Archive for the ‘Mommy’ Category

Keeping track of feedings and diapers

Monday, August 24th, 2015

Mom breastfeeding (2)Did you know the March of Dimes developed a breastfeeding log just for busy moms? We hope it will make it just a little easier to see if your baby is getting what he needs to grow and thrive.

Being a new mom can be tough. You have so many things to think about and remember while caring for your little one, such as which breast your baby last ate from or how many wet or soiled diapers he had today. But it is important to keep track of this information to make sure your baby is eating well and gaining enough weight.

The breastfeeding log can be used to track:

• Day and times of your baby’s feedings
• How long your baby feeds from each breast
• Which breast you started nursing from at each feeding (so you can begin the next feeding from the other breast).
• How much breast milk you pump
• Number of wet diapers or bowel movements per day
• Breastfeeding problems or concerns

Our breastfeeding log is especially helpful if your baby is in the NICU. You can track how often and how much milk you express. Many moms struggle to make breast milk when their babies are sick and it may take a few days of pumping before you produce enough milk. If you have trouble making enough breast milk, ask for help and support. A lactation consultant can use the information in your log to make sure you’re on the right track.

To ensure your baby is gaining enough weight, bring your log to each of your baby’s visits with his health care provider. If your baby is slow to gain weight, the breastfeeding log can help you and your baby’s provider spot and take care of feeding issues before they become a problem.

See other breastfeeding posts here.

Have questions? Text or email us at AskUS@marchofdimes.org. We are here to help.

Car seat recall

Thursday, August 20th, 2015

minivanBritax is recalling over 200,000 child car seats regarding concerns about the harness adjuster buttons.  According to the company’s website “certain ClickTight model convertible car seats may contain a defect with the harness adjuster button, which would pose a safety hazard. The harness adjuster button may remain down in the ‘release’ position after the harness is tightened. This will enable the shoulder harnesses to loosen from a child’s movements while secured in the seat. A loose harness may not adequately protect a child in the event of a motor vehicle crash.”

The voluntary safety recall includes certain Advocate ClickTight, Boulevard ClickTight, and Marathon ClickTight model convertible car seats manufactured between August 1, 2014 – July 29, 2015 with the following US model numbers: E9LT95Q, E9LT95Z, E9LT95N, E1A025Q, E9LT86F, E1A135Q, E9LT86G, E9LT85Q, E9LT86A, E9LT86H, E9LT85S, E1A015Q, E1A016A, E1A016H, E1A166F, E9LT87J, E1A116L, E9LT76P, E9LT71Q, E9LT76N, E9LT76B, E9LT75R, E9LT76L, E1A006B, E1A005R.

Britax is automatically mailing a free remedy kit to all registered owners of the recalled car seats within 7-10 business days of the announcement. The remedy kit includes one (1) non-toxic food-grade lubricant, a label indicating that the remedy has been completed, as well as an instruction sheet for applying the lubricant to the harness adjuster button (red).

Owners can confirm if their product is included in the recall by visiting www.BritaxClickTightConvertibleRecall.com or by verifying the model number and date of manufacture.

Questions? Text or email them to AskUs@marchofdimes.org.

Breastfeeding and hair treatments

Monday, August 17th, 2015

breastfeeding and hair treatmentsYou’ve given birth to your little peanut, congrats! You may be thinking that now you can finally return to some of the activities you enjoyed before becoming pregnant. For example, you may have stopped dying your hair during pregnancy. The fall season is around the corner and a new cut and color may be in order, but if you’re breastfeeding now, is it safe to head to the salon?

Hair treatments include hair coloring, curling (permanents), bleaching and straightening agents. Low levels of hair dye can be absorbed through the skin after application, and the dye is excreted into the urine.

But, according to the experts at Mother to Baby, “There is no information on having hair treatments during breastfeeding. It is highly unlikely that a significant amount would enter the breast milk because so little enters the mom’s bloodstream. Many women receive hair treatments while breastfeeding, and there are no known reports of negative outcomes.”

Despite this good news, if you are still hesitant, you might consider highlights or streaks, as the dye is not placed directly on the scalp.

If you have any questions about breastfeeding, speak with a lactation consultant or email us at AskUs@marchofdimes.org. We are happy to help!

Breastfeeding 101

Tuesday, August 11th, 2015

If you’re breastfeeding or thinking about breastfeeding, you’ve come to the right place. This post is your one-stop-shop for all things breastfeeding. Stop in for a quick glance or stay for a while and browse the different blog posts below. We’ll keep adding new ones as they are published. If you have questions, email us at AskUs@marchofdimes.org. We are here to help.

• Breastfeeding myths debunked
• Breastfeeding myths debunked part 2 
• The do’s and don’ts of bottle-feeding 
• Breastfeeding your baby in the NICU can be challenging 
• Breastfeeding a baby with a cleft lip/palate  
• Breastfeeding and returning to work 
• Formula switching, what you need to know 
• Alcohol and breastfeeding 
• Breastfeeding on demand vs. on a schedule 
• Keeping breast milk safe
 “Can I continue breastfeeding now that I am pregnant again?”

• Breastfeeding and hair treatments

 

Thinking about maternity leave

Thursday, August 6th, 2015

pregnant woman with ipadHave you heard that Netflix is offering unlimited paid parental leave to their employees? During their first year as new parents, Netflix employees can take as much time off as they choose while still earning their normal salary. This is really an amazing policy. If you’re working and pregnant, you probably have thought a lot about maternity leave. Over the past 30 years, the participation rate in the labor force of women with children under age 3 has risen from 34.3% in 1975 to 60.9% in 2011. Half of all mothers work during pregnancy and return to work after their baby is born. And among women who worked during their pregnancy between 2005 and 2007, 58.6% returned to work 3 months after giving birth and 72.9% returned to work 6 months after giving birth. It is important to know what options are available to you so that you can plan ahead.

Under the Family and Medical Leave Act (FMLA) employees can take time off from work without pay for pregnancy- and family-related health issues. The act provides up to 12 weeks of unpaid, job-protected leave per year. It also requires that you can keep your health insurance benefits during the leave. To qualify, you must have worked for your employer for at least 12 months, worked at least 1,250 hours during the last 12 months, and worked at a location where the company has 50 or more employees within 75 miles.

In addition to the FMLA leave, your employer may have its own maternity leave policies. Talk to your boss or someone from human resources (also called HR). Here are some questions you may want to ask:

  • Does your employer offer paid maternity leave? Some employers offer paid time off for the birth of your baby. Talk with someone from HR to find out if you have paid maternity leave.
  • Does your health insurance continue while you’re on maternity leave? If you get your health insurance through your employer, your HR person can tell you about what your insurance plan covers. You may need to change your health plan after your baby’s born to make sure he’s covered, too.
  • Does your employer offer flex time or telecommuting for when you’re ready to go back to work? For example, can you work fewer hours each week or work from home at the beginning? And then increase your hours or your time in the office little by little over a few weeks?
  • Are there other programs or services that your employer offers to new moms? If you’re breastfeeding, find out if your employer has a lactation room. This is a private space (not a bathroom) that you can use to pump breast milk. Employers with more than 50 employees must provide this space for breastfeeding moms.

Finally, choosing a child care provider that works best for you can be tough. Try to explore your options and finalize your plans before your baby arrives.  If you can organize childcare before you deliver, it will make your time at home with your baby more relaxing and enjoyable.

Breastfeeding in public is getting easier

Tuesday, August 4th, 2015

Alcohol and BreastfeedingIf you are a mom who is breastfeeding your baby, you may feel that your social life is sometimes curtailed. Breastfeeding every two to three hours, can make it very difficult to go out to public places if you can’t find a clean, safe place to feed your baby when she is hungry.

Now, take me out to the ballgame just got a little bit easier.

Thanks to lactation rooms and breastfeeding pods which are popping up in all sorts of places, nursing moms can escape to a quiet, private place to breastfeed and not miss any of the fun.

Breastfeeding pods (portable enclosed spaces designed specifically for breastfeeding or expressing milk) are already at somebreastfeeding pod airports, making travel much easier for a mom on the go. They are also popping up at ball parks. Recently, Fenway Park in Boston, MA, added a breastfeeding pod, so baseball enthusiasts need never miss a game.

Before you head out of the house to a public place, call ahead and ask if they have accommodations for breastfeeding moms. You may not have ever noticed or seen a lactation room or pod at the venue. But if you know it is there, you may feel more comfortable bringing your baby along. You will enjoy yourself without missing a feeding. You can also go to the Mamava pod website or use their app to locate a pod.

Another option is to use the Moms Pump Here lactation room locator. It tells you where you can find quiet, clean, safe places to breastfeed or pump. Use their website or download their app for info on the go.

So much has changed from the days when women would breastfeed their babies in a ladies room (ugh) or worse yet – stay home and miss special events. With the known benefits of breastmilk, it is logical that more accommodations are being made for lactating moms, so that they can feed their babies when they are away from home.

Keeping breast milk safe

Monday, August 3rd, 2015

mom breastfeedingThere are a few things you need to take into consideration if you are breastfeeding or pumping your breast milk, in addition to
avoiding alcohol while breastfeeding.

Caffeine

Consuming coffee, tea and caffeinated sodas in moderation is fine if you are breastfeeding or pumping. If you find that your baby is fussy or irritable when you consume a lot of caffeine (usually more than 5 caffeinates beverages per day) you should consider decreasing your consumption. Keep in mind that caffeine can be found in:

• Coffee and coffee-flavored products, like yogurt and ice cream
• Tea
• Soft drinks
• Chocolate and chocolate products, such as syrup and hot cocoa
• Medications used for pain relief, migraines and colds

The amount of caffeine in different products varies as well, depending on how it was prepared and served (such as an espresso or latte beverage.) Make sure you check packaging for the number of milligrams of caffeine in one serving.

Mercury

You probably knew during your pregnancy to avoid eating fish that contains high amounts of mercury such as shark, swordfish, king mackerel and tilefish. The same is true while you are breastfeeding. Including fish in your diet is a good way to get protein and healthy omega-3 fatty acids, so eat fish that contain less mercury, like canned light tuna, shrimp, salmon, Pollock and catfish.

Medications

Some prescription medicines, such as those to help you sleep, painkillers and drugs used to treat cancer or migraine headaches, aren’t safe to take while breastfeeding. Others, like certain kinds of birth control, may affect the amount of breast milk you make. Read our post on medications and breastfeeding and speak with your provider about any over-the-counter and prescriptions medications you are taking.

Medical conditions

Certain medical conditions can make breastfeeding unsafe for your baby. These include:

• If your baby has galactosemia, a genetic condition where your baby can’t digest the sugar in breast milk.
• If you have HIV.
• If you have cancer and are getting treated with medicine or radiation.
• If you have human T-cell lymphotropic virus. This is a virus that can cause blood cancer and nerve problems.
• If you have untreated, active tuberculosis. This is an infection that mainly affects the lungs.
• If you have Ebola, a rare but very serious disease that can cause heavy bleeding, organ failure and death.

Smoking and street drugs

Don’t smoke. Nicotine, a drug found in cigarettes can pass to your baby through breast milk and make him fussy and have a hard time sleeping. It can also reduce your milk supply so your baby may not get the milk he needs.

Don’t take street drugs, like heroin and cocaine. You can pass these substances to your baby through breast milk.

Tell your provider if you need help to quit smoking or using street drugs.

Bottom Line

Don’t be afraid to ask for help. If you need support, read our article on how to receive help with breastfeeding.

 

 

Cleft lip and palate awareness

Monday, July 13th, 2015

baby with cleft lipI remember seeing a thin scar on my friend’s upper lip, and wondering how she had gotten it. “I was born with a cleft lip,” she said. I became curious about her cleft lip and how it turned into one tiny scar.

A cleft lip is a type of craniofacial abnormality. These are birth defects of the head (cranio) and face (facial) that are present when a baby is born. Another common type is a cleft palate (roof of the mouth). As July is National Cleft and Craniofacial Awareness and Prevention Month, it is a good time to learn more about these birth defects.

How does a cleft lip or palate form?

The lips of a baby form by about 6 weeks of pregnancy. When the lip doesn’t form completely and is left with an opening, this is called a cleft lip. A baby’s palate is formed by about 10 weeks of pregnancy. When the palate doesn’t form completely and has an opening, it’s called a cleft palate. A baby can be born with just one of these abnormalities or with both.

Each year in the U.S., about 2,650 babies are born with a cleft palate and 4,440 babies are born with a cleft lip with or without a cleft palate. The causes of clefts with no other major birth defects among most infants are unknown.

In most cases, cleft lip and cleft palate can be repaired by surgery. Each baby is unique, but surgery to repair cleft lip usually is done at 10 to 12 weeks of age. Surgery for cleft palate usually is done between 9 and 18 months of age. A child may also need more surgery for his clefts as he grows.

My friend had corrective surgery to repair her lip when she was still a baby. Now all that is left is one thin scar above her upper lip leading to her nose, which you can hardly see.

Can these birth defects be prevented?

We are not always sure what causes a cleft lip or palate.  However, there are steps a pregnant woman can take to decrease her chance of having a baby with a cleft lip or palate.

• Before pregnancy, get a preconception checkup. This is a medical checkup to help make sure you are healthy before you get pregnant.
• Take a multivitamin that contains folic acid. Take one with 400 micrograms of folic acid before pregnancy, but increase to one with 600 micrograms of folic acid during pregnancy. Your provider may want you to take more – be sure to discuss this with him.
• Talk to your provider to make sure any medicine you take is safe during pregnancy. Your provider may want to switch you to a different medicine that is safer during pregnancy.
• Don’t smoke.
• Don’t drink alcohol.
• Get early and regular prenatal care.

If you have any question about cleft or craniofacial defects, causes or prevention, read more here or email us at AskUs@marchofdimes.org.

Breastfeeding on demand vs. on a schedule

Monday, June 29th, 2015

breastfeedingWe often receive questions from new moms asking when they should start their newborn’s next feeding. If they breastfed their baby at 2pm, they wonder if they should wait to feed their baby until 5pm. The golden rule is to feed your baby when she’s hungry, called “on-demand” feeding. It is more important to watch your baby for cues that she’s hungry rather than worry about the timing of her feeding.

If you have ever gone to a party, the hostess usually will offer you food or a drink without first asking “are you hungry?” She offers you the food and then you can decide if you want to eat. The same should go for your baby. If she seems unsettled, try breastfeeding. If she is hungry and feeds, you made a good guess; but if not, then you know you can try to settle her in another way (rocking, walking, etc.)

Newborns may eat between 8 and 12 times over 24 hours, which is about once every 2 to 3 hours. If that seems like a lot, it is! Feedings may last about 15-30 minutes. But each baby is different and your baby may need to feed more often or for longer amounts of time.

Will you have enough milk for all these feedings?

The amount of milk a woman can produce and store varies greatly and is not determined by the size of her breasts. As your baby sucks on your nipple, she stimulates your hormones to send a message to your brain telling your body to produce milk. Your hormones, along with your baby’s suckling causes your breasts to “letdown” and provides the milk to your baby’s mouth. Letdown may also occur when you think about your baby, or hear her or even another baby cry.

The more often you nurse, the more milk your body will produce. Your milk production will slow between feedings when milk accumulates in your breast and will speed up when the breast is emptier. Your body is producing milk all the time, the only thing that changes is the speed of production. Your breasts do not need to feel “full” in order to produce enough milk for your baby. The key to breastfeeding on demand is to feed your baby when she wants for as long as she wants. Ignore the clock!

Still not convinced? Here’s the science behind milk production

Your body produces two hormones, prolactin and oxytocin. The hormone prolactin tells your body to use its proteins, sugars and fat from your blood supply to make breast milk. The oxytocin tells your body’s muscles to contract and push the milk into your ductal system and into your nipple as your baby sucks. As your baby continues to suck, your body releases more prolactin which triggers your body to make more breast milk. Between feedings your body’s prolactin levels off, but once you start feeding again, your milk production restarts. So, if you want to produce more milk, you will need to breastfeed or pump more often.

Tips to keep in mind

• If your baby feeds more often than every two hours, it does not mean there is a supply problem.
• For most babies, breast milk is easier to digest than formula. This is why a breastfed baby may feed more often than a formula fed baby.
• You do not need to wait for your breast to ‘refill’ before your baby’s next feeding.
• Certain factors can affect your letdown reflex such as being tired, being stressed or having pain in your breast. Seek support when you need it. 
• Read about common breastfeeding myths in Breastfeeding myths debunked -part 1 and part 2.
• Remember, any breast milk you provide your baby is beneficial. It’s important to find the methods and solutions that work best for you and your baby.

Worried if your baby is getting enough to eat? Visit our page.

Have questions? Email us at Askus@marchofdimes.org.

The safer choice

Monday, June 22nd, 2015

saferchoice labelWhen I go to the store to buy cleaning products, I often find myself standing in the aisle looking at all the different bottles not knowing which one to buy. There are different brands, colors, scents and a different product for each room in your house. It’s hard to know which one to buy and which products are safe.

The United States Environmental Protection Agency (EPA) has come out with a new labeling system that may make decisions easier. The new product label will help you select products that have safer chemical ingredients with an option for fragrance-free, and maintain a high standard for quality.

What does the label mean for pregnant women?

It is EPA’s mission to protect your health while also helping to protect the environment. EPA’s new labeling system will make it easier for you to choose products that do just that. If you see their label on a bottle, it means that product meets EPA’s Safer Choice Standard and has passed rigorous human health and environmental criteria. The new label means each ingredient is among the safest and the packaging is environmentally friendly. Under the Safer Choice label, all ingredients must be included on the product or on the manufacturer’s website (other manufacturers are not required to list their ingredients or make them public.)

If you are pregnant or thinking about becoming pregnant, it’s important you choose cleaning products that are safe for you. Products that have the label are safer for fish and other aquatic life, do not pollute the air or water and do not add harmful chemicals to the land. The ingredients in these products have also been tested to see if they are associated with causing cancer or reproductive harm, and if the chemical can accumulate in human tissue or the environment.

Where to find Safer Choice products

About 2,250 products qualify for the new label. You can find Safer Choice products in most of the stores where you already purchase cleaning and household products.

Have questions? Email us at AskUs@marchofdimes.org.