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Baby Massage: Bonding Through Touch

Baby Massage has been practiced in many cultures around the world for thousands of years, helping mothers and fathers to better communicate with their children through the power of touch. In today’s busy modern family, working moms and dads can feel guilty for missing out on time with our precious little ones. Infant Massage, or “Baby Massage”, is a great way to bond with your baby and have fun while making a stronger connection.

What is Baby Massage?

This easy-to-learn Massage technique is a gentle-pressure, rhythmic rubbing of your baby’s body and skin with your hands and fingers. You can use a moisturizer or lotion to help your hands glide over their skin and gently wiggle their ankles, elbows, wrists, and fingers. Developing a ritual will help your baby recognize the process. Be sure to make expressive eye contact throughout, engaging the child as much as possible. You can talk softly, hum, or sing a song.

What are the Benefits of Baby Massage?

The soothing rubbing of your hands stimulate the production of the feel-good hormone Oxytocin in the baby. Oxytocin is the hormone that gives you that warm, loving feeling. Mom produces it during breastfeeding, and Dad can produce it simply by holding the baby close. Parents relax, and baby is usually calm and receptive.

Some other benefits include:

• A better connection to your child spiritually and intellectually

• Relaxes your baby, putting them in a state of playful curiosity

• Better sleep patterns resulting in better moods

• Helps alleviate gas and stimulate bowel movementsbabymassage.jpg.

• Promotes sensory stimulation

Baby Massage is one of the most natural and pleasant methods of providing early nurturing, helping to strengthen the bond between you and your child. Parents report feeling more comfortable and confident in their ability to care for the baby. They learn to understand and respond to the baby’s cues, and learn techniques to comfort, calm, and soothe their babies. If you are looking for something special to do with your baby, consider adding Infant Massage to your routine.

For more information on infant massage or to host a workshop please visit www.DanaDurand.com

by Dana Durand, NCTMB, Licensed Massage Therapist

TIME – the Most Precious Commodity of All

breastfeeding momMost mothers are stressed when they have a new baby. I absolutely remember how tiring it is to be a mother – and especially when you’re a breastfeeding mother. Being tired is on my mind right now, because in the midst of working with a new breastfeeding mother of a six-day-old, she flat-out told me that, “this breastfeeding thing is taking way too much of my time.” I was left flabbergasted and flap-jawed. What I wanted to say and what I did say were two very different things. What I wanted to say was “Well, what were you expecting? Did you think you were going to drop the baby in the umbrella stand on the way in and out of your front door?” What I actually said is “Tell me how I can help you.”

The mom went on to explain that nursing every two hours was beginning to grate on her nerves. I went on to explain that babies had tummies the size of golf balls and that breast milk was a “perfect food” that made it digest and move through the stomach very rapidly. I quoted how each DROP of colostrum had 3 million cells (the majority being immune cells). Breastfeeding is as much nurturing as nourishing (hoping the old adage would help). I also described cluster feeding as being analogous to a camel getting ready to cross the desert; feed, feed, feed and then you get the big sleep (maybe 4-5 hours max). In my first book “Start Here; Breastfeeding and Infant Care with Humor and Common Sense” I tried to call the hours between 6-10PM the “arsenic hours,” but the publisher opted for something safer like “the witching hours.” I guess that “every hour on the hour” cluster thing is what put this new mother “over the edge.”

So, here are some suggestions I’ve come up with to help you save time during your busy breastfeeding days.

  • If you have an exceptionally sleepy baby (or just have to get the show on the road once in a while), I find that you can feed on one side while you simultaneously pump on the other: Tarzan Pumping (at least that’s what I call it). That trick alone can save you up to a half hour per feeding and maximize your milk supply. Your body will react as it you’re feeding twins (because both sides are going at the same time) and perhaps even increase supply a bit. It will also expedite your feeding and have your baby feel as though a bigger, stronger twin was on the other breast helping him or her out. Now you’ll want to feed that milk to your baby at some point (perhaps during cluster feeding time), as when I previously instructed another mom to do this, she was giddy with her new frozen stash; problem was the baby hadn’t gained any weight in a week…whoops; I should have been more clear with my instructions.
  • Anyone who tells you to sleep when the baby sleeps probably doesn’t shower, do laundry, use the bathroom, open the mail or eat; I never understood that suggestion. I mean, that’s the only time you have to do ANYTHING, isn’t it? So, ALLOWING others to do things for you will help put time back in your day. You shouldn’t feel as though you’re not a good mother if you don’t do everything and do it well (do as I say, not as I do/did). I remember 28 years ago how I came creeping out of my house to get the mail and was spotted by my neighbor. She promptly sent her “nanny” over to my house with instructions to “help that poor woman out.” Problem is that I wouldn’t let the well-meaning nanny in! As I look back on it, I was afraid that I’d be found out; that I’d be “exposed” and my neighbor would know how I wasn’t really holding things together as a mother “should.” In my experience, many mothers feel that same way. They’re overwhelmed but think that they’re the only mother experiencing that. I’m here to tell you that MOST mothers feel overwhelmed in the beginning and if they tell you otherwise, I’d be wary.
  • Remember the saying “time is fleeting,” so are these stages!  Many times these cluster feeds will pass quickly and after a couple days you’ll have an entirely new baby.  It’s important to keep in mind that babies patterns change quickly and you won’t always be feeding around the clock. 

When I heard this mother complaining about time, as I think more about it, I’m suspicious there might be something else going on. Is she depressed? Is she lonely and needs to get out of the house for companionship, does she simply have cabin-fever, or are her expectations unrealistic as to how much time infants take out of a mothers day? What do you think?

Blog written by  Kathleen F. McCue, DNP, FNP-BC, IBCLC-RLC, 

Owner of Metropolitan Breastfeeding

Choosing Your Pediatrician for Your Baby

presented by Angel J. Miller, MSN, CNM

The following is an excerpt of a chapter from the book Raising Your Child in Washington, DC, a resource for parents available in local bookstores.   by Dr. Michele R. Berman

One of the most important tasks a parent must undertake is the selection of a pediatrician for their baby or older child.  Besides being a place to take a sick child, or a place to get “baby shots,” a pediatrician’s office is an important resource for new or experienced parents.  Today, many families find themselves without the traditional support systems that their own parents had available to them.  Family members are often separated by many miles.  For these families, the pediatrician provides advice and encouragement, as well as basic child-care knowledge.  Many pediatricians see patients from birth through adolescence, so picking the right pediatrician may well be the beginning of a “long term relationship.”

Pediatrics, in general, is a preventive health care specialty.  Well-care visits provide the framework of information to keep your child happy and healthy.  A typical well-care visit starts with weighing and measuring the child and plotting those measurements on a growth chart to follow their progress.  The pediatrician will then ask several questions about your child’s eating, sleeping, and bowel habits, and about what new developmental milestones have been passed.  Then it’s your turn to ask the doctor about any questions or concerns you may have.   Write them down as you think of them at home, and bring the list with you.  After examining the child, the pediatrician may discuss a variety of topics, such as immunizations, safety issues, or behavior issues.  Some will also have handouts to supplement the discussion.  On average, there are seven well visits in the first year, three in the second year, and one every one to two years thereafter.

The Prenatal Appointment

If this is your first child, the decision as to who the baby’s pediatrician will be should be made well in advance of your due date.  (Remember – babies often come earlier than expected!)  This allows the pediatrician you choose to give your newborn its very first exam in the hospital, and to support you during those joyful, yet overwhelming first days.  Although all pediatricians are dedicated to helping you raise healthy, happy children, each has his or her own approach.  You will, therefore, want to meet with several pediatricians so that you can pick the one with whom you feel most comfortable and whose approach is most consistent with your own ideas about child raising.

Most pediatricians encourage parents to come for a prenatal appointment.  This is your opportunity not only to meet the pediatrician but look at the office itself.  If possible, both parents should be present, so you will both agree on your choice.  When you set up the visit, find out who you will be seeing (one or more doctors? Office staff?), about how long it will last, and if there is a charge for the visit.  If the visit consists of a quick hello by the pediatrician while the office staff shows you around, there may not be a fee.  However, there may be a charge if the pediatrician sets aside a block of time specifically to talk with you and answer any questions you have.  Many insurance companies will pay for this, but check with your plan first.

During the interview you should first find out about how the practice works.  What are the office hours?  Do they include evening or weekend hours?  How are after-hours calls handled?  Who are the doctors in the practice and what are their qualifications?  Can you see any of the doctors in the group, or are you assigned to one doctor?  How far in advance do you have to call to get a well child appointment?  A sick child appointment?  To what hospitals do the doctors admit their patients?  Do the doctors come to the hospital where you are delivering?  Who handles phone calls during the day and after hours?  What is the schedule of visits and immunizations?  Most pediatricians follow the guidelines of the American Academy of Pediatrics for these.

Secondly, try to get a feel for the pediatrician’s personality.  How does he/she respond to your questions?  Does he/she seem open to your concerns or does he/she seem to shrug them off?  Are they stiff or relaxed?  Distracted?  Do they have a good sense of humor?  Observe how he/she interacts with the patients that may be in the office at the time of your visit.  The feelings you get during your visit will set the time for the relationship you will develop with the pediatrician you choose.  You want to feel comfortable and confident about someone who is going to help you take care of that special baby of yours.

Ask the pediatrician questions about topics such as: What is their thoughts about circumcision, breast feeding, or the use of antibiotics or other medications?  If you are going to breastfeed, what kind of support can they give you?  What is their philosophy about the role of a pediatrician?

Lastly, look around the office.  Does it seem inviting to children?  Are there things for the children to do if they have to wait to see the doctor?  Will older children and adolescents also feel comfortable here?  Are there ways to separate sick from well children?  What kind of feelings do you get about the office staff?  The nursing staff and front desk personnel are also important in making a trip to the doctor a pleasant experience.

Looking for Dr. Right

So, where do you find your dream pediatrician?  There are several ways.  First, ask your friends and neighbors who they use.  Are they happy there?  What do they like about the office?  Is there anything they don’t like?  Next, ask your nurse-midwife for a list of pediatricians they frequently recommend and on whom they have gotten positive feedback.  Your internist, family practitioner and other medical professionals can also be good resources.

Increasingly, families find themselves as part of health plans that limit their choices to physicians who are members of the plan.  In this instance, start with the list provided by the health plan and see which physicians are available in your area.  Then ask the resources listed above what they know about those physicians.  Make an appointment with the pediatricians you’d like to know more about.

Pediatrician’s fees may vary widely.  Don’t be afraid to ask about fees before you go to the office.  Ask if you will have to pay for services at the time of the visit, or whether they will bill you or submit the insurance claim for you.  If you are a member of a health plan, and the pediatrician is a provider for that plan, they will file for you, but you must usually pay a small co-payment at each visit.  Look at your health plan or insurance coverage carefully.  Not all insurance plans cover well-child care, or you may have to meet a deductible, or they may only cover a certain number of well visits.  For these financial matters, it’s best to know what the office policies are before you get there.  If you anticipate a problem with payments, many offices will work with you, as long as you talk to them up front.

As mentioned earlier, many families find themselves using the same pediatrician for many years, so you want to choose one with whom you feel comfortable, and in whom you have confidence.  Shop around.  Ask questions.  Use and trust your instincts.  Remember, your decision does not have to be a final one.  If you are unhappy with your choice, there are many other fine physicians in the area.  Good luck, and happy parenting!

Dr.Berman practiced pediatrics in the Washington, D.C. area until the year 2000 She currently is co-founder with her husband of www.celebritydiagnosis.com.

Delaying Umbilical Cord Clamping

Clamping and cutting of the umbilical cord should be delayed for three minutes after birth, particularly for pre-term infants, suggests a senior doctor, Dr. Andrew Weeks, in the British Medical Journal. 28/08/2007.
Early clamping and cutting of the umbilical cord is widely practiced as part of the management of labor, but recent studies suggest that it may be harmful to the baby. Dr Andrew Weeks, a senior lecturer in obstetrics at the University of Liverpool, looked at the evidence behind cord clamping. For the mother, trials show that early cord clamping has no ill effects, he writes. But what about the baby?

At birth, he says, the umbilical cord sends oxygen-rich blood to the lungs until breathing establishes. When a baby is born it must transfer from receiving oxygen from the placenta to receiving oxygen from its lungs. For this to happen, the baby’s lungs must first expand, and the burst of blood from the umbilical cord helps to get the newborn’s lungs to expand properly. So as long as the cord is unclamped, the average transfusion to the newborn is equivalent to 21 percent of the neonate’s final blood volume and three quarters of the transfusion occurs in the first minute after birth. For babies born at term, the main effect of this large autotransfusion is to increase their iron status.

This may be lifesaving in areas where anemia is endemic. In the developed world, however, there have been concerns that it could increase the risk of abnormally high levels of red blood cells and bile pigments in the bloodstream often leading to jaundice. But trials has shown this is not the case.

Umbilical cord blood is a baby’s life blood until its birth. It contains stem cells, red blood cells, and more recently scientists have discovered that umbilical cord blood contains cancer-fighting T-cells.
For pre-term babies the beneficial effects of delayed clamping is greater, he says. Delayed clamping is consistently associated with reductions in anemia, bleeding in the brain, and the need for transfusion.
He proposes that in normal births, delaying cord clamping for three minutes with the baby on the mother’s abdomen should not be too difficult. The situation is a little more complex for babies born by caesarean section or for those who need support soon after birth. Nevertheless, it is these babies who may benefit most from a delay in cord clamping. For them, a policy of ‘wait a minute’ would be pragmatic, he says.

The World Health Organization’s (WHO) policy supports delayed cord clamping, stating:

“The optimal time to clamp the umbilical cord for all infants regardless of gestational age or fetal weight is when the circulation in the cord has ceased, and the cord is flat and pulseless (approximately 3 minutes or more after birth).” 

They continue:
“Clamping the umbilical cord immediately (within the first 10 to 15 seconds after delivery) prevents the newborn from receiving adequate blood volume and consequently sufficient iron stores.
Immediate cord clamping has been shown to increase the incidence of iron deficiency and anemia during the first half of infancy, with lower birth weight. Waiting to clamp the umbilical cord allows a physiological transfer of placental blood to the infant which provides sufficient iron reserves for the first 6 to 8 months of life, preventing or delaying the development of iron deficiency …

For premature and low birth weight infants, immediate cord clamping can also increase the risk of intraventricular hemorrhage and late-onset sepsis.13 In addition, immediate cord clamping in these infants increases the need for blood transfusions for anemia and low blood pressure infants and infants born to iron-deficient mothers being at particular risk …

Numerous research studies and experts are also confirming that waiting to clamp the cord offers significant benefits. Among them:
• In the Journal of Cellular and Molecular Medicine, researchers say delayed cord clamping is “mankind’s first stem cell transfer and propose that it should be encouraged in normal births.”
• In a BMJ editorial, James Neilson, professor of obstetrics and gynecology, states that delayed clamping should be practiced.

Resources, Support:
“Early versus delayed umbilical cord clamping in preterm infants”. Rabe H, Reynolds GJ, Diaz-Rosello JL http://tinyurl.com/4w63wv8 (Cochrane Review)

ACOG Recommends Delayed Umbilical Cord Clamping for All Healthy Infants http://tinyurl.com/lopdtn8