Michele Hakakha , MD, an ob-gyn in Beverly Hills, CA, and author of Expecting 411: Clear Answers & Smart Advice for Your Pregnancy; and yvonne Bohn , MD, coauthor of The Mommy Docs’ Ultimate Guide to Pregnancy and Birth

post-c-section shockers If you’re having a cesarean, be prepared for this surprising stuff. “vaginal car wash” This bath for your lady parts will come sometime after your c-section and involves a nurse giving you a rinsedown with a peri bottle and patting with a dry cloth—the point is to clean up any blood leaking out after the surgery.

inflatable boots If you wake up to find yourself wearing weird boots that inflate and deflate on you, don’t be alarmed. Sequential compression devices may seem a little weird at first, but they work to improve your circulation and prevent blood clots.

being stuck in bed After your surgery, you’ll have to stay in bed for at least 12 to 24 hours, since the spinal or epidural will make your legs too weak to walk. Luckily, you’ll be surrounded by nurses— and probably some loved ones—who can help you care for baby.

gas pains—in your shoulders When your bowels become sluggish after surgery, the resulting gas pain can press on the diaphragm, and that pain can extend to the shoulders. To combat this, your nurse will offer you antigas meds and encourage you to walk around as soon as possible.

More advice at TheBump.com/labor

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The Chester County Hospital and Health System FOUNDED 1892 SERVING Chester County ABOUT US Choosing the

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Hospital of Philadelphia (CHOP) has fostered medical discoveries and innovations, improving pediatric health care and saving countless children’s lives. CHOP’s Center for Fetal Diagnosis and Treatment is the world leader in identifying and repairing disorders before birth and houses the Garbose Family Special Delivery Unit (SDU). The world’s first birth facility for pregnancies with diagnosed birth defects, the SDU has seen more than 1,000 deliveries since it opened in 2008.

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delivery

my birth story After 30 long hours of labor, Swarthmore mom Kandice Bross finally meets baby Vivienne.

an early start

a long wait

Tom and my mother helped me get settled in at the hospital around 2 p.m. My entire family arrived soon after and hung out in the waiting room. Little did they know how patient they would need to be! After 12 hours of induced labor, I was still only 2 centimeters dilated.

a bump in the road...

By 4 a.m., my contractions were two to three minutes apart, and I was getting uncomfortable. I was finally given an epidural, but the medication didn’t work on my left side, meaning that I could feel pain from contractions on my left side but not on my right. The IV was readjusted, but nothing helped the pain.

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welcome, baby vivienne!

Finally, at 30 hours of labor, I was 10 centimeters dilated and able to start pushing. I tried to give birth vaginally, but my baby was facing the wrong way—meaning it would be a struggle to get her out. I pushed for nearly three hours, while my mom and husband coached me and kept me calm. I pushed so hard that my IV actually fell out! But after 2 hours and 45 minutes, my daughter still wasn’t descending into the birth canal. My doctor told me that a c-section was necessary—her head was starting to swell and she couldn’t get past my pelvis. I was brought to the operating room, and half an hour later, at 10:29 p.m., Vivienne Colette was born. When I heard her first cry, I knew my life had changed forever. Tom and I couldn’t believe that we’d created this little being, and I couldn’t remember ever being so happy. Vivienne took our breath away!

birth stats baby’s’ name Vivienne Colette size at birth 7 pounds, 1 ounce, and 19.5 inches long hospital Riddle Hospital, Media, (484) 227-9400

Read more birth stories at TheBump.com/birthstory thebump.com

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On June 5, two weeks before my due date, I felt a little nauseous so I decided to take a nap. When I woke up, I felt some wetness in the bed, which seemed unusual. I called my doctor and he said that while it was probably nothing to worry about, I should come to the office to get checked out—just to be safe. I called my husband, Tom, who met me at the doctor’s office. After examining me, my doctor said that I was 1 centimeter dilated and I was leaking amniotic fluid. I would need to be admitted to the hospital.

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delivery How to get to the hospital, labor positions, silent births and more…

I’m nervous about getting to the hospital when I go into labor. How can I prepare? You’re right to want to be über-prepared. It’s important to create a plan and a backup plan for getting to the hospital. Pick a designated driver—and have a backup one on call in case the first person can’t make it in time. Take a tour of the hospital and do a couple practice runs so you and your chauffeur know the route to the maternity ward entrance, says Elise Harper, MD, an ob-gyn in Frisco, Texas. Find out the procedure for dropping patients off, so you’ll know if your driver should leave you there and then park, or can park at the curb for a few minutes and escort you in. If you usually take public transportation, you should probably come up with another way to get to the hospital during labor. We recommend having a reputable car service on speed dial. Make sure your car is in perfect working condition (take it in for a tune-up and oil change now!) and keep the gas tank full. You’ll also want to prepare your and your partner’s hospital bags and put them near your front door. Are more babies born during a full moon? Like most old wives’ tales, this tale (key word: tale) is not true, despite the fact that it may seem that way to doctors and nurses, says Kelly M. Kasper, MD, ob-gyn at the Indiana University School of Medicine. As the theory goes, since the moon’s gravitational pull is strong enough to influence

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the tides, it’s also strong enough to affect a woman’s body—namely, her menstrual cycle and, if she’s pregnant and nearing her due date, her contractions. But really, there’s no scientific proof to the “more babies during a full moon” theory.

What are the different positions for birth? In the movies, it seems like the mom-tobe is always leaning back on an inclined hospital bed with her legs in stirrups, pushing. And that’s most likely the position you’ll find yourself in if you choose an epidural, since you’ll need to stay in bed, hooked up to monitors. But there’s definitely more than one way to birth a baby. If you’re not getting an epidural, you can use trial and error to see what’s most comfortable, says Michele Hakakha, MD, an ob-gyn in private practice in Beverly Hills, California. Different positions may help you get the baby out more easily and with less pain than others. Some laboring women try standing, walking, sitting, squatting and getting on all fours. Each position has pros and cons. Squatting, for example, uses gravity, encourages a quicker descent and requires less effort to bear down, but it’s also hard to stay that way for a long time. Being on your hands and knees can help alleviate back labor and can make delivering a baby who’s “sunny-side” (face) up easier, but it can also be hard to see what’s happening. You can also sit or lie facedown over a birth ball or lie on your side.

What breathing techniques can I use during labor? Most practitioners don’t preach a strict breathing pattern (like “hee hee, hoo hoo, ha ha”). That’s because by the time labor pains start, any breathing techniques a mom-to-be learns tend to go out the window. Instead, tune in to your own natural breathing rhythm, be it slow, deep breaths from your diaphragm, or faster, shallow breathing—whatever feels right, says childbirth educator Lisa Gould Rubin. Once contractions start, try this: At the beginning of each contraction, take a “cleansing” breath, which can help you release tension and relax more deeply. As labor goes on, find your own rhythmic breathing pattern. If this doesn’t work (or stops working), focus on the sound you make when you’re in pain. For some, it’s a low hum; for others, it’s a robust “aah.” Turn this natural exclamation into a rhythmic pattern to help you cope with labor pains. My mom had a c-section. Does that mean I’ll have one? Unless you inherited some physical quality that required your mom to have a c-section—like an unusually shaped pelvis—there’s no reason her c-section increases your chance of needing one, says Stuart Fischbein, MD, ob-gyn. Many different factors can increase a woman’s odds of having a c-section, like the

position or size of the baby, the mom’s condition or the doctor’s experience. To lower your odds, avoid labor induction unless it’s medically necessary, since the c-section rate among moms who are induced is twice that of moms who go into labor on their own. But remember, a c-section isn’t always a bad thing and can save baby’s life. What’s most important is that your baby is born healthy— not how you deliver her.

What’s a silent birth? Despite the name, a silent birth doesn’t mean a laboring woman can’t make noise. Rather, the delivery room should be free of TV, phones and chitchat. Some believe the words a baby hears during his labor and birth may affect him for life. So eliminating words eliminates any negative effect on baby. While there’s no scientific evidence to support the idea that a silent birth preserves baby’s psyche, it is true that women labor best in calm, supportive environments, says Michael P. Nageotte, MD, ob-gyn. The Bump experts: Elise Harper , MD, ob-gyn at Health Central OBGYN; Kelly M. Kasper , MD, ob-gyn at the Indiana University School of Medicine; Michele Hakakha , MD, ob-gyn; Lisa Gould Rubin, certified childbirth educator and doula; Stuart Fischbein , MD, ob-gyn and coauthor of Fearless Pregnancy; and Michael P. Nageotte , MD, ob-gyn and medical director of the MemorialCare Center for Women

What’s the difference between a midwife and a doula? A midwife is a health care provider, and a doula is a childbirth coach. Midwives can give prenatal care and deliver babies, while a doula will help with techniques to manage pain during labor and provide support during baby’s early days. A postpartum doula can assist a new mom with things like newborn care, meal preparation and household cleaning.

Tips for easier labor at TheBump.com/easylabor

basics

baby health

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Even perfectly healthy babies get about eight checkups the first year. Plus, babyâ&#x20AC;&#x2122;s immune system is still developing, so you might be making quite a few sick visits too.

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well visits

The American Academy of Pediatrics recommends babies get checkups at birth, 3 to 5 days after birth and then at 1, 2, 4, 6, 9, 12, 15, 18 and 24 months. Here’s what will likely happen at each of them. Taking measurements The doctor will always measure baby’s length (aka his height), weight and head circumference, and record them on a growth chart to see how baby compares with other infants his age and to make sure there are no signs of problems. Developmental surveillance At most visits, the doctor will also gauge baby’s development by observing his behaviors and asking you about milestones. Psychosocial/Behavioral assessment

The doctor will ask questions about baby’s behavior and observe his actions and reactions. This helps rule out psychological or behavioral issues. Physical exam Baby will get a head-totoe exam from the doctor at each visit too— ears, eyes, mouth, skin, heart and lungs, abdomen, hips and legs, and genitalia will all get checked to be sure they look healthy. In the beginning, the doctor will examine the soft spots on baby’s head (fontanels), which typically disappear within 12 to 18 months when the skull bones fuse together. They’ll also check the shape of baby’s head to make sure it’s getting round—some babies get “flat head.” (Don’t worry. It’s easily treated.)

at birth A pediatrician will see baby within 24 hours of birth. “We do a full exam, looking for normal body function. We look for basic newborn reflexes, skin tone, alertness and hip stability,” says Anita Chandra-Puri, MD, a pediatrician at Northwestern Memorial Physicians Group in Chicago. Hearing screening The doctor will make sure baby’s hearing is A-OK with at least one of two tests: The otoacoustic emission (OAE) uses a mini earphone and microphone to measure sound reflection in the ear canal. For the auditory brainstem response (ABR) test, electrodes are placed on baby’s head to see how the hearing nerve responds to sound.

metabolic/hemoglobin screening Baby will need to have a blood test—drawn from her heel—between birth and her two-month birthday. “The metabolic screening checks for sickle-cell disease, hypothyroidism or other inherited disorders,” says Chandra-Puri.

in the future Your pediatrician will likely ask to see baby sometime in his first week to make sure everything still seems to be going well. The doctor will measure baby to make sure his growth is on track (and he’s eating enough), observe his development and behavior, and perform another physical exam. Tuberculosis test At the one-month visit, your pediatrician may test baby for tuberculosis, an airborne infection that can cause fevers, a persistent cough, heavy and fast breathing, swollen glands, night sweats, weight loss and poor growth. Lead test The doctor may give baby a lead screening to make sure she hasn’t been exposed to dangerous levels of lead, which can affect her developmental and behavioral growth. Development screening At nine months, baby will likely get a more formal developmental test than he’s had before. The doctor will ask you questions about baby’s growth and behavior, and also may ask you to play with baby during the screening to see how he behaves and moves. This is to see if he’s learning basic skills at a normal rate and will determine whether baby should receive more testing for developmental delays. Your child may receive these screenings more frequently if he’s at a higher risk for developmental problems because of preterm birth or low birth weight, or has a sibling who has an autism spectrum disorder. Oral checks The doctor may periodically give baby’s gums and teeth (once she has them) a peek to evaluate her oral health. Immunizations There are a lot to keep track of! See pages 128, 129 and 130 for the full scoop on what baby will likely get when. >

Philadelphia/South Jersey thebump.com

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basics

common baby symptoms

gas Air can get into baby’s belly and, as

he’s digesting, get stuck. It might happen just because baby’s gastrointestinal tract is immature. Crying, fussing and bottlefeeding can cause gas too. Spot it If baby has gas pain, his belly might look inflated, or he might arch his back, act fussy or squirm. Usually, gas pain is worst when baby’s about six to eight weeks old. Help it Lay baby down and gently bicycle his legs forward and backward, and try pushing his knees to his chest, repeating several times, says Cheryl Wu, MD, a pediatrician at LaGuardia Place Pediatrics in New York City. If that doesn’t help, you can try infant simethicone drops, which are available over the counter—they work for some babies, but not for others, and they’re completely safe. If your doc gives you the go-ahead, a glycerin suppository could help too. Know that gas pains are completely normal and aren’t usually cause for medical concern. Babies tend to outgrow them.

spitting up The valve that closes the stomach off from the esophagus can be weak in a newborn, so until it gets stronger, baby’s food can easily come back out—especially when he eats too much or too fast. Spot it Spitting up (also known as “reflux” or GER—gastroesophageal reflux) is just spitting up, as long as baby seems content after. It’s a medical problem if baby’s coughing, choking, turning blue or has poor weight gain, or if it’s projectile vomiting. In those cases, it could be GERD (gastroesophageal reflux disease), which is more serious and could require medical treatment. Help it Work on prevention. Stop halfway through a feeding (when you switch breasts or he’s drunk half his bottle) and burp baby so he has extra time to digest and you get excess air out before it gets stuck in there. Then burp him at the end of the feeding too. Try out different positions, like laying baby on his side while you pat his back, and keep him upright for 20 minutes after a feeding.

baby’s immunization schedule Hepatitis B Vaccine (HepB)

When If baby doesn’t get the hepatitis B vaccine at the hospital, she’ll need three doses: at 0, 1 and 6 months Possible side effects Brief soreness and fussiness

Rotavirus Vaccine (RV)

When Between 2 months and 4 months of age, in two to three doses, depending on the brand of vaccine she gets. She may also need another dose at 6 months, so double-check with your doctor Possible side effects Fussiness, and some babies may have mild, temporary diarrhea or may vomit

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Haemophilus Influenzae Type B Conjugate Vaccine (Hib)

When At 2 months, 4 months and 6 months, and between 12 and 15 months Possible side effects Fever, redness and/or tenderness at the injection site

Diphtheria and Tetanus Toxoids and Acellular Pertussis Vaccine (DTaP)

When At 2 months, 4 months and 6 months, and between 15 and 18 months and 4 to 6 years Possible side effects Tenderness, swelling, redness, fever, loss of appetite within two days of receiving the shot

fever “If a baby has a fever of 100.4

degrees or higher in the first two months of life, call the doctor,” says Alanna Levine, MD, pediatrician at Orangetown Pediatric Associates in Tappan, New York. “It could be a sign of a very serious infection.” Of course, there’s a chance it could be no big deal—baby’s immune system is still developing and could be setting off smoke alarms—but it’s better to be safe. Spot it Get an easy-to-read thermometer. For newborns, taking a rectal temperature is usually most accurate (sorry!). Baby may be extra sleepy or fussy if she has a fever, so take her temperature if she seems off. Help it Follow the doctor’s instructions for how to treat it—if baby is very young, this might even mean a trip to the ER. After the newborn period, it’s less of a concern, so it’s okay to give baby a dose of infant acetaminophen and see if her temperature goes down. Remember, baby won’t be ready for ibuprofen until she’s six months old.

Pneumococcal Vaccine (PCV)

When At 2 months, 4 months and 6 months, and a booster given between 12 months and 15 months Possible side effects Low-grade fever, redness, tenderness at the injection site

Inactivated Poliovirus Vaccine (IPV)

When At 2 months, 4 months, 6 to 18 months and 4 to 6 years Possible side effects Soreness or redness near the site of injection; an allergic reaction rarely occurs

excessive crying Any number of issues

could have baby wailing his lungs out. He could be hungry, teething or need a diaper change, or it might be something more significant, like a hair tourniquet (one piece of hair wrapped very tightly around a finger or toe—this happens more than you may think!), an obstruction in his intestine or a food allergy. Or it could be colic, which begins around three weeks and lasts until about 12 weeks of age. Spot it Even colicky babies take a break now and then, so if your child has been crying nonstop for an hour or more, there’s probably something more concerning to investigate. Help it First, make sure there’s nothing obvious causing his pain. Then, try to troubleshoot: Holding, rocking or singing to your baby or toddler may be enough to soothe his tears. Pacifiers can also help, as can movement (swinging or rocking) or white noise (a fan, washing machine, dishwasher or other background noise). >

Influenza Vaccine

When Annually, from age 6 months Possible side effects Fever, aches, soreness, redness or swelling at the injection site

Measles, Mumps and Rubella Vaccine (MMR)

When One dose at 12 to 15 months and a second dose at 4 to 6 years Possible side effects Rash, slight fever, joint aches, swelling in neck and salivary glands a week or two after receiving the shot

Philadelphia/South Jersey thebump.com

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basics

weird stuff not to worry about

cradle cap Baby’s dry, flaky scalp is pretty

gross. But it’s also no big deal. This usually disappears within baby’s first few months. Until then, try rubbing baby oil on the patches two or three times a week and using a soft baby brush or toothbrush to slough away the flakes. Call the doctor If it spreads beyond baby’s scalp or seems to be growing more severe. Baby may need a prescription ointment.

explosive poop You haven’t been

officially initiated into parenthood until you’ve had to deal with a diaper explosion or two. That’s because newborn poop is mostly liquid, with some mustardseed texture mixed in (especially if you breastfeed), so it easily, um, propels. Call the doctor If you spot any signs of blood—that’s usually tinges of red or black.

baby boobage Those wacky hormones that plagued your entire pregnancy can cause breast tissue to develop in baby, since it

Hepatitis A Vaccine

When One dose at 12 to 23 months and a second dose six months after Possible side effects Soreness at the injection site, headache, loss of appetite, tiredness

takes awhile for the hormones to wear off. But don’t stress—they’re generally nothing to be concerned about and should go away in time. Call the doctor If there’s redness or fever. Those may be a sign of something serious.

constant sneezing What’s the deal?

Don’t forget that a newborn is new to this world and everything in it, and as a result, she’s extra-sensitive to lots of things you’re already immune to. So if she’s sneezing up a storm but not actually sick, she’s probably just trying to banish any little foreign particles. Call the doctor If baby’s sneezes are accompanied by wheezing or you’re worried at all about her ability to breathe or swallow. The Bump experts: Anita Chandra-Puri, MD, pediatrician at Northwestern Memorial Physicians Group in Chicago; Alanna Levine, MD, pediatrician at Orangetown Pediatric Associates in Tappan, NY; and Cheryl Wu, MD, pediatrician at LaGuardia Place Pediatrics in New York City

Meningococcal Conjugate Vaccine, Quadrivalent (MCV4)

When It’s recommended for high-risk children between ages 2 and 10 years to get one dose Possible side effects Redness, soreness at the injection site and fever

Varicella (Chicken Pox) Vaccine

When One dose at 12 to 15 months and a second dose at 4 to 6 years Possible side effects Soreness or swelling at the injection site, mild fever, rash

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Check baby’s symptoms at TheBump.com/babyhealth thebump.com

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basics

baby sleep myths—busted! Don’t believe this popular advice. by Joanne Van Zuidam

wake a sleeping baby

the truth You’ve probably heard this one a thousand times already (and maybe even used it when your in-laws dropped by unexpectedly for a visit with baby), but it’s not exactly true. In the first few weeks, your baby needs to eat what seems like constantly but is actually every two to three hours. So there may be times when you’ll have to gently nudge her awake for a feeding, says Tanya R. Altmann, MD, author of Mommy Calls. And that’s not only okay, it’s also important so she can put on a healthy amount of weight. But once a newborn has regained her birth weight, Altmann says, it’s fine to let her sleep as long as she wants at night without waking her to feed (and if she does manage to extend her sleeping stretches, it’s cause for celebration—woo-hoo!). Just make sure she’s still feeding often during the day. myth #2 crib bumpers protect baby the truth Crib bumpers may seem like

they’ll protect baby from bumps and bruises, but they can actually be dangerous since they (just like any other puffy bedding like comforters, pillows and sleep positioners) pose a suffocation risk. “I’ve never seen a baby who’s seriously injured his head banging it on the side of the crib,” says Altmann. “But babies have rolled and gotten tangled in bumpers.” So keep the bumper—and anything else besides a fitted crib sheet and your baby—out of the crib.

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myth #3 keep the nursery quiet the truth Surprisingly, most newborns

actually love background noise with a whirring sound, like that of a fan. “It can be comforting and familiar, since they heard constant, loud noise 24/7 when they were in utero,” says Altmann. (Yup, it was pretty noisy inside your belly.) Plus, that white noise can drown out other sounds in the house that can distract baby from sleep. So if you’re having trouble calming baby down or getting her to stay asleep, consider trying a whitenoise sound machine (see page 136) or some other whirring device to help her sleep.

myth #4 baby should sleep through the night at 12 weeks

the truth Yes, in theory it’s possible, but it’s an unrealistic expectation that can stress you out. “If you have a good daytime eater, with a consistent routine and a bit of luck, your baby will sleep through the night at 12 weeks,” says Altmann, who stresses the luck part. For everyone else, she says, it may not happen for another month or two or (ouch!) three, and that doesn’t mean you’re doing anything wrong. Encourage your baby to start sleeping for longer stretches: Establish a short, calming bedtime routine, allow your baby to fall asleep on her own (no nursing or rocking her to sleep), and once she’s asleep, don’t run to the nursery at every little noise she makes—she needs to learn she can fall back to sleep on her own. If you’re consistent, you increase the likelihood of achieving a full night’s sleep. >

all illustrations by kate larsen

myth #1 you should never

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basics

myth #5 set a late bedtime

to prevent baby from waking early in the morning

the truth Uh, wouldn’t that be nice? It seems so logical, but sorry, this almost always backfires. Here’s why: Keeping your baby up late at night will make her overtired, and when kids are overtired, they get wired, actually making it harder for them to fall asleep and to get back to sleep if they wake up early. To get your baby to sleep later the next morning, you’ll actually have better luck making her bedtime earlier. “Trust me and try it,” says Altmann. “Put your kid to sleep 30 minutes earlier than usual. They’re likely to begin sleeping a bit later in the morning.” myth #6 adding cereal to

baby’s bottle will help her sleep through the night

the truth There’s actually no evidence that adding cereal to baby’s bedtime bottle will help her sleep longer, so there’s no point in doing it. In fact, cereal in a bottle increases the number of calories baby consumes, and some studies show that feeding baby solid foods before four months can contribute to obesity. The American Academy of Pediatrics recommends waiting to introduce solid foods until baby is four to six months old, and to always spoon-feed solids, since baby could choke on them if they’re consumed through a bottle. (There are some exceptions, like if the doctor recommends cereal as a treatment for reflux.) As for getting her to sleep through the night, you’ll have better luck with the tips we mentioned under myth #4. > The Bump expert: tanya r. altmann, md, pediatrician and author of Mommy Calls

the crazy things tired moms did!

I fell asleep pumping—for 45 minutes! My nipples didn’t feel so great after that.

After loading my toddler and newborn into the car to go to the grocery store, I got in the front seat, looked down and realized that my pants were on inside out.

megan m.

I reached for my cell phone and put it in my son’s mouth, thinking it was a bottle.

I tossed what I thought was a wet cloth diaper toward the laundry basket. It turns out there was poop in it, and it got on the wall. Yuck!

Jacquelyn P.

Amanda S.

thebump.com

Celissa K.

I have twins, and I accidentally dressed my baby girl in boy’s clothes and my baby boy in girl’s clothes.

I kept trying to answer the phone by picking up the baby monitor—I did it quite a few times before my husband corrected me.

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Christine S.

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basics

listen up

These baby sleep machines may look cute, but it’s how they sound that you’ll really love.

serenity star

This isn’t just a sound machine. It’s also a night-light and a special clock that keeps track of baby’s feedings. $80, AdenandAnais.com

slumber bear

goodnight baby

This little elf plays music, projects soothing light and becomes a toy when baby grows into a toddler. $33, ToysRUs.com

sleep sheep

This soft, cuddle-worthy guy plays the sounds of rain, the ocean, whale calls and mom’s heartbeat. $28, CloudB.com

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More sleep advice at TheBump.com/sleep thebump.com

sleep sheep: antonis achilleos; all other images courtesy of the manufacturers

You can attach this sweet bear to the outside of the crib or changing table. It plays sounds that remind baby of being in utero. $28, Diapers.com

basics

breastfeeding made easier It may not be a breeze, but you can cut down on problems with these tips. by Jennifer L.W. Fink

Hate to break it to you, but while breastfeeding has some pretty amazing benefits for baby, it can be a tough skill to master for some moms. But if you do have problems, don’t give up right away! Most times, it does get easier, especially if you use this advice for preventing and dealing with some common breastfeeding issues. You’ve got this.

heightened in that first hour after birth. They’re neurologically wired to find the breast. And when they’re allowed to use those senses to latch on by themselves, the way they’re instinctually wired to, they tend to latch on correctly,” says Cathy Carothers, BLA, IBCLC, president of the International Lactation Consultant Association.

do your research

go skin-to-skin

start early

Holding baby right after birth can help you get off to a good start, so cuddle baby as soon as you can after delivery and give breastfeeding a shot right then. “Babies’ senses—their seeing, hearing and senses of touch and smell—are

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This will require some stripping on both your and baby’s parts. Place your unclothed baby on your bare chest when she’s fussy or struggling with feeding. (If you’re modest, cover up with a blanket.) The close contact will calm her (and you!) and trigger her feeding instincts.

learn the signs

Respond early to baby’s rooting behaviors and you’ll cut down on frustration for both of you. “When you see your baby chewing on his hands, making mouthing motions or turning his head from side to side and bringing his hands to his face, he’s telling you, ‘I’m starting to get hungry,’” Carothers says. “When you respond to those cues, your baby learns to continue giving them, and you can feed the baby before he starts crying. Once a baby cries, he’s no longer just hungry; he’s mad and hungry, and that can make breastfeeding much more difficult for both of you.” >

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Don’t wait until baby is born to learn about breastfeeding. “After birth, you’re exhausted; you’re in pain. Those are not exactly the greatest circumstances in which to learn something new,” says Denise Archambault, IBCLC, RN, a lactation consultant who works at Women & Infants Hospital in Rhode Island. Read up on nursing. Take a breastfeeding class. Talk to moms who have breastfed successfully before you actually have to do it. Also, find out what nursing resources— including lactation consultants, La Leche League chapters and breastfeeding moms’ clubs—are available near you.

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basics

Offer your baby a feeding every two to three hours in the very beginning. If your breasts start to feel engorged—really tight, firm, large and warm—a few days after birth, don’t panic: It’s just your mature milk coming in. (Before that, your baby gets supernutritious, concentrated colostrum.) Engorgement goes away in a few days, but those rock-hard boobs can make feeding baby challenging. If baby has a hard time latching, hand express or pump a bit of milk before feeding her, to make things softer.

holding positions 1 Crossover hold

This is a great position for a first-timer! Use your right arm to hold baby while he nurses on your left breast. Gently cup the back of his head with your right hand. Your thumb and index finger should be at each of his ears.

2 Football hold

If baby is feeding on the right breast, hold her torso under your right armpit, like you’re cradling a football.

call in the pros

Breastfeeding shouldn’t hurt, so if you’re having pain, or if your baby isn’t wetting at least 8 to 12 diapers a day, call the hospital, your doctor’s office or a local lactation consultant. It’s important to nip issues in the bud as quickly as possible.

get some sleep

Just because you’re the one with the boobs doesn’t mean you have to do all the feeding. After you and baby have developed a consistent nursing relationship (usually after the first month), it’s okay to let your partner give baby a feeding—especially if you’re longing for a good night’s sleep. Just be sure to pump a bottle of breast milk before you go to bed. To maintain your body’s milk supply, it’s important to have a pumping session every single time your baby has a bottle.

Cradle hold

Support his head in the bend of your left elbow while he lies in front of your body and nurses from your left breast.

4 Side-lying hold

Lie on your side and place baby facing you—belly to belly. Bring her close and let her latch on to the breast that’s closer to the mattress.

plan ahead

Before you give birth, talk to your employer about your plans to continue breastfeeding when you return to work. (Your right to do that is protected by law!) Together, figure out a private place where you can pump, and brainstorm ways you can fit pumping breaks into your workday. It might seem daunting, but plenty of other moms keep breastfeeding after they go back—and you totally can too.

practice pumping

At least a couple of weeks before you’re scheduled to go back to work, start pumping breast milk. Archambault recommends >

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5 Twins holds

Got twins? Try the double football hold: Use two pillows to prop your babies on either side of your waist, facing you. Lean forward, resting your arms on either side of the pillows and holding babies’ heads, feeding one on each breast simultaneously. Or modify other holds to make them work for your twins.

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basics

pumping for a few minutes after baby’s morning feeding, because that’s when your milk supply tends to be the greatest. You can also pump on one side while your baby nurses on the other (the ultimate multitasking!). Both techniques will help you get used to pumping—and let you establish a stockpile of breast milk. Just knowing you have plenty of milk at home in your freezer will make you feel less stressed.

use shortcuts

Want to make the pumping process quick and easy? Try specially designed pump-and-save breast-milk bags. They attach directly to your breast pump, but then unhook and seal, so you can store the milk right in the bag. Microwave steamer bags are another time-saving device some moms swear by. Just pop your breast pump accessories into the bag, fill with water as directed, seal and put it in the microwave to sterilize everything in just a few minutes. You’ll also want to do some trial and error to see what other ideas work for you. Some moms like to freeze their milk in small increments so it’s easy to grab and defrost exactly how many ounces they need at a time. And some like to invest in two breast pumps so they don’t have to transport theirs to and from work every day.

educate baby’s caregiver

Make sure baby’s nanny or caregiver at day care knows exactly how to prepare a bottle of breast milk (no microwaving allowed—just defrost in a warm bowl of water), to use the oldest milk first and exactly how much and how often baby needs to eat throughout the day.

know your number

Before you return to work, count how many times your baby nurses in a 24-hour period. That’s your “magic number,” Carothers says. When you go back to work, the number of times your baby nurses in a day plus the number of times you pump should equal your magic number. That way, you can keep your milk supply up—and baby will get enough to eat. Don’t be surprised, by the way, if your baby decides to eat very little while you’re at work and to nurse constantly when you’re at home. That’s called reverse cycle feeding, and it’s completely normal (sorry!). It may be exhausting but it’s because baby prefers you to the bottle. The Bump experts: Denise Archambault, IBCLC, RN, a lactation consultant who works at Women & Infants Hospital; and Cathy Carothers, BLA, IBCLC, president of the International Lactation Consultant Association

advice you shouldn’t believe! “Someone once told me to scrub my nipples with a washcloth to ‘toughen them up’ for nursing. Um, ouch!” museummaven Why it’s bad advice You won’t do much more than make your nipples sore. Your body is naturally prepping itself for breastfeeding. Just do it.

“My mother-in-law said that my breasts were too small to give my baby enough milk.” k-renee Why it’s bad advice There’s actually no correlation between breast size and milk production. Your breast size should not compromise your ability to produce the right amount of milk.

“‘You’ll know within two days whether breastfeeding is going to work for you.’” danienross Why it’s bad advice Breastfeeding usually starts out tough and gets easier. It can take a few days before your milk comes in, and weeks to feel in balance with baby’s needs.

“‘Drinking beer while breastfeeding will help baby sleep.’” dundasgirl Why it’s bad advice Alcohol can pass into breast milk, and baby’s body will process it at a slow rate. It could cause sleep problems for him and impair his motor skills (scary!). Wait three hours after a drink to nurse.

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More feeding tips at TheBump.com/feeding thebump.com

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basics

super babies The top 10 reasons why babies are awesome. by lissa poirot

You know those soft spots on baby’s head? There are actually two “holes,” one at the back of the head and the other at the top, called the fontanels. Baby’s skull isn’t fully united at first so he can make that trek down the birth canal. The soft spots are a little freaky in the beginning, but they close up—the one at the back within two to six months and the one on the top by about 18 months.

they have incredible brains

During the first few years of life, an infant’s brain nearly triples in size. Not only is your baby’s brain going through a weight growth spurt, it’s filled with 100 billion neurons, able to soak up knowledge like a sponge. As your newborn develops into a toddler, you’ll see his super brain learn language, motion and emotion in a heck of a short period of time.

they explore everything mouth-first

Touch is the first sense baby develops, and it’s very acute— especially in baby’s mouth. By one month of age, babies can get a mental picture of the things they’ve put in their mouths.

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their transition from slothy blob to walker is fast and furious

One day, baby is a blob who doesn’t do much more than flail. About a month later, he can lift his head. At five months, he’s rolling over. By seven months, he can sit up on his own. And as early as eight months, he can stand. Magically, at 13 months, he may begin walking. And in 30-plus years, I still haven’t figured out how to juggle!

5they grow exponentially

Your 8-pound baby may have measured 20 inches at birth, but by the time he’s four months old, he’ll likely gain up to six pounds, as well as more than four inches. By age six months, babies are typically double their birth weight, and by one year, they’ll have tripled it!

they have amazing metabolisms

As hungry as you get, you probably can’t possibly eat every two hours— and definitely not throughout the night. Babies can, and do—having about 12 meals a day in the first few weeks, even waking from sleep to do so. Don’t worry—baby will eventually space out those feedings. (And you’ll sleep more. We promise.)

Bernd Vogel/Corbis

they survive with holes in their skulls

7 they’re chatterboxes

At infancy, he communicated primarily by crying, but by 24 months, a baby’s vocabulary may reach 50 words or more.

they turn adults into blubbering idiots

Put baby in front of almost any adult and with one smile or coo, the grown-up will likely be reduced to baby talk. We’re not sure how babies hold such power over us, but Swedish scientists did find that smiles are contagious.

they have superstrength

Babies learn how to grasp by three months, and once they have a hold of something, it can be difficult getting them to let go, especially if it’s the long hair of an innocent bystander (yowch!).

10 they work magic

Kind of like Houdini, babies have the amazing ability to get into things you would never expect. Turn your back for a second, and your amazing little infant has crawled into a cabinet or swallowed a penny hidden in the deepest crevices of your carpet. (So for goodness’ sake, be sure to baby-proof!)

benefits of being a mom

Nancy Brown/getty images

Baby’s super qualities rub off on you too. Now you can shower in the blink of an eye Maybe there was a time you couldn’t get ready in less than 30 minutes. But after baby, you find a way to shower in under two minutes flat, just in case baby wakes up.

You can do almost anything one-handed Change a diaper, unscrew a bottle and fill it with formula, get dressed, brew coffee. You name it and a mom can do it with super baby cradled in the other hand.

You can ID your baby based on smell alone We’re not talking about dirty diapers. Some research found that new moms (blindfolded!) can identify their newborns 10 minutes after birth based on their smell.

You can heal baby with your touch Touch is so important to babies that experts have found it plays a significant role in cognitive and emotional development. Plus, research has shown it can calm preemies.

Tips for mommy life at TheBump.com/mom

basics

your life, upside down Why the first weeks with baby are so tough—and how to get through them. by Lissa Harnish Poirot

you’re on a loop

Everyone warns you that you won’t be sleeping, and they aren’t lying. During the first few weeks, your baby will spend his days and nights eating about every two hours. Just when you’re back in bed, you’ll hear the cry of your hungry newborn waking you again. Imagine your alarm clock going off every few hours for five weeks straight. Not fun.

you’re sleep deprived

“Understand that sleep deprivation is going to be there. You’re going to be tired,” says Karen Deighan, MD, FACOG, chair of Obstetrics and Gynecology at Gottlieb Memorial Hospital of Loyola University Health System in Melrose Park, Illinois. And we’re not talking the kind of tired you feel when you stay up to watch the Oscars and have an 8:30 a.m. meeting the next day. This new type of tired may cause headaches, depression, irritability, memory problems and confusion. How can you manage with disrupted sleep? The age-old advice rings true: Sleep whenever you can! You’ll have to let go of the notion that you’ll get a full eight hours,

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but a little here and there can really add up. In fact, some experts believe that “bimodal” sleeping—two phases of four hours of sleep—may be a more natural sleep pattern.

you’re hormonal

That meltdown you had while shopping for the perfect crib is nothing compared with what you’re in store for. “Progesterone levels drop dramatically when you drop your placenta, and new mothers are in a very low hormonal state,” says Yvette LaCoursiere, MD, MPH, assistant professor and associate residency director in the Department of Reproductive Medicine at University of California, San Diego Health Sciences, adding that the “baby blues”— the moodiness that goes along with that hormone flux—happen in 80 percent of women. Add those whacked-out hormones to lack of sleep and you’ll feel pretty low.

you feel alone

Emotional support will help. Turn to moms who have been there. Online forums (like the community at TheBump.com) and support groups help you find other women going through the same challenges you are. >

elizabeth messina

After my daughter popped out at 8 pounds, 2 ounces, I stared at my still-protruding belly in shock, and cried when a man asked me when I was due—two weeks after I had delivered. I cried pretty often back then— news stories, Kleenex commercials, at one wrong word said by my husband. I spent my days at home, wishing I could get some sleep and lying to my friends who called to ask if everything was okay. I was exhausted, hormonal and grumpy, and I felt trapped in my house, wondering if I’d ever feel normal again. I knew those first weeks with baby would be hard, but I didn’t know how hard.

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basics

you’re a rookie

For many moms, feeding and caring for a newborn baby will bring on the most stress. Should you nurse or bottle-feed? Is baby producing enough wet diapers? Is she still breathing? (Seriously, you will check your sleeping baby’s breath more often than you can imagine.) The questions go on and on and are all-consuming—because you’re worrying about your baby, as any mom does. Try not to let all the details stress you out and just focus on what’s really important: feeding (the baby and you). “I tell new moms to be realistic about what they’ll accomplish when they arrive home with their new baby. They have three basic tasks: Feed your baby, feed yourself and sometimes bathe one of you,” says LaCoursiere.

breastfeeding can be tough

This may not be as easy as you think. If you’ve decided to breastfeed, there’s a lot of trouble that could arise—like baby not latching, painful feedings or lack of milk production. “Society makes it seem like breastfeeding is intuitive, but it’s actually more difficult,” says Deighan. If you’re having trouble, it’s important you get breastfeeding help as soon as possible to decrease your likelihood of long-term issues. Get guidance from a lactation consultant, baby’s pediatrician and/or the hospital support center.

you don’t look like you

Many women are shocked to learn they’ll still look pregnant after delivering. “I tell women to bring pregnancy clothes to wear home from the hospital, since they’ll look about seven months pregnant when they leave. Many women aren’t back to pre-pregnancy weight six weeks after having a baby; it takes time,” LaCoursiere says. Don’t silently criticize your body—think of the amazing thing it just did: create and deliver a baby! Try to stay positive and remind yourself that your body doesn’t have to be like this forever. Go to a new-moms’ stroller-exercise class and enjoy some fresh air (and make new friends) while slimming down.

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you’re sore

There are other not-so-fun body changes that are common in the first few weeks, including swelling, hemorrhoids or stitches after a vaginal tear or c-section. Says Deighan, “Women think they’ll never feel normal again, but they will.” Ice packs, witch hazel pads and a peri bottle can help with some of these. For the rest, you’ll just have to wait it out as your body heals, making sure you get proper nutrition and rest so you’re on the road to a full recovery. Ask your partner, friends or family members for help with baby and other tasks when you’re sore or hurting. And don’t try to push yourself, even though you want to do it all.

baby is still a stranger

There’s now a strange creature who looks a little bit like you, sleeps nearly all the time, covers you in spit-up and poop, and barely acknowledges your existence. It’s not uncommon to sometimes wonder why you haven’t bonded just yet. Reassure yourself that it takes time to get to know each other.

you won’t get thanks just yet

“Babies don’t smile until one month, and moms won’t get immediate feedback that what they’re doing is creating a bond,” says LaCoursiere. “Babies need food, warmth and sleep—just provide these basic needs and know that the bonding will come later.” The first few weeks are difficult, no doubt about it. But doctors and mothers who have been there all say it goes by fast. Trust us! It will be over before you know it—and you’ll be proud you survived.

The Bump experts: Karen Deighan , MD, FACOG, chair of Obstetrics and Gynecology at Gottlieb Memorial Hospital of Loyola University Health System in Melrose Park, IL; and Yvette LaCoursiere , MD, MPH, assistant professor and associate residency director in the Department of Reproductive Medicine at University of California, San Diego Health Sciences

Tips to stay sane at TheBump.com/sane thebump.com

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basics

just the two of us Fun stuff to do with baby. by Bonnie Vengrow

Joining a playgroup is a fun way to get baby to experience new things—and for you to get out of the house and make new-mom friends. Play sessions can range from formal classes with music, movement, songs and learning to a bunch of parents and babies picnicking at the park. Check out The Little Gym, which has 11 Philadelphia-area locations (TheLittleGym .com); Gymboree, with six Philadelphiaarea locations (GymboreeClasses.com); and My Gym, with five Philadelphia-area locations (My-Gym.com)

music

Who wouldn’t love getting out of the house and listening to some live music? While baby’s little, you can bounce and rock her to the beat. As she gets older, baby can use instruments and clap and the two of you can dance around. She just might learn some stuff and make a few new friends along the way too. Check out Ali’s Wagon (215-787-0611, AlisWagon.com); Do Mi Sol Kids (215731-1759, DoMiSolKids.com); and All Around This World (215-913-2679, AllAroundThisWorld.com)

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yoga

Not only is mom-and-baby yoga an awesome way to release some of the stress of new motherhood, but you can tone that postbaby bod—and bring baby along for some bonding. Check out Breastfeeding Resource Center (215-886-2433, BreastfeedingResourceCenter.org)

stroller fitness

You don’t need a gym to get a workout—and you don’t have to call a sitter either. Meet with other new moms and babies, and use your stroller as exercise equipment while baby takes a snooze (hopefully!). Check out One Fit Mama (215-983-6260, OneFitMama.com); Stroller Me Skinny (StrollerMeSkinny.com); Stroller Strides (610-731-6525, StrollerStrides.com); and Baby Boot Camp (610-762-0703, BabyBootCamp.com)

sign language

Baby will communicate before she can talk. Sure, it will be through crying and pointing, but if she learns some simple signs, it can be via a much less frustrating method. Check out Signing with a Smile (610-9907446, SigningwithaSmile.com) Meet moms at TheBump.com/philadelphia

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basics Birthmarks, surviving colic, lactation consultants and more…

Why does my baby have birthmarks? Should I be worried about them? Birthmarks can be spontaneous or genetic. They come in a lot of varieties too: flat or raised; regular or irregular borders; ranging in color from brown to pink to purple. While most are harmless, birthmarks sometimes can be a sign of an underlying condition. “The location of the birthmarks can clue you in to whether you should take baby to the doctor,” says Alanna Levine, MD, a pediatrician at Orangetown Pediatric Associates in Tappan, New York. Look into ones along the midline of the spine or near areas of the central nervous system—they may be a sign of a condition called neurofibromatosis, which affects the development and growth of nerve cell tissues. “Strawberries” are usually superficial and often disappear on their own. A single or pair of coffee-colored spots is normal, but multiple ones that are also speckled (especially under baby’s arms) could be a sign of a genetic condition. Port-wine-stain birthmarks, often on the face and neck, are sometimes connected with KlippelTrenaunay syndrome or Sturge-Weber syndrome, so they’re worth an exam by the doctor. Congenital nevus birthmarks are large moles that can be as small as a couple of millimeters or as big as a few centimeters in diameter. Babies with these birthmarks may be more susceptible to skin cancer, so have your pediatrician monitor them at checkups.

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How can a lactation consultant help me? How do I find a good one? Breastfeeding isn’t always easy, but a lactation consultant can guide you through the process. They can help you get comfortable with breastfeeding and teach you things like how to position baby and how to know he’s latching on correctly. If you experience any breastfeeding issues, a lactation consultant will assess your situation, figure out the heart of the problem and create a specialized plan for approaching nursing, says Leigh Anne O’Connor, IBCLC, a lactation consultant in New York City. So how do you find one? Ask around. Check with your pediatrician for recommendations. The United States Lactation Consultant Association and La Leche League International can also help, or check out our directory of pros at Breastfeeding.com. My baby bites while breastfeeding—help! You’re not alone (not that it makes it hurt any less). Biting is common and should be temporary, especially if baby had previously been nursing well. Try to identify the cause. Common culprits are teething, low milk supply, using artificial nipples and nasal congestion in baby, says Carole Arsenault, RN, IBCLC, a lactation consultant in Boston. If baby tends to bite, take her off your breast as soon as the feeding is done. If she does bite you, remove her right away and tell her “no.” Wait 30 minutes before nursing again. >

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5 things to do (for you!) in 10 minutes

You deserve 10 minutes for Y-O-U. So what are you going to do with your “me” time? Here are some ideas. pamper yourself You won’t be able to get a luxurious spa treatment in 10 minutes, so try out a face mask mixture of oatmeal, yogurt and honey—leave it on for 10 minutes and wash off. It’ll rejuvenate and cleanse your face.

shop Okay, so you might not be able to hit the

work out Why not squeeze in some exercise?

give yourself a treat Have a real meal.

Yes, you can totally get in a great workout in 10 minutes. It’ll help you get closer to your prebaby shape and keep you energized.

get a massage Enlist your partner to give you a much-needed massage.

mall, but you can always shop online! Get that new pair of heels that you’ve been lusting after with just a click of a button. You can wear them for your next date night with your partner. Take this time to whip up a quick snack or meal and eat in peace. An omelet or a sandwich (maybe even a panini!) is a fast, healthy and delicious option. Or throw together a fruit smoothie if baby’s far enough away that the blender won’t wake him.

Find more info at TheBump.com/newmomnewdad

basics

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The Bump experts: Alanna Levine, MD, pediatrician at Orangetown Pediatric Associates in Tappan, NY;

Leigh Anne O’Connor, IBCLC, lactation consultant; Carole Arsenault, RN, IBCLC, lactation consultant; Vicki Papadeas, MD,

pediatrician at LaGuardia Place Pediatrics in New York City; Cheryl Wu, MD, pediatrician at LaGuardia Place Pediatrics in New York City; and Miguel Pagan, director of aquatics at the 14th Street Y in New York City

When can I take baby swimming? Wait until he can hold his head up properly—around six months old— before taking him in the pool, says Levine. He’ll be sturdier and you’ll have a firmer grasp on him. Baby may love the water—or hate it—so start out slowly and give him time to get acclimated, says Miguel Pagan, director of aquatics at the 14th Street Y in New York City. Once he’s settled, try blowing bubbles or splashing.

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It takes forever to burp my baby. What am I doing wrong? Burping helps baby get rid of air swallowed during a feeding and keeps her from getting cranky and gassy. You should burp her when you switch breasts, or after each two to three ounces she drinks. Try one of these techniques, and if you still have trouble, rest assured that by five or six months, she’ll practically burp herself. Lay baby belly-down on your lap, with her head above her chest, and pat her back. Hold baby facing your chest, with her chin on your shoulder. Use one hand to support her head and the other to rub her back. Or face her outward and lean a bit forward, supporting her neck and chest with one hand. If baby can hold her head up, stand and hold her against your body, facing outward. Then apply

Baby has colic! What can I do? Colic is when a baby cries a minimum of three hours a day, three days a week, during the first three months. Now that’s a lot of crying! To calm baby, use the four S’s: shushing (using white noise), swinging (putting baby in a swing or taking her on a car ride), swaddling (wrapping baby in a blanket) and sucking (offering a pacifier or your breast). Also check if she’s hungry, too hot or too cold, or needs a new diaper. Sometimes a medical issue like reflux or allergies is to blame, so ask baby’s pediatrician to rule out any underlying causes, says Cheryl Wu, MD, a pediatrician at LaGuardia Place Pediatrics in New York City. To stay sane, get out of the house and be sure to bring a rattle or pacifier to help soothe baby. Also, learn how to take a break—give baby to your partner or ask a friend to watch her while you catch up on sleep or take a shower.

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How do I care for my newborn’s skin? A newborn’s skin doesn’t need much specialized care. Just wash her face and genitals once a day with water or a gentle cleanser (we like Burt’s Bees Baby Bee Shampoo & Wash), and use baby lotion if her skin seems dry, says Vicki Papadeas, MD, a pediatrician at LaGuardia Place Pediatrics in New York City. Baby wipes—look for the sensitive skin kind—are generally okay from one month on (until then, use a wet washcloth). If baby’s skin seems extra dry or irritated, or if there’s a rash, consult her pediatrician.

gentle pressure on her stomach as you walk around the room. Find the position that works best and pat firmly. Infants are tougher than they seem.

Newborn tips at TheBump.com/babyq&a thebump.com

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baby appétit Time for solid foods? Here’s all the know-how you need to feed your baby right, right from the start.

the basics

when to begin Wait until at least baby’s four-month birthday to start on the solid stuff. That’s because babies need to be old enough to have reached certain important developmental milestones like being able to hold their head up, being able to sit up with support and overcoming the extrusion reflex, which causes them to spit out solids. You’ll also want to get the okay from her doctor before you begin, who may recommend waiting until closer to six months to be sure your child is ready. Plus, tips published by the American College of Allergy, Asthma & Immunology suggest that early introduction of solid food (before four to six months) may be linked to an increased risk of food allergies. The timing of baby’s first solid feeding will also depend on how well she’s gaining weight on breast milk or formula—and whether she may need extra iron and nutrients added to her liquid diet.

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what to feed So what should that exciting first taste of solid food be? For years, ironfortified rice cereal, mixed with a generous helping of formula or breast milk, was the experts’ choice, but now nutritionists and doctors say you can take your pick. “The order of introducing foods is no longer rigid—any order is fine,” says Jennifer Shu, MD, pediatrician and coauthor of Food Fights. “I’m a fan of starting with a root vegetable such as carrot or sweet potato, because they’re naturally sweet and puree to a smooth texture,” says Annabel Karmel, author of more than 20 books about feeding your children and creator of the app Annabel’s Essential Guide to Feeding Your Baby & Toddler. “No-cook purees such as mashed banana or avocado are also fantastic and are packed full of nutrients.” Other popular first foods are pureed apples, pears, green beans, butternut squash and oatmeal or barley cereal.

Walter B. McKenzie/getty images

by lisa milbrand

Just be careful about the consistency of baby’s food. “Start small and thin—your baby is used to breast milk or formula, which is liquid consistency,” says Lara Field, MS, RD, CSP, LDN and founder of FEED, a pediatric nutrition counseling business—and you don’t want to risk her choking. “When starting solids, they should be runny and easy to run off the spoon.” Once baby’s got eating runny foods down pat, you might want to introduce pureed beef or lamb (just be sure it’s very wellpureed), which is high in that essential iron. “For breastfed babies, introducing meat early has some advantages, since iron is better absorbed from meat than it is from fortified cereal,” says Shu.

how to do it

Start without the spoon You can let baby get used to the new flavors and textures first by dipping a clean finger into the puree and feeding her from your finger, which is softer, more familiar and less intrusive than a hard spoon.

gabrielle revere/getty images

Don’t expect baby to polish it all off

Your baby may only eat a tablespoon or two at a time for the first few weeks as she adjusts to the new textures and flavors. “Take it slowly,” advises Karmel. “When you first start introducing your baby to solids, it is not about quantity—it’s just about getting them used to the idea of food.” Watch for signs he’s done Baby can’t yet say that he’s full, so pay attention to his body language. If he’s grabbing at the spoon, spitting out food or clamping his lips shut, he’s probably trying to signal to you that he’s stuffed. Be ready for a mess There are bound to be spills, drips and splashes as you get the hang of feeding your baby—and your baby gets the hang of eating. But don’t let it stress you. Keep washcloths or paper towels handy and consider getting a wipe-clean drop cloth to lay down under the high chair to make cleanup a cinch. Keep trying foods baby rejects It may take several feedings before baby decides she actually does like pureed green beans, so keep

trying. You can also mix in a less-loved food with a favorite to see if that helps entice her.

what to watch

Introduce new foods carefully Go slow. Introduce something new every three days. That way, if your child develops an allergic reaction, it will be easier to find the cause. Beware of a bad reaction If baby develops a rash, vomiting, diarrhea or severe gas, it may be a sign of a food intolerance or allergy. Stop giving him the food immediately and call his pediatrician. Hold off on milk and honey Many babies have a hard time digesting cow’s milk, and honey carries a risk of infant botulism if given to a baby. So hold off until after the first birthday. (Other dairy products, such as yogurt and cheese, are fine before then, though, since the lactose in them has been broken down.) Don’t freak about food allergies Unless you or your mate has severe food allergies, it’s okay to give baby common allergens like wheat, shellfish, fish and soy. Just watch your child closely for signs of a reaction. >

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beyond

prep baby’s food

shop smart Store-

DIY baby food Making your own baby food

is actually easier than it seems—just blend up a few simple steamed veggies, fruits or well-cooked meats, and you’re in business. It’s also a way to maintain more control over what’s going into your baby’s mouth and may save you money over the pricey jarred foods. DIYing it may even help head off future picky eating (which toddlers are notorious for!). “The type of food in premade baby food is actually pretty limited compared with all the different fruits and vegetables that are available at the grocery store,” says Bridget Swinney, MS, RD, LD and author of Baby Bites: Everything You Need to Know About Feeding Babies and Toddlers in One Handy Book. “Leafy greens like kale, spinach and swiss chard are rich in lutein, an antioxidant important for eye health. You don’t see those vegetables in a jar! Infancy is a perfect time for babies to try many different foods to encourage them to eat a wide variety in the toddler years.” Each week, buy a new fruit or veggie for you both to try.

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ready to give it a shot? here’s what to keep in mind:

Start simple While there are some amazing

baby-centric steam-and-puree systems out there (and many moms swear they make their lives easier), the pricey gadgets aren’t necessary for making baby food. Odds are you already have everything you need in your kitchen: a microwave or stove top to steam the foods, and a blender, food mill or food processor to turn it into puree. Make big batches Don’t go crazy! You don’t have to cook fresh baby food every night. Instead, make large batches of a single type of puree and freeze it in smaller servings— ice cube trays make perfect, one-ounce portions. Then, simply thaw out your baby’s meal by placing it in the fridge and then warming it slightly on the stove. To change it up, you can mix and match purees every night—apple and banana puree one night, apple and chicken another. Seriously, it’s not as big a time commitment as many moms think it will be: You can carve out an hour over the weekend and make all of baby’s food for the entire week! Let her have what you’re having Yup, it’s okay to share what you’re eating with baby. She may not be ready for a bite of your curry or buffalo wings, but if you’re serving something simple—steamed broccoli, mashed potatoes, carrots, grilled chicken— throw some in the blender and puree it for baby to have a taste. Just remember to do the seasoning after you set aside a serving for your baby: Like we said, baby doesn’t need the salt. Other spices are fine, but you might want to take it slow to watch for allergies and to not overwhelm your baby.

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bought baby food may get a bad rap, but there actually are some healthier options out there. Here’s how to suss out the right ones for your baby. Count the ingredients The fewer ingredients on the list, the better— ideally, all the applesauce should have in it is apples. Jarred baby foods may need a few preservatives to prolong shelf life, but if you see several unpronounceable chemicals, it’s a good idea to avoid it. You can also ask your pediatrician for her recommendations of brands to try. Check the protein levels. Many packaged “meat” baby foods actually have very little protein and iron in them—which means they won’t have the nutrients your baby needs. You might be better off cooking up and pureeing your own chicken and beef. Skip the salt and the sugar Babies don’t need salt or sugar—and baby food shouldn’t have them. Period.

Move beyond the basics Now’s the time to challenge your baby’s taste buds and give him the nutrition he needs. Try ultra-healthy options, like pureed acorn squash or zucchini, mashed avocado—or anything else you find that’s interesting in the produce aisle. You never know, he may love them for life. The Bump experts: Jennifer Shu, MD, pediatrician and coauthor of Food Fights; Annabel Karmel , author of more than 20 books on feeding your kids and creator of the app Annabel’s Essential Guide to Feeding Your Baby & Toddler; Lara Field, MS, RD, CSP, LDN and founder of FEED, a pediatric nutrition counseling business; and Bridget Swinney, MS, RD, LD and author of Baby Bites: Everything You Need to Know About Feeding Babies and Toddlers in One Handy Book

baby super foods See what these nutritious noshes have to offer.

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Breast Milk Hands down, the best food for baby during the first year is breast milk, so try to keep nursing as long as you can, even once you start solids. Iron-Fortified Cereal Introducing iron-rich foods is essential. Rice cereal, oatmeal and barley are good options— just make sure you start with a single-grain formula, which is easier on baby’s tummy.

Avocados Avocados are loaded with monounsaturated fats (that’s the good kind!), and they’re supereasy to prepare. Simply wait until they’re ripe and mash with a fork! Sweet Potatoes They’re rich in beta-carotene, which the body converts to vitamin A, and that’s important for vision, skin, normal growth and protection from infections.

Meat Meat—like chicken, lamb or beef—is an excellent source of protein, as well as iron, riboflavin, niacin, vitamin B6 and zinc. Be sure to puree it well so baby doesn’t choke.

Yogurt Plain (not vanilla) whole-milk yogurt is another protein-rich option for baby— plus it contains calcium and beneficial live active cultures (good for baby’s digestion!).

Beets Roasted, mashed beets are a good source of folic acid and high in potassium and beta-carotene, and they’re a sweet veggie— which babies take a liking to quickly.

Cheerios The little O’s in the yellow box are an excellent finger food and a good source of fiber. Introduce these around nine months, when baby can chew.

More feeding tips at TheBump.com/feeding

beyond

hot topic

nanny vs. day care What type of child care is best? The debate goes on.

a nanny gives personalized attention

day care is social and educational

The Bump expert: Melissa Marchwick, executive vice president at Sittercity.com

The Bump expert: Danette Glassy, MD, Mercer Island Pediatrics

“One of the biggest pros to a nanny is the one-on-one attention—there’s a strong bond that builds between child and nanny, since they have so much more time to spend together. With a nanny, you get to handpick who cares for your child. If you want someone who has experience with special needs, or someone who is bilingual, you can make sure that the person you choose has those skills. A nanny comes with a lot more flexibility too. It’s much easier to coordinate your schedule if you have to work late or go in early, and you don’t have to go somewhere to drop your child off and pick him up each day. Many day cares have strict rules about sick kids, but your nanny will probably be comfortable caring for your child when he’s not well. Nannies can also help with light housework, like doing laundry and cooking dinner. That definitely can’t be done in a day care!”

“Whenever a child spends time with an adult or other children outside the family, there can be enrichment of their development. At a day care, kids learn socialization skills, such as empathy and sharing. They start approaching other children and learn how to interact. A child care center will have more resources for your child— while a nanny is limited to what you have at your home or in the community. And while even a superb nanny may have sick days, the center will be open and ready to accept students every day that it’s contracted. If your center offers earlychildhood learning programs as part of its curriculum, it could give your child a head start on the road to academic success. Participating in a quality earlylearning program increases a child’s kindergarten readiness.”

what about a home-based day care? Looking for a happy medium? Home-based day cares offer the more homelike, nurturing environment that comes with a nanny, but with some of the socialization you’ll find at a traditional day care. Home-

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based day cares may offer formal educational programming, or just simple care with free play and lunch. Still deciding? Ask lots of questions and check references before you make your choice!

Find Qs to ask baby’s caregiver at TheBump.com/careqs thebump.com

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beyond

are you ready for baby number 2? Before you start dusting off the crib and digging out the newborn onesies, look for these signs that now’s the right time. by bonnie vengrow

your child is old enough

Sorry, there’s no magic number—exactly when “old enough” is depends on your family. Some parents want teething and diapers firmly behind them first. Others are ready as soon as baby number one sleeps through the night. Consider spacing. Siblings close in age are desirable for some. But time off between pregnancies gives your body a break. One recent study suggests that waiting at least 18 months before conceiving again can lower baby number two’s risk of prematurity. Another found that a two-year age difference can boost baby number one‘s intelligence.

your window of time is now

you can afford it

You don’t need us to tell you that babies are expensive. By the latest estimates from the Department of Agriculture, you’ll shell out a jaw-dropping $226,920 on your kid by the time she’s old enough to vote—and that’s not

Thinkstock

Sometimes, time isn’t on your side. If you’re under 30 and have no health issues that

could affect your fertility, you can be more flexible about when to conceive next. But if you’re in your late 30s or early 40s, your timeline on when to have a second child may be driven by the calendar. That’s because a healthy 30-year-old woman has about a 20 percent chance of getting pregnant each month. By age 40, that chance drops to only about 5 percent. If that’s a concern, talk to your OB for advice on when to try again.

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including college! While you can save money reusing your first child’s clothes, toys and crib, count on needing some new things, like a second car seat and a double stroller.

details about life with a new baby, including who’s going to get up at night with the baby and who will do certain tasks with your older child.

your relationship is solid

you both want this

Adding a fourth member to the family means busier days and likely even less time with your sweetie—which is why you should make sure your relationship is in good shape now. “It’s a myth that a relationship will improve once you have a baby,” says Shoshana Bennett, PhD, a clinical psychologist and author of Postpartum Depression for Dummies. “Anything not okay gets worse.” Get together with your partner and talk

The biggest sign you’re ready to have another baby is just that you feel, well, ready. But your partner should too. Don’t freak out if you both don’t share the same level of excitement about becoming parents again—that’s totally normal. What’s important is that you come to a consensus as a couple. If one of you is feeling wishy-washy about it, it’s important to talk frankly and openly about any fears and to listen lovingly and compassionately.

Find out if you’re ready at TheBump.com/baby2

signs of an awesome day care Bring this with you when you take the tour. Don’t settle for less than five checks! by kelly alfieri

good ratios

Ideally, there should be one caregiver for every three to four infants or young toddlers, and one caregiver per four to six older toddlers. high standards

Look for a licensed facility, since they’re required to meet high standards. Also, check state quality ratings to make sure it’s earned high marks.

a focus on learning

Look for a wellorganized space with a variety of toys and lots of scheduled activities like outdoor play, reading (at least twice a day!), art, music and dramatic play.

educated teachers

Ask if the teachers have early childhood education degrees and if they’re required to get professional development. A good center’s staff get training each year to sharpen skills. a safe and healthy environment

Each adult staffer should have had a background check and be certified in CPR and first aid. There should be plans for a lost, sick or injured child, and regularly practiced emergency plans.

Signs of a great nanny at TheBump.com/nanny

toddler Potty-training basics, babysitter rules, best toys for age one and more…

When should I start potty training my child? How do I kick it off? Every kid is different and there are a lot of factors that go into when a child is ready, but if you’re looking for some ballpark timing, two and a half tends to be the ideal age to begin the full training process— but only if she’s showing readiness signs. “Usually, when baby’s 15 to 18 months old, you can start to sense she’s getting ready,” says Anita Chandra-Puri, MD, a pediatrician with Northwestern Memorial Physicians Group and an instructor of clinical pediatrics at Northwestern University Feinberg School of Medicine. Some of the signs it’s time are: She lets you know when she needs to go. She’s interested in the toilet and undies. She fusses about dirty diapers. She can sit on and rise from a potty. Her diaper stays dry for two hours or longer during the day. Once you see those signs—and you notice in her expressions or behavior that she needs to use the toilet—suggest going to the potty. When she’s on the toilet, give positive reinforcements (like cheering her on). Put a potty chair in the bathroom, schedule bathroom times so she gets into a routine and bring her to the toilet if you sense she needs to use it. Communicate with your child and understand that if she isn’t ready, you shouldn’t force it. “Never pressure them; they’ll be ready when they’re ready,” says Chandra-Puri.

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How do I create rules for my babysitter? Spell out your expectations from the getgo. “Never leave it up to the sitter to assume that you need certain things handled a certain way,” says Adrienne Kallweit, founder of SeekingSitters, a national babysitting referral company. Some good rules to set: Show up on time, no texting or using cell phones for personal calls, no visitors and always engage with the kid by doing age-appropriate activities together. Talk to her if there’s an issue. Most of the time you just need to be clear on your expectations. “Speak calmly and include solutions for any problem,” says Kallweit. Is it okay to bribe my toddler with candy? The American Academy of Pediatrics says no. “If you position candy as the ultimate goal in your child’s mind, then it can be detrimental or cause a reward relationship with food. If it’s part of the reward process, it can be healthy and effective,” explains Jessica Kim, mom of two and CEO and founder of BabbaCo. So instead of saying, “Go potty and you’ll get candy,” say, “Go potty like a big boy!” You can still give him candy if he does. That way, candy isn’t the goal, but it’s part of the process. Before you use candy as a reward, figure out what motivates your child and what his interests are. Some good non-candy rewards are stickers, small erasers or pencils, or beads (if your child is old enough). >

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toddler

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The Bump experts: Anita Chandra-Puri, MD, pediatrician with

Northwestern Memorial Physicians Group and instructor of clinical pediatrics at Northwestern University Feinberg School of Medicine; Adrienne Kallweit, founder of SeekingSitters; Jessica Kim , CEO and founder of BabbaCo; Kathleen Alfano, PhD, director of child research at Fisher-Price; and Monica Vila , founder of The Online Mom

Does my toddler need exercise? Your tot doesn’t have to hit the gym anytime soon, but you should definitely give him the opportunity to release his innate energy. “Toddlers should get at least one hour of physical activity each day, like running around, jumping or climbing,” says Chandra-Puri. So take him to the park, walk to the store or play in the backyard. And if you’re stuck indoors, put on music and start dancing.

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Can my toddler play with my smartphone or tablet? Dealing with a fussy toddler is tough, and distracting her with your cell phone seems like a good idea, but you may want to rethink it. Children under two years old should stay screen-free, says the American Academy of Pediatrics. Plus, kid-friendly apps are meant to be played by parents and children together, says Monica Vila, founder of The Online Mom, a website that helps parents protect their kids online. Then there are safety risks: If baby drops a phone or tablet, batteries can fall out and screens can shatter. Also, have you seen reports that cell phones have traces of poop on them? Yeah, no matter how much you clean, your gadget could still be germy.

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What are some good toys to get baby for his first birthday? Pick toys that will foster his development. “Finding toys to match a child’s physical skill is a good way to start. Choose something that helps with balance, like a push toy,” says Kathleen Alfano, PhD, director of child research at Fisher-Price, since baby is probably learning to walk. Baby’s also becoming social, so get toys that encourage him to play with others, like balls or blocks. Other good ideas: books, musical toys, a dollhouse or figurines for pretend play. Just avoid anything that isn’t age-appropriate—believe it if it’s marked “Ages 3 and up.”

What are some tips for choosing the right day care? Finding the best day care for baby (and you!) can be intimidating, so prepare beforehand. Make a list of wants (like a highly educated staff) and needs (like a location near home). And be mindful of your timing. “Child care providers plan in advance to know the number of spots they have available. So plan before the school year starts, during school breaks, holidays or during common vacation times,” says Kallweit. Once you’ve narrowed down your options, tour the facilities. Ask how long they’ve been open, how many children and teachers are in each “class” and whether instructors have certified safety training. Note the cleanliness of the space, how staffers interact with the kids and the overall atmosphere, says Kallweit. The day care center should do background checks on employees. Ask to review them. Ultimately, when choosing the right day care, go with your gut. If a day care has met all your wants and needs, and if you feel comfortable leaving your child there, you’ll know it’s the right fit.

Toddler advice at TheBump.com/toddler thebump.com

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i knew I was a dad...

holy crap, i’m a dad! Read on to see what happened to real dads when they realized they were a parent. i knew I was a dad...

i knew I was a dad...

the first time my son smiled at me. Not the smile a baby gives when he has gas, but the one that says, ‘Hey, I know you!’

when my wife was asking me to give the 4 a.m. feeding. john

when I could pick up and throw away my daughter’s poop balls without thinking twice about it. zane

i knew I was a dad...

when I realized she has my eyes...since I was adopted, I have never seen anyone who looks like me before. At that moment I thought, She’s really mine. david

joe

Get new dad tips at TheBump.com/newmomnewdad

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InnerView Ultrasound Mention The Bump for $10 off a standard 3D/4D ultrasound package or $5 off our 2D gender determination package. Valid Monday through Friday, standard business hours only. No other discounts or offers may be applied.

Malvern School location and receive $100 off your first and third month’s tuition. To find a Malvern School near you, visit MalvernSchool.com or call (877) MALVERN.

Receive 10% off the Ameda Ultra Breast Pump when you mention The Bump. The Massage Studio Take $15 off

any massage or package. Valid for new clients only.

Mellow Massage Therapy Center 10% off a 60- or 90-minute prenatal massage with coupon. MURALISTICK Free installation in the Philadelphia area. MUSIC TOGETHER Receive free registration when you mention code: “BUMP” at any

Philadelphia/South Jersey thebump.com

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participating center in the Philadelphia area and Southern New Jersey.

and mention this ad in The Bump. ShannonMariePhotography.com

My Fabulous Mama 15% off any baby planning package or 10% off any baby proofing service.

Stacey Dennin Photography Mention The Bump at booking and receive a set of 25 custom designed birth announcements with any newborn session.

Nest Take $50 off your first class! Bond

with your baby and other new families in our classes for infants and parents. Valid for your child six months or younger. Mention offer during enrollment. Not valid with other offers.

STEMCYTE, INC Sign up with StemCyte and

Nurture Get 10% off your first purchase

portrait session with a complimentary 8x10 and 10% off a print order. Mention The Bump when booking.

(excludes pump rental, car seats, strollers, classes and workshops). O’Doodle’s The Bump readers are entitled to $10 off a purchase of $50 or more. PENN MEDICINE—WOMEN’S HEALTH BOUTIQUE Receive $5 off the Medela

Freestyle® when you come to our store and mention The Bump. Solutions for Women, 721 Delancey Street, Philadelphia, PA. PLEASE TOUCH MUSEUM Are you expecting?

Register for our Special Delivery Program at PleaseTouchMuseum.org/special_delivery to receive exclusive offers, access, new parenting tips and information from Please Touch Museum.

Premier Baby Concierge Get 20% off a

baby gear consultation.

Romparoo 10% off your first purchase.

Mention The Bump ad when registering. Limit one coupon per customer. Cannot be combined with any other offer.

Ryan Estes Photography LLC Receive

25 custom birth announcements free with purchase of any newborn session! Please mention The Bump when booking.

Saje Photography Exclusive offer: 20% off of your session fee. Please make sure to mention The Bump to receive this exciting offer. Seven slings Get 100% off the baby

carrier of your choice at www.SevenSlings .com when you use promo code: bump.

Shannon Marie Photography Receive a complimentary 11x14 print on one of the following choices of art papers: matte, metallic or silk. The client must meet the minimum purchase order

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thebump.com

use your special code: BUMP to receive a $250 discount on your enrollment fees! This offer cannot be combined with other offers.

Sugarlove Studio Take $50 off $125

SWADDLEDESIGNS Shop at Swaddle Designs.com for new styles and hard-tofind items. Our collection includes over 700 stylish, quality essentials. Free shipping with orders over $75. Receive a 10% discount with promo code: Bump10. Tiny Prints Enjoy 10% off orders of $49 or more with code: 10BUMP. Excludes photo books, calendars, gift certificates, Erin Condren day planners and William Arthur products. Expires 7/15/13. Udder Covers Get 100% off the nursing

cover of your choice at www.UdderCovers .com when you use promo code: bump.

Upside™ Shades Members of The Bump can receive 50% off a coordinating throw pillow with any Upside™ Shades purchase. Visit UpsideShades.com and use coupon code: thebump at checkout. The Yoga Garden As a special gift for readers of The Bump, The Yoga Garden would like to offer a free week of prenatal yoga at either of our studios! After your first week, we’ll give you 10% off your first purchase of any class card.

p.com/ Visit thebmuym-deals mom d let the today—annts roll. discou *In-store restrictions may apply. Offers from Mommy Deals partners are the sole responsibility of the providing partner. Mommy Deals and their offers are subject to change at any time.

Enjoy Tax-Free Shopping in Delaware! Shop our 2-story, 14,000 Sq. Ft. Showrooms of Baby, Toddler & Teen Furniture We are Mothers, Grandmothers & Daughters Here to Help You! Thank You for Supporting Our Family-Owned Business. Ask About Our Custom Nursery & Teen Room Design Service. We provide the widest selection of affordable, high-quality baby and teen furniture, glider rockers, baby cribs, furniture for toddlers and teenagers, bedding, mattresses, toys, books, linens and furniture accessories for your consideration.

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