Baby - Tulsa Kids

The Award-Winning Publication for New & Expectant Parents
babyguide
TM
Vol. 13, No. 1 • March 2009
• Weighing in on Weight Gain
• Move Your Pregnant Body
• Say Bye-Bye to Baby Fat
• How Much Work is Labor?
• Choosing Your Baby’s
Health Partner
• Breast is Best
• Resting Easy
• The ABCs of RSV
• Your Growing Baby
Includes a Local &
National Directory
for New and
Expectant Parents
A Publication of
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BabyGuide 2009
1
Tulsa's First and Only
Freestanding
Birth Center!
Women serving women through midwifery and
naturopathic care, doula and montrice services,
childbirth and breastfeeding education, and support.
We focus on the whole person during the natural,
normal progression of pregnancy into motherhood.
Renaissance Birth and Naturopathic Center
1217 E. 33rd St., Midtown
(918) 895-8222
www.tulsabirthcenter.com
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TulsaKids
BabyGuide 2009
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babyguide
TM
contents
A TulsaKids Publication
Vol.13,No.1 • March 2009
WHAT’S INSIDE:
MISSION STATEMENT
Directory
The BabyGuide to Everything
A Directory for New and Expectant Parents
8-13
Mom’s Health
Weighing in on Weight Gain
Your Healthy Diet
Preterm Births Rise With C-Sections by Cynthia Washam
Move Your Pregnant Body
When It Isn’t the Happiest Time of Your Life by Joan Rhine
Say Bye-Bye to Baby Fat with Two Easy Steps by Helene Byrne
Labor & Delivery: How Much Work is Labor?
14
16
18
20-21
22-23
24-25
26-27
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.
babyguide2009
TM
Your Baby
THE COMPREHENSIVE NEW PARENT RESOURCE DIRECTORY
Choosing Your Baby’s Health Partner
Breastfeeding: Breast is Best by Cindy Webb
Sleep Safety: Resting Easy by Nicole Macia
Infant Health: the ABCs of RSV
Gift Idea: Dialing for Dinner by Miranda Enzor
Immunizations: Protecting Your Child
Baby’s Development: Your Growing Baby
New Baby Stuff: Good Buy, Baby by Nancy Moore
Cognitive Development: Share the Gift of Reading by John Fancher
28-29
30-31
32-33
34
35
36
38-39
40-41
42-43
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 self-addressed, 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.
Publisher . . . . . . . . . . . . . . . . . . . . . . . . Charles Foshee
Editor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Betty Casey
Assistant Editor . . . . . . . . . . . . . . . . . . . . . Cindy Webb
Advertising Representatives:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Caroline Shaw
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kathy Thompson
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Nicole Macia
. . . . . . . . . . . . . . . . . . . . . . . . . . . .Hannah Middlebrook
Production . . . . . . . . . . . . . . . . . .Desktop Design, Inc.
Cover Photography . . . .Chris Claussen Photography
Contributing Writers
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Cynthia Washam
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Joan Rhine
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Helene Byrne
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Cindy Webb
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Nicole Macia
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Miranda Enzor
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .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
©2009.All Rights Reserved.Volume 13, Number 1
MEMBERS OF
On the Cover:
Gavin Kidwell loves to play with balls.
Photograph by:
Chris Claussen of Chris Claussen Photography
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TulsaKids
BabyGuide 2009
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When it’s time to deliver your baby, it’s good to know your OB/Gyn offers modern care with a mother’s perspective. Which is what you’ll find in Drs. Cheryl
Razdan, Yen Tran, Trisha Parks, and Heather Summers and their staff at Contemporary Women’s Specialists. As board-certified OB/Gyns and mothers themselves, they provide a full range of obstetric and gynecologic care in a completely new office in the Kelly Building. With 3-D ultrasound and the latest in OB/Gyn
technology, Contemporary Women’s Specialists offers a unique combination of modern care with a mother’s special touch. Call today – now accepting new patients.
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TulsaKids
BabyGuide 2009
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The BabyGuide
to Everything
a directory for new and expectant parents
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:
Children of all ages are welcome.
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.
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.
Grandparents
PLAYGROUPS, PROGRAMS, SUPPORT,
CLASSES AND INFORMATION
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.
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Tulsa Birth Center ICAN meetings third
Saturday of each month 2-3:30 p.m.
Home birth classes third Saturday of
each month 3:30-5 p.m. 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; naturallullabies.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 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.
Baby Talk, 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
the Central Office of Family & Children’s
Services, 650 S. Peoria Ave.
The class fee is $15 per session and additional adult family members may attend
for a $5 fee. A book purchase required at
TulsaKids
[ BabyGuide 2009 Directory ]
$20. Scholarship funding is available.
For more information, call (918) 5601114; fcsok.org.
services and classes are free. For more
information, call (918) 582-9355. tulsahealth.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 6-9:30 p.m. thru Nov. 2,
2009, Asbury United Methodist Church,
67th & 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.
Emergency Infant Services. Immediate
help for parents of infants in need of diapers, formulas or other services. (918)
582-2469; emergencyinfantservices.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 Website:
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
behavioral health specialists. Many of the
BabyGuide 2009
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.
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. 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. 3rd & Peoria. (918) 5916030; 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.
Iamyourchild.org Rob Reiner’s Parents’
Action for Children site, formerly I Am
Your Child Foundation. Comprehensive
site features child development, child
advocacy, resources for parents and
more.
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.
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: 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. jumpstarttulsa.com.
2-1-1. Cell phone users can call (918)
836-HELP (4357). 24-hour free, confidential, one-on-one assistance from welltrained individuals. 211Tulsa.com
Babyline WIC Program. Free pregnancy
testing, healthcare during pregnancy,
childbirth classes, post-partum care, child
health care, family planning appoint-
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[ BabyGuide 2009 Directory ]
ments and transportation. (918) 8380694.
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.
INFANT LOSS
Tristesse Center. Six-week classes and
support for bereaved parents who have
suffered the loss of an infant. 1709 S.
Baltimore. (918) 587-1200
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; newjoycce.com.
American College of Obstetricians and
Gynecologists. acog.org.
National Association of Childbirth
Education. Information on choosing a
childbirth assistant or on being one.
(800) 868-NACA (6222); birthinternational.com.
American College of Nurse-Midwives.
Names and numbers of area nurse-midwives: midwife.org.
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Women’s Sports Foundation. Fitness
information during pregnancy. (800) 2273988; womenssportsfoundation.org
Bradley Method of Natural Childbirth.
Information on natural, unmedicated
husband-coached childbirth. (800) 4-ABIRTH; bradleybirth.com.
SAFETY & HEALTH
Hannah’s Prayer. A fertility support
group for women. Group includes discussion and prayer. A ministry of Victory
Christian Center. Meets fourth Thursday
each month at 7 p.m., 7700 S. Lewis Ave.,
Victory Christian Center, West Bldg, room
109. For information, call Kristie Rameriez,
(918) 250-2286 or (918) 361-6854.
Tulsa Area SAFE KIDS. Sponsored by
Saint Francis 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) 494SAFE (7233); 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: 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;
millerswimschool.com.
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; 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;
jpma.org.
[ BabyGuide 2009 Directory ]
Emergency Nurses Association. (800)
243-8362; ena.org
National Organization Fetal Alcohol
Syndrome. (202) 785-4585; nofas.org.
American Trauma Society. (800) 5567890; amtrauma.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).
SPECIAL KIDS
CHADD. Organization for children and
adults with attention-deficit hyperactivity disorder. (800) 233-4050; CHADD.org
Down Syndrome Society. (800) 2214602; 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) 3AUTISM (328-8476); autismtulsa.org.
National Health Information Center.
Information and referral services for all
health concerns. (800) 336-4797;
health.gov/nhic.
Juvenile Diabetes Research
Foundation. Information on juvenile
diabetes. (800) 223-1138; jdrf.org.
March of Dimes National Birth Defects
Foundation. (914) 428-7100; marchofdimes.com.
CESAREAN INFORMATION
International Cesarean Awareness
Network. Monthly support and educational meetings; VBAC (vaginal birth after
Cesarean) information. (310) 542-6400;
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; dillonadopt.com.
JDRF of Green Country. (918) 481-5807;
jdrf.org/tulsa-green.
Catholic Charities. Domestic and international adoptions. Mary Lee Ingram,
(918) 949-4673, ext. 142 or Christa Van
Tassell (918) 949-4673, ext. 116; catholiccharitiestulsa.org.
Total Source for Hearing-loss and
Access (TSHA). Information, referrals,
support and help for individuals or families dealing with hearing loss. (918) 8328742; tsha.cc.
Heritage Family Services, Inc. A nonprofit social service agency to help your
family work through all adoption procedures. 5110 S. Yale, Ste. 525; (918) 4916767; heritagefamilyservices.org.
United Cerebral Palsy of Oklahoma.
(918) 794-4655; ucpok.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 crisispregnancyoutreach.org.
Little Light House, Inc. Christian child
development center for children with
special needs, birth–six years. 5120 E. 36
St. (918) 664-6746; littlelighthouse.org.
March of Dimes. Information about
pregnancy, breastfeeding, birth defects,
nutrition and more. (918) 742-0333; marchofdimes.com.
TulsaKids
Glad Hearts for Adoption. Support,
socialization, and information for adoptive parents and their children. For more
information, call (817) 922-6033 or visit
adoptionsbygladney.com.
BabyGuide 2009
Adoption Center of Northeastern
Oklahoma. 6702 S. Lewis, Suite Q; (918)
748-9200; adoptioncenterneok.org.
CHILDCARE HELP
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; ccrctulsa.org
National Association of Child Care.
Resource and Referral Agencies. (800)
570-4543; naccrra.org.
National Association of Early
Childhood Programs. naeyc.org.
Seeking Sitters. Offers professional, prescreened babysitters for part time help
as an alternative to a full-time daycare or
nanny service; seekingsitters.com.
Department of Human Services, Day
Care Licensing Unit. (918) 581-2563.
YMCA of Greater Tulsa. 515 S. Denver;
(918) 583-9622; ymcatulsa.net
YMCA Thornton Branch. 5002 S. Fulton;
(918) 280-9622.
YWCA of Tulsa. 1910 S. Lewis; (918) 7492519; ywcaoftulsa.org
BABYSITTING CLASSES
American Red Cross. Babysitting Class
Basics of child care for young people age
11 and up. (918) 831-1100; 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; midwife.org
International Childbirth Education
Association. icea.org
Midwives Alliance of North America.
(888) 923-6262; mana.org
HOSPITAL CLASSES
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
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 preregistration 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
11
[ BabyGuide 2009 Directory ]
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.
This series of two classes is taught by an
International Board Certified Lactation
Consultant who is a registered nurse.
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
12
child understand the role a new sibling
will have in your family. Fee: $5.
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. Fee: $10
Oklahoma State University
Medical Center
(formerly Tulsa Regional Medical
Center)
744 West 9th,Tulsa, OK 74127
(918) 587-2561
A partnership with Hillcrest HealthCare
System. For class information, call the
Prenatal Education Department at
Hillcrest, 579-8028.
Peggy V. Helmerich
Women’s Health Center
A Service of Hillcrest HealthCare
System
1120 South Utica Avenue
Main telephone number (918) 5798000
www.hillcrest.com
For information or to register for a class,
please call 579-8028.
www.hillcrest.com.
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. Please Call (918) 579-8028 in
advance.
[ BabyGuide 2009 Directory ]
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. The fee is $60.
Saturday Prepared Childbirth Series
The Saturday Prepared Childbirth series
includes 2 classes from 9:30am–2:30pm,
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. The fee is $60.
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 includes
basic breathing & relaxation exercises..
The fee is $40.
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. The class is $5.00.
TulsaKids
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. The
fee is $10.
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.
The fee is $10.
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. The fee is
$15 per person for non-certification or
$25 per person for CPR certification.
Baby Touch Infant Massage
One time class filled with valuable information to console a fussy baby, massage
techniques provided, and much more.
The fee is $10.
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.
St. John Health System
1923 South Utica Ave.
www.sjmc.org (for St. John Medical
Center – Tulsa & Owasso)
To register for classes or for more information, please call the St. John PulseLine
at (918) 744-0123.
Childbirth Education Classes
Learn various techniques for childbirth
and comfort techniques for labor.
Fast-track Childbirth
Two-hour course gives basic overview of
BabyGuide 2009
labor and delivery process for expecting
mothers. Cost is $25, including manual.
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.
Must 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) 294-4000.
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. Fee: $65
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. Fee: $45.
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. Fee: $20.
Big Kids Class
This interactive class is designed to prepare big brothers and sisters-to-be on
what to expect when the new baby
arrives. This is a fun way to lessen the
anxiety many children feel during this
time of waiting. This class is appropriate
for children ages 3-10 years of age,
accompanied by a parent. Arrangements
can be made for older children or for
those attending the birth with your
physician’s approval. Fee: $20.
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.
Fee: $20.
13
0
Pregnancy
Weighing in on
Weight Gain
www.servantmedical.com
Broken Arrow
1755 N. Aspen
(918) 251-0400
4D Imaging only $119
Exam is performed at 26-32 weeks gestation
You can bring up to 5 guests to enjoy the experience
CD recording of session
Gender ID only $49
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 prepregnancy 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 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.
Weigh to Grow
You’re pregnant, right? So you get
14
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.
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.
Exam is performed at 20 weeks gestation
You can bring up to 5 guests to enjoy the experience
CD recording of session
Gift Certificates Available
Gender ID/4D
Combination
only $149
1 session at 20 weeks gestation
to determine sex of baby
1 session of 4D imaging of baby
26-32 weeks gestation
CD recording of session
4D Ultrasound
**Diagnostic OB Ultrasound also available (Physician’s Orders REQUIRED)
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 TAE KWON DO
s /PENINGS FOR CHILDREN AGES WEEKS TO YEARS
s ,EAP 0AD LEARNING LAB
TulsaKids
Baby’s First P icture!
BabyGuide 2009
2(%-! "IBLE #HURCH
7 +ENOSHA
"ROKEN !RROW /+ $IRECTOR #ANDACE &RANKLIN
!SSISTANT $IRECTOR 'ALIENA 3WAGERTY
15
Mom’s Health
Your Healthy Diet
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)
• 1/4 cup dried fruit
• 16 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.
FREE BABY SHOES
To introduce you to Trippets, we're giving your baby a first pair of leather crib shoes,
sizes 1 to 3 ($25.00 value). Bring coupon when baby is between 3 and 4 months old.
When we fit the free pair of shoes, you'll be automatically enrolled in Trippets Family Savings Plan.
Trippets Family Savings Plan
1. Trippets Family Savings Plan can give you every thirteenth pair of shoes free. Even sale-priced shoes
are included. Thirteenth pair is based on average price of the 12 pairs purchased.
2. Every time you buy shoes for ANY family member, tell us and we'll add to your record.
CHILDREN’S GUARANTEED FIT
27th & S. Harvard • 742-7384
16
BabyGuide 2009
17
Mom’s Health
Preterm Births Rise
With C-Sections
by Cynthia Washam
T
he surge in Cesarean surgeries (C-sections) in
recent years brings with it the possible risk of
children developing learning disabilities,
poor vision, hearing deficits and other problems years down the road.
The risk comes from scheduling C-sections shortly
before infants reach full term, which is 38 to 42 weeks gestation. These late preterm births, between 34 and 36 weeks,
were just recently associated with developmental problems,
according to a study published in the October 2008 issue of
American Journal of Obstetrics and Gynecology. Historically,
physicians considered these births relatively safe. The most
obvious risks were breathing and feeding difficulties, temperature instability, and jaundice, all of which usually cleared up
days after birth.
Recent research, though, reveals that late preterm
infants who leave the hospital apparently in good health face
a higher risk of learning disabilities and other developmental
deficiencies.
“I would guess many obstetricians are not aware of
this,” said Dr. Michael Gardner, chairman of the department
of obstetrics and gynecology at the University of Oklahoma
College of Medicine-Tulsa.
The new information is alarming in light of the dramatic
increase in late preterm births. Between 1996 and 2005, late
preterm births in Oklahoma surged 25 percent, to 9.5 percent
of all live births. That’s higher than the national average of 9.1
percent. The surge is closely tied to the increase in C-sections.
According to the March of Dimes, 92 percent of late
preterm births are Cesarean deliveries. In 2005, C-sections in
Oklahoma made up 32.5 percent of all deliveries. The national
average is 30.3 percent.
When medically necessary C-sections are life-saving for
both the mother and the baby, but critics believe many of
18
these surgeries could be delayed or even avoided altogether.
“It’s hard for me to understand why some hospitals have
a C-section rate of 40 percent or higher,” Dr. Gardner said.
The most common reason for a C-section is a previous
one. Obstetricians want to avoid the risk of a uterine scar rupturing, even though it’s minimal. C-sections also are routine
for women with any of several other risk factors including
twins and very large babies.
Obstetricians often plan C-sections at around 38 weeks
gestation. This enables them to schedule the surgery at a convenient time, rather than when the patient goes into labor.
Many patients like the idea of knowing when the baby will
arrive. Yet if the doctor misjudges the gestational age by a
couple weeks, the scheduled birth unexpectedly becomes late
preterm.
“There’s no reason anybody should do a non-emergency
C-section before 39 weeks,” Dr. Gardner said. “Unfortunately,
it does happen. Some women don’t want to go into labor and
some physicians succumb to that pressure.”
Dr. Gardner encourages expectant mothers to talk with
their doctors about delaying non-emergency C-sections until
39 weeks. That’s the timeframe recommended by the
American College of Obstetricians and Gynecologists.
Mothers who’ve had a previous C-section and go into labor
face a very slight risk of uterine rupture. But, Dr. Gardner
explains, they can virtually eliminate that risk by going to the
hospital early in labor. Women need to work with their physicians.
To reduce the rate of preterm births, the March of
Dimes is urging physicians to minimize non-essential C-sections and to schedule medically necessary ones later in pregnancy. Dr. Gardner predicts preterm births will fall, once word
of the developmental risks gets around.
“There’s been criticism of late preterm births,” he said. “I
think things will change.”
TulsaKids
BabyGuide 2009
19
Mom’s Health
Move Your
Pregnant Body
gain less fat weight during your pregnancy if you continue to
exercise (assuming you exercised before becoming pregnant).
But don’t expect or try to lose weight by exercising while
you’re pregnant. For most women, the goal is to maintain
their fitness level throughout pregnancy.
What’s a Safe Exercise Plan When You’re Pregnant?
If you exercised regularly before becoming pregnant,
continue your program, with modifications as you need
them. If you weren’t fit before you became pregnant, begin
slowly and build gradually as you become stronger. Whatever
your fitness level, you should talk to your doctor about exercising while you’re pregnant.
Discuss any concerns you have with your doctor. You
may need to limit your exercise if you have pregnancyinduced high blood pressure, early contractions, vaginal
bleeding, premature rupture of your membranes (also known
as your water) breaking early.
pounding in your chest)
• shortness of breath
• pain in your back or pelvis
You should keep your heart rate below 160 beats per
minute.
It also isn’t good for your baby if you become overheated
because temperatures greater than 102.6 degrees Fahrenheit
(39 degrees Celsius) could cause problems with the developing fetus - especially in the first trimester - which can potentially lead to birth defects. So don’t overdo exercise on hot
days.
When the weather is hot, try to avoid exercising outside
during the hottest part of the day (from about 10 AM to 3 PM)
or exercise in an air-conditioned place. Also remember that
swimming makes it more difficult for you to notice your body
heating up because the water makes you feel cooler.
“Listen to your body’s warnings. Many women, for
example, become dizzy early in their pregnancy, and
N
o doubt about it, exercise is a big plus for
both you and your baby. It can help you:
• feel better - At a time when you wonder if this strange
body can possibly be yours, exercise can increase your sense
of control and boost your energy level. Not only does it make
you feel better by releasing endorphins (naturally occurring
chemicals in your brain), appropriate exercise can:
• relieve backaches and improve your posture by
strengthening and toning muscles in your back, butt, and
thighs
• reduce constipation by accelerating movement in your
intestine
• prevent wear and tear on your joints (which become
loosened during pregnancy due to normal hormonal
changes) by activating the lubricating synovial fluid in your
joints
• help you sleep better by relieving the stress and anxiety
that might make you restless at night
• look better - Exercise increases the blood flow to your
skin, giving you a healthy glow.
• prepare you and your body for birth - Strong muscles
and a fit heart can greatly ease labor and delivery. Gaining
control over your breathing can help you manage pain. And
in the event of a lengthy labor, increased endurance can be a
real help.
• regain your prepregnancy body more quickly - You’ll
as the baby grows, their center of gravity changes.”
What Kinds of Exercises Can You Do?
Many women enjoy dancing, swimming, water aerobics,
yoga, pilates, biking, or walking. Swimming is especially
appealing, as it gives you welcome buoyancy. Try for a combination of cardio (aerobic), strength, and flexibility exercises,
and avoid bouncing.
Many experts recommend walking. It’s easy to vary the
pace, add hills, and add distance. If you’re just starting, begin
with a moderately brisk pace for a mile, 3 days a week. Add a
couple of minutes every week, pick up the pace a bit, and
eventually add hills to your route. Whether you’re a pro or a
novice, go slowly for the first 5 minutes to warm up and use
the last 5 minutes to cool down.
Listen to your body’s warnings. Many women, for example, become dizzy early in their pregnancy, and as the baby
grows, their center of gravity changes. So it may be easy for
you to lose your balance, especially in the last trimester.
Your energy level may also vary greatly from day to day.
And as your baby grows and pushes up on your lungs, you’ll
notice a decreased ability to breathe in more air when you
exercise. If your body says, “Stop!” - stop!
Your body is signaling that it’s had enough if you feel:
• fatigue
• dizziness
• heart palpitations (your heart
What Exercises Should You Avoid?
Most doctors recommend that pregnant women avoid
weight training and sit-ups after the first trimester, especially
women who are at risk for preterm labor.
Lifting reduces the blood flow to the kidneys and uterus,
and exercises done on your back (including sit-ups and leg
lifts) cause your heart rate to drop, also decreasing the flow of
oxygenated blood to your body and the baby. It’s better to
tone your abdominal muscles while on all fours, by relaxing
and then tightening your muscles as you exhale.
It’s also a good idea to avoid any activities that include
bouncing, jarring, leaping, a sudden change of direction or a
risk of abdominal injury.
Typical limitations include contact sports, downhill skiing, scuba diving, and horseback riding.
Although some doctors say step aerobics is acceptable if
you can lower the height of your step as your pregnancy progresses, others caution that a changing center of gravity
makes falls much more likely. If you do choose to do aerobics,
just make sure to avoid becoming extremely winded or exercising to the point of exhaustion.
And check with your doctor if you experience vaginal
bleeding, unusual pain, dizziness or lightheadedness, unusual shortness of breath, racing heartbeat or chest pain, fluid
leaking from your vagina or uterine contractions.
For more visit www.kidshealth.org
continued next page
20
TulsaKids
BabyGuide 2009
21
Mom’s Health
by Joan Rhine
W
ith nine months of anticipation, a
woman expects the birth of her baby
to be the best moment ever. Such a
life changing event deserves excitement and joy, true, but also brings
fear and anxiety. While the range of
emotions can seem overwhelming, depression is the least
expected and often most hidden, but is the one mothers
should talk about the most.
The term maternal depression describes a spectrum of
conditions from prenatal depression and postpartum blues to
postpartum depression and postpartum psychosis. ‘Down
time’ after giving birth is fairly typical, and the psychiatric
community estimates 50%-75% of all mothers suffer from
‘baby blues’ the first two weeks after childbirth. The numbers
for postpartum depression average one mother in eight.
“Society tends to stigmatize a mother who doesn’t show
signs of loving her baby, and that can keep a lot of women
from seeking help,” said Stacey Leakey, Ph.D., children’s treatment manager at The Parent Child Center of Tulsa. “Know
that it’s okay if you’re upset. We often try to create a blind spot
for everything that isn’t ‘wonderful.’ But if you have negative
feelings, you’re not
the first mother to
feel that way.”
Maternal
depression comes
because of all the
changes in a new
mother’s life. A new
baby signals greater
fatigue and exhaustion, and can trigger
bad memories from a mother’s own childhood. And if the
“picture perfect” ideal is not reality, that can also increase the
odds. Postpartum blues last a few weeks, and are lessened
with rest and a support system of family and/or friends.
Postpartum depression and psychosis, on the other
hand, require medical help.
“Postpartum depression is different from major depression. They look the same and are treated the same, but are
physiologically different,” explained Dr. J. Martin Beal, DO of
Tulsa OB-GYN Associates. While on staff at the OSU College of
Osteopathic Medicine, Dr. Beal was part of a team that conducted studies to better understand postpartum depression.
“The big question is does the mother have postpartum
depression, or does she have depression that was not diagnosed until she had a baby, so the condition is called postpartum.”
To combat this misconception, Dr. Beal screens every
patient for depression. The evaluation doesn’t take long, and
he feels it’s time well spent. Treatment for the more pronounced versions of maternal depression includes medication and therapy, ranging from six months to one year.
“When mothers don’t come to the gynecologist about
issues of depression, it’s often the pediatrician who first rec-
When It Isn’t
ognizes the problem,” Dr. Beal said. “When babies fail to
thrive, it is often because the mother has untreated postpartum depression.”
Leakey explained depression hurts the mother/child
relationship by hindering the ability for attachment. Babies
need emotional nurturing and protection, and a level of stimulation that is often beyond the ability of a depressed mother.
However, many depressed women are very good mothers
who try to push through the depression. That’s often when it
takes intervention from a doctor or family member before the
mother can see she truly needs medical help.
Parenting is most affected when depression occurs with
other socio/economic or physical problems, such as extreme
poverty and substance abuse. According to Dr. Beal, even cigarette smoking is an indicator, as a mother who smokes five
cigarettes per day has an almost 100 percent chance of experiencing postpartum depression.
Leakey offered a number of factors that point to maternal depression risk, including:
• Prior history of depression
• A family history of depression
• Hormonal changes the mother experiences during
“Postpartum blues last a few weeks, and are lessened
with rest and a support system of family and/or friends.
Postpartum depression and psychosis, on the other
hand, require medical help.”
...the Happiest
Time of Your Life
22
TulsaKids
BabyGuide 2009
pregnancy
• Genetics
• Absence of community network
• Poor environment that ranges from food insecurity,
poor housing, lack of financial supports
• Uninvolved husband or partner
Attachment begins when an infant is around two
months old, as parents respond to children’s cues. The infant
starts reciprocating in his actions and looks toward his parents. This is not the only way parents and children relate to
one another, but one of the most important. It lays the foundation for which children feel secure or trusting about their
world and ability to explore it. If a mother puts off treatment
for postpartum depression, she is less able to effectively
respond in ways that reinforce the attachment process, indicating future risk for infants that include:
• Reduced self-control
• Aggression
• Poor peer relationships
• Difficulties in school
“That’s why it’s so important mothers don’t put off getting help,” Leakey explained. “The faster they begin treatment, the less likely babies will develop long-term problems.”
23
Mom’s Health
Say Bye-Bye toBaby
Fat with Two
Easy Steps
by Helene Byrne
E
very new mom wants to lose the extra pregnancy pounds and get back into her pre-pregnancy wardrobe— as fast as possible. But with
the 24/7 demands of infant care competing
with other family responsibilities, this goal
might seem impossible, especially for those
who have a history of past dieting disasters. But don’t despair.
Armed with this easy, yet amazingly effective two-tiered
plan, you can lose weight, feel great, and look terrific.
It took 40 long weeks to grow your baby, and you
need to give yourself the same amount of time to transition from your “new mommy body” back to your
pre-pregnancy physique. Sure, celebrities get back
in shape a lot faster, but that’s because they hire
an army of people — personal trainers, personal chefs, live-in nannies — to make it
happen. Out here in the real world, we
have to do it all by ourselves.
Body composition is determined
by a simple ratio: what we put into
our bodies (both the quantity and
quality of calories consumed)
over our activity level (which
determines our metabolic
rate). The easy and healthy
postnatal weight loss strategy
outlined below works because
it balances both sides of the
equation by combining the Three
80 % Rules with the Forty-Minute
Miracle.
2. Eat until you feel just 80 percent full, then stop. (News
flash: it’s OK to leave food on your plate!)
3. Choose foods with the highest nutritional value for 80
percent of your daily calories, which leaves 20 percent for a
small daily treat, or foods of lower quality.
The Forty-Minute Miracle:
Caring for an infant is fairly sedentary. To raise your
metabolism and speed weight loss, you must increase your
daily activity level. By far, the most effective exercise strategy
for weight loss is — drum roll please — burning fat as fuel
with moderate intensity aerobic activity. Because when you
use it, you lose it, and then it’s gone for good!
If you have at least an average fitness level, walk briskly,
with your baby in a stroller or a front-pack for a minimum of
40 minutes every day, or at the very least, on most days of the
week. (If you are less fit, you may need to gradually work up
to this amount.) What’s so special about 40 minutes? Glad you
asked.
During the first 20 minutes of aerobic exercise our bodies primarily use carbohydrates (stored as glycogen) as fuel.
Think of this as your body’s snack food, ready to be consumed. It’s only when this source of energy is depleted do our
bodies “go into the pantry” and start burning a significant
proportion of fat as fuel. So when you exercise for 40 minutes,
about half the calories will be from carbohydrates and half
will be from fat. Burning fat as fuel is crucial for permanent
weight loss and long-term healthy weight management.
(Here’s a great motivational tip: Set an alarm to go off after 20
minutes. Then say to your self “I’m getting leaner right now!
It’s working! I’m achieving my goal!”)
As a new mom, if you habitually combine the “Three
80% Rules” with the “Forty- Minute Miracle” you’ll easily glide
down the track of successful, permanent weight loss. You
won’t feel hungry or deprived. This method makes the concept of “dieting” obsolete and creates a lifestyle that you will
feel proud of. As an added benefit, daily brisk walking will
boost your mood, and give you more energy, helping you to
be a better mom. A thinner, healthier, happier you is just
around the corner.
Author Bio
Helene Byrne, founder of BeFit-Mom at www.befitmom.com, is
a pre and postnatal exercise specialist, and author of the
award winning DVD “Bounce Back Fast! Post Natal Core
Conditioning” and the acclaimed book, “Exercise after
Pregnancy: How to Look and Feel Your Best.”
The Three 80% Rules:
1. Make each serving size 80 percent of what you would normally have.
continued next page
TulsaKids
BabyGuide 2009
25
Labor & Delivery
What you need to know:
The beginning of labor feels different for every woman.
You’ll know you’re in labor when you feel frequent and regular
contractions, the only true sign that labor has begun. The
length of labor varies for all women. The average labor lasts
12-14 hours for a first baby. Labor is often faster for second
and later children.
What you can do:
Take a childbirth education class. These classes help
prepare you for labor and delivery.
Labor and Delivery: What to Expect
You’ll know you’re in labor when you feel frequent and
regular contractions. These contractions cause the cervix to
shorten and open (dilate) in preparation for delivery.
When Should You Call Your
Health Care Provider?
Call when:
• Your contractions are between 5 and 10 minutes apart.
• Your water breaks, especially if the fluid is stained dark,
greenish brown.
• You experience vaginal bleeding.
• You can no longer walk or talk during contractions.
• You have concerns about your health or the health and
well-being of the baby.
• If you think you may be going into labor, don’t hesitate
to call your health care provider, no matter what time of day
or night.
What Happens When You Arrive at the Hospital?
Although every hospital is different, when you arrive to have
your baby, you will probably:
• Fill out hospital admission paperwork, including
insurance information (it’s common for this to be done in
advance through the health care provider)
• Go to the labor and delivery unit
• Change into a hospital gown, or your own nightgown
or big shirt
• Be examined to see how dilated your cervix is
• Be connected to a fetal monitor to time the contractions and check the baby’s heartbeat
How Much
Work is
Labor?
26
What Are the Three Stages of Childbirth?
STAGE 1
Labor. This stage begins when the pregnant woman has regular contractions that open (dilate) her cervix. This stage lasts
until the cervix is fully opened to 10 centimeters (about 4
inches). This stage can occur gradually with no noticeable
contractions over a period of days, but it can also happen in
just a few hours with very clear contractions. Every labor is
different.
STAGE 2
Pushing and Delivery. This stage begins when the cervix is
fully open and ends with the birth of the baby. The average
length for this stage is one to two hours, but many women
have shorter or longer experiences.
TulsaKids
BabyGuide 2009
STAGE 3
Delivery of the Placenta. This stage begins immediately after
the birth of the baby and ends with the delivery of the placenta. This stage usually lasts between 10 minutes and one hour.
What Is Labor Pain Like?
Different women respond to the pain of labor and delivery in different ways. For some, contractions may seem like
strong menstrual cramps. For others, the pain may be
stronger and difficult to bear.
What Can a Woman in Labor
Do About the Pain?
Some women prefer to deal with the pain of childbirth
naturally, using breathing and relaxation techniques.
Childbirth education classes can help you learn these techniques. Most women, however, do get some form of pain
relief through medication.
Packing for Two
For Yourself
– A nightgown or big shirt to wear during labor, although a
hospital gown will be provided
– Socks
– Washcloths and towels
– Slippers
– A few nightgowns, pajamas or T-shirts and sweat pants
(breastfeeding mothers might find loose-fitting T-shirts or
nursing gowns most comfortable)
– A robe
– Several pairs of underpants
– Large, self-adhesive sanitary pads (the ones provided by the
hospital may be small and hard to use)
– Soap
– Shampoo
– Hairbrush
– Toothbrush and toothpaste
– Any other toiletries, cosmetics or hairstyling equipment you
want
– Phone numbers for people you want to call
– A telephone charge card (you usually can’t use a cell phone
in a hospital)
– Clothes to wear home (be sure they are loose fitting)
For Your Baby
Most hospitals provide the basics for newborns during
their hospital stay: a knit cap, an undershirt, diapers and
blankets. When it comes time to take the baby home, you’ll
need your own things.
– A receiving blanket
– Clothes to wear home, including an undershirt, cap and
socks
– Disposable diapers (most hospitals provide these)
– Bunting or a warm blanket if it’s cold outside
– A carseat (if baby is to be driven home)
Source: March of Dimes Birth Defects Foundation web site:
www.marchofdimes.com.
27
Health Tips
Your Baby
When to Call the Doctor
Call the doctor at the first sign of illness if your baby is
younger than 3 months.
If your baby is 3 months or older, call the doctor if he or she:
Isn’t wetting as many diapers as usual
Has a temperature higher than 100˚ F for more than three
days
Seems to have ear or sinus pain
Has yellow eye discharge
Has a cough for more than one week
Has a fever up to 101 F and a barking cough
Has a low-grade fever with diarrhea, nausea or vomiting
Is pulling at his or her ear and is irritable
Has thick, green nasal discharge for more than two weeks
Has a moist, productive cough with breathing that is rapid
and sounds tight
Shows any signs of illness that worry you
Seek medical help immediately if your baby:
Refuses to nurse or accept fluids
Coughs hard enough to cause vomiting or changes in skin
color
Coughs up blood-tinged sputum
Has difficulty breathing or is bluish around the lips and
mouth
from familydoctor.org
Choosing
Your Baby’s
Health Partner
A
Mercury in Fish: What You Need to Know
(Department of Health and Human Services)
Academy of Pediatrics?
pediatrician is more than a doctor — he or
she is your partner in keeping your baby in
good health. (Not to mention a confidant,
advice-giver, and developmental expert!)
Because your baby’s doctor plays such an
important role, it is important to find one
that you feel comfortable with — choose a pediatrician who is
qualified, but also one that relates well with you.
Start by asking family members, friends, relatives and
your OB/GYN to recommend a pediatrician. The American
Academy of Pediatrics also has an online Pediatric Referral
Service at www.aap.org/referral. Make a list of three or four
and schedule 10 to 15 minute interviews sometime during
your last three months of pregnancy. And remember, just
because your friend likes a doctor, doesn’t mean you will.
Choose a pediatrician that has a philosophy and personality
that you like.
How helpful and friendly does the office staff seem to
be when you visit?
Here are some questions to ask when you interview
pediatricians:
Do you get your questions answered by the pediatrician or the office staff?
Who will handle your questions if the doctor is not
available?
Does the pediatrician seem to know the latest
advancements in pediatrics?
Is the doctor board certified through the American
Board of Pediatrics and also a member of the American
28
Is there a separate waiting room for sick and well-care
visits?
How will your calls concerning health questions about
your child be answered?
What is a typical wait when you schedule an office
visit?
Note the waiting room and office. Is there anything
that troubles you about what you see?
What is the doctor’s pediatric background?
Does he or she have a subspecialty? If yes, what is it?
In what hospital(s) does the doctor practice?
Is there a time set up for the doctor to return calls during the day, or is there a best time to call with questions?
What are the clinic or practice office hours? Is afterhours care available?
How does the practice handle after hours calls and
emergencies?
Is this clinic or doctor on your insurance plan?
TulsaKids
Fish and shellfish are an important part of a healthy diet.
They contain high quality protein and other essential nutrients, are low in saturated fat and contain omega-3 fatty acids.
A well balanced diet that includes a variety of fish and shellfish
can contribute to everyone’s heart health and children’s proper growth and development. Thus, women and young children in particular should include fish or shellfish in their diets
due to the many nutritional benefits.
By following these three recommendations for selecting
and eating fish or shellfish, women and young children will
receive the benefits of eating fish and shellfish and be confident that they have reduced their exposure to the harmful
effects of mercury:
1. Do not eat shark, swordfish, King Mackerel, or tilefish
because they contain high levels of mercury.
2. Eat up to 12 ounces (2 average meals) a week of a variety of fish and shellfish that are lower in mercury. Five of the
most commonly eaten fish or shellfish that are low in mercury
are shrimp, canned light tuna, salmon, pollock and catfish.
Albacore (“white”) tuna has more mercury than canned light
tuna. When choosing your two meals of fish and shellfish, you
may eat up to 6 ounces (1 average meal) of albacore tuna per
week.
3. Check local advisories about the safety of fish caught
by family and friends in local lakes, rivers, and coastal areas. If
no advice is available, eat up to 6 ounces (1 average meal) per
week of fish caught from local waters, but don’t consume any
other fish that week.
Follow these same recommendations when feeding fish
and shellfish to young children, but serve smaller portions.
For information about the safety of locally caught fish
and shellfish, visit EPA’s Fish Advisory website
www.epa.gov/ost/fish or contact the state or local health
department. Consumers can also call, toll-free, 1-888-SAFEFOOD.
BabyGuide 2009
One of the best beginnings for your
infant/toddler is an early education.
Community Action
Project’s Early Childhood
Programs (Head Start,
Early Head Start and
Educare) provide a
proven curriculum for
your child that can start
as early as six weeks old
through five years old.
Qualifying families can benefit from our program through:
• Classes Monday-Friday,8:30 to 2:30 (extended care
at selected centers)
• Curriculum emphasizing essential areas of early learning
• Services for children with special needs
• Home-based programs for infants and toddlers
birth-36 months within Union Public School district
• Parental involvement opportunities
• Support services for the entire family
Enrollment for 3 and 4-year-olds
begins April 4 for the 2009-2010
school year. Infant and toddler
enrollment is ongoing.
For details on qualifying or
to begin registration call CAP’s
enrollment office at
585-3227
Child and Adolescent
Behavioral Health Program
Established in 1985, Hillcrest’s
Behavioral Health Services
Program is licensed by the
Department of Human Services
as a residential treatment program and is accredited by The
Joint Commission (formerly
JCAHO)
We treat a wide array of behavioral health symptoms including
but not limited to:
• Social withdrawal and isolation
• Persistent feelings of sadness
• Agitation and restlessness
• Confusion and disorientation
• Loss of energy and motivation
• Anxiety and panic disorders
• Suicidal thoughts or attempts
• Obsessive compulsive
symptoms
• Delusions/hallucinations
• Self-neglect/Self-harm
Referral Process:
Referrals and inquiries regarding
Behavioral Health Services and programs are completely confidential and
can be made 24 hours a day, seven days
a week, 365 days a year by calling:
(918) 599-5880 or (888) 765-2605
The difference is our doctors.
Behavioral Health Services
(918) 599-5880 or
(888) 765-2605
www.todayshillcrest.com
29
Breastfeeding
by Cindy Webb
A
ll mothers want the best for their babies
whether it’s the best crib, the best pediatrician or the best childcare. When it comes to
the best nutrition, the answer is easy:
breast milk. With breast milk there is no
need to read labels, compare nutrition
information or worry about additives. According to the
American Academy of Pediatrics (AAP), breast milk provides
“all the protein, sugar, fat and vitamins your baby needs to be
healthy” plus it “protects against certain diseases and infections.” Breast fed babies are less likely to experience ear infections, allergies, vomiting, diarrhea, pneumonia, wheezing,
bronchiolitis, and meningitis. Additionally, breastfeeding has
health benefits for the nursing mother. According to the AAP
website it:
– Burns calories and helps mothers get back to prepregnancy weight more quickly
– Reduces risk of ovarian cancer and, in premenopausal women, breast cancer
– Builds bone strength to protect against bone fractures
in older age
– Delays return of menses, which may extend the time
between pregnancies (it will not alone prevent pregnancy)
– Helps the uterus return to normal size more quickly
But, while nursing a baby is simple (no bottles to wash,
formula to buy, etc.) it isn’t always easy, especially in the early
weeks. Education and support are essential to success in
breastfeeding.
“New moms are very vulnerable and start to doubt
themselves,” says Carol Monlux, retired coordinator of
Women’s Services at Saint John’s Medical Center and
International Board Certified Lactation Consultant. With education, mothers are ready for these sensitive times and know
what to expect and how to handle the changes.
Breast
is Best
Growth Spurts
“Babies go through growth spurts,” says Monlux. “The
first one occurs between the fifth and tenth day of life. Babies
cry a lot and mom worries that she is not producing enough
milk.” According to Monlux, the baby’s growth spurt prompts
the baby to want to nurse more, thus signaling the mother’s
body to produce more milk. Another growth spurt occurs
between two and three weeks. By now the breasts have softened and aren’t as full as they were in the early weeks. Again
mothers may think they aren’t producing adequate milk.
Pain
Monlux says that many mothers give up due to painful
nipples. “The first seven to ten days the nipples may be tender, but should never be painful,” says Monlux. “Painful nipples indicate that baby is not positioned properly at the breast
or that they are not latching on correctly.”
Scheduling
Problems can occur when well-meaning friends or family encourage the nursing mom to put the baby on a feeding
30
TulsaKids
BabyGuide 2009
schedule. “Babies need to be fed when the baby wants to be
fed,” says Monlux. “Baby will give cues as to when they are
ready to nurse. If you don’t feed them when they show the
cues, they will begin to cry and get upset.
The American Academy of Pediatrics agrees. On the AAP
Web site they advise, “Let your baby feed on demand — that
is, whenever he is hungry. Watch for different signals from
your baby, rather than the clock to decide when to nurse.
When your baby is hungry, he may do any of the following:
• Nuzzle against your breast
• Show the rooting reflex
• Make sucking motions or put
hand to mouth
• Cry
“Newborn babies need to eat eight to twelve times a
day,” says Monlux. “People don’t realize that a newborn’s
stomach is the size of a marble.”
Is He Getting Enough?
New mothers can also become anxious because, unlike
with a bottle, they can’t see how much milk their baby is
ingesting. According to Monlux mothers should be reassured
when they hear baby swallowing as he nurses and when he
produces six to eight wet diapers a day.
... breast milk provides “all the protein,
sugar, fat and vitamins your baby needs to
be healthy” plus it “protects against certain
diseases and infections.
Getting Help
If mothers are anxious about any aspect of breastfeeding there are resources available to help. Saint John’s
Breastfeeding Center offers free assistance. Babies can be
weighed prior to feeding and right after feeding to find out
exactly how much milk has been ingested. Guidance is also
given on positioning, returning to work, pumping milk and
other concerns.
La Leche League International is also a wonderful
resource with all aspects of breastfeeding. La Leche League
Leaders are experienced mothers who have breastfed their
own babies and who have been trained and accredited by La
Leche League International. Those interested in nursing or
needing assistance can attend meetings or simply call for
information and support.
“Usually mom is doing fine and just needs reassurance,”
says Monlux.
To make an appointment at Saint John’s Breastfeeding
Center call 744-2681.
31
Sleep Safety
Resting Easy
TFMIR Working to Promote
Safe Sleep Environments
non-safe sleep environments...such as parents not having a
crib for the baby,” says Rask. “We can target our strategies and
interventions based on why infants are dying in our community and [use what we learn] to improve our birth outcome
and reduce infant mortality.”
Non-safe sleep environments can refer to co-sleeping
with an infant, an infant’s sleep position, or using an inappropriate crib for the baby. To get the word out, about the importance of practicing safe sleep habits, TFMIR is launching a
“safe sleep” campaign in collaboration with the Oklahoma
State Department of Health.
“Parents just need to realize what the safe sleep guidelines are,” says Rask. “You can keep your baby close to you,
but still in a safe environment. We want this info out…we
want parents to know what a safe sleep environment is.”
Rask suggests making sure there is no loose bedding or
items placed in the crib, and it is advised to have bumper
pads that are well anchored. It is not recommended that parents sleep with their infant because they may accidentally roll
over on the baby. Other guidelines include placing infants on
their backs for their naps and at night, quitting smoking and
avoiding second-hand smoke, removing pillows and blankets
from the crib or other sleep areas, and using one piece of
sleep clothing. The crib should also have a firm mattress covered by a fitted sheet.
TFMIR is making a positive difference with the help and
cooperation of medical, social service and other community
agencies. Tulsa County’s infant mortality rate has decreased
by 26.7 percent in 2004.
“As a grandmother and parent, I think one infant death
is too many. We need to do whatever we can to prevent these
infant deaths, especially knowing these babies are dying in
unsafe sleep environments,” says Rask. “Those can be prevented.”
The Safe Sleep Top 10
• Always place your baby on his or her back to sleep, for
naps and at night.
by Nicole Macia
S
leep can sometimes be a not-so-safe activity for
infants. According to the the Health
Department’s Tulsa Fetal and Infant Mortality
Review Project (TFMIR), there were a total of
213 resident infant deaths in Tulsa County
between 2002 and 2004, with a total of 33 sleeprelated deaths over the three years. Twenty-eight of these
deaths were considered a result of non-safe sleep environments.
Because well-meaning parents may inadvertently put
their infants at risk when they put them down for sleep,
TFMIR is working to ensure that Tulsa County infants rest
easier – and safer – by educating parents about safe sleep
practices.
The project takes on the grim task of studying infants
who were born and then died in Tulsa County in order to
enhance the health and well-being of women, infants and
families. With permission, data abstractions of hospital
records, parent interviews and other relevant documents are
conducted of all babies one year of age and under, and no
client information is shared.
“We look to see what is contributing to these infant
deaths,” says Pam Rask, manager of “It’s All About Kids”
school health program and TFMIR. “We look at what kinds of
issues we see in the community and determine where we
need a system change.”
Recommendations are made by a case review team and
are given to a community action team to develop systemic
changes.
“We are seeing a lot of deaths that occur as it relates to
• Place your baby on a firm sleep surface, such as on a
safety-approved crib mattress, covered by a fitted sheet.
• Keep soft objects, toys, and loose bedding out of your
baby’s sleep area.
• Do not allow smoking around your baby.
• Keep your baby’s sleep area close to, but separate
from, where you and others sleep.
• Think about using a clean, dry pacifier when placing
the infant down to sleep.
• Do not let your baby overheat during sleep.
• Avoid products that claim to reduce the risk of SIDS.
No child should be afraid to go home!
To learn more, call (918) 599-7999 or
www.parentchildcenter.org
• Do not use home monitors to reduce the risk of SIDS.
• Reduce the chance that flat spots will develop on your
baby’s head—provide “Tummy Time” when your baby
is awake and someone is watching.
continued next page
32
TulsaKids
BabyGuide 2009
33
Infant Health
Gift Idea
The ABCs of RSV
Dialing for Dinner
Fundamentals for Protecting Preemies and
Other Babies from This Common Virus
742-DINE is a Unique Gift for New Parents.
by Miranda Enzor
B
aby has arrived and the work is just getting
started. Instead of contributing to the growing
pile of gifted baby blankets, try a unique gift for
mom and dad: the gift of restaurant-quality
food in the new parent’s home.
by Phyllis Dennery, MD
Professor of Pediatrics/Chief Division of Neonatology
University of Pennsylvania/Children’s Hospital of Philadelphia
P
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 contracting 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 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
5½ 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 lifethreatening lower respiratory tract infections, including bronchiolitis or pneumonia.
34
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.
TulsaKids
742-DINE is a locally-owned and operated service that
allows customers to order food from over 60 restaurants in
the Tulsa area. Their menu covers everything from Italian and
Mexican to deli and ice cream offerings. Menu guides are
available online at 742dine.com, in participating restaurant
locations or can be requested by calling (918) 742-DINE
(3463.)
The company offers gift cards for any occasion. With a
gift card, new or expecting parents can choose when help
with meals fits their schedule.
“The timeliness of a gift card is great,” says co-owner
Susan Scott. “It allows the recipient to use the gift when it’s
most important to them.”
Gift cards are also a simple option for groups wishing to
give something to new parents. Once a gift account is open,
those wishing to contribute just call in with the name of the
busy parents and 742-DINE will add to the gift card and notify
the recipients of additional gifts. This convenience makes it
an easy option for out-of-towners as well.
“It’s also a great option for a night in,” adds Scott. “New
parents can get restaurant-quality food without having to pay
a babysitter or leave their newborn at home.”
742-DINE is co-owned by Scott and Dan Katz. The pair
began the company 16 years ago with just five restaurants on
the roster. For more information on 742-DINE, visit
742dine.com or call (918) 742-DINE (3463.)
BECAUSE MOTHERS HAVE
BETTER THINGS TO DO
The most restaurant options. Brought to your door.
742-DINE
delivers lunch and dinner from 60 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
BabyGuide 2009
www.742DINE.com
35
Immunizations
Protecting
Your Child
Latest Immunization Schedule at
http://www.cdc.gov/nip/recs/child-schedule.htm
The Tulsa Health Department
(THD) provides free childhood immunizations according to the CDC’s recommended childhood and adolescent
immunization schedule. Infants, children and adolescents must be accompanied by their parent or guardian to
receive immunizations.
Immunization clinics are available
at the times and locations listed below.
Special evening and weekend clinics
are also available to accommodate parents’ schedules. For more information,
please call 918-595-4514.
36
Expo Square Health Center
4616 E. 15th Street, Tulsa, OK
8:00 a.m. - 4:00 p.m. Monday Thursday
8:00 a.m. - 11:00 a.m. Friday
Thursday
8:00 a.m. - 11:00 a.m. Friday
James O. Goodwin Health Center
5051 S. 129th E. Avenue, Tulsa, OK
8:00 a.m. - 4:00 p.m. Monday Thursday
8:00 a.m. - 11:00 a.m. Friday
Collinsville Community Health Center
1201 W. Center
Collinsville, OK 74021-3111
Call (918) 596-8650 for an appointment
Central Regional Health Center
315 S. Utica, Tulsa, OK
8:00 a.m. - 4:00 p.m. Monday -
Bixby Community Health Center
8120 E. 126th Street
Bixby, OK 74008
Call (918) 369-3155 for an appointment
Sand Springs Health Center
306 E. Broadway
Sand Springs, OK 74063-7911
Call (918) 591-6100 for an appointment
TulsaKids
BabyGuide 2009
37
Baby’s Developmental Needs
precise use of hands
How you can help:
• baby-proof the house for
baby’s safety
• clear surfaces of small or
breakable objects; cover
pointed corners
• hand baby toys to explore
and manipulate
INTERACTING & FEEDING
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
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
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
continued next page
38
TulsaKids
BabyGuide 2009
39
New Baby Stuff
Stainless Steel Baby Bottle
Made by organicKidz™
Price: $14.95 - $19.95
www.organicKidz.ca
This stainless steel baby bottle is safe, durable and
free of the toxic chemicals that some traditional plastic
baby bottles have contained. This product has been tested and determined to be lead-free, and the stainless steel
makes it naturally resistant to bacteria. Bottle designs are
for both boys and girls. Dishwasher safe and compatible
with most narrow necked nipples.
Good Buy, Baby
BY
TTHHEN COMES BAIIA
IN A BABY CARR AGE
by Nancy A. Moore
W
hen you have a baby it seems that the
stuff that comes along with caring for
your baby can become overwhelming.
Here are a few new and clever products that will make life easier for you
and your baby.
Books Are for Eating Reading
by Suzy Becker
(Random House, 2009)
Price: $8.99
www.suzybecker.com
What a great concept! A board book that actually is multifunctional; you can read it to your baby and when baby
holds it, she can rub her gums on the built-in teething corners of the book. It also comes with a handle small enough for
little fingers to easily grip. Besides the teething corners, it
actually has an adorable teaching lesson on the inside. A part
reads, “Crayons are for writing, not biting. Feet are for stomping, not chomping.”
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Zaky
Made by Zackeez, Inc.
Price: $49.95
www.TheZaky.com
The Zaky is a giant hand and arm that helps to
comfort and position your baby. It is very light weight,
and the filling can be shifted around easily. The microfleece material is plush, gentle and hypo-allergenic.
Parents can sleep with the Zaky to transfer their scent
allowing their child a familiar scent when away from
their parent in a crib or car seat. Another feature is that it
can be warmed in the dryer before placing around baby.
It comes with a separate bag for washing and drying.
Available in a variety of colors.
The Original Goo Roo
Made by Abigail Prescott
Price: $15.00
www.cottagecolony.com
Out of personal necessity, local mom, Abigail Prescott,
came up with a unique idea for a burp cloth with pockets on
all four sides, making it is easy to catch and contain spit-up.
Available in six different designs, the Goo Roo is chic and fun
to carry and small enough to be tucked into diaper bags or
purses. The soft, 100% cotton flannel material is machine
washable and super absorbent.
continued next page
40
TulsaKids
BabyGuide 2009
41
Cognitive Development
Share the Gift
of Reading
Even Babies Benefit from Storytime with Parents.
“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 information 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
compress in babies’ hands as they are grasped.
• 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
First Readers taps into research on reading and children’s
by John Fancher
brain development and gives age-appropriate reading expe-
A
riences for the pre-talker, the talker and the preschooler.
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.
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.
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.
Kadry Dale, Broken Arrow Library children’s associate, reads
a story to Isabel Rosenblum during My First Storytime.
previous page is turned.
Suggestions:
– Let babies explore the hinged nature of their books.
– 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.
4 to 6 Months
Types of Books:
• Cloth and soft vinyl books. These are lightweight and
continued next page
42
TulsaKids
BabyGuide 2009
43
Baby Guide Resources
All Things Maternity
Top Quality Resale
Pregnant? Look Great for Less!
Save Money on Name-Brand
Maternity Clothes.
Baby-wearing Slings
Sizes: xs–4x
[Cash for Your Clothes]
1525 S. Main, Broken Arrow
918.251.1333
Wed-Sat 11am–6pm
www.AllThingsMaternity.net
CRIB CITY
Quality Nursery Furniture at Affordable Prices!
New Larger Location! 71st & Memorial
(SW corner next to Ross Dress for Less)
918-286-2525
cribcity.net
Gentle Hands
Maternity Care Inc.
Midwife Specializing in
Home Births
Member BBB
Alice Sirmons CPM
918-251-1467
[email protected]
DIAPER DOLPHINS
New Life Massage
and Bodyworks
Diane Jacobson, BSW
Nationally Certified
Pregnancy Massage
Tables Available
Old Village Professional Bldg.
1427 East 41st Street
918.743.1232
44
Introduce your baby
to the joy and fun of
the water in a lively
group setting.
30-minute ParentChild classes • Once
or Twice a Week •
Morning and Evening
Sessions • Six months
to Three-Year-Olds
MILLER
S W I M S C H O O L
6415 S. Mingo • 254-1988
millerswimschool.com
TulsaKids