The Bump Washington DC by The Bump

“Sometimes the smallest things take up the most room in your heart.” —A.A. Milne

nbarrett photography

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DC/N.VA/Baltimore thebump.com

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the social

club

We dish out honest advice, along with our moms and moms-to-be, and share creative pics on Facebook, Twitter and Instagram.

We asked new moms to share the

must-haves they couldn’t live without, and here’s what they said: “A yearlong membership to a spa! Don’t be shy, ask for yourself.”

“DreamBelly Butter from Fairhaven Health! I swear by it—it’s so great.”

–PAULA R.

–JAMIE K.

“INSPIRING BABY SHOWERS” IS OUR MOST POPULAR BOARD Moms-to-be can’t stop pinning décor, dessert and game ideas for their upcoming fetes. Get inspired at Pinterest.com/thebump

“Nipple balm. You never think you’ll need it (I didn’t!), but seriously, it’s a lifesaver.” –GILLIAN O. FACEBOOK.COM/THEBUMP

We’re tweeting around the clock about all the latest fertility, pregnancy and parenting news and trends—so you never miss a beat.

we’re @thebump

Our cofounder, Carley, supporting #Moms4Moms.

thebump.com

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We’re ready to go on camera with Kathie Lee and Hoda!

PINTEREST: GABRIEL RYAN PHOTOGRAPHERS

Go behind-the-scenes with our editors for a sneak peek at all the fun we’re having backstage—and at the office!

See what happens at our magazine photo shoots.

Join the conversation now at TheBump.com/community

2/19/15 11:22 AM

Stroller Confusion? Let the experts at Baby Blossom help you find the perfect baby gear!

We carry numerous stroller brands, including: Baby Jogger, BOB, Bugaboo, Bumbleride, Maclaren, Orbit Baby, Peg Pérego, Phil & Ted’s, Stokke, and UppaBabby.

NoVa’s BEST stroller collection ALL NEW LARGER FAIRFAX LOCATION!

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(in Lake Anne Plaza)

703-865-4688

571-313-1717

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from

volume 10, edition 2

c ontents what’s hot

celebrate

glow

get some sleep

moms dish out baby sleep advice

celebrate

28 daphne oz’s foodie, fun & fuss-free pregnancy her secrets for relishing pregnancy 34 map out your pregnancy find everything you need—locally 38 ultrasound photos decoded baby’s first photo op 40 the crazy rules for naming your baby we break it down by state 44 what to quit list ditch these habits 46 q+a from meds to counting baby’s kicks

glow

50 moms in motion do intense workouts and pregnancy mix? 56 olivia wilde’s inspiring looks the star’s maternity wardrobe 58 symptoms you should never ignore what’s normal and what’s not 60 fashion checklist maternity wardrobe staples 62 q+a from belly buttons to midnight snacks

beyond

basics

delivery

nest

8 congrats a note from carley 10 meet our contributors pros who made this issue possible 12 bumpie buzz baby news in dc and beyond 14 funny things that happen while trying to get pregnant making a baby isn’t all candles and romance 18 it’s in the bag must-haves for the hospital 20 the name game top dc names— now and then 24 how big is baby? weekly growth and development

on the cover

Photography by KT Merry. Fashion styling by Annie Cavallo for Ennis Inc. Hair and makeup by Susan Donoghue for Ennis Inc. On model: sweater, Vince at select A Pea in the Pod stores; jeans, Joe’s Jeans at APeainthePod.com.

thebump.com

Welcome to

Homes

Our goal is simple: offer you an alternative, unique home buying experience focused around your preference and what’s right for you, whether you are buying or selling.

Outgrowing your space? Expecting someone?

GET THE INSIDE REAL ESTATE DETAILS YOU NEED TO KNOW… CALL US TODAY! CALL:

EMAIL:

571-234-1835

INFO@WHOMESINC.COM

www.whomesinc.com 7918 Jones Branch Drive, Suite 430, McLean, Virginia 22102 TBMV10E2_DCSect1(1-16) [P]{DC}.indd 5

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lessons for a labor coach hand this advice to your partner

celebrate

nest

glow

64 cool and collected a worldly nursery that inspires 70 what to register for the essentials for you and baby 72 babyproofing guide prep your pad with this checklist 74 q+a from nursery design to college savings

delivery

basics

86 vaccine fears answers to your biggest questions 90 head of the class local classes to help you ace parenting 92 get pumped solutions to breast pump problems 98 sleep tracker monitor babyâ&#x20AC;&#x2122;s zzzâ&#x20AC;&#x2122;s 100 q+a from baby poop to hiring a sitter

beyond

basics

80 my birth story a dc mom shares 84 q+a from stages of labor to cutting the cord

in the limelight

citrus-hued baby gear

thebump.com

beyond

102 ready for bed bring on the big kid bed 104 5 toddler-friendly hot spots explore your hood with baby 106 what parents around the world think youâ&#x20AC;&#x2122;re doing wrong parenting lessons from across the globe 110 toddler chore chart start small with this basic list 112 q+a from weaning to preschool

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part of

k family

congrats!

There’s so much to know and do now that you’re pregnant, and if it’s your first, this is unchartered (read: overwhelming) territory. This handy guide will help by giving you the most essential info, like where to take the best childbirth classes and how to actually get baby to sleep (not always easy!). Want more? TheBump.com has expert answers to every question you may have. Plus, a huge club of other new parents and parents-to-be to chat with and compare notes. We’re all in this together!

a blast from the past. pregnant with baby #3! Carley Roney cofounder

tweet us @thebump!

welcome, Dylan!

PS: Get our app for personalized pregnancy info every step of the way at TheBump.com/app.

COFOUNDER Carley Roney EDITOR IN CHIEF Rebecca Dolgin

DEPUTY EDITOR Elena Donovan Mauer MANAGING EDITOR Kellee Kratzer ART DIRECTOR Meghan Corrigan EDITORIAL TEAM Anisa Arsenault, Maria Bouselli, Ashley Castro, Irina Grechko, Kristin Giametta, Joelle Montier, Alice Stevens, Julia Wang CONTRIBUTING EDITOR Lauren Greene VICE PRESIDENT, PRINT AND PRODUCTION Frank Dolphens PRODUCTION TEAM Susan Berryman, Lois Brunnert Bethune, Jesse Hardy, Katie Hover, Megan Johnson, Kate Richter, Maria Julie Rodriguez, Kasey Schroeder, Carly Steier, Daryl Wills, Sheryl Ziegler VICE PRESIDENT, LOCAL SALES John Pike SALES MANAGER Sandra Jackson SALES AND ADVERTISING TEAM Michelle Elchaak (melchaak@thebump.com, 877-819-2578), Kate Buchanan, Danielle Goldman, Jenn Gomez, Sharon Thomas SENIOR PUBLIC RELATIONS MANAGER Melissa Bach

PUBLISHED BY XO Group Inc. 195 Broadway, New York, NY 10007 Phone (212) 219-8555 Fax (212) 219-1929 Please note: The ideas, procedures and suggestions contained in this book are not intended as health care or other professional advice, diagnosis or a substitute for consulting with your health care professional. Every baby is different and circumstances vary, so you should consult your own physician and use your own common sense. The author and publisher offer no warranties or guarantees, expressed or implied, in the completeness or advisability of the information contained in this book for your particular situation, and disclaim any liability arising from its use. All product information was supplied by the designers and manufacturers. The Bump has made every effort to portray the products true to their original colors and styles, but we cannot guarantee 100-percent accuracy. Prices and availability may change based on factors including material, regions and season. Nothing contained in this guide should be construed as an endorsement by The Bump of any designer, manufacturer or product featured herein. The Bump Magazine © 2015 XO Group Inc. All rights reserved. Reproduction, in whole or in part, is forbidden without written permission from the publisher. TheBump.com and The Bump magazine are trademarks of XO Group Inc.

RONEY: DAVID A. LAND

hello, Will!

thebump.com

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meet our

contributors MELANIE ACEVEDO, PHOTOGRAPHER

what did you love most about your pregnancy?

Being pregnant with my daughter Violet was the best time of my life. I never felt more sexy! I got a pair of black leather pants and a bunch of tank tops and rocked that look for nine months. Pregnant women are beautiful. @melanieacevedophoto

CHRISTINE SCHMIDT, DESIGNER

how did you make those amazing diy projects for your daughter’s nursery (p. 64)? It was convenient! I was writing my book, Yellow Owl’s Little Prints, while I was pregnant, so the projects worked for both. My mom was an art teacher and she’s the inspiration for most of them. @yellowowlwkshop

ADRIAN KULP, WRITER

I can’t have a favorite—I have to be equal. The day my daughter Ava was born was one of the happiest days of my life. After Charlie was born, and they asked me to cut the umbilical cord, I cried. With Mason, I simply thought about how truly lucky I am. @dad_or_alive

our expert panel

Ashley S. Roman, MD, ob-gyn and clinical assistant professor in the Department of Obstetrics and Gynecology at NYU Langone Medical Center; Preeti Parikh, MD, pediatrician at Pediatrics of New York, assistant clinical professor in the Pediatrics Department at the Icahn School of Medicine at Mount Sinai and a fellow of the American Academy of Pediatrics; Amy Tara Koch, fashion expert and author of Bump It Up; Nicole Meadow, MPN, RD, nutritionist and founder of NutritionWise; Shoshana Bennett, PhD, clinical psychologist and author of Beyond the Blues; Jennifer Ritchie, IBCLC and author of I Make Milk, What’s Your Superpower?

thebump.com

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SCHMIDT: ANA HOMMONAY; KULP: JEN MAYER KULP

you’re a dad of three. what’s your favorite delivery room memory?

Get expert answers to every question at TheBump.com

2/19/15 11:22 AM

Our doctors make special deliveries. When you’re expecting, it’s important to find an OB who understands your needs. MedStar Montgomery Medical Center’s OBs are moms themselves, so they can relate. Their unique perspective and expertise—available at four convenient locations—will make having your baby a wonderful experience. To learn more about our program and physicians, go to MedStarMontgomery.org/OB or call 301-774-8881 for an appointment.

Four locations in: Gaithersburg Mt. Airy Olney Silver Spring

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buzz

what do you think?

What’s new for you in DC and beyond.

home suite home Ready for a luxe delivery experience? This fall, Germantown welcomed its firstever maternity hospital, where you’ll find homelike, private suites—each with a bassinet to encourage close contact with baby from the start. Plus, there’s room to accommodate your partner or support person overnight. (HolyCrossHealth.org)

stretch it out Flow Yoga Center, which offers a weekly Prenatal Yoga Mama class, is opening a beautiful, new studio on 14th Street in Logan Circle. Alleviate pregnancy aches and pains, and improve muscle strength and circulation, while meeting other moms-to-be—no experience necessary. (FlowYogaCenter.com)

hey Facebook, I’m pregnant! In a recent survey on TheBump .com, 63 percent of moms-to-be said they used social media to announce their pregnancies to friends and family first.

genius idea or scary trend? the c-tuck

Women delivering via c-section are staying under the knife a little bit longer—to get a tummy tuck right after birth. Sounds like a great start to getting fit postbaby, but doctors warn of the risk of complications. “You’re more likely to get blood clots and to retain fluid,” says Karol A. Gutowski, MD, FACS. “There’s also a higher risk of infection when you’re operating on the uterus.” Our verdict? Scary.

b uckle up, baby Safety alert! As baby grows, he’ll eventually be too heavy for the LATCH system (your car’s anchors and tethers made to keep his car seat in place). According to new guidelines released by the National Highway Traffic Safety Administration, if baby and his car seat weigh more than 65 pounds combined, it’s no longer safe to use LATCH anchors. Instead, use your car’s seat belt and buckle to secure the seat.

thebump.com

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lulu*/cwc international

b umpie

Find up-to-the-minute news at Blog.TheBump.com

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funny things that happen

while trying to get pregnant Sure, making a baby can be all candles and romance, but it can also be pretty wild (and a little embarrassing).

“ I never would have guessed I’d measure how long my cervical mucus stretched between my fingers. Ew!” –Diana Y.

“ Honey! It’s 7:02 and we were supposed to trigger at 7! Hurry up—we’re missing our chance!” – kingsgal

–Danielle T.

–laughqueen

“ I stuck myself multiple times a day with a needle, had countless transvaginal ultrasounds, and spent thousands of dollars—all worth it!”

–MelissasMom

“I would lie in bed for 20 minutes after sex with my legs in the air. And my husband would time me!” –SuzieQ

“I never thought I’d be calling an IVF clinic to see how many of my eggs fertilized!” –Mary S.

“After sex I made a beeline to the bathroom, and my husband yelled, ‘Hey! Are you peeing out our children?’ ” –Kayla M.

thebump.com

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names have been changed

“ I never thought I’d send this text when I got a positive on my ovulation predictor kit: ‘Code: Blinking Smiley, I repeat, we are at Code: Blinking Smiley.’ ”

“ My husband makes an imploding sound, as if he knows exactly when his sperm has made it past my cervix.”

Join the conversation at TheBump.com/chat

2/19/15 11:22 AM

No. 1 pregnancy stretch mark product in 11 countries.

“The one thing my pregnant friends and I discussed at length was stretch marks – once you’ve got them, they’re there for good! I used Bio-Oil throughout, morning, noon and night... in fact, I haven’t stopped using it since Liam’s birth. Now that I’m pregnant with twins, I’m going to be using it more than ever! What’s also nice is that it’s not oily – you can put it on and then get dressed immediately and it doesn’t stain your clothes. You’ve no idea how many friends and family I’ve told about Bio-Oil!” Tracy with Liam

Bio-Oil® helps reduce the possibility of pregnancy stretch marks forming by increasing the skin’s elasticity. It should be applied twice daily from the start of the second trimester. For comprehensive product information, please visit bio-oilusa.com. Bio-Oil is available at pharmacies and selected retailers at the recommended selling price of $11.99 (2fl.oz.). Individual results will vary.

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in the

limelight

The citrus hue takes center stage with the latest baby gear.

pack it up

JJ Cole Collections’s System 180 bag is so chic dad will love using it. $70, BabiesRUs.com

have a seat

Svan’s sunny Bentwood chair goes from six months to five years. $180, Diapers.com

smooth ride

The stylish Dot stroller by phil&teds definitely turns heads. $450, BuybuyBaby.com

suds up!

Boon’s Naked bath collapses for easy storage. $70, BoonInc.com

safety first

Clek’s Foonf seat comes with extended rear-facing abilities up to age four. $450, Shop.ClekInc.com

cute cot

Babyhome’s Dream cot brightens up mom and dad’s room. $300, BabiesRUs.com

thebump.com

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Find more stylish gear now at TheBump.com/babygear

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it’s in the

bag

Get packing! You’ll feel less crazed if you’ve got a bag packed with everything you and baby will need at the hospital. Prep these items by week 35. photograph by kt merry

for labor/delivery: Insurance info, hospital forms and birth plan

for your stay:

A warm robe or sweater

2 maternity bras—no underwire—and nursing pads (whether or not you plan to nurse, you’ll appreciate the support and leak protection)

2–3 pairs of warm, nonskid socks (for walking the halls)

Headband or ponytail holder

Lip balm (also to combat dry hospital air)

Sugar-free hard candy to keep your mouth moist (hospitals are dry, and sugar will make you thirsty)

Eyeglasses Pen and paper $1 bills and change for the vending machines and nonperishable snacks (you’ll probably be hungry after labor, and the hospital cafeteria could be closed)

Styling: Annie Cavallo for Ennis Inc.

Toiletries and personal items—hairbrush, toothbrush, toothpaste, face wash, deodorant, makeup, conditioner, lotion, contact lens case and solution (remember, travel-size products are your friend)

thebump.com

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Cell phone and charger— program in phone numbers of people to call or text before and after birth, if you haven’t already

don’t forget

Baby’s car seat! It won’t go in the bag obviously, but baby can’t go home without it.

C amera, if you’re using one, extra memory card, and battery or charger

Flip-flops for the shower if you’re sharing a bathroom

for going home:

Comfortable going-home clothes in six-month maternity size and flat shoes (sorry, but you’ll still look pregnant)

Nightgown (your own might help you feel more like yourself than a hospital gown will)

leave at home:

Any clothes or pajamas you really like (they could get stained)

A coming-home outfit for baby

Slippers

Stopwatch (your nurse or a monitor will take care of timing contractions)

Very light reading (think celeb mags, not War and Peace)

tip

Your iPod or tablet (loaded with your favorite tunes, of course), ear buds and mini-speaker

moms say avoid these

Breast pump, if you think you’ll use one

Warm baby blankets (for the ride home)

extras (take ’em or leave ’em—up to you!):

E xtra pillow (warning: it may get ruined)

Bath towel (the hospital will likely provide a small, thin one)

Styling: Annie Cavallo for Ennis Inc.

Soap, shampoo and heavy flow sanitary pads (the hospital supplies these things, but bring your own if you’re picky about brand)

Hair dryer

Massage oil and tools, like rolling pins or tennis balls, and lucky or inspirational objects (you may not even use them, but they’re good to have!)

Ear plugs and eye mask (if you have trouble sleeping in a noisy, busy place)

A duffle bag packed with a change of clothes and basic hygiene products for your partner

“ Keep the baby book at home. You won’t have time to fill it out!” —Jacqueline R. “ We brought a bunch of outfits and diapers. But we used one outfit for taking baby home in and none of the diapers!” —Maya R.

“ We brought Monopoly. Um...don’t bring a board game!” —LilMsPriss83

Prep for the hospital tour at TheBump.com/maternityward

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the

name game

Wow, names sure have changed! Here’s the Social Security Administration’s list of the top 10 names for boys and girls in Washington, DC—now and then.

top 10 boys’ names today

30 years ago

William Alexander Henry John Noah Samuel Aiden James Jacob Daniel

Michael Christopher David Matthew James John Robert William Jason Daniel

top 10 girls’ names

today

30 years ago

Charlotte Sofia Olivia Genesis Emma Zoe Amelia Emily Mia Eleanor

Jennifer Jessica Tiffany Elizabeth Kimberly Lauren Stephanie Nicole Sarah Ashley

thebump.com

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Get more name ideas at TheBump.com/babynames

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DESTINATION :

PLAY daTE YOU PICK THE PLACE. WE’LL HELP YOU SOCIALIZE IN STYLE.

SECRET FIT BELLY® DENIM*

STARTING AT

WHERE EXPECTANT MOMS CAN EXPECT IT ALL.

For the store nearest you or to shop online, visit destinationmaternity.com *The Secret Fit Belly® feature is subject to the following patents: U.S. Patent Nos. RE43563, RE43531, 7814575 & 7900276

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get some

sleep

No, you’re not doomed to be exhausted forever. Moms who’ve been there before share the baby sleep advice that ultimately saved their sanity. PhotograPH BY KT MERRY

“Babies are used to noise in the womb, so don’t put them to sleep while hushing everyone around you.” –Sara K. “Enjoy the middle-of-the-night feedings. They were our quiet cuddle moments, and they don’t last long.” –Roxanne B. “Sleep when they sleep. Sounds trite, but that advice helped me survive when my son was a newborn.” –Laura S.

plenty of play fosters good sleep

thebump.com

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“Don’t freak out at every noise they make when they sleep. Babies are loud sleepers.” –Michelle J. “Swaddle!” –Breanne B. “Set a bedtime routine. My son has done so well recognizing his routine and sleeps for about 10 to 12 hours a night.”

–Nicki B.

keep close Nighttime feedings just got easier. The new Halo Bassinest is a bedside sleeper that swivels over the bed, so baby can rest right next to you in his own safe, separate sleeping area. $250, HaloBassinest .com for stores

Styling: Annie Cavallo for Ennis Inc.; grooming: susan donoGhue for ennis inc.

78%

Number of women who buy or register for a baby monitor. Hello peace of mind!

“Never brag about your baby sleeping through the night. Just when you think there’s a pattern, they get sick or are teething and it throws everything off. Just go with it.” –Karen D.

Learn tactics for parenthood at TheBump.com/baby

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Nursing bras, stretch marks, and delivery roomsâ&#x20AC;&#x201D;oh my! Advertisement

NeW From the bump! the only pregnancy guide that tells it like it really is.

is it ok to have sex?

When will i start showing?

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Do i really need a birth plan?

Available wherever books are sold or at www.chroniclebooks.com/titles/the-baby-bump.html

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how

big is baby?

See how she matches up to common fruits and veggies (and what the heck she’s doing in there) week by week. BY PAULA KASHTAN

week 5

apple seed Baby is starting to form her major organs, including the heart, kidneys, liver and stomach.

week 3

poppy seed Sperm met egg and—voilà— conception! Now your zygote sets off on a six-day trek through your fallopian tube to your uterus.

week 6

blueberry With joints starting to appear, baby is forming arms and legs—and growing new brain cells each minute. Wow!

week 8

raspberry Continuing to straighten in the trunk, baby can move those little arms, legs, and (slightly webbed) fingers and toes.

week 9

olive The former embryo is now officially a fetus, and an ultrasound device may be able to pick up a view of her beating heart.

SHUTTERSTOCK

week 7

sweet pea As blood begins to circulate, baby is beginning to develop eyes, ears, a nose, cheeks and a chin.

thebump.com

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week 14

lemon Your fetus is busy with thumb sucking, toe wiggling, making urine and breathing amniotic fluid.

week 15

orange Finally, all four limbs have functional joints. Your fetus squirms and wiggles like crazy, though you probably still can’t feel it. >

i’ m not fat. i’ m pregnant! week 12 week 13

peach While the intestines make their way from the umbilical cord to the fetus’s tummy, baby is developing teeth and vocal cords.

SHUTTERSTOCK

week 10

prune Arm joints work, bones and cartilage are forming, and baby’s vital organs are starting to function.

plum As you get ready for the second trimester, almost all of baby’s systems are fully formed. From here, they grow and mature.

week 11

lime Now baby’s fingers and toes are no longer webbed, and her hair follicles, tooth buds and nail beds are forming.

DC/N.VA/Baltimore thebump.com

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week 17

week 16

avocado Tiny bones are now forming in the ears and eyebrows, and lashes and hair are starting to fill in.

onion Babyâ&#x20AC;&#x2122;s skeleton is hardening, and those little fingers and toes are now defined with one-of-a-kind prints.

week 18

sweet potato Baby has become amazingly mobile. She yawns, hiccups, rolls, kicks, punches, sucks, twists and swallows.

week 19

week 20

banana Your baby is gulping down amniotic fluid for nutrition and to practice swallowing. Her taste buds work!

SHUTTERSTOCK

mango Vernix caseosa, a greasy white goo, now coats babyâ&#x20AC;&#x2122;s skin. Some of it could remain at birth.

thebump.com

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honeydew Baby can recognize and react to simple songs and may even remember them after birth. She now pees about a pint each day.

week 37 to delivery

watermelon Your full-term (yay!) baby gains about half an ounce a day, and her brain continues to develop rapidly.

are we there yet?

weeks 29–32

squash Baby is going through major brain and nerve development, and her energy is surging. Her irises react to light, and all five senses work.

weeks 22–24 SHUTTERSTOCK

weeks 33–36

papaya Settling into sleep cycles, baby snoozes 12 to 14 hours a day. Skin is becoming more opaque, and it’s taking on a pink glow.

weeks 25–28 eggplant Baby is getting her immune system ready by soaking up lots of antibodies. Her eyes are forming too.

Get weekly baby updates at TheBump.com/updates

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it was a girl, Philomena Bijou!

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fashion styling: michelle mccool for kate ryan, inc.; prop styling: emily rickard for ennis inc.; hair styling: Jeanna mirante; makeup styling: gabriella voigt; on daphne: top and vest: haute hippie; pants: hatch; shoes: Jimmy Choo; jewelry: daphneâ&#x20AC;&#x2122;s own; crib: oeuf sparrow crib courtesy of mini jake in brooklyn, ny

celebrate

thebump.com

2/19/15 11:21 AM

fashion styling: michelle mccool for kate ryan, inc.; prop styling: emily rickard for ennis inc.; hair styling: Jeanna mirante; makeup styling: gabriella voigt; on daphne: top and vest: haute hippie; pants: hatch; shoes: Jimmy Choo; jewelry: daphne’s own; crib: oeuf sparrow crib courtesy of mini jake in brooklyn, ny

daphne

oz’s

foodie, fun & fuss-free

pregnancy The natural foods chef, author and cohost of The Chew shares her secrets for relishing pregnancy. By Elena Donovan MaueR Photography by melanie acevedo

Daphne Oz is one of those women you’d want to plan a play date with, if you could. She’s friendly and warm, quirky and real— personality traits that shine through on The Chew, the daytime lifestyle talk show she stars on with chefs Mario Batali, Michael Symon and Carla Hall and entertaining expert Clinton Kelly. Her success has skyrocketed in recent years. She joined the cast in 2011, and in 2013 wrote the cookbook and lifestyle guide, and The New York Times best seller, Relish. Now, a new challenge: parenthood! Daphne chatted with us about being pregnant with her first baby (also the first grandchild for dad Dr. Oz).

The Bump Other than your parents, Mehmet Oz, MD, of

The Dr. Oz Show, and author Lisa Oz, who are your role models? Daphne Oz Role models evolve and change with every stage in your life. Right now, it’s the moms who make time for their careers, if that’s what they want to pursue, and who make time for themselves. We tend to forget about taking care of ourselves when we’re taking care of everyone around us. >

DC/N.VA/Baltimore thebump.com

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TB You and your cohosts

seem like you might be friends in real life. True? DO We are! I get paid to eat some delicious things and hang out with great friends. If only we could tape our behind-the-scenes revelry. That would be a show you’d want to watch. It’s hysterical.

TB So did you have to change what you ate once you were pregnant?

DO I love Mexican food and sadly have to stay pretty far away from it because I can’t take the heat. I miss the margaritas too!

TB Is there anything you’re nervous about? DO A huge learning curve. There are so many things I don’t know. >

daphne’s pregnancy tips

walk a lot

Do Date Night

“I gave up superintense cardio— sorry, spinning! But I walked three miles a day. Walking keeps you toned without being stressful on your body. It helps me decompress.”

“Have time with your partner and time with your girlfriends. They’re the ones who will be there for you postbaby. Time with them will rejuvenate you when you need it.”

make eating healthy easy

tackle your to-dos

“Whip up big batches of beans, quinoa, brown rice and lentils to store and pair with different flavors during the week. No need to spend a ton of time.”

“Get things off your plate before baby arrives, but if you can’t get it all done, don’t worry. Life won’t stop after baby is born—it’s just the beginning!”

sweater and jeans: asos, tank top: Pea in the Pod tank for Destination Maternity

TB What are you looking forward to most about motherhood? DO I can’t wait to read bedtime stories, do art projects, play dress up, have dance parties and bake delicious treats with our girl. All those magical things I loved so much about childhood.

thebump.com

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TB You’re really big on date night. Why? DO My husband, John, and I both thought

it was important not to lose sight of our relationship, even as we made way for a new addition. Even if it’s a 15-minute meal together, relishing uninterrupted time keeps us connected.

TB What’s the biggest change you made since you became pregnant? DO I try not to stress out if everything on my to-do list doesn’t get done. You start to realize how important it is to take care of yourself, so you can take care of another little person who totally depends on you. That means cutting out the energy drains that have no room in your life anymore. I used to be a terrible procrastinator, but now I have great reason to prioritize and be more efficient with my time.

daphne says:

“Make smart choices even when you give into cravings.”

TB What did you do to nest for baby? DO I nested like a crazy person. I really

de-cluttered and did major guttings of my wardrobe, books and papers. For the nursery, I worked with a furniture store called Bellini on a French blue and coral scheme. It has a soft, plush texture and fun tribal and geometric accents. I tend to be classic in my taste, so this was a chance to experiment, get a little funky and be playful, but sophisticated.

TB What are your favorite and least

favorite things about pregnancy? DO I love the kicks! I’m sure we’ll be making up some dance moves together. My least favorite thing is waking up uncontrollably at 4:30 a.m.! It’s like my body is advance training me for all the sleepless nights that are ahead. you look up to? DO Seems like Jessica Simpson and Jennifer Garner have a lot of fun with their kids! I’d love to learn how to juggle it all from Victoria Beckham.

thebump.com

striped shirt: asos

TB Are there any moms in Hollywood

Get the scoop on Daphne’s baby at TheBump.com/daphneoz

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Premier maternity and newborn photographer Luxe Maternity and Newborn Portraits for Stylish Moms in Washington, DC, Maryland and Virginia

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map out your

pregnancy

Whether it’s cravings or maternity clothes, look no further than your neighborhood to find everything you’ll need from trimester to trimester. by Madeline Schmitz

and the journey begins...

1st trimester

indulge those food cravings

If your hankering for something sweet starts the moment you get out of bed, get your fix with a flapjack “cakecup” at Baked + Wired (BakedandWired.com), a Georgetown haven for all things baked and delicious. This individual treat (yep, it’s all for you, mama!) tastes like a pancake and has a sprinkle of candied bacon on top. That counts as breakfast, right?

2nd trimester

prep for labor dress your growing bump Head over to Alexandria’s Apple Seed Maternity and Baby Boutique (AppleSeed Boutique.com) for stylish maternity clothes for every occasion—skinny jeans, swimwear and even formal dresses. There’s also a full stock of adorable newborn clothes, so you can get started on baby shopping too.

Whether you’re opting for a natural birth or know you want an epidural, Momease (Momease .com) in Alexandria offers a childbirth class that fits your plans. And the courses go way beyond pain relief. There are even options for moms expecting multiples and those on bed rest.

3rd trimester

get some prenatal pampering During those last months of pregnancy, couldn’t you use a little extra TLC? The prenatal massage from Spa on the Hill (SpaontheHill.com) in Capitol Hill is just the thing. Book yourself an hour-long session and feel the tension in your joints melt blissfully away. (There’s even a special table to help moms-to-be lie comfortably during the treatment.) Or for bonding before baby, try the couple’s pregnancy massage with your partner.

thebump.com

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hello, baby!

Find more local help at TheBump.com/washington-dc

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product spotlight Great products for pregnancy and beyond.

the ultimate hearth cover

The custom-designed HearthSoft速 protects your child from the unexpected falls near the hard surface and sharp edges of the fireplace hearth by combining superb safety features with a quality, comfortable design. Choose from an array of durable fabrics and colors. JambooCreations.com; (877) JAMBOO-4

H ov d an fl

newborn must-have

Newborns are obligate nasal breathers their first 4-6 months. Crane humidifiers provide moisture to relieve tiny stuffy noses, helping your baby breathe easier during feeding and sleeping. From whimsical to sleek, visit Crane-USA.com. (888) 599-0992

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a picture-perfect nursery for baby

Dolce Babi furniture is inspired by fine European design. Our collections are beautifully designed and lead the trend in nursery furniture design with gorgeous finishes and special touches. Our furniture is solidly crafted and exceeds all safety standards while delivering on great value and style. To create your picture-perfect nursery, visit DolceBabi.com.

soothe your sore throat with nature’s cure

HONEES has been soothing throats naturally for over 70 years, with pure liquid honey inside every drop. There are added benefits of vitamins C, B6 and B12, and no artificial preservatives, colors or flavors. Available in Honey Menthol and Honey Lemon! (800) 243-0897; HONEES.com

the prenatal vitamin you can drink

Say goodbye to hard-to-swallow, tummy-turning prenatal pills! Premama® was designed to address daily challenges of taking prenatal vitamins while providing complete nutrition for you and baby. Premama® contains folic acid, iron, DHA and more. Receive two free samples at DrinkPremama.com. (401) 383-0299

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ultrasound photos

decoded

It’s time for baby’s first photo op! Here’s what you’ll be looking at when you peer into that little screen for the first time. by lauren a. greene

Depending on your doctor, expect to have your first ultrasound sometime between 6 and 12 weeks, says Santa Monica–based ob-gyn Sheryl Ross, MD. Baby grows quickly and will look very different in just a few short weeks, so don’t

panic if you don’t see as much detail at an earlier ultrasound (the below image is about 12 weeks). The first ultrasound dates and confirms the pregnancy, as well as detects any potential problems. Here are some key things to know before you go.

oh, boy !

fluid is black; bone is bright white

der Or girl. Gen ted ec et d e may b k ee -w at the 16 d. n u so ra lt u

1 2 5 3 4

head

To determine gestational age, your doctor will measure the “crown to rump length” (top of head to bottom of tush). At 12 weeks, the average size is 5–6 centimeters.

nasal bones

Underdeveloped or absent nasal bones have been linked to a high rate of Down syndrome. Your doctor examines the nasal bones to begin ruling out any potential problems.

thebump.com

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3 nuchal FolD The thickness of the nuchal (or neck) fold is another marker for chromosomal abnormalities. The results, along with a blood test, can be used to detect issues as early as 11 weeks.

See that tiny dark gray circle right under the chin in the chest cavity? That bubble is the stomach starting to form, and your doctor will look to make sure it’s on track.

Depending how she’s positioned, you may not see all of baby’s arms and legs in the profile view (above), but your doctor takes a variety of angles to check on all of them.

stomach bubble

extremities

shutterstock

Get info on other prenatal tests at TheBump.com/tests

2/19/15 11:23 AM

Madayo’s Child SLEEPING THROUGH

THE NIGHT FOR PARENTS AND BABY

No more 1- to 3-year-olds up at night. SWEET! You have nothing to lose but SLEEP! Parents’ and baby’s emotional health and well-being is our goal Get it now: Good Night Baby Good Night – eBook by Harriett Madayo Watson

VISIT MADAYOSCHILD.COM FOR MORE INFORMATION

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the crazy rules for

naming your baby

T a d b

Thought as parents you could give baby any name under the sun? Well, it depends.

I c t

BY CYNTHIA RAMNARACE

Believe it or not, there are rules in place that restrict what names can be given. Here in Washington, DC, baby’s last name must match one of the parents listed on the birth certificate (or be a combination of the two), or you’ll need to prove a familial connection. Want to know the rules in all the states?

alabama

In Alabama, you can name baby anything you want—last name included. Only the English alphabet is allowed. But apostrophes and hyphens are okay.

alaska

Chloë and Beyoncé aren’t a problem in Alaska! The state’s computer system handles umlauts (ö), tildes (ñ) and many other (but not all) foreign characters.

arizona

In Arizona, there’s a 141-character limit— 45 for the first name, 45 for middle, 45 for last and 6 for a suffix. Apostrophes, hyphens, periods and spaces are okay.

allowed. Pictographs, such as smiley faces, or ideograms, such as a “thumbs-up” sign, are specifically banned.

R n “ t t

colorado

Colorado has no limit on the length of a name, but you need to be able to spell it using a standard keyboard, so no graphic symbols or foreign characters.

connecticut

N B o t

You may choose any name in Connecticut, so long as it’s “not for fraudulent or nefarious purposes and does not infringe on the rights of another person,” and it uses English characters.

K g s

florida

If parents can’t agree on a first name, none can be listed on the birth certificate until both parents sign an agreement or a court selects a name.

Y L A i o m s u

georgia

Symbols are off-limits in Georgia, and yes, that includes accent marks.

arkansas

You can have apostrophes, hyphens and spaces in a name, but they can’t be consecutive. Also, Baby, Babyboy, Babygirl, Baby Boy, Baby Girl, Infant, Test, Unk and Void are invalid entries in the data entry system. Derogatory or obscene names are banned in California. Only the 26 characters of the English alphabet are

O k i THINKSTOCK

california

thebump.com

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I O c

hawaii

There are no limitations. Even symbols are allowed, but the state’s computer software does require each symbol be accompanied by at least one letter.

idaho

In Idaho, only letters are allowed. Special characters such as asterisks, umlauts and tildes are banned.

illinois

Numbers and all special characters are banned in Minnesota. Apostrophes and hyphens are the only punctuation allowed.

mississippi

If mom is married at the time of birth, the baby’s surname is automatically that of her husband. If the parents would like a different surname, the request must be verified and witnessed by a hospital rep.

Recent updates to the state’s computer networks allow for quirky names such as “1Der” or “2-Riffic.” So far, no parent has taken advantage of this with first name, but there’s a child whose middle name is “7.”

montana

indiana

nebraska

No rules regarding first names in Indiana! But if mom is unmarried at birth, baby can only be given her mother’s surname, unless there’s an affidavit proving paternity.

kansas

Kansas explicitly requires that babies be given a last name and bans the use of symbols. Accent marks are okay though.

louisiana

You can’t name your child an obscenity in Louisiana, or use diacritical marks (so, André isn’t allowed). As for the last name, if mom wasn’t married within 300 days of the birth, baby’s surname must match his mother’s name. If mom is married, baby’s surname must be the same as her husband, unless the parents agree to change it.

massachusetts

Only letters found on the standard English keyboard may be used in baby names in Massachusetts. So sorry, no æ, ë or ñ. thinkstock

minnesota

michigan

In Michigan, there’s only one restriction: Only letters found in the English alphabet can be used.

Montana’s data system doesn’t allow for special symbols. If a parent wants to use a symbol, they can write it in to the vital records office later for approval. No names that imply objectionable or obscene words or abbreviations.

new hampshire

First, middle and last names must be within 100 characters total.

new jersey

New Jersey bans naming a child an obscenity, or using numbers or symbols.

new mexico

The names Baby Boy, Baby Girl, Male and Female are banned. >

anything goes! states with no baby name rules or laws Delaware Iowa Kentucky Maine Maryland

Missouri Nevada Pennsylvania Virginia

DC/N.VA/Baltimore thebump.com

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new york

First and middle names can’t be more than 30 characters each. And last can’t be more than 40. Numbers and symbols are no-nos.

north carolina

Accent marks, hyphens and tildes (ñ) may be used in North Carolina. Name your child anything, but the data system doesn’t allow special characters. And the last name must match a parent’s.

ohio

The only punctuation allowed in Ohio is hyphens, apostrophes and spaces. Only letters are allowed, no numbers.

oklahoma

Oklahoma has no name laws, but its system limits names to the English alphabet.

oregon

texas

In Texas, you’ve got to stay under 100 letters total for first, middle and last name. Special characters, numbers and diacritical marks may not be used. So you may name baby John Smith III, but not John Smith the 3rd—and no way, José!

utah

Utah says that using marks not found on a keyboard “would make applying for and receiving a birth certificate more laborious.”

vermont

Oregon’s computer system can handle 40 special characters, including â, é, î, õ and ü.

VT says, “You may use trademarked names (IBM), diseases (Anthrax) and obscenities, but we highly recommend against it.”

rhode island

washington

Diacritical marks can’t be used on a birth certificate. But the state allows parents to use Aña or Zoë on other documents.

south carolina

Want to name your baby K8? In South Carolina you can. Numbers and symbols (think: M!ke) are both allowed.

south dakota

The only guideline is on length—30 characters for first names; 50 for middle and last.

west virginia

Only letters from the English alphabet are acceptable. This rules out umlauts and tildes. Numbers and symbols are banned too.

wisconsin

Spaces, hyphens and apostrophes are the only acceptable punctuation.

When one Wisconsin mom wanted to name her child a numeral, the state required that the number be spelled out.

tennessee

wyoming

Tennessee law is silent on first names, but there are a few complex last name rules.

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The official record cannot reflect foreign characters (sorry Esmé and Björn).

THINKSTOCK

north dakota

Look up name meanings at TheBump.com/babynames

2/19/15 11:23 AM

from

your to-do list

Prep for pregnancy and baby with must-have products and services from our advertising partners.

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smoking

raw fish and meat

Premature birth, low birth weight and even stillbirth all have been associated with a mom’s use of cigarettes. Secondhand smoke is risky as well. So ask your partner to kick the butts too.

Sushi, raw or undercooked eggs, and raw meat heighten your risk for food poisoning. All your fi sh, meat and poultry should be fully cooked.

what to

Caffeine has been linked to an increased risk for premature birth and miscarriage. Limit your daily intake to 200 milligrams or less (one or two 8-ounce cups of coffee).

quit list

cleaning the litter box

Fluff y’s poop could contain a pesky parasite called toxoplasma. What’s scary is that it can cross the placenta and infect baby. If you must change your kitty’s box, wear rubber gloves and a mask.

some medications

Bring a list of your prescriptions to your doctor, so she can tell you whether or not they’re safe to take during pregnancy. While many are considered unsafe (or untested), there are some situations in which a doctor believes the risk to an unborn baby is minimal compared with the benefi ts to mom’s health. Example: antidepressants.

drinking

unpasteurized foods

Skip the cheese, raw milk or farmers market juice if the label doesn’t say it has been pasteurized. (Yes, even if you’re a foodie.) It could contain harmful bacteria.

thebump.com

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Hold off on celebratory champagne until baby is here. Alcohol can cause fetal alcohol syndrome (FAS), which can lead to disabilities, including mental retardation.

CLOCKWISE FROM TOP LEFT: GETTY IMAGES; SHUTTERSTOCK (3)

caffeine

cold cuts

Say good-bye to turkey and Swiss on rye. Deli meats may contain bacteria called listeria, which can cause an illness that can lead to preterm labor and miscarriage.

Get through the first trimester at TheBump.com/firsttri

2/19/15 11:23 AM

Specializing in maternity and newborn portraits

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2/19/15 11:23 AM

celebrate Taking OTC meds, playing music in utero, counting baby’s kicks and more…

Can I take ibuprofen while pregnant? No, stay away from ibuprofen, commonly known by the brand names Motrin and Advil, right now. It can lead to serious problems for baby if you take it after 30 weeks or so. “Ibuprofen can cause an important passageway in baby’s heart to close when taken in late pregnancy. That passage needs to stay open while baby is still inside the uterus and is meant to close up soon after birth,” says Kelly Kasper, MD, ob-gyn and associate clinical professor at the Indiana University School of Medicine. “If it does close before birth, it can cause problems, including heart or lung damage and death.” Already took ibuprofen? Don’t freak out. “A one-time dose isn’t going to hurt baby, even if you took it past the 30week mark,” Kasper says. “The serious and scary side effects tend to occur with repeated, chronic use of the medication. If you happened to take a dose of Advil because you had a headache last week and you’re at 33 weeks, baby will be fine.” What about acetaminophen? Yes, go ahead and take acetaminophen (Tylenol). “We consider acetaminophen very safe to take in pregnancy,” says Kasper. Always follow dosing instructions closely, though. Too much acetaminophen

is hard on your liver—and baby’s too. Also important: Don’t combine it with other medications without checking with your doctor first, since some of them (such as cold meds) contain acetaminophen too. Can playing music to baby in utero make him smarter? “There are no studies that say playing music to babies in utero makes them smart,” says Kasper. Of course, that doesn’t mean that listening to Beethoven, Bach or even Beyoncé prebirth doesn’t make baby smarter. There’s just no way to tell for sure. “You can’t study babies in utero,” Kasper notes. “You can’t see how their neurons respond to music. It’s impossible.” What’s certain is that babies can hear music (and other sounds) when they’re in the womb, and some scientific studies have reported what moms have known for years: Babies often move in response to music. “Some people might surmise from that, ‘Oh, baby likes it.’ Other people might surmise, ‘Oh, baby hates it,’ ” Kasper says. Hey, if you enjoy listening to music, go for it! Pick whatever tunes you like and crank them as loudly as you want. If it’s at all beneficial to baby, it’s probably because it helps mom-to-be relax. “A decrease in mom’s stress can have positive effects for baby,” Kasper says. >

thebump.com

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mom knows best

When it comes to baby and pregnancy products, the most innovative pieces come straight from moms. Here are our faves!

something to get excited about

What it is: Angel Dear Invented by: People who love babies

At Angel Dear we create classic baby clothing and accessories with a modern sensibility and attention to special details. Please visit AngelDear.net to view our full collection of apparel, gifts and swaddles.

bibs that cover your baby in all the right places

What it is: Burpa Collar™ & Burpa Bib™ Invented by: Riche Holmes Grant, BambiniWare™

The Burpa Collar™ is a smart little bib that protects your baby’s neck from milk dribble, drool and more. The Burpa Bib™ is a stylish all-in-one bib + burp cloth that grows with baby into toddlerhood. Both are reversible and feature three absorbent layers. Made in the USA. BambiniWare.com

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celebrate

(

If baby is moving less than usual, or if Should I line up a baby nurse for after you haven’t felt movement in a while, start baby arrives? What do they do? counting kicks. “Drink something cold and Baby nurses are pros at easing you— lie in a quiet room. Then see how long it and your brand-new baby—into your new takes to feel 10 movements,” says Goldman. life together. One can help establish a “If an hour—or at most, two hours—has bedtime routine, organize the nursery, and gone by and you haven’t felt at least 10 make sure you’re nourished and comfy movements, call the doctor.” after you’re home from the Not feeling 10 movements hospital. She can show you in an hour doesn’t necessarily how to deal with issues mean something is wrong. But like colic, gas and excessive Why do I have a lack of movement can indicrying, all of which can be a metallic taste cate a problem that could lead stressful, and pitch in with in my mouth? to stillbirth, so your doctor chores like packing the That funny will likely want to run tests to diaper bag and laundering metallic taste is check baby’s health—listening onesies. In deciding whether probably related to her heartbeat and possibly or not to hire one, consider to the high level doing an ultrasound or your situation. Do you have non-stress test. family or close friends nearby of estrogen in who are willing and able to your body, says Is it wrong to feel disappoinhelp you? Also think about Goldman. It ted about baby’s gender? your personality and whether usually fades as No, you might not hear about you and your partner will be pregnancy goes gender disappointment able to be up all night and on, the same way often because parents-to-be still function the next day. It’s morning sickness don’t always talk about it. definitely not easy. does. Eat acidic “There’s shame because foods, like citrus we’re supposed to feel grateHow often should my baby fruit or pickles, ful,” says Shoshana Bennett, be moving? PhD, a clinical psychologist. All babies are different. Some to cut the taste. Forgive yourself for feeling let are more active than others down—it’s a valid emotion. at different times, says Debra But remember that it’s based Goldman, MD, ob-gyn at on a fantasy of what your family should Women & Infants Hospital of Rhode be. “Talk about it with a trusted friend, so Island. Factors such as the location of you can let go of it quickly,” Bennett says. the placenta and baby’s positioning can “The truth is, you don’t know what this affect how much movement you feel. child’s temperament will be. They’ll have Some babies kick like crazy after dinner; their own passions. Look forward to discovothers go nuts at bedtime. With time, ering them along with him or her.” Good you’ll get to know your baby’s usual news: Gender disappointment tends to patterns of movement. Pay attention to disappear after birth. his habits and note any changes.

(

thebump.com

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Get answers to every question at TheBump.com/pregnancy

2/19/15 11:23 AM

Is this normal?!

Get expert advice, community support and helpful tools, week by week.

PREGNANCY APP + BABY APP Download FREE today!

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glow

moms in motion Social media has shined a spotlight on moms-to-be doing intense workouts like CrossFit, surfing and SoulCycle. Should these women be considered a cautionary taleâ&#x20AC;&#x201D;or an inspiration? by Amanda Pressner Kreuser

getty images

only for advanced yogis

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ea-Ann Ellison, 35, never expected to find herself at the center of a social media firestorm. But when the Los Angeles–based mom of three logged on to her Facebook page one morning, she was stunned to find more than 5,000 comments on an image she had posted of herself lifting a barbell during her daily CrossFit workout. So why the backlash? Ellison was 32 weeks pregnant at the time—and the weight above her head looked almost as big as she was. “People wrote some very ignorant remarks, telling me that my choices were selfish and I was risking hurting my baby,” says Ellison. “They said I’d be to blame if anything happened to him.” But Ellison isn’t alone in catching heat for her fitness decisions. A few years earlier, mom-to-be Amber Miller ran the Chicago Marathon at 39 weeks pregnant—and gave birth to her daughter just hours later. Internet naysayers questioned Miller’s judgment and why she did something that seemed so extreme and self-involved at a time when she should have been focusing on her child. More recently, Kristina Olivares, an Australian surfer, raised eyebrows for riding waves through all nine months of her pregnancy.

getty images

“People were telling me that my choices were selfish.” While all three women delivered very healthy babies, the controversy continues over whether or not moms-to-be should keep doing high-intensity workouts right up until childbirth. Can certain rigorous exercise subject expectant women and their babies to unnecessary risks—or is it somehow actually good for us?

cool it!

It takes momsto-be longer to cool down—give yourself at least 15 minutes.

experts weigh in

It seems that the expert consensus may fly in the face of what well-meaning moms, aunts and even friends have been telling you since you shared the happy news of your pregnancy. “As long as she consults with her doctor and gets clearance, there’s no reason that a healthy woman—one who is not deemed high risk—can’t continue the same type of workout she was doing prior to getting pregnant,” says Raul Artal, MD, editor for The American College of Obstetricians and Gynecologists’ (ACOG) Clinical Updates in Women’s Health Care. Of course, not every type of activity is deemed safe. According to ACOG’s latest guidelines, you shouldn’t participate in contact sports like kickboxing and karate, or those activities in which you could inadvertently get hit with a ball, such as soccer or softball. You’ll also want to avoid the potentially hard falls you could take when skiing, snowboarding or horseback riding, and you should definitely skip scuba diving (it puts baby at risk for decompression sickness or even death). Artal confirms that even the popular training regimens that may seem extreme to some, like long-distance running, cross-training and indoor cycling, are safe for pregnant women to continue—but only if they’ve already been doing them regularly pre-pregnancy and they’re under the supervision of their physician. >

DC/N.VA/Baltimore thebump.com

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A far greater issue is that many expectant mothers stop being active altogether, which can lead to excessive weight gain and gestational diabetes, both of which can negatively impact the well-being of the fetus, Artal says. “In fact, we strongly recommend that moms-to-be aim to get at least 30 minutes of physical activity five times per week.”

a myth that won’t quit

Doctors now agree that perceived exertion, a self-reported measurement of how hard you feel you’re working out, should be the benchmark used for when to slow down or stop. If you chart your exertion on a scale of 1 to 10 (where 1 means you’re barely moving and 10 is a red alert and you’re almost completely out of breath), you want to stay within the 6 to 7 range. Working out in that zone (rather than a 3 or a 4) can actually have positive effects on your pregnancy, according to research. To stay in a safe range, Pivarnik recommends making sure you can still hold a conversation during most of your workout (if not, slow down) and to stop immediately if you begin to feel weak, dizzy or in pain. It’s also essential to keep yourself well hydrated and avoid becoming overheated. That means while a prenatal yoga class is a good idea, a Bikram (hot) yoga class definitely isn’t. And when doing traditional yoga, you may have to modify your moves so you stay comfortable. If you’re exercising in a class setting, make sure the room you’re in has good airflow and you’re positioned near a door so you can make an easy exit if necessary. >

getty images

Somewhere along the way, you may have heard that exercise during pregnancy is only safe if you avoid letting your heart rate go above 140 beats per minute. So then how can super-active workouts like spinning, Zumba or circuit training actually be good for you? Well, it turns out that number is old news. “The 140-beats-per-minute recommendation is outdated—and it’s long since been tossed out by the medical community,” says James Pivarnik, PhD, FACSM, professor of kinesiology and epidemiology at Michigan State University. And Artal, who was among the doctors who came up with the 140-beats-per-minute guideline a few decades ago, confirms that sentiment. “Newer research has since shown that our original theory was invalid,” he says.

new exercise guidelines

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adjusting your routine

Even the most well-conditioned fitness buffs among us may need to make adjustments to our exercise routines to accommodate the changing demands on our bodies during pregnancy. These changes may include lifting lighter weights, pedaling more slowly during a spin class or running fewer miles at a reduced pace. “You don’t have to stop doing your favorite workout,” says Pivarnik, “but you need to be particularly vigilant about listening to your body and not pushing yourself to do more than what feels comfortable.” Pivarnik explains that pregnant women can be at slightly higher risk for injury because their bodies are producing higher levels of relaxin, a hormone that loosens up your ligaments and joints. While relaxin makes your body better prepared for labor, its increase also means you’re more susceptible to rolling your ankles or over-stretching your joints. “If you’re not sure how to best modify your movements,” don’t be afraid to ask your instructor to help you, says Jolie Walsh, a New York City–based SoulCycle instructor, who continued to teach and ride throughout both of her pregnancies.

focusing on the positive

Even if you’re making all the right moves to keep you and baby safe as your belly grows, you may still encounter comments from others about your exercise regimen. “There were a few people at my gym who didn’t agree with my exercise program,” says Tass Vorous, 36, who did classes like Zumba and Tabata throughout her pregnancy. “To deal with any negativity, I just focused on the support from the other expecting moms—we were almost like a tribe going through this together!” The bottom line: Doctors agree it’s critical to remain active during your pregnancy—so long as you’ve come up with a plan with your ob-gyn and follow all her instructions for keeping you and baby safe. Sticking with the workout you love may be the best way to prepare your body (and baby’s!) for the marathon of labor and delivery ahead. “After I got pregnant, my whole mind-set about working out changed,” recalls Ellison. “It wasn’t a competition anymore. It wasn’t about looking good anymore. Exercise was about staying strong and healthy so that I could be in great shape for one of the most important events of my life: helping my new baby come into the world.”

get in gear While you’re modifying your workout, update what’s in your gym bag. Juno sports bra

The super-comfy straps on this full-motion, ultrasupportive sports bra completely detach, so you can use it later for nursing. From $33, Moving Comfort.com

Bopple BottlE Sport

Asics Gel-Kayano 20 Lite-show

Fit Bit Flex activity tracker

This BPA-free water bottle has a replaceable carbon filter (which traps chlorine), so you can refill it on the go. $11, WaterBobble.com

These ultrastabilizing sneakers will help stop your ankles from rolling and cushion your feet. $170, Asics America.com

Keep yourself motivated to move with this wristband that tracks your steps, distance and calories burned. $100, FitBit.com

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Find more exercise tips at TheBump.com/pregfit

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wide stripes + neutrals= chic mama

olivia wilde’ s inspiring looks After stalking the star’s maternity wardrobe, this is what we’ve learned.

wear a belt above your bump to accentuate it

CLOCKWISE FROM TOP LEFT: GETTY IMAGES; PR PHOTOS (3)

basic black isn’t just safe—it’s timelessly glam don’t be afraid of a slinky dress

thebump.com

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Catch up on celeb pregnancies at Blog.TheBump.com

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Learn more about your pregnancy, childbirth, breastfeeding and infant care! Offering a variety of classes including the Sacred Pregnancy series! Get in touch for more information:

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s ymptoms you should

never ignore

News flash: There are a lot of changes going on right now. And some pretty weird things might happen—some are normal; others you should call your doctor about. by Elena Donovan Mauer photography by kt merry

If you spot or bleed (down there), you’ll probably freak out a little bit—but there are times when a tinge of blood is no big deal, say if you had sex recently, in which case you might have just irritated your cervix a bit (it’s more sensitive while you’re pregnant). Of course, bleeding can be a sign of something very serious—like a miscarriage or a problem with the placenta such as a placental abruption or placenta previa—so any time you do bleed, notify your ob-gyn or midwife just in case.

pain in the belly

Some aches and pains are to be expected (obviously!). After all, baby’s getting bigger by the day, and your muscles

fashion styling: annie nicholas for ennis inc.; hair and makeup: Susan DonoGhue for ennis inc.

whoa! there’s blood

thebump.com

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and ligaments are stretching—that can cause discomfort called round ligament pain, which isn’t worrisome. But if pain is severe, constant or if there’s bleeding or other symptoms, call. It could be a miscarriage, ectopic pregnancy or a cyst.

looking puffy

Granted, gaining four pounds a month is going to leave you looking fuller, but pay particular attention to your face and hands or severe and sudden swelling in your ankles and feet. This could be a sign of preeclampsia, also known as pregnancyinduced hypertension. It happens in about 5 to 10 percent of pregnancies. It’s serious, since it can affect the placenta, as well as your kidneys, liver and brain. Call your doctor so he can give you an exam and test your blood and urine.

fashion styling: annie nicholas for ennis inc.; hair and makeup: Susan DonoGhue for ennis inc.

a shocker at the scale

You’re supposed to gain around 25 to 35 pounds if you have an average starting weight, but if you put on more than two pounds in a week, that could be another sign of preeclampsia.

itching and itching and itching

Your skin could be itchy simply because it’s dry and stretched, or you could get a nasty rash called PUPPP, which is irritating but not harmful. But, if you have allover or severe itching, talk to your OB. She may have to do a special test to rule out cholestasis of pregnancy—a liver disorder that can cause preterm labor and stillbirth.

spiking temperature

If you get a fever that lasts longer than 24 to 36 hours, see the doctor, so you can be diagnosed and treated quickly. There are a whole host of viruses that could be causing it, including a simple cold or flu, which aren’t usually a big deal, or something more serious, like cytomegalovirus or toxoplasmosis, which pose risks to baby if they’re left untreated.

hey, what happened to the kicks? If baby’s movements are pretty regular, that’s reassurance that everything’s A-OK, but if you notice a change in his kicking patterns, it’s worth the trip to the doctor’s office to check on his well-being.

“If you notice a change in baby’s kicking pattern, it’s always worth a trip to the doctor to check on him.” more than just a backache

Got pain in your back that just doesn’t quit? Your doctor should check to make sure any lingering backache is just normal pregnancy pain and not a sign of a kidney or bladder infection, cyst, miscarriage or preterm labor, since it might be pretty difficult to tell the difference yourself.

seeing blurry

If you stood up too fast, you could just be experiencing some normal pregnancy dizziness. But blurry vision that’s persistent or comes along with other symptoms, such as swelling, abdominal pain, headache or rapid weight gain, could be a sign of preeclampsia or gestational diabetes, both of which require medical treatment.

a gush of fluid—it’s go time!

This isn’t your average pregnancy discharge. Feeling constantly wet down there or having a trickle (or gush!) of fluid can mean that your water has broken. If that’s the case and you’re not in labor yet, you’re likely to be within 24 hours. Either way, it’s important that your doctor knows ASAP!

Check your symptoms at TheBump.com/symptoms

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fashion checklist

A mix of wardrobe staples and maternity pieces will get you through all nine months.

you have jeans You should still fit into your roomiest pair for the first couple of months.

maternity jeans A dark wash (with a stretch panel) will work for day or night.

blazer Button up to hide your growing bump, or wear it open to let your belly breathe.

wrap dress Adjust the dress to fit a fluctuating waistline pre- and postbaby.

tank top You can rely on that stretchy shirt in your closet until the day you pop.

Cover up unbuttoned pants with extra-long styles.

t-shirt Slide by in a largersize shirt from your own stash for the first few months.

Maternity t-shirt Show off your great new cleavage with a V-neck style.

cardigan Be ready for unexpected hot flashes. A basic button-up is easy-on, easy-off.

Get a neutral hue, like black, that you can dress up or down.

skirt Turn to a pencil skirt for a slimming style even when you start feeling bigger.

Maternity skirt Highlight your thinnest assets (your legs!) with a short hemline.

little black dress A style with an Empire waist won’t restrict your growing bump.

Big black dress Take the maternity route and your dress won’t ride up in front.

Husband’s t-shirt Steal one of his XL tees for some relief in the final stretch.

Don’t reveal any seams with your snug tanks and tees.

black pants A side zip is easy to leave open unnoticeably.

you need

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Maternity tank top

maternity cardigan

under-belly black pants

maternity black pants

Hide your belly and keep pants up with a wide panel.

Find fashion secrets at TheBump.com/fashion

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glow An outtie belly button, midnight snacks, orgasms and more…

Why don’t I have the “pregnancy glow” everyone talks about? My skin actually looks awful. What’s the deal? Sorry, but the truth is shiny might be more like it; here’s why, according to Kenneth Mark, MD, board certified dermatologist, clinical assistant professor of dermatology at New York University. shine Blame it on hormones pushing your glands into overdrive. Specifically, an increase in progesterone levels is to blame for a super-shiny complexion. how to fix it Wash with a mild cleanser. Avoid using harsh soaps or chemicals, and don’t wash more than twice a day, which can actually backfire and create more oil. pimples Your sebaceous glands are working overtime now—especially in those first three months when progesterone and estrogen levels are on the rise. how to fix it The good news: Acne usually clears up on its own eventually. In the meantime, just use a mild cleanser and ask your doctor about topical treatments. redness If your once-attractive blush has veered off into blotchy, red-faced territory, the culprits are your hormones (again) and a blood flow increase of up to 50 percent. how to fix it Avoid hot, spicy foods— they’ll just up your circulation even more. Slather on antioxidant cream rich in ingredients like green tea, vitamin C and vitamin E.

What’s the deal with eating carbs during pregnancy? Should I? Which ones? Pregnancy is not the time to go low-carb. Carbohydrates give you energy and can be an important source of fiber and other nutrients. About half your calories should come from carbs during pregnancy. But all carbs are not created equal. Simple carbs are quickly converted to sugar in the body. They provide a quick burst of energy, with not much in the way of sticking power, says Debra Goldman, MD, an ob-gyn at Women & Infants Hospital of Rhode Island. To avoid simple carbs, stay away from processed and refined foods, since they contain more of them—and they offer less nutrition. This includes white bread, white rice, chips and candy. Instead, choose complex carbs, which include whole-grains such as oatmeal, legumes such as dried beans, and starchy vegetables. They take longer to break down in the body, providing energy over time. They also have fiber. Pregnant women should eat 9 to 11 servings of carbohydrates per day. (Before you go nuts, know that a serving size of carbs is smaller than you probably think: 1/3 cup of rice counts as a serving. So does 1/2 of an English muffin or 1 ounce of cereal.) Aim for about half of your carb intake to come from whole grains.

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Instead, stock up on lean proteinMy belly button was an innie. Now it’s rich snacks. “Protein takes a little longer an outtie! Why? to metabolize; it stays around awhile so “The common joke is that your belly button you’re not as likely to get hungry as quickly is your turkey timer; it pops out when afterwards,” Kasper says. In other words, it’s time to have baby,” says Kelly eating a protein-rich midnight snack Kasper, MD, ob-gyn and associate clinical will help you make it until morning. Lowprofessor at the Indiana University School fat yogurt, trail mix, nuts and of Medicine. But really, your string cheese are good bets. belly button has turned inside Other healthy options include out simply because baby’s whole-wheat toast with getting pretty big. My belly got As baby and your belly super-hard after peanut butter, low-fat cheese with crackers or half a turkey grow, the muscles of your an orgasm. sandwich served on wholeabdomen stretch. The belly Should I worry? wheat bread. button area doesn’t have No, your uterus much muscle over it, so when has always I’m overweight. How can I your uterus begins to push contracted when find a doctor with experience against it from the inside, it easily gets pushed outward, you orgasm. Now seeing patients like me? Start with recommendations Kasper says. it’s a lot bigger from friends or family Miss your old innie? Good so you notice it members. Scan your health news: Your belly button more. This won’t insurance book or website should return to normal within hurt baby, and to see which doctors are a few months of giving birth. is normal unless covered by your plan. Then it’s severe, lasts schedule an appointment to I keep waking up in the more than a few meet and get a feel for their middle of the night hungry! minutes, or comes personality and practice. What should I snack on? with bright During the interview, ask Something tasty! Seriously, about their experience and there’s no need to force down red bleeding. approach to caring for plus-size snacks you hate; otherwise, pregnant women. “Ask the what’s the point of getting ob-gyn if they’re comfortable out of bed? But that doesn’t with managing plus-size women, mean you have free rein to eat anything and whether the facility they’re using and everything you’re craving. High-fat, is equipped for it,” Goldman says. “You high-salt, high-sugar and highly processed want a provider who knows how to foods aren’t good for anyone, and such identify, reduce and manage the risk that empty calories make it extremely easy for a can come with a plus-size pregnancy.” pregnant woman to gain extra weight without actually getting enough nutrition for her You also want someone who treats you with respect and makes you feel and baby (one to two pounds per week comfortable and positive. in the second and third trimesters is ideal).

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Look your best with tips at TheBump.com/glow

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cool and collected

See how Christine Schmidt of Yellow Owl Workshop created a worldly and one-of-a kind room for baby Emilia. By Elena Donovan Mauer photography By Thayer allyson Gowdy >

a souvenir from japan is a playful touch

thebump.com

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GET WHAT YOU LOVE MOST ABOUT THE BUMPâ&#x20AC;Ś

anywhere you want

on the go!

on your laptop!

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handmade with love

As a designer of printed goods, it was only natural for Schmidt to make items herself, including the twig-and-felt mobile. Mixing new thingsâ&#x20AC;&#x201D;a Jenny Lind cribâ&#x20AC;&#x201D;with sentimental pieces, like a rocking horse made by an uncle, gives the room a collected look. >

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Apple Seed Maternity and Baby Boutique is a charming destination in the heart of Old Town Alexandria. We specialize in fashion-forward, fun and useful items to celebrate the joys of pregnancy and motherhood. We offer the latest styles in designer maternity dresses, fun tops, work wear, jeans and gear for the active mom-on-the-go. 115 S Columbus St, Alexandria, VA • 703.535.5446 • www.AppleSeedBoutique.com

prenatal vitamin musts Check the label. Yours should have:

ANTONIS ACHILLEOS

FOLIC ACID, 600 MCG

Prevents birth defects CALCIUM, 300 MG For healthy bones and teeth IRON, 30 MG Fuels your increased blood flow VITAMIN A, 770 MCG For vision and cell growth VITAMIN B-12, 6 MCG

Helps maintain healthy nerves and red blood cells

VITAMIN B-6, 29 MG

Synthesizes serotonin VITAMIN C, 85 MG Helps the body absorb iron VITAMIN D, 5 MCG Assists with calcium absorption VITAMIN E, 15 MG Helps heal skin irritations RIBOFLAVIN, 2 MG For healthy cell function, growth and energy

COPPER, 1–2 MG Helps the body absorb iron THIAMINE, 1.4 MG Is involved in both nerve and muscle function ZINC, 15 MG Keeps you healthy DHA/OMEGA-3, 450 MG

Helps brain development (sometimes it comes in a separate pill)

Make your nutrition plan at TheBump.com/nutrition

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pulling it all together

Schmidt shied away from theme and gender specificity so her daughter could make the room her own. When pieces don’t match, repeat an element throughout, she says. “Bright red ties the room together. I use that color all the time—I just can’t help it.”

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styling: miranda jones

vintage screen print map

Get more nursery inspiration at TheBump.com/nursery

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you told us…

on symptoms “My worst pregnancy symptom was lower back pain! Sleeping with a body pillow defi nitely helped.”

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the healthy way to gain pregnancy weight? steadily If you started out at an average weight, here’s how much you should aim to put on:

1st trimester 1–5 pounds

know

Wondering when your bump will start to show? It could be as early as 12 weeks.

2nd trimester 11–14 pounds

3rd trimester 11–16 pounds

total weight gain 25–35 pounds Gain healthily at TheBump.com/pregfit

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what to

Pulling together a well-stocked nursery starts with registering for all the essentials. Use this list as your guide. photograph by laure joliet

photo credit

art from animalprintshop.com

thebump.com

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nursery

bath

medicine cabinet

Crib, cradle or bassinet

Baby bathtub

Baby lotion

Crib mattress

Baby soap/shampoo

Baby nail clippers

2–3 waterproof crib mattress pads

2–4 soft towels or hooded baby towels

2–3 fitted crib sheets

Baby hairbrush

Cotton balls (don’t use swabs to clean baby’s nose or ears)

4–6 soft, light receiving blankets

2–4 soft washcloths

1–2 heavier blankets

feeding

Bulb syringe/nasal aspirator

Rocking or arm chair

2–3 nursing bras

Medicine dropper

Sound machine or stereo to play music

Nursing pads

Crib mobile with blackand-white images

Nursing pillow

Petroleum jelly and sterile gauze (for circumcision care)

Baby monitor Night-light Dresser Toy basket Swing or bouncy chair

changing Changing table or cushioned changing pad for low dresser or bureau Changing table pad 2–3 changing table pad covers

photo credit

Diaper cream

Nipple cream Breast pump (even if you only plan to nurse, a pump will allow you to leave milk for baby if you want or need to separate)

watch the q-tips!

Infant acetaminophen (Tylenol) Saline nasal drops Baby gas drops Hand soap (for you)

Milk storage bags 10–16 BPA-free, 4-oz. bottles and nipples Bottle brush Dishwasher basket for small items 4–8 bibs 6–8 burp cloths (or cloth diapers) 2–4 pacifiers

10–12 soft washcloths (for wiping) or unscented baby wipes

High chair

Diaper wipe warmer

4–6 undershirts

One dozen cloth diapers and 6–8 diaper covers, or 2–3 large boxes of disposable newbornsize diapers

4–6 long-sleeve onesies

Diaper pail or trash can

Baby thermometer

clothing 4–6 footed outfits 4–6 sleep sacks or swaddle wraps Infant hats

s ta y sa f e

Skip the cr ib bumpers. They pose a suff ocation risk.

travel Infant or convertible car seat Stroller (reclining to almost flat for an infant) Umbrella stroller Diaper bag Portable changing pad Baby carrier/sling

No-scratch mittens

Create your ultimate list at TheBump.com/registry

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b abyproofing guide Prep your pad room-by-room with our ultimate safety checklist. general safety I nstall a UL-certified carbon monoxide detector on every story of your house if you use gas or oil appliances or have an attached garage. Check the batteries of any detectors you already have.

ut any looped blind or curtain cords C and install safety tassels and cord stops.

Do the above routine for smoke detectors.

heck house and yard for poisonous C plants, and move out of baby’s reach.

urchase a fire extinguisher, learn how to P use it, and put it somewhere easy to find. Stock your medicine cabinet or first-aid kit. ost emergency numbers next to landline P phones, and program them into your cell. I nstall a temperature guard on your water heater, set at a maximum of 120° F. et any flaking or peeling paint sealed G or removed by a professional, especially if your home was built before 1978. (Dust from lead paint, which was banned from residential use that year, can be harmful if ingested.)

lways unplug and store your electric A appliances not in use (iron, flatiron, etc).

lace baby wipes and supplies within P your reach from the changing table, but out of baby’s. Put a thick rug below the changing table. osition the crib away from windows, P heaters, lamps, wall décor and cords. S et all pillows, stuffed animals and thick blankets out of the crib and away from baby’s reach. I f you plan to hook a high chair to your kitchen table, check that the table is sturdy and strong.

room-by-room

car

Put nonslip pads under all rugs.

I nstall an approved rear-facing car seat in the backseat.

over all sharp furniture edges and C corners with safety padding.

ut hanging shades on the back P windows to block the rays.

lock all open outlets with furniture B or use safety plugs. lose and latch any drawers, doors or C cupboards within baby’s reach.

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from

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create your own baby registry

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nest

Modern nursery design, repurposing baby furniture, saving for college and more…

How can I make the nursery modern yet still appropriate for baby? Zero in on furniture, colors and accents that echo your home’s clean, sleek aesthetic, then add a touch of whimsy, says Shalena Smith, of Shalena Smith Interiors and founder of GaGa Designs. Color is one way to play with that idea. Pair an on-trend power neutral, like gray, taupe or white, with a punchy color, like hot pink, turquoise or yellow. “It makes the space feel more fun and kid friendly, and you can update it easily too,” Smith says. “Bring in the color with a throw blanket, bed skirt, pillows—things that are less expensive and labor intensive to switch out. Or, invest in good quality window treatments.” Choose artwork that ties in with the room’s accent colors and theme, if there is one. Smith suggests personalized pieces, like family photos blown up on canvases. Don’t feel like wall art needs to be “babyish.” Abstract art makes baby’s room chic and adds high design. Light fixtures can also lend a stylish touch. That could mean anything from an ornate, sparkly chandelier to simple pendants or all-wood fixtures. And don’t forget about the floors. If yours are hardwood, choose a bright area rug to punch up yet soften the space.

How can I repurpose baby’s furniture after he outgrows it? Pick pieces with longevity from the get-go. Here’s how to repurpose, recycle and reuse some nursery MVPs. crib Consider a model that converts into a toddler bed (bonus points if it also turns into a twin bed) to use for the long haul. dresser If space allows, invest in a model that has at least three adult-size drawers. This will give you plenty of room for stashing clothes, diapers and doodads. Use the top of the dresser now as a changing station— just attach and secure a pad. Once baby is potty trained, remove the pad and hang a mirror or a few shelves above it. bookshelf Buy a unit that has a couple of drawers at the bottom. That’s because as kids grow older (and more hell-bent on wreaking havoc on your organization system), it’s easy to hide potential eyesores. armoire A nice compromise between a dresser and bookshelf, an armoire has space for hanging clothes, folded clothes, diapers and toys. And the armoire’s doors will hide any messes inside. Give the piece a coat of chalkboard paint to let it double as a cool place to scribble. glider Choose one that’s easy to reupholster or use a slipcover to match another room. When you’re done with midnight feedings, it will probably end up elsewhere.

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—

(

Is it true I can get a free breast pump I’ve seen parents pushing shopping carts with car seats on top of them. Is that safe? through my health insurance? Yes, you may be able to—it depends on Nope. Because we see other parents with your plan. Part of the Affordable Care their babies’ car seats perched on shopping Act, the health insurance reform legislation carts, we think it’s okay, but it’s actually that went into effect August 1, 2012, more dangerous than you probably think. is meant to give people better access Shopping carts can tip over easily—and to preventive care, and that they’re more likely to if there’s a includes helping pregnant car seat mounted on them, women and new moms pay for says Debra Holtzman, author What is a 529 lactation support, counseling of The Safe Baby. “The cart has savings plan? and breastfeeding equipment. a narrow wheel base in relation It’s a plan So now, many health insurance to its height, so the center of operated by plans cover the cost of a gravity is affected when you the state or an breast pump (hooray!). put a child in it,” she says. How to get one: “When the car seat is on top educational of it, the center of gravity is check your plan First, call your institution to affected even more, increasing health insurance company help parents put the chances of tipping.” and ask what’s covered and away money for Adding groceries and other what you need to do to get it. a child’s college swag to your cart makes it It could be completely free tuition with tax even more unstable. “If the or come with a co-pay. advantages. car seat flips, your child will find an in-network provider There are several be trapped,” says Tom Patire, Your breast pump may be types of plans safety expert and author of covered only if you buy it available, so talk the Personal Protection Handin the right place, so make book. Instead of mounting sure you get the list from to a financial the car seat on the shopping your insurance carrier of its advisor to see cart, choose an alternative: in-network providers. There which might be may be some paperwork Do tag-team shopping Let right for you. you need to fill out too. your partner take care of baby while you do the shopping, Pick a good pump A doubleor vice versa. Or bring along a electric pump is a must-have friend who can hold baby (or push him in for a working mom who plans to breastfeed. a stroller) while you use the cart. See page 94 for our recommendations. use a baby carrier or sling Baby is much Practice, practice, practice After baby more stable strapped to your body than he is born, practice using your breast pump, would be perched on a shopping cart. and save up some extra breast milk before your first day back to work. Knowing you take shorter, more frequent trips Get have a freezer stocked with breast milk just what you need for the next day or to give to baby’s caregiver will make the two. You’ll likely have enough room to tote transition less stressful. everything in the stroller basket.

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delivery

first-time coach? youâ&#x20AC;&#x2122;ve got this in the bag!

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lessons for a labor coach

Hand this advice (courtesy of a dad who’s learned a few things) to your partner. Tell him he can thank us later! by Adrian Kulp photography by kt merry

When it was my turn to coach my wife through the birth of our first, I wish I’d been better prepared. Case in point: As I rode the hospital elevator with another expectant dad, he asked me if I knew about “the bathing suit thing.” What!? (More on that below.) Since I’ve been down that road three times now, allow me to share my experiences with you, along with some advice from the experts.

you’ve got to make a plan

And I’m not talking about an escape plan! (It’s too late for that.) Before labor, sit down with your partner to map out how you want delivery day to go. To get started, research different hospitals, consult a doula or take a childbirth class together. Discuss what will make her feel positive and negative during a vulnerable time, says Latham Thomas, a doula and founder of MamaGlow.com. She recommends positive affirmations and guided imagery to help calm mom in the delivery room.

you should pack a few surprises

She’s giving you a child, the least you could do is give her a couple of lollipops, right!? You’ll win major points if you show up with some unexpected extras to comfort her, like her favorite music, some bottled water, mints or hard candies to alleviate dry mouth, and some lip balm. You have no idea how dry her lips and mouth can get during labor, Thomas says. Plus, the more prepared you are, the more relaxed everyone will be. >

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delivery

Huh? As I mentioned, this one caught me off guard. Why? Am I headed to the hot tub with the nurses clocking out from the day shift? Nope, sorry. Even if you’re not planning on a water birth, there may actually be a time during the rigors of early labor when water therapy could be used to alleviate some of the pain and stress on mom. Many hospitals have a tub or whirlpool available in the maternity ward (the shower can be used too), and it’s not uncommon for a coach to jump in (no cannonballs, please!) and offer some physical and emotional support.

you’re going to have to get into position

Wait, isn’t that what got us into this mess to begin with? But seriously, delivery isn’t just exhausting for her; coaching can be labor-intensive for you too. As a coach, it’s important to help the process progress as much as possible, says Christina Sebestyen, MD, a physician and owner of OBGYN North in Austin, Texas. Part of that includes suggesting that your partner switch positions when she seems to be “hitting a wall.” Changing positions can bring some relief and rejuvenate her mental state, Sebestyen says. So prepare to bend or squat behind her or even squeeze into the bed with her—whatever you need to do to help support and comfort her while she’s experiencing pain.

you’re allowed to take a break

I’m not going to lie, seeing your partner in pain can be tough to take, and it’ll be even tougher to leave her side. But as much as you need to focus on her, you also have to take care of yourself. An exhausted, nauseated or panicked coach won’t do mom any good. A lot goes on during labor, and you could be in it for the long haul. To start, bring a few changes of comfortable clothes and your toiletry kit (or in my case, a gallon-size zip-top bag with my toothbrush and random bathroom gear). If you need to step away for a break—whether it’s to grab coffee or to collect yourself if you get queasy—don’t feel bad. Just have a pinch hitter on standby, like her mom or sister, to relieve you for a bit.

you might have to skip taco tuesday

“Please, please, no eating in the labor or delivery room,” is a common refrain dads hear. This one drives doctors crazy— you can’t imagine what people do. In fact, Sebestyen once found some family members sitting around eating take-out while the mom-to-be was mid-contraction. General Tso’s chicken with a side of grunting and screaming? Not a good idea. Instead, you want to help create a serene environment throughout the entire process. You never know when a certain smell, sound or action could upset your partner. Translation: Go eat in the lounge!

4 signs of labor bloody discharge

Sometimes called the “bloody show,” it occurs when labor is anywhere from a few minutes to hours away.

loss of the mucus plug

This mucus-like membrane could come off all at once or little by little, like a thick discharge.

broken water

When your water breaks, it might feel more like a trickle as opposed to a gush. Either way, call the doctor.

Regular contractions

If they’re coming five minutes apart and are centered in the pelvic area, it’s probably time!

Styling: Annie Cavallo for Ennis Inc.; hair and makeup: susan donoghue for ennis inc.

you may need a bathing suit

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you’ll want to watch your p’s & q’s

Styling: Annie Cavallo for Ennis Inc; hair and makeup: susan donoghue for ennis inc

Unless you want to get slapped across the face with a bag full of IV fluid, try to keep your complaining in check. Avoid any negative triggers, warns Linda Perry, a home birth midwife, who has been working with families for 23 years at Complete Woman Midwifery. I’m fairly certain these triggers could be physical actions—for instance, breathing through my mouth or cleaning my teeth with my tongue—but verbal too. Inappropriate banter includes: “Hon, how long do you think we’ll be here?” and “This stupid hospital guest chair is uncomfortable; it’s kind of digging into my back a little.” Seriously? Nothing you’re going through is anywhere near as bad as her situation, so suck it up and repeat after me: “This day is all about her!”

you’ve got to keep your head in the game

No matter how much you’ve planned in advance, you never know what might happen next in this whole crazy process. Regardless of whether or not labor and delivery takes two hours or turns into a 48-hour marathon, or if this is your first child or even your fifth, you’ll want to be prepared for the unexpected. The birth plan you come up with beforehand may all work out, but there’s a chance it will fall by the wayside, and if so, you’ll need to go with the flow. Get a good night’s rest during the weeks leading up to the due date, so you can be as present as possible for whatever may get thrown your way. Your job is to help maintain some semblance of peace and calm during the height of the storm, Thomas says.

you need to be an advocate for your partner

There may be times throughout labor when mom won’t be in the best frame of mind to ask for what she wants or needs. Instead of constantly repeating questions like “How are you doing?” try taking a more proactive approach. Go down the hall and get her a cup of ice chips, find a pillow or a sock full of tennis balls that she might want to put behind her back, or call a nurse to come adjust the pain medication if she’s using it. Oh, and don’t be afraid to speak up if the doctors and staff aren’t following the plan you and your wife discussed. There may be a good reason why they’re veering from the original instructions, but you won’t know unless you remind them of what you want.

Find more daddy must-reads at TheBump.com/dads

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delivery

my birth

story

DC mom Taylor Durant may be a doula herself, but the quick delivery of daughter Pepper still came as a surprise.

out on the town

ready to go

Our doula had trouble believing that labor was progressing so quickly because we were firsttime parents and “too calm.” Once she arrived, she gave me an exam and told us we had to get to the hospital immediately. Clark drove while the doula and I rode in the backseat. I was on my hands and knees with my head out the window, continuously taking deep breaths. When we got to the hospital, I was asked to get in a wheelchair, but baby felt very low—practically coming out!—so I used my hands to hold myself up like I was on a pommel horse.

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express delivery

Once we got to our room, I pushed for 35 minutes, feeling surrounded by the love and encouragement of everyone in the room. I had done a lot of squatting to prepare for delivery, and it was crucial to our birth experience. I’m usually quite the Chatty Cathy, but I was much more silent and in the zone during birth. Clark caught our baby girl and handed her to me—what an unbelievable moment. I felt so fortunate to have a natural, vaginal childbirth in the way we had hoped for.

the big introduction

Since it was 3:30 a.m., we decided to wait until morning to call our families, who hadn’t even heard we’d gone into labor because of the speed of it all. They were overjoyed. “Pepper” was initially a nickname in the womb, but the family agreed it fit baby’s feisty personality.

the 411 baby’s name Pepper Drew size at birtH 7 lbs., 12 oz., 20.5 in. hospital The George Washington Hospital, Washington, DC delivery must-have My husband

thinkstock

When I was 38 weeks pregnant, I had a strange work day where three clients cancelled their appointments, so I decided to go on a long walk. I felt very heavy and swollen and had to stop for a breather. I went home to take a nap, and when my husband, Clark, got home from work, we decided to walk to a restaurant for dinner. After our 25-minute waddle home, I lay down, and my water broke almost immediately. My contractions began at four minutes apart and never slowed down.

Prep yourself for delivery at TheBump.com/birth

2/19/15 11:20 AM

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delivery Stages of labor, cutting the cord, perineal massage and more…

How far apart will the contractions be? Your body will go through a few different stages before you and baby meet. early labor In the beginning, contractions typically last about 30 to 45 seconds, with anywhere from 5 to 30 minutes of rest between them, says Robert Wool, MD, clinical instructor of obstetrics and gynecology at Tufts University. Don’t panic to get to the hospital or birthing center right away, but prepare yourself to leave, especially if your contractions are growing more intense, lasting longer, and happening closer together. active labor Soon enough, contractions will last about 45 to 60 seconds, with just 3 to 5 minutes of rest between each one. They’ll feel longer and stronger. If you haven’t already, this is the time to get to your birthing center or hospital. transition phase During the last phase before your cervix is fully dilated, contractions usually last 60 to 90 seconds, with just 30 seconds to 2 minutes rest between each, Wool says. They’re intense and can even overlap. This can be overwhelming. urge to push Once your cervix is dilated to 10 centimeters, contractions last about the same—45 to 90 seconds with 3 to 5 minutes of rest between—and you’ll feel a strong urge to push. Rest between them, because you’re at the home stretch!

Is there a benefit to waiting before my partner cuts the umbilical cord? Yes! Early cord clamping—almost immediately after birth—has been the standard for decades, but a 2013 review of 15 medical studies found that delaying cord cutting improved babies’ birth weight, blood concentration and iron stores at six months of age without increasing moms’ risk of bleeding. That’s because clamping the cord immediately deprives baby of some of his normal blood volume. By delaying cord clamping, you allow baby to equilibrate, and get nourishment and oxygen from your body as he learns to take his first breaths. It can take anywhere from a minute to three minutes or so for the cord to stop pulsating, at which point it will be done delivering all that goodness to baby. Delaying cord clamping and cutting, even if just for a minute or two, may decrease the chances of baby developing iron-deficiency anemia and improve his overall health, so it’s worth requesting. What is perineal massage? Your perineum is the area of skin and tissue that separates the vagina and the anus. Some women will massage this region in the weeks leading up to delivery to make the area more supple and pliable in an effort to help reduce the need for

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(

cally easier to deliver than large ones, an episiotomy (a surgical incision into the Wool notes. Of course, when you’re in this area) or tearing during delivery. final stage of labor, every minute may feel There’s not a lot of research to prove that like an hour, so prepare yourself mentally this prelabor self-massage actually helps, and physically by taking childbirth classes. says Michele Hakakha, MD, an ob-gyn in That way, push comes to shove (sorry, we private practice in Beverly Hills, California. couldn’t resist), you’ll know what to expect And some doctors think it can actually and feel strong and confident. thicken the tissue rather than make it softer, so the decision The doctor told me baby is whether or not to give it a go transverse. What does that is completely up to you. What is TENS? mean exactly? When it comes time for you Transcutaneous Baby usually hangs out in to deliver baby, your doctor or Electrical Nerve a few different positions while midwife may gently massage Stimulation. A in the womb. Sometimes the perineum, helping to relax TENS unit is a she’s head down (vertex), the tissue around baby’s head portable device sometimes head up (breech), as she crowns. This can make that delivers mild and occasionally she may labor and delivery go more bursts of lowbe sideways (transverse). smoothly and help minimize voltage electricity As you near delivery, she’ll tears—especially for first-time through the skin pick a position and stay that moms—which will make your way. Luckily, very few babies recovery more comfortable. to the nerves to interrupt the flow actually stay in a transverse position because the uterus is How long will I actually have of pain signals. built to stretch up and down, to push to deliver baby? Some moms not side to side, says Melissa The “push” phase of your swear it relieves M. Goist, MD, assistant delivery depends on many labor pains professor of obstetrics and different factors, including and others say gynecology at The Ohio State what kind of shape you’re in it didn’t work University Wexner Medical (fit = shorter), how big baby is for them. Center. Plus, gravity should (large = longer) and if you’ve help baby get into place. By received an epidural (meds 36 weeks, she’ll likely descend can = longer). Some women into the head-down position. But in some push for as long as four hours straight, cases she might become breech. Delivering and some deliver baby on their second a breech baby vaginally poses some risks, push, Wool says. so if that’s the case, your doctor may There are a few more rules of thumb ask if you want to try and turn baby with that can help you estimate whether you’ll an inversion procedure to get her into a push for a little or a lot of time: In general, vertex position. If that doesn’t work, you you’ll probably push longer with your may consider having a c-section. Discuss first baby than you will with subsequent the pros and cons with your OB. deliveries. Smaller babies are quite logi-

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Learn the ins and outs of delivery at TheBump.com/delivery

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basics

vaccine fears

If you follow the recommendations, baby will get five shots (and one liquid!) by the time he’s two months old. And it’s easy to wonder whether you’re doing the right thing. by Elena Donovan Mauer

Imagine if there was something you could do so baby would never get a life-threatening infection or a virus that could paralyze him. It seems so obvious you’d do it, right? But the parents who don’t vaccinate and the parents who do worry about it on the same level. So what’s really at the heart of the debate? We know beyond certainty that “vaccinating protects babies from dire infections, stuff that causes horrible

complications,” says Cheryl Wu, MD, a pediatrician in New York City. At the same time, information on the Internet and releases by anti-vaccine groups make them seem terribly unsafe and even medically unethical for doctors to administer. the fear dangerous

side effects

Why give baby something that can cause diarrhea, allergic reaction, rash or fever?

what shots to get when

The CDC’s recommended vaccine schedule for baby’s first year-and-half.

birth

H epatitis B (HepB)

1 Month to 2 Months

H epatitis B (HepB) [2nd dose] R otavirus D iphtheria, tetanus and acellular pertussis (DTaP)

H aemophilus influenzae type b (Hib) P neumococcal conjugate (PCV13) I nactivated poliovirus (IPV)

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The potential side effects are less scary than your baby getting, say, diphtheria (as many as 1 in 5 kids who get it dies) or polio (it can cause lifelong paralysis). “Minor side effects are common—a sore arm, body aches, maybe a fever,” says Ari Brown, MD, a pediatrician in Austin, Texas, and author of Baby 411. “Those are a small price to pay for protection against a disease that is much, much worse to experience.”

“200 studies have said there is no link between vaccines and autism.” “Significant adverse effects are rare,” Brown adds. “For instance, the risk of having an anaphylactic reaction is about one in a million. Could it happen? Yes. No medication is risk free. But, the risk is extremely low compared to the great benefit.” Vaccines undergo rigorous testing before they come out on the market, and there are regular follow-up tests, says Michael T. Brady, MD, chair of the American Academy of Pediatrics’s (AAP) Committee on Infectious Diseases and associate medical director at Nationwide Children’s Hospital in Columbus, Ohio.

the fear autism

There’s a connection between vaccines and autism, right? Nope. The AAP, CDC, World Health Organization and the Institute of Medicine are all clear on this. Vaccines do not cause autism. Autism and vaccines were first linked in a study published in medical journal The Lancet in 1998, in which 12 children were reported as exhibiting autistic behaviors soon after receiving the measles, mumps and rubella (MMR) vaccine. No one should have taken the study seriously in the first place, says Wu. “Twelve is not enough of a sample to definitively establish causation or association.” Even worse, in 2010, the study was found to have been fraudulent—the doctor who reported it intentionally altered the results—and The Lancet retracted it completely. “In the meantime, some 200 studies were conducted that have said that there is definitively no causation between MMR and autism,” Wu says. “We need to focus our attention and the research dollars to more promising leads on the cause of autism—like early brain development in the womb and prenatal and perinatal risk factors that might be prevented,” Brown says. Other variables that could have an effect on autism risk could be mom and/or dad’s age at the time of conception, premature birth and even mom’s weight before pregnancy. >

4 months

R otavirus [2nd dose] D iphtheria, tetanus and acellular pertussis (DTaP) [2nd dose] H aemophilus influenzae type b (Hib) [2nd dose]

6 months

P neumococcal conjugate (PCV13) [2nd dose] I nactivated poliovirus (IPV) [2nd dose]

H epatitis B (HepB) [3rd dose] D iphtheria, tetanus and acellular pertussis (DTaP) [3rd dose] P neumococcal conjugate (PCV13) [3rd dose] DC/N.VA/Baltimore thebump.com

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basics

“the other stuff” in the shot the fear

the fear

Can’t those preservatives harm my baby? You may have heard of thimerosal, a mercury-containing preservative used only in the influenza vaccine in the US, which worries some parents. “We have good data that says thimerosal in vaccines doesn’t cause problems,” says Brady, who notes that thimerosal is used more widely in vaccines in some other countries. Several studies, including one published in Pediatrics in 2010, have deemed it safe. the fear

vaccines being useless

I doubt my baby will get polio—and measles is no big deal. What’s the point? It could take something as simple as someone with one of these conditions hopping a flight to cause an outbreak here, as it did recently with travelers carrying measles to the US, says Brown.

overdoing shots

Should a two-month-old baby really be given six vaccines at one appointment? “The worry is that you’ll overload a baby’s immune system and he won’t be able to handle it. But we know that’s not the case,” says Brady. “Vaccines provide only the minimum amount of material needed to create an immune response.” Because it seems like too much at once, some parents request a modified schedule, which means delaying shots, but that’s actually a gamble. “Being on the schedule means that the vaccine has been tested for this age,” Brady says. “We have evidence that this timing is safe and effective.” With a modified schedule, baby goes longer without protection—not a good idea when there have been outbreaks of measles and whooping cough in the US in recent years. “If a two-month-old gets whooping cough, he can die,” says Brown. “There’s no benefit in waiting—only risk.”

And sure, your parents may have had measles as kids and got through it, but it can lead to pneumonia and cause brain damage, deafness and even death. It’s so contagious that baby would only need to be in the same room as someone with it to catch it. In areas with fewer vaccinated kids, infections spread more easily. “I’ve been a pediatrician for 18 years, and I’m also a mom,” says Brown. “We all want to protect our kids. I vaccinated my children on the recommended schedule. I wouldn’t do anything differently for your kids.”

12 months

15 Months to 18 Months

H aemophilus influenzae type b (Hib) [3rd dose] P neumococcal conjugate (PCV13) [4th dose]

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I nactivated poliovirus (IPV) [3rd dose] M easles, mumps, rubella (MMR) V aricella (VAR) H epatitis A (HepA)

D iphtheria, tetanus and acellular pertussis (DTaP) [4th dose]

Get more info on vaccines at TheBump.com/vaccines

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basics

head of the

class

Sorry, but baby won’t be arriving with a manual. Luckily these local classes will help you ace this whole parenting thing. by Anisa arsenault

breastfeeding

—then what? You bring baby home ins what’s pla ex s sic Ba re Baby Ca d what an , orn normal for a newb pediathe to ll ca a nts rra really wa lls to ski sic ba rn trician. You’ll lea pering, dia like , too by ba care for d soothing. bathing , burping an e Washingorg Ge e Th at take it l, (703) ita sp ton University Ho l.com ita sp Ho GW 31, 739-28

financial planning essful str ving a baby can be

The free Planning to nurse? Pumping Basics d an ing ed tfe as Bre ence behind class explains the sci lk factor y and your body ’s new mi d how to feed an en wh teaches you the full scoop baby. Plus, it covers ing your us it) d se on (you gues ter in advance. gis Re . mp pu t as bre stfee ding Center ta ke it at Brea gton, for Greater Washin eastfee ding Br , 82 51 (202) 293Center.org

Ha u didn’t have enough— even if yo much it will w ho t ou to think ab this (free!) cost. Thankfully, at ancial planfin d fie rti ce course, a dollars and sic ner explains the ba ily, from fam a ng rti sta cents of e benefits ye plo understanding em u’ll come Yo . ge lle co for g to savin n plan for tio ac out of it with a firm s. ce an your fin rd County take it at Howa l, (410) 740-7601, ita sp Ho General HCGH .org

infant CPR

is high Ke eping baby safe ee -hour thr s priority, and thi ly CPR and on t no rs ve co e cours but also e, cu res infant choking bypro ofing. ba d an y fet sa t ea car-s to ensure you Classe s are small n techniques , s-o nd ha the r maste s from bir th bie ba which work for to on e year old . Cross Resource take it at Holy person, (301) r pe 0 $3 r, Cente sHealth.org lyC 754-8800, Ho ros

classes for baby

Story tim e

SPANISH

The lively, book s themed session at Classic Ta les ’n Tunes combine story telling and e song to encourag nt , ba by’s developme th . sta rting from bir ClassicTNT.com

thebump.com

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d Song s, ga me s an ed us e ar s op pr in Br ight Mi nd ish Ac ademy’s Span ls too as es cla ss to encourage a bil ing ua l ba by. Br ightM ind Ac ademy.c om

Swimming

tle Jump into the Lit class Flippers I sw im nths) (ages 4 to 18 mo to ed us by to get ba ter. being in the wa fun , With music and ned lessons are desig u. for ba by and yo (202) 777-3275

thinkstock

newborn care

Find more local classes at TheBump.com/washington-dc

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basics

get

pumped

What to do if strapping yourself to a pumping machine isn’t exactly your favorite pastime. by Jennifer L.W. Fink

that it’s time-consuming You have a 10- to 20-minute appointment every couple of hours—that can’t be broken. It requires some serious planning and can get pretty annoying, and is also disruptive to your work schedule. >

you hate

shutterstock

When you breastfeed, pumping becomes a sort of necessary evil. What is supposed to be a natural way to feed baby can feel foreign, frustrating and sometimes even painful. We’ve got solutions for the most hated parts of the pumping process.

thebump.com

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Order Your Breast Pump Today! Health Insurance Companies are now required to cover Breast Pumps under The Affordable Care Act. Qualify today by calling 866-643-4020, or order online at nebdoctorsofmaryland.com/breast-pumps. Connect with us! facebook.com/NebDoctorsofMD twitter.com/NebDoctorsofMD pinterest.com/NebDoctorsofMD/

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basics

“The women that seem to have it the worst are school teachers, nurses, flight attendants and other people that don’t normally get breaks throughout the day,” says Jennifer Ritchie, a board-certified lactation consultant and author of I Make Milk, What’s Your Superpower? how to deal Get a really good breast pump (see our top picks below). Look for one that’s a double electric, like the Medela Pump In Style or the one from Dr. Brown’s. “These can empty 95 percent of the milk in your breast in five minutes,” Ritchie says. you hate the pulling and pinching

Instead of compressing like baby, pumps use suction to remove milk from your breast, pulling your nipple and areola into funny-looking plastic devices. Translation: a whole lot of ouch!

top 4 breast pumps

how to deal Check

your plastic breast shield—the trumpet-looking part that goes over your breast when you pump. “When you pump, your nipple should not touch any side of the breast shield,” Ritchie says. That can get pretty painful. If this is happening to you, it means you probably need to upgrade to a bigger shield size. Visit your pump’s manufacturer’s website or give them a call to see if there are larger shields available for your breast pump model. If not, it might be worth investing in a pump that offers them. Another way to alleviate some of the discomfort: Apply nipple cream (we like pure lanolin) before each pumping session to cut down on friction against the sides of the shield. >

Your health insurance may cover the cost of a pump. Call to find out for sure.

Best for Working Moms

Medela Pump In Style advanced This double electric pump is portable, efficient and reliable, so it’s perfect for everyday use. Splurge on the Metro Bag version, which can be taken out of the bag and packed elsewhere. $360, Medela.com for stores best for Comfort

Dr. Brown’s double electric breast pump If you’re worried about pumping pain, this one (formerly called the Simplisse double electric pump) is for you. The pump uses compression technology, which means it doesn’t tug or pinch as much as some of the other pump models might. $260, DrBrownsBaby.com for stores

Best Manual (and it’s Totally Cheap!)

Lansinoh manual breast pump

Perfect if you don’t pump often, this one is hand powered, is easy to use and has two modes to help you pump more milk. (And it doesn’t make a loud whirring sound.) Best of all, you can’t beat the price tag. $35, Lansinoh.com for stores Best Hospital-Grade

Hygeia EnDeare breast pump Sturdy and super-efficient, this pump is all-around awesome at getting the milk to flow. The price is steep, but you can rent a highend pump from many hospitals and specialty stores for about $45 per month. From $920, HygeiaInc.com

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Tushies to toes, we’ll help you get settled. Naturally. Getting you off to a great start with infant massage classes, fussy baby help, hands-on baby care instruction, and the best selection of baby carriers in the Washington, DC, metro area. Professional care for new families—in your home or ours.

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basics

the frustration You pump and pump—it takes so much time and effort—and then you look at the bottles and see that you’ve got a measly ounce or two in each one. how to deal Turn the suction on your pump to just the right level. “In order to efficiently get the milk out, the suction has to be very high,” says Ritchie. “It usually doesn’t say that anywhere in the pump instructions. I’ve had so many moms complain about low milk supply, and then they come in and I turn their suction up and they get three times the milk. They can’t believe it.” The trick is to increase the suction speed to as high as you can without causing pain—once it starts to hurt, your body will feel stressed and shut off its letdown response. Also, give yourself a little boob massage. Using your hands to compress your milk ducts—simulating the way baby feeds— can increase the efficiency of pumping. “Squeeze the boob like a lemon, like you’re making lemonade,” Ritchie says. “You can do it anywhere on the breast. It can really help to shoot the milk out.” you hate

you hate all the work involved It’s hard enough to find time to pump, much less time to wash and dry all of your pumping supplies. (And who wants to wash their breast pump parts in the company kitchen? Yuck!) “When moms think about pumping, and then cleaning everything, and then having to do it all over again in a couple of hours, they get overwhelmed,” Ritchie says. how to deal You really don’t need to wash your pump parts after every single pumping session. Cue the sigh of relief! Yep, it really is perfectly okay to pump and then stash your supplies in a clean plastic bag to use again later in the day. Think about it this way, says Ritchie: “Freshly expressed breast milk is good when sitting out on the counter without any refrigeration for up to eight hours.

thebump.com

“I feel sympathy for cows now— being milked constantly.” —paperthisclip13

One drop of breast milk contains a million white blood cells, so any milk that remains in or on your pumping equipment will defeat any bacteria that would grow there.” More tricks for making cleaning speedier: Use specialized quick clean wipes and microwave steam bags. Or throw everything in the dishwasher.

perfect timing will I run out of milk after I pump? We get where you’re coming from: You want to work in an extra pumping session while baby’s napping, but you’re worried that she’ll wake up hungry and you’ll be tapped out. Don’t stress it, says Gina Ciagne, lactation consultant for Lansinoh. “Baby is efficient at getting milk,” she says. “You will always have enough milk for her.” so what’s the ideal time to pump? Multitask: Pump on one side while baby feeds on the other, or do it before baby wakes in the morning or after she goes to bed at night. When you’re away from baby, pump every time she’d normally have a bottle. Regular stimulation keeps your body making milk.

Find all the breastfeeding answers at TheBump.com/breastfeeding

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basics

m a ke c o p i es

sleep tracker Monitor babyâ&#x20AC;&#x2122;s zzzâ&#x20AC;&#x2122;s. Fill in the month and then shade in the boxes for hours spent snoozing. month:

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Print more trackers at TheBump.com/tools

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basics Baby poop, beer and breastfeeding, hiring a sitter and more…

When does breastfeeding get easier? Very soon. The first few days may be tough because your milk may not have come in, but it usually does within a couple days. You and baby may also have trouble getting the latch right, which can be painful and frustrating. Often, all it takes is practice, but it’s also smart to call a pro—a pediatrician, lactation consultant or a postpartum doula or nurse—to help you both get the hang of it. The earlier you can correct a problem, the more likely you and baby are to get on track. Since breast milk production is based on supply and demand, baby’s feeding prompts your body to keep making milk, so it’s important to nurse frequently. If you feel like all you’re doing is feeding your newborn, you’re actually doing it right! Don’t worry, he’ll get more efficient, and feedings will take less of your time in the coming weeks and months. “I’m a pediatrician and I’ve cried many times with all three of my kids due to breastfeeding frustrations the first two weeks,” says Josephine DlugopolskiGach, MD, pediatrician at Loyola University Medical Center. “After a few weeks, the babies and I both ‘got it.’” Other moms we know pretty much agree that breastfeeding got easier by three to four weeks, so hang in there!

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What should baby’s poop look like? If you’re breastfeeding, baby’s poop should be bright yellow, seedy and watery, and come 4 to 10 times a day. But for formula-fed babies, poop usually looks different. “It’s a little more greenish brown in color, pastier and usually less frequent,” says Sabrina Braham, MD, pediatrician in Menlo Park, California, and adjunct clinical faculty member at Stanford University. A formula-fed baby may only poop once a day. “Stool can vary day to day in breastfed babies but less in formula-fed babies.” Should I give my baby fluoride? No, babies less than six months old do not need fluoride supplements, but older kids may need them, depending on the amount of natural fluoride in your water, says Michael Lee, MD, assistant professor of pediatrics at UT Southwestern Medical Center and pediatrician at Children’s Medical Center Dallas. Call your local water utility about your water supply. If it contains between 0.7 and 1.2 parts per million of fluoride, you’re good to go. If your water supply comes from a private well and has less than 0.7 parts per million, or if your family drinks bottled water, fluoride supplements are recommended for toddlers, Lee says. Your child’s dentist or pediatrician can prescribe one.

thebump.com

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(

and guidelines for other tasks. That also Can drinking a beer really help with my means spelling out terms for your sitter breast milk supply? herself. Some good rules to start out with: There’s some truth to this old wives’ Show up on time, no texting or using cell tale. There’s an ingredient in beer—both phones for personal calls, no visitors, and alcoholic and nonalcoholic—that can always engage with baby by doing agetrigger the release of prolactin, a hormone appropriate activities together. that stimulates milk production. But no Things not working out as one has been able to prove planned? Talk to your sitter that drinking beer actually if there’s an issue. Most of the increases milk supply, says time you just need to clarify Amy Spangler, MN, RN, How long after your expectations to her. IBCLC, author of Breastfeeding: birth will it hurt “Speak calmly and include A Parent’s Guide. Plus, alcohol down there? solutions for any problem,” passes readily into breast Your rate of Kallweit says. milk, and even small amounts recovery depends of alcohol can affect milk Help! I have to go back to work production and milk release, on your physical and I’m having trouble getting Spangler says. (Defeats the condition and baby to take a bottle. purpose, right?) Most experts how much birth A lot of breastfed babies refuse recommend that breastfeeding beat you up, but everything but the real deal mothers drink no more than most moms feel at first. Be patient and know two drinks (that means two a whole lot better that with time (and hunger) ounces of liquor, eight ounces by six weeks baby will eventually accept of wine or two beers) per postpartum. something new. week to prevent baby from Every day will being exposed to alcohol find the right bottle nipple get a little better, and keep your body’s milk Experiment with a variety production on track. Bottom (slow-flow, fast-flow, wide so just take it line: If you want to put this one achy morning base, narrow base, firm, flextheory to the test, go ahead, ible) to see which ones your at a time. but stick to nonalcoholic beer. baby will accept. Babies typically prefer the flow rate We’re hiring a new sitter. How (slow, medium, fast) that should we set the ground rules? matches their sucking skills. Watch baby Spell out your expectations from the closely during bottle feedings to get-go. “Never leave it up to the sitter see which type she’s adjusting to best. to assume that you need certain things Bottle-feed the right way Hold baby handled a certain way,” says Adrienne upright and encourage her to pause after Kallweit, founder of SeekingSitters, a few sucks. Stop the feeding as soon a national babysitting referral company. as baby shows signs of fullness. If baby Your ground rules might include basics still refuses a bottle, try a cup. Even on what to feed baby, nap schedules young babies can learn to drink from one.

Get all the baby basics at TheBump.com/baby

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beyond add personalization

reading light is key

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thebump.com

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ready for

bed

Time to ditch the crib? Bring on the big kid bed, along with some playful new design elements. photograph by Helynn ospina

Your toddler may be ready for a big kid bed between age one-and-a-half and three. “I tell parents to put the bed in the room while there’s still a crib, so the child gets excited to sleep in it,” says Emily Mughannam of EM Design Interiors, who created this room for three-year-old Aden. “This a good time to redesign because they have a more developed personality and new interests.” Infuse your child’s favorite things in subtle, fun ways, like the car, truck and tractor on Aden’s pillow, wall art and dresser.

Find a toddler bed at TheBump.com/toptoddlerbeds

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beyond

5 toddler-friendly

hot spots

Baby will be walking before you know it. Get ready to explore together at one of these fun local places. By Madeline Schmitz Photograph by KT Merry

5167 Waterway Drive, Montclair, VA; (703) 763-0003; AnimatedChild.com Here’s a cool destination where you can encourage your toddler’s curiosity and creativity. Classes include Mi Bebe y Yo, a Spanish language music class for parents and kids, and Mini Masters Art, where toddlers can create their own renditions of the art of Pollock, Picasso, Degas and more. (Pack a change of clothes, things could get messy.)

National Children’s Museum

151 St. George Blvd., National Harbor, MD; (301) 392-2400; CCM.org Take your active tot to the National Children’s Museum. Its three-and-under gallery was built exclusively for toddlers. Activities include painting and drawing, and there’s an area just for dress-up. With special events going on almost every week of the year, there’s always something new to see and do with your child.

The Puppet Co.

7300 MacAruthur Blvd., Glen Echo, MD; (301) 634-5380; ThePuppetCo.org Watch puppet shows of classic children’s stories—including favorites like Mother Goose rhymes—at The Puppet Co.’s special Tiny Tots performances. The shorter productions, which only last 30 minutes, are performed with the lights on to cater specifically to children under the age of four. The puppet shows run yearround, so you can go again and again. Check the website for a schedule of what’s up next.

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National Building Museum

401 F St. NW, Washington, DC; (202) 272-2448; NBM.org If your tyke loves building things (and tearing them down, of course), bring him to the National Building Museum’s Building Zone, where kids can try on a hard hat and tool belt, build a tower or brick wall, browse architecture picture books, drive bulldozers and trucks, and play in the Project Playhouse. Head to the museum on the first Tuesday of each month for a new book during story time in the Book Nook.

Playseum

545 8th St. SE, Washington, DC; (240) 507-8965; Playseum.com The Playseum is pretty much the imaginative child’s mecca. With dozens of themed rooms (including a grocery store, a dog kennel and even a courtroom!) to wander through and explore, your toddler will be able to stretch her creative muscles playing make-believe. There’s a closet full of dress-up clothes, daily story time and a slew of toys you get to leave there when you go home. (Less to clean up at home? Sounds good to us!) Have we found your new rainy-day destination?

Styling: Annie Cavallo for Ennis Inc.; grooming: susan donoghue for ennis inc.

Animated Child

Get more toddler tips at TheBump.com/tots

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beyond

what parents around the world

think you’re doing wrong Midnight feedings, picky eating and baby poop are things parents across the globe deal with daily. But how we handle them can be vastly different.

china

your six-month-old should be potty trained

In some countries, they don’t use diapers, at least not for long. “In rural China, when baby sits up, that’s when it’s time to potty train,” says Mei-Ling Hopgood, author of How Eskimos Keep Their Babies Warm. “Children are trained

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by 18 months old, and often earlier.” Every two hours or so, a Chinese mom squats her child over a basin or in the yard and makes a noise. As a result, the child learns to pee or poop when they hear it! Maybe some American parents aren’t excited about going diaper-free, but there are some who use a take on this method dubbed Elimination Communication (EC). >

jennifer parke photography

by Kristi Valentini

thebump.com

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beyond

costa rica

you’re a prude for covering up while breastfeeding

It seems like every new mama includes a nursing cover on her baby registry, and most feel nervous the first time they have to use it out in public. But those inhibitions don’t exist in many other countries—heck, plenty of mamas around the globe don’t use a cover-up at all. “In Costa Rica, breastfeeding is a priority and you see it everywhere, no matter the time or place,” says Maribel Reyes, a mom of two who recently moved there. Remember: You have the right to feed your baby wherever and whenever you want. You don’t have to be shy. japan

you’re cold for using a crib

For most of the world, having your baby sleep separately is totally foreign. “Parents in most other countries believe that being together in the nighttime is an essential part of bonding with baby,” says Christine Gross-Loh, PhD, author of Parenting Without Borders. “When I was in Japan, some of my friends couldn’t believe that American babies are expected to learn how to go to sleep by themselves.” The problem with having baby sleep in your bed is that it can pose a SIDS risk. So consider a bedside bassinet to promote parent-baby communication. france

feeding baby plain cereal is confining

“In France, they introduce babies to a variety of foods early and have so many baby food flavors, like fish and chocolate rice cereal,” says Natalia Simmons, an American mom of two who moved to France. Leek soup, endive, zucchini, pumpkin and spinach are recommended as first foods by doctors there. Nothing wrong with feeding them to baby.

kenya

push baby in a stroller? no way!

Kenyan mothers shun strollers and, instead, carry their babies on their backs. Not only because it’s convenient in a country full of potholed dirt roads, but also because being close to mom is comforting, Hopgood notes. Japanese parents have a similar mindset. “In Japan, there’s this concept called ‘skinship.’ It’s the notion that babies and children really need to have plenty of physical contact with their loved ones to grow up secure,” Gross-Loh says. Why not cut out some stroller time and mix in babywearing too? Research suggests that keeping your little one close for at least three hours a day has shown to lessen crying bouts by nearly 50 percent. It may also increase your milk supply and reduce your risk of postpartum depression.

“In France, there are so many baby food flavors, like fish and chocolate cereal.” canada

you should be teaching your toddler to talk to strangers

Ali Goldfield, a family counselor in Canada, points out that there’s a disadvantage to labeling all strangers bad: “If your child is lost, how is he going to find help without talking to a stranger?” Instead, she recommends helping kids to recognize creepy adult behaviors and telling them what to do when they spot it. “Looking at other cultures makes you realize there are a million ways to raise a happy, healthy child,” Hopgood says.

Learn about the world’s maternity leave at TheBump.com/worldmatleave

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beyond

toddler chore chart

Start small with this basic list of chores. Before you know it, your toddler will clean up after himself and youâ&#x20AC;&#x2122;ll have a few less things to do (score!).

â&#x20AC;&#x2122;s chores

get dressed

make bed

put away toys

pick up dirty clothes

brush teeth

S M T W Th F S 110

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Print more charts at TheBump.com/chorechart

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home,

sweet

home!

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updatyed dait.lcom DOUGLAS FRIEDMAN

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toddler Weaning, toddler toys, starting preschool and more…

We’re both ready. How do I wean my toddler from breastfeeding? Great job for nursing into toddlerhood! The American Academy of Pediatrics recommends breastfeeding for at least a year, but only about 27 percent of moms and babies actually make it that long— you did it! And while it might seem tough to wean now that you’re both so used to breastfeeding, the fact that you’re pros can make this a positive experience. go slowly If this happens too abruptly, it could cause engorgement for you and could be tough for your toddler to handle. Decrease the duration of each nursing session, or skip one entirely every few days or so. Provide your toddler with plenty of attention while weaning, says Jennifer Ritchie, IBCLC, author of I Make Milk, What’s Your Superpower? distract Many moms find that if they simply don’t suggest breastfeeding, they can successfully skip a feeding here and there. Don’t sit in the usual chair you would sit in to nurse, and keep her busy with a toy or story during that time. focus on daytime first You’ll probably find it easier to cut out the daytime feedings before the evening ones. At night, she’s probably come to expect cuddles and breast milk before bed. The nighttime feeding is usually the last to go.

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What’s the best way to deal with my toddler’s bossiness? Some toddlers are born trying to take charge of every situation; others are just passing through a bossy phase. Whichever category your toddler falls into, your goal is to avoid constant power struggles. Starting out with a pattern of arguments, even at the “terrible twos,” can cause a habit that’s hard to break as your child gets older. Start by setting limits without having a lot of emotional reaction, says Kate Roberts, PhD, licensed clinical psychologist in Salem, Massachusetts. Of course, your child’s health, safety and well-being come first, so in some areas—wearing a seat belt or holding hands while crossing the street—you have to be the one in charge. But with other, less important things, pick your battles. For example, if your toddler likes to dictate what she’ll wear each day, let her. Give her a few reasonable outfits to choose from. She may just want to feel she has a role to play in certain situations, and not that she’s always being dragged along. Give her a job: Tell her to count all the blue cars during the ride to day care, Roberts suggests. Letting her have some leeway and control, with a few firm limits, helps her learn what’s important. It will also make the family happier in the long run. >

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you told us…

on nicknames “My sister called my nephew ‘Pickles’ for her entire pregnancy, because that’s what she was always craving.”

Jags8

how much sleep does baby need? All babies are different, of course, but here are some general guidelines.

age

daytime sleep

nighttime sleep

total

10 hours (various naps)

10 hours

20 hours

1 to 3 months

7 hours (three naps)

8½ hours

15½ hours

3 to 6 months

5 hours (three naps)

10 hours

15 hours

6 to 9 months

3½ hours (two naps)

11 hours

14½ hours

3 hours (two naps)

11 hours

14 hours

illustrations: kate larsen

0 to 1 month

9 to 12 months

See other babies’ schedules at TheBump.com/sleeproutine

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toddler

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to keep his personal things. Got any nut-free lunch ideas for my Help them learn to settle differences PB&J-loving kid? themselves, Parikh says. Resist stepping As peanut and tree nut allergies increase, into their battles unless their behavior more day cares and preschools are telling is getting out of hand. If and when you do parents to leave the peanut butter at step in, let each child explain why he’s home. Since your kid is a true sandwich angry or upset, encourage them to listen fanatic, sub in sunflower or soy butter to each other, and praise each or flavored cream cheese for one when they begin to talk peanut butter, suggests Jeanabout the problem. nie Gazzaniga-Moloo, PhD, Teach your twins why it’s RD, lecturer in Nutrition and What are some important to trade or take Foods/Dietetics at California good toys for a turns. Once they’ve figured State University, Sacramento. one-year-old? those behaviors out, they’ll And of course, you’ve got Get something have a big leg up when it’s your turkey or ham and that helps with time to head off to playgroups cheese sandwiches. balance and or preschool. But also think outside walking skills, bread: Give him yogurt and What’s the best age for my sliced fruit. Or make wholelike a push toy. child to start preschool? grain pasta sprinkled with Baby’s becoming Most preschools accept kids Parmesan cheese and keep social, so look for as young as age two and it warm in a thermos. He toys for playing go through age six. It’s an might also enjoy hummus with others, like individual decision, and with some pita or crackers. balls or blocks. there’s no single answer, says Board books, Cindy H. Liu, PhD, clinical and My toddler twins are driving musical toys, developmental psychologist, me crazy with their fighting! a dollhouse or Department of Psychiatry, What can I do to keep the figures are also Harvard Medical School. Most twin wars to a minimum? important is your child’s readiCreate separate play stations good bets. ness. Is she okay with saying in your home, so each twin goodbye, being away from you can have something he can be and being away from home? doing without getting in the If she’s really anxious about it, you may be other’s way, suggests Preeti Parikh, MD, better off waiting a year or so until she’s assistant clinical professor of pediatrics at more comfortable. In the meantime, enroll Mount Sinai School of Medicine in New her in “mommy and me” classes to get York City (and mom of twins!). One can her used to group settings. play with building blocks while the other Also, find out what the rules are. Some toots around the train track, for example. preschools have prerequisites, like being Establish personal space in the bedroom potty trained and getting through the day too—even if they share a room. Give each without a midday nap. twin his own storage area or colored box

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Get ready for the toddler stage at TheBump.com/toddler

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you told us…

Expert Care

on back to work “I was devastated when I went back to work. I’ve been back about a month now and I’m here to give you hope that it absolutely gets better.” MRSPENA3457

from birth & beyond

• Newborn Overnight Nanny Care/Sleep Training • Temporary Day Nannyfor all ages • Permanent Nanny Placement- for all ages Newborn Overnight • Date Night/BabysittingNanny Care for all ages Care for newborns, infants, and children of all ages Proudly Serving Northern Virginia, DC and Maryland 202-520-5322 | stacie@metroparentrelief.com WWW .M ETRO P ARENT R ELIEF . COM

signs of an awesome day care Bring this with you when you take the tour. Don’t settle for less than all five!

GOOD RATIOS

Ideally, there should be one caregiver for every three to four infants or young toddlers, and one caregiver per four to six older toddlers.

HIGH STANDARDS

Look for a licensed facility. They’re required to meet certain standards. Look for high state quality ratings.

A C B

A FOCUS ON LEARNING

Look for a well-organized space with a variety of educational toys and lots of activities scheduled, like outdoor play, reading (it should be at least twice a day!), art, music and dramatic play.

EDUCATED TEACHERS

Ask if the teachers have early childhood education degrees and get professional development to regularly sharpen skills.

A SAFE AND HEALTHY ENVIRONMENT

Each staff er should have had a background check and be certified in CPR and first aid. There should be firm emergency plans in place.

Learn what happens at day care at TheBump.com/carecheck

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index

from

k�

dc area resources baby gear, toys & clothing Angel Dear AngelDear.net Apple Seed Maternity and Baby Boutique AppleSeedBoutique.com Baby Blossom BabyBlossom.com BambiniWare™ BambiniWare.com buybuy BABY buybuyBABY.com/babyregistry Jammy Jams JammyJams.net Kid to Kid KidtoKid.com/belair Wee Chic Boutique WeeChic.com

Au Pair in America AuPairinAmerica.com Baby Joy 3D/4D Ultrasound BabyJoy3D.com Baby Proofing Montgomery BabyProofingMontgomery.com Bratt Decor BrattDecor.com Bringing Home Baby BringingHomeBaby.biz Butterfly Photography ButterflyPortrait.com Cortney D Photography CortneyDPhotography.com Crane USA Crane-USA.com Cultural Care Au Pair CulturalCareAuPair.com HONEES Cough Drops HONEES.com

baby products & services

Jamboo Creations JambooCreations.com

Angel Dear AngelDear.net

Jammy Jams JammyJams.net

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Judah Avenue Photography JudahAvenue.com

MedStar Montgomery Medical Center MedStarMontgomery.org/ob

Labor of Love Photography, LLC LaborofLovePhoto.com

breastfeeding

Madayo’s Child Parent Resource MadayosChild.com

Ashburn Children’s Dentistry KidzSmile.com

Nadya Lutz Photography NadyaLutzPhotography.com

Bethesda Breastfeeding BethesdaBreastfeeding.com

Newborn Portraits by Michele Jeanine Photography MicheleJeaninePhotos.com

Bringing Home Baby BringingHomeBaby.biz

oogie llc myoogie.com

Crane USA Crane-USA.com

Pumpkin Patch Photography PumpkinPatchPhotography.com

Kiwi Melon Support KiwiMelonSupport.com

Santa Ana Photography SantaAnaPhotosBlog.com

Mother & Baby Matters, Inc MotherandBabyMatters.com

SeekingSitters SeekingSitters.com

Neb Doctors of Maryland, LLC NebDoctorsofMaryland.com

Unicorn Baby UnicornBaby.com

Sylene SyleneDC.com

Wee Chic Boutique WeeChic.com

child care & nanny services

birthing centers & hospitals

Au Pair in America AuPairinAmerica.com

Inova Children’s Hospital Inova.org/children

BeanTree Learning BeanTreeLearning.com

DC/N.VA/Baltimore thebump.com

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index

CareLuLu CareLuLu.com

British Swim School BritishSwimSchool.com

Cultural Care Au Pair CulturalCareAuPair.com

Chibis Indoor Playground ChibisIndoorPlayground.com

Infant Toddler Family Day Care ITFDC.com

Gymboree Play & Music GymboreeClasses.com

Metro Parent Relief MetroParentRelief.com

Music Together MusicTogether.com/dc

SeekingSitters SeekingSitters.com

Relay Foods RelayFoods.com

cord blood banking

W Homes WHomesInc.com

Cord Blood Registry CordBlood.com

fertility services

doulas & midwives

New Day Mobile Spa NewDayMobileSpa.net

Deliverance Maternity and Post-Op Services DeliveranceServices.com

health & wellness

Metro Parent Relief MetroParentRelief.com Momease Momease.com Mother & Baby Matters, Inc MotherandBabyMatters.com

Bio-Oil® Bio-OilUSA.com Crane USA Crane-USA.com Effective Chiropractic Health and Wellness Center EffectiveChiropractic.com

family & lifestyle

Growing Smiles Pediatric Dentistry GrowingSmiles.com

Baby Proofing Montgomery BabyProofingMontgomery.com

Inova Children’s Hospital Inova.org/children

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Madayo’s Child Parent Resource MadayosChild.com

Jamboo Creations JambooCreations.com

MedStar Montgomery Medical Center MedStarMontgomery.org/ob

pediatric services

New Day Mobile Spa NewDayMobileSpa.net oogie llc myoogie.com Premama® DrinkPremama.com Relay Foods RelayFoods.com Stork Vision Gaithersburg StorkVisionMD.com Unicorn Baby UnicornBaby.com

nursery furniture & décor Baby Blossom BabyBlossom.com

Ashburn Children’s Dentistry KidzSmile.com Growing Smiles Pediatric Dentistry GrowingSmiles.com

photographers & videographers Butterfly Photography ButterflyPortrait.com Cortney D Photography CortneyDPhotography.com Judah Avenue Photography JudahAvenue.com Labor of Love Photography, LLC LaborofLovePhoto.com Nadya Lutz Photography NadyaLutzPhotography.com

Bratt Decor BrattDecor.com

Newborn Portraits by Michele Jeanine Photography MicheleJeaninePhotos.com

Crane USA Crane-USA.com

Pumpkin Patch Photography PumpkinPatchPhotography.com

Dolce Babi Fine Baby Furniture DolceBabi.com

Santa Ana Photography SantaAnaPhotosBlog.com

DC/N.VA/Baltimore thebump.com

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play & parties British Swim School BritishSwimSchool.com Chibis Indoor Playground ChibisIndoorPlayground.com Gymboree Play & Music GymboreeClasses.com Music Together MusicTogether.com/dc

prenatal products & services 3D/4D InfantSee4D Ultrasound 3Dand4D.com Apple Seed Maternity and Baby Boutique AppleSeedBoutique.com Baby Joy 3D/4D Ultrasound BabyJoy3D.com Bethesda Breastfeeding BethesdaBreastfeeding.com Bio-Oil速 Bio-OilUSA.com

Effective Chiropractic Health and Wellness Center EffectiveChiropractic.com Kid to Kid KidtoKid.com/belair Kiwi Melon Support KiwiMelonSupport.com Momease Momease.com Neb Doctors of Maryland, LLC NebDoctorsofMaryland.com Premama速 DrinkPremama.com Stork Vision Gaithersburg StorkVisionMD.com Sylene SyleneDC.com W Homes WHomesInc.com

preschools & education BeanTree Learning BeanTreeLearning.com

Deliverance Maternity and Post-Op Services DeliveranceServices.com

CareLuLu CareLuLu.com

Destination Maternity速 DestinationMaternity.com

Infant Toddler Family Day Care ITFDC.com

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