Baby Guide 2010

The Award-Winning Publication for New & Expectant Parents
babyguide
TM
Vol. 14, No. 1 • March 2010
• Weighing in on Weight Gain
• How Much Work is Labor?
• Choosing Your Baby’s
Health Partner
• The ABCs of RSV
• Your Growing Baby
Includes a Local &
National Directory
for New and
Expectant Parents
A Publication of
Growing for Tulsa
The Peggy V. Helmerich Women’s Health Center at
Hillcrest Medical Center is growing! To better meet the
increasing number of deliveries, we’ve expanded the
hospital and opened the Sandra L. Jackson Birth Care Unit.
With the largest high risk program in Northeastern
Oklahoma, and a nationally recognized Level III Neonatal
Intensive Care Unit, our expert physicians are able to
provide the latest in specialized care.
The new Birth Care Unit, which adds 36 additional
all-private rooms to the hospital, is dedicated
in memory of Hillcrest Medical Center
Executive Vice President, Sandra L. Jackson.
This is just one more way that Hillcrest Medical
Center is bringing exceptional care to Tulsa and
Eastern Oklahoma.
Find the right physician at HealthMatch, 585-8000
11th & Utica, Tulsa Oklahoma • TodaysHillcrest.com
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BabyGuide 2010
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The most restaurant options. Brought to your door.
BECAUSE MOTHERS HAVE
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742-DINE
arranges for lunch and dinner deliveries from
over 50 of Tulsa’s most popular restaurants.
Call 742-3463 to set up a gift account
or order gift certificates.
You can view restaurant menus and/or
order online at www.742dine.com.
918.742.3463
www.742DINE.com
Anticipation
Ultrasound Studio
4D Ultrasounds
Serving Tulsa Families since 2003
www.AnticipationUltrasoundStudio.com
Tulsa
(918) 665-2229
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Oklahoma City
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TulsaKids
BabyGuide 2010
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babyguide
TM
CONTENTS
A TulsaKids Publication
Vol. 14, No. 1 • March 2010
WHAT’S INSIDE
DIRECTORY The BabyGuide to Almost Everything
A Resource Directory for New and Expectant Parents
M I S S I O N S TAT E M E N T
8 – 13
PREGNANCY
Weighing in on Weight Gain
14 – 15
DIET
Your Healthy Diet During Pregnancy
16 – 17
BABY’S HEALTH
Pediatricians: Finding the one that is right for you by Denise Yearian
Questions to Ask
18 – 19
22
TRENDS
Baby Names:Trendy Up-And-Coming Names for 2010 by Bruce Larsky
23
LABOR
Six Moves to Make Labor Easier by Sandra Gordon
24 – 25
MASSAGE
The Magic of Touch by Cindy Webb
28-29
HEALTH
When to Call the Doctor
26 – 27
SAFETY
Car Seats: OSU physicians provide car seats for infant safety
30
INFANT HEALTH
babyguide 2010
TM
THE COMPREHENSIVE NEW PARENT RESOURCE DIRECTORY
Publisher . . . . . . . . . . . . . . . . . . . . . . . . Charles Foshee
Editor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Betty Casey
The ABCs of RSV
32-33
Assistant Editor . . . . . . . . . . . . . . . . . . . . . Cindy Webb
34 – 35
Advertising Representatives:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Caroline Shaw
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kathy Thompson
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Abby Rodgers
. . . . . . . . . . . . . . . . . . . . . . . . . . .Hannah Middlebrook
BABY’S DEVELOPMENTAL NEEDS
Your Growing Baby
BABY GEAR
Products to Coo About by Nancy Moore
36 – 37
COGNITIVE DEVELOPMENT
Share the Gift of Reading
We designed The TulsaKids Baby Guide to
be a one-stop, comprehensive resource for
expectant and new parents. The Baby
Guide will provide information for couples
planning to become pregnant, for pregnant women, and for new parents who are
looking for answers to questions during
that important first year with baby. We
have worked hard to bring together information about medical care and options,
pregnancy, safety, childcare, support and
educational groups, and developmental
information for the first year of life. With
TulsaKids’ 12th Annual Baby Guide, we
have found that the Tulsa community has a
wealth of support, services and information
for new and expectant parents. We hope it
will help you throughout the year as you
enter the exciting (and often confusing)
world of being a parent.
by John Fancher
39 – 40
TulsaKids Baby Guide is published once a year by TK Publishing,
Inc., 1820 S. Boulder, Suite 400, Tulsa, OK 74119.
Phone: 918.582.8504 Fax: 918.583.1366.
Email: [email protected]. Website: www.tulsakids.com.
TulsaKids Baby Guide is distributed free of charge, one copy per
reader. Only TulsaKids Baby Guide authorized distributors may
deliver or pick up the magazines. Reader correspondence and
editorial submissions welcome. We reserve the right to edit, reject
or comment editorially on all material contributed. Enclose a selfaddressed, stamped envelope for any material to be returned.
We cannot be responsible for the return of any unsolicited material. Reproduction in whole or part without express written permission prohibited.
Production . . . . . . . . . . . . . . . . . .Desktop Design, Inc.
Cover Photography . . . . . . . . . . . . . . . . . .Nicole Kelley
Contributing Writers
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Denise Yearian
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Bruce Larsky
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Sandra Gordon
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Cindy Webb
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Nancy Moore
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . John Fancher
Baby Guide is a special annual publication of Tulsa Kids,
the national award-winning magazine
for parents of Tulsa and surrounding communities.
TK
PUBLISHING
INC.
TulsaKids is published monthly
by TK Publishing, Inc.,
1820 South Boulder Avenue, Suite 400
Tulsa, Oklahoma 74119-5025,
(918) 582-8504, FAX: (918) 583-1366
www.tulsakids.com
©2010. All Rights Reserved. Volume 14, Number 1
MEMBERS OF
On the Cover: Oliver Sack, winner of Emergency Infant Services
Baby Love photo contest.
Photograph by:
Nicole kelley of Backstreet Studios
BabyGuide 2010
5
Call to enroll your child today!
(918) 258-0594
s .URTURING RESPONSIVE TEACHERS
s !CADEMIC CURRICULUM MATH SCIENCE PHONICS ART AND 3PANISH
s !GEAPPROPRIATE LEARNING CENTERS IN EACH CLASSROOM
s %XTRACURRICULAR CLASSES IN COMPUTERS BALLET AND PHYSICAL EDUCATION
s /PENINGS FOR CHILDREN AGES WEEKS TO YEARS
s ,EAP 0AD LEARNING LAB
6
2(%-! "IBLE #HURCH
7 +ENOSHA
"ROKEN !RROW /+ WWWRHEMACHILDCARECOM
DIRECTORS #ANDACE &RANKLIN!LISHA $AMRON
!SSISTANT $IRECTOR 'ALIENA 3WAGERTY
TulsaKids
BabyGuide 2010
7
The BabyGuide
to Everything
A DIRECTORY FOR NEW
NUMBERS TO KNOW
FOR EMERGENCIES
POLICE, FIRE & AMBULANCE.
Dial 911
TULSA POLICE DEPARTMENT.
596-9222
TULSA FIRE DEPARTMENT.
596-9977
TULSA AMBULANCE.
596-3010
TULSA’S 24-HOUR HELPLINE
Dial 211
YOUR PEDIATRICIAN:
YOUR FAMILY PHYSICIAN:
GRANDPARENTS
BREASTFEEDING
La Leche League of Tulsa The League
offers mother-to-mother help at its
monthly meetings based on the book
“The Womanly Art of Breastfeeding.” The
meeting discussions include the latest
medical research as well as personal
experience. Other services include a
lending library of books on childbirth,
childcare, breastfeeding, and nutrition.
Meetings are a continuing series of informal discussions and are open to all
women interested in breastfeeding.
Children of all ages are welcome.
8
A N D E X P E C TA N T
Meetings are held the second Monday of
the month at 10 a.m. at Metro Library,
81st and Sheridan.
La Leche League Leaders are experienced mothers who are accredited by La
Leche League International to help
mothers and mothers-to-be with all
aspects of breastfeeding. La Leche
League Leaders are available for phone
calls regarding meeting information and
whenever you have breastfeeding questions that cannot wait until the next
meeting. www.lllusa.org/AROK/tulsa
Breastfeeding.com An online magazine
aimed at women who are breastfeeding
and those who might like to try it. Offers
such helpful advice as “What to do with
one hand.” Extensive online community
of experienced lactation consultants.
Motherwear.com An online lactation
consultant answers breastfeeding questions by e-mail. Emergency phone numbers are listed for those needing immediate lactation assistance.
PLAYGROUPS, PROGRAMS,
SUPPORT, CLASSES AND
INFORMATION
Renaissance Maternity Center, Tulsa
Birth Center A free-standing birth center offering home or birth center delivery, massage therapy, doula services for
either in or out of hospital birth, and a
variety of classes and support groups. 9
a.m. - 4 p.m. Renaissance Maternity
Center,1217 E. 33rd St.; (918) 895-8222;
tulsabirthcenter.com.
Natural Lullabies Offers variety of birth
preparation, breastfeeding, parenting and
“Mama and Me” classes. 8210-A S.
Harvard; (918) 488-9969; naturallulla-
PA R E N T S
bies.com.
Tulsababies.com A free online resource
for families and providers of health and
human services developed by the Tulsa
Fetal Infant Mortality Review Community
Action Team. The goal is to support Tulsa
babies and their families from A to Z. The
resource directory and information site
focus on: health information on preconception, pregnancy, health and care of
infants, grief information on loss and
support when a baby dies, and local
information about infant death in Tulsa
County and what is being done to
address identified problems. All information is in English and in Spanish.
Moms' Clubs and Family Clubs in the
Tulsa area For information about Moms'
Clubs (providing information, socialization, fieldtrips and support), check
TulsaKids Magazine's monthly calendar
listings or visit tulsakids.com for calendar
information.
Family & Children's Services Family &
Children's Services offers a variety of parenting and family life education classes
and workshops such as Positive
Parenting; Developing Capable People;
Pre-School Parenting; Parenting Your
Special Needs Child; Just for Dads and
more. Educare and Early Head Start for
children birth - age 4 are offered through
F&CS.
New Baby Care, a six-week parent skills
development class, helps parents, grandparents, caregivers and parents-to-be
develop their understanding of positive
parenting and learn effective parenting
skills and techniques to help with the
daily challenges of raising children.
Meets from 6-7:30 p.m. on Tuesdays at
TulsaKids
BABY GUIDE 2010 DIRECTORY
the Central Office of Family & Children's
Services, 650 S. Peoria Ave.
The class fee is $20 per session and additional adult family members may attend
for a $5 fee.Scholarship funding is available. For more information, call (918)
560-1114 or visit fcsok.org.
Tulsa Mothers of Multiples A non-profit
organization for mothers of twins,
triplets and higher-order multiples, in
addition to grandmothers, expectant
mothers, and fathers._Meets first
Tuesday of each month 7:30 - 9 p.m.,
Asbury United Methodist Church, 6767 S.
Mingo. MOM has two special interest
groups: STORK for mothers from pregnancy through the first birthday, and
TOTS helps parents through toddler
years. For more information on the
organization, visit tulsamoms.org.
Many Mothers A national volunteer
organization that sends a skilled volunteer to the aid of any new mom who
feels exhausted, overwhelmed or simply
needs additional help. The volunteer
assists with simple tasks like grocery
shopping, washing dishes or tending the
baby while the mom takes a quick bath
or nap. To foster this type of service in
communities, Many Mothers has developed a how-to manual which is available
free of charge to anyone wanting to help
families with newborns. The Many
Mothers guide offers a step-by-step
explanation on how to get started; how
to become non-profit; how to recruit and
supervise volunteers; how to locate families, etc. In addition, on-going help is
available through the Many Mothers
Web site: manymothers.org.
Tulsa City-County Health Department,
Child Guidance Child Guidance is a
statewide program that promotes and
supports healthy family relationships and
child development. It provides prevention, education, screenings, diagnostics
and short term treatment to children and
families, in addition to classes and workshops for parents and professionals.
Services are provided in group settings or
on an individual family basis. Child
Guidance's staff of masters and doctoral
degree-level professionals include: audiologists, child development specialists,
speech/language pathologists and behav-
BabyGuide 2010
ioral health specialists. Many of the services and classes are free. For more information, call (918) 582-9355. tulsahealth.org.
Emergency Infant Services Immediate
help for parents of infants in need of diapers, formulas or other services. (918)
582-2469; emergencyinfantservices.org
International Cesarean Awareness
Network (ICAN) Provides a forum where
women and men can express their
thoughts and concerns about birth. ICAN
gives support and information to mothers who have experienced cesarean
births. For newsletter or information call
(310) 542-6400 or write 1304 Kingsdale
Ave., Redondo Beach, CA 90278. ICANonline.org.
Postpartum Support International
Support for new mothers suffering from
postpartum depression or those who
may have questions about it. Includes a
moms “warm line” for support. (800) 9444PPD (4773); postpartum.net.
Postpartum Depression Support
Group
Meets 3rd Tues. of month, 7- 8:30 p.m.
Boston Avenue United Methodist
Church, 1301 S. Boston. Newborns welcome. Free childcare for siblings. Info:
Anita 865-7824 or EvaMarie at 699-0120.
Congenital Heart Information Network
Provides reliable information, support
services and resources to families of children with congenital and acquired heart
disease, adults with congenital heart
defects and the professionals who work
with them. http://tchin.org.
SoonerCare Oklahoma's health care system designed to make sure that children
and pregnant women get the health care
services they need. Call or visit your local
Department of Human Services. DHS:
(918) 596-7200. SoonerCare Helpline:
(800) 987-7767; ohca.state.ok.us.
WIC Women, Infant and Children's nutrition program. 3515 S. Peoria. (918) 5944820; www.ok.gov.
National Association for the Education
of Young Children (NAEYC) Nation's
largest organization of early childhood
professionals with a wide range of
resources for adults who work for and
with children. (800) 424-2460; naeyc.org.
WorkOptions.com Max Maternity Leave
Proposal Template, a new planning tool
for pregnant women who are employed
in the United States. The free document
offers working mothers-to-be a framework for negotiating more time off
beyond the confines of “allowed” leave.
Parents as Teachers An early childhood
parent education and family support
program serving families throughout
pregnancy until their child enters kindergarten. (918) 925-1403; parentsasteachers.org.
American Academy of Pediatrics
www.aap.org.
Parent Child Center of Tulsa
Information, education and treatment
aimed at preventing child abuse.
Includes crisis/respite services, prevention program, resource library and parenting classes. 1421 S. Boston. 24-hour
crisis line: (918) 599-7999; parentchildcenter.org.
Oklahoma Institute for Child Advocacy
Find out about current legislation and
issues affecting Oklahoma's children:
www.oica.org.
JumpStart Tulsa JumpStart is Tulsa's
early childhood engagement campaign.
Information about early childhood brain
development, school readiness, child
development, parent events and activities, services and volunteer information.
Coordinated through the Community
Service Counsel of Tulsa.
www.jumpstarttulsa.com.
2-1-1 Dial 2-1-1 to find services for food,
clothing, health care, shelter, housing,
support groups, legal aid, employment
and many more human services in your
area. They can help you access services
from over 2,500 programs that exist to
help people in need. 2-1-1 is a free and
easy-to-remember phone number that
9
BABY GUIDE 2010 DIRECTORY
streamlines the process of matching critical health and human services with the
clients who need them. The 2-1-1 call
center based in Tulsa, Oklahoma serves
an 18-county area, operates 24 hours a
day, and receives approximately 12,000
calls per month.
Babyline WIC Program Free pregnancy
testing, healthcare during pregnancy,
childbirth classes, post-partum care,
child health care, family planning
appointments and transportation.
(918) 838-0694.
American College of Obstetricians and
Gynecologists www.acog.org.
National Association of Childbirth
Education Information on choosing a
childbirth assistant or on being one.
(800) 868-NACA (6222);
www.birthinternational.com.
American College of Nurse-Midwives
Names and numbers of area nurse-midwives: www.midwife.org.
Women's Sports Foundation Fitness
Kidsline Medical appointments for children ages 0-18, SoonerCare, insurance
enrollment referrals, schedule immunizations for children under age 2. (918) 5835437.
Planline Family planning. (918) 8380697.
information during pregnancy. (800)
227-3988; womenssportsfoundation.org
Tristesse Grief Center Six-week classes
and support for bereaved parents who
have suffered the loss of an infant. 1709
S. Baltimore. (918) 587-1200;
www.thegriefcenter.org.
Compassionate Friends Offers support
to bereaved parents who have experienced the death of a child. (877) 9690010; (918) 481-2181.
National SIDS Foundation Assistance in
dealing with a loss from crib death. (800)
221-SIDS; firstcandle.org.
CHILDBIRTH INFORMATION
(See hospital information to contact
them for childbirth classes)
New Joy Christian Childbirth
Education Childbirth education, breastfeeding and infant care classes from a
Christian perspective. Classes Monday
evening 7-9:30 p.m. at Family Medical
Care of Tulsa, 7600 S. Lewis. Refresher &
home study available. Chris Maricle, certified instructor. (918) 496-3284; newjoybirth.com.
10
Auto Safety Hotline Information on
infant car seats and recalls. (800) 4249393.
Consumer Product Safety Commission
Information on safety standards for cribs,
toys and other children's accessories.
(800) 638-2772; www.cpsc.gov.
Juvenile Products Manufacturers
Association Dedicated to promoting and
informing consumers, the industry and
membership about the safe use of juvenile products. (856) 638-0420;
www.jpma.org.
Emergency Nurses Association
(800) 243-8362; www.ena.org
Bradley Method of Natural Childbirth
Information on natural, unmedicated
husband-coached childbirth. (800) 4-ABIRTH; www.bradleybirth.com.
SAFETY & HEALTH
INFANT LOSS
www.millerswimschool.com.
American Association of Poison
Control Centers The American
Association of Poison Control Centers
works to support the nation's 60 poison
centers in the valuable work they do.
America's poison centers are open 24
hours a day, seven days a week. Go to
the website for information about poisons. If you have an emergency involving
poison, call your Poison Center at 1-800222-1222. www.aapcc.org
Tulsa Area SAFE KIDS Sponsored by
Saint Francis Children's Hospital. SAFE
KIDS is a national organization working
to prevent unintentional injuries in all
ages with education, bike rodeos, car
seat programs, school activities and
much more. For safety information call
(918) 494-SAFE (7233); www.safekids.org
American Red Cross CPR, babysitting
courses, swimming instruction, safety
information first aid and more. Health
and Safety Course enrollment: (918) 8311126. Enroll online:
www.tulsaredcross.org.
Miller Swim School Offers “Diaper
Dolphins” classes for babies six months
to age three, with parent present. For
more information, call (918) 254-1988;
American Trauma Society
(800) 556-7890; www.amtrauma.org
SPECIAL KIDS
CHADD Organization for children and
adults with attention-deficit hyperactivity
disorder. (800) 233-4050; www.CHADD.org
Down Syndrome Society (800) 221-4602;
www.ndss.org.
Tulsa Autism Foundation Information,
support and education. 6585 S. Yale, Suite
410, Tulsa, OK 74135. 502.4823. [email protected].
www.autismtulsa.org.
Autism Society of America Information
on Autism, ADD and ADHD. (800)
3-AUTISM (328-8476);
www.autismtulsa.org.
National Health Information Center
Information and referral services for all
health concerns. (800) 533-2873;
www.health.gov/nhic.
Juvenile Diabetes Research Foundation
Information on juvenile diabetes. (800)
223-1138; jdrf.org.
JDRF of Green Country (918) 481-5807;
www.jdrf.org/tulsa-green.
TulsaKids
BABY GUIDE 2010 DIRECTORY
Total Source for Hearing-loss and
Access (TSHA) Information, referrals, support and help for individuals or families
dealing with hearing loss. (918) 832-8742;
www.tsha.cc.
United Cerebral Palsy of Oklahoma
(918) 794-4655; www.ucpok.org.
Little Light House, Inc. Christian child
development center for children with
special needs, birth-six years. 5120 E. 36
St. (918) 664-6746;
www.littlelighthouse.org.
March of Dimes Information about
pregnancy, breastfeeding, birth defects,
nutrition and more. (918) 465-9680;
www.marchofdimes.com.
National Organization Fetal Alcohol
Syndrome (800) 66-NOFAS;
www.nofas.org.
SoonerStart An early intervention program designed to meet the needs of
infants and toddlers with developmental
disabilities. (918) 835-8691 or (800) 42OASIS (426-2747).
CESAREAN INFORMATION
International Cesarean Awareness
Network Monthly support and educational meetings; VBAC (vaginal birth after
Cesarean) information. (918) 348-1711;
ican-online.org.
ADOPTION & SUPPORT
Dillon International, Inc. Specializes in
adoptions of children from other countries. Offers parenting and adoption
workshops, heritage events, adoption
awareness programs and other postadoptive support. (918) 749-4600;
www.dillonadopt.com.
Catholic Charities Domestic and international adoptions. Mary Lee Ingram,
(918) 949-4673, ext. 142 or Christa Van
Tassell (918) 949-4673, ext. 116;
www.catholiccharitiestulsa.org.
Heritage Family Services, Inc. A nonprofit social service agency to help your
family work through all adoption proce-
BabyGuide 2010
dures. 5110 S. Yale, Ste. 525; (918) 4916767; www.heritagefamilyservices.org.
YWCA of Tulsa 1910 S. Lewis; (918) 5872100; www.ywcaoftulsa.org
Crisis Pregnancy Outreach An outreach
ministry of Christian Chapel in Tulsa.
CPO aims to meet the needs of all
women experiencing unplanned pregnancies and provide hope to those wishing to adopt. For more information, call
(918) 296-3377 or visit
www.crisispregnancyoutreach.org.
BABYSITTING CLASSES
Glad Hearts for Adoption Support,
socialization, and information for adoptive parents and their children. For more
information, call (405) 848-8435 or visit
www.adoptionsbygladney.com.
AdoptUsKids The mission of
AdoptUsKids is to recruit and connect
foster and adoptive families with waiting
children throughout the United States.
www.adoptuskids.org.
CHILDCARE HELP
American Red Cross Babysitting Class
Basics of child care for young people age
11 and up. (918) 831-1100;
www.tulsaredcross.org.
Babysitting Class Sponsored by Saint
Francis Health System. For beginning
babysitters and children responsible for
occasional self-care (ages 10-14). For
more information, call (918) 494-1190.
Basics for Kidsitters Sponsored by St.
John Medical Center. Prepares young
people ages 11-16 for babysitting
responsibilities. Includes book and CPR
certification. For more information, call
(918) 744-0123.
HAVING A BABY AT HOME
American College of Nurse-Midwives
(240) 485-1800; www.midwife.org
Child Care Resource Center Resources
and referrals for parents seeking licensed
child care options in the Tulsa area.
Resource center for early childhood educators and home care providers. (918)
834-2273; www.ccrctulsa.org
International Childbirth Education
Association www.icea.org
National Association of Child Care
Resource and Referral Agencies. (800)
570-4543; www.naccrra.org.
HOSPITAL CLASSES
National Association of Early
Childhood Programs www.naeyc.org.
Seeking Sitters Offers professional, prescreened babysitters for part time help
as an alternative to a full-time daycare or
nanny service. www.seekingsitters.com.
Department of Human Services, Day
Care Licensing Unit (918) 581-2563.
YMCA of Greater Tulsa 515 S. Denver;
(918) 583-9622; www.ymcatulsa.net
YMCA Thornton Branch 5002 S. Fulton;
(918) 280-9622.
Midwives Alliance of North America
(888) 923-6262; www.mana.org
Saint Francis Health System
6161 South Yale Ave.
(918) 494-BABY (2229)
www.saintfrancis.com
Classes take place at Saint Francis at 61st &
Yale and Saint Francis South. Call (918)
494-2229 for day, time and location of
classes.
Childbirth Orientation and Tour
Free Childbirth Orientation held the second Monday of each month from 7 - 9
p.m. This session will provide you with a
brief overview and registration information about all the Expectant Family
Program classes. At the orientation, you
will receive a packet of information on
upcoming classes and will learn what to
expect when having your baby at Saint
Francis Hospital. Tours of labor and delivery area, postpartum (rooms or area) and
11
BABY GUIDE 2010 DIRECTORY
nursery are available following the orientation class. Orientation class should be
taken before your fifth month of pregnancy to ensure availability of the childbirth
classes you wish to attend. No pre-registration is required and the orientation is
free.
Childbirth Series
Consists of three classes and is designed
to accompany you throughout your
pregnancy. Class One will discuss prenatal care, exercise, nutrition and your
baby's growth and development before
birth. During the class tour, you'll also
get to see where you'll be before, during
and after your baby's birth. As your baby
grows, so will some of your concerns.
Class Two will discuss the labor and
delivery process, medications and anesthesia options. As you near the end of
your pregnancy, Class Three will provide
information about your baby's hospital
stay and how to care for your newborn.
Mom's hospital stay and mom's first few
weeks after the delivery will be discussed. Classes are offered Tuesdays and
Thursdays from 7-9 p.m. Fee: $30
Weekend Childbirth Series
This class covers vaginal and Cesarean
deliveries, pain control techniques and a
tour. This is a one-day class offered
Saturdays from 9 a.m. to 4 p.m. Bring
your support person and two pillows,
and dress in comfortable clothes. Fee:
$75
Pain Control Refresher
The one-night Pain Control Refresher
course is designed for those who have
already attended Pain Control, or another prepared childbirth program, with a
previous pregnancy. You will practice
relaxing, focusing and breathing.
Register for the Pain Control Refresher
course offered during the last four to
eight weeks of your pregnancy. Fee: $20.
Breastfeeding Basics
Expectant mothers have many questions
about the breastfeeding process and the
Breastfeeding Basics class is designed to
answer them.
You will learn to recognize baby's hunger
cues for nursing, the process of breastfeeding and breast care so both mom
and baby can enjoy feedings.
12
This series of two classes is taught by an
International Board Certified Lactation
Consultant who is a registered nurse.
ience of the medical staff, new mothers
and their babies.
Sibling Class
When the new addition arrives, your
older child is intrigued with the new
sounds, smells and activity. In the Sibling
Class, your child will learn how to hold a
baby, what it means to share with the
baby and how to help keep the baby
safe. Your child will even get to visit the
nursery to see what a new baby will look
like. Many children have misconceptions
about how a newborn will look and act.
Helping an older sibling understand a
newborn's appearance and capabilities
will prepare them for the baby's arrival.
Sharing mom and dad's time is often a
new experience for a child. Therefore,
this class is specially designed to help
your child understand the role a new sibling will have in your family.
Orientation & Tour of Helmerich
Women's Center
This free one-hour session is the perfect
introduction to BirthCare Services
offered by the Peggy V. Helmerich
Women's Health Center. Orientation will
acquaint you with the process for preregistration and admitting, as well as the
variety of helpful educational classes.
Hospital tours include the beautiful
Helmerich Women's Center all-private
suites, the well-baby nursery and, upon
request, the Neonatal Intensive Care Unit
or NICU.
Grandparenting
This class will help you learn about
changes in baby care, and expose you to
some of today's baby equipment. Also,
we will address how you, your children
and your grandchildren can strengthen
communication skills.
Some child care techniques and parenting styles may have changed, but having
the love and attention of grandparents is
timeless.
Oklahoma State University Medical
Center
744 West 9th,Tulsa, OK 74127
(918) 599-5134; www.osu-medcenter.com
Peggy V. Helmerich Women's
Health Center
A Service of Hillcrest HealthCare System
1120 South Utica Avenue
Main telephone number (918) 579-8000
www.helmerichwomenscenter.com
Hillcrest Medical Center recently opened
a new floor named the “Sandra L.
Jackson Birth Care Unit.”
The expansion was initiated due to the
increased volume of deliveries at the
Women's Health Center; the increased
number of High Risk Antepartum
patients; and as a way to provide
expanded, comprehensive birth care
services all in one unit for the conven-
Prepared Childbirth Series
Series includes five classes for first-time
parents. The classes cover all aspects of
labor and birth, including vaginal birth,
variations in labor, Cesarean birth, pain
medication options, newborn appearance, postpartum, breathing & relaxation
exercises, and comfort measures for
many of the situations that can occur
during labor.
Saturday Prepared Childbirth Series
The Saturday Prepared Childbirth series
includes 2 classes from 9:30am-4pm, that
are perfect for first-time parents. The
classes cover all aspects of labor and
birth, pain medication options, variations
in labor, Cesarean birth, Newborn
appearance, Postpartum, breathing &
relaxation exercises, and comfort measures for many of the situations that can
occur during labor.
Marvelous Multiples®
This education program is designed for
women pregnant with multiples. The
program helps prepare expectant parents for the birth of two or more babies.
Learn about your unique prenatal needs,
the potential for increased risks, variations in the birth process and how to
care for multiple newborns. Call (918)
579-TWIN (8946).
Mini Childbirth Series
Three classes provide valuable information on labor and delivery, pain medication options, Cesarean birth, and
TulsaKids
BABY GUIDE 2010 DIRECTORY
includes basic breathing & relaxation
exercises.
Refresher Prepared Childbirth
If you have previously delivered, this
three-class course provides a valuable
update of information and breathing
techniques for labor and delivery. The fee
is $40.
Big Kids & Babies
A one-time session created especially for
big brothers or sisters. This class promotes positive feelings about the new
baby, while helping to prepare siblings
for what the new baby will look like,
what things they can do and how to
hold the baby.
Breastfeeding Basics: An introductory
course
Breastfeeding Basics is a single class that
provides information on positioning, frequency of feeding, common breastfeeding problems and solutions, as well as
how to pump and store breast milk.
Baby Care Basics
A one-time class, Baby Care Basics is
designed to prepare you for the handson care of your newborn. The instruction
centers on bathing, feeding, clothing,
diapering and safety. Emphasis is also
placed on the adjustment to parenting.
Infant & Child CPR
A single class that covers the safety
issues for infants and children, from newborn to the age of 12 years. Techniques
for clearing airway obstructions and
administering CPR (cardio-pulmonary
resuscitation) are presented.
Baby Touch Infant Massage
One time class filled with valuable information to console a fussy baby, massage
techniques provided, and much more.
Dr. Harvey Karp's “Happiest Baby on
the Block”
Teaches how to use 5 easy steps to calm
a fussy baby, recognize signs of colic and
more. FREE. Option to purchase class
materials.
BabyGuide 2010
St. John Health System
1923 South Utica Ave. To register for
classes or for more information, please
call the St. John PulseLine at
(918) 744-0123.
www.sjmc.org (for St. John Medical
Center - Tulsa & Owasso)
Childbirth Education Classes
Learn various techniques for childbirth
and comfort techniques for labor.
Fast-track Childbirth
Two-hour course gives basic overview of
labor and delivery process for expecting
mothers.
Newborn 101
Learn how to care for your new baby,
from diapering to bathing to car seat
safety and more. For infant to six weeks
old.
Safe Start
Learn how to care for your new baby
during the first year of live. Two-hour
course includes car seat safety training
and infant CPR.
Breastfeeding Basics
A one-time class to teach expectant
mothers the mechanics of breastfeeding.
The LifeStart Club
Free helpful information for you and
your baby.
Sibling Family Tour
Free for new big brothers and sisters.
This tour familiarizes siblings with the
hospital during mom's stay. All ages welcome.
Grandparenting Class
A refresher course designed to reacquaint grandparents with infant care,
safety, health hazards and more.
Moms in Motion
Pre-natal aerobic classes, yoga classes, and
aquatic classes. Post-partum Mom and
Baby Yoga, Mom & Baby fitness and Stroller
shape. Doctor release required. Sign up for
orientation at 744-2484 or 744-0123.
Developmental Baby Massage and
Stimulation
Help your baby sleep better, stimulate
growth and soothe crying through massage and stimulation.
SouthCrest Hospital
8801 S. 101st East Ave.
General Information (918) 294-4870.
Web site: www.southcresthospital.com.
For information or to register for classes,
please call (918) 855-6565._
Prepared Childbirth
For first-time parents to help prepare you
for what to expect during childbirth.
Topics include: pain control, breathing
and relaxation techniques, labor partner
training, hospital policies and procedures, and the complete childbirth
process. You'll also learn how to register
for your epidural and pre-admission.
Take a tour of the Women's Pavilion.
Offered as three-week evening classes or
one-time Saturday class.
Prepared Childbirth Refresher
For experienced parents. The Refresher
consists of two classes that present current information and a review of techniques learned at previous prepared
childbirth classes.
Breastfeeding Workshop
Whether you have decided to breastfeed
or are considering the option and want
more information, this workshop will
answer your questions. Information will
be provided on benefits, getting started,
preventing problems and breast care.
This class may be attended anytime during pregnancy. Fathers are encouraged
to accompany you.
Parenting Lab
The focus of this one-time class is caring
for your newborn. We will provide helpful ideas for basic newborn care, growth
and development guidelines, infant
communication and what to expect in
those first days at home. Plan to attend
this class during the latter part of your
pregnancy.
13
PREGNANCY
weighing in
ON
WEIGHT GAIN
determine the weight gain that is right for you.
• If you are already pregnant and are overweight,
do not try to diet.
• If you need help planning a healthy diet that will
help you gain the proper amount of weight, ask
about seeing a dietitian or nutritionist.
WHAT YOU NEED TO KNOW:
Here are the recommended weight gain guidelines for
pregnant women:
• If you are normal weight prior to pregnancy:
Gain 25 to 35 pounds during pregnancy.
• If you are overweight prior to pregnancy:
Gain 15 to 25 pounds during pregnancy.
• If you are underweight prior to pregnancy:
Gain 28 to 40 pounds during pregnancy (depending on
your pre-pregnancy weight).
• If you have a multiple pregnancy (twins, triplets or
more): See your health care provider.You will need to
gain more weight during pregnancy depending on the
number of babies you are carrying.
Gaining the right amount of weight will make it easier
to shed pounds after delivery and will prepare your
body for breastfeeding.
WHAT YOU CAN DO:
• See your health care provider if you are
concerned about your weight. She or he can help you
WEIGH TO GROW
You’re pregnant, right? So you get to eat as many
french fries as you want, right? Wrong! You need to
be careful about how much weight you gain during your pregnancy. Gaining too much or too little
can be harmful to you and your baby. How many
pounds you need to add depends on how much
you weigh when you become pregnant.
Women who gain the proper amount of weight
are less likely to have a low-birthweight baby (less
than 5 1/2 pounds). But try not to gain more than
what’s recommended. Too many pounds can lead
to discomforts—such as backaches and varicose
veins and, possibly, health complications such as
high blood pressure.
If you began pregnancy at a normal weight, you should
gain 25–35 pounds over the nine months. Adding about
300 extra calories a day to your diet will help you reach
this goal. (One extra healthy snack, such as four fig bars
and a glass of skim milk, will provide these calories.) Most
women gain four to six pounds in the first trimester, and
then average a pound a week in the second and third
trimesters.
If you began pregnancy underweight, you should probably gain a little more.That’s because underweight women
are more likely to have small babies. A 28- to 40-pound
gain is usually recommended, so you should try to gain
slightly over a pound a week in the second and third
trimesters.
If you began pregnancy overweight, you should gain
only 15–25 pounds.This means you should put on one
pound every two weeks in the second and third
trimesters.While you don’t want to gain too much weight,
you should never try to lose weight during pregnancy
because that could harm your baby.
continued
14
TulsaKids
WHERE DOES IT ALL GO?
Approximate breakdown of a weight gain
of 29 pounds:
• Blood 3 pounds
• Breasts 2 pounds
• Womb 2 pounds
• Baby 7.5 pounds
• Placenta 1.5 pounds
• Amniotic fluid 2 pounds
• Fat 7 pounds
• Retained water 4 pounds
• If you’re expecting twins, you should probably
gain a total of 35–45 pounds.That translates into
about 1 1/2 pounds a week in the last two
trimesters.
Putting on weight slowly and steadily is best.
But don’t worry if you gain less than four
pounds in the first trimester, and make up for it
later, or vice versa.Also, many women have one
or two “growth spurts” during which they gain
several pounds in a short time period, then level
off.Again, this is not worrisome unless it
becomes a pattern.The important thing is to
keep an eye on your overall gain.
Source: March of Dimes Birth Defects
Foundation web site: www.marchofdimes.com.
BabyGuide 2010
15
NUTRITION
diet
YOUR HEALTHY DIET
DURING PREGNANCY
M
ost pregnant women need 300 extra calories per
day to support a baby's growth. So eat smart and
make healthy food choices.Try to eat foods from
each of the five food groups every day.They provide
important nutrients that you and your baby need.
Be sure to watch your serving sizes; you may be eating
more than you need to.
Remember: Fatty foods (like doughnuts and chips) and
sweets (like sodas, cookies and candy) don't give your
baby enough of what he needs to grow.
Follow These Guidelines
GRAINS: 6 OUNCES PER DAY
1 ounce of grains is equal to:
• 1 slice bread
• 1 cup ready-to-eat cereal
• 1/2 cup cooked rice, pasta or cereal
• 1 small pancake (4 1/2" in diameter)
• 1 small tortilla (6" in diameter)
VEGETABLES: 2 1/2 CUPS PER DAY
1 cup of vegetables is equal to:
• 1 cup raw or cooked vegetables
• 1 cup vegetable juice
• 2 cups raw, leafy greens
• 1 medium baked potato (2 1/2" to
3" in diameter; go easy on the butter, bacon bits and sour
cream)
FRUITS: 1 1/2 TO 2 CUPS PER DAY
1/2 cup of fruit is equal to:
• 1/2 cup 100% fruit juice
• 1/2 cup fresh, frozen or canned fruit
• 1/2 a fruit (small orange, apple or banana)
16
• 1/4 cup dried fruit
• 6 grapes
Milk Products: 3 Cups per Day
1 cup of milk products is equal to:
• 1 cup milk
• 1 cup yogurt
• 1 1/2 ounces natural cheese
(examples: cheddar, parmesan)
• 2 ounces processed cheese (example:American)
PROTEINS: 5 TO 5 1/2 OUNCES PER DAY
1 ounce of protein is equal to:
• 1 tablespoon peanut butter
• 1/4 cup cooked dried beans
• 1 ounce lean meat, poultry or fish
• 1 egg
• 1/2 cup nuts (12 almonds, 24 pistachios)
TAKE FOLIC ACID
Folic acid is a B vitamin that helps prevent birth defects
of the brain and spinal cord (called neural tube defects).
All women of childbearing age should take a multivitamin
with 400 micrograms of folic acid every day before pregnancy and during early pregnancy, as part of a healthy diet.
Your healthy diet should include foods that are good
sources of folic acid and folate (the form of folic acid that
occurs naturally in food). Examples are:
• Fortified breakfast cereals
• Enriched grain products
• Beans
• Leafy green vegetables
• Orange juice
continued
TulsaKids
HEALTHY EATING HINTS
Meals: Eat four to six smaller meals a day instead of
three bigger ones to help relieve the heartburn and discomfort you feel as your baby grows bigger.
Snacks: Cheese, yogurt, fruit and vegetables are good,
healthy snacks. Peanut butter and nuts are also good, if you
aren't allergic to them.
Liquids: Drink at least six to eight glasses of water, juice
or milk every day.
Vitamins: Take a multivitamin or prenatal vitamin every
day. Ask your health care provider if you need to take an
iron or calcium supplement, too.
Caffeine: Limit the caffeine you get each day to 200 milligrams.That's about the amount in one 12-ounce cup of
coffee. Caffeine amounts in coffee depend on the brand
you drink and how it's made. So check the label on the
package, or ask at your coffee shop. Instead of drinking
regular coffee, try coffee that's decaffeinated (has a smaller
amount of caffeine). Caffeine is also found in tea, chocolate, soda and some over-the-counter medicine. Read labels
on food, drinks and medicine to know how much caffeine
you're getting.
FOODS TO AVOID
Some foods can make you and your baby sick. Avoid these
foods that can cause food poisoning or contain harmful
chemicals.
• Raw fish, especially shellfish.
• Soft-scrambled eggs and foods made with raw or
lightly cooked eggs.
• Unpasteurized juices.
• Raw sprouts, especially alfalfa sprouts.
• Unpasteurized soft cheeses, such as brie, feta,
Camembert, Roquefort, queso blanco, queso fresco and
Panela.
• Unpasteurized milk and any foods made from it.
• Herbal supplements and teas.
• Fish that can be high in mercury, like shark, swordfish,
king mackerel and tilefish. It's OK for pregnant women
to eat a limited amount of fish that have small amounts
of mercury. You can eat up to 12 ounces of these fish
a week. The 12 ounces can include:
• Shrimp, salmon, pollock, catfish and canned light tuna
• Albacore (white tuna): Don't eat more than 6 ounces
of this tuna in one week. Always check with your
local health department before you eat any fish you
catch yourself. Raw or undercooked meat, poultry,
seafood and hot dogs. Deli meats (such as ham and
bologna) can cause food poisoning. Avoid them or
reheat them before eating. Refrigerated pates, meat
spreads or smoked seafood. Canned and shelf-stable
versions are safe.
Apply Now
for CAP's
2010 SchoolYear!
In Tulsa County, Community Action Project's Early Childhood Education
Programs bring together the best early education and family services available at little or no cost helping parents prepare their children for success in
school and beyond.
• Our program is currently accepting applications for children birth through
four-years-old for the 2010 – 2011 school year.
• All new applications must be submitted by April 1, 2010.
• APPLY EARLY! Applications will be accepted at CAP's Enrollment Office at
4606 S.Garnett Road, in the Exchange Center East, First Floor.
For more information on qualifications and to complete an application,
call CAP’s Enrollment Office at 585.3227.
BabyGuide 2010
17
BABY’S HEALTH
FINDING THE ONE THAT IS RIGHT FOR YOU
pediatrician
P
arents are often clouded with confusion when it
comes to finding the right pediatrician. But by
researching the options and defining their priorities, families can find a practice they feel both confident
in and comfortable with.
When Deanna Michalski's son was born, this new
mother wasn't certain what she wanted in a pediatrician, so she chose a large, nearby practice.Within
months, however, she grew dissatisfied with the staff's
disposition and the office's policies and procedures.
“I liked the pediatrician so I stuck it out, but then
Gavin began having reflux issues,” she says of her then 4month-old son.“At that point I felt like we were one in a
number, and our needs weren't being met.”
Birthed from her frustrations, Michalski now realized
she wanted a small practice with one doctor who knew
her family and could meet their needs. So she began asking local moms for recommendations.
“Good starting point,” says Maryanne Bourque, RN,
community nurse educator for the DuPont Hospital for
Children.“Get referrals from other parents and your
obstetrician. Or go online to the American Academy of
Pediatrics [AAP] to access a listing of area doctors,” she
says.“Once you have several names, log onto your health
care provider's website to confirm these pediatricians
are covered under your plan.”
continued
18
TulsaKids
Likewise, identify your priorities.
That's what Sari Daisey did during the latter part of her
first pregnancy.
“Location and office hours were important, but I also
wanted a pediatrician who was affiliated with the children's hospital,” says the mother of two, now ages 7 and
3.“Equally important was ethnicity; I wanted
to find someone the same color as my
children so they would have a
role model who looked like
them.”
Several of Daisey's
neighbors took their
children to a facility
that partnered with
the hospital. Since
they had numerous branches, she
called around
until she located
one that had an
African American
doctor.
Before contacting prospective
pediatricians, prepare a list of questions, leaving space
to jot down answers
given by the staff. Better
yet, create a chart or
spreadsheet with columns
that address specific questions
and rows of recommended doctors
so you can compare practices.
For some parents, group versus solo practice may
be a determining factor.
“With a solo practice there is one doctor and a small
staff who knows your family well, but he will have limited hours and call upon other practices to help when
he's out,” says Dr. Jay Ludwicki,AAP representative and
practicing pediatrician.“Group practices offer more availability in hours and a doctor is always present, though
your child may not see his own pediatrician during sick
visits. Larger practices may also have sub-specialists, and
they can consult with one another if needed.”
Another consideration may be how questions are
addressed during and after office hours.
“In some larger practices there is a phone nurse who
takes care of over-the-counter questions,” Bourque says.
“This handles everyone's time better. Parents can get
their questions answered quickly, and it gives doctors
time to do what they need to do.”
Parents may also be concerned with procedures
regarding illnesses and after-hours emergencies.
Daisey was interested in all of these.“I wanted to
know when the pediatricians were available by phone
BabyGuide 2010
and find out if they had a call-in period each day to take
questions,” she said.“I also asked how quickly sick visits
could be scheduled and what would happen if there
were an after-hours emergency.”
After you have called prospective practices, narrow
your list and set up face-to-face consultations.Watch how
the staff interacts with patients and people
on the phone. Check out the reception area for cleanliness and safety. Also look at patient flow:
Are families moving in and
out of the office in a
timely manner?
“When I called
Dr. Epstein's office I
liked what they had
to say, so I scheduled an appointment to meet the
doctor,” Michalski
said.“The office
was clean and
child-friendly; we
didn't have to
wait long either.
The doctor was
actually running
behind and came out
to say he'd be with us
soon.Within minutes we
were taken back to an
examining room.”
“When you meet the physician,
find out if his philosophies line up
with yours,” Ludwicki said.“Also notice if
he listens attentively to your concerns, is patient
with explanations and interacts well with your child.”
“I was a little nervous about some health care topics,
so I asked the doctor about her philosophies on breastfeeding and immunizations,” Daisey said.“I liked her
approach and, despite the fact we'd have to drive a little
farther, I felt like we had a good match.”
Most important, follow your instinct. If you feel comfortable with the doctor and the staff and confident in
their ability to care for your child, chances are you've
found the right fit.
Michalski did. It's been five months since her first visit
with Dr. Epstein.“The staff is friendly and helpful, the
doctor is patient and understanding and when I call or
come in, they remember us and do everything they can
to take care of our needs,” she says.
Denise Morrison Yearian is the former editor of two parenting magazines and the mother of three children
continued on page 22
19
Baby Bump
W
hen Tulsa-native Lisa White returned to
T-town from Manhattan with her husband Brad, they didn’t plan to launch
the city’s hippest destination for
moms-to-be. But when their own family began to grow, the White’s saw the need for a little more
love for pregnant women in the Tulsa area.
The ULTIMATE DESTINATION for Mommy to Be,
featuring an upscale maternity boutique,
exclusive maternity spa and the very latest
top-of-the line technology to deliver stunning
real-time 4D video ultrasounds.
Designed to be the ultimate destination for Mommy-to-Be,
Baby Bump features an upscale maternity boutique that
carries clothing from around the globe.
Some designer lines include Maternal
America, Olian, Japanese Weekend,
More of Me Maternity, F.E.M. by tbags,
Avishag Arbel and Ripe. The boutique
also carries Swank Mommy necklaces.
Style is always important and pregnancy is no exception. With fresh lines
and clothing rare to the scene, Baby Bump offers a unique
array of chic clothing that accentuates the one accessory a
pregnant woman always has – the glow! Each pregnant
body is different, so Baby Bump caters to the individual and
recommends clothing to fit each unique body type.
Pregnancy presents an interesting challenge to the body,
which requires special attention. To relieve the aching and
tension created from the extra strain, caring and experienced
massage therapists offer a soothing and relaxing prenatal
massage on a custom designed and fabricated maternity
massage table. The Spa at Baby Bump features Mama Mio –
Designer Denim from:
• Citizens • Rock & Republic • James Jeans • J Brand
Maternity Boutique
Spa
Infant Massage & Yoga Classes
4D Ultrasound
located in center 1 • 3524 S. Peoria @ 35th Place • 918.742.6400 • BabyBumpTulsa.com
the absolute premier line of spa products, skin care and
body care. Pregnant women, postnatal mommies and their
partners are all invited for some stress-relieving fun with
massages like “Mellow Mama,” “Yummy Tummy” and “The
Smoothie.”
Prenatal yoga is a soothing activity that leaves a weary
body and mind refreshed. Courtney Woodard, previous
owner of Body, Mind and Baby Prenatal/Postpartum
Fitness Center instructs prenatal yoga classes inside Baby
Bump’s Brookside storefront.
"It's our goal to be a part of this incredible
experience, from the clothes to the classes,"
said Brad. "We'll keep bringing ideas and fun
events for moms-to-be."
Growing in
popularity,
infant massage offers a
skin-to-skin
connection
that helps
parents and
baby understand each
other better
without saying a word.
The joy of pregnancy coupled with the anticipation of
childbirth leave many wondering about their unborn child.
Baby Bump is pleased to offer the latest and most
advanced in GE Ultrasound Technology. Recognized
worldwide for its real-time 4D-imaging capabilities, GE
offers an unprecedented look at an unborn child. The
Ultrasound Suite at Baby Bump can accommodate the
entire family during the ultrasound session and a DVD can
be sent to those who missed the experience. 4D Term
Experience, which allows mommy-to-be to spend time
with her baby, is a course of six different sessions beginning with the initial gender check and ending with the
dimple that pops up in week 34.
For more information, and to get the iPhone app for a
personalized countdown for your little one, go to
www.babybumptulsa.com. Find Baby Bump in Center 1 on
Brookside, 35th and Peoria or call (918) 742-6400.
Baby Bump is excited to announce
launch of unique, specialized
classes for mom and baby inside
their sophisticated Brookside
boutique. Monthly instructional
infant massage classes, taught by
certified massage therapist Anitra
Lavanhar, foster that critical skin-toskin contact between parent and
baby. Prenatal and postpartum
yoga classes for mom and baby are
taught by Courtney Woodard,
previous owner of Body, Mind and
Baby Prenatal/Postpartum fitness
center and certified trainer from
the Yoga institute of Houston.
Plus, Baby Bump offers monthly
infant CPR classes. Please call or visit
us online for dates and times. Other
classes include:
• Infant Massage
• Prenatal Yoga
• Postpartum, Mom & Baby Yoga
BABY’S HEALTH
Gather names. Get recommendations from local parents and/or
your obstetrician. Log onto the American Academy of Pediatrics
[AAP] for a listing of local referrals. Once you have a list of names, log
onto your managed health care website to confirm these doctors are
covered under your plan.
STEP
1
Check position and status. Many pediatric practices have websites that list
where the doctor got his undergraduate degree, did residency and pediatric
training and if he or she is board certified. Certification through the American
Board of Pediatrics (ABP) isn't required in some states but it shows the doctor
has obtained the ABP Maintenance of Certification standard and is following
established guidelines. An FAAP (Fellow of the American Academy of Pediatrics)
title means the doctor has passed ABP boards at least once and practices
according to AAP standards. Likewise, log onto the state board of medical practice website to see if there are any complaints lodged or disciplinary action taken
against any of the doctors on your list.
Identify priorities. Create a question checklist based on concerns that are
important to you. Leave space to write down answers. Or create a chart or
spreadsheet with columns that address specific topics and rows of recommended doctors so you can compare practices. Follow up with phone calls to potential pediatricians.
Close encounters. After you have called prospective practices, narrow the list of
potential candidates and set up face-to-face consultations.Watch how the staff
interacts with patients and people on the phone. Check out the reception area
for cleanliness and safety. Look for good flow: Are families moving in and out of
the office in a timely manner?When you meet the physician, find out his or her
philosophies regarding circumcision, breastfeeding, use of medications, alternative treatments and preventive care. Do they line up with your views? Also note
if he or she listens attentively to your concerns, is patient with explanations and
interacts with your child on his or her level.
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STEP
2
• What are the office hours?
• How do you handle telephone questions during and
after hours?
How quickly will I get a call back from the doctor or nurse during office
hours? How quickly after hours?
• Can I get a same day appointment for my sick child? What are the chances I'll
get to see my doctor (versus a different doctor or nurse practitioner)?
• How do you cover after hours and weekend appointments?
• Is this a solo or group practice?
If group, how many doctors are in the practice?
• Is there a pediatric nurse practitioner (PNP) in your office?
What is her role in the practice?
• Do you have a website?
• Is the doctor certified through the ABP (American Board of Pediatrics)?
Is he or she a member of the AAP (American Academy of Pediatrics)?
• What is your stance toward circumcision, breastfeeding, immunizations and
use of medications?
• What can I expect during well visits?
• Where are lab tests done?
• Do you have separate sick- and well-child waiting rooms?
• What is the typical wait time for visits?
• What are the fees for services? Do they have to be paid in full at the time of
the visit or can payment be arranged?
• If we need a specialist for additional care, what is your policy on referrals?
• Which hospitals are you affiliated with?
• Will the doctor come to the hospital to examine my baby after delivery?
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Save information. Once you have selected a pediatrician hold onto the information you gathered about other practices. Since health care plans often
change and physicians sometimes move in and out of plans, you
may need to find another physician in the future.
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TRENDS
baby leah
names
jayden
carter
rylee payton chase
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colton liam chloe
aaron eli jayden
leah carter rylee
payton chase colton
liam chloe aaron eli
TRENDY UP-AND-COMING NAMES
FOR 2010
BY BRUCE LARSKY, THE BABY NAME GURU
hat will parents be naming their babies in 2010?
Here's a quick look at the hottest trends. Because
trendy names often move in pairs or clusters, in
this report we'll look at the names that are movin' on up
and the themes that explain them. Each name is followed by
its current ranking (as determined by the Social Security
Administration) as well as its rank change from the previous
year.
Trendy Boys' Names for 2010
1. Certain Spellings of Sound-alike Names
Jayden (#11; + 7) almost made the top-10 boys' list, as soundalikes Aiden (#16; + 11),Ayden (#91; +11), and Brayden (#51;
+ 13) kept pace. However, variant spellings Jaden (#88; -13)
and Aidan (#59; -5) and sound-alikes Hayden (#76; -4), Caden
(#95; -3), and Kaden (#99; -1) have lost ground.
2. Old Testament Names
Elijah (#22; +8) and nickname Eli (#100; +30) along with
Nathan (#21; +3), Gabriel (#24; +4), Issac (#37; +4),Aaron
(#50; +2), and Josiah (#96; +10) are movin' on up. However,
Old Testament names like Daniel, Samuel, and David are
holding steady or slipping.
3. Irish Names
Brody (#70; +35) and Liam (#75; +14) have moved onto the
top-100 boys' list to join #16 Aiden. However, other classic
Irish names like Sean, Kevin, Connor, and Brody sound-alike
Brady have not kept pace.
4.Western "C" Names
Carter (#65; +15), Cooper (#92; +4), Colton (#98; +19), and
Chase (#67; +12) could be the name of a law-firm in Buffalo,
Wyoming--or a list of western style boys' names that are
increasing in popularity.
Trendy Girls' Names for 2010
1. Rising Sound-alike Names
Chloe (#10; +6) has moved onto the girls' top-10 list, while
sound-alike Zoey (#98; +14) is now a top-100 name.
However, Zoey's root name, Zoe (#58; -2), hasn't gone along
BabyGuide 2010
for the ride. Riley (#39; + 13) and Kylie (#51; +12) are on the
rise as variant spellings Kylee (#143; +14) and Rylee (#116;
+16) tag along.Aubrey (#42; + 27) has leapfrogged soundalike Audrey (#44; +7), as they both climb the list. Makayla
(#37; +10) and Layla (#55; +30) have moved up, joined by
variant spelling Mikayla (#170; +12). Peyton (#60; + 61) and
Payton (#90; + 63) have both climbed onto the top-100 list
and are likely to keep rising. Curiously, pro-football star
Peyton Manning's first name fell a few notches on the boys'
list--perhaps because of the growing use of the name for
girls.
2. Up-and-Coming Faith-Based Names
Genesis (#95; +43), has ascended to the top-100 list as
Nevaeh (#34; -3) (Heaven spelled backward) and Faith (#91; 17) have cooled off considerably. People of faith may take
comfort in knowing that Destiny (#48; -7) has also cooled
off.The fastest-rising Old Testament name, Leah (#41; + 27),
is moving up as other Old Testament names Sarah (#20; -2),
variation Sara (#92; -11), and Rachel (#75; -16) have moved
down.
3. Place Names
Brooklyn (#47; +10) has moved up-seemingly at the expense
of Sydney (#49; -12), which was previously the number-one
place name on the girls' list, and perhaps at the expense of
Brooke (#52; -7).
4. Old-Fashioned Names
Madeline (#56; + 5) is becoming popular again along with
variation Madelyn (#63; + 41), which is likely to overtake the
original spelling in the near future.
Bruce LanskyAbout the Author:
Bruce Lansky is "The Baby Name Guru." His candid reviews
of celebrity baby names and baby-naming articles have
been reprinted in thousands of newspapers, magazines,
and websites across North America. His name books, which
have sold over 11.5 million copies, include 5-Star Baby
Name Advisor, 100,000+ Baby Names, 60,000+ Baby
Names, The Very Best Baby Name Book, 25,000+ Baby
Names, and The New Baby Name Survey
23
LABOR
SIX MOVES TO MAKE LABOR
labor easier
BY SANDRA GORDON
B
eing active during the most intense part of labor
can help ease pain and move your baby down the
birth canal.
When you think about labor, you may envision lying in
bed. But that's not necessarily the best place to be, especially during active labor, the rigorous phase of childbirth in which contractions arrive roughly every three
minutes and the cervix fully effaces and dilates between
5 and 8 centimeters.
"Unless there's a medical reason for remaining in bed,
such as high blood pressure, we encourage women to
move around," Anita LaSala, M.D., an obstetrician at
Columbia-Presbyterian Medical Center in New York City,
said.
Besides walking--an age-old labor trick for prodding
Mother Nature--striking an upright pose, preferably a different one every 20 minutes, can enlist gravity and
24
pelvic movement to help keep labor moving along, Dr.
LaSala explained. It may also increase blood flow to the
placenta to enhance baby's oxygen supply, reducing the
risk of fetal distress.
"And some women just find being out of bed more
comfortable," she said.
Here are some positions that may ease pain during
active labor and help labor progress. Practice these exercises now so you're comfortable with them by the time
you're ready to give birth.
1. LUNGE: Place one foot on a sturdy chair, bed, or
stairway, lean into a lunge position, and rock your hips
during contractions. Switch legs every now and then.
"When you put your foot on a higher level, your pelvis
opens up.The baby has more room to rock down and
negotiate the pelvis," Karen Pestlin, director of teacher
continued
TulsaKids
training at the Association of Labor Assistants and
Childbirth Educators in Boston, explained.
2. DEEP SQUAT: With your feet spread apart, hold
onto the bed or a chair for support, then bend your
knees and squat, either halfway or fully to the floor. "Just
don't bear down," Dr. LaSala cautioned.Your cervix isn't
dilated enough at this stage of labor to push the baby
out. During a contraction, round your back. (Doing this
can help redistribute pressure.) To build leg power, practice squatting several months to weeks before your due
date.
3. CAT STRETCH: On the floor or in your bed, get on
your hands and knees and alternate rounding your back
and flattening it, rocking your hips with each contraction.
"This is one of the least stressful positions for your
baby because she's suspended.There's no pressure from
the bed on your arteries or on baby's umbilical cord like
there is when you're in bed," Dr. LaSala said.
4. SUPPORTED LEAN: Place a pillow on top of a
bureau, a table, or a hospital bed that has been raised to
its highest level.Then, simply lean forward, drape yourself onto the pillow, and sway your hips during a contraction. Since you're standing, you're working with gravity.
"And leaning into something soft feels really good,"
Pestlin said.
5. BED BEND: Raise the back of the hospital bed so
that it's in an upright position. Kneel on the bed, facing
the pillow, and lean forward carefully, draping yourself
over the raised portion. "This position is especially helpful if you have to remain in your bed and be on the monitor for some reason," Pestlin said.
6. LYING LOW: At some point during active labor, you
may want to rest. Lie in bed on your left side with pillows stuffed between your legs. Unlike lying on your
back, your weight won't be on your aorta (a major
artery), which can affect your circulation and your
baby's oxygen supply, says June Egee, a nurse and coordinator of the Alternative Birthing Center at Women and
Infant's Hospital in Cumberland, Rhode Island.
MASSAGE MOVES FOR ACTIVE LABOR
If there was ever a time for a massage, it's active
labor. As you try different positions, ask your partner
or birth coach to apply relieving counter pressure
with these three moves.
TAILBONE PRESS: With each contraction, your partner presses on your tailbone with the heel of his
hand or a tennis ball.
BACK CARESS: Your partner lightly runs his fingertips over your shoulders and down your back. "It's
almost a tickle," says Suzanne Fremon, a New York
City doula in private practice.
PELVIS PRESS: While standing behind you, your partner puts his hands on your hips and pulls back on
them firmly as each contraction hits (you tell him
when). This maneuver can also help open the pelvis
slightly to make more room for baby.
THE THREE STAGES OF LABOR
To give you an idea of how active labor fits into the
entire childbirth process, here's a play by play of
what happens, when.
1. FIRST STAGE: CONTRACTIONS
Duration: An average of 12 hours
What happens: During this stage, your cervix dilates
between 0 to 10 centimeters. Early on, contractions
may be mild, but they may become more intense
and closer together during active labor, when the
baby descends the birth canal and you dilate
between 5 to 8 centimeters. During early or active
labor, your water may break and you may have
vaginal bleeding. When your cervix is 8 to 10 centimeters dilated, birth is imminent and contractions,
which can be particularly intense, are about two
minutes apart, lasting a minute or so.
2. SECOND STAGE: BIRTH
Duration: Two hours or longer.
When the cervix is 10 centimeters dilated and fully
effaced, you're ready to push your baby out. For
more efficient pushing, take advantage of gravity.
Raise the bed into a chair position so you're semisquatting. Or try squatting on the bed or floor while
holding onto your partner and labor coach for support.
3. THIRD STAGE: DELIVERING THE PLACENTA
Duration: Up to 30 minutes
You're not done yet. During this stage, contractions
will continue until the placenta is delivered, but they'll
be much less painful than those you experienced during the first and second stages.
BabyGuide 2010
25
HEALTH
WHEN TO CALL THE DOCTOR
doctor
WHEN TO CALL YOUR DOCTOR
You should schedule regular well-baby visits to your
baby's doctor to discuss development and growth, and
changes in care and feeding.These visits will reassure you
about your baby's progress, and your questions and concerns can be discussed.
Consult your child's doctor if your baby has any of the following signs:
• is unusually inactive or quiet
• has no interest in eating
• has a rash
• has a fever
• repeatedly vomits (not just spits up)
• has diarrhea or is constipated
• cries excessively for no apparent reason
CALLING THE DOCTOR
Use this checklist when you prepare to call your child's doctor:
• Write down the behavior of your baby.
• Take a temperature reading.
• Have the name and phone number of the pharmacy
handy.
• Have a pencil and paper in hand to note the doctor's
nstructions.
SOME COMMON HEALTH CONCERNS
Bowel Movements & Diarrhea
Babies' bowel movements or stools vary considerably in
color, consistency, and frequency.What is normal for your
baby may not be normal for someone else's.
Breastfed babies' stools are typically loose and seedy.
Formula-fed babies have firmer, formed stools. Unless your
baby has very loose, watery stools, blood in the stools, or
very hard, pellet-like stools for longer than 2 days, you don't
need to be concerned about changes in bowel habits. Ask
your baby's doctor for advice if you're worried.
Jaundice
Jaundice is a common and usually harmless condition in
newborns. It is a yellowish appearance of the whites of the
eyes and the skin of many newborn babies which usually
appears on the second or third day of life in healthy babies
born after a full-term pregnancy. It often disappears within a
week without treatment.
Ear Infections
Ear infection (otitis media) is common in babies and children. Fluid collects in the middle ear space and pushes
against the eardrum, causing pain. Symptoms of ear infections may include fever, pulling or rubbing the ear, irritability, weakness, loss of appetite, loss of hearing, or nausea and
vomiting. Since ear infections can be caused by bacteria,
continued
26
TulsaKids
they are treated with antibiotics. It is important to give the
antibiotic for as many days as specified by your doctor, even
if your child appears to be well.
Spitting Up
Small amounts of spit up are normal in babies. If a baby
throws up all or most of a feeding occasionally, the mother's
breast milk may be coming faster or be more than the baby
needs. Or a bottle's nipple holes may be too large. Repeated
vomiting is a serious concern. Call your baby's doctor if she
frequently vomits large amounts, or if there is any blood in
any of the vomit.
Source:“Caring for Your Baby,” Ross Pediatrics
SKIN CANCER FACTS
• The first 18-20 years of life are the most crucial for the
future good health of a person's skin.
• 80 percent of a person's lifetime sun exposure occurs by
the age of 20.
• Regular use of a sunscreen can reduce a person's lifetime
risk of developing the two most common types of skin cancer by 78 percent.
PROTECTING YOUR CHILD
1.The first year of life is sacred. Keep babies out of the sun as
much as possible during this time. Should a bad burn occur,
inform your child's doctor immediately.
2. Be a clock-watcher.Avoid outings, lessons, classes and outdoor play as much as possible during the hours of 10 a.m.
and 3 p.m. when the sun's rays are most intense.
3. Use sunscreen regularly year-round.Apply sunscreen every
day your child is exposed to the sun. Remember that sunscreen does not prevent over-exposure to the sun.
4. Choose sunscreen with broad-spectrum protection.The
most effective sunscreens clearly indicate that they offer protection against both UVA and UVB rays.
5. Choose your SPF with care. Sunscreen with a sun protection factor in the range of 15 is the standard recommendation in the U.S. Reapply frequently.
6. Think“patch-test.”Test the sunscreen on the underside of
your child's forearm, then wait 24 hours before applying all
over.
7. Avoid the eye area.
8. Choose a water-resistant or waterproof product.
9. Apply early.Apply 15-20 minutes prior to sunning.
10. Cover up with clothes. Choose lightweight but tightly
woven fabrics, long sleeves and long pants, and a bonnet or
cap.Apply sunscreen underneath sheer clothes.
EMERGENCY FIRST AID
What to do if baby may have been poisoned:
1. Immediately call a Poison Control Center: (800)522-4611
2. Follow the directions given.You may be asked to give the
baby ipecac syrup to make him vomit. But never make a
child vomit unless instructed to by the Poison Control
Center, or a health care professional.Vomiting strong substances such as acid or lye can cause more harm.
BabyGuide 2010
WHAT TO DO FOR SCALDS OR BURNS:
1. If the injury is to an arm or leg, place it in cool water - or, if
the injury is to another part of the body, immediately apply a
clean cloth dipped in cool water.
• Call the doctor.
• Leave any blister alone.
• Keep the area free of ointments, greases, or powders.
• Cover the area loosely with a sterile gauze pad or clean
material that won't stick to the burn until the doctor sees
the baby.
FOR A BABY WHO HAS A HEAD INJURY:
Warning signs:
• Any loss of consciousness after an injury.
• Inability to move arms or legs.
• Drainage of blood or other fluid from the nose,
mouth, or ears.
• Vomiting that won't stop.
• Pupils of the eyes uneven in size.
• Cannot be awakened.
What to do:
Try to have the baby rest quietly, then call the
doctor immediately.
NEWBORN CARE
• Place infants on their back or side for sleep.
• Don't worry about spoiling newborns by holding them or
picking them up when they cry. Babies are learning trust
and security.
• If your newborn seems fussy, try swaddling the baby.
• Breastfeeding is considered the preferred method of infant
feeding.
• If you bottle feed, hold the infant close to your body so she
can look at you while feeding. Be sure to change the side
that you hold your baby so that her vision develops
uniformly.
• If you are using formula, be careful to prepare the
formula as instructed.
• Infants respond best to the human face and voice. Be sure
to put yourself in the infant's direct line of vision and smile,
sing, talk, coo, or make faces.
• Do not smoke or allow anyone else to smoke around the
baby.
• Do not overdress a newborn. Infants cannot control their
body temperature as well as adults and can easily overheat.
• Purchase stretchy clothes with lots of snaps - especially
clothing that can grow with the baby.
• For optimal safety on the road, be sure to place your infant
in a car seat that is appropriate for his or her age and
weight. For greater safety, infant car seats should be placed in
the center back seat and in the rear facing position. Never
place an infant or child in the front seat of a car with
passenger side air bags.
• Babies really don't care if their diapers or clothing are put
on the right way. The most important aspect of parenting is
that everything you do (even if it is done incorrectly) is done
with love.
27
MASSAGE
THE MAGIC
OF TOUCH
massage
BY CINDY WEBB
O
don't get enough skin-to-skin contact.
“America as a society tends to be touch deprived,”
she said.“Especially babies born in colder climates
where their skin may not be as available.”
TOUCH DEPRIVED AMERICANS
According to Anitra Lavanhar, LCMT, a massage therapist who specializes in baby massage, infants from
birth on benefit from the magic of touch. “When
babies are in utero they are constantly being massaged,” Lavanhar said. She is mother of Elias, 9, and
Lyla, 14 months.“Touch is one of the first senses to
develop and is essential for survival.”
Lavanhar is concerned that, once born, babies
INDIA: A CULTURE OF MASSAGE
Lavanhar, who received her training and taught
massage therapy at the Muscular Therapy Institute in
Cambridge, Massachusetts, says that she first
observed the benefits of infant massage when she
was living in India as a college student.
“Life takes place outdoors in India and in my neighborhood I remember seeing young mothers with
their legs outstretched, babies on them, shiny with
oil, yellow from the turmeric they often added to the
oil. The massage was like a daily ritual, like baths
here. The babies always looked like limp rag
dolls–totally relaxed.”
ne of my favorite childhood memories is lying
across my mother’s lap as she gently
scratched, tickled and stroked my back. She
often used those gentle massages to help me relax
and transition to sleep. I loved those blissful
moments of closeness with my mom, as she did for
me what mothers through the centuries have done,
used touch as a way to calm and soothe a child.
continued
28
TulsaKids
WHY MASSAGE
“The research on infant massage and how it helps
growth is phenomenal,” Lavanhar explained.“It helps
with digestion, weight gain, and circulation. Studies
show that premature babies who are massaged gain
weight faster, have lower cortisol [stress hormone]
levels and leave the hospital earlier than babies who
are not massaged.”
Lavanhar said that not only can massage calm a
fussy baby, relieve colic, and create a strong bond
between infant and parent, it also soothes the parent.
“It has actually been shown to lower the blood
pressure of the parent giving the massage,” she said.
“And that, in turn, can have a rebound effect on the
baby. Babies are very sensitive and pick up on parent's stress.”
SETTING THE STAGE
In preparation for massaging your baby, remove
your jewelry, wash your hands and make sure your
nails are short and filed smooth. To set the stage,
begin with a warm room, low light and maybe some
soft music. Have on hand a single ingredient fruit or
vegetable massage oil, such as cold pressed apricot,
almond or grapeseed oil.
“I use oils that just have one ingredient,” Lavanhar
said.“That way if the baby has an allergic reaction,
you know exactly what caused it.”
Once the room and materials are ready, Lavanhar
tells moms to get into a comfortable position with
their babies, let go of tension and relax.
Lavanhar added.“And don't work on a baby's belly
until half an hour after your baby has eaten.”
If your baby has a particular time of day when he
becomes fussy, Lavanhar suggests using massage right
before that time.
THE OLDER BABY AND BEYOND
While establishing a daily ritual of massage can be a
wonderful addition to your life with baby, you can
also work brief massages into many activities of the
day, such as bathing, nursing and diaper changes,
especially as your baby grows.
“With an older, more active baby, massage becomes
more of a dance in which you let the baby lead,”
Lavanhar said.
As your child grows, you may also find new reasons to
bring the magic of massage into your family.
By beginning a massage ritual with your baby, you
can establish massage as part of the “culture of your
family.”Touch then becomes an easily accessible tool
to bring comfort, security and deep relaxation to
every member of the family.
Anitra Lavanhar, LCMT, is currently giving classes in
Infant Massage at Baby Bump, 3524 S. Peoria. For
more information call Anitra at 688-8534 or Baby
Bump at 742-6400 or visit www.babybumptulsa.com.
ASKING PERMISSION
When you are ready to begin, Lavanhar suggests you
ask your baby for permission, by saying something
like,“Would you like Mommy to massage you?”
“The idea behind this is to teach your baby that she
has a say in whether she is touched or not,” Lavanar
said.“It also helps raise parents' awareness that they
need to be alert to the cues their baby gives.”
As a baby gets older she may respond to the question with smiles and giggles as she anticipates what is
to come. However, if she responds by crying or
rolling away, you know the answer is no.
HOW TO BEGIN
Begin massaging your baby's arms and legs using
long, slow, strokes.
“Your touch should be firm, but not too hard; gentle, but not tickly and light,” Lavanhar said.“Sometimes
your baby may cry a little. That is a normal release of
tension. But if the cry changes or your baby arches
his back–those are signs that he isn't liking what's
going on.
“Start with relatively brief sessions of five to 10
minutes with newborns and work up from there,”
BabyGuide 2010
29
SAFETY
their care goes home without an acceptable infant car seat. New
parents also receive education about the proper positioning to
make sure their new addition arrives safely at their destination.
William Po, M.D., associate residency director, said about the
cost,“It's important for us to teach the next generation of doctors
that regardless of cost, giving to our community is more than
just writing a prescription, but putting our beliefs into actions.”
Johnson said,“Millions of dollars are spent each year in parent
education but when you can't afford a car seat, education
does little to curb the situation. Our OSU doctors are making a difference.As physicians we find regulations to
healthcare access, and the strains on our economy are no
excuse to forget what we love about medicine and that's
caring for people.At OSU we know that our gift comes
from a servant's heart and a love for the communities we
serve.”
Lance Frye, M.D., notes that infants from birth to one year of
age should ride in a rear-facing seat with harness straps below
the shoulder level.After age one, or greater than 20 pounds, a
toddler should be positioned forward facing with harness
straps again located at or above the shoulder level. “Proper positioning is essential to maximal protection,” he added.
Information about infant safety and the proper use of infant
car seats is available at the National Highway Traffic Safety
Administration at www.nhtsa.dot.gov or from the physicians at
OSU Department of Obstetrics and Gynecology, (918) 586-4500.
OSU Physicians Obstetrics and Gynecology is at 717 S. Houston
Ave., Suite 200.
car seats
OSU PHYSICIANS PROVIDE CAR SEATS FOR INFANT SAFETY
A
group of Oklahoma State
University College of Osteopathic
Medicine physicians are providing
car seats for their patients after finding
that those without the means to purchase an infant car seat often simply borrow one to get the infant home, then do
without.
“Fatalities among children can be
reduced by 71 percent through the use
of infant car restraints yet 20-25 percent
of children still ride unrestrained and 80
percent of infants under the age of one
are improperly restrained,” says Joseph R.
Johnson, D.O., chair of the OSU
Department of Obstetrics and
Gynecology.
Believing that a good way to ensure a
positive impact in communities is to provide what they are lacking, the physicians
started the program. Each patient that
delivers through the obstetrical department at OSU Medical Center receives a
free infant car seat and no infant under
30
With Dr. Johnson are Christy Shamblin and her
daughter, Jamison Sue Shamblin. Dr. Johnson and
other OSU physicians emphasize the importance
of proper car seat use to their patients
TulsaKids
BabyGuide 2010
31
I N FA N T H E A LT H
the abc’s of rsv
arents gearing up for fall and winter need to know
that, sometimes, seasonal sniffles mean more than
just a cold. Respiratory syncytial virus (RSV) is a
common virus that usually causes cold-like symptoms in
adults and children. But for some babies, especially those
born premature or susceptible to other risk factors, RSV
can be very serious.
All about RSV
RSV is very common, with virtually all babies contract-
P
ing it at least once by the age of two. RSV infects the
upper respiratory system with symptoms similar to a
common cold or influenza. It is the leading cause of hospitalization of children under the age of one, accounting
for more than 125,000 hospitalizations in the United
States annually.
RSV recurs yearly throughout the world and can be
contracted more than once over a person’s lifetime. In
most of North America, the typical “RSV season” begins
continued
32
TulsaKids
in October/November and lasts four to five months.
Babies who are most at-risk
All babies are at risk for contracting RSV, particularly
within the first six months of life. Babies born premature (earlier than 37 weeks) are particularly vulnerable
to contracting RSV because they generally have underdeveloped lungs and lack important antibodies they need
to fight off infections.
Additional factors, such as low birth weight (less than
5 pounds), contact with other children, family history of
asthma, and exposure to tobacco smoke, also put babies
at high risk for contracting RSV.
Preemies and babies suffering from lung disease, heart
disease or immune deficiency should be watched more
closely for a longer period of time because RSV can lead
to life-threatening lower respiratory tract infections,
including bronchiolitis or pneumonia.
What to look for
Common symptoms of RSV include a severe cough, persistent wheezing or difficulty breathing. Possible signs of
a more serious infection that may require a trip to the
emergency room, include apnea (if the baby stops
breathing for more than 10 seconds), turning blue or
breathing so fast that you can’t feed the baby.
Caring for your baby
Prevention is the key to helping your baby stay
healthy. RSV lives on surfaces like countertops and in tissues for up to several hours and is easily transferred
through direct contact, especially from the hands to the
baby.
Keep other children and adults who have coughs,
colds or are sneezing away from your baby.Additionally,
frequently clean your baby’s bedding, toys and personal
items and anyone handling your baby should wash
his/her hands or use antibacterial gels.Also, keep your
baby’s nose clear of secretions and make sure he/she is
receiving enough fluids.
TIPS FOR PROTECTING YOUR BABY
Parents should remember the following during RSV season and beyond:
• Check with your pediatrician to see if your baby is at
a higher risk for RSV and understand your options.
• Ask visitors to wash their hands before touching your
baby (and keep hand sanitizer nearby).
• Limit your baby’s exposure to small children who
attend daycare or school.
• Monitor your baby for persistent coughing, wheezing or difficulty breathing, and seek a pediatrician’s care
if symptoms develop.
• Remember that you know your baby best. If you are
at all concerned, call your pediatrician.
BabyGuide 2010
33
BABY’S DEVELOPMENT NEEDS
Your
Growing
Baby
MOVING AND EXPLORING
0-3 Months
Most important tasks for your baby:
• develops head and
neck control
• tracks objects with eyes
• turns to source of sound
How you can help:
• provide support as neck
muscles develop
• offer rattles and hang mobiles
• play daily with baby
3-6 Months
Most important tasks for your baby:
• supports own weight on
forearms while on tummy;
rolls over
• swipes at objects; reaches
out, grasps
How you can help:
• watch as baby plays
on tummy
to strengthen shoulder &
neck muscles
• encourage reaching out
for toys
6-9 Months
Most important tasks for your baby:
• sits without support
• moves around on belly,
gets onto hands and knees
• picks up/manipulates objects;
puts things in mouth
How you can help:
• play with baby in sitting
position
• offer toys with texture,
sound and movement
• stack and knock over toys as
a game
9-12 Months
Most important tasks for your baby:
• crawls
• pulls up to a standing
position; “cruises” around
the furniture
• develops pincer grasp, more
precise use of hands
How you can help:
• baby-proof the house for
continued
34
TulsaKids
baby’s safety
• clear surfaces of small or
breakable objects; cover
pointed corners
• hand baby toys to explore
and manipulate
INTERACTING & FEEDING
0-3 Months
Most important tasks for your baby:
• smile responses, first
nonspecific and then social
• communicates needs
by crying
How you can help:
• cuddle/hold baby; infants
cannot be spoiled by attention
• respond to cries, meet baby’s
needs
3-6 Months
Most important tasks for your baby:
• spontaneous social smiles
• cries to get parents’ attention
when in need
• responsive to words and
sounds
How you can help:
• show delight in baby while
cuddling, feeding and
changing
• let baby touch your face and
look into your eyes
• talk and sing to your baby;
play music
6-9 Months
Most important tasks for your baby:
• interested in people and many
objects; more playful
• will touch mirror when seeing
own image
• may begin to show fear
toward strangers
How you can help:
• smile and laugh together;
enjoy
baby’s wonder at the world
• talk to baby while pointing to
image in the mirror
• take baby places with you to
increase comfort with others
9-12 Months
Most important tasks for your baby:
• enjoys social interaction
with others
• may show normal anxiety
toward strangers, or when
separated from caregivers
How you can help:
• play and have fun together
• try not to be away for
BabyGuide 2010
extended periods
• let baby cuddle a blankie
for security
COMMUNICATING & TALKING
0-3 Months
Most important tasks for your baby:
• communicates needs
through crying
• hears, sees, feels, coos,
burps and gurgles
• associates parents’ voices
with comfort
How you can help:
• respond promptly to
baby’s cries
• imitate baby’s sounds and
say them back
• talk and sing to your baby
3-6 Months
Most important tasks for your baby:
• experiments with new sounds,
such as coos, gurgles,
and “baba”
• chews, sucks and bites on
rattles
How you can help:
• imitate baby’s sounds; take
turns making sounds
• offer rattles with variety
of textures
6-9 Months
Most important tasks for your baby:
• responds to own name
• makes more sounds and
imitates gestures
• listens more selectively
How you can help:
• call baby by name
• “talk” with baby by
repeating sounds
• sing nursery rhymes;
sing along with children’s
music
12-18 Months
Most important tasks for your baby:
• copies sound combinations
• recognizes and begins to point
at common objects
• repeats animal sounds; says
“dada” and “mama”
How you can help:
• play gesture games such as
“pat-a-cake” and “so-big!”
• point to and label simple
objects at home and in books
• identify animals, mommy
and daddy
THINKING & LEARNING
0-3 Months
Most important tasks for your baby:
• inborn motor and sensory
reflexes (sucking, grasping,
seeing, hearing)
• moving to regularity in eating,
sleeping, urinating and bowel
movements
How you can help:
• stimulate baby’s senses with
varied textures, objects and
soft sounds
• adapt to your baby’s patterns
of eating, sleeping and
wakefulness
3-6 Months
Most important tasks for your baby:
• mouths and touches
everything
• more interest in things
beyond self
• looks at place from which
a moving object has
disappeared
How you can help:
• introduce soft, colorful toys
with different textures
and feels
• give baby a rattle, show how
to shake it
• play peek-a-boo; drop a noisy
toy and let baby look for it
6-9 Months
Most important tasks for your baby:
• transfers toys from hand
to hand
• pulls, bangs and shakes, play
actively
• explores and investigates
How you can help:
• play on the floor with toys
• let baby imitate what you do
with toys
• praise baby for
accomplishments
9-12 Months
Most important tasks for your baby:
• begins to show intentional
behavior; manipulates objects
for different effects
• looks for toys he sees
being covered
How you can help:
• demonstrate use of toys and
encourage imitation
• play pointing/hiding games
with toys
35
BABY GEAR
We have sorted through numerous products for baby only to feature our favorites. The following
are new and clever products that will allow both you and your new baby enhanced opportunities
to be smart and stylish.
BY NANCY A. MOORE
HAPPY BABY, HAPPY YOU
by Karyn Siegel-Maier
(Storey, 2009)
Price: $10.95
www.storey.com
A book for parents full of tips, ideas and
techniques on how to make you and
your baby's first year wonderful together.The layout devotes one tip per page
making it is easy to read and reference.
One terrific tip includes,“Show your
baby that she is important to you. Set
aside time each day to give her your
undivided attention.”A vast range of
topics is included in this book - from an
easy recipe for healing baby powder to
informative and important hints about
estate planning.
WIGGLE! MARCH!
By Kaaren Pixton
(Workman, 2009)
Price: $4.95
www.workman.com
This flexible book is “indestructible,” so
babies can bend, pull, and chew to their
hearts content without hurting the book.
The book serves a dual purpose of entertaining pictures as well as something to
play with.While the book doesn't have
any words, each page displays pictures of
various farm animals. Several “indestructible” book titles are available to choose
from. One-hunderd percent washable!
36
TulsaKids
PRODUCTS TO COO ABOUT
THE BOBO
GLOVE AND
BOOK
by Raquel Jaramillo
(Workman
Publishing, 2009)
Price: $18.95
www.workman.com
The glove, made for
an adult hand, is full
of activities for baby.
Each finger has something to pull, tug or
chew on.There is a
soft teething ring, a
rattle, a honker,Velcro, mirror, and a tiny
bobo baby book for you to read to your
baby. Great item to tuck in a diaper bag pull out for easy entertainment. Glove is
washable.
WOW BABY BIB
Price: $29.95
www.awowbaby.com
This unique design
was developed to
keep baby dry.The
bib's design includes
an attachable plastic
flap that fastens underneath the bib with snaps that are strategically placed to keep babies dry when they
spit-up. Cotton fabric, in five stylish
designs, is on the top of the bib and an
organic blend of cotton and bamboo is on
the bottom, with the plastic part under
that. Bamboo fabric is 10-times more
absorbent than regular cotton and contains natural antibacterial properties.The
layering helps keep baby dry. Matching
burp cloth with an attachable plastic flap
is also available.
BabyGuide 2010
STAY WITH ME SOCKS
Price: $5.99 / pair
www.StayWithMeSocks.com
These socks are adjustable. Small Velcro
straps on the back of each sock enable
them to have a snug fit either around the
back or around the front of baby's ankle.
Made of cotton, nylon, spandex and rubber, they are soft and machine washable.
Socks come with skid-proof grips on the
bottom. Best of all, the straps can be
looped together for easy washing.
Different colors and sizes available.
SMART TRIKE
www.smart-trike.com
Is it a stroller, a tricycle, a push toy? This
is a product that evolves with children as
they grow! It starts out as more of a
stroller for baby and becomes more
interactive as the child gets older.
Eventually, the final evolution is a real
trike for your toddler. It comes in bright
colors and has cool features like a sun
screen and a handle for parents to maintain a little control
of the vehicle when
needed. Smart Trike has
several products for
infants and toddlers and
kids, all with the same multipurpose, grow-with-thechild technology.
37
COGNITIVE DEVELOPMENT
Share the Gift
of Reading
Even Babies Benefit from Storytime with Parents.
BY JOHN FANCHER
t 6 months old, Isabel Rosenblum
has a voracious reading
appetite. She devours board
books with the skill of a university
scholar.
Her love of books is directly
attributed to an increased awareness
of the benefits of developing early literacy skills.
“I have brought Isabel and my
2-year-old son, Ruben, to storytimes at
the library since they were infants,”
said Celia Rosenblum. “It is the perfect
opportunity to give them a group experience in a learning atmosphere. Plus,
they love picking out their own books to
take home and read.”
Tulsa City-County Library features My
First Storytimes for newborns to 2-year-olds
and their caregivers.These interactive programs
are approximately 20 minutes and feature songs,
bright picture books and musical instruments.
“Infants build their early literacy skills by hearing a
variety and repetition of words,” said Cathie Sue Andersen,
TCCL’s children’s services librarian.“You can help your child
develop early literacy skills by reading and talking about books
and telling stories to your child starting at birth. Reading aloud
also helps your baby create a positive bond with you.
“Read a book, sing a song, recite a rhyme, share a story –
these are the keys to teaching your baby to love reading,” said
Andersen.“Our First Readers packets are full of helpful informa-
A
Kadry Dale, Broken Arrow Library children’s associate, reads a
story to Isabel Rosenblum during My First Storytime.
continued next page
38
TulsaKids
tion that prepares you and your child for the first steps to reading.”
First Readers packets are available at your local library with
information to help raise a lifetime reader.You will find easy tips
to use every day with babies and children through age 5. Packets
include: a growth chart; a “Finger, Hand & Action Rhymes” booklet;“Infant & Toddler Songs” booklet; and a free board book,
Everywhere Babies, written by Susan Meyers and illustrated by
Marla Frazee.
First Readers taps into research on reading and children’s
brain development and gives age-appropriate reading experiences for the pre-talker, the talker and the preschooler. It offers
parents the information and encouragement to succeed, including tools and techniques for sharing books and building language
skills.
To see a current schedule of storytimes at any of TCCL’s 25
locations, visit the library’s Web site, www.tulsalibrary.org, or call
the AskUs Hotline, 596-7977.
• These books are easier to pick up and can be washed.
Don’t be surprised if they are tossed on the floor or are explored
by mouth!
• Simple, bright pictures against a contrasting background
are still the most appealing illustrations.
Suggestions:
– Let your baby manipulate the books any way he wants.
– Sit baby in your lap to spend a very few minutes looking
at the pictures and listening to brief rhymes.
– Read and sing with expression.Your baby is learning that
reading is fun!
7 to 9 Months
Types of Books:
• Chunky board, block or chubby books.These are small
and constructed so that the next page springs up when the previous page is turned.
Suggestions:
– Let babies explore the hinged nature of their books.
First Readers taps into research on reading and children’s brain
development and gives age-appropriate reading experiences for
the pre-talker, the talker and the preschooler.
TIPS TO GUIDE YOU THROUGH THE FIRST YEAR
Birth to 4 Months
Types of Books:
• Stiff cardboard books
• Soft but firm vinyl books
• Simple large pictures set against a contrasting background
Suggestions:
– Open books flat and stand them at the side of the crib
when the baby is resting on her back.
– Place open books at the head of the crib or on the floor
when baby is on his stomach.
– Recite rhymes or sing songs; babies often settle down to
the steady rhythm.
– Using books in these early months is one way to introduce language to your child.
– Read, talk and sing with expression.
4 to 6 Months
Types of Books:
• Cloth and soft vinyl books.These are lightweight and
compress in babies’ hands as they are grasped.
BabyGuide 2010
– When holding the baby in your lap to read, name pictures
and colors, count items and begin to read what are by now those
familiar nursery rhymes.
9 to 13 Months
Types of Books:
• Standard cardboard books may be used.
• Pictures of familiar things and activities may be the books
babies will like best.
• Novelty books with which children can interact become
fun at this age.
Suggestions:
– Continue to label or name the pictures; babies may begin
to attempt to repeat some words.
– Make a big game out of sounds; particularly animal
sounds, but also trains, cars, etc. Babies love to hear and imitate
these sounds.
– Books with thick paper pages may be introduced.
39
BABY
GUIDE
RESOURCES
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[email protected]
9th & Main / Downtown / 582-8237
www.growingkidz.org e-mail: [email protected]
40
TulsaKids
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