thebump.com/orange-county from
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!
k
Vol. 8, Edition 1
nursery inspiration What you really need to buy now
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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, Laura Green, Jesse Hardy, Adrian Hardisty, 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 Alisa Tate (atate@thebump.com, 877-238-1081), Kate Buchanan, Courtney Burns, Danielle Goldman, Sandy Lemen, 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
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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.
Orange County thebump.com
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from
k
contents volume 8, edition 1
celebrate
what’s hot
4
8 the baby beat baby news from orange county and beyond 10 red carpet names the best and worst celeb baby monikers 12 baby by the numbers must-know baby stats 14 expect this the latest trends 16 work it out fit prenatal exercise into your busy schedule 18 totally techy baby monitors new safety gadgets 20 pack it up get your bag ready for the hospital 22 know how to save baby’s life your guide to infant CPR 24 amazing conception stories against the odds, these couples got pregnant
thebump.com
168 glow
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
56 switch it up your pregnancy beauty routine 58 feel better now! safe exercises to ease pain and help you sleep 64 what are you craving? healthy ways to satisfy those food urges 70 spread ’em...wider? how to deal with the most-hated parts of prenatal visits 74 q+a from crazy sex drives to going to the dentist
from top: shutterstock; thinkstock
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26 how big is baby? weekly growth and development 30 celebrate your pregnancy! tips for commemorating the next nine months 34 pregnant in heels...and sometimes sneakers we chat with reality tv star rosie pope 40 learn a little prep for baby with one of these nearby classes 42 my pregnancy diary a local mom’s true story 49 what’s your babymoon personality? creative getaway ideas 52 q+a from man showers to annoying belly touching
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from
k volume 8, edition 1
contents
58 basics
nest
dream nurseries 78
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thebump.com
132 baby health 101 your primer for keeping baby healthy 138 baby sleep myths—busted! don’t believe this advice 144 super babies why babies are awesome 146 breastfeeding made easier cut down on problems with these tips 150 your life, upside down getting through those first weeks with baby 154 just the two of us local stuff to do with baby 156 q+a from birthmarks to colic
delivery
108 labor day childbirth: what you’re in for 114 hot topic: elective inductions are they safe? 116 delivered—and then... what will happen in the hours right after birth 118 my birth story an orange county mom shares the nitty-gritty 120 hospital guide where to have a baby in orange county 124 birth plan prepare for labor 126 hospital hospitality what to ask about on your tour 128 q+a from labor positions to silent births
beyond 160 baby appétit solid-food starter guide 164 when will my baby... when to expect those important milestones 166 10 annoying toddler habits (and how to deal) biting, booger-picking and baring it all 168 are you ready for baby number 2? signs that now’s the time 170 q+a from potty-training basics to the best toys
from top: alexandra grablewski; courtesy of BLABLA
78 dream nurseries amazing nesting ideas 84 your registry plan of attack strategies to get exactly what you want for baby 86 baby on board fab car seats 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
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baby beat
The scoop on the latest news and happenings in Orange County and beyond.
give it a shot
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!
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.
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.
well done
At the Orange County Women’s Health Policy Summit, the OC was ranked as one of the healthiest counties in California, coming in 6th out of 56 in health outcomes (mortality and morbidity). Women here have lower rates of smoking and obesity, but c-section rates are higher.
learn more
Anxious about labor? Check out Blossom Orange County, a new wellness and education center for women. The center offers birth-coaching classes to help you prep for delivery both emotionally and physically. Experts will help you figure out your delivery options, relax your fears and give you the must-know info (714-369-2911, BlossomOrangeCounty.com).
8
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
Come see why we’re the global leader in classes for babies.
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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. Locations throughout Orange County! To find a location near you, call 1-800-520-PLAY or visit gymboreeclasses.com
mommy deals
First class FREE & first month for only $22 (see index)
carpet names
Our picks for the best and worst baby names of all time. By Sarah Yang
the not-so-great
harper
moroccan
flynn
kal-el
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. Orlando Bloom and Miranda Kerr gave their son this cute name with a touch of old-Hollywood style.
willa lou
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.
bear blu
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 Levi— Nik Richie jokingly called their another name for unborn daughter “Press Matthew in the Bible. Baby” and then “We’re like, We like this take on decided to stick ‘How can we junior. with it. Don’t make [name the baby] baby’s name a PR before we even stunt! see it?’ There’s With girls Violet so much to think and Seraphina, about!” we were hilary duff Sorry, celebrity chef expecting a more Jamie Oliver, this elaborate name. But name is too sugary Ben Affleck and Jennifer sweet—even for an Garner went classic. adorable girl.
samuel
petal blossom rainbow
gemma
Kristin Davis’s daughter’s name, Gemma, is a fresh take on Emma that really sparkles.
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bluebell madonna
Spice Girl Geri Halliwell should’ve just gone with Rose or Violet.
baby harper and dad david beckham
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
the best
Hug everywhere.
The ERGObaby carrier keeps your baby close, leaving you free to move throughout your busy day. The ergonomic design is so comfortable, you can wear it longer, because your baby’s weight is evenly distributed between your hips and shoulders. And the carrier cradles your baby just the way you do when you hug. Hug more. Hug longer. Hug everywhere. visit ergobaby.com
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 12
715
loads of laundry you’ll end up doing before your baby turns one
16
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
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).
14
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)
pimp baby’s ride
. Bump Pilates 1 introductory private session + 1 month of Bump pre-natal reformer classes (1 x week)
$77.50
ArtForm Bump Pre-Natal Pilates is a safe and effective way to prepare for delivery.
Scan code to see Bump Pilates in action www.artformstudio.com/bumppilates
www.ArtFormStudio.com
949.837.9999 • facebook.com/artformpilates 24194 Alicia Parkway Suite A • Mission Viejo, CA 92691
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
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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 58.
More fitness tips at TheBump.com/pregfit thebump.com
from top: veer; courtesy of the manufacturer
do an at-home DVD
Cradles, Cribs
& Kids
Nursery Furniture, Bedding and Décor Store
A Lifetime Crib is the last bed your child will ever need. • Lifetime & Classic Cribs • Kids Bedroom Furniture • Cradles & Bassinets • Gliders & Rockers • Strollers • Mattresses • Bedding & Artwork • Room Décor 23401 Avenida De La Carlota • Laguna Hills, CA • 949.544.5244 • CradlesCribsandKids.com
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
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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
Who Would Raise Your Baby If Something Tragic Happened To You? Learn how to name legal guardians for your new baby—FREE. As featured in... My name is Darlynn Morgan and I’m an estate planning attorney in Newport Beach. More importantly, I'm just like you. As a mom of a young child and someone who loves my family very much, I have the same concerns you do about making sure my family would know just what to do if anything happened to me. Let me teach you how to name legal guardians and put a financial fortress around your new baby absolutely FREE. Join me for a teleseminar I host each month called, “9 Steps to Make Sure Your Kids are Protected, No Matter What!” where you will discover:
. The six common mistakes parents make when naming guardians for their minor children…..and how to correct those mistakes if you have made one. . How to ensure your children never spend even one moment in the care of strangers (or anyone you wouldn’t want) if anything happens to you. . Avoid the expenses and delays of a long, drawn-out court process that would make life difficult for your loved ones if you were in an accident. . Protect your children’s inheritance from creditors, lawsuits and failed marriages. . Make sure your hard-earned money is immediately and privately available to your chosen guardians. . How to leave behind more than just your money. To register, call or visit:
www.KidsProtectionWorkshop.com Choose an upcoming date and time that works best for you. It’s fast, it’s easy and it’s free. No excuses. Your baby is counting on you for care and protection now...and always.
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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
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
receive
$50 OFF your package and 15% OFF
your order see index
mommy deals
Orange County thebump.com
21
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.
22
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. OC Safety CPR and First Aid Training Center (714) 960-1911 Mission Hospital (949) 364-1770 American Red Cross of Orange County (714) 481-5300 For more, visit RedCross.org
More important baby prep at TheBump.com/newborn thebump.com
alexandra grablewski
step 1 check for responsiveness
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Michael Villadelgado, M.D., FAAP Christine Comulada, M.D., FAAP Megan Bayless, M.D., FAAP Located near Mission Hospital in Mission Viejo
www.OCChildrens.com - 949.600.8100
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 I had been experiencing 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!”
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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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BREASTS ABDOMEN HIPS AND THIGHS You love your little one; now it's time to love yourself.
Dr. Andrew Smith
Call Orange County plastic surgeon Dr. Andrew Smith today at 949.653.7000 or visit www.asmithmd.com to find out how you can start feeling like yourself again.
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
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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.
Orange County thebump.com
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celebrate
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
Sign up for free newsletters at TheBump.com and get useful info to keep you sane and healthy all 40 weeks—and beyond.
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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 Orange County thebump.com
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celebrate
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
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. >
Orange County 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!
gender reveal
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!”
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lulliloo photography
when it happens Some
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
pregnant in heels
and ksoerms etimes snea
We chatted with Rosie Pope while she was pregnant with baby number three. 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. >
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
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We strive to create not just timeless portraits, but also a memory behind each image we create.
Rhea Ashlynn photography specializes in children and family portraits. We operate out of a home studio in addition to outdoor and on-location sessions, where we bring the studio to you.
Appian Way, Long Beach, CA • (630) 800-8756
www.RheaAshlynnPhotography.com
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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.
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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.
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maternity must-have
Ingrid & Isabel’s BellaBand is the only band designed to hold up your pants! Early on, hold up and hide unbuttoned pre-pregnancy jeans. Later, hold up too-loose maternity wear. Afterwards, transition back into pre-pregnancy styles. Shop now at IngridandIsabel.com.
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BELLY BANDIT® is the leader in maternity products and postpartum compression garments. Their products are specially engineered with innovative technical details and medical-grade, latex-free fabrics to do what no surgery, core class or crash diet can! Instantly help shrink, tighten and control. Shop now at BellyBandit.com.
“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.
got you covered
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 fully-adjustable, 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 Elena Donovan Mauer
childbirth education
Get a primer in what goes on during labor and the lowdown on relaxation and pain-relief techniques. Find out what happens if there are complications or interventions during childbirth. And know what to expect after delivery, including strategies to help yourself recover. TAKE IT AT PacifiCord, free for SoCal residents, (888) 379-2670
vbac class
breastfeeding prep
Getting the knack of breastfeeding can be 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 what you can and can’t eat, how to care for sore nipples and how to choose a breast pump. TAKE IT AT Berlin Wellness OC, $50 per couple, (714) 751-2229
twins and other multiples
If you’re carrying more than one baby, you’ll want to take this Babies Multiplied class. You’ll learn strategies for keeping up with more than one newborn at a time during everything from bath time to bedtime. TAKE IT AT Mission Hospital, $30 per couple, (949) 364-1770
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infant care
Get information on making the transition into parenthood with this crash course. You’ll get how-tos on bathing, diapering and skincare. TAKE IT AT South Coast Midwifery, $35 per couple, (949) 654-2727
dad program
This class isn’t for you, but it can certainly help you out. Your partner can do a Boot Camp for Expectant Dads, where he’ll learn how to handle his new role as dad from the best teachers possible: new fathers who’ve made it through the newborn period. TAKE IT AT St. Joseph Hospital, $15 per dad, (714) 771-8266
becoming a sibling
Kids chat openly about what it will be like to become a big brother or sister and learn what will change when the baby arrives, plus how to help mom and dad. TAKE IT AT Santa Barbara Cottage Hospital, $15 per family, (805) 569-8229
Choose a birth class at TheBump.com/birthclass thebump.com
ALEXANDRA GRABLEWSKI. dress by more of me maternity design
If you’ve had a c-section before but want to go vaginal this time around, this is the class for you. You’ll get the scoop on labor and delivery, strategies for managing pain and details to help you make the ultimate choice between VBAC and cesarean. TAKE IT AT Saddleback Memorial Medical Center, $55 per couple, (800) 636-6742
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my pregnancy diary august 5
At our 19-week ultrasound, I was thrilled to learn that we were having a boy! We were used to having little girls, so we knew that having a boy would be a new adventure.
november 30 rice Hill By Caro lyn Pat so Viejo) (age 30 ; from Ali
march 30
The morning I got my BFP, my husband was at work and I was home with my two daughters. To surprise my husband, David, I decided to write baby’s due date on the whiteboard in our entryway. When he returned home later and saw it, he came upstairs to give me a big hug.
may 10
I waited patiently for my first ob-gyn visit, but I was anxious. I’d miscarried a few months earlier and wanted everything to be fine this time. At the appointment, we went over my past pregnancies, and our doctor made another appointment in a few weeks for an ultrasound. I felt better knowing things were progressing well.
My friends threw me a fabulous baby shower, and my husband was also thrown a surprise baby shower by his coworkers! Seeing all the items for a baby boy made us even more excited to meet our son.
december 15
At 6 a.m., I started to feel a strong movement, as if the baby had given himself a big push. I was uncomfortable but not too concerned. After I took a shower and gave my girls breakfast, I started to think that I was actually feeling contractions. By 9 a.m., we were rushing to the hospital, where the nurse told me I was dilated 9.75 centimeters! It was time to push. After only a few pushes, my son arrived at 9:40 a.m. Grayson Samuel Hill weighed 8 pounds, 12 ounces, and was 20.5 inches long. We were so excited to have our new addition to the family!
carolyn’s local faves Hospital
Mission Hospital/CHOC, Mission Viejo, (949) 364-1400 ob-gyn
Thomas S. Bailey, MD, Mission OB/GYN Group, Mission Viejo, (949) 364-1040 Maternity clothes
Target, Aliso Viejo, (949) 643-0337 Baby clothes
T.J. Maxx, Mission Viejo, (949) 859-8619 Infant gear
Target, Mission Viejo, (949) 680-1064 Crave-satisfying restaurant
Chili’s, Aliso Viejo, (949) 448-9022
Read more pregnancy stories at TheBump.com/pg
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Prep for pregnancy and baby with must-have products and services from our advertising partners.
get the gear BEL BAMBINI is the baby
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one-of-a kind baby nurseries! Our resources extend to every detail in completing a perfectly finished room. (714) 557-2441; EllisDG.com ERGOBABY The ERGObaby
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one lactation appointments, classes, free workshops, and has a retail area where you can find everything from pumps to stylish nursing bras. Milkalicious.com
TREASURED MOMENTS ULTRASOUND 4D ultrasounds
allow you to see your baby today on our 100-inch theatre screen. We use a state-of-the-art system for the best picture quality. Sono4D.com Viacord Your baby’s cord blood is a valuable source of stem cells and a natural way to protect your baby. Find out more at ViaCord.com.
plan ahead The Bump Lawyer Protecting mothers and expecting mothers from Family Medical Leave Act and other violations in the workplace. TheBumpLawyer.com EDWARD J. DOMANSKIS, M.D., INC. New moms can feel
confident with Dr. Domanskis’ expertise in body contouring and postpregnancy body rejuvenation. Learn more at Surgery-Plastic.com. MORGAN LAW GROUP, ESTATE PLANNING Name legal
guardians so your kids will be cared for by the people you want if something happens to you. MorganLawGroup.com; KidsProtectionWorkshop.com PACIFICORD is your local family
ROSIE POSIE BABY is your local
source for cloth diapers and offers the best in natural, stylish and fun baby products. Visit us at RosiePosieBaby.com.
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cord blood bank in Orange County, CA. Financing plans, FREE prenatal classes and lab tours available. Visit PacifiCord.com to learn more about the PacifiCord difference.
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dress the part DESTINATION MATERNITY® is
the one-stop shop for all your pregnancy needs. For store locations or to shop online, visit DestinationMaternity .com, or call (800) 4MOM2BE.
make memories Anamaria Brandt Photography, Inc. Ana
Brandt provides portrait sessions— starting at the maternity stage and all throughout life—in-studio, in your home or on-location. AnaBrandt.com BEFORE THE STORK 4D ULTRASOUND offers a glimpse
into the world of your unborn baby. Visit us at BeforeTheStork4D.com. We offer a money-back guarantee! JENNY MASON PHOTOGRAPHY
is a fine art portrait studio specializing in maternity and newborn photography. JennyMasonPhotography .com; (949) 305-9115
find the right care Andrew Smith, MD, FACS— Plastic & Reconstructive
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Named one of the best children’s hospitals by U.S.News & World Report (2011-2012), CHOC Children’s regional network provides the highest quality medical care to children. CHOC.org Fountain Valley Regional Hospital offers private suites,
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Dr. Suarez Martinez has been in private practice for over 12 years. Her office offers a child-friendly environment with video games, TVs and toys. Learn more at UnderTheSea2thDr.com.
Rhea Ashlynn Photography
We specialize in children and family portraits. We strive to create not just timeless portraits but a memory behind each image. RheaAshlynnPhotography.com
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Shower your bundle of joy with a gift that lasts a lifetime...fine art portraits! Sign up for your baby photo registry at SadieJamesPhotography.com.
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Schedule your complimentary consultation with Dr. Lavinia Chong, M.D., and rediscover your beauty! ChongMD.com; (949) 644-1400 NEWPORT CHILDREN’S MEDICAL GROUP Primary pediatric
and adolescent care, same-day appointments guaranteed, after hours, weekend and holiday care! 24/7
Orange County thebump.com
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connect with others Artform Pilates and Body Code Studio Prenatal Bump
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Pilates is a wonderful way to keep you and your baby happy and healthy before, during and after your pregnancy. For more information visit ArtformStudio.com Gymboree Play & Music First
class free and first month for just $22! Classes incorporate fun, engaging songs and activities to build developmental skills. GymboreeClasses.com Pure Barre is the safest, most effective way to get back in shape, and focuses on the areas that need the most attention post-baby! PureBarre.com SoCal Moms Connect Every
first-time mom needs education, support and friendship. Let New Moms Connect build your community today. SoCalMomsConnect.com; (714) 728-1631
movies to skip when you’re pregnant Stumble on these while channel surfing? Grab the remote fast!
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Father of the Bride Part II . Anyone else find it odd that Steve Martin is both a new dad and grandpa on the same day? Bambi , Steel Magnolias or Beaches. Make that every movie where the mom dies at some point. Any Lifetime movie. Believe us: Your already overloaded hormones won’t be able to handle it. Avoid at all costs!
Universal/Neal Peters Collection
1 Knocked Up. Why? Three words for you: Delivery. Room. Scene.
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Whether little ones are smiling, laughing, crying or sleeping, we take every chance and opportunity to take memorable photos, while creating an overall very pleasant and fun experience.
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949.922.9192 • laurarauchphoto@yahoo.com
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NEW! from
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Now you can create and manage all of your registries in one place. Plus, create a free pregnancy or baby website to share your baby updates, photos and registries with friends and family!
thebump.com/registry Featuring the registries of...
find a couple’s baby registry
create your own baby registry
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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...
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.
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.
thinkstock (2)
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
hawaii Head to the Big Island for waterfalls, active volcanoes, lush rain forests and pristine beaches. Check out the babymoon package at the Trump International Hotel Waikiki Beach, which includes massages and mocktails. 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. > A Big Island black-sand beach
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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.
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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. 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 poker night 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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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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switch it up
Sorry, but now that you’re pregnant, you’re going to need to make some changes. That includes your beauty routine. by sarah yang
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.
Antonis achilleos
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hair
face
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.
Swap it for A tinted moisturizer. That
You use Dye for an allover color. Swap it for Highlights, which can be
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.
You use Foundation set with
a generous helping of powder.
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 Orange County thebump.com
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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 pregnancy—since you need to lie on your stomach for many back exercises— 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.
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2
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.
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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.
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nicole’s tips
2
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!
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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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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
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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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
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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!).
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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.
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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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you hate the long wait
Pre/postnatal, Mommy & Me, Restorative Yoga and workshops.
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714.455.9642 • www.UnfoldYogaOC.com
The Fitness4Baby pre/postnatal exercise program will improve your strength and endurance, address postural changes, decrease risk of gestational diabetes and monitor healthy weight gain before, during and after pregnancy. We do individual in-home training, small group training and larger group classes at specific locations.
What We Do:
• Individual personal training • Postural assessment • Strength training for pregnancy training guidance • Support system throughout pregnancy • Nutritional counseling • Group instruction 851 Domingo Dr. #9, Newport Beach, CA • 714.336.0040 • www.Fitness4Baby.com
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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.
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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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signs you should ditch your doc
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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). >
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How safe is your baby’s environment? Envirosentials is a unique indoor environmental consulting firm, specializing in services and products to assist new parents in identifying and correcting potentially harmful pollutants in the home and nursery.
TEST BEFORE YOU NEST 714.788.1394 • Envirosentials.com
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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
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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and professor at The University of New Mexico School of Medicine; Chris Kammer, DDS at Lifetime Family Dentistry; Kelly M. Kasper, MD, ob-gyn and professor at the Indiana University School of Medicine; and Hilda Hutcherson, MD, ob-gyn at Columbia University Medical Center
(
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. 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.
What’s safe and what’s not at TheBump.com/isitsafe
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.
nest
dream
nurseries
Amazing nesting ideas you’ll definitely want to copy. by elena donovan mauer
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
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3 Wooden
giraffe toy with wheels, $29, PastelToys.com > 2
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bold carpet tiles by flor Orange County
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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 >
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go black on just one wall
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decorate the door too!
More nursery pics at TheBump.com/nurseryideas
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
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2 Hand-knit bunny doll, $52, BlablaKids.com 3 Rug, $138 for 4' x 6', Dash andAlbert.com
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Orange County 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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baby on board Looking for an infant car seat? Convertible? Or both? These are some fab options. by sarah yang and paula kashtan
infant car seats
comfy to carry
The Britax B-Safe has a handle designed to make carrying it more comfortable on your wrist and forearm. Pop it into a Britax B-Series stroller and you’re ready to roll. $180, AlbeeBaby.com
for teeny babies
long-lasting
The Graco SnugRide 35 is super-popular— because the model fits bigger babies. So you can use it longer than most infant seats. It’s compatible with most Graco strollers. $170, GracoBaby.com >
Perfect for newborns, the Chicco KeyFit 30 can be used for babies as light as four pounds (ideal for preemies!). It‘s compatible with a few Chicco strollers. $180, BabiesRUs.com
Infant car seats are generally good for about the first year and function as part of a travel system: They latch into a base that stays in your car and can also be snapped into specific strollers or stroller frames. (If you decide to go this route, make sure your car seat is compatible with your stroller.) This means when you’re out with baby, there’s no need to unbuckle and rebuckle (and—gasp—risk waking a sleeping
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baby) when you take her from home to the car to the stroller and back again. For suburban families who use both the stroller and the car frequently, this is generally the way to go. Look for a handle that’s comfortable for carrying! If you live in the city and will be taking cabs or for some other reason will be using lots of different cars, make sure to get a carrier that can also be installed without the base.
all images courtesy of the manufacturers
why get an infant car seat?
mommy deals
(see index)
nest convertib le car seats
grows with baby
The Maxi-Cosi Pria 70 can accommodate your baby from birth to up to 70 pounds. With the addition of the TinyFit insert—it actually becomes a seat within a seat— your newborn can rest easy. Remove it when baby gets bigger. $250, Giggle.com
super-safe
The Britax Marathon 70 is one step away from swaddling your baby in Bubble Wrap. It has a special technology to lower baby’s center of gravity so she’s less likely to propel forward in a crash (very high-tech!). $207, Amazon.com
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Yup, the Clek Foonf looks good and is made with special energy-absorbing crumple technology that makes baby less likely to get hurt in a crash. It’s also easy to move from car to car. $475, AlbeeBaby.com
w h y ge t both?
why get a convertible seat? These are a great option if you want longevity—or if baby’s outgrown her infant seat. Convertible seats simply stay in the car.
high-end
You’ll have to snap baby in and out every time, and there’s no carrying option or separate base, but the advantage is they can
beat the You ca n’t of in fa nt e c n conven ie ny parents a m so , ts ’s sea ntil ba by use one u d then n a too big switch.
be used much later into babyhood. If you’re looking to save money and will generally be using the same car, this is a good option.
Find baby’s seat at TheBump.com/carseat thebump.com
The Bump
Lawyer Damian Nassiri
It is unlawful for an employer to discriminate in terms of compensation, conditions, or privileges of employment because of pregnancy. Most pregnant employees will be eligible for 4 months of leave plus an additional 12 weeks of bonding time leave after birth. Employees are also entitled to reasonable accommodations for conditions related to pregnancy.
mommy deals
FREE consultation (see index)
Protecting mothers and expecting mothers from Family Medical Leave Act and other violations in the workplace. Our pregnancy discrimination lawyers are here to help you if your employer has violated your rights. We will listen to you and let you know if you have any legal claims.
714.937.2020 Learn more about the law at: www.TheBumpLawyer.com Offices in Orange, Los Angeles & Riverside Nassiri Law Group
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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
www.
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
nest
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
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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 >
Orange County thebump.com
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stock up Where to get gear for baby that you’ll really love. by elena donovan mauer
cradles, cribs & kids
This is the perfect place to get inspiration for your nursery. The store has a huge 10,000square-foot showroom where you can browse bedding, furniture and different décor looks, ranging from classic to contemporary. find it at 23401 Avenida De La Carlota, Suite A, Laguna Hills; (949) 544-5244; CradlesCribsandKids.com
rosie posie baby
xpecting
Overwhelmed by all your options? At this store, you can get a free stroller consultation and test-drive some models so you’re sure to choose the best one for you and baby. It also has a great selection of car seats, baby carriers, baby monitors, toys and more. find it at 201 N. El Camino Real, San Clemente; (866) 200-8560; OCTykes.com
This store is full of A-list baby gear, from upscale strollers by Orbit and UPPAbaby to ERGObaby carriers and Aden + Anais swaddling blankets. There’s also a huge selection of maternity clothes and skincare products. Keep an eye out for cool events at the store, like breastfeeding, parenting and child-safety classes (it even hosts DVD and book launches!)—great ways to make sure you’re perfectly prepped for baby. find it at 269 E. 17th St., #20, Costa Mesa; (949) 574-2184; XpectingMaternity.com
jeannie n mini
bel bambini
oc tykes
Check out this boutique for just about anything you could want to register for. For baby, it has high-end strollers, high chairs and cribs, plus swaddle blankets, nursing and feeding gear, and toys. For you, it has maternity clothes and stylish diaper bags. find it at 34 The Shops at Mission Viejo, Mission Viejo; (949) 364-1600; JeannienMini.com
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If you’re a stylish mama-to-be looking for the best for your baby, browse this store’s luxe baby gear. You’ll find everything from nursery furniture, baby clothes and feeding gear to strollers and car seats. Need help with nursery decorating? Take advantage of the in-house interior design services. find it at 1800 Newport Blvd., Costa Mesa; (949) 650-2828; Bel-Bambini.com
Get the scoop on local stores at TheBump.com/orangecounty thebump.com
jim bastardo
In the market for eco-friendly baby gear? This store has it all, from cloth diapers and natural toys to organic clothing. And if you’re on the fence about which nappies to invest in, try out its cloth diaper trial-to-own program. find it at 423 S. Brookhurst St., Suite J, Anaheim; (714) 817-0998; RosiePosieBaby.com
Like-new designer clothing • Maternity Furniture • Bedding • Room décor • Gifts Gear and so much more!
O p e n 7 D ay s a W e e k 1775 Newport Boulevard • Costa Mesa, CA (949) 548-2849 • NewportKidsConsignment.com B o o k A p p o i n t m e n t s Onl i nOrange e County thebump.com
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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
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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
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nest
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.
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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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nest
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
Prepare... Protect... Educate Taught by local firefighters, paramedics and nurses, OC Safety Inc. offers CPR and first aid training classes. All our CPR and first aid classes are certified by the American Heart Association and can be taught in the comfort of your own home or business. Register online today!
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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 Orange County 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
courtesy of skip hop
layette/clothing
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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 purchasing furniture made of plywood, particleboard and medium-density fiberboard—the glue usually 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 (see page 86 for more on that). (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
fun things to do with baby
rainy day “We make an obstacle course of toys, pillows and anything else we can find for baby to climb over and under and play hide-and-seek.” Lau P.
when’s baby coming?
source: centers for disease control and prevention
Unless it’s a scheduled delivery, you can’t know for sure, but check out these recent stats.
12% early
6%
of babies were born (week 42 and after)
arrived (before week 37)
late
82%on time
showed up (between weeks 37 and 41)
Find your due date at TheBump.com/due
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.
Orange County 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
yo w c h !
it is
it h ow
Whether you go all-natural or get drugs, there are ways to hurt less. t wha
’s do
ne
sh you
oul
d kn
ow
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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Specialists
in special deliveries
Experts in high-risk and multiple births. As home to the only Women’s Hospital in South Orange County, Saddleback Memorial Medical Center is committed to bringing patients the very best maternity and newborn care. With board certified obstetricians, anesthesiologists and neonatologists on-site 24/7, patients have an extra measure of reassurance. Private labor, delivery and recovery suites and advanced NICU, combined with our unique expertise in high-risk pregnancies and multiple births, makes us the hospital of choice for thousands of women each year. And we are one of a few hospitals to offer vaginal birth after cesarean (VBAC). It’s no wonder we’ve earned top honors for maternity care. For more information or a referral to one of our specialists or a physician who supports VBAC, visit memorialcare.org/saddleback or call 949.452.7255.
Orange County thebump.com
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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
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delivery
hot topic
elective inductions
Is it safe to stimulate labor without a medical reason?
wait for natural labor
induction has benefits
The Bump expert: Michael C. Klein, MD, Department of Family Practice at The University of British Columbia
The Bump expert: James Nicholson, MD, associate professor in the Department of Family Medicine and Community Health at Penn Medicine in Philadelphia
“The most common—and most controversial—type of induction is post-term (often defined as 41 weeks and 3 days). Studies suggest it won’t increase the c-section rate. But any sensible practitioner knows that isn’t true. In our hospital, for women having their first baby and who labor on their own, the c-section rate is 8 percent. If they’re induced, it’s 44 percent. Induction creates problems and makes extra interventions necessary. Inducing with oxytocin (Pitocin) requires an IV and continuous electronic fetal monitoring. Now the woman is in bed, which can lead to abnormal labor progress and make her more likely to need a c-section. She’s also more likely to need an epidural, which causes a need for more oxytocin, so labor will be prolonged by a few hours. If the epidural is given too early, it can cause abnormal fetal positions, leading to more painful back labor. Induction changes everything.”
“Having the pregnancy more planned out is one benefit of a scheduled induction. Mom can be more involved in planning the due date based on her schedule, and she won’t have to rush to the hospital to deliver. Now, it’s not okay to do that if it’s going to worsen the outcome and increase the risk of c-section or a sick baby. But if you do the induction carefully, and based on risk rather than desire, women get an improved birth outcome and the ability to schedule the delivery. There may be more pain with an induced labor, but at my hospital, about 90 percent of women ask for epidurals anyway, so the pain is controlled. Besides vaginal birth after cesarean, there aren’t many situations in which inducing labor can increase the risk of trouble, if you’re mindful of cervical status. If inductions are done properly—after 38 weeks with good cervical ripening and a longer dose of Pitocin—we won’t have a problem.”
what about inducing labor myself? The most popular DIY induction methods are walking, having sex, eating spicy foods and nipple stimulation, says a recent study from The Ohio State University. Problem is, these methods aren’t proven
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to work and may even be unsafe. (Stimulating your nipples could bring on too many contractions!) Bottom line: If you feel ready to deliver, talk to your OB before taking matters into your own hands.
Get labor advice at TheBump.com/delivery thebump.com
PREGNANCY PA R E N T H O O D .
FROM TO
We care completely at Fountain Valley Regional Hospital. We provide education classes including a gestational diabetes program, private and spacious LDR and post-partum suites newly appointed for a calm and serene atmosphere, and Couplet Care. Our Level III Neonatal ICU is staffed with neonatologists, specialty nurses and on-call pediatric specialists, available 24/7 to ensure the best care in almost any circumstance. Make your special delivery a labor of love at Fountain Valley Regional Hospital.
CALL US TODAY AT 714-979-1408 FOR A TOUR OR AVAILABLE CLASSES.
17100 Euclid St., Fountain Valley, CA 92708 www.fountainvalleyhospital.com mommy deals
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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.”
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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
delivery
my birth story OC mama Carissa Lowney is surrounded by family at baby Antonio Kekoa’s birth.
the night before
at the hospital
Once we arrived at the hospital at 8 p.m., I was examined right away. I’d felt mild contractions on the ride over, but they were quickly becoming more and more intense. Later that night, I decided to get an epidural—it helped me get some sleep.
time to push!
The next morning, we waited for my cervix to become more dilated. The delivery room was a packed house—my mom, boyfriend and two sisters—with my dad, brother-in-law, niece and three nephews in the waiting room. Finally, at 10 a.m., a nurse came to check on me and said she could feel my baby’s head. It was time to push! I couldn’t believe it—my life was about to change forever.
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welcome to the world, antonio!
I hadn’t taken a Lamaze class, so I was a little worried as I started pushing, but thankfully, my nurse and doctor were great. They coached me through the breathing, and my boyfriend held one leg while the nurse held another. After 30 minutes of pushing, my precious son was born. It was 11:03 a.m. and Antonio Kekoa (“Antonio” after his father, and “Kekoa” means “brave one” in Hawaiian) weighed 7 pounds, 11.5 ounces, and was 20 inches long. When the doctor handed Antonio to me, I kissed the top of his little head and was so incredibly happy. Antonio Kekoa was so calm and hardly cried at all. My pregnancy had been an amazing experience, but it was nothing compared to meeting my baby for the first time. Today, Antonio is my whole world, and I can’t imagine a day without him! I look at him and I think, I can’t believe you’re my baby. I feel so blessed.
birth stats baby’s name Antonio Kekoa size at birth 7 pounds, 11.5 ounces, and 20 inches long hospital Saddleback Memorial Medical Center, Laguna Hills, (949) 837-4500
Read more birth stories at TheBump.com/birthstory thebump.com
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On the day before I gave birth, we had a house full of visitors. Since I was 39 weeks pregnant, I jokingly told my family that once they left, I would go into labor and they’d have to come right back. Sure enough, later that evening, my boyfriend, sister, two nephews and I went to get dessert at the Golden Spoon down the street from our house. While we were standing in line to order, my water broke! We rushed home to grab my things and then hurried to the hospital.
• OC’s oldest and most established birth center • Nationally accredited • Home and water birth • VBAC birth • Childbirth education • FREE informational workshops and classes • Well-women care and family planning
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CHOC Children’s FOUNDED 1964 SERVING Orange County ABOUT US Named one of
the best children’s hospitals by U.S. News & World Report (2011-2012), CHOC Children’s is committed to the health and wellbeing of children through clinical expertise, advocacy, outreach and research that brings advanced treatment to pediatric patients. Affiliated with the University of California, Irvine, CHOC’s regional healthcare network includes two state-of-theart hospitals in Orange and Mission Viejo, several primary and specialty care clinics, a pediatric residency program and four centers of excellence: The CHOC Children’s Heart, Neuroscience, Orthopedic and Hyundai Cancer Institutes.
CHOC.org
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Hoag Memorial Hospital Presbyterian FOUNDED 1952 SERVING Orange County ABOUT US As the birthing
center of choice for Orange County families and a Certified Baby-Friendly™ Birth Facility, Hoag places familycentered care at the heart of its mission. Hoag’s maternal child program provides stateof-the-art mother and baby care and a wide selection of prenatal and postpartum support services. Hoag has services in place 24/7 to handle every type of delivery from a single baby birth with no surprises to high-risk and multiple infant deliveries. From spacious private rooms, to a celebration meal after delivery, families who deliver at Hoag report the highest levels of satisfaction.
Hoag.org/baby2 One Hoag Drive Newport Beach, CA 92658 (866) 814-8902
promotion orange county Hospitals
Fountain Valley Regional Hospital FOUNDED 1971 SERVING Orange County ABOUT US At Fountain Valley Regional Hospital, dedicated nurses and physicians— including 30 on-staff Ob/ Gyn specialists—offer highquality, family-centered care. High-risk pregnancies have the support of a Gestational Diabetes Program; a Level III Neonatal Intensive Care Unit and its team of neonatologists and specialists provide exceptional care for sick and premature infants. Classes include a childbirth preparation series, breastfeeding and infant CPR. Private and newly-appointed labor, delivery and recovery rooms nurture mothers and their newborns.
FountainValley Hospital.com 17100 Euclid Street Fountain Valley, CA 92708 (714) 966-7200
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Saddleback Memorial Medical Center FOUNDED 1974 SERVING South Orange
County
ABOUT US At The Women’s
Hospital at Saddleback Memorial, we have board certified obstetricians, anesthesiologists and neonatologists on-site 24/7 so moms and newborns are assured the best care. Private labor, delivery and recovery suites and an advanced NICU, combined with our expertise in high-risk pregnancies and multiples births, makes us the hospital of choice for thousands of women each year. We are also one of the few hospitals to offer vaginal birth after cesarean (VBAC). This exceptional care has earned us top honors for maternity services.
MemorialCare.org 22451 Health Center Drive Laguna Hills, CA 92653 (949) 837-4500
delivery
birth plan Use this checklist to prepare you (and your doctor) for labor. full name:
partner’s name:
today’s date:
due date/induction date:
doctor’s name :
hospital name:
my delivery is planned as:
during labor, I’d like:
Vaginal C-section Water birth VBAC
Music played (which I’ll provide) The lights dimmed The room to be as quiet as possible As few interruptions as possible As few vaginal exams as possible Hospital staff to be limited to my own doctor and nurses (no students, residents or interns present) To wear my own clothes To wear my contact lenses My partner to film and/or take pictures My partner to be present the entire time To stay hydrated with clear liquids and ice chips To eat and drink as approved
I’d like my present during labor. Partner Parents Other children Doula Other
I’d like my present after delivery. Partner Parents Other children Doula Other
for pain relief, I’d like to use: Acupressure Acupuncture Breathing techniques Cold therapy Demerol Distraction Hot therapy Hypnosis Massage Meditation Reflexology Standard epidural TENS Walking epidural Nothing Only what I request at the time Whatever is suggested
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as baby is delivered, I’d like to: Push spontaneously Push as directed Push with no time limits, as long as baby and I aren’t at risk Use a mirror to see baby crown Touch the head as it crowns Avoid forceps usage Avoid vacuum extraction Use whatever methods my doctor deems necessary Help catch baby Let my partner catch baby Let my partner suction baby
I’d like to hold baby: Immediately after delivery After suctioning After weighing After being wiped clean and swaddled Before eyedrops/ointment is given
Learn your birth options at TheBump.com/birth thebump.com
delivery
hospital hospitality Does your hospital have it all? When you take your maternity ward tour, ask if these services are available. (And if they’re not, consider hiring some outside help.)
prenatal classes
labor facilities and assistance Birthing suites Jacuzzi tubs H igh-risk pregnancy specialists Allows a midwife Allows a doula Other
postnatal services Private rooms Neonatal unit A llows dad to stay the night A llows baby to stay in mom’s room Lactation consultants Breast-pump rental New-mom support group Other thinkstock
Childbirth education C-section education Infant CPR Breastfeeding prep Newborn baby care Dad prep Sibling prep Other
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Tips for the tour at TheBump.com/maternityward thebump.com
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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 gravitation 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. >
A place for families to nurture mind, body, & soul Childbirth Classes Prenatal Yoga Breastfeeding support Mom Groups & much more! Register today! www.BlossomOC.com 714.369.2911 18351 Beach Blvd, Ste J, Huntington Beach, CA
4 vaccinations baby will need from birth to six months
A look at some of the common vaccines your child may recieve. Hepatitis B Vaccine (HepB)
The first dose should be given before she’s discharged from the hospital after birth. She’ll get the second dose between one to two months and the third between six to 18 months.
Pneumococcal Vaccine (PCV)
Streptococcus pneumonia is an illness that can be serious and even lead to death. Baby should get this at 2 months, 4 months and 6 months, and a booster given between 12 and 15 months.
Diphtheria and Tetanus Toxoids and Acellular Pertussis Vaccine (DTaP)
It’s a combination vaccine to protect against diphtheria, tetanus and pertussis. Your child will get it at 2 months, 4 months, 6 months, between 15 and 18 months and 4 to 6 years.
Rotavirus Vaccine (RV)
It’s not a shot— this vaccine is taken orally. Baby will get it between 2 months and 4 months of age, in two to three doses, depending on the brand of vaccine she gets.
Find more new mom tips at TheBump.com/newborn
delivery 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,
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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 thebump.com
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basics
baby health
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Even perfectly healthy babies get about eight checkups the first year. Plus, baby’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 (see page 164). 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 134, 135 and 136 for the full scoop on what baby will likely get when. >
Orange County 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
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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
Check baby’s symptoms at TheBump.com/babyhealth
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www.ChongMD.com Orange County thebump.com
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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.
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 142) 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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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.
Tiffany k.
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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
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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.
2
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.
3
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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4
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!
6
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
1
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.
8
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.
9
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
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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.”
thinkstock
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.
get through engorgement
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.
3
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.
brown bird design
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 >
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.
Orange County thebump.com
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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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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 Elena Donovan Mauer
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, swimming lessons, movement, songs and learning to a bunch of parents and babies picnicking at the park. CHECK OUT Gymboree, which has six Orange County–area locations (GymboreeClasses .com); The Little Gym, with two Orange County–area locations (TheLittleGym .com); Blue Buoy Swim School (714-8328910, BlueBuoy.com); and My Gym (MyGym.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 dance around. It’s good excercise, and she just might learn some stuff along the way too. CHECK OUT Music Together (MusicTogether .com); Kids Love Music (KidsLoveMusic .net); Sunshine Music Studios (949-2853626, SunshineMusicStudios.com); and Kindermusik (Kindermusik.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 time. CHECK OUT Flipside Yoga Studio (949-4335680, FlipsideYoga.com); and YogaWorks, which has five studios (YogaWorks.com)
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 Move it Momma Fitness, which offers the Stroller Strides fitness program (714-963-9922, MoveitMommaFitness .com); and Baby Boot Camp, which has three local meet-ups (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 Baby Signs (951-212-9606, BabySigns.com) Meet moms at TheBump.com/orangecounty
thebump.com
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play
MAKE BEAUTIFUL MUSIC TOGETHER.
Exciting family classes—a rich musical environment that encourages your child to explore the joy of music. Find out what beautiful music you and your family can make together.
s
(800) 728-2692 . MUSICTOGETHER COM . For classes in Orange County:
www.MusicTogether.com/OC
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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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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home!
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updatyed dait.lcom thenes
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beyond
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. >
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
when will my baby... Sleep all night? Crawl? Walk? by Joanne van Zuidam
rolling over
Some infants start to roll as early as three months, but on average, months it’s usually more like four to six months, says Altmann. “Initially, she’ll probably roll from front to back, and then she’ll master rolling back to front. Very often, baby will get stuck and get upset.” How to encourage it Get down on the ground with baby. Hold blocks or toys just out of reach so she’ll roll to reach them. What if baby misses the mark? If baby isn’t trying to roll over by six months of age, let your pediatrician know. Most likely, baby just needs more time. But sometimes it’s a sign something else is going on.
4–6
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sitting unsupported
About 50 percent of babies can sit—but probably pretty wobbly or propped up—at six months, but by eight months, they should be able to sit comfortably and more steadily on their own. (Look Ma, no hands!) How to encourage it With any motor milestone, your child needs an opportunity to learn, so give her plenty of free time on the floor. If you’re always wearing baby, carrying her or strapping her in a chair or swing, it may take her longer to learn to push up, roll over, sit up, pull up and walk. What if baby misses the mark? If baby isn’t sitting on her own by nine months, your pediatrician may suggest she be evaluated by a physical therapist, who can make sure everything’s okay with her development.
6–8
months
crawling
Once baby’s been rolling around awhile, he’ll realize there’s a better way to get from point A to point B. How to encourage it Give baby plenty of tummy time and free play on the floor. Put a toy just out of his reach to coax him. What if baby misses the mark? “Many experts don’t consider crawling a milestone, because a lot of infants won’t
6–9
months
Tim Pannell/Corbis
Every kid hits milestones at his own pace—so no, you shouldn’t freak out if yours doesn’t follow this guide to a tee. “If it’s just one milestone that your child is a little behind on, mention it to your pediatrician,” says Tanya R. Altmann, MD, author of Mommy Calls. “But chances are, everything’s probably fine. However, if your child isn’t hitting multiple milestones across the board—not smiling and not rolling over, for example—then I would be a little more concerned.” Otherwise, be prepared for the following milestones to happen.
crawl at all,” says Altmann— and that’s fine. She usually tells parents her definition of crawling is simply the method baby uses to get from one place to another. He could be wriggling on his tummy, rolling, scooting—it doesn’t have to be the typical hands-and-knees crawl most parents visualize. So don’t get super-worried about this one. Baby may skip it altogether, and that’s fine too.
reaching, grasping and holding
At six months, babies 8–9 can bring both hands months to their midline. So if you were to hold a toy in front of them, they would bring both hands up and try to grab it. But it’s not until about eight or nine months of age that they use a pincher grasp, with their thumb and forefinger. “This is when they can pick up small objects and bring them to their mouth—and often when parents start feeding them finger foods,” says Altmann. How to encourage it Offer baby safe objects—colorful or noisy toys work well—to grab and jiggle during playtime. Just be careful of what you put in baby’s reach, since this may also be the time when he starts picking up small objects and putting them in his mouth. Anything he could potentially choke on should be kept well out of his reach at all times. What if baby misses the mark?
Self-feeding is an important milestone. If baby isn’t picking up pieces of finger food and feeding himself by his first birthday, you should definitely tell his doctor about it.
pulling up to stand
Most infants will pull up to a standing position between 9 and 12 months, but it can happen earlier. “I warn parents at the six-month visit to drop the mattress in case your infant pulls to stand in the crib,“ says Altmann. “You don’t want them to fall out!” Also, beware of furniture baby could pull on that can fall. How to encourage it Like with sitting, make sure baby gets lots of free-range playtime.
8–12
months
What if baby misses the mark?
If she’s not pulling to stand by the time she’s one, tell the doctor. “It doesn’t mean there’s something wrong, because she could be almost there,” says Altmann. “But check in to make sure.”
cruising and walking
Not long after they learn to pull themselves to stand, babies start to cruise—teaching themselves to walk by holding on to furniture and moving around on their feet. Within a couple of weeks to a couple of months, they’ll let go and take their first step. Expect walking around the one-year mark, but for some, it may not be until 15 months or later. How to encourage it Give baby more floor play.
9–15
months
What if baby misses the mark?
There’s probably nothing to be worried about, unless baby’s missing other milestones, but it’s worth a mention and maybe a visit to a physical therapist. The Bump Expert: Tanya R. Altmann , MD, pediatrician and author of Mommy Calls
tip picture this Capturing baby’s firsts on camera? (Of course you are!) Use the milestone tracker at The Bump.com/ milestones to compile photos of baby’s biggest moments and easily share them with family and friends.
Get weekly baby updates at TheBump.com/updates
beyond
10 annoying toddler habits
(and how to deal)
Biting, booger-picking and baring it all. Those aren’t even the bad ones. by Jenna McCarthy
It’s natural for those little toddler quirks to (sometimes) make you crazy. “It’s your toddler’s job to test your limits,” says Laura Jana, MD, spokeswoman for the American Academy of Pediatrics and coauthor of Food Fights. Plus, they just don’t know better yet.
1
nose-picking
2
scribbling on everything
If your toddler ruins something by coloring on it, your instinct may be to get irate. “We say ‘She should know better,’” says Jana. “She may have been scolded just yesterday for scribbling, but that was a blue marker on the wall. In her mind, it’s a totally different story.” If you have a budding Picasso on your hands, you may have to go over the rules 11 jillion times before she truly grasps the parameters. Until then, your choices are closer supervision and keeping any tempting tools out of her reach.
3 repetition
“Reading the same book or singing the same song over and over is a critical part of early learning,” Jana explains. “This is how children pick up subtleties of language and learn to notice details, like rhythm or that the
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pictures go with the story.” We may get bored paging through The Very Hungry Caterpillar for the umpteenth time, but the point of reading or singing together is the shared experience, not the riveting plot or the catchy refrain. When he gets older, it’s okay to suggest a different book. But for now, try to suck it up and read it again.
4
impatience
“Attention span builds gradually,” Jana says. “A three-year-old can wait until you finish a sentence to speak, but asking her to hold a thought for 30 minutes is unrealistic.” The next time she interrupts, try saying this: “I can see that you have something important to say, and I can’t wait to hear what it is, just as soon as I finish this conversation.” If you stop or drop what you’re doing every time your child demands your immediate attention, she’ll continue to believe everything revolves around her (and that won’t be fun when she’s a teenager).
5 full-body tantrums
“To refrain from having a tantrum takes impulse control, which is a learned skill and something that’s difficult for even four- and five-year-olds,” Jana explains. Just as you wouldn’t get mad if your child didn’t master
images: VEER
“Nose-picking is normal and natural, but it’s also socially unacceptable and a great way to spread germs,” says Jana. Expect it to take some time for that “not okay” message to sink in; meanwhile, try not to dwell on it, redirect with lots of tissue offers and wash hands regularly to reduce the spread of germs.
his ABCs overnight, you’ll need to cultivate patience with this skill too. Instead of having a tantrum of your own (tempting as it may be), try the sympathetic route: “You really wanted that, huh? You must be pretty disappointed that you can’t have it, and I understand that, but it’s not going to happen. Here’s something you can have....” It won’t be easy, but if you give in to a hissy fit to avoid a scene, you’ve just taught your child that this is an effective way to get what he wants. Not a good thing.
6
whining
Nearly all kids go through a whiny phase. If your tendency is to say something along the lines of, “Okay, fine. You can [fill in the blank],” you’re teaching her that whining is a great way to manipulate you. The response to master: “I’m sorry. I can’t understand you when you talk like that.”
7
finicky eating
After 18 months, it can take 10 to 15 exposures to a new food before a child green-lights it, Jana explains. And don’t overlook the fact that no matter how many times she tries a certain food, she may never learn to love it. “Parents often forget to acknowledge likes and dislikes,” Jana says. “Some things may grow on her, but a handful never will.” Bottom line: Try a different veggie if she’s refusing broccoli.
8
overreacting
If your toddler’s truck is missing, his sister took Cheerios off his plate or he dropped his sippy cup, to him it’s an urgent, critical concern. So try not to let his flipping out get to you. “You can watch a screaming child and feel bad and not irritated,” Jana says. “It’s easier said than done, but it helps if you remember that he’s not being melodramatic to annoy you.” Lead by example and stay calm.
9biting
Between 9 and 18 months, the act of biting is generally experimental. (“What happens when I do this?”) Biting that continues beyond that point, says Jana, needs to be addressed. With older toddlers, look for triggers—hunger, fatigue, teething—and do your best to deal with those before he sinks his teeth into the nearest limb. If your child bites another child, Jana suggests handling it immediately, apologizing and assuring the other parent that you’re working to curb the behavior. “If you don’t, the other parent will assume that you don’t care or aren’t trying to teach proper behavior,” says Jana, who adds that you probably won’t get the response you want (“Oh, no problem!”), but at least you’re showing concern.
it all 10 baring
“It’s normal and tempting for a child to explore her body, and there’s no deeper, hidden meaning” behind taking her clothes off, says Jana. To get her to stop stripping in public, Jana recommends gently reminding her that “private parts are for private places” (and don’t be surprised if she trots off to her room for some self-exploration). The Bump expert: Laura Jana , MD, spokeswoman for the American Academy of Pediatrics and coauthor of Food Fights
More toddler info at TheBump.com/toddler
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
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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
checklist: emergency info Be prepared for any emergency with this checklist. Child/Children’s full name(s):
Date of birth:
Any allergies, medications or special conditions: Home address: Closest major intersection: Police Department: Poison Control: (800) 222-1222
Fire Department: Other emergency #:
Pediatrician: Address: Directions:
Pediatrician phone:
Mom’s full name: Dad’s full name:
Preferred phone: Preferred phone: Find more info at TheBump.com/newmomnewdad
beyond 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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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
e-market place
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
mommy deals It pays to be a mommy! Get in on fabulous freebies, discounts and savings—just for you! For these deals and more, sign up at thebump.com/mommy-deals.
Anamaria Brandt Photography, Inc.
Book a pregnancy or newborn session for $25 off your session fee. Book a pregnancynewborn package and receive $50 off. Mention The Bump when booking. Order within a week after your session to receive 15% off the order. Andrew Smith, MD, FACS—Plastic & Reconstructive Surgery Schedule a
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www.bashfulbump.com. Enter claim code: BUMP15 at checkout. BEFORE THE STORK 4D/CUBRIX PHOTOGRAPHY Receive $20 off any
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of daddy gear for labor, delivery and beyond for new dads! Use promo code: bump10 to receive 10% off your entire purchase.
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Receive a free onesie for your baby when you sign up for our monthly e-newsletter with valuable information on preventative health, new services available at the hospital and upcoming events/seminars. Please call toll-free (855) 409-2229 to register. Gymboree Play & Music First class free and
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*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.
free
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websites!
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THERE’S NO ONE LIKE DR. SOLIMAN. As Medical Director of the Extremely Low Birth Weight Program, Dr. Soliman’s vision was to create a care environment that compromises nothing for the tiniest infants. His team’s unyielding commitment to our community’s most fragile premature babies–many weighing as little as one pound–led to the opening of this innovative neonatal intensive care unit. Staff selection and training, low-stimulus environment and treatment guidelines are all specifically designed to help these vulnerable patients survive, heal, grow and thrive. It’s our combination of advanced technology and passionate care that makes CHOC Children’s Extremely Low Birth Weight Program a benchmark for hospitals across the nation. THERE’S NO PLACE LIKE CHOC Join us and learn about Dr. Soliman’s groundbreaking work in neonatal care at CHOC.org
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