The ABC’s of Kid-Friendly Doctor Visits You Go Girl!

A HEALTH NEWS AND EDUCATION
RESOURCE GUIDE FOR NEW AND EXPECTING PARENTS
May – August 2008
The ABC’s
of Kid-Friendly
Doctor Visits
Tips to put you and
your child at ease
Pages 4 – 5
You Go Girl!
Classes to Help You Stay Fit During Pregnancy and
After Childbirth
Page 7
Borrowing a Breastpump?
Why It’s Not Worth the Risk
Page 8
Language of Love
Evaluating Your Child’s Speech Development
Page 11
Project 21SD
Taking Action Against Childhood Obesity
Page 12
Class Locations
Poway
San Marcos
Pomerado Hospital
15615 Pomerado Road
Poway, CA 92064
858.613.4000
The HealthSource
125 Vallecitos De Oro, Suite A
San Marcos, CA 92069
858.675.5376
Pomerado Outpatient Pavilion
Jean McLaughlin Women’s Center
Education Classroom
15611 Pomerado Road
Poway, CA 92064
858.613.6110
Escondido
Palomar Medical Center
555 East Valley Parkway
Escondido, CA 92025
760.739.3000
Off-site classes are also available for
groups, businesses and other organizations
that would like instruction on a particular
health topic. Call 858.675.5372 for more
information.
The HealthSource retains the right to cancel
a community education class if minimum
enrollment is not met. If you have a
disability, please notify us 72 hours prior to
the event so that we may provide reasonable
accommodations.
Numbers to Know
Editor-in-Chief
Janet Gennoe Klitzner
Director of Marketing & The HealthSource
[email protected]
Content Editors
Mary Coalson
Health Education Specialist
[email protected]
Tammy Chung
Assistant to The HealthSource
[email protected]
Contributors
Gustavo Friederichsen
Chief Marketing & Communications Officer
[email protected]
Tami Weigold
Marketing Manager
[email protected]
Keep these important numbers handy for use in the event of an emergency.
Volume 4 – Issue 2
May – August 2008
Emergency Crisis Hotlines – 24-Hour Service
911
CeCe Wilkens
Wilkens Communications
Jennifer Decker Arevalo
PSY/MED Media
Fire, Police or Emergency
Poison Control
800.222.1222
California Missing Children Hotline
800.222.3463
Design/Production
California Youth Crisis Hotline
800.843.5200
Chase Design
[email protected]
Child Abuse Hotline
800.344.6000
Rape/Crisis Hotline
888.272.1767
Missing, Abused & Exploited Children
888.818.4673
National Runaway Switchboard
800.621.4000
Vanished Children’s Alliance (VCA)
800.826.4743
Suicide and Crisis Counseling
800.479.3339
Photography
San Diego Police Department 619.531.2000
Linda O’Neill
Trina Hinch
Marketing Project Manager
[email protected]
Mark Seal
Rush Press
Janet Gennoe Klitzner
Stock Images
may – A u g u s t 2 0 0 8
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Special Features
Special Features
4 – 5
The ABC’s of Kid-Friendly Doctor Visits
Your child’s experience at the doctor’s office is dependent on their
age as well as your own comfort with these exams. Discover tips to
help make each visit a positive one for you and your growing child.
6
Meet the Instructor
Palomar Pomerado Health is proud to introduce Karen Peterson
as our newest certified childbirth educator.
7
Rising Stars
Palomar Pomerado Health Foundation offers a unique opportunity
for new parents to turn special gifts into brighter tomorrows.
8
Borrowing a Breastpump?
Personal-use breastpumps are not meant to be shared and pose
a risk for cross-contamination. Learn more about why you should
stick to purchasing your own personal-use pump or renting an
appropriate hospital-grade pump.
9
Everything Baby!
The Women’s Health Connection Boutique and Resource Center
provides the very best products, services and information to every
woman embracing the joys of motherhood.
10
Watching Baby Grow
Learn more about the developmental milestones to look for during
months 19 – 21 of your baby’s life.
11
Language of Love
If you are concerned about your child meeting basic speech
developmental milestones, be proactive and seek assistance.
Learn how PPH’s Pediatric Speech Pathology department can help.
12
Finding a Physician
To select a Palomar Pomerado Health physician
for your pre-pregnancy and pregnancy care, or
to register for a PPH childbirth class, please call
The HealthSource at 800.628.2880.
Project 21SD
Education
6
Childbirth Preparation Classes
PPH offers a wide variety of classes and services to help you and
your partner prepare for pregnancy and delivery.
7
Prenatal and Postnatal Exercise Classes
Our prenatal and postnatal yoga and exercise classes will help
you to stay in shape, feel your best and maximize your total wellbeing during and after pregnancy.
8
12
Breastfeeding Classes and Lactation Services
Infant- & Toddler-Care Classes
Take advantage of our special presentation infant- and toddlercare classes including Baby-Care Basics, Infant Massage, Basic
Training for Dads, and our newest offering, Soothing and Sleep
Strategies.
13
Peaceful Parenting
14
Sibling Education, Young Adult, CPR and First-Aid Classes
Stork Club Tours
Call for dates, times and locations.
Tours of the Birth Centers at Palomar
Medical Center and Pomerado Hospital
are available by appointment only. If you
are taking a childbirth class at the Jean
McLaughlin Women’s Center or Palomar
Medical Center, there is no need to take
this tour as well. Tours of the Birth Center
at Palomar Medical Center are available in
Spanish on the 2nd and last Wednesdays
of each month from 7 to 8:30 p.m.
FEE: Free
For a physician referral, or to register for a class, call The HealthSource at 800.628.2880.
The
ABC’s
of Kid-Friendly
Doctor Visits
Chances are, you and your newborn will see more of your pediatrician
– or family physician – during the first year than at any other time. The
frequency of these early “well baby” visits helps assure that your infant
is growing and developing properly.
During these appointments, your health provider – physician, a qualified
nurse practitioner or physician assistant – will examine your child’s
physical growth, check for signs of infection and abnormalities, test
reflexes and note developmental milestones such as rolling over or
taking those first steps.
Your child’s experience at the doctor’s office is dependent on your child’s
age as well as your own comfort with these exams. These tips will help
make each visit a positive experience for you and your growing child.
Be Prepared.
“The first doctor visit is easy for the newborn, but
can be very stressful for new, and often sleep
deprived parents,” says Lynn Herring, M.D., a
board-certified pediatrician with Children’s Primary
Care Medical Group. “It helps to plan extra time to “If a child asks about shots, the parent should honestly respond that he
get ready. Of course, the diaper bag should be packed may need vaccines and, if so, the shot will hurt for just a short time, like
a hard pinch,” says Dr. Herring. “Even if vaccines are scheduled for a
with necessities during the time you will be away from home.”
visit, doctors may not know if the child is well enough for them until after
“You’ll have lots of questions, especially in those first few months,” says the exam is completed. Parents can help most by modeling calmness
Kuangkai Tai, M.D., a board-certified pediatrician with Valley Verde and confidence that the child will be fine in spite of the injections.”
Pediatrics. “A few days before your visit, write your questions down.
I suggest using a notebook for recording answers and other important
information, like recommended medication dosages and how much
weight your child has gained.”
Don’t limit your questions to medical issues. Your provider is a valuable
resource about general childcare issues and will have information sheets
about common concerns such as sleeping through the night, introducing
solid foods and teething.
Be Honest About Shots.
Partner with Your
Provider.
Make the most of the professional expertise
during each visit. Actively listen to the questions
your provider asks of you and the answers
given in response to your questions. Turn off your
cell phone so that you can devote your full attention during the
office visit.
Well child visits inevitably include periodic Look toward developing a long-term relationship with your child’s doctor.
immunizations. Both Dr. Herring and Dr. Tai agree Choose a provider you can communicate with openly and who relates
that honesty is the best policy when it comes comfortably with your child as he grows up.
to telling your child what to expect during the
To select a Palomar Pomerado Health physician for your pre-pregnancy
appointment.
and pregnancy care, or to find a pediatrician for your child, please call
“Vaccines are very important because they protect The HealthSource at 800.628.2880 or visit www.pph.org.
your child, and the community, from illness,” Dr. Tai
says. “I like to tell patients that the shot is just a small ‘owie’ that helps
protect them from a bigger, more serious illness.”
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w w w. p p h . o r g
Additional tips for successful You can involve older children by asking them to think of a question
doctor visits with your growing they would like to ask their provider. Consider reading age-appropriate
books or researching online for information appropriate to your child’s
child include:
1. Think Comfort. While all
providers strive to stay on time,
there may be unavoidable delays.
Bring a favorite toy or book plus
appropriate snacks such as
juice, cheerios or fruit leather
to keep your child occupied and
nourished. Dress your child in
comfy clothes rather than his
newest outfit.
2. Avoid Stranger Anxiety.
“Starting at about nine months of age,
‘stranger anxiety’ can begin and babies sometimes become more
fearful during the exam,” Dr. Herring says. “This phase typically peaks
at about 12 to 18 months old, but can last until a child is about three
years old. It’s best to allay those fears by staying close to your child,
letting her sit on your lap during the entire exam. Bringing the child’s
favorite stuffed animal can be reassuring as well.”
3. Teach to the Moment. School-age children are curious learners
and each office visit can be an opportunity to excite their interest in
their growing bodies, human development and disease. A few days
before an appointment, build positive anticipation by reading a book
about visiting the doctor or watching a video.
interests. For young athletes, a Web site about injury prevention or
first aid might apply, while a studious adolescent might prefer a text
on how germs spread disease.
4. Empower Your Teen. As your child enters adolescence,
encourage him to think of questions to discuss with the doctor. “With
teens, part of the visit may involve meeting privately with the doctor, so
it helps to let them know that you respect their growing independence
and so does their provider,” Dr. Herring says. “If you are in the exam
room, try to let your teen answer the doctor’s questions first. Parents
can help their adolescent take responsibility for their health, but still
provide guidance when needed.”
5. Relax. “Children have pretty sensitive radar, so if you’re afraid
your child will pick that up,” says Dr. Tai. “Examine your own anxiety
about doctors and try to keep that separate from your child.” He likes
to spend a few minutes getting to know the parents before turning his
full attention to their child. “This helps everyone relax and understand
that we are all interested in the best care for this child.”
6. Reward Your Child. Give your child something to look forward
to following the appointment. This could be a trip to the playground,
a special treat or a new toy.
7. Keep it in Perspective. Remember that physician visits are
focused on helping your child thrive and grow strong and healthy.
For a physician referral, or to register for a class, call The HealthSource at 800.628.2880.
the
Classes
Childbirth Preparation
Meet the Instructor:
Preparation for Childbirth
Karen Peterson
Five-Week Series
6:30 – 9 p.m.
Pomerado Outpatient Pavilion (Poway)
Jean McLaughlin Women’s Center, Education Classroom
Choose one of the following five-week series:
Mondays, July 21 – August 18
Wednesdays, June 4 – July 2
Palomar Medical Center (Escondido)
Choose one of the following five-week series:
Certified Childbirth Educator
As a mother of three grown boys, Karen
Peterson looks back fondly on her
own birth experiences and credits her
positive memories to the preparation
she received through childbirth classes.
Tuesdays, July 29 – August 26
Wednesdays, June 11 – July 9
“My husband and I took Lamaze classes
many years ago and we found it to be
extremely helpful as we prepared for
such a major life event,” says Peterson,
who is a certified childbirth educator
and certified lactation educator. “I
decided to apply my interest and
knowledge to teaching because I wanted to help others plan for the
best possible birth experience as well.”
Prepare for a safe and satisfying birth experience with this five-week
childbirth preparation series. Small classes ensure personalized
instruction focusing on the signs and stages of labor, hospital
procedures, medication options and Cesarean birth. A general
overview of labor-coping techniques is provided, and newborn
characteristics, infant feeding and postpartum adjustments are
discussed. A tour of the birth center is included.
Peterson joins Palomar Pomerado Health (PPH) with six years
experience teaching childbirth preparation classes. At PPH, she
will be one of three instructors leading a five-week childbirth series,
weekend childbirth class, Becoming a Big Brother/Big Sister class,
and a Baby Care Basics class.
FEE: $70 / mom or couple (includes childbirth manual)
Preparation for Childbirth “In a Weekend”
9 a.m. – 3:30 p.m. (Saturdays)
10 a.m. – 3:30 p.m. (Sundays)
Pomerado Outpatient Pavilion (Poway)
Jean McLaughlin Women’s Center, Education Classroom
Choose one of the following weekend sessions:
May 3 – 4 or May 17 – 18
June 7 – 8 or June 21 – 22
July 19 – 20
August 2 – 3 or August 16 – 17
“I encourage each expectant mother to trust her body and its ability
to give birth,” says Peterson. “If I can provide couples with enough
knowledge to ease their fears and enable them to make informed
choices about the numerous options available to them, then I feel
I’ve succeeded. I really enjoy the opportunity to connect with the
couples, and to watch them grow and form their own friendships
with each other. It’s a very rewarding experience for everyone.”
Palomar Medical Center (Escondido)
Choose one of the following weekend sessions:
May 3 – 4 or May 24 – 25
June 7 – 8 or June 21 – 22
July 12 – 13 or July 26 – 27
August 9 – 10 or August 23 – 24
Our weekend class includes the same information covered in our
five-week series, but takes only two days to complete. A tour of the
birth center is included. Early registration is recommended.
FEE: $70 / mom or couple (includes childbirth manual)
Cesarean Birth Lecture
When Karen isn’t teaching, she enjoys spending time at her San
Marcos home with her husband, David. Together, they tend to their
backyard aviary that is home to zebra finches and parakeets.
Mothers of
Twins &
Triplets Club
Call for dates, times and locations.
Expectant parents who anticipate a Cesarean birth and choose
not to enroll in a childbirth class may attend a one-hour lecture
about Cesarean birth that is part of our regular childbirth series.
Information covered includes indications for a Cesarean birth, preoperative procedures, medications, the birthing process, and postoperative and recovery procedures.
FEE: $10 / mom or couple
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Have you been blessed with multiple bundles of joy? The Mothers
of Twins and Triplets Club meets monthly and provides a forum
for friendship and support for families, or expecting families, with
twins or triplets. Speakers and special programs help parents
deal with the pressure of raising multiple-birth children. For more
information, call 760.798.9678.
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3JTJOH4UBST
Special Gifts for a Brighter Tomorrow.
Your Baby is a “Rising Star”
You have been given a precious gift. Your child – a star in the eyes of anyone who looks
upon this bundle of joy. If your baby was born at Pomerado Hospital or Palomar Medical
Center, then you have experienced first-hand the expertise and compassion of our nurses
and doctors who strive to make each little one’s entrance into this world the best it can be.
What better way to commemorate the birth of your baby, and to honor our caring staff, than
with a star on our Rising Stars baby wall?
How to Sign-Up
The Rising Stars program offers two ways to join:
A silver star represents a single donation of $100
A gold star denotes a single donation of $500
Your donations are fully tax-deductible!
With the birth of a new baby, everyone wants to celebrate the happy event. Anyone can
enroll a newborn in the Rising Stars program, including parents, grandparents, other family
members and friends.
For more information, or to sign-up, please call the PPH Foundation at 760.739.2787 or
visit www.pphfoundation.org.
Prenatal Yoga
Infant Mommy & Me Yoga
Mommies in Motion
Four-Week Series
6 – 7 p.m.
Pomerado Outpatient Pavilion
Jean McLaughlin Women’s Center
Education Classroom
Thursdays, May 22 – June 26
Six-Week Series
10:30 – 11:30 a.m.
Pomerado Outpatient Pavilion
Jean McLaughlin Women’s Center
Education Classroom
Mondays, July 14 – August 18
A regular practice of yoga
postures during pregnancy
helps to strengthen the
belly and back, reduce
back
pain,
increase
well-being and improve
physical comfort. Prenatal
yoga assists in preparing for birth by working
with the body and breath to help facilitate
the labor process. Join Certified Childbirth
Educator and Yoga Instructor Liza Janda
as she guides expectant moms to relax
and empower themselves while creating a
safe, soothing and comfortable environment
for baby. This class is designed for women
in their first through third trimesters. A
signed physician consent is required, and
participants should bring an exercise mat or
large towel to each class.
Finding time to exercise
after having a baby
can be a challenge.
Mommy & Me Yoga is
the perfect way to stay
in shape and spend
quality time with your
child. Registered yoga instructor Erin
Noland teaches “baby-style centering,”
songs for baby, and an active Hatha Yoga
class incorporating poses using your baby.
You’ll wind down with wonderful relaxation!
Toys are provided – just bring a blanket.
Mothers are asked to wait four to six weeks
after delivery before practicing yoga. Check
with your doctor before starting any new
exercise program. Appropriate for new
mothers with infants age four weeks to one
year – not walking.
Take steps now to stay in shape, feel your
best and maximize your total well-being
during pregnancy. This four-week prenatal
series promotes physical fitness and good
health through education and exercise.
“Mommies in Motion” is suitable for women
of any stage of pregnancy or fitness level. A
signed physician consent form
is required, and participants
should bring an exercise
mat or large towel to each
class.
FEE: $72 / participant for six-week series
FEE: $60 / mom and baby
Six-Week Series
6 – 7:15 p.m.
Pomerado Outpatient Pavilion
Jean McLaughlin Women’s Center
Education Classroom
Thursdays, August 14 – September 4
FEE: $40 / participant for fourweek series
For a physician referral, or to register for a class, call The HealthSource at 800.628.2880.
Breastfeeding
Lactation SERVICES
Successful Breastfeeding
6:30 – 9 p.m.
Pomerado Outpatient Pavilion (Poway)
Jean McLaughlin Women’s Center, Education Classroom
Choose one of the following four classes:
Tuesdays
May 6, June 3, July 1 or Aug. 5
Palomar Medical Center (Escondido)
Choose one of the following two classes:
Mondays
June 9 or August 11
Breastfeeding is “nature’s way” to feed a baby, but it doesn’t
always come naturally. Enhance your opportunity for a positive
breastfeeding experience with this informative class led by a
certified lactation consultant. Topics include the benefits of
breastfeeding, breast anatomy and physiology, getting off to a
good start, common difficulties and solutions, and returning to
work.
FEE: $25 / mom or couple
Sharing or Buying a Used Breast Pump:
Not Worth the Risk
“She’s my sister. It’s okay to borrow her
breast pump.” “I’m going to save money
buying a used breast pump.”
If you are about to become a new mom
and are considering buying or borrowing a
pre-owned personal use breast pump, STOP!
Personal-use pumps have an internal diaphragm
that cannot be removed, replaced or fully sterilized. Research evidence
suggests that certain viruses and bacteria are transmittable through
breastmilk, so the risk of cross-contamination of sharing a previously
used personal pump cannot be dismissed.
The U.S. Food and Drug Administration (FDA) has only approved
hospital-grade breast pumps for use by more than one person. These
pumps have a closed system with special barriers and filters to stop
milk from entering the motor, which prevents cross-contamination of
infectious diseases, like HIV or hepatitis.
“Personal-use pumps are like any other personal-care item,” says
Christine Gleason, R.N., C.L.E, Women’s Health Specialist. “You
wouldn’t share a toothbrush and shouldn’t share a breast pump.”
The Palomar Pomerado Health (PPH) Women’s Health Connection
Boutique and Resource Center rents Medela® hospital-grade pumps.
These pumps are FDA-approved for use by more than one person.
When renting a breast pump, moms also purchase a new pump kit that
includes their own breast shields, containers and tubing. Personaluse breast pumps are available for purchase from the Boutique at
competitive prices.
“We give new moms all of the information they need to choose the
right pump, whether it’s a rental or personal-use pump,” says Gleason.
“Our staff teaches them how to use and clean the pump and its parts,
as well as how to store the breast milk.”
For more information, call the Boutique at 858.613.6110.
may – A u g u s t 2 0 0 8
Palomar Pomerado Health’s certified lactation consultants provide
guidance to new mothers who choose to breastfeed their babies. Breast
pumps are also available for sale or rental through the PPH Women’s
Health Connection Boutique, along with a wide variety of breastfeeding
supplies and literature. Following is a directory of lactation services:
Jean McLaughlin Women’s Center
858.613.6120
Pomerado Outpatient Pavilion
15611 Pomerado Road, Poway, CA 92064
Outpatient lactation services provided by board-certified lactation
consultants; private appointments; fee for service basis
Women’s Health Connection Boutique
858.613.6110
Pomerado Outpatient Pavilion
15611 Pomerado Road, Poway, CA 92064
Medela breast pumps for rental or purchase; pump kit accessories;
nursing bras; breast-care products
Palomar Medical Center
Pomerado Hospital
760.739.2434
858.613.4605
Breastfeeding classes; consults; telephone advice warmline
To register for a breastfeeding class, please call
The HealthSource at 800.628.2880.
Win a FREE Medela® Pump In Style
Advanced Breast Pump!
We’re giving away a free breast pump!
Just visit the Women’s Health
Connection Boutique and Resource
Center between May 15 and July 15,
2008 to enter your name in the drawing.
The winner will be notified by phone by July 20.
For more information, call the Boutique at 858.613.6110.
Women’s Health Connection Boutique and Resource Center
15611 Pomerado Rd., 1st Floor
Poway, CA 92064
858.613.6110
Hours: Monday – Friday 10 a.m. – 6 p.m. Saturdays 10 a.m. – 2 p.m.
Breastfeeding Support Group
The HealthSource, San Marcos (Craven Road location)
Thursdays, 1 – 2:30 p.m.
Pomerado Outpatient Pavilion (Poway)
Jean McLaughlin Women’s Center, Education Classroom
Tuesdays and Fridays, 1 – 2:30 p.m.
3rd Saturday of each month, 10:30 a.m. – Noon
Meet with a certified lactation consultant and other new moms to
share information and learn new ideas during these weekly group
sessions. This support group is not a substitute for the Successful
Breastfeeding class. Call the Women’s Health Connection at
858.613.6110 for more information.
FEE: Free
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At the Women’s Health Connection Boutique, our
goal is to provide the very best products, services and
information to every woman embracing the joys of
motherhood. Our friendly and knowledgeable Boutique
staff specializes in pregnancy health and is committed
to providing the support and encouragement needed
for a positive breastfeeding experience. Choose from
our extensive line of Medela® breast pumps for sale
or rental, as well as breastfeeding accessories, nursing
bras, and other necessities for mom and baby.
Visit us at our new location in the Jean McLaughlin
Women’s Center located on the first floor of Pomerado
Outpatient Pavilion. For more information, call
858.613.6110.
$15 OFF any purchase of $100 or more.
Pomerado Outpatient Pavilion
Jean McLaughlin Women’s Center
15611 Pomerado Road
Poway, CA 92064
858.613.6110
www.pph.org/women
Hours:
Monday – Friday,
10 a.m. – 6 p.m.
Saturdays,
10 a.m. – 2 p.m.
Visit the Women’s Health Connection Boutique and take $15 OFF any purchase of
$100 or more. Choose from a variety of breast pumps, breastfeeding accessories
and nursing bras, as well as wigs, hats, scarves and breast prostheses for women
recovering from cancer.
Call 858.613.6110 for details.
Offer not valid for pump rentals, with any other discount, or for previous
purchases. Limit one coupon per person. Coupon must be presented
at time of purchase. Expires 12/31/08 BS108
Find Everything Baby at the WHC Boutique
“With our new location in the beautiful Jean McLaughlin Women’s Center,
the Women’s Health Connection Boutique and Resource Center is much
larger and able to offer more products than ever before,” says Christine
Gleason, R.N., C.L.E., Women’s Health Specialist.
background to help them with information about their health concerns or
those of a loved one,” Gleason says. “We either provide the information
they need, connect them with the appropriate health experts, or refer
them to support groups or other community resources. This is what
makes our facility unique.”
The Boutique offers an extensive line of Medela® breast pumps (for sale
or rental), pump kit accessories, lactation supplies, literature and other To learn more, call the Boutique at 858.613.6110 or visit
necessities for mom and baby.
www.pph.org/women.
Gleason and Kim Paden, an international board-certified lactation
consultant, provide a wide range of services for new moms including
nursing bra fittings, breastfeeding classes for at-home and working
mothers, and support group meetings. Both are committed to providing
the support and encouragement needed for a positive breastfeeding
experience.
“Our location on the Pomerado Hospital campus is more convenient for
new moms,” says Gleason. “After consulting with a lactation specialist,
they can come directly to the Boutique to rent or buy their breast pump
and breast-care products. No need to drive to a discount store, especially
since we offer better service and pricing!”
The Women’s Health Connection Boutique and Resource Center also
includes an extensive lending library with online, print, audio and visual
learning materials covering a wide array of women’s health and wellness
issues. The Center responds to approximately 160 calls each month and
assists about 200 walk-in customers each month.
“Women like to come here because Kim and I have the knowledge and
New Products!
We’ve just expanded our products for mom and
baby. Visit us at the Boutique to discover our
unique baby care and gift items, including:
•S
usan Brown’s Baby: Pure and gentle luxury skin products
for baby and mom
• Bravado Designs: Maternity and nursing lingerie
•B
elabumbum: Maternity and nursing lingerie
• Elegantbaby: Baby needs, gifts and accessories
•S
torksak and Timi and Leslie: Diaper bags for the
chic mommy
• Trumpette: Baby socks with fashion and style
For a physician referral, or to register for a class, call The HealthSource at 800.628.2880.
Infant and Toddler Care
Soothing and Sleep Strategies
6:30 – 8:30 p.m.
Baby-Care Basics
Pomerado Outpatient Pavilion
Jean McLaughlin Women’s Center, Education
Classroom
Tuesday, August 19
12:30 – 3 p.m.
Pomerado Outpatient Pavilion
Jean McLaughlin Women’s Center, Education Classroom
Choose one of the following three classes:
Listening to your baby cry and cry without knowing what to
do can try the patience of any new parent. Based on the best selling
book, “The Happiest Baby on the Block,” this class reveals how
calming even the fussiest infants is easy once you can see the world
from their point of view. You’ll learn how to survive the “Fourth
Trimester” through effective soothing techniques. Expecting and
new parents are welcome to attend.
Saturdays, May 31, June 28 or July 26
Since babies don’t come with instructions, this class will provide
you with the guidance needed to experience a more confident
beginning. Topics include basic physical care skills, growth and
development, normal daily activities/habits, safe-proofing your
home, nutritional needs and management of illnesses.
FEE: $30 / mom or couple
FEE: $20 / mom or couple
Basic Training for Dads
Infant Massage
9:30 a.m. – Noon
Two-Week Series
6:30 – 7:30 p.m.
Pomerado Outpatient Pavilion
Jean McLaughlin Women’s Center, Education
Classroom
Saturday, August 23
Pomerado Outpatient Pavilion
Jean McLaughlin Women’s Center, Education
Classroom
Tuesdays, July 22 and 29
Designed for babies’ ages 1 to 6 months, infant massage
incorporates touch, massage, and reflexology in a loving, fun, oneon-one interaction – providing nourishment for a newborn’s healthy
development. Led by Certified Infant Massage Instructor Wendy
Morris, this unique class explores the many advantages of infant
massage and provides hands-on instruction using easy-to-learn
techniques. Please bring your baby to both one-hour sessions.
Are you a first-time “dad-to-be” in need of some basic
training? Learn what to expect during the last trimester of pregnancy,
birth and the first few weeks at home. Plus, discover practical tips
on diapering, feeding and soothing the newborn. This class is
intended for expectant fathers in the second or third trimester of
their baby’s pregnancy. It is a “fathers only” class featuring special
guests – Veteran Dads (BT graduates) and their newborn babies.
Leave the class with a boost of confidence to be the best dad you
can be!
FEE: $30 / couple and baby
FEE: $35 / dad
Watching
Baby Grow: Months 19-21
Now is when your toddler wants to imitate your every move. Your
child shadows you – and mimics you – because he is curious
and eager to learn. With as many as 200 words in his vocabulary,
your child may attempt to converse in two word sentences. As
fine motor skills develop further, your little artist may express
himself through scribbles.
Since the “terrible twos” are just around the corner, it’s not
uncommon to begin to see more aggressive behavior such as hitting,
biting and temper tantrums. Now might be the time to start reading
books on effective discipline techniques. By setting a positive example
through your behavior, words and actions, your child will follow and
self-assurance will blossom. After all, imitation is the sincerest form
of flattery!
Between 19 to 21 months, most toddlers will:
• Run
• Walk up stairs, maybe down
• Throw a ball underhand
• Learn 10 or more words a day
•D
ump objects (blocks out of a
bucket)
•R
ecognize that something is
wrong
• Take off their clothes
• Name several body parts
Source: www.babycenter.com
Missed previous parts of our series on developmental milestones?
Visit www.pph.org for an online version of earlier issues of The
BabySource.
10
may – A u g u s t 2 0 0 8
w w w. p p h . o r g
Language of Love: Evaluating Your Child’s Speech Development
Medical reasons for speech delay include middle ear infections, hearing
loss, a family history of speech problems, alcohol or drug use during
pregnancy, premature birth, and pervasive developmental disorders,
such as autism. Since speech is produced by coordinated muscle actions
of the tongue, lips, diaphragm and vocal cords, an array of medical or
developmental conditions may cause speech problems.
Environmental, educational and social factors may impair speech
development as well. Excessive sucking on a pacifier or thumb may
prevent the tongue from positioning itself correctly for speaking. Poverty,
malnutrition, neglect, and stress, along with attention deficits, learning
disorders and multiple languages spoken in the home may slow the
progress of speech.
“We have two certified bilingual speech therapists on our staff to assist
children who speak Spanish,” says Crickmore. “We see our youngsters
individually rather than in group sessions and they work with the same
Hearing your infant “coo” or say his first word is exciting! But should therapist throughout their speech rehabilitation. In contrast, speech
you be worried if your child has not said “dada” by his first birthday, or therapy provided in the public schools is typically conducted in
isn’t using short sentences by age three? If you are concerned about your condensed, short group sessions.”
child meeting basic speech developmental milestones, be proactive and
“Today’s parents are much more aware of potential speech problems and
seek help.
are not waiting to see if things get better on their own,” says Crickmore.
“Start by visiting your pediatrician who can provide you with a prescription “It’s never too early and you can never be too careful. The earlier the
to schedule as assessment with our speech pathology department,” intervention, the better the gains and the faster children catch up
says Maren Crickmore, M.A., CCC-SLP, Speech Pathologist for Palomar and avoid struggling with speech related problems, which also impact
Pomerado Health (PPH). “About 90 percent of parents who contact us academic success.”
are concerned that their children are behind in their speech, don’t have
a big enough vocabulary or don’t pronounce words correctly compared To learn more, call The HealthSource at 800.628.2880 or
visit www.pph.org.
to their peers.”
Maren Crickmore, MA, CCC-SLP, works with three-year-old Victoria Husted using
play-based language stimulation techniques.
Speech and Language Screening Tool for Toddlers
Age 1 – 1½ years: YES or NO
Age 2 – 2½ years: YES or NO
1. Child looks at person saying child’s name. ______
1. Child pretends to “talk” on the telephone. ______
2. Child follows simple directions. (“Give me the doll.”) ______
3. Child imitates heard sounds/words. ______
2. C
hild imitates 2 numbers or unrelated words upon
request. ______
4. Child vocalizes or gestures (or does both) to get a desired
object. ______
3. C
hild uses action words (during play with bubbles and/or
cars). ______
5. Child looks at, reaches for, or points to objects and pictures
when asked. ______
4. C
hild identifies 4 objects by function. (What will baby eat,
drink, etc.?) ______
Age 1½ – 2 years: YES or NO
1. Child identifies 4 – 6 body parts or clothing items on self or
a doll. ______
5. C
hild points to and comments on actions and/or objects in
books. ______
Age 2½ – 3 years: YES or NO
2. Child completes 2 requests with 1 object (“Brush hair; brush
teeth”). ______
1. C
hild uses action words in 2- to 3-word phrases during play.
______
3. Child uses consonants such as t, d, n, and h. ______
2. Child follows 2- to 3-step unrelated commands. ______
4. Child names 5 – 7 familiar objects upon request. ______
3. Child understands the concepts of one and all. ______
5. Child imitates 2- and 3-word phrases. ______
4. C
hild responds to “what/where” and “yes/no”
questions. ______
6. Child chooses 1 object from a group of 5 on verbal
request. ______
5. C
hild uses verb forms and/or speaks in basic
sentences. ______
**If “no” was answered to any of the above, a comprehensive Speech and Language Evaluation by Speech Pathology is recommended.
For a physician referral, or to register for a class, call The HealthSource at 800.628.2880.
11
Project 21SD
Kicks Off with
Healthy
Food Drive
A Healthy Food Drive in March involved employees throughout PPH
who donated healthy food for families at Interfaith Community Services.
Employees filled bins at PPH facilities with non-perishable items such
as low-sodium canned beans and soup, non-sugared whole grain cereals,
and low-fat snacks such as pretzels, multigrain chips and raisins. PPH
dietitians developed the list of healthy food items.
“It’s really exciting to work with the schools to address a serious concern
in our communities such as childhood obesity,” says Tina Pope, Director
of Community Outreach and Development. “For example, Project21SD
has chosen Lincoln and Felicita elementary schools to be pilot sites
for screening fifth grade students to identify those at risk for obesity or
diabetes.”
“Participation was tremendous Screening results are given to the students and their families. Those
because people felt they were who are identified as overweight or at risk for diabetes also receive
giving something of substance and guidance and resources such as insurance assistance, nutrition classes
helping people with the greatest and physician referrals.
need,” says Sheila Brown, Chief
The objectives of the childhood obesity project are to:
Clinical Outreach Officer for PPH.
• Increase physical activity levels
“Because suggested foods were
• Reduce sedentary behaviors (watching TV, using the computer,
healthy, employees also learned
playing video games)
how to choose healthy foods for
themselves. We were able to make a difference in the community,
• Increase amount of fruits, vegetables and whole grains in diet
thanks to the support of our employees.”
• Decrease amount of energy-dense, high sugar, high fat foods in
Another strategy partners PPH with area elementary schools to screen
fifth grade students and identify those at risk for or with diabetes.
diet
For more information about Project21SD, visit www.pph.org.
Strategies
for Success
Tackling Childhood Obesity
1.
A team effort is underway throughout Inland North County to defeat
childhood obesity, diabetes and cardiovascular disease. These three
major health issues, identified in the 2005 Community Health Check
conducted by Palomar Pomerado Health (PPH), are the focus of
Project21SD.
Campaign Awareness
2.
1 on 1 Coaching Program
3.
The goal of Project21SD is to educate children, parents, teachers,
PPH employees and the community about the risks associated with
obesity, diabetes and cardiovascular disease and the benefits of
adopting a healthy lifestyle. Project21SD is a visionary campaign that
features a partnership between PPH and the San Diego Chargers’ alltime leading rusher, LaDainian Tomlinson (LT) who wears jersey #21
and is the spokesman for Project21SD.
PPH Employee Food Drive
4.
School-Based Intervention
Program
5.
Home- and Family-Based
Intervention Program
“LT lives in the PPH district and has a personal interest in promoting
health in our communities because his own family has been touched
by obesity, diabetes and stroke,” says Sheila Brown, Chief Clinical
Outreach Officer with responsibility for implementing the childhood
obesity campaign. “His involvement as spokesman is valuable as we
move forward with seven strategies to reduce the rate of childhood
obesity in our communities.”
12
may – A u g u s t 2 0 0 8
6.
Health Education Program
7.
Health Assessment Program
w w w. p p h . o r g
At Palomar Pomerado Health,
we're experts in the practice
of medicine...
but we specialize in you.
With a nationally acclaimed team of physicians, nurses and staff specially trained in cardiology,
women's health, neurosurgery, orthopedics, trauma services and more, you can trust Palomar
Pomerado Health to provide you and your family with top-quality clinical care in a supportive,
personalized environment. To choose a doctor that's right for you, call The HealthSource at
800.628.2880 or visit us online at www.pph.org.
To heal, comfort and promote health — just three more ways that Palomar Pomerado Health is
specializing in you.
www.pph.org
800.628.2880
Peaceful Parenting
Six-Week Series
6:30 – 8:30 p.m.
Pomerado Outpatient Pavilion (Poway)
Jean McLaughlin Women’s Center, Education Classroom
Wednesdays, July 9 – August 13
The arrival of a baby in a family is a major adjustment for all family
members. Creating healthy family relationships from the beginning
can pave the way for successful parenting. This class focuses on the
positive impact that parents can have with children before the age
of 6. Learn about developmental ages and stages, communication
techniques and alternative discipline methods while participating
in this six-week series led by Shelly Cowper-Smith, a trained parent
educator. Classes are provided by Jewish Family Service of San Diego,
funded by the FIRST 5 Commission of San Diego County. Appropriate
for expectant and new parents as well as grandparents of children ages
birth to 5 years. No childcare is provided.
Finding
a Physician
FEE: Free – registration required
To select a Palomar Pomerado Health physician for your prepregnancy and pregnancy care, or to find a pediatrician for your
baby, please call The HealthSource at 800.628.2880. One of our
friendly representatives will help you to select the doctor who best
fits your family’s needs.
For a physician referral, or to register for a class, call The HealthSource at 800.628.2880.
13
CPR & First-Aid Classes
American Heart Association Life Support and HeartSaver
First-Aid Courses
Young Adult Classes
Babysitting Basics*
Pomerado Outpatient Pavilion (Poway)
Jean McLaughlin Women’s Center
Education Classroom
6 – 9 p.m.
Choose one of the following four classes:
Call 800.628.2880 for dates, times, locations
and registration information on the following
classes.
The American Heart Association strongly promotes
knowledge and proficiency in BLS, ACLS, and PALS and
has developed instructional materials for this purpose.
Use of these materials in an educational course does not
represent course sponsorship by the American Heart Association,
and any fees charged for such a course do not represent income to
the Association.
Fridays, May 16, June 27, July 25 or August 15
The HealthSource, San Marcos
1 – 4 p.m.
Saturday, June 7
This three-hour babysitting course is designed for boys and girls
ages 10 to 14. Topics covered include babysitter responsibilities,
caring for children, overview of first-aid, safety and accident
prevention, handling emergencies, playing with children, behavior
management, and tips for a professional babysitter. Those
completing the course receive a certificate of completion to present
to prospective employers.
CPR for Family and Friends
This course teaches basic life saving techniques including how
to relieve an obstructed airway. It is suggested for the lay rescuer
such as new parents, grandparents, babysitters, caregivers or
anyone who is preparing to help others in distress but does not
need certification.
FEE: $25 / participant
FEE: $20 / boy or girl (includes course materials)
Becoming a Young Woman*
HeartSaver First Aid
This four-hour class includes instruction on the general principles of
first aid, as well as medical, injury and environmental emergencies.
Topics covered include choking, chest pain, fainting, seizures, low
blood sugar, bleeding, burns, shock, bites, stings, poisoning and more.
This course complies with OSHA regulations and is open to anyone.
FEE: $40 / participant
7 – 8:30 p.m.
Pomerado Outpatient Pavilion (Poway)
Jean McLaughlin Women’s Center, Education Classroom
Friday, July 18
The HealthSource, San Marcos
Friday, August 22
HeartSaver Pediatric First Aid
This new four-hour class includes instruction on first aid basics,
medical and injury emergencies, environmental emergencies and
optional topics. It meets state-specific requirements and is designed
for child-care professionals, education and recreation staff, new
parents, guardians and other caregivers who are responsible for
children’s health.
FEE: $40 / participant
For information on additional CPR and First-Aid Classes offered at
Palomar Pomerado Health, please see page 14 of this issue of The
HealthSource.
Sibling Education
Becoming a Big Brother/Big Sister
10 – 11:30 a.m.
Pomerado Outpatient Pavilion (Poway)
Jean McLaughlin Women’s Center
Education Classroom
Saturday, June 28
Palomar Medical Center
Saturday, August 16
This 90-minute class offered at the Jean McLaughlin Women’s
Center in Poway and Palomar Medical Center in Escondido will
help big brothers and sisters prepare for the new baby’s arrival.
Activities include safe ways to interact with the new baby, special
art projects and diapering and feeding their “own” baby (please
bring a doll or stuffed animal). This class is designed for children
ages 3 to 5.
FEE: $15 / family
14
may – A u g u s t 2 0 0 8
This informative class helps young women 10 to 12 years old
explore the emotional and physical changes of puberty. Emphasis
is placed on how each girl experiences changes in her own special
way. Additional topics include challenges with competition
and development, communicating with parents, menstruation,
purchasing personal female items, cramps and other common
menstrual discomforts, and emotional changes and hormones.
Mothers are encouraged to attend and share this unique time with
their daughters. Please note there is no discussion on sex.
FEE: $10 / daughter and mother
*The “Babysitting Basics” and “Becoming A Young Woman”
classes are available for off-site instruction upon request. Please
call 858.675.5376 for more information.
w w w. p p h . o r g
You do all
You do all
you can to
you can to
protect your
protect your
loved ones.
loved ones.
But accidents
But still
accidents
can
happen.
can still happen.
It seems like children always find a way to hurt t hemselves. Which is
why we make sure we’re always ready. Our Emergency Department has
It seems
like children always find a way to hurt themselves. Which is why we make
a s uperior team of physicians and nurses, v e r y short w ai t t ime s and
sure
we’re always
ready. Our
Department
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surveyed nationwide, you can feel comfort ed knowing we’ll treat score
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feel
comthey ’re our own. We know you can handle the bumps and
forted
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own. We know
can
bruises that occur
in everyday
life.like
However,
i f something
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around ift hsomething
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is
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corner
and
ready
to help.
and ready to he lp.
www.pph.org
•
15615 Pomerado Road
•
858.613.4000
For a physician referral, or to register for a class, call The HealthSource at 800.628.2880.
15
Palomar Medical Center
If you would like to be removed from our mailing list, please contact
The HealthSource at 800.628.2880.
For a physician referral, or to register for a class, call The HealthSource at 800.628.2880.
San Marcos, CA 92069
125 Vallecitos de Oro, Suite A
The HealthSource - San Marcos
858.613.6120
Poway, CA 92064
15611 Pomerado Road
Jean McLaughlin Women’s Center
Pomerado Outpatient Pavilion (POP)
858.613.4000
Poway, CA 92064
15615 Pomerado Road
Pomerado Hospital
760.739.3000
Escondido, CA 92025
555 East Valley Parkway
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SAN DIEGO, CA
PERMIT NO. 2838
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