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Respect the Nest

Respect the Nestby Linda Louise Henry

What is the “Nest”?

It’s a 40 day “laying in” period immediately following birth where the new mother does nothing but love her baby and herself. She accepts food from others, she basks in the sacred space that naturally follows a birth, while others tend to her needs as well as the needs of her household. Traditionally and historically, this practice has been adhered to as part of the birth experience. But for some reason, we don’t practice it anymore in our culture and I’m beginning to wonder if there is a connection between this loss and the epidemic in postpartum depression.

We all agree that the postpartum time is HARD for EVERYONE. We all agree that the new mom needs endless amounts of support, emotionally and physically. And yet, this nesting period still fails to receive the type of attention we all agree it needs.

After giving birth 6 times, and working with birthing women for many years, I began to have a “hunch” about the importance of an optimal nesting time. I was also able to experience it first hand as I prepared for the birth of my 7th child a couple of years ago I write about the experience and how I created my nest in more detail here

The short answer is that it changed who I am. While living it, I realized how huge it is, and started doing research about it and writing about it. Here are some of the things I’ve learned:

With the advances in technology - we now have never before known data on how an infant’s brain and emotional intelligence is formed from the beginning of its life. In a nutshell, during the prenatal time,  the birth experience and the first few months of life, there is extreme “plasticity” of the brain. The neural connections are just beginning to happen and are firing at a phenomenal rate, a constant explosion of brain activity never matched again in life (these trillions of connections exceed those that you and I adults have, and will subside connecting at around 3 years old - after that, the existing connections are either strengthened or pruned away). These neural connections form the beginning of how this baby will think and feel about life, the world, and itself. During some of these times, there are also “windows” of opportunity that will never be open again after they close. For example, if a baby is born with congenital cataracts, successful surgery allowing the baby to see clearly can be done effectively only if performed before 3 months old. After this window closes, the chances of that person seeing clearly decrease significantly.

This makes me wonder what other things in the brain are so vulnerable and then so cemented at such early ages. The eye/vision thing is easily measurable. But what about things that are not so easy to measure such as the ability to love at a certain level, or the amount of trust that person will be capable of in its life. It is extremely possible that many of these foundational building blocks that are essential for a healthy fulfilling life, are formed during this sensitive time. It just makes sense. The first experiences a person has, shape that person. The epic question “Nature or Nurture” has now been answered fairly well in that these first experiences have a significant impact on shaping a person’s brain wiring. Scientifically speaking anyway (for more great information on “Primal Health”, visit Dr. Michel Odent’s website WombEcology where he explores the lifelong impact of early fetal life experience).

Historically, most other cultures have recognized the importance of the nest, where an honoring of a 40 day “laying in” time seems to have been the norm – the women within the tribes or villages would tend to and care for the new mother by feeding her good healing foods, massaging her daily, taking care of her household needs and sometimes, conducting public ceremonies that introduce motherbaby back into the group for the first time. In many cultures now, these practices still happen. Some countries have even instituted within their government systems, a fully supported postpartum care time both physically and financially. Within the systems that this policy is in place for, sometimes up to 3 years time, it’s not surprising that they have an economic superiority over the rest of the world, as well as an overall superiority within their infrastructure (quality education and social programs, lower mortality rates, etc.).  Rainne Eisler writes about this topic in “The Real Wealth of Nations” - where she discusses the many benefits of instituting a “Caring Economics”.

The experiences a person has at the beginning of their life are critical in the development of that person, and on a mass scale, we need to realize that these experiences have a significant impact on a society. It’s important. To everyone.

What I found for myself as a mother during my nesting time, was such a huge loving space that seemed endless. I was able to really process the previous 9 months, I was able to assimilate the whole experience of labor and birth, of my changing body and my changing life. At the end of it, I really felt very prepared for my responsibility as Zara’s mother - and after such a long time of being in my nest, I felt ready to “get out” into life again. Even after going back to regular life, I kept my nest intact for as long as I could, loving that I had a safe, comfortable space for me and my baby anytime I wanted to go back to it. I felt for the first time after all of my other births, that I had fully completed the birth process. I never understood why I had felt so “empty” and vulnerable during the first few weeks postpartum all the other times I had given birth. It all makes sense to me now!

It also makes sense that a happy mother equals a happy baby - and what better way to have a happy mother than to give her a large block of time to do nothing but enjoy her baby and gently adapt into her new mother role. I saw the phrase “honoring confinement rituals” recently and love how this phrase conveys the spirit of this special time.

It’s a huge answer to the loss that so many women feel following a c-section or a birth that didn’t go according to the birth plan. Unlike the birth experience itself, a mother has total control over the creation of and the time spent in the nest. If these mothers had the nest to retreat into, it would be significant in helping them process their experience - not to mention giving them the recovery time they really need. Breastfeeding gets the very best start too and we all know how important that is.

By bringing back the Nest - we give the best to motherbaby.

Mother is honored, respected and revered in a very real practical way. Baby is respectfully welcomed and given the best possible start in its life within a safe loving nest that optimally, follows a safe, peaceful and empowering pregnancy and birth.

Just because this practice has been lost somewhere along the line (maybe when birth started moving into the hospitals?), that doesn’t mean that we can’t or shouldn’t still respect this time as much as we can. In fact, for all the same reasons so many of us birth workers have committed our life’s work to birth issues – the nest time deserves the same attention. It’s been the “missing link”, I believe, in our work as birth women and it’s time we start instituting it within our maternal care work. We’ve tended to separate prenatal care, birth and postpartum as different events. I’d like to offer that we begin to move towards a place of CONTINUITY of care where we treat the whole process as one event. Including a 40 day standard postpartum nest time. I can see many people blowing this off as impossible in our modern culture. But, sit with it for a while and see what your inner wise woman says – then start talking to HER about it! My guess is you’ll start seeing this in a new light. Soon, we can all begin to create a dialog about how we can creatively and realistically start instituting the Nest.

By honoring the Nest, we are giving our future a strong advantage in feeling secure and loved, which, compounded, may very well be the thing that will shift humanity into a true civilized state where all  living things are treated equally and with respect, ushering in the evolution of our species that we have all been waiting for. 

Author Linda Louise Henry is a Maternal Care Specialist, a birth rights activist - a mother of 7 and a grandmother. 

Linda shares her stories with new mothers at her blog, "Nest".

2 1/2 Crackers:  
Finding Meaning in Morning Sickness
Half an hour later, after I'd scraped the cracker goo from my teeth, I was still awake and still hungry.  So I set off to the kitchen for my first breakfast, a bowl of cereal.  Even the bowl of cereal begins to turn my stomach as I hope and pray it stays down.

Morning sickness has taught me that life is unpredictable and ever changing.  What worked to cure my morning sickness yesterday may not be the same remedy that works today.  Just when you think you've got it figured out, it evolves.  I'm not in control, the thought that I was is just and illusion.  Pregnancy is about learning to give up control, our body is no longer our own.  We can not dictate or plan even the simplest things, such as what's for dinner.  The greatest lesson is to learn to let go and let be.  It's a preparation for labor and birth and ultimately parenthood.  Losing control may be one of the greatest gifts of morning sickness and pregnancy.

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Gratitude
Breastfeeding: One Mama's Story

With each feeding I had intense pain.  The pain radiated through my back and stiffened every muscle in my body down to my toes.  I cried as I fed my baby.  I dreaded the next feeding.  I felt like the worst mother in the world.  This was not what breastfeeding was supposed to be like.  It was supposed to be a loving, intimate moment between mother and child as she provides nature's perfect food.  Instead it felt like self-inflicted torture. 

Six days after Dexter's birth I went back to the hospital for an outpatient visit with a fourth lactation consultant.  She watched as I got situated, how I positioned him, and how I helped him latch.  She assured me that I had done nothing wrong.  She then watched as the pain shot through my body curling my toes and sending tears streaming down my face.  She stopped the feeding and as Dexter turned his face away from me we all saw the blood that smeared across his cheek.  I was horrified.  She then said the words I knew were coming and dreaded to hear; "You have to stop breastfeeding."  My already broken heart was shattered.  I had taken along my breast pump knowing it would probably come to that.  She took the first bit of milk and showed my husband how to start suck training.  I sat there, pumped, cried, and felt so defeated.  I just couldn't understand how something so natural and good could be so painful - physically and emotionally.  She gave us information to contact Shannon Lilienthal, a private practice lactation consultant that has experience with tongue tie.

I know pumping was necessary to keep up my milk supply and to feed Dexter, but it was horrible.  It was a constant reminder that I was failing as a mother.  It created twice as much work at feeding time and made me feel isolated from my new family.  It was so mechanical and unnatural.  Many times I sobbed through pumping knowing I couldn't feed my child the way God intended.

I had already asked our pediatrician about the possibility of tongue tie and he dismissed the idea.  Dexter was healthy and gaining weight, which was all the doctor was concerned about.  The problem was that he was gaining weight from a bottle.  What about the mother-infant bond?  What about the physical pain I was going through trying to do the right thing for my family?  When he started talking about formula again, I knew where he stood.

Four days after the return visit to the hospitall, I called Shannon because the suck training seemed to be getting us nowhere.   During the consultation she observed that Dexter lacked mobility in his tongue, which is consistent with a type 3 posterior tongue tied.  She also showed us that his labial frenum under his top lip was also tight.  She told me the story of her own son's tongue tie and offered hope.  Shannon suggested that I attend the next meeting of La Leche League, a group of breastfeeding mothers, which could offer support.  She referred us to doctor experienced in diagnosing tongue tie. Making the decision to 'slice and dice' my newborn was not easy.  What if it didn't work?  Was I being selfish?  NO!  I wanted the best for my son. I had to know that we did everything possible before I gave up my dream of breastfeeding.   I took the first available appointment which was ten days later.  By then I had reached the end of my rope.  Something had to change or I wasn't going to make it.  

Without the proper support, it makes sense why so many mothers give up breastfeeding and why so many more don't even try.  This was the most trying and difficult thing I have ever been through.  Weeks of crying, pumping and heartache led us to having Dexter's tongue and top lip clipped.  With the help and support of people like Shannon and the women of La Leche League, we
are now successfully breastfeeding.  Two months after Dexter's birth I was able to put away the pump and I began to enjoy feeding my son.  Finally I could become the mother I had always envisioned.

Cynthia went on to nurse Dexter until he was 15 1/2 months old.




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Beach Baby
What are the basics for baby?

Swim Diapers.  I highly recommend cloth swim diapers that can be reused.  Reuseable ones are better for the environment, more cost effect and perform better than disposables.  If you already cloth diaper and don’t want to splurge on a swim diaper, pocket diapers work just as well.  Be sure to wait until you get to the beach to put them on though.  They aren’t meant to absorb urine and can leave a mess in the car seat if you put them on before you even leave for the beach.

Sun Protection.  This can be broken into many variables depending on the age of your child, the time of day you spend outside, how much direct exposure you will get from the sun and your comfort levels with using sunblock.
  1. Beach hat.  These are great if you can get baby to keep them on!  Buy one that has a chin strap to help with the battle.  Be sure it has a wide brim and the hat shades the eyes and covers those sensitive ears.
  2. Sunglasses.  Good rule of thumb is if you need sunglasses, then so does baby!
  3. Umbrella.  Make your own protective shade for your little one.
  4. Baby Beach Cabana.  There are lots of great options out there now to help shelter you baby from the sun and give them a protective, clean play space at the beach or a comfortable place to nap.  Sun Smarties Infant Cabana is a great option.  Just make sure that the air is able to move through the tent and the temperature is tolerable for your little one.  If they are sleeping, be sure to check on them often to ensure they aren’t too hot and sweaty.
  5. Clothing with UVA & UVB protection. The apparel, which is designed to be worn in and out of the water, automatically keeps much of the body protected and therefore limits the number of body parts you need to reapply lotion to on your baby or toddler.
  6. Sunblock. The last thing your baby needs to take home from the beach is a painful sunburn.  If you can’t avoid the sun and your child is over 6 months old, sunblock may be the way to go.  Be sure to buy SPF 30 or higher and check the ingredients to be sure they are safe.  EWG has a great list of the best sunscreens here.
Water safe baby carrier.  This is a great way to acclimate your baby to the water.  Baby can explore the depths of the water within the comfort of a sling, close to you so they feel safe about exploring this new experience.  Some great options for water slings are Tiny Slings and the Wrap Duo by Wrapsody.

Stock the cooler.  Be sure to take plenty of water for baby and/or yourself.  You don’t want to end the day with dehydration. Children are more prone to heat-related problems because their body surface area (exposed skin) is greater in relation to their body size than for adults. They may also be distracted by playing to the point that they don't realize they are thirsty, so be sure to offer fluid to active children every 20 to 30 minutes. Also, avoid the peak sun/heat hours of 10 a.m. to 4 p.m. if possible. Playing at the beach can work up quite an appetite, so don’t forget the finger foods too.

Footwear. If your child is walking, be sure to bring sandals or Crocs to protect their feet from the hot sand.

Beach Toys. A few simple toys can enhance the beach experience (and give parents a break from chasing). Give your toddler a bucket and a shovel and let him enjoy digging or making sand castles. Bring along a toy dump truck to fill with sand or drive over kid-created sand hills. A book or two to read under a shady umbrella can be a great way to rest when toddlers need some down time. Keep with the theme of the day by reading A House for Hermit Crab by Eric Carle or The Ocean Alphabet Book by Jerry Pallotta and Frank Mazzola, Jr.

Bouncy Seat.  If you have a baby who is not yet able to sit up on their own, this can be a great way for them (or you) to take a break or even a nap without getting stuck in the sand.  It also elevates them so they can watch what is going on around them.

And always be sure to take the camera.  Time is fleeting and you want to catch all the fun in the sun!  Join us on 
Facebook to tell us what are your must have’s are when going to the beach with a baby.


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Surgical Birth and Motherhood

Although there are sometimes clear clinical indications for a Cesarean delivery, the short- and long-term benefits and risks for both mother and infant have been the subject of intense debate for over 25 years. In 2007, nearly one-third (32%) of all births were Cesarean deliveries. In central Pennsylvania, there are 3 major hospitals with Labor and Delivery  units, each with surgical birth rates ranging from 23%-37%, according to the Pennsylvania Department of Health’s 2008 statistics.

Experiencing a surgical birth can be a completely healthy, happy experience for many mothers, yet others have feelings sadness, anger, fear, and loss of power. With one in five women experiencing Postpartum Depression, we must factor in what role their  childbirth experience factors into this concern as well as how these feelings impact a mother’s ability to take care of her baby and herself in the postpartum months and beyond.

Some issues relating to birth in the United States are virtually taboo and a common notion put upon a new mother who may have had a birth experience that was not what she had hoped is that of “but the bottom line is that the baby is healthy”. To have one’s emotions dismissed is insulting and frustrating, but that is exactly what happens over and over to all too many women.

While most childbirth classes and numerous books include a discussion of Cesarean Section, this segment is often skipped over in hopes that it will not pertain to 
that mother. Surely scenarios play out where either mother or baby are better suited with a surgical birth, where the pros outweigh the cons, such as with severe pre-eclampsia, Intrauterine Growth Retardation, cord prolapse, placenta previa, etc. However, with the Caesarean rate continuing to climb to 1 out of 3 births for the last 13 consecutive years in the United States, one of the most “developed” countries in the world, there are no doubt situations where surgical birth was the riskier method of delivery, for both mother and baby. Additionally, informed consent is rarely given in a thorough manner from many practitioners.

A resource for families that have experienced or are facing a surgical birth is the International Caesarean Awareness Network (ICAN). ICAN’s mission is to promote awareness, prevention, advocacy, and support for mothers who have experienced or may be concerned about facing a Cesarean section. In dialogues with mothers, doulas, nurses and other community members, it was most recently realized that central Pennsylvania would greatly benefit from a local chapter of ICAN. That being said, the  International Cesarean Awareness Network now meets on the third Tuesday of every month at 6:30pm at Om Baby Pregnancy & Parenting Center.  We encourage you to join us in this forum regardless of when or why you experienced a surgical birth, if you have concerns that you may be faced with a necessary or unnecessary surgical birth or if you simply would like to educate yourself about the topic for you or a loved one. 



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Tantrums, Fussing and Whining

from The No-Cry Discipline Solution


The Harm in Anitbacterial Hand Soaps
by Holly Keich
children washing hands
N
ow that we're heading into the "cold and flu season", you may be thinking of stocking up on handsanitizers, disinfecting sprays and antibacterial wipes to keep germs away from your kids. If so, you may want to re-think this plan since it is in fact unnecessary, and there may be unintended consequences.

Just like overuse of antibiotics, overuse of antibacterial household products can lead to bacteria resistant to antibiotics. In addition, these antibacterial chemicals harm the "good" germs that play an important role in protecting us from infection. Most viruses and bacteria are not harmful and may be beneficial in ways we do not yet understand. And if you go overboard with too much cleanliness, it can disrupt the development of a child's immune system, which depends on germ exposure to mature. This could make your child more susceptible to allergies, asthma and skin inflammations like eczema. 

But is antibacterial soap effective at reducing illness? There's no evidence that the products containing these chemicals give us any health benefits or have any effect on the occurrence of runny noses, coughs, diarrhea and other symptoms produced by viral illness. In other words, children in households that use these soaps are just as likely to be ill as those in homes where normal soap is used.

But they ARE being absorbed into our bodies. And all these chemicals are constantly being washed down the drain, into our lakes, rivers and water supplies.

The chemical usually used in antibacterial soap is triclosan. While this agent has been in use for years, researchers have recently discovered that it does not kill germs in as widespread a manner as bleach and alcohol do. Instead, it targets genes in the bacteria, rendering them unable to reproduce. This action may actually encourage the mutation of the cells into resistant strains. Triclosan is a powerful agent that has also been found to damage or even kill skin cells. These ingredients are also showing up in shampoos, dishwashing detergents, laundry detergents, and other cleaning products. Some fear we are drenching our children with antibiotics many times a day.

You don't have to kill the germs, just wash them away with a nontoxic soap and water. Plain soap works in two ways. It breaks down the surface tension of water and allows it to bind with dirt and bacteria. Then with the addition of friction (scrubbing), the dirt and bacteria are rinsed away. Plain soap and water remove the bacteria and other microbes that cause illness. But it must be used anytime the hands come into contact with potentially harmful germs. Children and adults should be encouraged to wash their hands after every visit to the bathroom and before eating.

Neither the American Medical Association nor the Center for Disease Control recommends the use of antibacterial soap for children. They do, however, offer the following guidelines for hand washing. Use warm running water and a mild soap. Wet hands and scrub with soap for at least 15 seconds. Make sure to scrub around the nails and between the fingers, and don’t forget the backs of the hands. Rinse hands under warm running water. Dry with a clean towel, and turn the faucet off with the towel in your hand. Always wash after using the restroom or changing a diaper, as well as before preparing food, eating, or feeding an infant.

Sources:
http://www.healthychild.com/healthy-child-blog/antibacterial-hand-sanitizers-unnecessary-with-negative-consequences/

http://green.yahoo.com/blog/guest_bloggers/31/eating-dirt-can-kids-build-healthy-immune-systems-through-dirt.html

http://www.essortment.com/family/kidshealthhygi_slul.htm


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Infant and Toddler Sleep: Cultural Values vs Instinct and Scientific Evidence
by Pamela Moran, MSW, LSWchild sleeping
One of the biggest struggles and stressors for new and not so new parents are sleep issues…  how much sleep should they get, how do I get them to sleep, where should they sleep, how can I get more sleep while also getting things done and having time to myself….and the list goes on. Interestingly, these questions and concerns are relatively new for parents, and are specific to western culture.  And for babies and toddlers, these issues are irrelevant.  They already know all of this.  They have already been doing it for nine months in-utero.  They already know how to sleep, when to sleep and how they feel most comfortable and safest while sleeping.  How have we come to have such little trust in them and in ourselves as parents?   Based on all the overwhelming cultural chatter about what is “normal” regarding sleep, it is no wonder most of us have become victims of all the fears that surround these issues.  Will my baby become overly dependent?  Will they sleep with us forever?  Will they ever sleep through the night? What will others think?  Is there something wrong with me as a parent?  Could it be our fear that drives us, both as parents and as a culture?   
What if it is our culture that has actually created all these struggles and fears.  In Western society we have come to value self-soothing , self-sufficiency and early independence for babies and toddlers.  In the mid 20th century, it was pediatricians, who had little if any part in the care of their own infants, who were providing authoritative advice to parents as to these sleep questions.  Their recommendations were based on the values of our culture, not on knowing what babies need, or on instinct, much less on any scientific evidence.   These values for infants are all based on how we want infants to be, not on how they actually are, or on their actual needs as infants.  In fact, humans are the most highly dependent, for the longest period of time, of all infant mammals, on their caregivers, for their basic needs.  A tremendous amount and quality of caregiver attention and interaction is required for the infant’s brain to develop optimally, for intellectual, social, emotional health, as compared to any other mammal infant.   
Dr. William Sears motto is, “Show me the Science! Childrearing is too valuable to be left to opinions alone”.    


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The Revival of Ancient Wisdom: 
In Celebration of International Babywearing Week

by Holly Keich
mother wearing baby

Babywearing has received some extra publicity recently as a result of a CPSC statement and Infantino SlingRider Recall.  But wearing a baby in a carrier is as safe or safer than carrying a baby in arms when done properly.  Baby Carriers are nothing new and have been around for centuries, even thousands of years.  Prior to the recent upsurge in popularity, parents worldwide have used long cloths, shawls, scarves and even bedsheets to snuggle up to their babies and get their chores done.

In celebration of International Babywearing Month, we want to honor this rich history and help you choose a modern baby carrier that is right for you!

Each country/area of the world has a traditional baby carrier designed to meet their particular needs, i.e. hot/cold climate, type of work mothers do, cultural/traditional wearing positions.   

  • For instance Mexican people use the Rebozo, which is a square of woven cloth tied over one shoulder with baby usually on the back- sometimes called a Chal, depending on the length.
  • Peruvians have a Manta which sits over both shoulders like a cape, and baby sits high on mother's back. 
  • Guatemalans use Parraje- similar to a Rebozo.
  • European mothers used a mixture of pouches, wraps and short cloth carriers.
  • Alaskan/Canadian people have the Amauti which is a very thick arctic jacket with a baby 'pocket' in the back, baby even fits under the over-sized hood!
  • Papua New Guinea mothers use a Bilum- a net bag held at the forehead with baby hanging at the back (very strong necks!) 
  • Indonesian mothers use a Selendang which is a long ornate wrap.
  • Aboriginal mothers used to keep their babies in carriers made of bark, similar to the cradleboards used by Native Americans but without the cloth covering. 
  • Asian mothers use a variety of carriers including Mei-tai /Hmong/ Bei(China), Onbuhimo(Japan), Podaegi (Korea) plus many use a 'carrier' of long straps which go under baby's armpits and thighs for back carries. 
  • Welsh mothers used to wear their babies in warm shawls, called 'Siol Fagu' (nursing shaw). 
  • Ethiopian mothers use a blanket with top straps, similar to the Onbuhimo. 
  • African mothers use a 'Khanga' which is a short-ish piece of cloth tied around the torso, so baby sits low on the back. 
  • Maori women carried their babies in a cloth inside their cloaks, or in a flax Pikau (backpack).  (excerpt taken from http://www.slingbabies.co.nz/Site/History_2.ashx)

In the Western world, babywearing saw a decline as parents misunderstood or were not aware of babywearing. (For instance, some parenting experts believed the mistaken notion that babywearing hindered developing independence, whereas it actually facilitates it when practiced properly).

A modern resurgence came about in 1981, a man from Hawaii, Rayner Garner, invented a sling with two rings and padded edges, for his wife Sachi to wear their baby.  His design was so popular and useful that in 1985 Dr William Sears, pediatrician andfFather of 8, bought the rights and continued making and promoting slings.  The basic sling design still exists today in many variations, and many brands and types to choose from. 

Dr William Sears coined the term 'babywearing' which has gained in popularity (along with soft carriers/slings) since the 1980s.  He sees baby slings as an extension of the womb environment, bringing with it many benefits for baby's development and parents' sanity!  Studies report less crying, better growth for premature babies, increased parental confidence that helps to reduce postpartum depression, and don’t forget about the comfort and convenience of being hands free and able to go where no stroller dares to tread.

Ready to give babywearing a try, but not sure where to start?  There are many considerations, whether you are choosing your first (or tenth!) carrier.  The BabyWearer and Babywearing International are 2 great resources to help you choose the carrier that is best for you and your baby.  Another wonderful local resource to help you with learning how to use your carrier is theWest Shore Babywearers.  They offer a sling lending library and experienced babywearers who can help you with positioning and tips for safe carrys.  Om Baby also has slings available for sale and offers babywearing demos in our Natural Baby Workshop.  With all this support, you are sure to find a carrier that and your little one will love!

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Make a Difference! 

Become a Breastfeeding Advocate.

breastfeeding logo


by Shannon Lilienthal, BA, IBCLC, RLC


When I was a social work intern in rural Oregon in the late 1990s, I was surprised to see some of the first-time mothers on my caseload experience challenges with breastfeeding.  I assumed breastfeeding came naturally and the baby would just know what to do.  The clinic where I interned employed an IBCLC – an International Board Certified Lactation Consultant.  As I brought the moms and babies on my caseload in to see the Lactation Consultant for help, I learned about the issues some mothers face, like low milk supply or sore nipples due to poor latch. I soon discovered that getting help early with breastfeeding issues was essential. 


Later, as a social worker in West Philadelphia, I again discovered that the new moms on my caseload needed help with breastfeeding, but unfortunately there was less support for them in their community.  This experience ultimately led me down the path to becoming an IBCLC myself.  While still working as a social worker, I paid to participate in an internship program at a hospital with a busy maternity floor. It took a few years for me to complete the required coursework and to accumulate the required 2.500 clinical hours working with moms and babies under the supervision of an experienced IBCLC. Then I spent several months intensely preparing for the comprehensive board exam. 


Mothers often ask me how they can become an IBCLC.  I refer them to the International Board of Lactation Examiners (http://www.iblce.org) to learn about the different pathways to certification.  However, you should know that there are many other ways to help breastfeeding mothers and babies, and many in your local community.

Nursing Mothers' Counselors (NMC) is a volunteer organization that pairs mothers who have breastfed their babies with new moms who need breastfeeding support. The organization is affiliated with Pinnacle Health's Harrisburg Hospital. NMC’s mission is hope – that volunteer counselors can offer mothers the support they need for a truly wonderful experience in providing excellent nutritional benefits and love to a new breastfed generation.


NMC is in need of women who have breastfed a baby for at least 6 months, have a desire to help other breastfeeding moms, and can give about 5-6 hours a month to volunteer on the postpartum floor. Counselors will work with the hospital IBCLCs to support new mothers who choose to breastfeed their babies.  To become a Nursing Mothers Counselor, you will be asked to complete a training module and shadow two of our existing counselors as they assist new mothers in the hospital.  If you would like more information, please call the Learning Institute at (717) 221-6255 or go to http://www.nursingmotherscounselors.com/.


Another advocacy group in need of volunteers is La Leche League (LLL).  LLL is an international, nonprofit, nonsectarian organization dedicated to providing education, information, support, and encouragement to women who want to breastfeed. La Leche League Leaders are experienced mothers who have breastfed their own babies and who have been trained and accredited by La Leche League International to help mothers and mothers-to-be with all aspects of breastfeeding. They are available by phone whenever you have breastfeeding questions or concerns.  To find a local meeting, go to http://www.llli.org/Web/Pennsylvania.html


If your strengths lend themselves to advocacy and changing public policy, then consider becoming a member of The Pennsylvania Breastfeeding Coalition (PABC).  This group has quarterly meetings in locations throughout the state – the summer meeting is in Harrisburg and the fall meeting is in State College. PABC receives funding to work on advocacy projects, such as helping employers develop lactation rooms for working moms to pump in and recognizing breastfeeding friendly businesses.  To find out more, go to http://pabreastfeeding.org/


When I gave birth to my first son, I thought breastfeeding was going to be so easy. I was already an IBCLC and had worked with hundreds of mothers. However, Aidan had a posterior tongue-tie that made breastfeeding very painful until we got his frenulum clipped when he was 6 weeks old.  In those early weeks, I was headed for postpartum depression as I struggled with the disappointment I felt because breastfeeding was not going as smoothly as I expected. Thankfully I was well connected to NMC and LLL, and both groups gave me encouragement and support to continue to bond with my baby until we solved our breastfeeding challenge.  Consider becoming the support and advocate that can make the difference in the breastfeeding bond of a mother and baby.  We need you!




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What is Your Child's Behavior Trying to Tell You

by Venus Grella, Positive Discipline InstructorMisbehavior Detectives

Does your child throw peas across the kitchen, bite his/her siblings, or whine to no avail? No matter what display of undesirable behavior you deal with, there is always a need or want associated with it. Children naturally seek belonging and significance from their caretakers. When they lack the communication and social skills necessary to meet those two primary needs, misguided or ‘bad’ behavior is the result.

As the caring adult, our job is to identify the message behind the behavior. What is your child trying to tell you? Is she trying to keep your attention or get you to do extra things for her? If so, she is experiencing that feeling of belonging she desires when she is noticed by you or getting special attention and help from you. If you find yourself having to respond by coaxing her or doing things for her she could do for herself, her behavior often stops temporarily, but later it resumes or another annoying behavior takes its place. Does this sound familiar? Does this interaction leave you feeling annoyed, worried, or even guilty?

A helpful way to minimize demanding attention seeking behavior is to redirect the child by involving her in a useful task. Hand her the clothes to put in the laundry basket or let her throw away the envelopes from the opened mail. Useful is the key word. If she feels useful she will build self esteem. If she can’t help right at the moment, you might say, “I love you and will spend time with you later.” Give her a specific time and a specific activity. When you follow through, it will be to her delight every time. Having special, planned time, as little as ten minutes, can help reduce the need for undue attention, ultimately decreasing annoying, attention seeking behavior.

Another behavior we all deal with is power struggles. A child exhibiting this behavior has misguided power and always wants to be the boss. He feels like he belongs, only when he is the boss, in control, or proving no one can boss him, “You can’t make me.” You engage in the battle for power by wanting to be right and lecturing why you are right, or thinking “I will make you,” or “You can’t get away with this.” But in order to continue the battle, he intensifies his behavior. He is happy and feels he has won when you get upset or when you give in. This interaction leaves you feeling threatened, challenged, or maybe just defeated.

It is good for any individual to feel powerful, including children. The power must be within limits as well as be respectful to self and others. One way to bring about desirable behavior or positive power is to ask the child for help. Don’t fight and don’t give in, but withdraw from the conflict by saying, “I know I can’t make you, but I would really appreciate your help.” You will be surprised how intriguing this is to a child, especially if he is used to the fight. You are teaching self-respect when you respect yourself this way. And let’s face it; you really cannot make someone do what they don’t want to do, not without hurt feelings or manipulation. It is better to walk away than to do and say things you will regret and have to apologize for later.

There are many great tools to avoid power struggles, such as letting routines be the boss and holding family meetings to set reasonable limits that are agreed upon. Decide ahead of time what you will do instead of waiting for the moment when you and your child are upset. It is respectful and fair to let the child know what you have decided. For example you might say, “When you yell at me, I will leave the room.” When you follow through with what you say it teaches him to listen to you and to respect you. This practice fosters trust, so when larger problems arise he will more readily bring them to you. Allowing a child to have an appropriate amount of power will decrease his demand for misguided power. For example a two year old can pick out which shirt and shorts he wants to wear, while a ten year old can decide what he will watch or play for his hour of screen time. Notice in the example that getting dressed is not up for discussion, but the child can decide what to wear. Likewise, the older child can decide what to do, but not how long the activity will last.

No one ever said parenting was easy, but it should be a joyful experience. Think of parenting as teaching. Every time a child misbehaves, it is an opportunity for you to teach him or her a valuable life skill. Children should not have to pay with punishment for their mistakes or for their inability to communicate their needs. Instead they should be encouraged and guided to learn to do better. When children feel better about themselves and feel capable to tackle life’s challenges, they will behave better too.

None of these suggested responses to behavior are magic or always successful, but they are far better than anger, hopelessness, or giving up out of frustration.



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Raising Bully-Proof Kids

by Kathleen Bucher

Bullying Now that June is upon us and the children are going on summer break, we look forward to a lessstructured, more relaxed environment and the word “bullying” is a word that need not be dealt with until school returns in the Fall. Although bullying seems to be prevalent when schools are in session (notice the horrible headlines lately?) the reality is that bullying is everywhere…from the playgrounds to the community pool to the neighborhood we live in. So, what can we do to prepare our children so they can recognize when they are being bullied and how can we teach them to not be a bully themselves?

One principle we can begin cultivating in our children is having empathy for others. As stated in an article in Time.com… ”bullying and other kinds of violence can indeed be reduced by encouraging empathy at an early age. Over the past decade, research in empathy — the ability to put ourselves in another person's shoes — has suggested that it is key, if not the key, to all human social interaction and morality.”Read more:  
http://www.time.com/time/health/article/0,8599,1982190,00.html#ixzz0ox4ywCzE. Teaching empathy to children requires a bit of eloquence and insight, though. In an excerpt taken from the book, How to Say It to Your Kids, by Dr. Paul Coleman, he states that it’s important to build an “emotional intelligence” when teaching empathy. “Emotional intelligence does not refer to being nice. It does not mean wearing your feelings on your sleeve. It means understanding your own emotions enough that you can use them in decision making, manage them better during stress, and be able to understand and relate to others better.” Teaching our children to recognize their own emotions, having a safe outlet to express their emotions and helping your child work through their feelings are the building blocks of learning empathy. Here are some examples you can begin using right away when teaching your child empathy:

To help you teach emotions to your child here are some examples:

"You're feeling frustrated right now because you want that toy.” "You’re feeling angry because I’m paying attention to the baby right now.”
"You were joyous when you heard Tommy was coming over to play.”

Use moments with other children or animals to teach about their emotions. That way your child can practice empathizing:

"The puppy cries whenever we leave it. What do you think she is feeling?"
"The dog is wagging its tail when it sees its owner. What do you think the dog is feeling?" 
"You just said it seems as if your stomach has butterflies. What feeling is that?" 
"Before we went to class, you complained of a stomachache. Sometimes stomachaches are a sign that someone is worried. Are you?"

Encourage and praise accurate identification of emotions and praise empathy:

"You let her play with your doll because you saw that she was sad.” “You saw Sarah was missing her Mommy, so you gave her a hug.”

To read more visit:  
http://life.familyeducation.com/parenting/friendships/29483.html

When children conceal or hold in their emotions, they are apt to express themselves in negative behavior or thoughts about themselves or towards others. By using statements of observation, it encourages the child to reflect and share with you the emotion that they are experiencing. When children can communicate their feelings and have a place to be heard, it is so much easier for them to move past it and let the emotion pass. 

In the September newsletter, find out why building self-esteem is another key element to bully proofing your child. 



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A Good, Normal Birth

by Lexi Abeln, RN, CCE
Normal Birth

As a mother who has given birth twice in a hospital and once at home, a doula, a certified childbirth educator, and a labor and delivery nurse,  I have seen and experienced first-hand, both as a consumer and as a provider, a very wide spectrum of birthing possibilities. I have read and studied countless books, journals, articles, blogs and websites in search of truth and scientific evidence to expand my knowledge and better my practice.  What I have found, time and time again, is that birth is a normal, healthy life experience that is safest when left to its own natural process, for the vast majority of all healthy women.

There are many different opinions on the definition of “normal” within the context of pregnancy, labor, birth, and postpartum experiences.  I agree with the simple concept that normal birth for humans is the same as for any animal in nature.  This position holds strong that animals do best in birth when undisturbed in their own environment.  Animals have been observed to stop their labor in its tracks when they felt threatened or scared.  Proponents for homebirth agree.  What animal would leave their nest to go have a baby? “Normal”, defined by the Merriam-Webster Dictionary as “occurring naturally”, supports the concept of birth as a regular and expected process of nature.

Another definition of normal precedes the aforementioned in the same Merriam-Webster source.  Here, “normal” is defined as “a: according with, constituting, or not deviating from a norm, rule, or principle” and “b: conforming to a type, standard, or regular pattern”. The medicalized birthing community certainly enjoys this definition in the context of birth.  The sensationalized media images of birth as an emergency that will end in devastating outcomes if the doctors aren’t there to save the mother and baby, also backs up this definition.  In fact, it can be argued that the media creates normal for our culture.   The “reality” birth television shows indeed standardize and write the rules for normal birthing as lying on one’s back, being strapped to monitors and IV’s, being numb with narcotic medications, having a dress code of sterile gowns, gloves and masks, legs in stirrups and a doctor dutifully sitting in the place of honor so they may “do” the delivery.  In this sense, our country’s “norm” as defined by TV, looks very similar to what is really happening most of the time.

Another source of “normal”, in labor and delivery in hospitals, is defined by the Friedman Curve, where labor is subjectively timed and plotted on a graph.  Physicians are trained to plot labor, regardless of a woman’s individual history, physical or emotional condition, etc., and are taught that if a woman’s labor is any slower than the curve allows, there is justification (and duty) to intervene with augmentation or a cesarean section.  [It may be important to note here that Dr. Friedman’s curve was based on research done in the 1950’s when the majority of laboring women were heavily medicated with ‘twilight sleep’ anesthesia.  Ironically, colleagues of Dr. Friedman report that he intended the curve to serve as a tool to prevent unnecessary interventions and cesareans. ] 

At home, with a midwife in attendance, interventions with the birth process are minimal.  In hospitals, interventions are immediate and profuse.  Yet most women in our society birth in hospitals.  Induction of labor and epidural rates are very high, both of which are associated with higher risks of delivering vaginally with a vacuum or forceps and delivering by c-section.    Most women don’t imagine their upcoming birth as being complicated and ending with a c-section.  But, cesarean births are rampant, at a national rate of almost 1 in 3 births and rising.  Most women return home after their births with a healthy baby, but many feel an emotional loss because of their unexpected and sometimes traumatic mode of “normal” delivery.

Some birth trauma specialists have tried to redefine a good, normal birth not as one that was vaginal or cesarean, but one where the woman felt in control, empowered, and part of the decision making process regarding her birth.

Many organizations, (i.e. Lamaze International, The World Health Organization, Coalition for Improving Maternity Services, Doulas of North America etc.) promote normal (natural) birth with very specific and relatively easy evidence-based care practices to optimize outcomes for the mother and baby, regardless of the birth setting.  Some of these practices include educating oneself by reading, joining a birth network or support group, and taking childbirth education classes. Having a confident, knowledgeable labor support team and a doula for continuous labor support has been shown to significantly reduce the likelihood of having c-section.  Having an open, communicative relationship with your birth care providers is essential to making informed choices during your pregnancy and childbirth. 

What is your normal?


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Saying Grace

by Stefanie Zaitz of Wooden Hill Farms
Saying Grace
Like many others, as a youngster growing up, I learned to bless food before I ate it. More often than not, I was peeking around the room looking at what other people were doing, fidgeting under the table, kicking my brother, or really just waiting until all ceremony was over with and I could finally eat. Now, as a farmer, this act of giving thanks has taken a much different meaning. It’s ironic how the more I learn about plants, the more I realize how miraculous it all is. Understanding and connecting with nature more has actually rendered me more amazed by it all. Every time I plant a seed, I’m still convinced it won’t “work” - yet each time it does. I have become much more deferential in regards to nature and understand that giving thanks is the least I can do. I am not the boss of the farm, not at all. Nature is in charge, at all points. As hard as farmers work, it’s the plants that know how to taste the way they taste, know how to use the nutrients in the soil, know how to harness the power of the sun and do that fantastic thing we call photosynthesis.

As spring approaches, and we all look forward to the first asparagus, ripe tomatoes and juicy watermelons, we must remember how important the “pause before the meal” is. This pause is the moment we give thanks for the fertile earth that provides us the food we are about to eat. We offer our respect. Yes! Magazine published an article titled “A World of Grace” in their Spring 2009 Food For Everyone issue. This article shows a dozen cultures’ individual way of saying grace. Each is beautiful and inspiring. The Buddhist blessing asks that “the energy in this food give me the strength to transform my unwholesome qualities into wholesome ones” while the Ashanti blessing reminds us that we depend on the Earth. I invite each of you to read the blessings and find one you connect with. There are people all over the world saying these blessings and thanking nature as I type. I find it to be yet one more way to connect with my food source.

Yes! Magazine article: 
http://www.yesmagazine.org/issues/food-for-everyone/saying-grace-around-the-world

Downloadable Version of "A World of Grace":  
http://sz0074.wc.mail.comcast.net/service/home/~/Grace-1.pdf?auth=co&loc=en_US&id=178373&part=3

Wooden Hill Farms: 
http://www.woodenhillfarms.com/



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Day One of Divorced Parenting

by Ellen Kellner

Day 1 of divorced-parenting is a turning point. On your first day ofDay One of Divorced Parenting motherhood/ fatherhood, you woke up and smiled, realizing that there was an infant now counting on you to take care of her needs and nurture her soul. Which you did, lovingly. But on the first morning of separated-parenting you wake up with a stressed look that has long replaced your smile. “How can I do this?” becomes a very real question.

Stay and linger in bed for a moment. Put aside the thoughts about your divorce and focus instead on the child that is still sleeping down the hall. That child, who you lovingly brought into this world, is still counting on you to provide for her and nurture her. Stay with that thought as long as it takes for you to remember. To remember that divorce doesn't change who you are: a parent that loves a child very, very much -- demonstrating that love through consistency, security, consideration and so much more. Divorce doesn't change that, and your child is counting on you to remember.

Think about love, your child, and your desire to nurture her. It's with those grounding thoughts that you can start Day 1 of divorced parenting with a smile.

With this remembrance, you can do it. You can handle visitation exchanges, communications with your child's other parent, financial matters, your child's growing step-family, and all of the many divorced-parenting situations that are now part of your day. Yes, your parenting situations have changed, but you're still here to nurture your child's soul and with that guidance, you'll not only know what not to do; you'll know what to do.

The good news? Everyday is a new day filled with the opportunity for you to remember who you are as you parent your child through life and divorce. Every day is Day 1.

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