Keeping track of feedings and diapers

Posted by Lauren

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 We are here to help.

Thalidomide and Dr. Frances Kelsey

Posted by Barbara

Dr. Frances Kelsey & President KennedyThere aren’t many people who can singlehandedly claim that they prevented thousands of children from being born with serious birth defects. Yet, Dr. Frances Oldham Kelsey is one woman who is famous for that reason.

You may have heard of thalidomide. It is a drug that is used to treat a skin disease caused by leprosy, but in the 1950’s and 60’s it was given to pregnant women to lessen morning sickness. Unfortunately, thalidomide caused serious limb (arms and legs) defects in thousands of children around the world. But, due to the vigilance of Dr. Kelsey, medical officer at the FDA (Food and Drug Administration) thalidomide was never allowed to be licensed in the U.S.

On August 7th, Frances Oldham Kelsey, MD, PhD, passed away at the age of 101. She was a wife, mother, and a highly educated woman. She earned a doctorate degree (PhD) in pharmacology and was one of seven women in her class of 100 to graduate from the University of Chicago Medical School in 1950. She joined the FDA in 1960.

In her autobiography, she writes “I had been hired as a medical officer and this meant that I would review the medical part rather than the pharmacology of new drug applications.” Despite considerable pressure to allow thalidomide to be available in the U.S., Dr. Kelsey followed her instinct (aided by her excellent education and training) to not allow the drug to be licensed. She says it was particularly important to investigate this drug because “When you give a drug to a pregnant woman you are exposing, in fact, two people to the drug, the mother and the child.” Dr. Kelsey felt that until it was established that the drug was safe for pregnant women, it should not be given to them. “Our objections… were really on theoretical grounds, largely based on the fact that there was no evidence that it was safe. Until we had such evidence we had to question the safety.”

Dr. Kelsey recalls that this near-miss disaster “caught the eye of the persons who were pressing for drug reform… In next to no time, the fighting over the new drug laws that had been going on for five or six years suddenly melted away, and the 1962 amendments were passed almost immediately, and unanimously.”

Later, an important amendment to the law provided that patients must know about and consent to taking a new, unapproved drug in a clinical trial – a very important aspect in drug testing that continues to this day.

Dr. Kelsey notes that “Nowadays we know exactly what is being tested and who is testing it and we get results back as soon as possible. Then if we get reported adverse reactions, we may stop the studies…”

Dr. Kelsey received the President’s Award for Distinguished Federal Civilian Service in August 1962, from President John F. Kennedy. She received numerous other awards, commendations and honorary degrees. According to the FDA, “in October 2000 Dr. Kelsey was inducted into the National Women’s Hall of Fame, and in 2010 Commissioner Hamburg conferred the first Dr. Frances O. Kelsey Award for Excellence and Courage in Protecting Public Health on Dr. Kelsey herself.”

We are grateful for Dr. Kelsey’s vigilance and tireless efforts in protecting babies, women and all individuals in the United States. Her honorable legacy will never be forgotten.


Photo: Courtesy of US National Library of Medicine. Frances O. Kelsey receives the President’s Award for Distinguished Federal Civilian Service from President John F. Kennedy, 1962.

Questions?  Text or email them to


Car seat recall

Posted by Sara

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 or by verifying the model number and date of manufacture.

Questions? Text or email them to

Children with Congenital Heart Defects and Their Use of Special Educational Services

Posted by Barbara

A guest post by Coleen Boyle, PhD, MSHyg
Centers for Disease Control and Prevention

Teacher and studentsSome new research gives us encouraging information showing that children living with birth defects are getting the services they need. Specifically, several of my colleagues and I found that children with congenital heart defects (CHDs) received special education services more often than children without birth defects.

This is important news, because earlier studies have shown us that children with some types of CHDs have a greater chance of having problems with brain development and function as compared to children without birth defects. Knowing that children with CHDs may benefit from—and are receiving—special education services is reassuring. Special education services are those specifically designed to meet the unique needs of a child with a disability.

So what do these findings mean? They demonstrate the importance of developmental screening—short tests usually conducted by a child’s doctor to determine if their basic learning skills are where they should be—for all children with CHDs to ensure they receive the services they need. The American Academy of Pediatrics recommends all children receive these screenings at 9, 18 and 24 or 30 months of age during well visits with the doctor. Screenings may include observing, talking with, or playing with the child to see how he or she plays, speaks, behaves, and moves.

CHDs are heart problems that occur before birth and are the most common type of birth defect in the United States. About 1% or nearly 40,000 births each year are affected by CHDs. Of these, about 1 in 4 is considered a critical CHD, in which surgery or other procedures are needed within the baby’s first year.

Some of the specific findings from the study show that
• Children with CHDs and no other birth defect were 50% more likely to receive special education services than those children without birth defects.
• This increased use of special education services occurred in children with critical CHDs and in children with noncritical CHD.

For this study, we looked at information about children born with a CHD from 1982 to 2004 in metropolitan Atlanta; we also examined a similar sample of newborns without a birth defect. After linking information about these children to special education services they later received (from 1992 to 2012), we determined that children with CHDs more often received those services than children without birth defects.

The Centers for Disease Control and Prevention (CDC) and our partners not only conduct research such as this to identify the scope of the issue and how it is being addressed, we also
• Fund programs and conduct research to help us determine where and when birth defects occur and whom they affect;
• Track CHDs among teens and adults to learn more about their health issues and needs; and
• Collaborate with partners such as the March of Dimes to provide information to families, experts, and organizations to address CHDs.

We at CDC and in particular the National Center on Birth Defects and Developmental Disabilities (NCBDDD) along with our partners, including March of Dimes, strive to help ensure individuals born with these conditions get the care they need throughout their lives.

To learn more read the Key Findings document and the research article abstract.

dr-coleen-boyleThe March of Dimes wishes to thank Dr. Coleen Boyle for this guest post. Dr. Boyle is the Director of NCBDDD and has authored or co-authored more than 100 peer-reviewed and other scientific publications.

Breastfeeding and hair treatments

Posted by Lauren

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 We are happy to help!

The importance of childhood vaccines

Posted by Sara

WELLBABYIt is always better to prevent a disease than to treat it after it occurs. That is why vaccines are so important. They protect your baby from serious childhood diseases and keep her healthy. Vaccines allow children to become immune to a disease without actually getting sick from the disease.

The CDC has some great reasons why vaccinating your child is so important:

•Newborn babies are immune to many diseases because they have antibodies (special disease-fighting cells) they got from their mothers. However, this immunity goes away during the first year of life.

•If an unvaccinated child is exposed to a disease germ, the child’s body may not be strong enough to fight the disease. Before vaccines, many children died from diseases that vaccines now prevent, such as whooping cough, measles, and polio. Those same germs exist today, but because babies are protected by vaccines, we don’t see these diseases nearly as often.

•Immunizing individual children also helps to protect the health of our community, especially those people who cannot be immunized (children who are too young to be vaccinated, or those who can’t receive certain vaccines for medical reasons), and the small number of people who don’t respond to a particular vaccine.

•Vaccine-preventable diseases have a costly impact, resulting in doctor’s visits, hospitalizations, and premature deaths.

You can learn more about how vaccines work and vaccines before and during pregnancy from other News Moms Need posts.

Over the years vaccines have prevented countless cases of disease and saved millions of lives. Make sure your baby gets vaccinated. This schedule shows each vaccine your baby gets up to 6 years. It also shows how many doses she gets of each vaccine and when she gets them.

Questions? Send them to

Brain bleeds in premature babies

Posted by Barbara

brainThe younger, smaller and sicker a baby is at birth, the more likely he is to have a brain bleed, also called an intraventricular hemorrhage (IVH). If you or someone you know has a baby with a brain bleed, it can be a very scary and upsetting experience.

Bleeding in the brain is most common in the smallest of babies born prematurely (weighing less than 3 1/3 pounds). A baby born before 32 weeks of pregnancy is at the highest risk of developing a brain bleed. The tiny blood vessels in a baby’s brain are very fragile and can be injured easily. The bleeds usually occur in the first few days of life.

How are brain bleeds diagnosed?

Bleeding generally occurs near the fluid-filled spaces (ventricles) in the center of the brain. An ultrasound examination can show whether a baby has a brain bleed and how severe it is. According to, “all babies born before 30 weeks should have an ultrasound of the head to screen for IVH. The test is done once between 7 and 14 days of age. Babies born between 30-34 weeks may also have ultrasound screening if they have symptoms of the problem.”

Are all brain bleeds the same?

Brain bleeds usually are given a number grade (1 to 4) according to their location and size. The right and left sides of the brain are graded separately. Most brain bleeds are mild (grades 1 and 2) and resolve themselves with few lasting problems. More severe bleeds (grade 3 and 4) can cause difficulties for your baby during hospitalization as well as possible problems in the future.

What happens after your baby leaves the hospital?

Every child is unique. How well your baby will do depends on several factors. Many babies will need close monitoring by a pediatric neurologist or other specialist (such as a developmental behavioral pediatrician) during infancy and early childhood. Some children may have seizures or problems with speech, movement or learning.

If your baby is delayed in meeting his developmental milestones, he may benefit from early intervention services (EI). EI services such as speech, occupational and physical therapy may help your child make strides. Read this series to learn how to access services in your state.

Where can parents find support?

Having a baby with a brain bleed can be overwhelming. The March of Dimes online community, Share Your Story, is a place where parents can find comfort and support from other parents who have (or had) a baby in the NICU with a brain bleed. Just log on and post a comment and you will be welcomed.

You can also leave a comment here on our blog, or send a question to where a health education specialist is ready to assist you.


Breastfeeding 101

Posted by Lauren

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 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

Keeping track of feedings and diapers

Benefits of breastfeeding


Thinking about pregnancy? Think about vaccines.

Posted by Sara

VaccineVaccines aren’t just for children. Adults need to get vaccinated too! And if you are pregnant or planning a pregnancy, it is very important to make sure that your vaccines are up-to-date.

Vaccines help protect your body from certain diseases. During pregnancy, you pass this protection on to your baby. This is very important because it helps to keep your baby safe during the first few months of life until he can get his own vaccinations.

Here are some vaccines that are recommended before pregnancy:

  • Flu. Get the flu shot once a year during the flu season (October through May). It protects you and your baby against both seasonal flu and H1N1. If you come down with the flu during pregnancy, you’re more likely than other adults to have serious complications, such as pneumonia.
  • HPV. This vaccine protects against the infection that causes genital warts. The infection also may lead to cervical cancer. The CDC recommends that women up to age 26 get the HPV vaccine.
  • MMR. This protects you against the measles, mumps and rubella. Measles can be harmful to pregnant women and cause miscarriage.
  • Tdap. This vaccine prevents pertussis (also called whooping cough). Pertussis is easily spread and very dangerous for a baby. If you’re thinking about getting pregnant, ask your provider about getting the Tdap vaccine.
  • Varicella. Chickenpox is an infection that causes itchy skin, rash and fever. It’s easily spread and can cause birth defects if you get it during pregnancy. It’s also very dangerous to a baby. If you’re thinking about getting pregnant and you never had chickenpox or received the vaccine, tell your provider.

The Centers for Disease Control and Prevention (CDC) recommends two vaccinations during pregnancy:

  1. Flu vaccine if you weren’t vaccinated before pregnancy
  2. Tdap vaccine during each pregnancy at 27 to 36 weeks

Not all vaccinations are safe to get during pregnancy. Do not get these vaccines during pregnancy:

  • BCG (tuberculosis)
  • Memingococcal
  • MMR
  • Nasal spray flu vaccine (called LAIV). Pregnant women can get the flu shot, which is made with killed viruses.
  • Typhoid
  • Varicella (chickenpox)

You should wait at least 1 month after getting any of these vaccinations before you try to get pregnant.

Important: If you didn’t get the Tdap vaccine before or during pregnancy, you can get it right after you give birth. Getting the Tdap vaccine soon after giving birth prevents you from getting pertussis and passing it on to your baby. This vaccine is also recommended for caregivers, close friends, and relatives who spend time with your baby. Your baby should get his first pertussis vaccine at 2 months old. Babies may not be fully protected until they’ve had three doses.

Talk to your health care provider about vaccinations you need before, during or after pregnancy. And remember, getting vaccinated doesn’t just protect you–it protects your unborn baby as well.

Questions? Send them to

“Can I continue breastfeeding now that I am pregnant again?”

Posted by Lauren

pregnant woman and toddlerThis is a question we often receive from moms who are breastfeeding their child when they find out they are pregnant again. And the answer is yes, you can still breastfeed throughout your pregnancy depending on your medical history, your older baby’s responses, your milk supply and your own feelings. There is no documented danger to mother or fetus when a mother breastfeeds through a healthy pregnancy. There are some things however to keep in mind and consider as your pregnancy progresses.

Talk to your health care provider

There are a few medical reasons why a pregnant woman should consider weaning during pregnancy. Speak to your provider about continuing breastfeeding if you have:

• Uterine pain or bleeding
• Miscarried in the past
• A history of premature delivery
• lost weight during your pregnancy

Changes to your breast milk

After the first few months of pregnancy, your milk supply may decrease. As your milk changes to colostrum in preparation for birth the taste will change. These two things may lead your child to wean on his own. If your child continues to breastfeed though, make sure he goes to all his well-baby visits with his health care provider to ensure he is gaining enough weight throughout your pregnancy.

Make adjustments

As your body continues to change, you may experience emotional ups and downs with breastfeeding. Nipple tenderness, caused by hormonal changes, is one of the first symptoms of pregnancy and may make breastfeeding uncomfortable. As pregnancy continues, and your belly grows, it may also become difficult for your child to reach the nipple. It may help to experiment with different nursing positions, such as lying on your side while nursing.

Take care of yourself

Pregnancy and breastfeeding both require extra energy. Make sure you get plenty of rest. Putting your feet up while breastfeeding your child may also allow you to get some much needed relaxation. It is important that you gain the appropriate amount of weight during your pregnancy, eat nutritious foods and drink plenty of water. It may be necessary to consume extra calories while breastfeeding during pregnancy. Speak with your provider about what is right for you.

Stay positive

Take your pregnancy and breastfeeding day by day. As emotions and your comfort level continue to change, try to avoid expectations about how breastfeeding will go. Being flexible is the key to making breastfeeding during pregnancy a positive experience. If you need extra assistance and support, don’t hesitate to ask for help. Speak with your provider, a lactation consultant or a peer counselor to help you through your pregnancy. You can also look for a breastfeeding support group in your area. Read our web article for more information.