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Dear Friends,
This summer is shaping up to be a busy one full of social happenings. First of all, we invite you to join us for a picnic to celebrate OmMama’s going solo this coming Sunday, July 13, at Deep Run Park. We’re looking forward to seeing all the faces and children that have come through our classes over the years.
Birth Matters Virginia, a non-profit organization whose mission is to improve the culture of birth in Virginia, will be sponsoring A Birth Film Festival later in July. A number of local doulas, or labor assistants, will be present at this event, which will include a film about doulas entitled Special Women: How a Labor Assistant Makes Birth Safer, More Satisfying, and Less Costly. BMV will also be hosting an annual awards dinner and fundraiser on August 10th, featuring Cara Muhlhahn, CNM, midwife from Ricki Lake’s film The Business of Being Born. I encourage you to take advantage of these opportunities to learn more about the culture of birth in our community. Check out the What’s New section for a detailed listing of summer events.
If you’re curious about doulas but don’t quite know what they do or how to find them, check out this month’s article on doulas. Then Elizabeth Pantley weighs in on Choosing Toys for Babies. This month’s Yoga Practice Tip is on Mindful Eating.
And in a case of blatant nepotism, I am pleased to announce that my mother, Frances Price, consummate chef, cookbook author, and Registered Dietician, will be providing a monthly nutrition tip and/or recipe. Her recipes will focus on quick, nutritious, and occasionally decadent pleasures of the table. Check out this month’s recipe for an icy cucumber soup to beat the summer heat.
Wishing you all a carefree, joyous summer,
Namaste,
Leslie
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Prenatal Article
What does a doula do?
By Leslie Lytle
Rising consumer awareness regarding the importance of appropriate education and support in pregnancy, birth, and the postpartum period is leading to the emergence of an old profession with a new name: the doula, or someone who accompanies women through the journey of birth.
Throughout history, families and friends have gathered to support laboring women during childbirth by providing physical comfort, emotional support, nourishment, and assistance with household chores. In the modern world, doulas provide the professional counterpart of this time-honored chain of support.
“Doula” is a Greek word meaning “woman’s servant,” and refers to a specially trained person who supports women during pregnancy and early postpartum. Doulas may specialize in labor support, postpartum support, or both.
"There are five essential components to being a Labor Assistant/Doula: emotional support, physical support, educational support, advocacy/collaboration and professionalism,” says Therese Hak-Kuhn, who provides professional doula training nationally through the Association of Labor Assistants and Childbirth Educators (ALACE). “The Labor Assistant/Doula is present for a woman's - and if applicable, her partner's - pregnancy, labor, birth and postpartum, encouraging them to be active participants in the entire experience by making informed decisions and encouraging confident communication with their care providers.” Doulas do not provide medical advice, perform examinations, or speak for you. Rather, their focus is on the physical and emotional support of the mother/couple, and facilitating your ability to determine and express your own desires with regard to care.
Numerous studies indicate that the continuous support provided by a trained doula helps to shorten labor and reduce the incidence of Cesarean birth, as well as the use of pain medications. Women attended by doulas during birth report greater satisfaction with their birth experience, feel more positive about their babies, have an easier time breastfeeding, and have a lower incidence of post-partum depression. In fact, the presence of a trained support person can make such a profound impact on the mother’s birth experience that Christiane Northrup, MD, author of Women’s Bodies, Women’s Wisdom has said , “If doulas were a drug, it would be unethical not to provide them”.
After birth, postpartum doulas provide help with the management of the household, visitors, and meals, so that mom and baby get the rest, nourishment and bonding time so important during the early postpartum period. The enhanced experience of birth and early postpartum can in turn lead to positive effects in the parenting of that child.
In the Richmond Metropolitan Area, experienced doulas typically charge between $400 - 600 per birth. If this seems expensive, remember that when a doula commits to you, she is on call 24/7 from approximately 3 weeks before your due date to 2 weeks after. If that is beyond your budget, there are a number of doulas-in-training locally that will provide services at a reduced cost. Therese Hak Kuhn, who is listed on our resources page, often facilitates requests for such arrangements. You might also inquire whether your insurance company will provide any reimbursement for labor assistance.
As with the choice of any care provider, it is important that you hire someone with whom you can communicate easily, who supports and understands your birth preferences, and with whom you feel a healthy rapport. You are inviting someone into one of the most intimate experiences of your life: make sure you are hiring someone who will enhance that experience, not detract from it. Also make sure you understand the terms of what is being provided for the fee: most doulas will provide a contract that outlines the terms of their relationship with you. Does your doula have a back-up? Will she provide assistance at home, in the hospital, or both?
How do you find a doula? Begin by checking the websites of the major doula training organizations (see links below), which provide listings of local doulas as well as more detailed guidelines for hiring one. You might ask your doctor or midwife for referrals, or check with your childbirth educator or prenatal yoga instructor. Our Resources page has a list of local doulas that provides a good starting place.
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Postnatal Article
Choosing Toys for Babies
By Elizabeth Pantley, Author of Gentle Baby Care
You may not be sure what kind of toys, or how many, your baby should have. It’s likely that you hear conflicting advice that runs from one extreme to another! It’s either: “Don’t give your baby toys — he’ll be spoiled,” to “Give your baby lots of toys — they develop his brain.” So…which is it?
Both sides of this debate have valid points. A baby does indeed learn from the things she plays with, and the more things she has access to, the more she can learn. With this in mind, many parents spend a fortune buying toys; however, many toys hold a child’s attention for three or four days, only to be relegated to the bottom of the toybox or back of a shelf.
Babies learn about their world by using all five of their senses: sight, hearing, taste, smell, and touch. Toys engage and refine these senses by:
- Helping your baby learn how to control his movements and body parts
- Helping your baby figure out how things work
- Showing your baby how he can control things in his world
- Teaching your baby new ideas
- Building your baby’s muscle control, coordination, and strength
- Teaching your baby how to use his imagination
- Showing your baby how to solve simple problems
- Helping your baby learn how to play by himself
- Setting the foundation for learning how to share and cooperate with others
Experts agree that babies need a variety of toys to enrich their lives and encourage learning. While your baby can learn from expensive store-bought toys, she can also learn from a crumpled piece of paper, a set of measuring spoons, an empty box, or a leaf. Everything is new and interesting to a baby, and if you open your eyes to the many wonders in our world, you’ll see that you don’t have to spend a fortune to keep your baby happy, interested, and learning.
What “home-grown” toys are best?
As you view the whole world as a bottomless toybox, here are some tips to consider:
- Search for items of different weights, materials, textures, flexibility, sizes, shapes, colors, and smells. (Most store-bought baby toys are primary-colored plastic; that’s why your metal keys on a leather key ring are so very appealing — they’re different!)
- Babies are generalists. Your little one will apply what he learns from one object to any other that is similar. Therefore, don’t give him an old book or magazine to scribble in unless you want all of your books to be potential notepads. A sealed bottle may look fun, but your baby may then think he can play with your pill bottles.
- Take a closer look at the things you consider “trash.” Some may be valuable toys! Empty boxes, egg cartons, and tin containers are just a few examples of everyday castoffs that, once cleaned, can provide endless hours of play.
PARENT TIP
“I made a great set of blocks for my daughter by collecting an assortment of empty boxes from regular household products and covering them with contact paper. They are colorful, light weight and man interesting shapes and sizes.”
— Yu-ting, mother of Shu-Lin (3 years old)
- Your kitchen is overflowing with baby toys! Once your little one begins to crawl, it’s time to rearrange the kitchen. Put all your baby-safe items, such as plastic containers, pots and pans, potholders and canned goods, in your lower cabinets and let your baby know where his “toys” are. You’ll have to relax your housekeeping standards and deal with disorganized cabinets for a while, but the play potential is so fantastic that it’s worth it!
- Young children love water play, and a bowl or pan of water along with spoons and cups of various sizes make a fabulous source of fun. You can put your baby in his high chair, sit him on the floor on a beach towel, or take him outside in a shady spot if the weather’s warm. I guarantee he’ll be soaked when he’s done, but that will be after a very long and happy play session.
- Containers to fill and empty are lots of fun for a baby. You can safely fulfill your older baby’s desire to manipulate small things by filling a large bowl with a variety of colorful children’s cereals (nothing hard or ball-shaped) and supplying spoons, measuring cups, and other containers. Since you’re using cereal pieces, it’s okay if some end up in his mouth. Don’t try this with beads, seeds, macaroni, or other items that pose a choking hazard.
What store-bought toys are best?
A while ago, I went to the toy store to buy my youngest child, Coleton, a toy that my older three adored when they were babies. It was a simple pop-up toy for toddlers with various buttons, levers, and dials. I found a bewildering variety of this kind of toy, but to my dismay, every single one was electronic. They made sounds, they made music, they had blinking lights — they just about played by themselves! I finally had to order the prized toy from a specialty catalog that carries “back to basics” toys. Sure, electronic toys can be exciting ¾ for a while ¾ but they can also stunt your baby’s developing ability to imagine and manipulate (and let’s face it: those repetitive electronic sounds can get annoying). If a toy does everything by itself, it loses its potential as a tool for developing creativity. Also, if your little one gets used to these toys, then simple pleasures like wooden blocks seem boring by comparison because he expects the blocks to play for him. And those simple toys are among the very best for baby playtime.
Look for these qualities as you shop for your baby:
- Long-term play value: Will this hold your little one’s attention for more than a few weeks?
- Durability: Will it hold up when sat on, thrown, jumped on, mouthed, or banged?
- Solid simplicity: Babies don’t need complicated toys.
- Challenge: Look for toys that teach but do not frustrate.
- Appropriateness. Does it match your baby’s thinking, language, and motor skills?
- Interest: Will it encourage your baby to think?
- Stimulation: How does this toy foster creativity and imagination?
- Interactiveness: Does it engage your child or just entertain him as he watches passively?
- Versatility: Can your baby play with this in more than one way?
- Washability: Well-loved toys tend to get very dirty!
- Fit with your family value system: Does this toy reflect your family’s particular values? For example, is the toy friendly to the environment? Does it promote diversity? Are you comfortable with what the toy represents?
- Novelty: Is this toy different from others your baby already has? You don’t want a toy box filled with 30 different kinds of rattles!
- Fun appeal: Is it something that you will enjoy playing with, too? Toys that encourage you to play along with your baby are ideal.
Best toys for young babies:
Board books
Foot or hand puppets
Musical toys
Rattles
Small, lightweight, easy-to-grasp toys
Squeaky toys
Teething rings
Toys with high-contrast graphics, bright colors, or black-and-white patterns
Best toys for older babies:
Activity boxes (levers/buttons/dials/hinges)
Balls
Beginning puzzles (two or three large pieces; knobs are helpful)
Blocks
Cars and trucks
Chunky small people and accessories
Dolls and stuffed animals
Hammering toys
Large interlocking beads
Modeling dough
Musical toys
Nesting cups
Peg boards
Picture books
Plastic animals
Pop-up toys
Push or pull toys
Shape sorters
Stacking rings
Toy versions of everyday items (telephones, cooking utensils, doctor kits)
Toys you still remember from your childhood (The classics endure and are always a good bet!)
Washable crayons or markers and blank paper
Playtime
As you give you baby new things to play with, keep in mind that there is no right way to play with toys. For example, a puzzle is not always for “puzzling.” The pieces make great manipulative characters, can be sorted or put in boxes, and make interesting noises when banged together or against an empty pot. Children learn through play, so any toy they enjoy playing with is, by definition, educational.
Safety for all toys
Always consider well the safety aspects of anything your baby is going to play with. Here are a few ways to keep playtime safe:
- Discard any plastic wrapping, plastic bags, packaging, or tags before giving a toy to a baby.
- Always watch for choking hazards. Anything small enough to fit in your baby’s mouth has the potential for danger. Watch for pieces that may become loose from a larger object, too. Make sure that no small parts can be pulled off or chewed off the toy.
- Check the paint or finish on the toy to make sure it is non-toxic, since babies put everything in their mouths.
- Check toys for sharp points, rough edges, rust, and broken parts.
- Always abide by the age rating on the package. No matter how smart your child is or how wonderful the toy, don't second-guess the manufacturer, since age rankings often are given due to safety issues. If you choose to purchase a toy with an older age recommendation, make certain that the toy is used only when you are playing with your baby, and that it is stored where your baby can’t get to it without your supervision.
- Remove rattles, squeeze toys, teethers, stuffed animals, and other small toys from the crib or bed when your baby goes to sleep for naps or bedtime. The exception here is a specialty made-for-baby toy that has been carefully created to be a safe sleeping lovey.
- Avoid pull toys with long cords that could wind around your baby’s neck. Pull toys for babies should have either very short strings or rigid handles.
- Make sure toys are properly assembled, with no loose parts.
- Beware of excessively loud toys. Babies tend to hold things close to their faces, and you want to protect your baby’s sensitive ears.
- Buy mobiles or crib toys from reputable manufacturers, and make sure that they attach to the crib without dangling strings. Remove mobiles and other crib toys once your baby can sit up.
- Make sure that toys are never left on stairs, in doorways, or in walkways.
- Your baby’s toybox should have a special safety lid (or no lid at all) to prevent it from slamming on your baby's head or hands, or trapping your baby inside. There shouldn’t be any hinges that could pinch little fingers.
- Never give a baby a balloon, Styrofoam, or plastic wrap as a toy; these present a serious choking hazard, since they cannot be expelled using the Heimlich maneuver.
- If a toy is second-hand (whether purchased from a second-hand store or garage sale, or given to you by a friend or relative), give all of the above rules extra consideration. If you have any doubts, always err on the side of safety and discard the toy. Don’t let your baby play with a paint-finished toy that appears to be older than a few years ¾ the paint may be lead-based, which poses serious hazards to a baby who touches or mouths it.
- Keep toys (and parts of toys) designed for older children out of the hands of babies. Your baby may like to play with toys belonging to an older sibling or friend, but these are geared, safety-wise, to older kids and are not safe for little ones to use without very close supervision.
This article is an excerpt from Gentle Baby Care by Elizabeth Pantley. (McGraw-Hill, 2003) http://www.pantley.com/elizabeth |
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Iced Cucumber Vichyssoise
by Frances Price, RD
Iced Cucumber Vichyssoise is probably the best recipe for cold cucumber soup I know, well worth the extra minutes it takes to cook, though quicker recipes abound for raw cold cucumber soups. I adapted this recipe from a richer version, made with a butter-flour roux and heavy cream. Here, potato thickens the soup and buttermilk gives it a creamy taste that tastes way richer than its low, low fat content. The buttermilk also provides an added bonus: healthy pro-biotic bacteria that promote healthy flora in the digestive system.
Makes 6 cups
- 1 can (10-1/2 ounces) condensed chicken broth
- 3/4 cup water
- 1 small (4 ounce) potato, peeled, thinly sliced
- 1 small onion, chopped
- 2 teaspoons dried dill weed
- 1/4 teaspoon each salt and white pepper
- 3 cups peeled, seeded and sliced cucumbers (2 large)
- 2 cups buttermilk OR Half & Half
- Snipped chives (optional)
A day ahead: In 2-quart saucepan, combine broth, water, potato, onion, dill weed, salt and pepper. Bring to a boil and cook, covered, over medium heat until potato is tender, about 15 minutes. Add cucumbers, return to a simmer, and cook, covered, until cucumbers are tender, about 5 minutes. Cool to lukewarm, puree in two batches in covered blender container. Stir in buttermilk, cover and refrigerate overnight. Serve ice cold, sprinkled with chives.
Nutrients per cup: 76 calories, 5 g protein, 11 g carbohydrate, 1 g fat including 0.6 g saturated fat, 36 mg cholesterol, 436 mg sodium, 0 fiber
Exchanges (with buttermilk): 1 bread, 1 fat
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