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YOUR GUIDE TO NEW FAMILY LIFE FROM EXPERT ADVICE TO MUST-HAVE BUYS

The ultimate

BABY BOOK PREGNANCY • BIRTH • NEW BABY • TODDLER

2020 FIRST TRIMESTER SECOND TRIMESTER THIRD TRIMESTER BIRTH 0-12 WEEKS 3-6 MONTHS 6-9 MONTHS 9-12 MONTHS AND ONWARDS

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THE ULTIMATE BABY BOOK

Congratulations! FIRST TRIMESTER SECOND TRIMESTER THIRD TRIMESTER BIRTH 0-12 WEEKS 3-6 MONTHS 6-9 MONTHS

ow, this is happening. You’re having a baby. Mums-to-be come in all different sorts. For some of you, it may not have quite sunk in yet, for others you may be spending your time counting down the days until baby’s arrival. Either way, pregnancy can bring about a whole cocktail – or should I say mocktail – of emotions, from pure excitement to sheer terror. And that’s why here at Baby magazine, we have put together The Ultimate Baby Book – to offer some comforting companionship through this bumpy road. This guide is jam-packed with expert advice, musthave buys and plenty of encouraging words when

9-12 MONTHS

pregnancy, birth and into the early days of new parenthood, until you’ve a sparky one year old. Remember to write about the highs and lows, stick in your photos, and create a keepsake to look back on for years to come. Enjoy!

AND ONWARDS

REBECCA MOORE, EDITOR

Brought to you by the team behind Baby magazine – the luxury pregnancy & parenting magazine. To subscribe, visit chelseamagazines.com/subscribe or call 01858 438737 EDITORIAL Editorial Director Maxine Briggs Editor-at-Large Kate Freud Editor Rebecca Moore Sub Editor Natalie Keeler Freelance Sub Editor Sally Jones Editorial Assistant Henrietta Easton Online Editor Ruby Norris

DESIGN Creative Director Chloë Collyer Senior Designer Natalie Dourado

PUBLISHING Chairman Paul Dobson Chief Operating Officer Kevin Petley Chief Financial Officer Vicki Gavin Director of Media James Dobson Publisher Caroline Scott Circulation Manager Daniel Webb EA to Chairman Sarah Porter

ADVERTISING Sales Director Cameron Hay Head of Market Julie Price Senior Sales Executive Miranda Gyamfi Ma Sales Executive Emma Cain

CHELSEA CREATE Managing Director Steve Ross Partnerships Director Lyndal Beeton The Ultimate Baby Book is published by The Chelsea Magazine Company Ltd, Jubilee House, 2 Jubilee Place, London SW3 3TQ baby-magazine.co.uk 020 7349 3700 baby@chelseamagazines.com The Ultimate Baby Book ISSN 2515-2718 Distributed by Seymour Distribution Ltd. 2 East Poultry Avenue, London, EC1A 9PT Tel: 020 7429 4000 Production: All Points Media Printed in England by William Gibbons ©The Chelsea Magazine Company Ltd 2019 All rights reserved

baby-magazine.co.uk

ABOUT ME This baby book belongs to: We live: Our baby is due:

6 | The Ultimate Baby Book 2020

PHOTOGRAPHY: LOL JOHNSON STYLING: CHARLOTTE KEWLEY MODEL: LUCA AT BRUCE & BROWN Luca wears cashmere cardigan, £210, Burberry at AlexandAlexa. Cashmere trousers, £80, Burberry at AlexandAlexa. Cotton T-shirt, £12, The Bonnie Mob. Chloë (adult) wears jeans, £99, Baukjen.

Contents 8

FIRST TRIMESTER 10 WHAT TO EXPECT Your early pregnancy days 13 THE WISH LIST Pampering picks to perk you up 14 EXPERT ADVICE The pros take on your questions 16 FOCUS ON: SCANS The options available to you 18 KEEPING BUSY The best pregnancy books, the enefits of antenatal lasses, and our Instagram round-up 20 SAY WHAT? The A-listers give their views

22 SECOND TRIMESTER 24 WHAT TO EXPECT Settling into your pregnancy 27 THE WISH LIST uys for you and a y 28 EXPERT ADVICE he health are rofessionals talk ultrasounds, diet and more 30 FOCUS ON: PUSHCHAIRS hat to loo for when hoosin your first stroller 32 KEEPING BUSY What to eat and what not to eat, rise of the a ymoon, and the enefits of yo a 34 SAY WHAT? The stars reveal their pregnancy highs and lows

36 THIRD TRIMESTER 38 WHAT TO EXPECT t s the final ountdown 41 THE WISH LIST tuff to hel you feel re ared 42 EXPERT ADVICE Your late pregnancy questions answered 44 FOCUS ON: ACHES AND PAINS How diet changes could help 46 KEEPING BUSY Nursery inspiration, your maternity leave checklist, and the best baby car seats 48 SAY WHAT? Celebrities talk impending birth

50 BIRTH 52 WHAT TO EXPECT he s finally here 55 THE WISH LIST Packing up your hospital bag 56 EXPERT ADVICE Talking birth, postnatal checks and newborn worries 58 FOCUS ON: BIRTH OPTIONS A guide to your labour choices 60 KEEPING BUSY a y s first ath, the sweetest sleepwear, and the ultimate labour playlist 62 SAY WHAT? The stars share their birth stories

66 0-12 WEEKS 68 WHAT TO EXPECT Taking your newborn home 71 THE WISH LIST a y asi s for the early months 72 EXPERT ADVICE The pros take on your questions 74 FOCUS ON: BREASTFEEDING How to find the ri ht lat hin te hnique for you 76 KEEPING BUSY he wonders of a y swimmin , ultimate o sets for the ni ht feeds, and a y monitors 78 SAY WHAT? hese stars et real a out first time parenthood

82 3-6 MONTHS 84 WHAT TO EXPECT Here’s what’s coming next 87 THE WISH LIST Ultimates to add to your basket 88 EXPERT ADVICE The experts talk teething, sleep and birth control 90 FOCUS ON: ROUTINES Getting baby into good habits 92 KEEPING BUSY Baby massage, toys and books 94 SAY WHAT? These A-list celebrities pay tribute to their little ones

96 6-9 MONTHS 98 WHAT TO EXPECT Now your baby is making great strides in her development 101 THE WISH LIST ssentials for an a tive little one 102 EXPERT ADVICE he health are rofessionals talk bedtime routines and separation anxiety 104 FOCUS ON: WEANING How you can help baby on her foodie ourney 106 KEEPING BUSY Getting back to exercise, datenight ideas and the best bottles 108 SAY WHAT? Honest and relatable quotes from a few famous fa es

110 9-12 MONTHS 112 WHAT TO EXPECT Embracing your baby’s new found inde enden e 115 THE WISH LIST verythin from ool toys to travel accessories 116 EXPERT ADVICE Talking appetite, childcare and screen time 118 FOCUS ON: MOVEMENT How to nurture your little one now she’s on the go 120 KEEPING BUSY a y s first holiday, safe uardin your home and the best travel cots 122 SAY WHAT? Celebs do the talking

124 AND ONWARDS… 126 FOCUS ON: CHILDCARE A guide to the options out there 128 KEEPING BUSY Nursery buys, adorable play tents and cool toddler classes

130 USEFUL CONTACTS

The Ultimate Baby Book 2020 | 7

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8 | The Ultimate Baby Book 2017

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0-12 weeks

ABOUT ME Date I found out I was pregnant: How Iâ€™m feeling:

Pregnancy niggles: 12-week scan date:

Due date:

The Ultimate Baby Book 2017 | 9

FIRST TRIMESTER

What to expect Your pregnancy journey has just begun – here’s what is going on with you and your baby

You… This trimester is when most of your baby’s development is happening so do be aware of what you’re eating and drinking. For a lot of women, the first trimester is the worst: you tend to feel awful and you’re reluctant to tell anyone. Most people start to feel tired and sick from weeks six to nine. This is made worse by the fact a lot people want to keep their pregnancy a secret until they reach 12 weeks, so there’s no sympathy either. Most women only find out they are pregnant after the first month, when they are into their fifth or sixth week and have missed a period. However, some women find that the moment they conceive something changes, and they may well suspect they are pregnant. Between week one and week four you may have tender breasts that are probably already growing. You’ll find you are surprisingly more tired than usual, are suffering mood swings, needing to pee a lot, feeling nauseous – with or without vomiting – and your appetite is

10 | The Ultimate Baby Book 2020

changing (this can be hunger, an aversion to certain foods or cravings). In weeks five to eight, some additional nausea, flatulence, constipation, headaches and increased vaginal discharge may come your way, and morning sickness usually hits hardest between weeks four and 12 – the time when the crucial development is happening in the fetus. No one really knows why morning sickness occurs. As you approach week 12 you will likely have your first antenatal appointment (or booking appointment). This will probably be the longest appointment in your pregnancy. Having a proper bump is still a way off, although you will notice your waist starting to thicken and there might well be some clothes that no longer feel comfortable. By 12 weeks, your nausea and vomiting may be slowing down but could be replaced by headaches and dizziness. At around 12 weeks you’ll have your first routine scan.

PHOTOGRAPHY: ISTOCK. WORDS: MARINA FOGLE AND DR CHIARA HUNT

and your baby • By week four, the embryo (which is actually only two weeks old) looks a bit like a tadpole but much smaller – about the size of half a grain of rice. She has already developed a vague head shape and a heart that is beginning to pump. At week eight, the embryo weighs about a gram, already has a little tongue and is developing taste buds. Her facial features are becoming more distinct and her heart is fully functioning and pumping blood around the body. • At the beginning of the third month your embryo graduates into a fetus and is beginning to grow quickly. During this month the bones and cartilage are forming and the fetus is beginning to swallow. By week 13 she weighs around 23g, is about 7-8cm long and has eyes and ears, fingernails and even tooth buds. In fruit language she’s roughly the size of a lime. Your fetus has now completed most of her development and the important systems are fully formed. From now on, it’s all about the growing.

! D L I M E B BORN T O

H E RE ’S A W IL D ID E A.

th at ’s packed fu ll E NG RA a t ou ab w Ho d ingr ed ie nts an d of natu rally de ri ve to care fo r sp ec ially deve lo ped es? n ew bo rn s an d babi r se n siti ve skin it ’s ev en su itable fo W HO M AY BE AN D SAFE FOR PEOP LE PRON E TO ecze m a. ch ilds farm .coM

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FIRST TRIMESTER

The wish list

Feeling awful, but keeping it under wraps for now? These pampering picks are designed to help you feel perkier I would like… 1

Elvie pelvic floor tracker £169, johnlewis.com

Food-Grown Pregnancy vitamins £32, wildnutrition.com

Olivia von Halle silk pyjamas £420, harrods.com

Gin Gins chewy candy £2.19, hollandandbarrett.com

Cashmere jumper £150, boden.co.uk

All-in-one Pregnancy Skincare Set £68, unitybeautyessentials.com

Mum-to-be pregnancy pack £19, myrtleandmaude.com

Your Pregnancy Nutrition Guide £8.99, wildnutrition.com

Pukka Herbs Motherkind tea bags £2.99, essentialslondon.com

Pregnancy and nursing bra £34.90, cakematernity.com

Hydration tracking water bottle £10, josephjoseph.com

Pregnancy candle £38, cradleandtonic.co.uk

Seedlip non-alcoholic spirit £26, seedlipdrinks.com

Cashmere bed socks £36, thewhitecompany.com

Sheepskin slippers £70, ugg.com

Cowshed mother-to-be gift set £30, johnlewis.com

The Ultimate Baby Book 2020 | 13

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Zita West, fertility and pregnancy expert: “For most women, pregnancy is a time of great joy, but for many it can also be a time of serious sleep disturbance. One of the reasons for sleeplessness during pregnancy are hormonal changes. Rising progesterone levels in the first trimester can account for daytime tiredness, while other changes can have an inhibitory effect on muscles, often resulting in increased snoring and nocturnal bathroom trips. These interruptions, alongside nausea and other pregnancy-related discomforts, can result in significant sleep loss. Nutrition is one of the most important factors in ensuring a good night’s sleep. Insomnia can be caused by a vitamin B deficiency, so it’s essential to eat foods rich in the vitamin, such as bananas, egg yolks, nuts, pulses, wholegrains and yeast extract. Calcium helps to calm nerves, so increase your intake of almonds, yogurt, soya products, dried apricots and milk. They all also contain tryptophan – an amino acid that aids sleep. There are many complementary therapies that can help with lack of sleep. However, it’s important that you consult your doctor first, and ensure that any practitioners you visit are fully accredited. Research shows that acupuncture can stimulate serotonin production, while a professional homeopath’s prescription can have a positive impact. Sleeping well during pregnancy is a challenge, but it isn’t impossible. Dedicating time and care to the quantity and quality of your sleep throughout pregnancy will benefit the health of you and your baby.”

WHICH MEDICINES ARE SAFE TO USE DURING PREGNANCY? Katie Hilton, a qualified nurse, midwife and health visitor, says: “Some medicines, including many painkillers, could harm your baby during pregnancy, but other medicines are safe, including common prescriptions used to treat conditions like asthma, heartburn, thyroid problems and diabetes. To be sure, always check with your doctor or midwife. Decisions are made on a case by case basis, on whether the benefits outweigh the risks, so be sure to tell any health professional you are pregnant before they prescribe anything, and talk to your doctor immediately if you take regular medication. Medicines that are usually safe in pregnancy include paracetamol, most antibiotics, local anaesthetics and most vaccinations. However, you should ideally avoid taking medications during pregnancy if you can, particularly during the first three months. If you really feel you do need to take medicines when you’re pregnant, you should use the lowest effective dose for the shortest possible time. As mentioned previously, paracetamol is safe to take as it has been routinely used during all stages of pregnancy with no evidence of any harmful side effects. However, avoid those that contain both paracetamol and caffeine, such as decongestants or ‘flu relief’ tablets. High levels of caffeine can result in low birth weight and potentially miscarriage. Ibuprofen and high-dose asprin should also be avoided, as it has been linked to a number of complications. Ibuprofen shouldn’t be used at all during the third trimester.”

AVOID TAKING MEDICATIONS IF YOU CAN – PARTICULARLY IN THE FIRST THREE MONTHS 14 | The Ultimate Baby Book 2020

I USUALLY GO TO THE GYM THREE TIMES A WEEK, BUT I’VE JUST HAD MY 12-WEEK SCAN AND AM UNSURE WHAT EXERCISES ARE SAFE NOW. WHAT WOULD YOU RECOMMEND? Keith McNiven, personal trainer at Right Path Fitness, says: “It’s always a good idea to keep up some sort of fitness regime while pregnant, although what is a suitable level of exercise for you will depend on a number of factors, including your pre-pregnancy fitness level and exactly how much the demands of pregnancy affect your mood and energy levels day-to-day. The benefits are endless, though – going to the gym while pregnant will help to alleviate aches and pains, reduce constipation, help you sleep, lower your risk of gestational diabetes, make you less prone to depression, and can even lead to a shorter, less complicated labour. Whichever exercise programme you choose, make sure you seek professional advice and ensure your instructor knows you are pregnant. A suitable programme will focus on exercises that don’t put any unnecessary pressure on the stomach. Try to focus primarily on seated movements if lifting any weights, as standing and performing weight-resistance movements while pregnant can be unsafe as your bump will alter your natural centre of gravity and make it harder to maintain your balance. As your bump gets bigger, resistance bands are a useful alternative to free weights, as there are no weights to drop on your bump. Avoid exercises where you have to lie on your back as your enlarged uterus and baby can compress your vena cava, the major vessel that returns blood to your heart, which can lower your blood pressure and reduce blood flow to the placenta. Yoga and swimming are always safe bets during pregnancy, too.”

SOURCES: APTACLUB; MOTHERCARE; THE BUMP CLASS; TENA, ONS.GOV.UK

I’M ONLY EIGHT WEEKS PREGNANT BUT ALREADY STRUGGLING TO SLEEP AT NIGHT – COULD THIS BE PREGNANCY RELATED?

FIRST TRIMESTER

DID YOU KNOW?

Expert advice Our healthcare professionals answer your early pregnancy questions

pregnancy is a time to be enjoyed, as many know it really can be a pain in the backside (or the shoulders, back or groin). Your body will change as it adapts to your growing baby. As well as changes in posture and mechanical stressors, your spinal curves will become exaggerated and the hormone relaxin will be secreted. Chiropractic care can be a real saviour during pregnancy, not only to relieve the aches and pains but also to ensure that the pelvis is functioning correctly and in good alignment to help to enable a growing baby to get into the desired position and sit comfortably within the womb. Vital and dramatic changes take place in the body, and these changes can put a huge amount of strain on a mother’s joints and the supporting muscles. Chiropractic care helps to achieve balance in the body, ensure the joints are functioning well and that the muscles aren’t having to work overtime. While, as chiropractors, we can’t stop the changes that take place, we can support the body through the process and enable it to remain as strong as possible, ready for labour.”

OF PREGNANT WOMEN STOP EXERCISING FOR FEAR OF HARMING THEIR BABY

3KG IS THE AVERAGE WEIGHT GAIN IN THE FIRST THREE MONTHS

You only need to consume about 100 extra calories per day during the first trimester

WHAT ARE THE BENEFITS OF VISITING A CHIROPRACTOR WHILE PREGNANT? Polly Hand, chiropractor and doula at Chiropractic By Hand, says: “While

� %

Other questions I want to ask my midwife…

OF WOMEN DON’T DO THEIR PELVIC FLOOR EXERCISES

OVER

679,000

BABIES WERE BORN IN THE UK IN 2017 SPERM CAN LIVE UP TO SEVEN DAYS, AND AN EGG 24 HOURS, SO ACTUAL CONCEPTION MAY HAVE OCCURED A FEW DAYS AFTER INTERCOURSE

FIRST TRIMESTER

FOCUS ON

Scans

Dr Chiara Hunt AND Marina Fogle, FOUNDERS OF THE BUMP CL ASS, DISCUSS THE OPTIONS AVAIL ABLE TO YOU eeing your baby at any of your scans is an unforgettable moment. During your pregnancy, you’ll have two main scans: the 12-week check-up and the 20-week scan – both performed using ultrasound. Ultrasound scans have been used in pregnancy since the mid-1950s and have no known side effects for mother and baby. They’re a really good way of having a non-invasive yet detailed look inside the uterus at the developing fetus. It is now widely accepted that due dates predicted from scans are the most accurate. Of course, if you have had IVF and know the precise date of implantation, you will know exactly. If you believe you know because ‘it could only have happened on one night’, remember that sperm can live for up to seven days, so fertilisation can occur on the day you have sex (if you happen to ovulate that day) or a few days later. It is fairly common for your due date to be recalculated after your scan, and it might have changed by up to a week or so. The scan date is more accurate, but do bear in mind that your baby is likely to arrive anywhere between three weeks before and two weeks after that date. It’s important to remember that, although the scans are good, they do not always detect every abnormality. A normal scan, although reassuring, does not give a 100 per cent clean bill of health. For example, of the one per cent of babies born with a heart abnormality, about half of these are picked up at birth or later. The scans only look at the structure of the organs; they can’t give us much information about their function; this can be

16 | The Ultimate Baby Book 2020

more carefully assessed after the baby is born. Although for many this is a happy experience, for an unlucky few the 12-week scan is the time they find out they have had a miscarriage if no heartbeat is detected, and so it’s normal to feel both nervous and excited.

THE 12-WEEK CHECK-UP (NUCHAL SCAN) The 12-week check-up is really important. Using a combination of ultrasound and a blood test, it determines the risk of the fetus having a chromosomal abnormality, such as Down’s Syndrome, as well as many other things, including genetic syndromes and structural abnormalities. The ultrasound scan checks the fetus is growing well, but another purpose is to look at the translucent, or clear, space in the tissue at the back of your fetus’s neck – hence, the name ‘nuchal scan’. The baby’s nasal bone is also measured. Babies with abnormalities tend to accumulate more fluid behind the neck and have absent nasal bones. Sometimes this scan is also called the ‘dating scan’, as it accurately predicts the due date more so than dating from your last period. In order for the tests to be accurate, the check-up must be done between 11 and 14 weeks. It does not give you a diagnosis of any abnormalities, simply an idea of whether you are at high or low risk of certain conditions. If the risk is deemed high, you may be advised to have chorionic villus sampling (CVS) or amniocentesis tests; these are the only accurate ways of testing for chromosomal abnormalities. However, they are invasive and

EXTRA SCANS There are many other scans and tests available privately; here are your options: • Fetal viability scans, at six to 10 weeks, will check that the embryo has implanted correctly and, from seven weeks, you’ll be able to hear a heartbeat. This scan is often done internally. Cost: approx £100. • 3D scans show still images of your baby in three dimensions. 4D scans show moving 3D images of your baby. Parents will see baby’s skin, rather than her insides. You may also be able to see the shape of your baby’s mouth and nose. The best time to have either of these is between 26-30 weeks. Cost: from £50. • There is mounting pressure for late scans to be included routinely in NHS care, but currently, unless there are problems, your final s an would e at wee s A late scan will check that the baby is growing nicely and that the placenta looks healthy and is working properly and will measure the amount of amniotic uid o tors mi ht also do a o ler s an to he the lood ow in the umbilical cord. Cost: approx £150.

FIRST TRIMESTER

this type of test costs around £500. If the test is positive, the result would still need to be confirmed with amniocentesis or CVS. Most professionals agree that NIPT is an exciting medical development, which in future may prevent the miscarriage of healthy fetuses through invasive DNA testing. We all know that the NHS is stretched financially, so cannot always offer the newest tests immediately. Therefore, for those mothers who have a history of genetic abnormalities or are slightly older – and therefore at an increased risk – and can afford it, NIPT is worth doing.

THE 20-WEEK SCAN (ANOMALY SCAN)

IT’S COMMON FOR YOUR DUE DATE TO BE RECALCULATED AFTER YOUR FIRST SCAN associated with a small risk of miscarriage. Bear in mind that CVS is not usually done after 14 weeks, so it is a good idea to do the 12-week scan earlier, rather than later, allowing time to arrange further tests if necessary.

PHOTOGRAPHY: ISTOCK

NON-INVASIVE PRENATAL TESTING, (THE HARMONY TEST) Fairly recently, a new test has become available in the UK, known as non-invasive prenatal testing (NIPT). This is offered in private clinics across the UK under brand names such as the widely known Harmony Test, as well as Nifty, Panorama, Verify, MaterniT21 and SAFE. The

NHS is beginning to use it and an increasing number of trusts are offering it to women deemed high-risk after the initial combined screening, instead of proceeding straight to invasive testing, such as amniocentesis or CVS. Invasive testing carries with it a chance of miscarriage, which NIPT doesn’t. The NIPT test works by detecting the baby’s DNA in the mother’s blood from a simple blood test, usually taken at around 10 weeks. By detecting this DNA, the lab can much more accurately (around 99 per cent) assess the risk of genetic abnormalities, such as Down’s Syndrome. Currently in the private sector,

For most women, the 12-week scan is the green light to celebrate and get excited about being pregnant. But eight weeks later you have another ultrasound that looks closely at how the fetus and all her organs are developing. Rather than just a quick look to see if all is well, or simply to tell you the sex of your fetus, at the 20-week scan the sonographer will spend a lot of time looking at your fetus’s various organs to check they are developing as they should be. What will be checked? • Head and brain • Heart – its chambers, valves and blood vessels • Abdominal contents – particularly the kidneys and stomach • Spine • Facial features • Hands and feet • Placenta, umbilical cord and amniotic fluid • Genitals – this is usually the time they can let you know whether you’re having a girl or a boy Unfortunately, it’s at this scan that abnormalities are sometimes found. Most irregular findings are minor and may require rescanning or surgery, but will not necessarily affect the outcome of your pregnancy. In some cases, the abnormalities are potentially life-threatening. This is devastating for parents, but the teams are specially trained to support couples at this time and offer excellent care. Do remember that these cases are very rare indeed. In the UK, we’re lucky to be at the cutting-edge of science, and every precaution is taken to ensure that our babies arrive in our arms fit and healthy. For most mothers, the 20-week scan is an amazing window to their uterus, where they can see their perfect little baby growing beautifully. So, enjoy it and be prepared to get emotional!

The Ultimate Baby Book 2020 | 17

FIRST TRIMESTER

WHAT TO READ

There is a wealth of information out there, but these titles cut to the chase with their expert, no-nonsense advice

THE BUMP CLASS: AN EXPERT GUIDE TO PREGNANCY, BIRTH AND BEYOND

Antenatal classes

Give yourself a head start by learning about birth and parenthood, at the same time as making new friends

By Marina Fogle and Dr Chiara Hunt The founders of The Bump Class have compiled this guide to fill you in on everything you need to know, with answers to any embarrassing questions you might have.

YOUR BABY, YOUR BIRTH: HYPNOBIRTHING SKILLS FOR EVERY BIRTH By Hollie de Cruz This reassuring read from the hypnobirthing coach provides you with all the tools you need to prepare for a positive labour, with breathing techniques and more.

WHAT TO EXPECT WHEN YOU’RE EXPECTING

By Heidi Murkoff With more than 600 pages, it’s not exactly a light read, but this bestselling book will give you all the facts and advice you need to know during this special time.

THE EXPECTANT DAD’S HANDBOOK

Maternity tee £20, next.co.uk Maternity night dress £75, bumpkyn.co.uk Linen pyjama shorts £40, pigletinbed.com

18 | The Ultimate Baby Book 2020

Cashmere sweater £350, chintiandparker.com Maternity yoga top £49, isabellaoliver.com Cotton-blend robe £95, sianesther.co.uk

PHOTOGRAPHY: ISTOCK, INSTAGRAM.: @SALLYFAZELI;

TIME TO SHOP:

LOUNGEWEAR

By Dean Beaumont Everything that’s going on inside the womb is alien to him, so this book sets out to give reassurance, covering all areas from a father’s role during labour to life as a new dad.

FIRST TRIMESTER

Who to follow These Instagram accounts capture family life at its most beautiful, as well as filling your feed with a host of dreamy shopping and travel ideas

regnancy brings about a world of newfound information, and a whole lot of baby paraphernalia. And it also often marks the blossoming of new friendships, most of which are formed through classes. Your midwife is likely to recommend you go along to antenatal classes and breastfeeding workshops. The idea behind them is to not only help you prepare for your baby’s birth, but to give you the confidence and advice you need to look after and feed them. You’ll also be informed on all of the different birthing options available, helping you to come up with a birth plan. The type of class you go for is completely your choice, and you can do as many or as few as you feel are right for you. The most well-known paid-for classes are run by the NCT, but you might also choose local private classes, such as London-based The Bump Class. The cost of NCT classes depends on the type you choose, where you live and if you’re eligible for concessions, but typically start from around £124 for two people. NHS midwives also run their own free classes from 30 to 32 weeks, which take place at hospitals or children’s centres. These do tend to be held as larger groups, so they may focus on providing information, rather than encouraging participation. Classes are a great way to make friends with other parents who are expecting around the same time. These friendships can be invaluable in those first few months.

@BABY_MAG_INSTA From her first tiny pair of shoes to the coolest changing bags, expect to see a bounty of beautiful baby products.

@SALLYFAZELI This mum-of-two’s feed features endless parenting inspo. Head to @sallyfazelihome for super-chic nursery goals.

@THEFASHIONBUMP Need help with dressing your bump? This maternity fashion guide has (literally) got you covered, whatever the season.

Silk eye mask £25, thewhitecompany.com

Nightshirt £95, desmondanddempsey.com

Silk slip dress £165, silkandgrey.com

@NAPPY_NOMAD_ This globetrotting family of four makes toddler travel look easy! Scroll through their scenic grid for a dose of wanderlust. Cotton-blend joggers £50, scampanddude.com The Ultimate Baby Book 2020| 19

FIRST TRIMESTER

Say what?

Discovering you are pregnant is a life-changing experience for every woman, as these celebrities attest… “I was lucky that both pregnancies were good; I didn’t have mood swings or sickness. I got tired like everybody else, but thank goodness I was able to continue with my work – I really feel for women who have acute sickness.”

Pregnant me

KATHERINE JENKINS, SINGER, AND MOTHER TO AALIYAH AND XANDER

“When I found out, I felt elated! I had been trying for about five months and was feeling quite deflated by it all. As soon as I saw those positive pregnancy test lines, I was ecstatic.”

How I feel…

FEARNE COTTON, TV AND RADIO PRESENTER, AND MOTHER TO REX AND HONEY

“ he first pregnancy with u , I felt really womanly and incredible. he second one, I just felt alright, but then this third one, I actually felt really awful. I felt a lot heavier and less able ”

“Oh my goodness, there were tears! Lots and lots of happy tears. We had been trying for quite a while, and Jade and I were together when I found out, so we were just over the moon. Best feeling ever.”

EMMA BUNTON, SINGER TURNED RADIO PRESENTER, AND MOTHER TO BEAU AND TATE

“I took a relaxed approach to pregnancy – I took tablets for both morning sickness and heartburn and they made my life so much better. Women can be so hard on themselves. I think it’s okay to get a little bit of help.” VOGUE WILLIAMS, TV PRESENTER AND MODEL, MOTHER TO THEODORE 20 | The Ultimate Baby Book 2020

PHOTOGRAPHY: INSTAGRAM/FEARNECOTTON; INSTAGRAM/EMMALEEBUNTON

GIOVANNA FLETCHER, PRESENTER AND AUTHOR, AND MOTHER TO BUZZ, BUDDY AND MAX

The Original Shnuggle Baby Bath 10 years of innovation by Shnuggle “One of the best purchases I’ve made” “The best baby product we bought” “Bathtime is stress free and so much fun” “This is such a great design, allowing your baby to sit up completely supported”

hello@shnuggle.co.uk

www.shnuggle.com

FTIY

RUNNING HEAD

22 | The Ultimate Baby Book 2017

RUNNING HEAD

The second trimester

13-27 weeks

ABOUT ME How Iâ€™m feeling:

My cravings: Pregnancy niggles: Baby name ideas: 20-week scan date:

The Ultimate Baby Book 2017 | 23

SECOND TRIMESTER

What to expect You’re now into your second trimester – here’s what is going on with you and your baby

You… This is generally when that lovely pregnancy glow kicks in. Any morning sickness you’ve been experiencing should ease off by around week 15 and you’ll notice that your skin starts to feel good and your hair may start to thicken. Most tend to agree that this is when they enjoy their pregnancy the most; the nausea subsides and your numerous trips to the loo are less frequent. This an exciting time, too, as towards the end of week 17 you may start to feel butterflylike flutters in your tummy which are your fetus’s movements. However, it’s not all a bed of roses – you may also experience some strange symptoms such as nosebleeds, nasal congestion, blocked ears and bleeding gums. You’ll probably have noticed some significant changes to your body during this trimester, including larger breasts and a thickening of your waist. Alongside changes to your appearance, frustratingly you may also experience what’s known as ‘baby brain’,

24 | The Ultimate Baby Book 2020

but remember this is temporary and you can blame your change in hormones. This is also the time when you’ll get to see your baby again at the 20-week scan. But the big question is, will you find out the sex? During weeks 22 to 26, many women notice skin changes, and leg cramps at night can become more debilitating as your pregnancy progresses. You can relieve these by doing some simple stretches and wearing support stockings. You may also have an itchy tummy; as the skin across your bump becomes taught it becomes dry, often resulting in irritated skin. As your uterus grows, it presses up against your diaphragm, leaving less room for your lungs to expand, which leaves many women experiencing breathlessness. You may notice that you have become clumsier, dropping things or tripping more often – again, you can blame your hormones for this, which are causing your joints to loosen and your hands to swell.

PHOTOGRAPHY: ISTOCK. WORDS: MARINA FOGLE AND DR CHIARA HUNT

and your baby • During weeks 14 to 17, the fetus will start looking more in proportion and is roughly the size of an avocado, with the body now growing faster than the head. If you could see her you would notice lots of hiccoughing, which is actually the fetus practising her breathing movements. • Eyelashes, eyebrows and head hair are growing and her hearing is now pretty good; voices from the outside world can be heard, although the ears are not fully developed until 24 weeks. At week 16 you still may not have a visible bump – don’t worry, a lot of first time mothers don’t look pregnant until after 20 weeks. By week 17, she weighs about 140g and is 13cm long. • By week 19 her eyelashes have grown even more and she now has fingernails. By weeks 22 to 26, your baby’s eyes can open and close and she will be able to tell the difference between light and dark. She will open and close her fists and curl her toes. You may start to feel her hiccoughs now, too. Your baby’s vocal cords are fully functional although she won’t make her first sound until she is born. The hair on her head is still white as no pigment has been deposited yet and her skin is still thin and translucent as there isn’t any fat underneath. Until 24 weeks fetal length is measured from crown to rump. After 24 weeks the baby is more stretched out, so length is measured from head to heel.

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SECOND TRIMESTER

The wish list

It’s an exciting time when you can begin to embrace your pregnancy and start making purchases for your little one I would like… 1

Support leggings £16, jojomamanbebe.co.uk

Sophie la Girafe arrival set £39.95, harrods.com

De Mamiel Pregnancy Facial Oil £75, spacenk.com

Quilted Coco Mat cot mattress £140, naturalmat.co.uk

Pregnancy Yoga with Tara Lee DVD £12, amazon.co.uk

Zita West Vital Essence 2 capsules £28.50, zitawest.com

Joy maternity necklace £49, lilyandribbon.com

Cotton-bamboo babygrow £29.50, babymori.com

Liewood muslin (pack of two) £12.50, folkinteriors.com

Leander changing table £311, en.smallable.com

Liewood basket £14, scandiborn.co.uk

Plush toy £13, jellycat.com

Therafirm Preggers maternity tights £25.99, pebbleuk.com

Cam Cam Copenhagen cushion £28.95, scandiborn.co.uk

Maternity bra £36, bravadodesigns.com

Eucalyptus and lavender candle £25, helpyourpregnancy.com

The Ultimate Baby Book 2020 | 27

RUNNING HEAD

HOW COULD MY BLOOD GROUP AFFECT MY PREGNANCY?

women are always given a blood group test. Essentially, there are four main blood types – A, B, AB and O. However, each can either be RhD positive or RhD negative, which means there are eight main blood groups in total. Mixing blood groups can be life-threatening, so you will always receive blood from the same blood group in hospital. In blood group A, for example, there are anti-B antibodies in the plasma, which would attack the cells in blood group B. While more than eight in 10 people in the UK are RhD positive, if a mother is RhD negative but the child inherits an RhD positive blood group from the father, it could cause complications if not treated in a timely manner. It is important to identify at-risk pregnancies early on, so women are usually screened during early pregnancy and again at 28 weeks, regardless of RhD status. If a woman is RhD negative, then there’s a few considerations, such as partner testing, and potential steps that will need to be taken. Anti-D prophylaxis may be administered – which can actually be given to an RhD negative mother following birth to protect future pregnancies, too. Depending on your initial screening results, you may be referred to a specialist clinic for further investigation and detailed antenatal management. It is best to have a clear plan in place for your pregnancy – from the planning stages through to labour and beyond – as each individual will have a completely different circumstance. But there’s no need to worry, if your tests are organised by an experienced professional you will be able to enjoy all the best bits of this special time and relax!”

I’M FOUR MONTHS PREGNANT AND HAVE REALLY BEEN OVERINDULGING THE LAST FEW MONTHS. WHAT FOODS SHOULD I MAKE SURE I’M GETTING IN MY DIET NOW? Melanie Lawson, founder of Bare Biology, says: “Eat more fat. After months of indulgence, the first thing you might be tempted to do is cut back on it, but don’t. Fat – the good kind – is crucial for your wellbeing and the development of your baby’s brain and eyes. At the top of the list is omega 3 DHA. It makes up 20 per cent of your baby’s brain, helps to prevent postnatal depression and lowers the risk of infant allergies. Include DHA in your diet by eating oily fish such as salmon, sardines, mackerel and anchovies. It’s also important to take supplements alongside that – just be sure they are independently certified, pure and fresh. The UK government recommends eating two portions of fish per week while pregnant. Unfortunately, this doesn’t provide anywhere near the amount of DHA needed to protect the mother’s mental health and support baby’s neurological growth. That’s why supplementation is critical. Flaxseeds, walnuts and hemp seeds are great sources of healthy fats, too. Not only do they contain some omega 3s, they’re high in fibre. This may help to ease bloating and keep bowels regular. The more fibre you can include in your diet, the more energetic you’ll feel. Aim for at least two cups of salad or veggies with each meal and add avocados, pumpkin seeds or almonds. This is a great way to provide you with vitamin C, magnesium, calcium and iron. Nuts and seeds are also high in protein – essential for baby’s growth, too.”

GOOD FATS ARE CRUCIAL FOR THE DEVELOPMENT OF YOUR BABY’S BRAIN AND EYES 28 | The Ultimate Baby Book 2020

WHAT IS A FETAL WELLBEING ULTRASOUND AND SHOULD I HAVE ONE? Dr Aris Papageorghiou, professor of fetal medicine and obstetrics and consultant at Ultrasound Diagnostic Services, says: “Currently all women in the UK are offered two ultrasound scans during pregnancy: at 12 weeks and again at 20 weeks. In addition, some women are offered an extra scan in late pregnancy, for example, 28 or 36 weeks. This is called a fetal wellbeing scan and is also known as a late pregnancy or third trimester scan. Usually this is done due to some risk factor, for example, a maternal condition such as pre-eclampsia or diabetes; a suspected problem with the baby’s growth on examination; or a previous pregnancy complication such as stillbirth. In many countries the scan is done routinely and some doctors believe that this should be offered to all women. The main purpose of the late pregnancy scan is to identify those babies that show signs of poor growth or poor placental function. Offering such a scan to all women roughly triples the chances of picking up babies with growth problems; it is also thought to detect babies at risk of stillbirth. In theory, this should reduce the risks to these babies as they can be monitored more closely and, if necessary, delivered earlier. However, at present, it is not known whether offering such a scan to all women improves outcomes, and there are ongoing studies to assess this. The scan aims to assess fetal growth and development. This is done by looking at the position and movements of the baby; measuring the size of the baby’s body parts (the head, abdomen and thigh bone length); estimating the fetal weight, based on these measurements; assessing the amount of amniotic fluid; measuring the blood flow from the baby to the placenta (through the umbilical cord) and within the baby; and checking the position of the placenta and its appearance.”

SOURCES: PREGNANCY SICKNESS SUPPORT; NATIONAL CHARITY PARTNERSHIP; APTA CLUB; TOMMY’S ALWAYS ASK CAMPAIGN

Dr Anuj Chaturvedi, medical director and GP at HealthClic, says: “Pregnant

SECOND TRIMESTER

DID YOU KNOW?

Expert advice Our healthcare professionals answer your burning pregnancy questions

important to pay attention to your baby’s own routine, rather than an average amount of movement you’re often told to expect. Every baby is different. It’s essential that you start to recognise your baby’s own specific patterns of movement rather than comparing to others. In general you start to feel movement from around 17 weeks. By 24 weeks the baby begins to have more definitive movements, and by 28 weeks there should be a discernible routine of movement and non-movement. It is this unique pattern that you should be aware of, and take note of any significant changes, too. Your baby may keep relatively still most of the day, but then become very active at night time, or vice versa. Make sure that you keep track of this and write down any changes you’ve noticed. If your baby appears to be moving as much as they normally would, just be conscious of how these movements are building in strength. Try to stay as relaxed as possible as stress can have a number of effects on your unborn baby’s routine, development and wellbeing. If you have any concerns, speak to your GP or midwife.”

ONE THIRD OF MOTHERS ARE CONFUSED ABOUT HOW MUCH THEY SHOULD EAT DURING PREGNANCY

60%

OF PREGNANT WOMEN WORRY THEY ARE WASTING THEIR MIDWIVES’ TIME BY RAISING HEALTH CONCERNS

I’M 25 WEEKS PREGNANT, BUT MY BABY DOESN’T SEEM TO BE MOVING A LOT. IS THERE SOMETHING WRONG? Angela Spencer, childcare expert and founder of Babyopathy, says: “It’s more

OF EXPECTANT MUMS WEAR THE WRONG-SIZED BRA

Other questions I want to ask my midwife…

34% STOPPED EATING CERTAIN FOODS DURING PREGNANCY BECAUSE THEY DIDN’T KNOW WHETHER THEY WERE SAFE OR NOT

OF WOMEN PLAN THE BIRTH BEFORE THEY ARE EVEN PREGNANT

NAUSEA AND VOMITING IN PREGNANCY AFFECTS

70-80%

OF PREGNANT WOMEN TO SOME EXTENT

SECOND TRIMESTER

FOCUS ON

Pushchairs

HERE’S HOW TO MAKE THE RIGHT CHOICE FOR YOU ON ONE OF THE MOST CRUCIAL BITS OF BABY KIT YOU’LL BUY ith the potential to be the most expensive set of wheels you’ll buy after a car, the pushchair can be one of your most daunting purchases; it’s also quite a surreal, emotional experience, knowing that in a few months’s time you’ll be pushing your little baby around in it. A product like this will get daily use, so try to see it as an investment, with many models built to see you through two, or even three, children. So while it may seem like a hefty price tag, once you break it down, it’s really worth doing your research and spending on something that suits your family’s needs. Before you start to shop, think about what your requirements are. There are plenty of questions you need to ask yourself. Firstly, it’s good to think about space restrictions – both within your home and your car boot. Are you in and out of the car a lot, meaning you’ll benefit from a travel system that you can attach the car seat to? What kind of terrain will you be using the pushchair on? Will you be spending most of the time in and out of shops and on pavements, or will you be tackling uneven surfaces with country strolls? With so many things to consider, try to prioritise the two most important elements for you. While the internet will provide you with an abundance of choice, it’s important to visit a store where the staff will demonstrate the pushchairs, showing you how they fold and how to adjust the seat and handle. Both

30 | The Ultimate Baby Book 2020

your comfort and the baby’s is of equal importance. Does it work with your height? Some handlebars extend to different lengths, but some don’t extend at all, which might not work if you and your partner are varying heights. Don’t feel like you’re being a nuisance: it’s important to compare different models. It’s also worth discussing colour options and lead times, as some styles may be out of stock, so don’t leave it too late to choose. If, like many, you find yourself tight on storage space, or use public transport or travel a lot, you may want to concentrate your research on a lightweight stroller. Designed to make daily travelling easier, these typically have a small fold, are lightweight and something you can store out of the way when you are not using it, or that will fit into a small car boot. Many models are also cabin-sized, which can be quite handy for avid globetrotters. The past few years have seen many brands bring out compact stroller options, such as the Babyzen Yoyo, which offers a super-small handbag-style fold, but still classifies as a travel system with car seat adaptors and can be used from birth. Other strong contenders include the Micralite Profold and Silver Cross Jet. Although it’s hard to predict the future, if you’re planning on having children close in age, you may want to consider a pushchair that can grow with your family. This means the pushchair will start as a single and transform

GLOSSARY • A carrycot is used from birth; this allows baby to lie down and sleep. • The chassis is the framework of a pushchair. • Doubles are for twins or babies close in age, with two seats or two carrycots. • Parent-facing is when the seat is positioned facing the parent. • Seat units are used from around six months, once baby can support herself. Note that many now have lie-flat positions, which means that they can be used from birth. • Tandem – also referred to as in-line pushchairs – means one seat behind the other. • A travel system is a type of pushchair that’s compatible with a rear-facing car seat, which attaches to the chassis for ease of transportation when out of the car. • World-facing is when the seat is looking out, so baby can see the world go by as you stroll.

SECOND TRIMESTER

The J-CARBON stroller from new brand JUNIORJONES is a luxurious option

Raffi pushchair, £599.95, bababing.com

Wave pushchair, £1,200, silvercrossbaby.com

WORDS: REBECCA MOORE PHOTOGRAPHY: JUNIORJONES, J-CARBON

Babyzen Yoyo, £579, naturalbabyshower.co.uk

MANY MODELS ARE CABINSIZED, WHICH IS HANDY FOR AVID GLOBETROTTERS into a double by adding an additional seat. It may be that it comes with all the items to do so, such as the Silver Cross Wave, or a pushchair like the Nuna Demi Grow, which gives the option to add to it when needed. Also be sure to find out what’s included in the price. You’ll find there is quite a big difference between brands and retailers on what you get, and you may have to buy carrycots, rain covers, bumper bars, car seat adaptors and cup-holders separately as additional accessories. Some buggies are sold at a complete price with the majority of pieces

included, while others only include the chassis and seat, and everything else is an extra. Allow yourself time, just in case of any stock complications; it’s a good idea to start searching once you’ve hit the 20-week mark, with the aim of choosing one eight weeks before you’re due. It is a big investment, so don’t rush into it; you should carefully weigh up where you are going to use it, and where and how it will be stored. Buying a pushchair that is well made and sturdy will naturally give it longevity of use, but, most importantly, pick a pushchair that you will feel proud to push.

Urban Jungle Luxury Collection, £549, mountainbuggy.com

Stokke Xplory, £979, stokke.com

The Ultimate Baby Book 2020 | 31

SECOND TRIMESTER

WHAT TO EAT

Nutritionist Charlotte Stirling-Reed gives the lowdown on eating during pregnancy

And relax

During pregnancy, there’s lots of conversation around what foods need to be avoided, but we don’t talk enough about what foods we should be eating. Reality is that sometimes you’re not feeling your best during pregnancy and so getting in whatever you can is a bonus. During the second trimester, you might be able to start thinking about eating more of a variety. Healthy eating is all about balance; make the most of mealtimes and get in extras: for example, some seeds added to your cereal or porridge in the morning, veggies and cheese in your omelette and some fish once or twice a week will help. Eating a varied diet means you’re more likely to get plenty of nutrients – vitamins, minerals, proteins, fibre and antioxidants, which will help you stay healthy and provide the extras needed for a growing baby!

The second trimester is the perfect time to be practicing yoga. Tara Lee

WHAT TO EAT

• Fruit and veg – fresh, frozen or tinned • Starchy foods – wholegrains, oats, rice and potatoes • Protein or iron-rich foods – eggs, chicken, lentils, beans and fish • Dairy or fortified alternatives Remember: it’s recommended that you have around 200kcals extra in the third trimester. This is the equivalent to a slice of toast with butter or a small yoghurt, fruit and seeds.

WHAT TO AVOID

Folic acid (in the first trimester) and vitamin D are recommended during pregnancy.

32 | The Ultimate Baby Book 2020

TWICE AS NICE

SUPPLEMENTS

Changing bag £69.99, bababing.com

TIME TO SHOP:

• Certain cheeses – mould-ripened (brie or camembert) or blue-veined (stilton) • Undercooked foods – especially eggs, meats and any ready meals • Unpasteurised goats, sheep and cow’s milk • Raw shellfish such as oysters • Shark, swordfish or marlin – you should also limit your intake of tuna (and other oily fish) to no more than four medium-sized cans or two fresh tuna steaks per week • Liver and liver products – such as pâté or liver sausage • Alcohol – current advice is to avoid alcohol throughout pregnancy • Limit caffeine intake to no more than 200mgs – two mugs of coffee or four cups of tea per day

Twinset sleepsuit £65, babymori.com

Double electric breast pump £239, medela.co.uk

SECOND TRIMESTER

Babymoon boom One last trip before you become a party of three? These dreamy destinations are ideal for squeezing in some pre-baby relaxation

hese stretches help to release tension from the muscles and create space for your growing child, and the breathing techniques work on a deep psychological level to bring feelings of calmness and clarity. You can start the following exercises 14 weeks into your pregnancy. If you have any complications or injuries, please check with your doctor that it is safe. • Breathing and connecting Sit cross-legged, using cushions if you want to. Rest one hand on your baby and the other hand in the centre of your chest. Take deep breaths in and out through the nose with your eyes closed and sit as tall as possible. Feel the rise and fall of the abdomen, with the breath. • Calf stretch Come onto all fours and stretch one leg behind, tucking the toes under. Reach back through the heel, feeling the stretch down the back of the leg. Change legs. • Cat stretch Come onto all fours with the knees under the hips, the wrists under the shoulders. Tuck the chin into the chest as you round your spine and inhale. Repeat, hugging your baby in toward you on each exhale. • Opposite arm and leg stretches Come on to your hands and knees. Inhale, and lift the right arm and left leg, and as you exhale, release back to all fours. Repeat five times on each side. • Child’s pose On all fours with the knees wider than the hips, bring your hips back towards the heels and rest the forehead on the floor. Hold as long as you like, breathing deeply.

THE SCARLET, CORNWALL Sea views? Check. Cliff-top hot tubs? Check? Eco credentials? Check, check, check. scarlethotel.co.uk

LIME WOOD HOTEL & SPA, NEW FOREST Dine at the Hartnett Holder restaurant and chill out at the Herb House Spa. limewoodhotel.co.uk

LA RÉSERVE GENÈVE, GENEVA On the serene shores of Lake Geneva, this unashamedly opulent hotel houses a fivestar spa and suites. lareserve.ch

Silver-plated double frame From £32, johnlewis.com

Out ‘n’ About Little Nipper Double £389.95, babyandchildstore.com Double wooden rocking horse From £3,900, stevensonbros.com

LINDOS BLU, RHODES Perched, tier-like, on a tranquil hillside, Lindos Blu is adults-only, so enjoy it while you can! slh.com/lindosblu

The Ultimate Baby Book 2020 | 33

SECOND TRIMESTER

Say what?

Pregnancy; it’s not all plain sailing. And as these stars reveal, some days are definitely better than others Pregnant me

“When you’re pregnant, some people like to share their horror stories, and I remember feeling really overwhelmed. I now make a point of telling pregnant friends the good stuff.” KATHERINE JENKINS, SINGER, AND MOTHER TO AALIYAH AND XANDER

“In the first three months, I felt really, really nauseous – I couldn’t even smell coffee and usually I love it. I went off all fragrances. I couldn’t really eat the things that I used to like… but I’d really crave salt and vinegar crisps.”

How I feel…

TAMARA ECCLESTONE, MODEL, AND MOTHER TO FIFI

“I was fine training during my pregnancy, but then I know other people wouldn’t be, so you just have to listen to your body and know your limits.” CHEMMY ALCOTT, FORMER OLYMPIC SKIER AND PRESENTER, AND MOTHER TO LOCKI AND COOPER

“At the beginning, I just really craved apples, which was a bit strange, because I don’t tend to eat much fruit. But as time went on, I loved tuna mayonnaise on toast with Marmite – I still actually quite like it now! I think it was the saltiness of it.”

“I didn’t find either pregnancy hard, so there’s nothing to put me off a third. Even if I had a bad third pregnancy, I’ve got away with two good ones!” KIMBERLEY WALSH, SINGER, ACTRESS, AND MOTHER TO BOBBY AND COLE 34 | The Ultimate Baby Book 2020

PHOTOGRAPHY: MICHELLE DREWES

GEORGIA JONES, MODEL, AND MOTHER TO COOPER

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RUNNING HEAD

36 | The Ultimate Baby Book 2017

RUNNING HEAD

The third trimester

28-40 weeks

ABOUT ME How Iâ€™m feeling:

My cravings: Pregnancy niggles: Baby name ideas: Birth plan:

The Ultimate Baby Book 2017 | 37

THIRD TRIMESTER

What to expect

You… Hooray! It’s the final stretch. Some mothers are ready to see the back of pregnancy, whereas some aren’t quite ready for this final trimester to be over. In these last few months most mothers tend to put on around 11lb in weight and your abdomen is now accommodating up to three times what it’s used to. You are likely to feel increasingly tired, especially if you’re having difficulty sleeping at night – this is common as you get bigger. You may also be increasingly short of breath and notice your hands, feet and legs swelling. Not only is your growing baby compressing all your abdominal organs but your digestive system is slowing, too. These factors combined mean that food takes longer to travel through the stomach and intestines, often causing symptoms of bloating, tummy ache and more likely than not, constipation. You may find the occasional hardening of your stomach; these are known as Braxton

38 | The Ultimate Baby Book 2020

Hicks contractions – your body’s way of practising for birth. Some women barely notice them, while for others they are uncomfortable and can make them think labour has arrived early. During this trimester you’ll begin to have more frequent antenatal check-ups, and your doctor or midwife will want to be checking the baby’s position, size, heartbeat and your blood pressure and urine for any signs of pre-eclampsia. You may also have a late scan if there is any concern about the size or position of the baby or placenta. At some point in the last month it is common to feel your baby’s head gradually drop lower down into the pelvis and become ‘engaged’. When this happens you will feel less pressure against your ribs and diaphragm but more pressure on your bladder and perineum. For some women this happens some weeks before labour starts, and for others the baby doesn’t drop until their labour has started.

PHOTOGRAPHY: ISTOCK. WORDS: MARINA FOGLE AND DR CHIARA HUNT

and your baby • A lot changes during this last trimester; by 27 weeks your baby can open her eyes and is the size of a cauliflower, but as due date approaches she’ll end up the size of a small pumpkin. • By the eighth month, your baby’s organs are pretty much fully developed, except for her lungs which will be ready for action at around 36 weeks. Between 31 and 35 weeks the lungs are maturing incredibly fast, her brain and nervous system are fully developed and her bones (with the exception of her skull) are hardening. She has a bit more growing to do. She is still covered in a white waxy substance called vernix, which is protecting her skin and keeping her warm, but the downy lanugo hair is beginning to shed. If you are having a boy, his testicals will descend from his abdomen into his scrotum. • In this last month her lungs and intestine are fully formed. The intestine contains a sticky, dark green substance called meconium, which is passed as your baby’s first poo. Your midwife will check how engaged your baby is by determining how much of her head she can feel before it emerges into the pelvis. After 36 weeks, if your baby is not head down, it is much less likely to change position because of the limited space, so your doctor or midwife will want to discuss the possibility of trying to turn the baby. Your baby is considered term at 37 weeks.

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THIRD TRIMESTER

The wish list

As you count those kicks and get ready for birth, these essentials will help you to feel more prepared for what’s to come I would like… 1

Maternity top, leggings, dress and skirt set £89, seraphine.com

Birth-Ease birthing ball and pump £20.99, amazon.co.uk

Attitude laundry detergent £11.15, planetorganic.com

Maternity jeans £30, next.co.uk

Kicks Count app Free, App Store and Google Play

Harrods of London Oliver bear £25, harrods.com

Perineum Massage Oil £11.95, weleda.co.uk

Upsie Belly bump support band £79.95, bellybandit.com

Lucky Legs Cooling Leg Gel £19.50, mioskincare.com

Nursing pillow £59.40, bbhugme.com

Baby bath £24.95, shnuggle.com

Velvet Olive baby shower card £2, noths.com

Cool It Mama Body Spritz £8.99, boots.com

Mini First Aid kit £11.99, minifirstaidshop.co.uk

Omega Oil £11.50, botanicovida.com

Effective Birth Preparation: Your Practical Guide to a Better Birth £10.99, amazon.co.uk

The Ultimate Baby Book 2020 | 41

RUNNING HEAD

Rebecca Crowe, midwife on the Lindo Wing at St Mary’s Hospital, says: “If your pregnancy has been uncomplicated up to this point, then the short answer is no. If your pregnancy has been straightforward then the best option is to wait a little longer for labour to start spontaneously. In most cases, you won’t be offered an induction until you have reached 41-42 weeks, in accordance with the guidelines from the National Institute of Clinical Excellence (NICE). However, if you notice a reduction in fetal movement, or you begin to feel unwell, you need to alert your clinical team as soon as possible, and they will advise you if an induction is necessary. If you have been diagnosed with any kind of medical condition or complication before or during your pregnancy, such as diabetes or high blood pressure, then it is highly likely that you will already have been induced anyway. If not, then, your team may recommend an induction very shortly. There are alternatives that can help to bring on labour before induction needs to be considered. Your consultant or midwife can administer a ‘stretch and sweep’ internal examination of your cervix, which can sometimes encourage labour naturally. You should also try and keep active, as being mobile can help. The best thing to do is carry on as normal; go for walks, eat and drink regularly and ensure you stay well-hydrated. I know it is hard and extremely tiresome, but try to stay as relaxed as possible – and let your hormones do the work!”

A FRIEND RECENTLY TOLD US ABOUT UMBILICAL CORD BLOOD BANKING, WHY SHOULD WE CONSIDER IT? r eff rew, hief s ientifi offi er at Cells4Life says: “Your baby will be born into a world where medical science is progressing faster than ever. Not only can she expect to live beyond 100, she can also expect to remain healthy. Stem cells will play a pivotal role in this. Your baby’s umbilical cord blood is a rich source of billions of stem cells that have the ability to repair damage, grow new tissue, and even treat lifethreatening diseases. These cells can be collected and stored at birth, so your baby has her own perfect stem cell match, ready and waiting for any treatments she may need in the future. Cord blood stem cells are already used for more than 80 different conditions. There are currently over 6,000 different clinical trials investigating the application of stem cells to treat anything from spinal damage to Alzheimer’s, and there have already been significant breakthroughs using cord blood for brain disorders, like cerebral palsy and autism, which affect 1 in 400 and 1 in 100 children in the UK respectively. Storing your baby’s umbilical cord blood is like taking out a kind of ‘biological insurance’ against these conditions. Collecting cord blood is quick, simple and totally safe, however it is only available a few moments after birth, so it is important you do your research and set up the service a month or so beforehand. The most crucial thing to look at is cell count, as this dictates how many treatments it could be used for.”

IN MOST CASES, YOU WON’T BE OFFERED AN INDUCTION UNTIL YOU REACH 42 WEEKS 42 | The Ultimate Baby Book 2020

I’VE ALWAYS BEEN INTO FITNESS AND REGULARLY WORK OUT. I CONTINUED DOING A FAIR AMOUNT OF EXERCISE IN MY SECOND TRIMESTER BUT WITH EIGHT WEEKS TO GO UNTIL MY DUE DATE, SHOULD I STOP WORKING OUT? Dr Joanna Helcke, pregnancy and ostnatal fitness e ert, says: “Absolutely not: keep going! As long as you are still keeping well in pregnancy and there are no contraindications, such as a very low-lying placenta, then you can carry on exercising right up to your due date or, believe it or not, beyond your estimated due date. With your bump getting bigger in this last trimester you may well feel the need to slow down and take your exercise more gently – be sure to heed your body’s signals to ease off. Land-based exercise will start to feel tougher so you could switch to waterbased workouts which will give you a lovely feeling of lightness and will also stop you and – importantly – your baby from overheating. The effect of water is to dissipate heat which means that your perceived rate of exertion is lower. In other words, your workouts will feel easier – just what you want to hear! Try aquanatal, aqua jogging and swimming but if pelvic girdle pain is a problem, be sure to avoid breaststroke as is will aggravate the condition. Alongside your cardio, I would recommend carrying on with pregnancy tailored core stability work such as prenatal Pilates. This will help protect your lower back by keeping the deepest layer of abdominal muscles toned; it will also keep your spine mobile and postnatally will speed up recovery of the abdominal area encouraging realignment of abdominal separation.”

SOURCES: VOUCHERCODESPRO.CO.UK; LETS-DOTHIS.ORG.UK; ONS.GOV.UK, FACTRETRIEVER.COM; BABYGAGA.COM

MY DUE DATE WAS EARLIER THIS WEEK AND BABY IS SHOWING NO SIGNS OF ARRIVING. IS IT LIKELY THAT I’LL BE INDUCED?

THIRD TRIMESTER

DID YOU KNOW?

Expert advice Our healthcare professionals answer your questions on late pregnancy

WHAT IS THE DIFFERENCE BETWEEN ‘NATURAL’ AND ‘ACTIVE’ DELIVERY OF THE PLACENTA? Dr Shazia Malik, consultant gynaecologist and obstetrician at The Portland Hospital, says: “The difference between the two is that with the natural delivery, no drugs are given. Your midwife will wait for the umbilical cord to stop pulsating before clamping the cord, and then will await spontaneous delivery of the placenta. This can take up to an hour, but can vary. Holding and feeding your baby, as well as passing urine or sitting upright, can help. With an active third stage of labour (the stage where the placenta is delivered), a drug called syntometrine is given into your thigh, usually as the baby’s body is delivering. You won’t feel it as you will be busy delivering your baby! This drug helps the uterus to contract more quickly, so the placenta will separate and deliver without a delay – the benefit is a reduction in the incidence of excessive blood loss. It is recommended if you have had a long labour, required drugs to make you contract, have twins, or if you have an instrumental or caesarean delivery – all of which can increase the risk of bleeding. The placenta is smaller and softer than your baby so apart from feeling an urge to push, it rarely feels painful.”

Other questions I want to ask my midwife…

OF PREGNANT WOMEN FEEL UNDER PRESSURE TO EAT LARGER MEALS

200

EXTRA CALORIES ARE ALL THAT’S REQUIRED DURING THE FINAL TRIMESTER

Latest stats show 54% of mothers in 2016 were 30 plus, up from 48% in 2006

��% OF NEW PARENTS SAY THEY ARE ‘OVERLY CAUTIOUS’

BY 28 WEEKS YOUR BABY’S EYES CAN OPEN, AND DURING THE THIRD TRIMESTER SHE WILL EVEN PRACTICE BLINKING

During the nine months between conception and birth, a baby’s weight increases by

3,000

million

THIRD TRIMESTER

FOCUS ON

Aches and pains THIS STAGE OF PREGNANCY COMES WITH SOME PRET T Y UNFORGIVING AILMENTS. NUTRITIONIST Louise Pyne EXPL AINS HOW DIET CAN E ASE YOUR SYMPTOMS long with the inevitable emotional ups and downs, pregnancy comes with plenty of physical problems, too. From morning sickness to migraines, constipation to persistent back pain, carrying a baby is hard work. But by making small changes to your diet you could relieve your symptoms, and even prevent them in the first place, while nourishing your growing baby with the nutrients you both need.

MIGRAINES

ui fi : a nesium Migraines and headaches are common in pregnancy and often caused by changing blood sugar levels and an increase in blood volume. Magnesium, which is found in nuts and seeds and green leafy vegetables such as kale and spinach, can help. This is because magnesium is a natural nerve relaxant and helps improve blood flow to reduce the likelihood of migraines.

SWOLLEN ANKLES

ui fi : otassium Swelling in the ankles, legs and face (otherwise known as oedema) is most common during the third trimester as your body is producing more fluid and a greater blood volume in order to help your baby grow. Potassium is great at helping to keep fluid levels balanced and reducing excess water retention, so load up on potassium-rich foods, including bananas, avocados, nuts and seeds. Also avoid sodium-

44 | The Ultimate Baby Book 2020

filled foods, like ready meals and pre-packaged snacks, and stay away from the salt shaker as excess salt can cause water retention. Instead, flavour your food with herbs. Bye-bye, cankles!

FATIGUE

ui fi : rotein While your body is adapting to a growing baby, your hormones are constantly up and down, so it really comes as no surprise that energy levels dip during pregnancy. Another big cause of fatigue, particularly in the first trimester, is fluctuating blood sugar levels so itâ€™s important to eat little and often in order to keep them balanced. Filling up on protein-rich foods can help, so incorporate plenty of eggs, quinoa, lean meats and fish into your diet.

BACK PAIN

ui fi : nti in ammatory om ounds Up to three quarters of pregnant women experience backache; the main cause tends to be increased levels of the hormone relaxin, which loosens joints and ligaments to prepare your body for birth. Added pressure on the pelvis also causes a strain on the back muscles, and as your baby grows, back pain may get worse. Painkillers such as paracetamol can help, but there isnâ€™t much you can take when pregnant). Thankfully, there are some natural alternatives, such as: anti-inflammatory foods, including cherries, which contain antioxidants called anthocyanins; ginger, which also has the added benefit of inhibiting nausea; and oily

fish like sardines and salmon, which are packed with omega-3, can reduce inflammation.

INDIGESTION

ui fi : lutamine Around 80 per cent of expectant mothers experience indigestion at some point, and this uncomfortable condition can be caused by a few different factors. The increased pressure of your womb pressing on your digestive system is one of the main culprits, along with the relaxing of muscles in the oesophagus through maternal hormones, which sometimes allow acid to readily escape back out to the stomach. Certain foods can trigger indigestion, so be sure to avoid spicy, processed and fatty foods if you are prone to heartburn or indigestion. Make sure to spend time over meals, instead of chowing down quickly, and leave a gap of at least two hours between

THIRD TRIMESTER

Cooling leg gel, £22, littlebutterflylondon.com

Pregnancy pillow, £133, bbhugme.com

Stainless steel water bottle, £19.95, kleankanteen.co.uk

POTASSIUM HELPS KEEP FLUID LEVELS BALANCED – LOAD UP ON BANANAS, NUTS AND SEEDS

PHOTOGRAPHY: ISTOCK

eating dinner and going to bed to give your body time to digest food properly. The amino acid glutamine can also be beneficial for a well-functioning digestive system, helping to maintain a healthy intestinal lining. Eggs, dairy and oats are the best sources, so make sure to include these in your meal plans.

CONSTIPATION

ui fi : i re The hormone progesterone is responsible for slowing down digestion during pregnancy, and this, coupled with the increased pressure

on the pelvic area as your bump gets bigger, makes you more susceptible to constipation. Cram fibre into your diet, as this food type helps to eliminate excess waste from your body. Good sources include brown rice, wholemeal bread and plenty of fruits and vegetables (aim to eat around seven to nine portions per day). Also make sure you drink at least one-and-a-half litres of water a day, to help food move smoothly through your system. You can flavour plain H20 with immune-boosting lemon and cucumber for an additional health boost.

Magnesium Flakes, £3.49, betteryou.com

Babymoov Dream Belt, £40, jojomamanbebe.co.uk

The Ultimate Baby Book 2020 | 45

THIRD TRIMESTER

MATERNITY LEAVE CHECKLIST In most cases, you can start your maternity leave any time from 11 weeks before your due date. Some women choose to work right up until the bitter end, while others like to have more time to themselves before baby arrives. If along the way you decide you want to change your start date, then you can, as long as you give your employer enough notice. To start your leave sooner, tell your employer at least four weeks before your new start date. To start your leave later, tell your employer at least four weeks before your old start date.

Pregnancy massage Skincare expert Katherine Pye

HOW TO FILL YOUR TIME

Cook up a storm in the kitchen Prepare a batch of meals for the freezer: that way, you’ll have plenty of hearty food ready for when you get home from hospital, when cooking will be the last thing on your mind! Pack your hospital bag Aim to pack your bag around the 37-week mark, which may be before or after you start your leave. Once you’ve stopped work, make sure you are all packed and good to go. Make friends with your new car seat It’s important to know how to correctly fit the car seat in your car – you don’t want to be stuck in the hospital car park working it out. Host a baby shower What better way to kill time than with friends and family, plates of cake and a heap of gifts? Just don’t leave it too close to your due date, as you’re less likely to feel like party planning. Make the most of being two It’s your last chance to be together as a couple, so enjoy this quiet time while you can. Perhaps consider a last-minute babymoon, although keep in mind that you shouldn’t fly after 36 weeks. Depending on how close you are to your due date, don’t travel too far.

TIME TO SHOP:

CAR SEATS

Pebble Pro i-Size car seat £199, maxi-cosi.co.uk

Cosatto Dock car seat £199, next.co.uk

Motion car seat £350, silvercrossbaby.com Joie i-Spin 360 i-Size car seat £280, oliversbabycare.co.uk

46 | The Ultimate Baby Book 2020

THIRD TRIMESTER

a y s first room You’ll want your new arrival’s nursery to look just as beautiful as the rest of your home – here are some brands to visit for ultimate inspiration

part from vision, all of your baby’s senses are stimulated in the womb. Touch is the first sensory system to develop, and is likely to be the most mature at birth. Studies show that by rubbing your belly, your baby will respond, so when you massage your tummy, you are sending powerful signals from your baby’s nerve endings to the brain, helping with her neural development as she grows in the womb. Alongside aiding baby’s development, pregnancy massage can be beneficial for your own wellness. From improving circulation and the function of muscles and joints – essential in preparation for birth – to helping to calm and de-stress the mind, and relieving aches and pains, it is a valuable treatment to have when expecting. Pregnancy massage is recommended any time during the second and third trimester. Avoid going in the early days of pregnancy, as this is such a delicate time in your baby’s development and also a period where you may be feeling nauseous. During the massage, it’s important you’re in a safe position. I favour the natural fetal position or lying on your side. I like to concentrate on the hips, back, feet and abdomen – all areas that are holding more weight, and therefore need special attention. Alongside reflexology, I also focus on yogic breathing, which helps mothers-tobe to keep calm throughout their pregnancy. Remember: always tell your therapist about any health concerns you may have before the treatment.

BEST FOR: WALLPAPER AND FABRICS hibouhome.com

BEST FOR: LUXURY aristot.com

BEST FOR: ADORABLE PRINTS daisyandbump.co.uk

REBL Plus car seat £350, shopnuna.co.uk

BEST FOR: COOL CRIBS snuz.co.uk Hauck iPro i-Size car seat £149.99, uberkids.com

The Ultimate Baby Book 2020 | 47

THIRD TRIMESTER

Say what?

You’ve survived nine months of carrying baby, and now it’s time to look ahead... These celebrities open up about impending birth and motherhood Pregnant me

“I had a mobile epidural both times, even though I hadn’t wanted to have an epidural at all, so trust your midwife, and when she says ‘you’ll need an epidural for this’, listen to her!” KATE SILVERTON, NEWSREADER AND JOURNALIST, AND MUM TO CLEMENCY AND WILBUR

How I feel… “It’s true that until you’re actually a mother, there’s no way of coming to terms with the range of feelings and emotions that fill what is a truly special time.”

SERENA WILLIAMS, TENNIS PROFESSIONAL, AND MOTHER TO ALEXIS

MARINA FOGLE OF THE BUMP CLASS, MOTHER TO LUDO AND IONA

“Nothing can ever prepare you until you’re in it and that little person is right in front of you. Everything you think you learned – and I was reading all the books, talking to everyone – evaporates.”

ROSE BYRNE, ACTRESS, AND MOTHER TO ROCCO AND RAFA

“I understood how lucky I was having another baby, but I didn’t love being pregnant – you can’t control what’s happening to your body, but I knew what was coming at the end of it, so I was really excited.” ZOE HARDMAN, TV AND RADIO PRESENTER, AND MOTHER TO LUNA AND KIT 48 | The Ultimate Baby Book 2020

PHOTOGRAPHY: IMAGE PRESS AGENCY/SIPA USA/PA IMAGES; BIRDIE THOMPSON/ZUMA PRESS/PA IMAGES

“To give birth, however it happens, is a remarkable achievement.”

A totally natural sleeping bag, designed to help your babies sleep

Unique organic bamboo wadding All-season. Perfect for 13-27°C temperatures Naturally antibacterial and hypoallergenic Detachable comforter for self settling Super soft and snuggly One size fits 0-2+ years About Little Earth Baby The company was founded by Emma Bianco, a mother passionate about the health and wellbeing of babies, and of the planet. They also make organic toys and baby blankets, and will be launching a number of new products to their range this year.

Natural foam playmats If you’re looking for a natural and plastic-free play mat, Little Earth Baby’s are made from natural and sustainable cork and rubber. They’re non-toxic and biodegradable so they’re safer for babies and the planet. These mats are shock absorbent, antibacterial, wipe clean, non-slip and super light so can be stored away easily. They come in neutral colours to blend in with grown up living spaces.

www.littleearthbaby.com

Bringing natural back

RUNNING HEAD

50 | The Ultimate Baby Book 2018

RUNNING HEAD

Birth

Labour and beyond

ABOUT ME & MY BABY Welcome to the world (name): Birth date:

Time:

Place: Length of labour: Weight:

Length:

Hair colour:

Eye colour:

The Ultimate Baby Book 2017 | 51

BIRTH

What to expect

You… However you delivered, it’s called labour for a reason. Many women compare pregnancy to preparing for a marathon and the labour like the marathon itself. No matter how the marathon went for you, everyone needs to recover afterwards. It’s common to feel exhausted, stiff and generally sore after giving birth. If you had a vaginal delivery your perineum will probably be swollen and uncomfortable, and if there have been stitches (after a tear or an episiotomy) it may be a little painful for the first few days. Use an ice pack, a bag of frozen peas or cooling perineal pad to provide relief. It can burn when you pee, as the urine passes over the stitches. You can make this a lot more comfortable by using a jug to pour warm water over the area while you urinate. Don’t be a hero; take enough painkillers to leave you pain-free. Indeed, evidence has shown that you recover more quickly if you are not in pain. Unfortunately most women tend to get

52 | The Ultimate Baby Book 2020

constipated because they’re dehydrated, haven’t eaten much over the last 24 hours and the nervousness of pushing a poo out of this area makes them ‘hold it in’. In addition, some pain-relief medications can make women constipated. So drink plenty of water, snack on high-fibre foods and take a stool softener. Regardless of whether you’ve had a caesarean or vaginal delivery, you will bleed for four to six weeks after birth. This bleeding is the lining of the uterus shedding itself. For the first few days it will be heavy, generally much more so than a period, and you will need to wear heavy-duty maternity pads. Most women are relieved to leave hospital but it is common to feel anxious. We advise getting back into your nightwear as soon as you get home. Although you don’t need to be confined to bed, being in your pyjamas will make you less likely to overdo it. And don’t leave the house for, at the very least, three or four days after leaving hospital.

PHOTOGRAPHY: ISTOCK. WORDS: MARINA FOGLE AND DR CHIARA HUNT

and your baby • From the moment your baby is placed on your chest, her instinct will be to find a nipple and start feeding. Amazingly, in spite of not even being able to hold up their heads, most babies are capable of wriggling up their mother’s chests until they can find the nipple. Try to feed her as soon as you can. Also, skin-to-skin contact has been shown to be comforting to her. • Your baby will have two soft spots on the top and back of her head. These fontanelles are where the baby’s skull bones have not yet met. They close quite quickly. Your baby may have a slightly elongated head from being squeezed through the birth canal. This settles in a few days. Caucasian babies tend to have blue eyes when they are born, if this is going to change, it usually does so in the first six months. Asian or Afro-Caribbean babies usually have brown eyes at birth. You may also notice that your baby may look a little cross-eyed. This is perfectly normal, as babies are not able to focus very well in the early days; this usually settles within a few weeks. The cord remnants still attached to baby will shrivel up and fall off within the first 10 days.

Setting a new standard in nursery design, the Sleepyhead® Deluxe+ is the ultimate ‘must-have’ that today’s parents define as a nursery essential. Suitable from birth – 8 months, the Deluxe+ has many multitasking capabilities which has made this accessory so key. Light weight and ultraportable, the Deluxe+ can be moved around the home, used as a co-sleeping aid, for lounge, rest and play, as a changing station, travel companion, tummy time and more.

Sleepyhead Deluxe Pod Best Crib/Pod Design

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Setting the standard, Sleepyhead products have been voluntarily tested for mattress firmness, air permeability and indentation force deflection to name just a few. Firm and flat, Sleepyhead pods make a great portable spot for baby to rest in around home, day and night. SLEEPYHEADOFSWEDEN.COM

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BIRTH

The wish list

Before you rush off to deliver, be sure to pack these must-have supplies in your hospital bag I would like… 1

Smart Choices Femé Pad £19.99, amazon.co.uk

Eberjey sleep shirt £95, selfridges.com

Kit & Kin disposable nappies £7.99, ethicalsuperstore.com

Suede slippers £45, thewhitecompany.com

Mama Mio Way To Glow Facial Spritz £23, mioskincare.co.uk

Yoga nursing bra £34, bravadodesigns.com

Elle TENS Plus machine £99, babycaretens.com

Organic cotton babygrow £9.95, thelittlegreensheep.co.uk

Jersey robe £39.99, mamamoosh.co.uk

BeSafe iZi Go Modular £219.95, naturalbabyshower.co.uk

Cotton blanket £35, isaac-anthony.co.uk

Slip silk eye mask £50, net-a-porter.com

Aden + Anais bamboo swaddles set £42, harrods.com

Canon EOS 750D camera £429.99, argos.co.uk

Leather-trim cabin bag £142, uberkids.com

Burt’s Bees tinted lip balm £6, marksandspencer.com

The Ultimate Baby Book 2020 | 55

RUNNING HEAD

Marina Fogle and Dr Chiara Hunt, founders of The Bump Class, say: “Reflux occurs when the muscle at the top of a baby’s stomach that keeps milk in after it’s been swallowed is not quite strong enough, allowing milk and stomach acid to travel back up the oesophagus. This happens mildly in a lot of babies, causing them to vomit or ‘posset’ soon after a feed. For most babies this does not cause them any discomfort and they keep enough milk down not to lose weight. However, when it is severe it can cause pain and discomfort or worrying weight loss. Silent reflux is when the baby doesn’t vomit but the acidy milk keeps travelling up and down the oesophagus. This is often very painful and can be more difficult to diagnose. These babies tend to scream excessively but don’t vomit any more than normal. Silent reflux is often confused with colic as the symptoms are similar. Babies with both are clearly uncomfortable, but babies with reflux tend to cry all day long, while colic tends to affect babies more in the evenings. Colic can often be eased with over-the-counter remedies, and babies tend to grow out of it between 10 and 12 weeks. The treatments for both reflux and silent reflux are the same. Many are mild and require only simple measures to make baby more comfortable, while others require medication prescribed by doctors. As miserable as it can be for both the baby and mother, rest assured that the vast majority will grow out of it, most within the first six months or when the baby is established on solids, even without treatment.”

WHAT IS TONGUE-TIE AND DOES IT NEED TO BE TREATED? Clare Byam-Cook, breastfeeding expert and author, says: “Tongue-tie (or ankyloglossia) is a condition where the baby has a tight piece of skin (the frenulum) which tethers the underside of her tongue to the floor of her mouth. This can cause a number of feeding problems, including preventing the baby from opening her mouth wide enough to latch on, sore nipples for the mother, difficulty in feeding effectively, swallowing air and making a clicking noise when feeding. But it’s important to note that these problems can also be caused by the baby latching on badly. There are two main types of tonguetie. The first is anterior tongue-tie, where the frenulum is too short and tight and extends too far towards the tip of the tongue. This is clearly visible and will often be accompanied by a V-shaped notch at the tip of the tongue. Posterior tongue-tie, however, is hidden under the lining at the base of the tongue. This is harder to diagnose but can be suspected if the tongue dimples down in the middle, or if the tongue appears to be very short. An anterior tongue-tie is treated by dividing it with a pair of sharp, sterile scissors. It’s a simple procedure which only takes a few seconds and is normally pain-free. Tongue-tie can be treated on the NHS – you should ask your midwife for details. Do note, however, that a tongue-tie only needs treating if it is causing a problem. The difficulty for the mother is knowing whether her breastfeeding problems are caused by a tongue-tie or just a bad latch. For this reason, it’s best to seek a second opinion, preferably from your GP.”

YOUR EMOTIONAL WELLBEING IS AS IMPORTANT – DON’T FORGET THAT 56 | The Ultimate Baby Book 2020

WHAT IS THE PURPOSE OF A POSTNATAL CHECK, AND WHAT DOES IT INVOLVE? Dr Anuj Chaturvedi, medical director at HealthClic, says: “Your first check-up will occur between six and eight weeks after giving birth. There may be a lot going on once your little one has arrived, but this is important and a good opportunity to begin the next phase of your life with your GP there to support you. Around six to eight weeks after baby is born, your anatomy will be returning to its non-pregnant state. This check-up is an opportunity for your GP to ensure you are well both physically and emotionally, along with the chance to meet your newborn for the first time. I always encourage new mothers to bring with them a list of questions they might have, and I tend to allow one hour for each postnatal check-up to run through everything clearly so you can leave feeling at ease. Your physical examination will involve being weighed, having your urine checked for kidney function, checking the healing process of any stitches and a discussion about bleeding or periods since delivery. Your doctor will also ask whether you have had a smear test recently and book you in for one if not. Although it is recommended on the NHS to have a smear test once every three years, I recommend my patients have this done annually as there is great evidence to support this being more effective; you are twice as likely to catch early signs of ovarian or cervical cancers. Finally, your GP will need to ensure you are up to date with your own immunisation schedule (including rubella), and you can even have a discussion about your little one’s immunisation schedule, too. Do also expect a discussion about contraception options, even if this isn’t the first thing on your mind. The most important thing is that you are honest and able to relax. Most worries you may be experiencing are normal, but it is always best to speak to your GP openly about them. Even if you are slightly overwhelmed, tired or suffering the baby blues; your doctor can help you take proactive steps. Your emotional wellbeing is equally as important – don’t forget that.”

SOURCES: APTACLUB; TWINSUK.CO.UK; PERFECTPATIENTS.COM, ONS.GOV.UK

WHAT EXACTLY IS REFLUX, AND HOW WILL I KNOW IF MY BABY IS SUFFERING FROM IT?

BIRTH

DID YOU KNOW?

Expert advice Our healthcare professionals talk birth, postnatal checks and newborns

300

IS THE NUMBER OF INDIVIDUAL BONES A BABY HAS AT BIRTH – BY ADULTHOOD WE HAVE JUST 206

Every three seconds a baby is born somewhere in the world

HOW DO I CREATE A SAFE SLEEP ENVIRONMENT FOR MY BABY? Katie Hilton, a qualified nurse, midwife and health visitor, says: “Regardless of whether you are at home, out and about or away with family, good sleep habits are important for your baby’s health and emotional wellbeing. The safest place for baby to sleep in the first six months is in a cot, moses basket or carrycot. Always be sure to place your baby to sleep on her back, with her feet at the foot of the cot. This helps to reduce the risk of sudden infant death syndrome (SIDS). Don’t be tempted to use a pillow; your baby needs a surface that is firm and flat. Position her out of direct sunlight, away from windows, radiators and lamps to keep her at a comfortable temperature. The room temperature should be 16-20˚C. If you find the room is cooler or warmer, dress baby accordingly, and remove or add a layer of bedding if needed. Buy a room thermometer to ensure the room is always the right temperature. Don’t cover your baby with too much bedding or wrap them in lots of clothes. As a rule of thumb, don’t use more than you would yourself, and avoid quilts and duvets until your child is over a year old. Finally, make sure your baby’s sleep environment is smoke-free.”

OF ALL TWINS BORN ARE IDENTICAL

Other questions I want to ask my midwife…

� % OF WOMEN GAVE BIRTH AT HOME IN 2016

BY THE TIME OF BIRTH, A BABY’S BRAIN IS MADE UP OF MORE THAN 10 MILLION NERVE CELLS

10,951 MOTHERS HAD A MULTIPLE BIRTH IN 2015: 10,786 WOMEN HAD TWINS, 160 HAD TRIPLETS AND 5 HAD QUADS AND ABOVE

BIRTH

FOCUS ON

Birth AS YOU PREPARE TO WELCOME YOUR NEW ARRIVAL, WE LOOK AT THE DIFFERENT CHOICES WHEN IT COMES TO L ABOUR s your pregnancy draws to an end, your thoughts will inevitably turn towards the delivery, quite possibly with a mixture of excitement and dread. While some women can’t wait to experience this everyday miracle, others are consumed by anxiety. Yes, childbirth is messy and it hurts and quite frankly anyone who says otherwise is either lying or showing off. But honestly, you just won’t care because it will also be the most wondrous, most exhilarating and most memorable day of your life. From living-room floor to operating theatre, aromatherapy to epidural, there are more ways to bring a baby into the world.

HOME BIRTH If you’re healthy and your pregnancy is low risk, a home birth can offer a safe, relaxing and comfortable place to give birth, with a familiar midwife at your side. Some women also like to hire a doula. In England, around one in 50 babies are delivered in a home birth and for low-risk women who have already had their first child, it’s thought to be as safe as a hospital delivery. If complications arise, you and your baby will be transferred to hospital by ambulance.

MIDWIFERY UNITS AND BIRTH CENTRES For those who would like a non-medical setting but don’t want a home birth, then midwifery units and birth centres, which

58 | The Ultimate Baby Book 2020

are designed to feel more like home than a hospital, can be a perfect ‘halfway house’. Women who give birth in midwifery units and birth centres are less likely to end up having intervention, like forceps or ventouse, than women who give birth in hospital. However, if your centre is not attached to a hospital, you won’t be able to have certain kinds of pain relief, such as an epidural, and you may need to be transferred if complications arise.

HOSPITAL BIRTH During a normal hospital delivery, midwives provide the majority of care. If labour progresses smoothly, you’ll be able to move around, try out different positions and use breathing exercises and relaxation techniques. However, you’ll be safe in the knowledge that doctors, anaesthetists and other professionals are on hand if you or your baby need extra support or pain relief. This can be especially reassuring for first-time mums.

CAESAREAN SECTION Around one in four babies are delivered by caesarean section in the UK. This might be a planned c-section due to known pregnancy complications, or an emergency c-section due to problems that arise during labour, meaning the baby needs to be born quickly. This is usually done using spinal anaesthesia, but in some cases, a general anaesthetic may be necessary. Although c-sections are sometimes perceived to be

the ‘easy option’, they involve major abdominal surgery and recovery can take several weeks or longer. Consultant gynaecologist, Mrs Pradnya Pisal, from London Gynaecology, says, “Caesareans are not without risks, such as infection in the wound or the lining of the uterus, heavier bleeding than vaginal delivery, deep vein thrombosis, and injury to organs such as bowel or bladder, especially if there is history of previous surgery.” In addition, babies are more like to be admitted to a neonatal intensive care until following a c-section birth, so Mrs Pisal says, “Ideally, we recommend vaginal birth unless there is a very good reason to avoid vaginal delivery.”

WATER BIRTH In England, around 30 per cent of women use water or a birth pool for pain relief, and around six per cent of women actually give birth in a pool. Being in water during labour can help you relax and make the contractions seem less painful. Megan Rossiter is the founder of birth-ed, which runs hypnobirthing and antenatal classes throughout the south east. She says, “Birthing in water can encourage a baby into an optimal position, reducing tearing and the chances of intervention such as

BIRTH

PAIN RELIEF Even if you plan to breeze through labour with a scented candle and some Mozart, it’s good to prepare for every scenario. Babies are notorious rule breakers and there is no shame in asking for something stronger.

TENS machines Standing for transcutaneous electrical nerve stimulation, a TENS machine sends small electrical currents into your back via a pair of electrodes. This is thought to reduce the number of pain signals. Although a TENS machine can be useful during early labour, it’s unlikely to make a difference later on.

Gas and Air Also known as Entonox, this is a mixture of oxygen and nitrous oxide gas that’s inhaled through a mouthpiece, so you can control it yourself. It doesn’t stop the pain, but can make it more manageable. There are no harmful side effects, although some women can feel sick or sleepy. In this case, you can simply stop using it.

Pethidine

PHOTOGRAPHY: ISTOCK. WORDS: BECKY DICKINSON

HOME CAN OFFER A SAFE AND COMFORTABLE PLACE TO GIVE BIRTH speeding up labour with a hormone drip or the chance of instrumental birth. Occasionally, women may find that using the pool in early labour slows things down.” Many women feel that giving birth in water provides their baby with a more gentle transition to life outside the womb. The midwife will have waterproof equipment to monitor the baby’s heartbeat and a mirror to check the baby as they emerge. As the baby is brought gently to the surface, they will continue to get oxygen through the umbilical cord until they meet the air.

HYPNOBIRTH Hypnobirthing is a birth education programme that teaches simple self hypnosis, relaxation and breathing techniques with the aim of dispelling fear and tension and helping the pelvic muscles to relax. It’s based on the belief that pain is not necessary and that a woman’s body is perfectly designed to give birth. For the best chance of success, you’ll need to practise the techniques well in advance. You can use hypnobirthing methods to help you feel calm and in control, both at home and in hospital.

Usually injected into your thigh or buttock, pethidine is an opiate that provides stronger pain relief than gas and air and can help you to relax; it does make some women feel drowsy or nauseous. It isn’t recommended if you’re close to the pushing (second) stage of labour as it may make the baby sleepy and slower to feed.

Epidurals If you’d prefer not to feel a thing, an epidural is your best bet. Anaesthetic is injected into your lower back, into the space around the spinal cord, providing almost total pain relief. Epidurals can also be used for caesarean sections or an instrumental birth. If you have an epidural, your baby’s heart will be continuously monitored and you will have a drip inserted into your hand or arm and a catheter inserted into your bladder, giving a more ‘medical’ feel to your baby’s birth. About one in 100 women experience a severe headache or feel sick following an epidural, but more serious complications are rare.

The Ultimate Baby Book 2020 | 59

BIRTH

PUSH PLAYLIST

Baby’s

Music is a great distractration and could even help alleviate anxiety in labour. Could these apt tunes be next on your Spotify playlist?

IT STARTED WITH A KISS

Hot Chocolate Reminisce about how the humble beginnings of you and your partner’s love has led to this moment. A word of warning, though, you’re probably best off playing this early on. Naturally, as labour progresses, you’ll probably want to drag him across the bed and throttle him.

IF YOU LEAVE ME NOW

Chicago The perfect song for mothers and babies who would like things to remain between the two of them for a little while longer. Although singing, “Oooh oh no, baby please don’t go” at the top of your lungs may give your midwife cause for concern.

UNDER PRESSURE

Queen & David Bowie Ahem. Not only does this pay homage to one of British pop’s greatest collaborations of all time, but you have to admit, the lyrics are pretty spot on, too.

PUSH IT

Salt-N-Pepa For when you need that extra bit of encouragement in the second stage – it may well raise a smile ever so fleetingly before the next contraction knocks it right off your face.

I’M COMING OUT

Cotton-blend bodysuit £25, thenatty.co

Cotton jersey babygrow £48, stellamccartney.com

60 | The Ultimate Baby Book 2020

PHOTOGRAPHY: ISTOCK. WORDS: SALLY COFFEY

TIME TO SHOP:

BABY SLEEPWEAR

Diana Ross Let baby’s entry to the world be all-singing and all-dancing with this epic disco tune that will have everyone in the birthing room singing along.

Cotton-bamboo blend pyjamas £31.50, babymori.com

Cotton winter sleep suit £55.99, ergopouch.co.uk

Harrods of London cashmere playsuit £99.95, harrods.com

BIRTH

To treasure Be sure to capture those precious early days. Photographers usually recommend a newborn shoot takes place between five and 12 days old

athing a new baby is a daunting task that many find stressful in the beginning. After all, wrestling with slippery babies and cold bathroom floors is rarely covered in the parenting manuals! • Be prepared Before you start, make sure you have everything you need to hand. You’ll need a soft, warm towel, nappy changing items, something to kneel on, a changing mat and liner, plus clothes to dress baby in. • Check the temperature Make sure the room is warm enough, and check the water is around 37˚C. Give it a swirl to disperse any hot spots and don’t overfill – a few inches of water is fine. • Gently lower baby in to the bath The trick to keeping baby happy is minimising discomfort, often caused by being cold. When you undress her, start at the bottom. Remove her nappy and clean her bottom, then remove the rest of her clothes and move to the warm water. Use one arm to support baby’s shoulders and neck, and hold the outside arm with your hand. Place your other hand under the bottom and lower gently into the bath. Once secure, remove that hand and use it to scoop water onto her body. Maintain eye contact to comfort – and enjoy the moment. Bath time really can be the best part of the day and if you’re relaxed, baby will be too. Remember to keep it short – babies can lose body heat quickly, so five minutes is fine.

HELEN BARTLETT helenbartlett.co.uk

BOGGIO STUDIOS boggiostudios.com

SUZI MITCHELL littlewhitephotography.co.uk

Cotton all-in-one £14, mamasandpapas.com

Cotton all-in-one £21.99, kitandkin.com

SUE GREETHAM suegreetham.com Aden + Anais sleeping bag £40, naturalbabyshower.co.uk

Cotton sleepsuit £14, newbiestore.com The Ultimate Baby Book 2020 | 61

BIRTH

Say what?

From ‘magical’ to ‘shocking’ and everything in between, these stars reveal how labour and birth really are different for everyone “Before I had Rex, I was excited, but not prepared for how it would all take place. With Honey, I took the time to do hypnobirthing, and the experience was magical. I had her in the water and the breathing techniques allowed me a completely different experience to my first.”

Me & my baby

FEARNE COTTON, TV AND RADIO PRESENTER, AND MOTHER TO REX AND HONEY

“I was excited, but a little apprehensive, as however many books you read, nothing can quite prepare you for labour. Both my babies presented ‘back to back’, which was complicated – but having my amazing midwife, Jenny Smith, on hand meant I was able to deliver naturally both times.”

How I feel…

KATE SILVERTON, NEWSREADER AND JOURNALIST, AND MOTHER TO CLEMENCY AND WILBUR

“I spent a huge amount of time learning about deep breathing and contractions and less time talking about changing nappies. The birth only lasts a matter of hours – the aftermath goes on a lifetime.” RICHARD CURTIS, WRITER, DIRECTOR, AND FATHER TO SCARLETT, JAKE, CHARLIE AND SPIKE

“When I had a tough birth with my son, I felt shattered both physically and emotionally, as I had had high expectations, and when those didn’t materialise, it hit me hard. When it came to Willow, I felt more prepared for the tough time that might come my way, so mentally I was stronger.”

“With things like labour, some people don’t want to hear the bad stories, but personally, I wanted to know what was going to happen to me.” ZOE HARDMAN, TV AND RADIO PRESENTER, AND MOTHER TO LUNA AND KIT 62 | The Ultimate Baby Book 2020

PHOTOGRAPHY: HELENE SANDBERG

NATALIE PINKHAM, TV PRESENTER, AND MOTHER TO WILF AND WILLOW

ADVERTORIAL

A Chair for Life CRE ATED TO OFFER FREEDOM OF MOVEMENT AND BRING BABY CLOSER TO THE TABLE, WE LOOK AT THE STORY BEHIND DESIGNER Peter Opsvik ’s NOW ICONIC TRIPP TR APP

ack in 1972, when Norwegian furniture designer Peter Opsvik noticed that his son’s highchair wasn’t able to fit around the dinner table, thus excluding him from family mealtimes, he set about creating the Tripp Trapp. The chair was considered revolutionary – adjustable, sleek in design, and able to change with the size of his son as he grew bigger. And over the past 47 years, it’s been heralded as one of the most iconic pieces of Scandinavian furniture ever created. Brilliant in its simplicity, and designed for every stage of childhood and beyond, millions of children around the world have grown up using this innovative chair. The intelligent design allows for freedom of movement with both its depth and height-adjustable seat and footplates, and when adjusted correctly, your child is ensured a comfortable and ergonomic seating position at any age. What makes this chair especially unique, however, is the effortless quality of interaction it can bring to family life. The Tripp Trapp

The Tripp Trapp encourages interaction around the table

enables children to fit right up to the dining table, where they can eat together with their parents and siblings. The effect this can have on a toddler as they’re growing is hugely impactful on their early development, promoting bonding, fostering connections, and ensuring children feel safe and secure. “It is common in Nordic cultures for the family to share mealtimes,” says Peter Opsvik. “I am a strong believer in the values of ‘life around the table’ and to allow children and adults to interact.” Whether you buy the Tripp Trapp for your child or for yourself, the chair is designed to be extremely durable and to last for life, made from solid European Beech, Oak and Ash, with a seven-year warranty. Families can customise their Tripp Trapp and make it their own if they wish; Stokke also offers a complimentary name-engraving service in its London Westfield store and online. The chair comes in 13 different colours, too, and has a comfortable cushion collection in different patterns and shades. Launched in 2018, the Tripp Trapp Ash is raising the bar when it comes to modern Scandinavian furniture design. Made with premium Ash wood, which has been chosen for its high quality and rich look, the densely veined wood of the ash tree reveals multidimensional rings in both pale and deep tones, creating a unique swirled marble effect on each chair. To enhance the intricate pattern of the ash grain, the chairs have also been finished with a sophisticated matte lacquer in on-trend taupe. What’s more, Stokke’s iconic highchair also comes with a

A specially designed soft cushion makes sitting in the Tripp Trapp even more comfortable

range of accessories that enhance its usage and convenience for families. For parents who love to stay organised, Tripp Trapp storage is perfect for small spaces, neatly holding bibs, utensils and mealtime must-haves and keeping them all within easy reach. As your little one grows into a toddler, they’ll love keeping all their art, homework supplies and games in their favourite chair, ready to use whenever they’re at the dining table. Other accessories in the range include a newborn set, which is designed for interaction from birth, with a five-point safety harness and soft shoulder pads for added comfort. The Stokke Tray is robust and brings baby right to the table, while the Munch set features ergonomically designed cups and utensils that encourage self-feeding, including a bib, antidrip bowl and sippy cup with a non-slip base. With a long history behind it and, undeniably, a healthy future to look forward to, it’s little wonder the Tripp Trapp has been hailed as a ‘chair for life’, set to be a part of happy families for generations to come. Find out more about the Tripp Trapp at stokke.com

The Ultimate Baby Book 2020 | 63

RUNNING HEAD

66 | The Ultimate Baby Book 2017

RUNNING HEAD

� �

Life with a newborn

ABOUT ME & MY BABY How I’m feeling:

Best bits: Worst bits: First bath:

First smile:

Average number of nappies per day:

The Ultimate Baby Book 2017 | 67

0-12 WEEKS

What to expect

Your baby… Your baby is likely to arrive home in a car seat, but once home, she needs to sleep flat on her back. She will need to be with you for the first few weeks, at least, rather than in a room on her own. Newborn babies are often very noisy. Their airways have been filled with fluid while in the womb and, although most of this will have cleared with the first few breaths, there tends to be a lot of coughing, snuffling and sneezing in the early days, as she tries to clear the remaining fluid. Although the sounds are sometimes worrying for mothers, babies are very adept at clearing their airways. Many mums worry about their babies choking on their spit up if they put them to sleep on their backs, but babies turn their heads to the side to vomit, even during their sleep. The first couple of weeks is usually a magical time. Providing baby is well, she will spend most of the time sleeping, waking every three to four hours for a feed. After a feed, she will spend a short amount of time awake before

68 | The Ultimate Baby Book 2020

falling asleep again. Don’t worry too much about getting your baby into a routine in these early weeks. Do encourage her to have a good feed, though, and not fall asleep on the breast or bottle as she won’t have taken much in and will wake after a short period to feed again. The umbilical cord stump will usually fall off when your baby is seven to 10 days old; keep it clean with cooled boiled water and cotton wool until then. A newborn’s nappy may need changing 10 to 12 times a day. At around two weeks, baby will start to wake up, becoming more fun but also more demanding. You will have to wind her after every feed, and she may develop colic or reflux. At around six weeks your baby will finally give you a well-earned smile, start to go longer between feeds and you will both have a postnatal check with your GP. At eight weeks baby has her first set of immunisations, and around this time she will be able to hold her own head up, unsupported.

PHOTOGRAPHY: ISTOCK. WORDS: MARINA FOGLE AND DR CHIARA HUNT

and you • The first night at home with your baby is a whirlwind of emotions. You’re proud, relieved and happy, but also thoroughly exhausted. Encourage your partner to be with you during the night feeds when you might be feeling nervous and out of your depth. • During the first few days your baby might lull you into a false sense of security by sleeping lots and feeding the whole time. Be mindful that around days three to five your milk comes in and the ‘baby blues’ can hit, so be prepared for a flood of unexplained emotions – one minute you might be feeling elated, and the next, totally overwhelmed. • You are also likely to be feeling extremely tired, so make sure you sleep when your baby sleeps during the day. But remember, the fear of severe fatigue is often far worse than the reality, so try not to worry about it too much. • You may also feel teary for no reason, sweaty at night (which is to do with the hormonal changes as your milk comes in), and horrified by the way you look naked. Leave it a few weeks and the view will be a lot better! By six weeks you should get the green light to start gentle exercise, and six weeks is also the time when many mother describe feeling ‘human’ again. By 12 weeks, a corner is well and truly turned.

ADVERTORIAL

CAN I RETURN TO SPORT NOW?

Caoimhe McNamara, SPECIALIST WOMEN’S HE ALTH PHYSIO AT SIX PHYSIO, DISCUSSES RETURNING TO SPORT AF TER HAVING A BABY

“

hen can I get back to tennis?”, “Am I able to play netball this month?”, “Am I OK to run this week?” These are very common questions that we get asked by new mums. With the benefits of sport and activity being so well documented, it is always a great goal for us, as physios, to help our patients to achieve. After having a baby, these goals are still within reach. However, it is important to be aware that your body has been on a challenging journey and extra steps may be needed to return back to sport safely.

CONSIDER A PELVIC FLOOR MUSCLE ASSESSMENT BY A SPECIALIST WOMEN’S HEALTH PHYSIOTHERAPIST Our pelvic floor muscles are a layer of muscles that support the pelvic organs and span the bottom of the pelvis. After having a baby, it is weak and injured in most women. When performing high-impact activities like running, jumping, skipping, the physical force of landing passes through the lower limb and pelvic floor as the foot strikes the ground. This strain on the abdominal muscles and pelvic floor can be too much for the weak muscles to control and you can become symptomatic with leaking of urine, a pelvic organ prolapse and back pain.

It is important to be able to perform a correct pelvic floor muscle contraction – regardless of how you have delivered your baby, and especially if you did not train these muscles before giving birth. A women’s health physiotherapist will assess the pelvic floor strength and control, teach you how to perform a correct muscle contraction, and set a personalised strengthening programme.

CORE STRENGTH ASSESSMENT During pregnancy, the abdominal muscles are stretched as the baby grows. This can sometimes lead to a stretching of the outer abdominal muscles – called diastasis rectus abdominis. Two-thirds of pregnant women will experience this but our core strength depends on good control and strength of these muscles around our abdomen and also our lower back and hips. It is recommended that an assessment of these muscles is completed prior to returning to higher impact activities. This is quite often done

PHOTOGRAPHY: ISTOCK

Before you get back to serving up an ace, make sure you have a sport assessment

together with a pelvic floor assessment at a six-week postnatal assessment.

FUNCTIONAL ASSESSMENT Returning to sport after time off should always be preceded by a return to sport assessment. Quite often, it may be close to a year between the pregnancy and postnatal period before you are feeling able to return to your sport, so identifying areas that may put you at a risk of injury is key! Functional assessments look at your control and strength in various movements to ensure that your key muscle groups are prepared and strong enough to return to your particular activity.

GRADUAL LOAD PROGRESSION Return to running and other high-impact activities is not advisable in the first threemonth postnatal period, and beyond if there are any symptoms of pelvic floor dysfunction. • We recommend a low-impact exercise routine in the postnatal period, with a return to impact exercises from three to six months postnatally at the earliest. An example of a gradual load progression would involve starting with walking for cardiovascular exercise, then the introduction of functional activities like squats and lunges. • The next progression would involve low-impact exercises such as static cycling, swimming if wound healing is complete, power walking, and building on your functional strength programme. Remember, you need to be strong to run – and so consider building up your lower limb, core strength and general cardiovascular strength in alternative ways, until your body is ready. • Once you have the green flag to get back to higher impact activities, consider the ‘couch to 5km’ app for a guided return to running. Six Physio are experts in physio, massage, machine-based Pilates, plus a range of specialist services, including women’s health physiotherapy. Find out more at sixphysio.com

The Ultimate Baby Book 2020 | 69

Start Your Adventure

Sleep&Go

Bedside crib - Travel cot - Playpen

Part of the

family

0 - 3 Years

micralite.com

0-12 WEEKS

The wish list

From sleep essentials to nursing accessories, these baby basics

I would like… 1

Close Parent breast pads £10.95, naturalbabyshower.co.uk

Water Wipes (pack of 60) £2, boots.com

SnüzPod 3-In-1 Bedside Crib £179, buggybaby.co.uk

Skip Hop bath tub £40, jojomamanbebe.co.uk

Cam Cam Copenhagen quilt £49, bonordic.co.uk

Gold-plated necklace £119, mercimamanboutique.com

Leather changing bag £199, jemandbea.com

Nursing top £26, jojomamanbebe.co.uk

Joie 2-in-1 Sansa rocker £150, johnlewis.com

Liewood cotton comforter £16.50, scandiborn.co.uk

Colief infant drops £19.99, boots.com

Harrods of London cotton mittens £9.95, harrods.com

Baby Nappy Cream £4, childsfarm.com

Rocking nursing chair £795, olliella.com

Velour babygrow £68, mariechantal.co.uk

Dreami Moses basket £134.95, shnuggle.com

The Ultimate Baby Book 2020 | 71

RUNNING HEAD

WHAT ARE THE BEST FOODS TO BE EATING AS A NEW MUM?

I WANT TO TRY EXPRESSING MILK. HOW EARLY CAN I DO THIS AND WHAT ADVICE WOULD YOU GIVE TO GET STARTED?

when you need to make sure you’re eating well, it’s during those first few months after your baby is born. Here are my top 10 tips for a healthy diet: • Drink plenty of water – more than usual. Breastfeeding can cause dehydration. • Go easy on the tea and coffee. It can affect baby’s sleep (gulp!) and the caffeine can make you feel even more anxious. • Eat regularly, especially after you’ve had a nap when your blood sugar will naturally dip. Snack on full-fat natural yogurt with seeds, nuts and fruit, or oatcakes with coconut oil. • Try to consume oily fish several times a week, or take a supplement to promote a healthy mind and ensure your breast milk is rich in DHA for baby’s brain development. • It’s easier said than done, but try to resist sugar. It’s tempting when you’re emotional and tired, but it can make your baby gassy and will give you terrible blood-sugar spikes, leading to unsteady emotions. • Eat lots of slow-release carbs such as lentils, chickpeas and beans. A quick lunch idea is a tin of chickpeas, tuna, salad leaves and tomatoes with some olive oil, salt and lemon. • Have eggs for breakfast, or something high in protein or slow-release carbs, such as porridge with full-fat milk. • Eat meat and fish if possible, with lots of vegetables, including dark leafy greens. • Limit your alcohol to a few glasses a week. Wait until you’ve finished breastfeeding for the evening in order to limit the amount of alcohol in your breast milk. • Don’t restrict calories! You’ll lose weight naturally if you eat normally and healthily.”

WHEN CAN I START GETTING BACK INTO EXERCISE, AND WHAT AM I SAFE TO DO? Camilla Lawrence, lead women’s health physio at Six Physio, says: “For the first six to eight weeks, focus on gradually getting back to walking, start small with five- to 10-minute strolls, and slowly increase the distance over a few weeks. Also get going on your pelvic floor exercises; try doing them every time you feed your baby. If you’re struggling with these or any incontinence or prolapse symptoms, be sure to talk to your midwife or visit a women’s health specialist. At around six to 12 weeks, after your six-week check, start working on rebuilding your core strength with a specialised personal trainer or postnatal Pilates or yoga class. You can also start to increase your cardiovascular exercise but still keep it low-impact at this stage (for example, fast walking, swimming, cycling or using the cross trainer). When your baby is three months old, continue building on your core strength and conditioning work, and if you’re pain free with no pelvic floor problems, you can start returning to impact exercise again, such as jogging, aerobics, tennis and netball. I always advise getting a full postnatal body check by a women’s health physio from six weeks post-partum. This should include a detailed assessment of your posture, back, pelvis, pelvic floor and abdominal muscles, identifying any problem areas and how to fix them. They’ll also give you a safe and individualised programme to help get you back to the fitness levels you want.”

SUGAR IS TEMPTING WHEN YOU’RE TIRED – BUT IT CAN MAKE YOUR BABY GASSY 72 | The Ultimate Baby Book 2020

Sioned Hilton, Lactation expert for Medela UK, says: “Wait until after your baby has her three-week growth spurt, so ideally from four-weeks postnatal. The early weeks are key to getting your breastfeeding established with lots of practise and support to build and maintain milk supply. However, if baby is not feeding well or either of you are experiencing difficulties, it might be advised that you express to assist during this phase. Please seek advice from your midwife, or breastfeeding support group. Mums with babies who need hospitalisation need to express from birth to initiate and build supply in preparation for when baby can breastfeed. As for when to express, there’s no right or wrong time – it’s based upon your baby’s feeding pattern. Have realistic expectations that if you feed baby often, every one to three hours, your supply is fine tuned to meet their needs and you may not have much milk available for spare. If you’re away from your baby, or your partner is giving a feed, you can express at this time. Remember the night feeds are critical for milk production – so if you’re not feeding while your partner helps out, ensure you pump to regulate milk supply. Choosing the right pump for your demand is important, so make sure you research the options. A double pump is the most time efficient, whilst research also supports that when you express both breasts simultaneously you get an average of 18 per cent more milk than when you single pump. However, a single pump is an ideal option if you express occasionally when the majority of the feeds with baby are on the breast. Here are some of my expressing tips: • Find a time suitable for you both – early morning, mid-afternoon is a good start • Pump only one breast initially just in case baby wakes earlier than expected, once you have more idea of time and patterns you can express both breasts • Relax and put your feet up • Pump when baby is feeding from the other breast • Set a comfortable vacuum and check breast shield size – a shield too big or small can hinder milk flow • Be realistic in volumes. Ranges vary between 54-234mls of milk per feed – a few ounces are amazing if your baby feeds often.”

SOURCES: REDCASTLE.FR; THE BABY SHOW; ONS.GOV.UK; TOMMY'S; CHANNEL MUM; BEPANTHEN

Melanie Lawson, founder of Bare Biology, says: “If there’s a time in your life

0-12 WEEKS

DID YOU KNOW?

Expert advice

IS THE NUMBER OF HOURS NEWBORNS CAN SLEEP IN A DAY

1 in 3

NEW PARENTS FEEL UNDER PREPARED FOR THEIR NEW ARRIVAL

OLIVER HAS BEEN THE MOST POPULAR BABY BOY NAME SINCE 2013

WILL CAFFEINE IN COFFEE AFFECT MY BREAST MILK? Professor Amy Brown, author of The Positive Breastfeeding Book, says: “There are no set rules as to how your baby will be affected by caffeine. Like adults, some babies are more affected by it than others. Caffeine does transfer to your breast milk, but the good news is, not in huge amounts. Although it varies slightly, only around one per cent of what you drink goes to your milk. So, if you’re having one or two small cups of coffee, it’s unlikely to affect your baby. Peak levels can be found in your milk roughly an hour after consumption, so if you like a morning coffee, drink it after a feed. Babies are more able to deal with caffeine as they get older. Very young babies can take more than 80 hours to metabolise caffeine, so newborns might be affected. However, as they develop, they get better at it: by the time they’re six months old, they’ll metabolise caffeine in as little as two to three hours. If your baby is affected by caffeine, they’ll be fussy and likely to not sleep well. Of course, this is all behaviour interpretation: it could be down to any number of things, even simply being a baby. If you’re worried, try cutting it out for a week and see what happens. With any luck, it won’t be the caffeine.”

��

Other questions I want to ask my midwife…

OF MUMS HOPE FOR A GIRL, WHILE 13% WANT A BOY

60,000

BABIES ARE BORN PREMATURELY IN THE UK EACH YEAR

HALF OF WOMEN FEEL PRESSURE TO ‘BOUNCE BACK’ IN JUST TWO MONTHS

0-12 WEEKS

FOCUS ON

Breastfeeding FEEDING EXPERT Clare Byam-Cook TALKS BET TER SUPPORT FOR NEW MOTHERS, AND HOW YOU CAN FIND THE RIGHT L ATCHING TECHNIQUE FOR YOU aving taught breastfeeding classes since 1989, it continues to surprise me that the UK still has one of the lowest breastfeeding rates in the Western world. Statistics show that about 30 per cent of women won’t even attempt to breastfeed their babies, and of the 70 per cent who do try, roughly half of them give up within the first six weeks. Numerous surveys show that these mothers are giving up because they find it too painful or difficult, rather than because they are unaware of the health benefits.

SUPPORTING NEW MOTHERS I wholeheartedly believe we ought to be more realistic when teaching breastfeeding in antenatal classes so there is less emphasis on discussing the benefits of breastfeeding and more on teaching mothers how to do it and what to do if things go wrong. There seems to be a fear that if we discuss all the potential breastfeeding problems that might arise, mothers will be put off from even trying. Unfortunately, this policy means most mothers assume that because breastfeeding is natural, it will also be easy. It then comes as a shock if they find it difficult and worse still, they have no idea how to overcome common problems such as sore nipples or difficulty in latching. I also think it’s important to give mothers more information on all the breastfeeding aids that have been designed to enhance the whole experience. And finally, we should abandon the ‘all or

74 | The Ultimate Baby Book 2020

nothing’ approach, which leads mothers and many health professionals to believe that it’s either breastfeeding exclusively or not at all. Surely it’s better for those mothers who are struggling to try combination feeding, rather than feeling that if they give even one bottle of formula to their baby they have failed and should give up breastfeeding completely.

FINDING THE RIGHT TECHNIQUE FOR YOU AND YOUR BABY The main reason why many mothers find it difficult to latch is because breasts come in all shapes and sizes. Large breasts with flat nipples make latching harder than small breasts with prominent nipples. In the past, midwives used to show mothers how to shape their breast to make it easier for their baby to latch on, but nowadays mothers are told that they must leave their baby to do it alone. The current thinking is that the mother should align her baby’s nose in front of her nipple and then wait for her to open her mouth wide and latch on of her own accord. The problem with this is that many babies don’t open their mouths wide enough, so they either struggle to latch on at all, or end up sucking on the nipple rather than on the breast – and this hurts! When your baby is latched on correctly, her sucking should not hurt at all. Another bonus of a good latch is that it makes it easier for your baby to ‘milk’ your breast, which means she can feed quickly and efficiently, so feeds

LATCHING TECHNIQUE TO TRY AT HOME If the ‘nose-to-nipple’ approach isn’t working for you, you might like to try this simple technique which I teach my clients. This involves making your breasts smaller, rather than expecting baby to open her mouth wider, using the same principle as trying to post a large parcel into a small letterbox – if the opening is too narrow, you have to squash the parcel to make it fit! This is how you do it: • Place baby on a pillow so she is level with your breast and has her mouth (rather than her nose) in front of your nipple. • Slide your hand underneath your breast and place the balls of your thumb and middle finger level with your nipple, on the outside of the areola. • Gently squeeze your breast until your nipple protrudes. • Brush your nipple against your baby’s lips until she opens her mouth, then bring her swiftly to the breast so you get as much areola as possible into her mouth. I like to call this the ‘shape-andshove’ technique!

0-12 WEEKS

Mama Mio Keep Calm Nipple Balm, £12, jojomamanbebe.co.uk

Moonlight nightlight, £29.95, shnuggle.com

Lansinoh breast therapy packs, £12.99, mothercare.com

PHOTOGRAPHY: ISTOCK

FOR MOST NEW MOTHERS, BREASTFEEDING PROBLEMS ARE ONLY TEMPORARY will often become shorter. I recommend that you do your research before baby is born. Read books which reflect the way you would like to breastfeed your baby and keep an open mind about things like feeding on demand versus a strict routine. You may well change your views once your little one is born! Ask other mothers if they are able to recommend any equipment that they found helpful, such as breast pumps and nipple shields, and ask for their recommendations for good breastfeeding counsellors or drop-in

clinics in your local area. If the experts, such as your midwife or health visitor, can’t show you how to breastfeed successfully, please don’t feel a failure if you give up. The most important thing is that your baby is well fed and that you are both happy. Most importantly, try not to give up on the whole process too soon. For most new mothers, breastfeeding problems are only temporary, and if you can work your way through them, you and your baby will eventually have many happy months of breastfeeding ahead of you.

Freestyle Flex electric breast pump, £349.99, medela.co.uk

What to Expect When You're Breastfeeding... And What If You Can’t?, £12.99, amazon.co.uk

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NURSE & CHILL

When those late-night feeds dawn, make sure you’ve got something to watch. Here are our box-set picks for your viewing pleasure

Swim time Paul Thompson, founder of Water

taking to the pool with your little one

THE GREAT BRITISH BAKE OFF Watch every BBC series of this ultimate feel good reality show on Netflix. When the biggest drama is whose cake will have the soggiest bottom, life feels a whole lot easier.

PEAKY BLINDERS

In post-WW1, Birmingham ex-soldier Tommy Shelby and his notorious family will stop at nothing for power. By order of the Peaky Blinders, this gripping drama is now on Netflix – not for the faint-hearted.

THE CROWN

All hail Olivia Coleman as she leads a whole new cast in the next instalment of this sumptuously juicy biographical depiciton of Elizabeth II.

CATASTROPHE

Sharon Horgan and Rob Delaney portray two single people who become a couple after they fall pregnant following a fling on a business trip. A truly modern romance.

THE POLITICIAN

TIME TO SHOP:

BABY MONITORS

Poking fun of privilege, this Netflix comedy follows young and naive Payton Hobart in his strive to become high school president, with the help of his mother, Gwyneth Paltrow.

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Motorola MBP36XL Video Baby Monitor £118.99, preciouslittleone.com Arlo Baby ABC1000 Monitor from £140, amazon.co.uk Audio Baby Monitor 400 £29.98, shop.bt.com

Summer Infant Babble Band Wearable Audio Monitor £39.99, mothercare.com

0-12 WEEKS

Little bundles No longer just for swaddling, these multipurpose muslins are perfect for everything, from crib sheets to breastfeeding scarves

id you know, babies have the natural ability to swim? This is due to two intelligent reflexes: the swimming reflex; and the dive reflex. The former means baby will move her arms and legs in a swimming motion when supported in the water tummy-side down; the latter means your baby can hold her breath and open her eyes while underwater. These reflexes are strongest in the first six months of life. The NHS advises you can take your baby swimming any time before and after her immunisations – so it’s never too soon to get her in the pool, as long as the water’s warm enough (above 30˚C for a baby older than 12 weeks or heavier than 12lb, and 32˚C if they’re younger or smaller). Baby swimming originally evolved out of a desire to ensure they were safe and confident in water. However, the exercises used to teach this confidence – gentle rocking, reaching for objects, kicking movements and learning to respond to commands – also provide stimulation for your baby’s brain. In the first year of life, the brain develops more rapidly than at any other time, and swimming with your baby can have an extremely positive effect on this development – even more reason to take to the water with your little one as early as possible.

BEST FOR: A RANGE OF PRINTS adenandanais.co.uk

BEST FOR: GIFT SET ettaloves.com

BEST FOR: INTERIORS camcamcopenhagen.com Cherish C525 Smart Baby Monitor £149.99, kodaksmarthome.co.uk

BM6000 Baby Monitor £249.99, vtech.co.uk

BEST FOR: SUSTAINABLE BUYS babymori.com Sloth E-zzy Monitor £99.99, whisbear.co.uk

The Ultimate Baby Book 2020 | 77

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Say what?

A tiny baby brings with it a rollercoaster of emotions – as these celebrities will attest Me & my baby

“There’s a sense, in fatherhood, that everything you’ve done has been a lead-up to this. I’m enjoying magical moments every day, and it’s more than I could ever have wished for.” DECLAN DONNELLY, TV PRESENTER, AND FATHER TO ISLA

“Before you become a parent, the idea of having children is so overwhelming that it can feel like you’re reaching the end of something. But I see being a mum as a totally different adventure.”

How I feel…

“I think that first week was the most love I’ve ever felt. And because I was with all my family as well, having everyone together at once, and then celebrating this new little person being in the world, it was just a really lovely time.” GEORGIA JONES, MODEL, AND MOTHER TO COOPER

“Dads, do everything you can to be as free as you can for at least two weeks after the baby is born. There are lots of reasons: because it’s great, because you’re needed, but most of all, because that’s the time when you learn what a child is.”

RICHARD CURTIS, WRITER, DIRECTOR, AND FATHER TO SCARLETT, JAKE, CHARLIE AND SPIKE

“The first week was amazing – we were just in a baby bubble, napping; I was feeding her… it was just a really, really amazing time, and I embraced it all. I don’t think I even washed my hair. I was just in my pyjamas having lots of cuddles.” TAMARA ECCLESTONE, MODEL, AND MOTHER TO FIFI 78 | The Ultimate Baby Book 2020

PHOTOGRAPHY: GETTY IMAGES EUGENE GOLOGURSKY/STRINGER; BRETT COVE/ZUMA PRESS/PA IMAGES

HELEN SKELTON, TV PRESENTER, AND MOTHER TO ERNIE AND LOUIS

Looking for that perfect gift? Here at Isaac Anthony we offer a full range of Premature & Newborn sizes up to 3 years. All of our products are made from beautifully soft organic cotton that is kind to delicate skin. Best for your baby. Made to last. Choose organic. www.Isaac-Anthony.co.uk

RUNNING HEAD

82 | The Ultimate Baby Book 2017

RUNNING HEAD

Development and settling in

ABOUT ME & MY BABY How Iâ€™m feeling:

New milestones:

Sleeping progress: We like to:

The Ultimate Baby Book 2017 | 83

3-6 MONTHS

What to expect With motherhood now in full swing, here’s what’s going on with you and your baby

Your baby… You’ll notice so many changes in your baby now, and it’s crazy to think how much she has grown from the newborn you brought home just 12 weeks ago. Your baby should now be able to hold her head up and face forward in a baby carrier – which they generally love, so try to get out on family walks as much as you can. During these next three months your baby will experience her fair share of vaccinations. At 12 weeks she will have her second set, which includes the second dose of DTaP/ IPV/Hib (she would have had her first dose at eight weeks – this injection is for diphtheria, tetanus, whooping cough, polio and haemophilus influenzae type B), a meningitis C injection and her second oral dose of the Rotavirus vaccine, which protects against the diarrhoea and vomiting illness. At 16 weeks she will have her third dose of DTaP/IPV/Hib and her second dose of Pneumococcal, which protects against pneumonia. Bear in mind that

84 | The Ultimate Baby Book 2020

your baby might still be grizzly for up to 48 hours after administration. At around five months you will notice a real change in your baby’s character, as she starts to squeal with laughter. This can feel rewarding but also reassuring that you’re doing a good job. She will also show her strength as she begins to push herself up on her arms. Babies become more aware and start to show a real interest in toys and mirrors. Once your baby is six months old she should start eating solids. Most babies love the new tastes and textures, and once she is established on three solid meals a day, she will need less milk and will initiate a slowing down process. It’s also around this time that she will get her first tooth – although some get teeth as early as two months and some as late as 10. At around six months your baby will probably be able to sit up unaided. Remember to enjoy this magical time when they can play, but not move!

PHOTOGRAPHY: ISTOCK. WORDS: MARINA FOGLE AND DR CHIARA HUNT

and you • By month three, many mothers have started introducing a gentle routine for themselves and baby. This can make your life easier and will encourage your baby to sleep for longer at night. • You may have your first period since having a baby during these months. This varies from woman to woman, and is often longer for women who have breastfed for longer. If you haven’t breastfed at all, your period will probably have returned by three months. • Many mothers stop breastfeeding during these three months, but whether you decide to stop at three months or three years, it’s always a good idea to have a plan in place to gradually reduce it rather than going ‘cold turkey’. Stopping breastfeeding too quickly increases the chances of mothers developing mastitis. • You might start thinking about having sex again at this time, but don’t forget about contraception.

T TES ED

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86 | The Ultimate Baby Book 2020

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3-6 MONTHS

The wish list

From dreamy nursery additions to practical mother and baby buys, add these stylish pieces to your shopping list I would like… 1

Sophie la Girafe teether £15, mamasandpapas.com

Wooden play gym £72, oskoe.com

Cotton bodysuit £29, thenatty.co

Olala Boutique night lights £49.50, kidly.co.uk

Metanium Nappy Rash Ointment £3.15, boots.com

Tripp Trapp high chair £178, stokke.com

Baby K’tan Original Wrap carrier £50, kidly.co.uk

Colief Baby Scalp Oil £5.98, amazon.co.uk

Baby Wash £4, childsfarm.com

Bouncer Balance Soft chair £139.99, babybjorn.co.uk

ergoPouch sleeping bag £26.95, naturalbabyshower.co.uk

Go Everywhere Mat £65, avery-row.com

Silicone teether £9.99, matchstickmonkey.com

Ewan the Dream Sheep soother £29.99, argos.co.uk

Nursing top £115, ricialondon.com

Nelsons Teetha Teething Granules £4.59, boots.com

The Ultimate Baby Book 2020 | 87

RUNNING HEAD

HOW CAN I HELP MY THREE MONTH OLD TAKE A NAP ON HER OWN?

six-month-old babies will sleep for around 15 hours a day, including regular naps throughout. During the day your baby ideally needs three sleeps totalling no more than five hours. The key is for us as parents to notice when they are tired. With a young baby, I suggest you lay her on her play mat, sit and chat to her for a while and then let her be stimulated by the toys hanging above her. Signs she is ready for a nap include baby ‘cycling’ her legs (this is the first sign of becoming tired), next she will start to clasp her hands and try to rub her face. She will then start to get vocal and begin to moan and groan, and finally she will start to shout. The key is to notice these signals and take her to her moses basket or cot to sleep at the stage when she starts to moan a little. Don’t wait until she is shouting, as this is when she will be overtired. Take her to a designated place to sleep – her nursery or a quiet room. Ensure it is dark. This is a signal to baby that sleep is needed. I truly believe that to swaddle a baby allows her to rest and relax without her hands attacking her face. Babies also like the comfort of being wrapped up – it gives them a sense of security, but this a personal choice. Place her in her cot (after a nappy change, if needed) and then leave her to settle to sleep. If your baby is settling herself to sleep at 8pm, she is able to do it during the day. You might find that she moans and shouts for a short period of time, but she will then sleep. The key is you notice the ‘window of tiredness’ – this tends to be 90 minutes after first waking in the morning, 30 to 60 minutes after the lunchtime feed, and at 4-5pm in the afternoon.”

I’M PUTTING MY SIX MONTH OLD INTO NURSERY, WHAT CAN I DO TO REDUCE THE CHANCE OF HER PICKING UP COLDS? Gillian Stewart, baby and child consultant and founder of Little Routines, says: “Reducing the spread of germs in a nursery setting is difficult. Infection spreads very easily as there are a large number of children in a concentrated area, plus kids are not good at blowing their noses or washing their hands! Many babies are especially vulnerable because of their underdeveloped immune system. But, it’s important to remember that little ones do need to catch the occasional bug so that they can start to build up their immune system to help them fight germs in the future. You’ll be relying on the policies of the nursery to ensure that the best hygiene practices are being followed. To help her, I believe the two most important things are a healthy diet and good quality sleep. Alongside her milk, encourage her to eat a varied diet with lots of fruit and vegetables, which contain essential vitamins and minerals to keep her body strong and help fight any infections. An overtired baby will be much more susceptible to infection, so try to ensure she sleeps well during the day and at night. Lastly, it’s really important that their recommended vaccinations are all up to date. Everyone is responsible to help reduce the spread of infection, but ultimately it’s inevitable that children who are at nursery will catch more colds than those who stay at home. But don’t worry as colds never last long, and after an initial few days of feeling miserable, children bounce back really quickly!”

SIGNS SHE IS READY FOR A NAP INCLUDE ‘CYCLING’ HER LEGS AND RUBBING HER FACE 88 | The Ultimate Baby Book 2020

NOW THAT MY BABY’S A LITTLE OLDER I NEED TO START THINKING ABOUT CONTRACEPTION, BUT I’M STILL BREASTFEEDING – WHAT ARE MY OPTIONS? Dr Shazia Malik, obstetrician and gynaecologist at The Portland Hospital, says: “Our bodies become fertile again as early as 21 days after childbirth. For this reason, unless you are intending to have another child immediately, it is recommended that you discuss your options with your health visitor or GP around a week after having your baby. Don’t assume that because you’re breastfeeding, that in itself is an effective contraceptive, even if you’re not having periods. Ovulation takes place two weeks before a period happens, so you will be unaware of when there is a risk of pregnancy. Some methods can impact upon breast milk supply. This applies mainly to those that contain oestrogen, such as the combined oral contraceptive pill, the vaginal ring or combined skin patch. Apart from these, you can use most other methods. The most common are either condoms or the mini-pill – the progesterone-only pill. Most women do not have any major side effects when taking contraception shortly after having a baby, especially if you make an informed choice with your GP. As you are breastfeeding, then you may have no periods, especially while taking the mini-pill. You can also take emergency contraception while breastfeeding. The coil must be inserted within five days of unprotected intercourse, but may not be suitable if you have had a caesarean section. The emergency pill contains progesterone only, so can also be taken. Levonelle can be taken while breastfeeding, too. Although small amounts of the hormones contained in the pill may pass into your breast milk, it’s not thought to be harmful to your baby. If you want to have another baby next year or not too much of an age gap, I’d recommend using something that doesn’t affect your cycles too much, such as condoms or a coil.”

SOURCES: TWINSUK.CO.UK; PERFECTPATIENTS.COM; ONS.GOV.UK; HEALTHLINE.COM; WORLD HEALTH ORGANIZATION

Kathryn Mewes, sleep consultant and parenting expert, says: “Most three- to

3-6 MONTHS

DID YOU KNOW?

Expert advice Our healthcare professionals answer your questions on sleep, teething and birth control

A newborn baby will double her weight by the time she is six months

��%

OF TWINS ARE LEFT-HANDED, DESPITE ONLY 10% OF THE POPULATION BEING LEFT-HANDED

2.4

IS THE AVERAGE UK FAMILY SIZE, AND IT’S REMAINED THAT WAY FOR THE LAST 10 YEARS WHEN DO BABIES START TEETHING, AND HOW LONG WILL IT LAST? Maggie Evans, registered midwife and complementary therapist, says: “Babies can have teething symptoms as early as three months, or as late, in some cases, as 12 months. The primary teeth have usually all erupted by the age of two and a half. Common symptoms of teething include tender gums, drooling or dribbling, ear-pulling, mood changes and feelings of irritability and crying. To ease your little one’s symptoms, try some of the following: • Gently run a clean finger over her sore gums. • Keep teething toys or a clean, wet washcloth in the fridge to soothe gums, but do not put teething toys in the freezer as it could damage your baby’s gums. • Give baby cold food purées and cold water, as well as chilled fruit or vegetables to chew on. Ensure you supervise your baby so she doesn’t bite off any chunks. • Give your little one a warm bath followed by a massage with baby oil to help calm her. • In terms of natural options, chamomile is a homeopathic remedy that is traditionally used to relieve symptoms. • Extra cuddles, attention and distraction may help, too.”