Conception, Pregnancy & The Early Days

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Conception & Pregnancy

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Table of Contents Trying to conceive: Do I need to change my daily life? 5 Tips to Naturally Boost Fertility I’m Pregnant, now what? Eating for Two.... Maternity Style

3 5 7 9 11

Preparing for Baby: Nursery Essentials Nappy Bags Bedding Hospital Bag Checklist

13 15 16 17

The Early Days: Enjoying your baby Breastfeeding Attachment: How to guide Breastfeeding Accessories Feeding & Health Skincare Gift Packs Out & About

19 20 21 23 24 25 26

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Everything you need from Maternity, to Baby and Beyond

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Trying to conceive: Do I need to change my daily life? Infertility affects around one in six couples at a given point in their lives and for many rying to conceive, it can be a tough journey especially when it just isn’t happening naturally. Dr Sonya Jessup from Demeter Fertility, who has also been through the IVF process herself, explains how to give yourself the best chance of conceiving by following these simple guidelines when you are trying for a baby. Importantly, life is meant to be enjoyed. It may take quite a number of months or even years to conceive a baby, so it is important during this time to look after yourself and your partner and continue to have a normal and fun life. Those who are lucky enough to conceive easily continue to live a completely normal life right up to the point that the period is missed and a positive pregnancy test is done. At this point, women usually begin to follow the normal advice in pregnancy with decreased coffee intake, no alcohol and avoidance of unnecessary procedures, treatments or medications. It is disillusioning for women who are taking longer to conceive to be told they shouldn’t have a coffee in the morning, dye their hair or be able to have a glass of wine with dinner or when out socially. Month after month of stressing about changing every single aspect of life in order to improve conception chances, can in fact have the opposite effect as the relationship is put under strain. I strongly believe that couples are best to live a completely normal life together whilst they are trying to have a baby. When a woman is having an IVF treatment cycle however, her chances of conceiving that month are obviously much higher than usual, and for couples in treatment, there are a few guidelines as to what is best to avoid. • Cut back on caffeine and alcohol. Whilst there are no problems associated with a cup of coffee or two a day, or a glass or two of wine, drinking in excess of five cups of coffee a day has been associated with a higher miscarriage rate. It goes without saying that getting blind drunk or taking other social drugs is a no no. • Worried about colouring your hair? While there is inconclusive research regarding use hair dye whilst trying to conceive or once you are pregnant, I advise my patients that it is completely MumsDelivery - Solutions for Busy Mums

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appropriate to continue with all hair care up until the time you find out your pregnancy test is positive. Natural dyes such as Henna may be an option thereafter. • Beauty treatments such as injectables and laser treatments are best avoided in pregnancy, but can be used up until conception. Botox injections last in the body for up to three months, and so are best avoided in the 3 months before an IVF cycle. • We all know that smoking isn't good for fertility, so it’s best to quit if you are trying to conceive. Smoking can also speed up age-related infertility, bringing on earlier menopause although if you quit early enough, you may be able to reverse the negative effects. Remember that everyone’s fertility journeys are different, and no two couples are the same. If you are concerned about how long it is taking to conceive, see a fertility specialist promptly to get sound advice and to ensure there are no major fertility concerns. With good advice you can increase your natural fertility substantially, and if a problem is identified, ovulation induction or IVF treatment can generally be started within a month or two. For couples, remember that you are in a relationship with a person you love and want to experience all the wonders of having a child with. Nurture that relationship. No man wants to feel his importance has been reduced purely to sperm delivery! Be creative. Have fun. If you are doing an IVF cycle, sperm is only required on the day of egg collection with leaves the rest of the month where sex is just about the two of you again. You will rely on a strong relationship more than you can imagine when you have a baby, so be nice to each other :) Article written by Demeter Fertility. For more information visit www.demeterfertility. com

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5 Tips to Naturally Boost Fertility Are your brain-ovary messages scrambled, stopping you from producing healthy, baby-giving eggs? Have you been trying to conceive for an age? Is it just not happening? The frustration of wanting desperately to become a Mum and not being able to can be devastating. You see new Mums and their bubs everywhere, and family and friends appear to easily, even accidentally, find themselves pregnant. Why not you?! The estimates are between 1 in 6 to 1 in 8 couples struggle with infertility. 40% of the time, it's considered a female issue, 40% male and the other 20%... well, they just don't know. So you are most certainly not alone. The great news is, there are plenty of ways to naturally boost your fertility and significantly increase your chances of conceiving your precious child. Here are my top 5 tips... 1) Lose weight, if needed. Lack of ovulation - where an egg is not released - is a major cause of infertility. If there is no egg, there is no hope of a pregnancy. Losing even 5-10% of your body weight hugely increases your chances of ovulating. And with an egg comes the promise of conception. And he's not off the hook either! Shedding extra kilos also boosts male fertility. 2) Reduce your stress. Your body understands stress in an evolutionary sense... Stress means either famine or fight. You are so incredibly well designed! And your body will automatically do everything possible to keep you alive, to ensure your survival. No food or a life threatening attack from a predator reduces your fertility, because that is not an optimal time for conception. Your body needs all it's spare energy and focus to help save you. The trouble is, in modern society the stressors can be constant and are rarely a matter of life or death. So, what can you do to reduce your stress? Exercise. Meditation. Sufficient sleep. Chiropractic care. B6, zinc and omega 3 fats. Counselling. Being outdoors - there's much to be said for communing with nature. Follow your heart and you passion.

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3) Eat well. Choose low glycaemic index/glycaemic load foods. It's well known that something known as insulin resistance reduces fertility and this, in large part, results from eating foods high in sugar. Stay clear of processed foods and those rich in simple carbohydrates. Choose organic, where you can. And as nature intended is always best. If you shop in a supermarket, don't shop from the middle aisles. Everything you need is on the outskirts of these stores, like the fresh fruit and vegetable section. 4) Detoxify. Sounds scary, I know! But I'm not talking about the cabbage or lemon detox, or starving yourself for a week. In fact, these approaches are not healthy and should be avoided. A safe, complete detoxification helps to reduce inflammation and improve nutrient absorption. This is great for both your and your partners fertility. Think blueberries, raspberries, kale and a super potent antioxidant supplement. Include healthy proteins like fresh fish, organic nuts, free range eggs, and wonderful fats like avocado and some cold pressed, extra virgin olive oil. Lots of pure water, no alcohol, no cigarettes or illicit drugs. Skip the gluten and the dairy too. 5) Seek professional help. Don't be nervous about seeking the help of a fertility health professional, from both the natural and medical fields. It's great to know where your body is at. By knowing where your fertility challenges lie, you can better plan for future baby making success. Article written by Dr Rebecca Harwin. Bestselling International Health Author & Consultant.

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I’m Pregnant, now what? Congratulations on such a milestone event! Whether this is a big surprise; or you were planning to fall pregnant but it happened quicker than expected; or if you have been trying for a while; the minute the test reveals that you are pregnant your life is destined to change forever. So now what? • Firstly take a minute to think and just feel. You may feel elated, scared, overwhelmed, anxious or you could be totally freaking out. Accept these emotions as normal and think about what information you need to put your mind at ease. • Tell your partner. Depending upon your situation you may prefer to tell your partner immediately over the phone or later in private when you are together. I find telling them in person is best as you can talk about whatever is on your mind. Just try to remember the feelings you had when you initially found out. Your partner may need a minute to process the news. When I first fell pregnant, although we had decided to have children and the news of our pregnancy was good; my partner had not expected us to fall as quickly and was in complete shock which turned into bewilderment followed by a feeling of OMG when I gave him the news. I too had gone through a feeling of pure happiness into a state of pure happiness mixed with uncertainty. What should I do, what do I need to do, what happens now? So here are my tips on what to do following the news of your pregnancy. 1. Try to Calculate your Due Date. Jump online and use a Due Date Calculator to find out when you are expecting your little bundle. If you are not sure of the date of your last period, ask your doctor for a referral to get a dating ultra sound which will tell you the age of the foetus and the estimated Due Date. 2. Determine what method of prenatal care you are going to use. Some of the options include: a. Utilising Private Healthcare with a chosen Gynaecologist in a Private/ Public Hospital b. Utilising the Public healthcare system, in which case you can choose to have your Doctor; a team of midwives, or an individual midwife look after you throughout your pregnancy, with the birth to occur at your local public hospital. MumsDelivery - Solutions for Busy Mums

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Based on the option that you choose, you can then find out what the next steps are by booking into a Gynaecologist or by phoning your local hospital and learning their booking procedure for their maternity program. 3. Look after yourself. Being pregnant does not mean that you need to change your life completely; however it does give you a great incentive to take better steps towards looking after yourself more. Try to improve your diet. Eating healthy meals will give your body the nutrients it needs to create a healthy baby. Increase your water intake and cut down on caffeine or sugar filled drinks. Folic acid is extremely important when pregnant, so as soon as you find out, make sure you stop and get yourself a Pregnancy Vitamin with Folic Acid. Building a baby is hard work for your body, so remember to reward it with some time out. Go to sleep early if you are tired, take a break, have a bath, try to stress less and just let your body unwind and rejuvenate. 4. Know what to avoid. When pregnant there are certain foods and activities that are known to be harmful and should be avoided wherever possible. The most common ones include soft cheese, smoking, alcohol, drug use and raw meat. See a complete list food items to avoid in pregnancy here. With exercise during pregnancy, it is best to speak to your health practitioner about the activities you currently undertake and what should be avoided. 5. Decide when to spill the beans. Decide together with your partner about when you wish to tell your family and friends about your news. You may choose to tell family before friends or tell everyone straight away or after 12 weeks. The important thing is that both of you agree and follow the plan. 6. Look into your maternity rights/entitlements. Whilst the government sets the basic standards for Maternity Leave and entitlements, your work may have additional entitlements or information requirements. Look up online the Paid Parental Leave Scheme along with the entitlements that each of you is given at your place of work. When you are ready to share your news, tell your boss and/or speak to HR 7. Buy a few pregnancy books to help answer any questions and to give you a good look at how your body will change and your baby will develop over the coming months. 8. Look forward to your 12 week scan when you first get to see your baby! 9. Work out your financial situation. When the dust settles, sit down and work out where you are financially; the amount of leave that can be taken and/or if there is anything you need to do with your finances before having the baby. Most of all remember to enjoy your pregnancy and to take time to enjoy being alone and together with your partner before everything changes. Article written by Lorraine Salvi of MumsDelivery.com.au

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Eating for Two.... Eating for two? Double your nutrient intake, not your quantity. Seventy-four percent of Australian women gain too much weight during pregnancy: that’s three in every four women. There are many reasons for this pregnancy weight gain epidemic; with one of the biggest being the misconception that you are ‘eating for two’, insinuating that a woman needs to substantially increase her volume of food intake during pregnancy. As a dietician I often here women say things like “I had heard that the weight would fall off as long as I breast feed”, “I was told that I should listen to my body, so I thought that I was doing the right thing eating chocolate” or “I thought that this was the one time in my life that I could eat what I wanted to without it being a problem.” Unfortunately, this is not the case. Problems with gaining too much weight during pregnancy Pregnancy is a time for carefully watching your dietary intake. Gaining too much weight during pregnancy can result in a number of problems, including: • Increased risk of pregnancy complications such as miscarriage, birth defects or gestational diabetes • Increased risk of birthing complications such as emergency caesarean delivery, increased risk of vaginal tearing or even, birth traumas such as broken tailbones as mum’s deliver large babies • An increased risk of developing obesity within the next fifteen years, and • An increased risk of obesity for your child. Melanie’s top 5 ways to avoid gaining too much weight during pregnancy Getting the balance right can be tricky, as it is obviously unsafe to ‘diet’ or lose weight during pregnancy. Make sure that you are doing the following: 1. Know how much weight you should be gaining throughout your pregnancy – research shows that just by knowing how much weight to gain, you have double the chance of achieving the right weight. Your recommended weight gain will change depending upon factors such as how many babies you are having and what your starting weight is. Ask your dietician for advice. 2. Make an appointment to see an Accredited Practising Die titian – your dietician will check your blood chemistry, advise you on the right nutritional supplements to take during your pregnancy and design an individually-tailored meal plan to meet your pregnancy requirements. 3. Focus on a nutrient-dense diet – your nutrition requirements sky-rocket during pregnancy, so every mouthful needs to be packed for of nutrition. Focus on MumsDelivery - Solutions for Busy Mums

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nutrient-dense foods such as fruit, vegetables, wholegrains, lean protein foods and low fat dairy products. 4. Develop a good mindset – It’s easy to find excuses to get take away and avoid exercises during pregnancy as you’ll be feeling exhausted, and may be suffering from morning sickness, back pain, constipation or a myriad of other complications. But, be positive, and find clever strategies to prioritise your nutrition and exercise. Your dietician can help you find solutions which will work for you. 5. Exercise daily – many women are apprehensive about exercising during pregnancy. Although your exercise regime will need to change, it is still essential to maintain (or commence) daily physical activity. Remember that labour is like undertaking a marathon, so you will need to be in peak physical condition. Melanie is an Advanced Accredited Practising Dietitian and author of ‘The Pregnancy Weight Plan’. For more information see www.melaniemcgrice.com.au

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Preparing for Baby: Nursery Essentials Part of the fun of being pregnant is to nest and excitedly create a nursery as you prepare for your baby’s arrival. Yet with so many products and accessories now available; what products do you really need and what are simply nice to have options? Here is a list of what I think are Nursery Essentials and what can be optional extras. Nursery Essentials 1.Cot & Mattress The cot is the ultimate nursery essential designed for your baby to provide it a safe, comfortable place to sleep at night and throughout the day. When looking to purchase a cot ensure it complies with the Australian Safety Standards. Find out more information on these standards here. You should also check that it is sturdy and durable with all components permanently fixed together or requiring the use of a tool to disassemble. With the cot Mattress, ensure that the mattress is a good fit to the size of your cot so that there aren’t big gaps that baby’s hands or feet can get stuck in.

2. Wardrobe/ Tallboy

If you don't have built-in cupboards in the room, getting a Wardrobe or Tallboy is a nursery essential. You will need the cupboard space to keep all the little clothes and items your baby will need. Our Wardrobe had the double function of having a nappy change area on top of it so that you could easy change nappies without having to purchase a nappy change table. This piece was able to be removed for when you no longer needed this function. 3. Baby Monitor Some will argue that the Baby Monitor should not be classed as a nursery essential, however in my mind it is. The baby monitor is fantastic at providing peace of mind, at offering you a chance to relax and resume normal living as you can go outside or enjoy yourself without worrying that you won’t hear bub. Many monitors offer more than a simple audio function so you can know if baby is breathing, the temperature of the room, they can work as a night light and more. Tip: Purchase a good quality monitor so that it will last throughout the course of your babies. We have had our monitor for 6 years, used it every day over 3 children and it still works the way it did when we bought it. MumsDelivery - Solutions for Busy Mums

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4. Glider or Rocking Chair

With babies needing to be feed frequently throughout the day, having a good rocking chair or glider that can be used to support both you and bub while breastfeeding or bottle-feeding is ideal. With the rocking and gliding option, the chair will be able to help you settle bub and provide some much needed movement at times to encourage baby to sleep.

5. Linen for your Nursery

It goes without saying that you will need to purchase linen for your nursery. Nursery linen essentials include: Mattress Protector, Cot Sheets, Blankets (light summer ones and heavier winter ones) & Wraps. Little babies often soil their linen and having 2-3 sets of each is recommended. 6. Nappy Change Essentials Changing baby’s nappy is something that you will spend a lot of time doing. Make it easier by having the key requirements all in one place ready to be used. Key items required to be nappy change ready include: - Newborn nappies – 1 box - Baby wipes - Nappy Rash Cream - Baby Moisturising Lotion - Cotton Buds - Nappy sacks or nappy bin. 7. Mobiles I love baby mobiles and had one in the cot and another above the nappy change area. They are a great tool to distract baby when changing their nappy or when trying to keep them occupied in their cot while you quickly attend to something else. Click here to see the rest of the article detailing the optional Nursery Essentials Click here to see our reviews of some Nursery Essential items

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The Early Days Enjoying your baby Practical Advice from Real Mums “Remember, when your baby sleeps, so do you. Every mum needs rest and cleaning can wait!” Leanne Dodd “Read books, listen to advice THEN decide what works for YOU and your delightful baby..Survive the first 6 months and you’ve turned the corner. Enjoy the experience. Housework can wait!: Jill Heard “Smile, take all the good intentions and overload of great advice on board, but do what you feel is best, follow your instincts and you’ll find your feet. Don’t let everyone else and their input overwhelm you.” Diana O “There is no perfect method for coping with a newborn. All the advice that you have stored up often goes out the window when you bring your own little bundle home. Take one day at a time and use the time to get to know each other. It is a whirlwind of emotions, unknowns and sleepless nights so try to get sleep when bub sleeps, accept offers of help from friends, try to have preprepared meals in the freezer before bub arrives and make use of the wonderful baby nurses that are there for you for advice and care. Above all, sit back and admire your little one whilst their asleep. It is a true miracle and you will amaze yourself when you say “Wow, we made that” Rachel Kriss Newell “If you are feeling overwhelmed please talk to someone a family member , friend or doctor. do not feel you need to be a super mum!” Courtney Bridge “Do not fear as it will get easier. Try to sleep when baby sleeps as you both need to recuperate.” Sharon Markwell “Your baby will never remember if the house was perfectly cleaned or whether they were fashionably dressed. Take the time to enjoy your baby.” Kirsten W “Don’t wish the time away (I can’t wait until they smile, walk, etc) Time will fly by so quickly and you will soon be wishing you could get it back. Try to just ‘enjoy’ being a mum and having a baby. And don’t forget that hubby still Needs attention.” Lorraine Salvi MumsDelivery - Solutions for Busy Mums

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Breastfeeding Attachment: How to guide Learning how to help your baby attach to the breast is one of the most, if not THE most important things you can do to avoid pain and ensure adequate draining of the breast (which leads to an abundant milk supply). Breastfeeding can feel strange at first but it shouldn't hurt. Any pain that you feel during a breastfeed is a sure sign that your baby is not attached properly and is causing damage to your nipple. This can lead to a number of breastfeeding issues like sore nipples, cracked nipples, mastitis, low milk supply, unsettled baby and even low weight gain. Often any one of these issues are enough to make a mum wean. There are a number of steps you can use to help your baby attach to your breast correctly so that breastfeeding is comfortable and issues are avoided. Steps to attach your baby in the cross-cradle hold • Sit comfortably with your back and feet supported. Unwrap your baby and hold him close, supporting him with your forearm. Support your baby's neck and shoulder blade with your hand, so that your baby is able to move his head into the right position to attach well. Don’t hold his head as this restricts how wide he is able to open his mouth which will limit how much breast he is able to take in and can place your nipple at his hard palate causing pain. • Turn him onto his side with his chest towards your chest (remember this by thinking "chest to chest"), head tilted slightly back, at the same level as your breast. His nose will be level with your nipple. • Tuck your baby’s feet around your side and his lower arm near your waist. Gently brush your baby's nose with your nipple. Your baby should tilt his head back and open his mouth wide when you do this. You may find holding your breast like you would a sandwich allows him to take in more of your breast and makes it easier for him to attach. When your baby opens his mouth wide and his tongue comes forward over his lower gum, bring him quickly to the breast with your nipple aimed at the roof of his mouth. His first point of contact will be his lower jaw or chin, on your areola well down from the nipple. • As his mouth closes over the breast he should take in a large mouthful of breast. • If you are engorged, expressing to soften around the areola may allow him to attach more easily. Click Here to see full article including signs to check that baby is attached well. MumsDelivery - Solutions for Busy Mums

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