Newborn 2 Five 2016

NEWBORN

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FIVE SEPT 2016

When Should I Seek Help for My Infant or Toddler?

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ll parents want the best for their baby.

If your baby is otherwise healthy an occasional illness may be nothing to worry about – however it is important to know when to seek help and call your GP and when to seek emergency care for a sick baby.

Always trust your instincts – if you are worried, seek help – care for enrolled children 12 years and under is Free in New Zealand. Keep your GP’s and emergency phone numbers handy.

It is advisable to contact your doctor if you see the following: • A change in feeding habits – if your baby is refusing several consecutive feeds or eating poorly, contact your GP. A change in mood or the activity level - if your baby is unusually tired, floppy, hard to rouse contact your GP straight away.

• High temperature or fever – Make sure you get a thermometer for your home as children can develop high temperatures. This is a sign of infection. If your baby is younger than 3 months of age contact your GP if they develop a fever or high temperature; especially if your baby also has a cold, cough or diarrhoea. Cool babies down by taking layers off if they are hot.

• Diarrhoea or runny motions – contact your GP if your baby’s motions are especially loose or watery for more than 2 days.

• Vomiting – Contact your GP if your baby vomits

for more than 12 hours or has vomiting with diarrhoea or a high temperature.

•A skin rash – If your baby develops an unexplained rash suddenly, accompanied by fever and/ or diarrhoea contact your GP. If a rash becomes infected – contact your GP. • A sore or tender navel – contact your GP if your baby’s umbilical area or navel becomes red or starts discharging or bleeding.

• Dehydration – if your baby has significantly fewer wet nappies and a dry mouth and a sunken fontanelle. With summer coming drink lots of water.

• Constipation – Contact your GP if your baby has fewer motions over a few days and appears uncomfortable and straining to pass a motion.

• Colds – if a cold interferes with your baby’s breathing or your baby has severe coughing – contact your GP. • Hearing – if you are worried about your child’s hearing because they do not respond normally to sound – contact your GP. • Eye discharge – If baby’s eyes are pink, red or have a sticky discharge – contact your GP Seek Emergency Care when: • Bleeding cannot be stopped • Poisoning • Seizures • Difficulty breathing • Head injuries • Decreasing responsiveness or unconsciousness

• Large cuts and burns • The colour of skin and lips becomes blue or purple or grey • Pain is increasing or severe Consider learning CPR. Also talk to your midwife and Plunket Nurse.

When Communicating with Your GP or Nurse or Emergency Care I

Identify

Identify who you are and the name of your baby

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Situation

What is the situation you are in – what prompted you to call the doctor

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Background

Provide some background on your baby’s medical history

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Actions

What actions have you taken – for example: I have taken the temperature of my baby with my thermometer and any medications given

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Recommendations from Doctor

Have a pen and paper ready to Write these down when the doctor or nurse talks to you.

Bush Road Medical Centre Serving the Whangarei Community for over 30 years

Looking for a GP?

Open Mondays to Fridays | 7.30am to 5pm Phone 435 0692 | www.bushroad.co.nz

Drs Geoff Cunningham, Andrew Miller, Simon Wilkinson, Alistair Dunn, Grace Couper, Christopher Poplar, Denise Limby, Noriko Noda, Lauren Roche, Jill Rocha, Anna Zender and Vanessa Vallely 2

Newborn 2 Five

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CONTENTS

Page 4 Page 5 Page 6 Page 7 Page 8 Page 9 Page 10 Page 11 Page 12 Page 13 Page 14 Page 15 Page 16 Page 17 Page 18 Page 20 Page 22 Page 23

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Introduction Bringing Baby Home Lets Get You Back into Shape Lead Maternity Care Caring for Baby’s Teeth Learning through Play Baby’s Shopping List Health Eating and Your Child Keeping Babies Safe While They Sleep Settling Baby to Sleep Newborn Hearing Screening and the Flu Vaccine for Pregnant Women Protect your Baby from Whooping Cough Matariki Teen Parenting Sore Throats Matter Choosing an Early Childcare Service Types of Early Childcare Services Family Violence is not OK Water Safety and Your Child

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Thanks to Dawn Dutton for supplying many of the images used in this publication

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Handcrafted Rocking Horses

are made right here in Whangarei.

We are a local business making our local horses.

They are made from Plywood or timber and suit children from 18 months onwards. They are robust and can withstand the treatment that young children can give them while also looking great in any décor.

Of course if you don’t want a rocking horse we can make whatever animal you want.

Phone. 0212654948 | email- shona@therockinghorseplace.co.nz

Check out our website www.therockinghorseplace.co.nz

Newborn 2 Five

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WELCOME TO PARENTING

WHAT A TIME!

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hat age - from new-born to five is the most magical part of parenthood.

You get to watch your bundle of joy grow from a baby into a high-spirited pre-schooler. He or she is constantly growing and learning, enthralled with life.

We welcome all prospective or new parents to this fantastic role of parenthood. It'll be the most rewarding thing you've ever done.

In this publication, Newborn 2 Five, you'll get lots of helpful advice and tips on pregnancy, raising babies, toddlers, and Tips on parenting..

We have put together helpful hints combined with sound research to help parents along the way. You will find advice on immunisation, caring for baby’s teeth, healthy eating, keeping babies safe when they sleep, your first shopping list for baby and more…

Newborn 2 Five can help mums and dads prepare for their baby ,assist with positive parenting, playtime fun and early childhood education options.

Keep this book as a useful reference. We hope it helps contribute to the immense delight your children will bring you, Accept that you're not going to get it right all the time, but make sure you enjoy the journey.

Image taken by Dawn Dutton Photography

Master Photographer – MNZIPP

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Newborn 2 Five

E: info@dawndutton.co.nz P: + 64 (09) 4322497 M: +64 (021) 623607 www.dawndutton.co.nz

BRING BABY HOME

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newborn baby in the house can be a real shock to the system. If you’re a new mum, with little experience of babies or toddlers, you may find this a trying time!

Most new mums go through the exact same thing – they can’t believe the sheer amount of work involved, the relentless lack of sleep and the constant worrying of whether you’re ‘doing it right’.

SLEEP OR LACK OF.

You’re not going to get a lot to start with. All mothers can’t wait for the night their baby sleeps through. It’s a breakthrough moment and a hot topic at mummy coffee groups. All babies are different and you may have the perfect eight hour sleeper in the first three months or still be getting up in the middle of the night when they’re a year old – you just never know.

SLEEP WHEN YOUR NEWBORN SLEEPS

Most mums will gladly fall into bed when baby goes off to sleep for a much deserved kip – small as it may be. It’s a good idea as looking after a baby’s needs is a full time, very tiring job. Don’t try to soldier on, give your body a break. Even a 10 minute power nap will help perk you up for the rest of the day. Or at least sit down with your feet up.

DON’T TRY TO BE SUPERMUM

Housework can take a back seat when you have a baby. Its difficult for the house-proud to imagine, but finding the time to do housework with a baby at home can be a chore in itself!

Some mums do their housework when baby sleeps, sacrificing their own sleep time and further tiring themselves out. As there’s often visitors to a newborn baby’s household, consider just keeping the living area clean and tidy.

TRY TO HAVE TIME OUT

Most mums are reluctant to leave their precious baby for the first few months, but you will eventually get over that. Hopefully you have a partner or family and friends for support who will

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babysit while you go out for the odd night off. A trip to the gym, shopping or lunch with a friend will help boost energy levels and do you the world of good.

The best part of babies is they just get even better as they get older. Things get easier every few months as babies grow into toddlers and you become an expert in figuring out their needs.

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PHONE 459 5552 Newborn 2 Five

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LET’S GET YOU BACK INTO SHAPE

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ongratulations on your new baby! Along with the joy and excitement comes round-the-clock care. The sooner you can get moving again and get your strength back, the easier and more enjoyable life will be.

Sometimes this feels like a catch 22 situation – how do you muster up enough energy to exercise in order to improve your fitness so that you have more energy? Here are some pointers :

Increasing the strength and flexibility of your back will see you less likely to suffer back problems.

Remember to drink plenty of water, especially if you are breast feeding, and keep up foods high in calcium. Above all be gentle with yourself, but do make the effort because you will feel better for it in the long run.

Set aside three times per week on a regular basis where the focus in on YOUR wellbeing. During this time you can start walking and strengthening some of the muscle groups that need it most Start slow but progress: don’t worry if your first walk is a slow, 10 minute stroll - with regular exercise you will gradually increase the pace and distance.

Initially “under-do” it – the aim is an enjoyable experience that will energise, not exhaust you.

When you start walking again you may feel unbalanced now that baby is no longer inside you. Focus on your posture. Did you become hunched over as your pregnancy progressed or perhaps you developed a sway back? You may need to focus on lengthening your spine, lifting your chest and relaxing your shoulders. Check that your bottom is comfortably tucked under and your heel strikes the ground first with each step when you walk. How does your pelvis feel? The ligaments that softened during your pregnancy may still be regaining their tone so take it easy.

Start your strengthening with pelvic floor exercises as they are vital to restore muscle function and are important for all women, not just those who have had vaginal births. Flat tummies seem to be easily regained by some women, while for others it takes many abdominal exercises. You can reduce the bulge through strengthening exercises and making wiser food choices if necessary. Check with your LMC about when it is safe to start these. Your back muscles need to be in top shape as you will be doing a lot of lifting and bending,

North City Osteopaths

ROSEANNE SHAW AND ASSOCIATES

Treatment for Adults And Children • Back Pain • Neck Pain • Headaches • Traumatic Injury • Joint Pain • Pregnancy Pain • Acupuncture - Dirk Weishaupt • Childhood Ailments including - Colic, Digestive Problems, Sleep Disorders, Ear, Nose & Throat, Breathing Disorders

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Acc Treatment Providers

For Appointments Phone 09 437 0238 75 Whau Valley Rd, Whangarei 2 Le Ruez Pl, Tui Medical Centre, Maunu www.northcityosteopaths.co.nz 6

Newborn 2 Five

Image taken by Dawn Dutton Photography

LEADING MATERNITY CARER

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n New Zealand pregnant women are required to choose a Lead Maternity Carer (LMC) who coordinates their maternity care. Lead Maternity Carers can be midwives, GP’s with a diploma in obstetrics or obstetricians. LMCS are contracted through the Ministry of Health to provide a complete maternity service to you. Below we talk about the scope of practice of the midwife.

SCOPE OF PRACTICE OF THE MIDWIFE

The midwife works in partnership with women, on her own professional responsibility, to give women the necessary support, care and advice during pregnancy, labour and the postpartum period up to six weeks, to facilitate births and to provide care for the newborn.

The midwife understands, promotes and facilitates the physiological processes of pregnancy and childbirth, identifies complications that may arise in mother and baby, accesses appropriate medical assistance, and implements emergency measures as necessary. When women require referral midwives provide midwifery care in collaboration with other health professionals.

Midwives have an important role in health and wellness promotion and education for the woman, her family and the community. Midwifery practice involves informing and preparing the woman and her family for pregnancy, birth, breastfeeding and parenthood and includes certain aspects of women’s health, family planning and infant well-being.

The midwife may practise in any setting, including the home, the community, hospitals, or in any other maternity service. In all settings, the midwife remains responsible and accountable for the care she provides.

To practise as a midwife in New Zealand, the midwife must have an annual practising certificate issued by the Midwifery Council of New Zealand For more information: www.midwife.org.nz

Image taken by Dawn Dutton Photography

For experienced midwifery care Jodene Henwood 021 714889 Priscilla Ford 021 2222428 Jana Scott 0272 119178 Anne Nichol 0272 772429 Raewyn Parke 0274 306471 Phone 09 438 1806

Cnr Central & Second Ave Whangarei Newborn 2 Five

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CARING FOR BABY’S TEETH 6 MONTHS – 5 YEARS

Healthy Smiles

FOR LIFE

Early enrolment is best for baby’s teeth – IT’S FREE Phone: 0800 MY TEETH 0800 698 3384

As soon as baby’s first tooth appears start brushing using a soft bristled brush and a smear of fluoride toothpaste WHY BRUSH YOUR TEETH?

WHOLE OR REDUCED-FAT MILK

Offer children healthy snacks between meals - Healthy snacks top-up energy levels

AVOID

helps prevent tooth decay helps prevent gum disease removes plaque from teeth and gums freshens your breath

SOME HEALTHY SNACK IDEAS FOR TODDLERS AND PRESCHOOL CHILDREN ARE:

Fresh fruit Raw chopped vegetables (optional: hummus dip) Cheese Plain crackers (i.e. rice crackers or water crackers) Yogurt Hard-boiled eggs Plain popcorn Savoury muffins Water Cottage Cheese Unsalted raw nuts (not recommended for children under 3 years due to the risk of choking) Sandwiches (fillings: peanut butter, tuna fish, cheese, cottage cheese, lean meat slices, baked beans, eggs, vegetables)

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Newborn 2 Five

It is recommend that: Cows milk be introduced after a child is 1 year old Whole milk is given to children between 1 and 2 years Reduced fat milk can be introduced after a child is 2 years of age Muesli bars, any type of energy bars, biscuits, roll ups, lollipops and other sweets, cordial fizzy and energy drinks that can all cause tooth decay.

Fizzy drinks, cordial, fruit juice, electrolyte replacement drinks (PowerAde) and energy drinks are high in sugar and acids and can cause tooth decay. “Diet Drinks” or “Zero” don’t have sugar, but are high in acid and can cause tooth decay.

WATER IS THE BEST DRINK MAKE WATER YUMMY

Water is free, water rinses the mouth after eating, and water helps the body to function well.

Eating and drinking water from an early age will encourage good habits that will last a lifetime. Introduce your baby to cooled boiled water from 6 months.

Keep water in the fridge for the family and serve at snack and mealtimes.

IT’S FREE

For more information Phone 0800 MY TEETH – 0800 698 3384. (It’s free, It’s easy)

LEARNING THROUGH PLAY Learning through play is good for brain development and fosters an improved potential for learning later in life.

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hile research on brain development is in its infancy, it is believed that play shapes the structural design of the brain. We know that secure attachments and stimulation are significant aspects of brain development; play provides active exploration that assists in building and strengthening brain pathways. Play creates a brain that has increased ‘flexibility and improved potential for learning later in life’ (Lester & Russell, 2008, p. 9).

Young children’s play allows them to explore, identify, negotiate, take risks and create meaning. The intellectual and cognitive benefits of playing have been well documented.

Children who engage in quality play experiences are more likely to have well-developed memory skills, language development, and are able to regulate their behaviour, leading to enhanced school adjustment and academic learning (Bodrova & Leong, 2005).

Do not underestimate the strength of learning through play and the benefits that it will have for your child later in life. Make the time to include active playing as a part of everyday life, with it will come fun, laughter, sharing and development.

Pre-school Gymnastics for under 5’s

WHAT WE DO

Our 45 minute class consists of mat time and a circuit taken by our qualified coaches.

Mat time: where the focus is on the development of gross and fine

motor skills using music and imagination.

Circuit Adventure – children explore the different trails set up around the gym, going on, over and through different pieces of equipment. This develops their co-ordination, strength, spatial awareness and confidence. Children are challenged in a fun and safe environment.

Studies have shown that a child’s physical and mental development is greatly enhanced from these kinds of activities. This is a great opportunity for parents to work with their child encouraging and learning together.

25 PARK Avenue Kensington ASB Sports Arena

wags.org.nz

Ph 437 6667

• Jungle

Mon-Tue 2pm-6pm • Wed-Fri 9.30am-6pm Sat & Sun 9.30am-5pm

Newborn 2 Five

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BABY’S SHOPPING LIST

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reparing for a new baby is enormous fun, but goodness... don’t they need a lot of stuff! Don’t be daunted by the list. Most items can be bought second hand, and relatives who have completed their family are a great source of baby gear. Apart from anything else, they will love helping you get set up for the new arrival.

Before you go out and spend up large, keep in mind gifts you may receive from friends and family, what you body suits sweater/jacket booties/socks hat scratch mittens wrap blankets

OUT AND ABOUT car seat pram UV sunshade rain cover head supporter blankets pram toys front/back pack spare clothes

BEDDING NEEDS

cot/bassinet mattress mattress protector sheets blankets baby monitor sleep wrap night light

FEEDING NEEDS

bibs highchair spill mat bottles teats bottle brush steriliser nursing pads

will need immediately and what can wait a short while.

A high chair, for example, won’t be needed for several months down the track, and the covers for electrical outlets etc are a precaution once baby is crawling and inquisitive. Also, remember how quickly baby grows during the first few months and don’t buy too many newborn-size items. You’ll find baby is most comfortable in the ‘basics’ during the first few weeks.

CHANGING AND BATH NEEDS

baby brush and comb shampoos, creams etc baby towels and face cloths nappies bath toys baby bath changing table changing pad baby wipes nappy bucket

HEALTH AND SAFETY

sterilising tablets thermometer medicine spoon plastic covers for electrical outlets safety latches for cupboards non-skid backing for rugs plastic corner guards for furniture edges

DAY CLOTHES

one piece pyjamas nightgowns

Your one-stop shop for all of your baby needs

167 BANK STREET, REGENT 09 470 1090 | OPEN 7 DAYS, 7AM-10PM 10

Newborn 2 Five

PICKY EATERS

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oddlers are notoriously picky eaters. Following their first year of rapid growth, your toddler’s weight will change slowly during their second year and they will need less food. This developmental change, combined with a toddlers growing need for independence and their inability to sit still can turn the dinner table into a battleground.

When your toddler turns their nose up at a new food or refuses to each or drink something that was a favourite at one time, don’t worry. For toddlers, what and how much they are willing to eat may vary daily. Just offer food that packs lots of nutrition in small doses and makes mealtime fun.

MAKE EVERY CALORIE COUNT

Children aged 1 to 3 years of age require 1,000 to 1,300 calories a day. Nutrient dense foods eaten at mealtime or as a smack will help keep your active toddler going. These include pasta, peanut butter, potatoes, cheese, eggs, sweet potatoes, avocados and yoghurt.

If your child would rather drink than eat, nutritious drinks such as smoothies with milk, fruit and yoghurt can be a great healthy snack.

OFFER UNIQUE WAYS TO TRY FOOD

BE A GOOD ROLE MODEL

Be creative with meals and presentation. Finger foods can make mealtimes fun for a toddler. Offering different ways to try foods can also make them more appealing. Many toddlers love to eat food that they can dunk in a dip or spread on crackers or bread, such as cream cheese, fruit preserves or guacamole.

LET YOUR CHILD DRINK IT UP

Model your won enthusiasm for nutritious food. Limit your intake of junk food and alcohol and eliminate smoking. If your toddler sees you engage in healthy eating habits, chances are they will do the same.

With a little ingenuity and a lot of patience, working through your toddler’s picky eating habits is possible.

Your one-stop shop for all of your health & nutrition needs

167 BANK STREET, REGENT 09 470 1090 | OPEN 7 DAYS, 7AM-10PM Newborn 2 Five

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KEEPING OUR BABIES SAFE WHILE THEY SLEEP Every year, a small number of babies in Northland die from Sudden Unexpected Death in Infancy (SUDI). A range of baby beds are available that allow you to sleep next to your pepe in your bed, while he or she is in a safe baby bed. For example there is the wahakura, moses blanket and pepi-pod.

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Place baby in his/her own bed, face clear of bedding

Where we place our baby to sleep is really important.We need to make sure that baby cannot become wedged under or in between anything and that there is nothing that can block baby’s airway.

So it’s important to place baby in his or her own baby bed. Again it’s all about protecting baby’s breathing.

Make sure there are no toys or pillows in the baby bed. Make sure the mattress is firm and there are no gaps between the mattress and the sides of the baby bed as this may trap baby and make it hard for them to breathe. Make sure that the blankets and sheets do not cover baby’s face. Baby is safest sleeping in the same room as mum and dad, while they are sleeping.

A range of baby beds are available that allow you to sleep next to your moko in your bed, while he or she is in a safe baby bed. For example there is the wahakura, moses basket and pepi-pod.

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Eliminate smoking in pregnancy and protect baby with a smokefree whanau, whare and waka

Babies from smoke free pregnancies have stronger lungs and more drive to breathe than babies who have been exposed to cigarette smoke. So being smoke free is one of the best ways to help baby’s breathing, which will protect baby to sleep safely through the night.

Babies from smoke free pregnancies are healthier and stronger. Being a smoke free whanau helps baby’s breathing and protects him or her to sleep safely. If you smoke and you want to protect your baby to sleep safely through the night, quit smoking. If you want to quit smoking, there are a range of services that can help, so seek the advice of your health professional.

Position baby flat on his or her back to sleep, face up towards the heavens

Babies are 14 times safer sleeping on their backs, than sleeping on their tummies. But this can be difficult to do if aunty or nanny insists that sleeping baby on his or her tummy or side is the best thing to do. So stay strong and remember that you have the power to protect your baby. When you place baby to sleep on his or her back, you are helping baby to breathe. It’s important that baby’s head is NOT propped, so avoid pillows, rolled up blankets or anything else that can flex the neck as this can block the airway. If baby is coughing up or spilling often and you have concerns about sleeping baby on his or her back, talk with your midwife, Well Child Provider or GP.

Encourage breast feeding and support mum, so baby is breastfed

Breast milk has been described as the perfect food because it provides many of the nutrients and antibodies your baby needs to protect him or her from illness. These strengthening properties help baby to sleep safely through the night. So it is important to breast feed up to six months.

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Breast feeding strengthens baby, which helps him or her to sleep safely through the night. Breast milk is free, always at the right temperature and is readily available. Breastfeeding strengthens the bond between mother and baby. Babies are healthier and stronger when they are breastfed.

SETTLING YOUR BABY TO SLEEP

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ettling a new baby to sleep can sometimes be a very overwhelming time for first time parents. Sleep deprivation often kicks in as you try to work out the needs of your newborn child. The fact is that sometimes babies do just cry, it does not mean that you are doing anything wrong. However if your baby appears unwell or you are concerned, seek out the assistance of a professional.

SOME SIMPLE STEPS YOU CAN TAKE TO CALM BABY ARE:

Provide a nice warm bath with lavender baby wash Give baby a massage - massages are great for skin to skin contact and help to relax baby Dress the baby in comfortable sleepwear – a baby’s skin is very soft and tender so find soft fabrics that do not irritate the skin.

Wrap baby in a merino wrap – they are ultra- soft and provide warmth and comfort. A specially designed baby sleeping bag is also a great way of keeping baby warm during the night.

Find a quiet space – play soft music or sing a lullaby Babies love to be cuddled, comfort your baby by running your finger across the forehead

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Feed your baby Last of all – Check the nappy before settling baby back to sleep Keep in mind that no baby is ever the same and something that has worked once, may not work a second time. It takes patience and getting Image taken by Dawn Dutton Photography to know your little one.

Remember – it is a big adaptation for them in the outside world and it may take a little while to adjust. Recreating a womb like environment for the first 3 months is still on the top of research into the journey of a little one’s progression from the womb to the outside world – designed to provide a feeling of safety and comfort for the newborn baby.

One example is a womb simulating crib -Chen Liming's baby cot concept known as Mama's Heart is a spherical crib designed in the shape of a woman's belly to simulate the feeling of being in a womb. The revolutionary baby bed in-stills comfort by mimicking the enclosed cosy nature of a pregnant belly. Do your research on availability of aforementioned products in New Zealand or other similar products that would also recreate the womb like environment. Baby wraps are also used in this same manner.

Visits with a nurse or kaiawhina Parent Education Parent Groups Plunketline 24/7 - 0800 933 922 B 4 school checks Playgroups

We provide Well Child services cross most of Te Tai Tokerau/Northland. All FREE For more information about Plunket services please speak with your nurse

Newborn 2 Five

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NEWBORN HEARING SCREENING WHAT IS NEWBORN HEARING SCREENING? To screen your baby's hearing, an ear cushion will be placed over your baby's ear and soft clicking sounds played. Special sensors are placed on your baby's head, and the response from your baby's hearing nerve is picked up by these sensors.

This is called an automated auditory brainstem response or an a ABR screen.

WHEN AND WHERE WILL THE NEWBORN HEARING SCREENING BE DONE? Screening is usually done before you and your baby go home from the hospital. If your baby is not born in a hospital or is not screened before you go home, newborn hearing screening will be offered at a community outpatients appointment. It’s best to go earlier than the appointment time so you can feed and settle your baby to sleep beforehand.

WILL IT HURT MY BABY? Newborn hearing screening does not hurt or harm your baby and you can be with them during screening. It is simple and safe most babies sleep through it. A screen may take 15-20 minutes and is best done when your baby is settled or sleeping.

WHAT HAPPENS AFTER THE NEWBORN HEARING SCREENING? You will be told the results straight away.

Some babies need another screen because the earlier screening did not show a strong enough response in one or both ears. This may be because: your baby was unsettled there was too much noise in the testing room there was fluid in your baby’s middle ear your baby may have a hearing loss.

If this happens with your baby’s hearing screen, you will be offered a repeat screen, either before leaving the hospital or as an outpatient appointment.

If required we will refer you to audiology for further assessment.

FLU VACCINE FOR PREGNANT WOMEN If you are pregnant it is important to protect yourself and your unborn baby from the flu. Experience from previous influenza outbreaks showed that pregnant women, their unborn babies or their new infants are at greater risk from complications associated with the flu.

There are a range of changes that occur during pregnancy that put expectant mothers at greater risk, including changes to lung capacity, the immune system and heart rate response.

Pregnant women with existing medical conditions are at even greater risk of severe influenza-related illness.

WHEN IS THE BEST TIME TO IMMUNISE?

The flu vaccine can be given at any time during pregnancy. It is preferable to give the vaccine as soon as the vaccine is available (usually from early March) well before the start of the flu season.

HOW MANY DOSES DO I NEED?

Just one dose of influenza vaccine, preferably at the beginning of the season. However, the funded vaccine is available through to 31 July.

I'VE HAD A HISTORY OF MISCARRIAGE. IS IT OK TO RECEIVE THE VACCINE? Yes. The flu vaccine does not increase the risk of miscarriage.

However, influenza infection does.

I AM PREGNANT AND WANT THE INFLUENZA VACCINE BUT I HAVE A COLD, SHOULD I STILL GET IT? If you don't have a high fever and are only experiencing a cold, runny nose or sniffles, it's okay to receive the vaccine. However, if you'rze very unwell, wait until you are better. If in doubt, check with your Lead Maternity Carer or doctor.

I HAVE JUST HAD MY BABY, CAN I HAVE THE INFLUENZA VACCINE AND WILL IT PROTECT MY BABY IF I AM BREASTFEEDING?

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Yes, it is safe for you to have the influenza vaccine. Breastfeeding may also offer some protection to your baby.

WHOOPING COUGH

"LOVE THEM, PROTECT THEM, IMMUNISE THEM -ON TIME"

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hy does New Zealand, a first world country, still have higher numbers of whooping cough (pertussis)?

We have higher numbers of whooping cough because not enough people are immunised against this highly infectious disease. Northland had 38 Whooping Cough cases notified to Public Health in 2014.

Protection after vaccination for Whooping Cough wanes in less than 10 months. Booster immunisations are required for protection just the same as tetanus vaccinations.

Babies less than six months old are the most vulnerable to this sometimes life-threatening disease and have the highest risk of developing serious complications. Having immunisations on-time at 6 weeks, 3 months and 5 months old will provide them with the best protection against the disease.

Another way that can help protect baby is a whooping cough booster immunisation for women whilst pregnant.

When a pregnant woman has a booster immunisation some of the antibody she develops passes into the unborn baby and may protect them from severe whooping cough for up to six weeks after birth. It also means that should a mother be exposed to whooping cough, she is less likely to catch it herself, and then pass it onto her new born baby.

The whooping cough vaccine is free for women who are between 28 to 38 weeks of pregnancy. Protecting baby from whooping cough also means checking that other siblings and close relatives are up to date with their immunisations, although it may not be funded. Its also worth remembering that as winter approaches pregnant women have a higher risk of getting the flu and developing complications that can affect them and their baby than when not pregnant. The flu vaccine is free for pregnant women at any time during their pregnancy.

IN OVER 70% OF IDENTIFIED CASES, NEW BORN BABIES CATCH WHOOPING COUGH FROM PARENTS OR OTHER CLOSE FAMILY MEMBERS 1-5 For more information, contact the Immunisation Advisory Centre(IMAC) on 0800 466 863, your family health centre, Manaia Health 0800 466 738 or 09 4381015 or Te Tai Tokerau PHO 09 4083142 for any further information. You can also check out IMAC’s website: Immune.org.nz whooping cough (Pertussis) Protect you and your newborn baby against whooping cough.

FOR FURTHER REFERENCE: 1. Baron S et al. Ped Infect Dis J 1998; 17(5): 412-18.

2. Kowalzik Fetal. Pediatr Infect Dis J 2007; 26: 238-42.

3. Crowcroft NS et al. Arch Dis Child 2003; 88: 802-06.

4. Bisgard KM et al. Pediatr Infect Dis J 2004; 23: 985-89.

5. Wendelboe AM et al. Pediatr Infect Dis J 2007; 26: 293-99.

I immunise

Immunisation with the whooping cough and influenza vaccines is safe during pregnancy and cannot cause the disease they’re designed to protect against. As vaccines are prescription medicines talk to your doctor or nurse about the benefits and risks of immunisation.

I immunise to keep my children safe from preventable diseases and to be a part of the community keeping all children safe - Lesa

www.immunisationalliance.org.au

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PREGNANT? TEEN PARENT? KEEN TO CONTINUE WITH YOUR SECONDARY EDUCATION?

HE MATARIKI TEEN PARENT SCHOOL “ORANGA HOU TIMATANGA HOU, NEW LIFE, NEW BEGINNINGS”

H

e Matariki School offers a new beginning for teen parents (up to 19 years).

Join us in a supportive learning environment where a programme is designed especially for you.

Our learning programmes are designed to help you gain the qualifications you will need for employment and further studies.

Study towards NCEA Level 1, 2 and 3 and University Entrance. You can also gain Vocational pathways certificates gain work experience

WHAT STUDENTS SAY:

We enjoy success in small classes in a caring environment and we are taught by specialist teachers We can work at your own pace alongside other teen parents who understand what we are going through.

We receive career guidance to assist us into employment or further studies The school van picks us up within the city limits

ACCESS TO:

Free transport within city limits Childbirth education classes Parenting and Budgeting courses Drivers’ licence course support Health care support-weekly visit by the nurse Social workers support on site Accommodation at Maia house (housing for teen mums He Kakano is the daycare for the students’ babies situated next door (Winz subsidies available)

CONTACT CAROLYN FOR A TOUR OF THE SCHOOL: Phone: 09-4382602 Cel: 021 161 8483 E mail: admin@hematariki.school.nz Address: 13, Whaka Street, Raumanga, Whangarei

ARE YOU A TEEN PARENT?

WE ARE HERE TO HELP YOU CONTINUE WITH YOUR EDUCATION! ACCESS TO: • Free Transport within city limits • Childbirth education classes • Parenting and Budgeting courses • Drivers’ licence course support • Health care support-weekly visit by the nurses • Social workers support on the site 16

Newborn 2 Five

STUDENTS’’ VOICE:

I started at He Matariki with nothing and I thought I wouldn’t get anywhere with my education. The school showed me that getting pregnant at 17 wasn’t the end of my schooling. After he was born I decided I wanted to better myself for him, to offer him a better future.

Having He Kakano, the daycare next door is great because I know I can go and see my son when I miss him or when he needs me” states Sierra Laurent.

“He Matariki School has enabled me to pursue my long life dream of attending university to complete a Bachelor of education (Primary). The school is a great place to meet teen mums and find out opportunities that are out there for you It is a safe and friendly environment where everyone helps you succeed to your full potential” states Jasmine White.

“He Matariki School has opened up a lot of opportunities for me. I am already half way through my level 2 because I am committed to working hard. Being pregnant did make me think that my career and life goals were over but coming to He Matariki School has made me realise that my life is only just beginning” states Tayla Hall.

SORE THROATS CAN BREAK HEALTHY HOMES TAI A HEART WHAT IS RHEUMATIC FEVER?

Rheumatic Fever is a serious disease that can cause serious heart problems. It usually starts with a sore throat.

WHO IS MOST AT RISK?

Ma ¯ori & Pacific Island children between 4-15 years Families/Wha ¯nau with a history of Rheumatic Fever Families/Wha ¯nau who share their homes with lots of others.

WHAT CAN I DO TO PREVENT RHEUMATIC FEVER?

Strep A is a bug that can live in your throat and cause a sore throat. If it is not treated it can lead to Rheumatic Fever. If your child has a sore throat take them to a doctor, nurse or other health professional and ask for a throat swab.

If the swab shows the Strep A bug you will be prescribed a 10 day course of antibiotics.

It is very important to take all the antibiotics to prevent Rheumatic Fever from developing.

Covering your mouth when you cough, and washing and drying your hands often will help stop spreading it to other people.

TOKERAU

Insulating homes reduces health risks caused by cold, damp housing such as respiratory illnesses and serious diseases like rheumatic fever.

TO QUALIFY FOR 100% SUBSIDY YOU NEED TO FIT THE FOLLOWING CRITERIA:

The house must have been built prior the 1st January 2000 Tenants and homeowners are eligible.

Tenants are also eligible on condition that their landlord approves of the insulation and is prepared to make a one off financial contribution of $575.00 Children between the ages of 0-16yrs Must have a Community Services Card, or be eligible for a Community Services Care Card If you are over the age of 16yrs, then you must have a relevant health condition (note that this can include a broad range of health conditions).

To see if you qualify simply call our office on 0800 738 763

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CHOOSING AN EARLY CHILDHOOD EDUCATION SERVICE

I

t's important to choose an early childhood education (ECE) service or Ko¯hanga Reo that supports your child so that they can be safe, nurtured and join in and learn alongside other children.

The learning that children experience at an ECE service or Ko¯hanga Reo is guided by the curriculum framework called Te Wha¯riki.

WHAT TYPES OF ECE SERVICES ARE AVAILABLE?

There are all sorts of ECE services available in New Zealand, offering different services, facilities, hours, and costs.

ECE services available in New Zealand include: education and care centres home based education and care kindergartens Ko¯hanga Reo Montessori nga¯ puna ko¯hungahunga playcentres playgroups Pacific Island early childhood groups special education needs services Steiner kindergratens Te Kura (the correspondence school).

HOW DO I CHOOSE THE SERVICE THAT'S RIGHT FOR MY CHILD?

Once you find an ECE service or Ko¯hanga Reo you're interested in you'll need to contact them to find out if they can support the particular needs of you and your child.

Things to consider Location Hours Style of care Cost Offered: do they offer what you want, like meals, drinks, nappies, supplies, activities etc. Check what’s included in the fees.

Size Availability

• Two centres side by side – Infants and Toddlers (Kowhai) and Preschool (Kauri) • Over 80% registered teachers • Nutritious meals • Your childs portfolio online, that you can invite extended family and whanau to be part of.

• Up to 30 hrs free ECE for 3 – 5 yr olds • Situated up a quiet ROW bordering Whau Valley School

Ph: 09 459 4255 • www.brightstars.co.nz 25 Moody Ave, Kensington, Whangarei 18

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Does the service meet the specific needs of my child?

Location: is there good off-street parking and easy access to the building? Is the service close to anything that may cause noise distractions, like an airport or main road?

Style of care: how will they make sure your child is welcomed by the other children and can learn alongside them? How will the service keep you informed about what's happening for your child? Can you stay with your child and help plan their activities for the day?

Services offered: what experience do the staff have in supporting children with special needs?

Facilities: is the physical environment suitable and easily adaptable for your child's needs? Is there suitable access to toilet and shower facilities?

Can my child go to any ECE service that I choose?

An ECE service is not allowed to exclude your child. As part of their licence to operate all ECE services must have an environment that is inclusive and responsive to all children. Te Wha¯riki also supports this by ensuring all children are actively engaged in learning, with and alongside others.

GO FOR SOME VISITS

It’s important to visit the ECE services or Ko¯hanga Reo you’re interested in, so you can get a good feel for the children, the educators, and the environment. You can visit as many times as you like, and take your child with you.

What’s it like for the children?

Visit at different times so you can observe the different routines and the children at different times of the day. The children should be busy and engaged, and keen to learn new things. Are they encouraged to be independent and able to

Awanui, Kaitaia, Kohukohu, Pamapuria, Peria.

choose their own activities? Children with special education needs should have the opportunity to play alongside and build relationships with other children.

What about the educators or parents working there?

For your child to get the most out of their ECE experience they need to be with people who can accept them as individuals and guide and support their learning at a level that's right for them.

By visiting the ECE service or Ko¯hanga Reo you can find out if the adults talk and listen to the children with respect, and encourage the children to work things out for themselves but with support if need be. Talk to them about a programme that has specific goals and plans to help your child learn. You may have an Individual Plan already in place if you're working with the Ministry's special education early intervention team.

What's the space like?

Outdoor and indoor spaces offer different experiences for children, and every ECE service or Ko¯hanga Reo manages these spaces in their own way. There should be free access between inside and outdoors, and opportunities for active play in both areas. There should also be quiet areas to sit or to ‘hide’ and the building should be safe.

LET THE SERVICE KNOW WHAT TO EXPECT

The ECE service or Ko¯hanga Reo will need to work with you to help your child fit in and thrive. They'll want to speak with the team involved in supporting your child, like the early intervention team and any other specialists. It is also helpful

for you to talk to the staff about specific practical, medical and cultural needs.

CHECK THE ERO REPORT

The Education Review Office (ERO) is a government department that reviews ECE services, Ko¯hanga Reo, schools and kura as part of its work. ECE services and Ko¯hanga Reo are reviewed about every 3 years.

ERO reports provide information for parents and communities about each service’s strengths and next steps for development.

The Ministry's special education team has developed a booklet Choosing and Starting at an early childhood education service to help get your child off to a good start at ECE. Retrieved from http://parents.education.govt.nz/earlylearning/your-child-at-ece

Kindergartens Far North

ANNE WEST KINDERGARTEN

www.kaitaiakindergartens.co.nz

92 Pukepoto Road, Kaitaia Phone: 408-1110

GIVE YOUR Our Kindergartens offer a rich and diverse educational experience for children.

Three Kindergartens in your area, well resourced facilities, exciting, challenging and safe outdoor areas, 100% qualified staff, inclusive practices and a curriculum that acknowledges our dual heritage.

CONTACT YOUR LOCAL KINDERGARTEN FOR FURTHER DETAILS, Or phone Lynda Maskell on 409 8280 email kdkainc@xtra.co.nz www.kaitaiakindergartens.co.nz

DOUBTLESS BAY KINDERGARTEN Mamaru Road, Taipa Phone: 406-0138

MISSION PLACE KINDERGARTEN Mission Place, Kaitaia Phone: 408-2444

Newborn 2 Five

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TYPES OF ECE SERVICES

N

ga¯ puna ko¯hungahunga and other playgroups are the only ECE services that are certificated rather than licensed.

This means they may be less formal than other kinds of ECE services and have fewer Ministry requirements to meet. There are two main types of ECE service – teacher-led and parent-led.

All teacher-led and parent-led services other than playgroups are licensed.

The table overleaf shows the range of ECE services available.

Teacher-led services

EDUCATION AND CARE SERVICES

run all-day sessions or flexible hour programmes for children from birth to school age some services are for certain ages like children under two may be privately owned, or owned and operated by a community group some have a particular language and cultural base.

KINDERGARTENS

accept children between two and five years old and can have set morning and afternoon sessions for different age groups some offer all-day or flexible sessions for a wider age range of children non-profit, community-based services managed by a Kindergarten Association.

HOME-BASED EDUCATION AND CARE SERVICES

involve an educator3 providing education and care for groups of up to 4 under school age children at a time in a home setting each educator must belong to a licensed home-based care network and is supported by a coordinator4 who is a registered ECE teacher.

3 For definition of educator see the Glossary at the end of this publication.

4 For definition of a coordinator see the Glossary at the end of this publication.

PLAYGROUPS

Homebased Childcare and Education Whangarei • Kaipara • Mid Northland

North Kidz is a licensed provider delivering your child a quality Early Childhood Education in the comfort and safety of an educator’s home.

Why choose North Kidz?

• Wide network of Educators and homes • Small group sizes 1-4 • 20 hours Free ECE* • Flexible hours to suit your needs • Teacher led playgroups • All Educators are first aid trained and police checked • WINZ assistance available*

We have spaces available NOW!

Contact us today

Phone 09 430 3980 email: info@northkidz.co.nz www.northkidz.co.nz

*20hrs Free ECE & WINZ subsidies available for eligible clients

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are run by parents and cater for groups of children from birth to school age and their parents typically meet for 1 to 5 sessions each week to provide play, social and learning opportunities for children can be certificated and may be less formal than other kinds of ECE services.

PASIFIKA PLAYGROUPS

As well as the above playgroup requirements, Pasifika playgroups focus on developing and maintaining Pasifika languages and cultures.

NGA¯ PUNA KO¯HUNGAHUNGA

As well as the above playgroup requirements, Ma¯ori language and tikanga is reflected in the structure and content of the playgroup sessions.

PLAYCENTRES

are collectively supervised and managed by parents for children from birth to school age have a strong focus on parent education as well as children’s learning are supported by Playcentre Associations around the country.

NGA¯ KO¯HANGA REO

cater for children from birth to school age in a Ma¯ori language and tikanga Ma¯ori environment

parents and wha¯nau manage and operate the ko¯hanga reo with the support and guidance of the Te Ko¯hanga Reo National Trust some ko¯hanga reo are also teacher-led services with trained kaiako.

Springbank Preschool is …

Confidence & Determination

Fun & Friendship

Discovery & Play

Springbank Preschool offers

a rich and exciting learning environment for children 3 months to age 5. Our enthusiastic teachers provide lots of care and encouragement to guide your child through these important early years.

Springbank Preschool is open Monday to Friday from 7:45am to 5:15pm. We welcome all families to come along and see how we will ensure that your child develops capability, character and confidence in their most crucial early years. You can contact us on 09 407 5236, email reception@springbank.nz, or follow us on Facebook.

To find out more how we can help your child shine, phone 4 0 7 5 2 3 6. Springbank Preschool, 78 Waimate North Road, Kerikeri Newborn 2 Five

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HEALTHY RELATIONSHIPS

HEALTHY BOUNDARIES

Communication is a key part to building a healthy relationship. The first step is making sure you both want and expect the same things - being on the same page is very important. The following tips can help you create and maintain a healthy relationship:

Creating boundaries is a good way to keep your relationship healthy and secure. By setting boundaries together, you can both have a deeper understanding of the type of relationship that you and your partner want.

Boundaries are not meant to make you feel trapped or like you're "walking on eggshells." Creating boundaries is not a sign of secrecy or distrust - it's an expression of what makes you feel comfortable and what you would like or not like to happen within the relationship.

Speak Up. In a healthy relationship, if something is bothering you, it's best to talk about it instead of holding it in.

Respect Your Partner. Your partner's wishes and feelings have value. Let your significant other know you are making an effort to keep their ideas in mind. Mutual respect is essential in maintaining healthy relationships.

Compromise. Disagreements are a natural part of healthy relationships, but it's important that you find a way to compromise if you disagree on something. Try to solve conflicts in a fair and rational way.

Be Supportive. Offer reassurance and encouragement to your partner. Also, let your partner know when you need their support. Healthy relationships are about building each other up, not putting each other down.

Respect Each Other’s Privacy. Just because you’re in a relationship, doesn’t mean you have to share everything and constantly be together. Healthy relationships require space.

Remember, healthy boundaries shouldn't restrict your ability to: Go out with your friends without your partner Participate in activities and hobbies you like Not have to share passwords to your email, social media accounts or phone Respect each other’s individual likes and needs.

0800 456 450

www.areyouok.org.nz

22

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WATER SAFETY WITH THE UNDER FIVES

P

re-schooler drownings typically occur when a child is allowed out of sight and reach of a caregiver; in the bath, paddling pool, or bucket – or larger bodies of water such as in a beach, lake or river.

No children under-five should be drowning in this country.

Keep under fives within arm’s reach at all times.

It only takes sixty seconds and around five centimetres of water for a child to drown.

SAFETY TIPS:

Always empty and store paddling pools and water containers after use and ensure you have a safely fenced play area Identify water hazards in and around your home and ensure your children can’t reach them If you're in a group of people, ensure you have an active supervision roster so you know who is watching the children at all times Make sure older children don’t have to take responsibility for younger children Teach your children water safety behaviour from as soon as they are old enough to understand, things like: ‘Never go near the water unless you’re with a grown up’ To learn more about how to keep your children safe while in or around the water please take a look at our Under Five's Be Waterwise resources. www.watersafety.org.nz

Together, with Plunket, SwimMagic offers all children under the age of 5 their first term

HALF PRICE SwimMagic is a specialised Learn to Swim programme which offers lessons from 6 months of age right through to adults!

Our programme aims to keep children as safe as possible in, on and around the water through song and games, water safe practices and fun!

To enquire or enrol do not hesitate to contact our friendly team on

Call now: 09 4304072

wss@clmnz.co.nz Newborn 2 Five

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TEENAGER & PREGNANT?

If you’re having a baby and just want to know what’s available to support you (male or female) then contact us. We provide practical and supportive options for teen parents who are pregnant or parenting.

He Kakano Early Learning Childhood Centre • High quality educational programmes • Attractive outdoor environment • Nutritious meals (All meals provided) • Low child to teacher ratios • Reasonable hourly rates • Qualified Early Childhood Teachers • 20 ECE Hours Our staff are friendly and welcoming and would love to have your tamariki become part of the He Kakano whanau.

Remember we are conveniently situated next to NorthTec, The Pulse, He Matariki School for Teen Parents, Te Wananga o Aotearoa, local schools, and the hospital. This makes us a perfect location for parents who are studying or working.

For more information, please contact Jenny on 09 4381840 or 021 532204.

Maia House Maia House is a supported residential home for teen mums. We inspire positive futures for pregnant and parenting teenage mums through Safe Housing, Caring Adults and Supportive Services.

SAFE HOUSING: Maia house provides a warm, clean, dry, spacious and affordable home environment, with nutritious food.

CARING ADULTS: 24/7 house parents and Te Ora Hou staff who assist young parents for independent living through developing life skills e.g. budgeting, cooking, shopping, managing relationships and having a healthy lifestyle.

SUPPORTIVE SERVICES: Maia House enables teen mum’s access to a wide range of health, education and well-being services in our community. This could include finding a midwife, enrolling with a GP, accessing well-child/tamariki ora services, enrolling in school/early learning opportunities, engaging in activities that build confidence and self-esteem, developing parenting knowledge and skills, and accessing work and income.

For more information, please contact Sharon on 027 434 3087 or Maria on 021 892 799.

For more information on any of these wonderful services,

please contact Sharon on 027 434 3087 or Briarley on 438 5556 Facebook pages Te Ora Hou Northland, He Kakano, Maia House.

www.teorahou.org.nz

Early Years Services Hub

Provides a space where families (with children aged 0-6 years) can access helpful services, groups, programmes and information either on site or with other community organisations and groups in Whangarei. Groups that we have at The Pulse include – Building Awesome Whanau – parenting Programme, Plunket pop-up playgroup, Yummy Mummies Coffee Group, Mobile ear clinic, Play Café – for children with additional needs, Mobile library, Before School Checks and Well child clinics etc.

Child Birth Education Classes

For teenage parents - A seven week class where you can learn all about what may happen during your pregnancy, labour and birth.

This includes recognising stages of labour, understanding your pain relief options, visiting our new birthing unit, bathing new baby, learning about the new born baby, breast feeding and taking care of your body. We can offer transport, yummy kai and if you need it, some support. We have great people here to support you and your partner in this exciting time. These classes run during the school term on Wednesdays from 10:30 to 1:00pm.