... for the grand adventure ahead
where will your baby be born? (see the local directory)
safe, postnatal exercises after your newborn's arrival
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may 2022 1
7 LITTLE BABY BITS News for New Parents
10 BIRTHING DIRECTORY Where Will Your Baby Be Born?
12 POSTNATAL RECOVERY Safe Exercising and Where to Do Them
february 2021 3
EXPECTING is published by DAYCOM MEDIA, publisher of CINCINNATI FAMILY MAGAZINE. Although every precaution has been taken to ensure accuracy of pub-
lished material, DAYCOM MEDIA cannot
be held responsible for opinions expressed
or facts supplied by its authors. Editorial
EDITOR IN CHIEF
and business offices are located at 10945
Susan Swindell Day
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Welcome to Mothering, Mama
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our changing pregnant body may be one of Mother Nature’s more astonishing feats, but in the end it’s even more so to hold a sweet newborn in your weary arms. In this issue of Expecting, we aim to help you choose where you will deliver your infant, and then, how best to care for yourself in the postnatal period. New mothers (all mothers!) often neglect themselves during the unselfish years of caring for others, but don’t let it be that way. Taking care of you must be a top priority in order to stay fortified for your child’s growing up years. The busy days ahead will include sleepless nights and exhausting days, but it doesn’t last forever. And the wonders your heart will experience says it all: life is so much more worth it when you give back to the human beings in your life — especially when they are yours!
OH 45242. The phone number is 513-322-5052; fax is 513-252-0081. CINCINNATI FAMILY’S EXPECTING is copyright © 2022 by DayCom Media, Inc., a member of The Family Magazine Syndicate. All rights reserved. Reproduction in whole or in part is strictly prohibited.
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By Susan Day
Should You Harvest Your "Liquid Gold?"
Your breast milk's colostrum plays an important part in building your baby's immune system. Here's what to know.
ntenal Hand Expression — or colostrum harvesting — isn't talked about much in the U.S., but some feel it should be. Colostrum of course, is the first milk your body produces during pregnancy, so it's the first milk your baby will get from your breasts — unless you're not breastfeeding. It's a great source of nutrition, loaded with antibodies, white blood cells and other immunity-boosting compounds to keep newborns from getting infections, illnesses or disease. Harvesting colostrum means hand-expressing it prior to your baby's birth. If you choose not to breastfeed, or if you have a history of low milk supply, you can hand-express your colostrum and feed it to your infant, says Leigh Anne O'Connor, a lactation consultant. "Women who have had breast surgery or a history of low milk supply, can benefit from prenatal harvesting of colostrum as it 'fires up' the milk ducts and gets colostrum moving through them," O'Connor says. But lactation consultants also say to wait to hand express co-
lostrum from your breasts until after your 37th week of pregnancy since stimulation releases oxytocin from your brain ... which may lead to labor. There's no doubt that giving colostrum to your newborn is one of the best things you can do for them. "Having colostrum available when the baby is born provides the optimal choice if the baby needs supplementation in addition to breastfeeding," says Andrea Tran, a nurse and lactation consultant. If you're thinking about harvesting your colostrum, discuss it with your doctor first — they can answer any questions you have and guide you on how to hand express. The Upshot Colostrum harvesting may be a good idea if you: • are expecting multiples • have diabetes • know your baby will be born with a health condition • are choosing not to breastfeed
The "liquid gold" of your breastmilk can be harvested before your baby's birth.
may 2022 7
BABY bits CDC Changes Milestones Benchmark — Here's What to Know
he first smile, the first word, the first step. Tracking Baby's growth comes naturally to new parents. Your pediatrician will look for markers, too, to affirm that your baby is developing properly within a typical timeframe. And in case you missed it, in February, 2022, the Centers for Disease Control and Prevention (CDC) updated their developmental milestones for the first time in 18 years. Milestones are divided into four main categories: socialemotional; language/speech; cognition; and motor. For years guidelines were based upon a 50th percentile scale, or average age measurement. The new milestones — now with more family friendly language — are based upon the behaviors that 75 percent or more of children can be expected to exhibit at certain ages. The change in the benchmark will help in identifying delays, the CDC says.
More Checklists, Fewer Milestones Milestone checklists have been added for 15 and 3 months of age, so baby development screenings now take place at every well-child visit from ages 2 - 5 years. Previously, the CDC had 216 milestones across 10 checklists. Now there are 159 milestones across 12 checklists. Some of the reduction is due to duplicate milestones under multiple checklists. Outstanding changes include the removal of crawling as a milestone, lower standards for language development and earlier screenings for autism. To see the CDC's updated milestones and to download a free Milestone Tracker App, go to cdc.gov/ncbddd/actearly/ milestones.
Exercising in Pregnancy Doesn't Have to Be a Drag and It's Super Helpful to Your Changing Body
xercising during pregnancy isn't about keeping extra pounds off (although it helps). But it is about lessening depression, back pain and helping with labor and post-delivery recovery. Most of the time exercising during pregnancy is safe, but speak with your health care provider first to see if there's any reason why you shouldn't. If you're good to go, exercise can help you, but don't go too wild. The American College of Gynecologists (ACOG) says to avoid contact sports, activities with a high risk of falling, scuba diving, sky diving and hot yoga or hot pilates. So what's "good" exercise? Walking, swimming, stationary cycling, yoga, pilates and low-impact aerobics such as jogging and pool aerobics. The ACOG's guidelines recommend that pregnant women exercise about 30 minutes a day, five days a week. If you weren't much of an exerciser before pregnancy, it's probably best to work your way up slowly with as little as 10 minutes of activity a day and to build it up to what is sustainable for you over time. Also according to the ACOG, should you experience any warning signs while exercising such as vaginal bleeding, regular painful contractions, amniotic fluid leakage, difficulty breathing, dizziness, headache, chest pain, muscle weakness, calf pain or swelling, stop and contact your doctor immediately.
8 may 2022
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The continuity of care and the amazement of watching a baby grow and develop into a wonderful child is one of the primary reasons that we feel privileged to work in pediatrics. Schedule an office tour today. We’ll be there when your family needs us the most. 331 N. Breiel Blvd., Middletown, OH
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may 2022 9
2022 Hospital Birthing Guide BIRTHS PER YEAR THE CHRIST HOSPITAL LIBERTY TOWNSHIP BIRTHING CENTER 6939 Cox Road Liberty Township 513-585-2000 thechristhospital.com THE CHRIST HOSPITAL MT. AUBURN BIRTHING CENTER 2139 Auburn Ave. 513-585-2000 thechristhospital.com KETTERING HEALTH NETWORK FORT HAMILTON HOSPITAL 630 Eaton Ave., Hamilton 513-867-2000 ketteringhealth.org MERCY HEALTH ANDERSON HOSPITAL 7500 State Road 513-624-4500 • mercy.com MERCY HEALTH FAIRFIELD HOSPITAL 3000 Mack Road, Fairfield 513-870-7000 • mercy.com
MERCY HEALTH WEST HOSPITAL 3300 Mercy Health Blvd. 513-215-5000 • mercy.com PREMIER HEALTH ATRIUM MEDICAL CENTER One Medical Center Drive Middletown 513-424-2111 atriummedcenter.org/maternity ST. ELIZABETH DEARBORN BIRTHING CENTER 600 Wilson Creek Road, Lawrenceburg, IN 812-496-8273 • stelizabeth.com ST. ELIZABETH EDGEWOOD FAMILY BIRTH PLACE 1 Medical Village Drive, Edgewood 859-301-2000 • stelizabeth.com
TRIHEALTH BETHESDA NORTH HOSPITAL 10500 Montgomery Road 513-865-1111 trihealth.com/womens
10 may 2022
CERTIFIED NURSE MIDWIFE
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Private, special care nursery rooms; two dedicated C-Section birthing rooms; the region’s only C-Section viewing room allowing families to watch with prior permission; hydrotherapy, large showers with seats for natural childbirth; lactation services; room-service style nutrition; free sleep sack; classes; wireless fetal monitoring; Baby Café – free breastfeeding support group.
Level II NICU Special Care
Private rooms, hydrotherapy, free sleep sack, gentle C-section, seven-day lactation support, nitrous oxide, 24-hour neonatologist, natural childbirth supported, classes, wireless fetal monitoring, Baby Café – free breastfeeding support group, room-service style nutrition. Spacious rooms to accommodate mom, baby and support person; two c-section birthing rooms; inpatient lactation support; wireless fetal monitoring. A newly renovated Special Care Nursery with eight private rooms for 24-hour access to neonatologists, specialized nurses and state-of-the-art equipment.
Level II Special Care Nursery
Level II Special Care Nursery
All our physicians and certified nurse midwives and all eligible labor and delivery nurses are certified in Electronic Fetal Monitoring; exceptional mother-baby care. Outpatient lactation services by appointment.
Level II B
Special care nursery, four-bed triage unit, all labor and delivery staff certified in external fetal monitoring, many staff certified in inpatient obstetrics and neonatal nurses certified in low-risk neonatal care; prenatal clinic staffed by nurses; all staff cross-training excellent care to mother and baby.
Level II Special Care Nursery
West Hospital is a five-star hospital. Voted Most Supportive Breastfeeding Hospital two years in a row. The birthing center is home to seven Daisy Award recipients. Our natural childbirth suite offers nitrous, birthing balls, a Swedish birth chair and hydrotherapy. We pride ourselves on providing exceptional, family centered, memorable care.
Level II Special Care Nursery with Neonatologists
Both traditional labor rooms and Natural Beginnings Birth Center for low-risk deliveries. Able to accommodate water births in both locations; many labor amenities including birthing balls, aroma therapy, massage therapy, hydrotherapy, epidurals.
Level III NICU
Comfortable LDRP suites perfect for family-centered care; free childbirth and breastfeeding classes; Certified Nurse Midwife and natural childbirth options; MaternalFetal Center for diagnostic perinatal services at Edgewood; Level III NICU care provided at Edgewood.
Level III NICU
Birthing suites for family-centered care; postpartum care separate from laboring unit, unless high-risk; recognized Baby Friendly Hospital; Perinatal Care Certification from The Joint Commission; free childbirth and breastfeeding classes; Certified Nurse Midwives, Level III NICU on site if Baby needs special care after birth.
Level II Harold & Margret Thomas Special Care Nursery
State-of-the-art birthing suites including dedicated natural childbirth suites, renovated postpartum unit with 43 private rooms, three C-section operating rooms, Level II Special Care Nursery dedicated to tender care of babies who need extra attention after delivery. Interactive health and wellness education; Breastfeeding Care Center; childbirth education; comprehensive maternity care with the region’s largest network of physicians and midwives.
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TRIHEALTH GOOD SAMARITAN HOSPITAL 375 Dixmyth Ave. 513-862-1400 trihealth.com/womens
TRIHEALTH McCULLOUGHHYDE MEMORIAL HOSPITAL 110 N. Poplar St., Oxford 513-523-2111 trihealth.com/womens
CERTIFIED NURSE MIDWIFE
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Level III NICU
A newly renovated and expanded L&D unit with valet, parking, bedside registration and concierge services. Spacious birthing suites with hydrotherapy and room-service style nutrition services. Good Samaritan offers the most comprehensive maternity care. TriHealth Maternal Fetal Medicine specialists, Advanced Obstetrical Care, Seton Center for Advanced Obstetrics, TriHealth Fetal Care and the region’s oldest and largest maternity NICU provide care for high-risk pregnancy patients. Breastfeeding Care Center and a wide variety of childbirth education options.
Comprehensive obstetric services with personal care in newly renovated spaces. Private LDR rooms with a homelike atmosphere. Baby Bound prenatal education program offers free, personalized consultations during pregnancy. Breastfeeding support offered by the nursing team in addition to the board-certified lactation consultants. Ongoing support available. Rooming-in is encouraged along with Kangaroo Care.
UC HEALTH UNIVERSITY OF CINCINNATI MEDICAL CENTER 234 Goodman St. 513-584-1000 uchealth.com
UC Medical Center is the first in the state of Ohio to receive Perinatal Care Certification from the Joint Commission. UC Medical Center is a Level IV maternity hospital, providing the highest level of maternal-fetal medical care in the state of Ohio. The partnership between University of Cincinnati Medical Center, Cincinnati Children’s and Good Samaritan Hospital provides exceptional medical care for women and their unborn babies.
UC HEALTH WEST CHESTER HOSPITAL 7700 University Drive, West Chester 513-298-3000 • uchealth.com
Level II Special Care Nursery
Surgical Suites within Maternity Unit, access to Cincinnati Children’s neonatologists 24/7, lactation consultants on staff, room service for nutrition, bedside tables, birthday cake celebration, “Date Night” Dinner before discharge.
KEY: Level I: Basic care for low-risk. Level II-Obstetric: Maternal-fetal services for normal patients and those with mild obstetric complications. Level II-Neonatal: Specialty services for infants born at or beyond 32 weeks with problems that are expected to resolve rapidly.
Level III-Obstetric: Maternal-fetal services for normal patients and those in need of intensive care. Level III-Neonatal: Care for infants born less than 32 weeks or with complex medical conditions. Level IV-Neonatal: Has capabilities of Level III units with additional functions. Surgeries for complex conditions.
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www.HilltopOBGYN.com may 2022 11
Postnatal Health & Exercise forYOU
By Amanda Hayward and Tina Pratt
our body just went through a whole lot carrying and birthing that tiny — or big — bundle. No matter how you delivered (C-section or vaginal) proper postnatal care is essential for you and your new baby’s health. According to the Centers for Disease Control and Prevention, the postpartum stage generally refers to the first six weeks after childbirth. This is a particularly vulnerable time which is why thorough medical care is vital. So what exactly is postnatal “medical care” and when can you get up and going again? Medical care is the medical treatment that moms should receive during that postpartum period. This can extend as far as 4 - 6 months depending on physical and emotional issues or complications; it really depends on you, as every woman is different. The American College of Obstetricians and Gynecologists now recommends that postpartum care should be an ongoing process rather than a one-time checkup. ACOG now recommends that all women: • Have contact with their health care provider within three weeks of giving birth • Get ongoing medical care during the postpartum period • Have a complete postpartum checkup no later than 12 weeks after giving birth
Slow down mama! With a baby on the way or with a baby on board, it’s important to recognize that you’re strong ... yet fragile at the same time.
12 may 2022
It’s important to obtain the care that you need so you are healthy after giving birth to that beautiful bundle. But don’t wait until after Baby’s arrival to discuss a postpartum plan with your OB/Gyn; come up with a plan during your monthly prenatal care checkups.
Exercising During and After Pregnancy Another way to maintain your health during and after pregnancy is by exercising — once you are cleared by your OB/Gyn, of course. Following a safe exercise regimen during pregnancy reduces health risks for you and Baby; and after delivery, exercise is usually OK’d right around that 4 - 6 week mark, assuming you had a healthy and normal pregnancy. Kelly Hater, certified personal trainer and fitness and wellness coach and owner of Trainers Spot (a new local gym in Maineville, Oh), says there are numerous ways staying physically active can prevent complications during pre and postnatal. “As exercise decreases type 2 diabetes mellitus, it also de-
creases gestational diabetes mellitus,” Hater says. “As it may not completely prevent gestational diabetes, yet physical activity from the beginning can help manage it.” Gestational diabetes is diabetes diagnosed for the first time during pregnancy (gestation) — moms are tested for it around 24 and 28 weeks of pregnancy. Like other types of diabetes, gestational diabetes affects how your cells use sugar and can cause high blood sugar which can affect your pregnancy and your baby’s health. So regular exercise helps with strength, stamina, endurance in the delivery room, and even a healthy weight gain, she continues. “Physical activity will help weight gain during pregnancy,” says Hater. “A person within normal BMI or body fat level for their height and weight before pregnancy should aim for a 25 - 35 pound weight gain.” According to The Physical Activity Guidelines for Americans 2nd edition, expecting or postpartum women should do at least 150 minutes of moderate-intensity aerobic physical activity per week, such as brisk walking. Sounds like a lot? Not really; remember that every little bit counts, so breaking it up throughout the week is ideal, especially if you are new to exercising. For example, 30 minutes a day, five days a week. Not only will you be physically ready to deliver your baby, your mental health will be more than ready, too. “Mental health, as exercising, releases endorphins to help you stay in a positive mindset,” Hater says. Every woman is different, but being active in some way is key. If you weight trained before pregnancy or if you were a runner, then it is usually OK to continue, says Hater. If you were sedentary before pregnancy, you should start walking and slowly build up to an exercise plan that is best for you.
About That Pelvic Floor and More Your pelvic floor goes through a lot of changes during and after pregnancy, so strengthening your pelvic floor muscles is super important. Once you enter into that long-awaited third trimester, your body prepares for birth. Your muscles become strained to support your growing baby and delivery. More than 30 percent of women who have a vaginal birth will experience pelvic trauma, causing damage to the pelvic floor muscle group, and exercising those muscles can help mitigate the stress that pregnancy and delivery places on the body. “A female pelvic floor is like a hammock,” says Hater. “It spans from your pelvic bone to the tailbone then side to side between the sitz bones. The pelvic floor is like any other muscle; we train our glutes, quads, and hamstring to have strong and stable legs. The pelvic floor muscles are no different, as these muscles hold the bladder, the uterus and bowels in the proper place.” The same goes for your abdominals. Training and conditioning both your pelvic floor and your abs will prevent weakening or a pelvic organ prolapse and diastasis recti (abs being separated during pregnancy from being stretched). Some go-to exercises that can ehlp include kegels (which engages the pelvic floor) and “vacuum training” (an isometric contraction that tenses the ab muscles without moving it). Talk to your doctor about safe and effective exercises for you. “Keep moving. Treat your body with respect. Put nutrient-dense foods into your body. Stick with the basics. Set goals and make sure your daily habits support your goals,” Hater says. You will be ready when your mind and body are aligned! Amanda Hayward is editor of this publication and a mom of three. Tina Pratt is a frequent contributor to Cincinnati Family.
Workouts for Moms Local options for that all-important “mom time.”
Define Mind and Body 3012 Madison Road Cincinnati, Oh email@example.com 513-351-7746 Barre, cycle and yoga. Fit4Mom virtual classes and onsite locations 513-551-6025 centralcincinnati.fit4mom.com Stroller Strides and more from the nation’s leading prenatal and postnatal fitness program. Great Parks’ Naturally Fit Virtual Fitness Series (virtual) greatparks.org/calendar A virtual six-week series to learn how to move efficiently and naturally outdoors. Kenton County Library various locations kentonlibrary.org Yoga, Tai Chi, Chair Yoga and more. Free at various branch locations. Mayerson JCC 8485 Ridge Road Cincinnati, Oh 513-761-7500 mayersonjcc.org Yoga, Tai Chi, Chair Yoga and more. MidPoint Library various locations midpointelibrary.org Yoga, Tai Chi and more. Trainers Spot 8432 Old 3C Hwy. Maineville, Oh trainersspot.com Classes, workshops and personal training sessions. Trihealth Fitness and Pavilion 6200 Pfeiffer Road Cincinnati, Oh 513-985-0900 trihealth.com More than 80 group fitness classes offered each week. YMCA of Cincinnati multiple locations myy.org Bootcamps, core, strength, conditioning and more.
Bring the stroller, the kids or escape out solo for an energizing recharge at one of these local outdoor fitness series: Cincinnati Fitness Bootcamp for Women cincinnatifitnessbootcamp.com A four-week program of fitness instruction, nutritional counseling and motivational training. Pyramid Hill’s Yoga in Nature Series 1763 Hamilton Cleves Road, Hamilton, Oh pyramidhill.org/yoga-innature Spring sessions May 12 June 9 and in the fall. Drop in once for $15 or five--class sessions; $60. Yoga in the Park 9131 Hopewell Road Cincinnati, Oh symmestownship.org/ calendar Yoga on the Levee 1 Levee Way Newport, Ky 859-291-0550 newportonthelevee.com/ yoga-on-the-levee Weekly classes; all levels. Summit Park - Blue Ash 4335 Glendale Milford Road, Milford, Oh summitparkblueash.com/ residents/free_fitness. php More than 100 classes like yoga, zumba and line dancing beginning this month and running through September. Workout on The Green Washington Park 1230 Elm St. CIncinnati, Oh washingtonpark.org/ series/workout-on-thegreen-8 Free workout classes every Tuesday and Wednesday with trained and licensed instructors in the south end of the park.
may 2022 13
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