Rochester Baby Guide Winter 2013

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Rochester Baby Guide • Winter 2013 1

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Rochester NY's premier resource for new and expectant parents

Transcript of Rochester Baby Guide Winter 2013

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Rochester Baby Guide • Winter 2013 1

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BabyRochester

Guide • Winter 2013 Edition Contents*editor’s note4 / An Introduction from our Editor

health & wellness6 / Homemade Baby Oils & Salves

10 / More Than Baby Blues – What to Know About Postpartum Mood Conditions

14 / Eating For Two – Pregnancy & Nutrition

26 / The Benefits of Breastfeeding – A Mother’s Precious Gift

modern motherhood18 / First Time Mom... For the Fifth Time – Parenting Tips from a Mom Who’s Been There

22 / Pregnancy in Your 20s, 30s & 40s

growing family24 / Preparing a Sibling for Baby’s Arrival

community resources28 / Community Resources & Support Services

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Find past issues of Rochester Babyonline at www.GVParent.com

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publisherBarbara Melnyk

[email protected]

eDiTOr-in-chief Jillian Melnyk

[email protected]

cOmmuniTy eDiTOr Natalee Kiesling

[email protected]

AccOunT execuTives Cynthia GoldbergNatalee Kiesling

mAgAzine lAyOuT & Design

Jillian [email protected]

cAlenDAr [email protected]

cOnTribuTing wriTersAngela Cannon-Cruthers

Denise YearianJessica Fisher

Sinea PiesSandra GordonKatrina Kassel

Dr. Ruth Lawrence

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scription inquiries and changes to address below. Copyright 2013, by GVP, Inc. All rights reserved.

Reproduction without per-mission is strictly prohibited. Distribution of this magazine

does not necessarily con-stitute an endorsement or necessarily reflect the opin-

ions of this publication.

Genesee Valley Parent Magazine

266 Alexander Street,Rochester, NY 14607

p: 585-287-5330f: 585-287-5344

www.gvparent.com

MeMbeR of PAReNtiNG

MediA ASSociAtioN

Staff

i would love to hear from you! send me an email to [email protected]

8WHAT’S ON YOuR MINd?

editor’s note // by Jillian Melnyk

Welcome to our 12th Rochester baby Guide! We’re exceptionally pleased to announce that Rochester baby is now produced twice yearly – find our Winter edi-tion inside the January issue and our Summer edition on stands in early July. each edition features unique content that will guide you through new parenthood and raising your little one.

What’s inside? this edition focuses on maternity and new parenthood issues, but also includes information for those parents who are not so new to parenting – find tips for introducing siblings, information from a fifth-time mom and more.

We’re proud to announce that our baby is a winner! Last year’s Rochester baby received two awards – finalist in overall Writing and Winner in overall design – from the Parenting Media Association.

Missed previous editions? catch up on baby content and find more pregnancy and maternity related articles on our website at www.GVParent.com

Happy Parenting!

Jillian Plus....Hi everyone!

Jillian and everyone here has been working hard to put together a wonderful (first-time!) January issue and baby Guide, and now it’s my turn as the online community editor to take the reigns! Now that you have the full issue in-hand, visit us online at www.GVParent.com/Rochesterbaby for even more exclusive content including baby Giveaways, baby Articles and introducing our brand-New Virtual baby fair! Visit all year long to find the best in local baby Resources, Support and more.

Natalee

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Massaging a baby from bitty fingers to piggy toes using your own plant-nurtured creations is relaxing and rewarding for both parent and child. Not to mention, knowing you made it from scratch can save money and build self-sufficiency skills. Of course, you can always use some of your creations on yourself too. Adding a few drops of essen-tial oils, like lavender or cham-omile, is mostly personal pref-erence but essential oils have their own healing benefits as well. Tea tree oil, for instance, is helpful with sebaceous cradle cap, but is a very strong, drying oil. Most aromatherapists recommend using only a drop or two of essential oils mixed in your all-natural oil or salve because of their potency. The following is a list of flowers, herbs, and natural oils that are generally safe and ben-eficial to baby skin. (Individuals can have specific allergies so always try on a small patch of baby’s skin first and wait 24 hours to be certain there are no adverse reactions.)

OILS of Choice• Grapeseed Oil – light and

absorbent, useful for skin that is easily blemished.• Olive Oil – healing, soothing

lubrication close to the body’s own oils.• Almond Oil – sweet smell-

ing, light and gentle.• Apricot Kernal Oil – odor-

less, emollient and moistur-izing.• Coconut Oil – very emol-

lient and gentle.

Flowers and Herbs for Baby Skin • Calendula (Calendula offic-

inalis) – This herb’s blossoms are antiseptic, anti-inflam-matory, and anti-fungal. Just by picking the sunny flower heads you can feel the sticky, natural salve the flower infus-es. Calendula is gentle and the blossoms can be used dried or used fresh in bath bags for baby washes. It is especially helpful for treating eczema, diaper rash, and cradle cap. • Chamomile (Anthemis no-

bilis and Matricaria recutita) – Chamomile is calming and soothing inside and out. It is

often used in bath oils, mas-sage oils, and to treat diaper rash and cradle cap. The flowers also have anti-inflam-matory benefits and are good for achy muscles – a must-have oil for busy young bodies just learning to walk on their own.• Lavender (Lavandula spp.) –

Relaxing and uplifting, laven-der is beneficial in a salve for treating insect bites and burns on young skin.• Mullein (Verbascum thap-

sus) – Tall, soft and wild, this fuzzy leaved weed has emol-lient properties, but its stalk of tight yellow flowers, infused in olive oil, are most renowned for their usefulness in healing ear infections.

CALenduLA OiL (COLd infusiOn)

• 12 ounces of good quality almond or olive oil• 2-4 cups of chopped calen-

dula blossoms (*if fresh, they need to be wilted just slightly for a couple days on a screen or rack because their high moisture content can cause the oil to mold). You can use just two cups of blossoms if totally dry.

Fill a clean, 1-quart Mason jar full of blossoms. Pour oil so the blossoms are entirely covered by oil. You may need to use a wooden spoon to coat all blos-soms and remove air bubbles. Allow to sit in a sunny window for 2-4 weeks. Strain into a jug or bowl with a cheesecloth loosely secured by a rubber band around the lip of the bowl. Squeeze out all the oil

Y our baby’s skin is his or her largest organ and with all the newness

of being in the world, it’s no wonder her exposure to it can show

up in the form of eczema, rashes, and even pimples (the latter

being primarily hormones). Synthetic oils and petroleum-based products

like mineral oil and Vaseline are immediately absorbed through the pores

of the skin – such products can give a young liver a workout detoxifying.

Some resources say that petroleum-based skin products can even ham-

per your baby’s ability to take in proper nutrients for growth! The good

news is that gentle, all-natural oils can be used (alone or with plant and

herb infusions) to help treat a variety of infant skin issues and needs.

health & wellness // by Angela cannon-crothers

Homemade Baby Oils & Salves

dRied cAMoMiLe, LAVeNdeR & cALeNduLA

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you can. Wonderful for cradle cap: apply liberally and allow to set in, comb gently to loosen crust and shampoo out.

nAturAL BABy OiLBased on Rosemary Gladstar’s “Favorite Baby Oil,” an all-purpose oil that is great for after bath and baby massage.

• 1 ounce chamomile flowers• ½ ounce comfrey leaf• ½ ounce roses or lavender• 1 pint apricot, coconut, or almond oil

Mix herbs with oil, entirely covering all herb material. When settled, add enough oil to cover an inch over top of herbs. Place in a glass jar with a tight-fitting lid for two weeks in a warm, sunny spot.(To make a stronger infusion, heat the finished oil mixture in a double boiler for one to two hours. Strain through cheese-cloth and bottle.)

Be Better eAr OiL

• 1 cup olive oil• 1/2 cup mullein flowers• 1 crushed clove garlic (antiviral and antibacterial) - optional

Gently heat mullein flowers (and garlic if using) in olive oil, allowing to simmer lightly for 45 minutes. Cool to lukewarm. Strain through a tight sieve or cheesecloth into a clean bottle. Soak a cotton ball in room temperature oil and gently place inside the ear. A warm water bottle placed beneath the ear canal can also be comforting.

Salves Once you’ve crafted an all-natural oil you are just one baby step away from making your own balm or salve. Salves com-bine infused herbal oils with beeswax for added skin healing properties and ease of application. They are, of course, less drippy, easier to package, and very soothing. The general rule of thumb is for each cup of herbal oil, add ¼ cup of grated beeswax. Hardness consistency can be checked by placing a spoonful of the mixture in the freezer for a couple minutes – if it’s too hard add more oil, if too thin, add more beeswax. Salves can be stored in a dry cupboard for long periods of time. HerB HAven CALenduLA sALve (small batch recipe)

• 2 T herb infused oil• 1 T Vitamin E oil (usually purchased in capsules and used as

a preservative)• 1 T lanolin (optional, just be sure it is anhydrous or pure)• ¼ oz grated beeswax

Gently melt all ingredients together in a double boiler. Check the consistency of the salve by placing a few drops in a glass of ice water. The oil mixture should bead up firmly but still

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squish easily between your thumb and index finger. Add slightly more beeswax if it’s too soft, or a little more oil if too hard. Pour into a 2 ounce wide mouthed jar or even a lovely seashell. Useful for eczema, diaper rash, cradle cap, rough skin, and minor scrapes.

You can make other salves from herb infused oils like St. John’ Wort, plantain, comfrey and violets. To learn more, check out the new book by Herb Haven called Our Voices; Our Wisdom; An Herb Haven Year available at Writers&Books at 740 University Avenue in Rochester, by contacting www.seekingcommonground.org, or calling Herb Haven at 394-7910. All proceeds from the sale of the book help to support programs at Herb Haven, a nonprofit educational outreach for women and children at risk on the path to self-sufficiency.

Angela Cannon-Crothers is a contributing writer to Rochester Area & Genesee Valley Parent Magazine. She is an an educator at Herb Haven in Crystal Beach as well as a writer and author. You can visit her website at angelacannoncrothers.webs.com

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This was the case with Julie O’Neill. Shortly after her daughter was born, O’Neill began experiencing troubling symptoms. “It started in the hos-pital when I had problems with breastfeeding, and by the time I got home I was feeling all the pressures of new motherhood,” she says. “That first week I was very teary, but I chalked it up to baby blues and thought I’d be okay soon. By week two I found myself waking up shaking due to panic attacks. I wasn’t able to eat or sleep either. Having been a social worker, I was familiar with the symptoms of depression and knew I needed help.” “Up to 80 percent of new mothers experience baby blues and have mild feelings of depression, but problems that persist beyond two weeks could be pointing to postpar-tum depression (PPD),” says Janet Brown, MSN, APRN, BC, perinatal behavioral health specialist. “And its appearance may be delayed for up to a year after giving birth.” Katharine Weymouth, MD, LLC, a private practic-ing psychiatrist specializing in women’s mental health, agrees. “The symptoms go beyond fatigue, irritability and difficulty

concentrating. That’s consid-ered normal when caring for an infant,” she says. “Postpartum depression can include sadness, irritability, insomnia, fatigue, feelings of guilt or worthlessness, change in appetite or con-centration, difficulty enjoying things and recurring thoughts of harming one’s self.” In addition to postpartum depression, mothers may expe-rience one or more of the four postpartum anxiety disorders or postpartum psychosis, a rare condition characterized by dis-organized thinking, hallucina-tions and delusions. With any of these conditions early detection and intervention is key. “What many people don’t realize that is women are at risk for these con-ditions while pregnant as well,” says Weymouth. “I suggest they talk with their doctor before they conceive to avoid potential problems, particularly if they have a history of depression or anxiety.” By week’s end O’Neill had contacted her physician. But the doctor on call phoned in a pre-scription her insurance wouldn’t cover. “That Monday I took myself to the hospital and they referred me to their Perinatal Behavioral Health Depart-

ment,” she says. “There I was diag-nosed with postpartum depression and anxiety. They put me on medi-cation with continued monitoring and recom-mended I join the support group offered through the hospital. Six weeks later I was feeling better.”

For Crystal Lohr, interven-tion wasn’t immediate and

she suffered severely as a result. A week after giving birth to her daughter, this single mother started having nightmares that left her trembling in sweaty sobs. “A-year-and-a-half later I began having painful anxiety attacks that felt like someone was squeezing my rib cage and stabbing me in the heart. I didn’t want to interact with my daughter either. I would sit and watch her play, but instead of joining in I’d curl up in a ball and cry,” she says of her now

M ost women experience some form of postpartum mood

disturbance following the birth of their child. For many, the

symptoms are mild and disappear within two weeks. But a

small percentage of mothers go on to develop depression, one or more

postpartum mood disorders, or even psychosis. The good news is, with

intervention women can recover.

health & wellness // by denise Yearian

More Than Baby Blueswhat to know about postpartum

mood conditions

up to 80 per-cent of new mothers

experience baby blues and have mild

feelings of depres-sion, but problems that persist beyond

two weeks could be pointing to postpartum

depression. And its appearance may be

delayed for up to a year after giving birth.”

— Janet Brown, MSN, APRN, BC,

perinatal behavioral health specialist

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3-year-old. “I knew I needed help, but I thought I could take care of it myself. On top of that I was embarrassed and didn’t want anyone to know.” Then, two-and-a-half years later while taking her daughter for a check up, Lohr broached the subject. “I told the doctor I knew I suffered from postpartum depres-sion and now it had gotten worse. So she asked me, ‘On a scale from one to ten, how happy are you right now – ten being the happiest?’ I told her three then burst into tears,” she says. Lohr was diagnosed with anxiety and severe depression that stemmed from postpartum. “The doctor explained that it’s like a disease and needs to be treated. I started on Citalopram, and a week later I was feeling better,” she says. Treatment options vary depend-ing on the disorder and severity of symptoms. “Some women do fine with support groups. But others may need one-on-one therapy with a mental health professional to help develop new coping strategies,” says Brown. “Medication may also be administered where symp-toms are significant.” One thing O’Neill found particu-larly helpful were the support group meetings. “It was good to be with other moms who were feeling the same way. We connected through our struggles and drew strength from one another,” she says. O’Neill, in fact, continued to attend meetings even after she had recovered to encourage other moms and has since started a second support group which meets at a different location. More re-cently she joined the team of Postpartum

RESOuRCES:Postpartum Support International (PSI) is an organization dedicated to providing information, resources and support on postpartum issues. For more information, log onto www.postpartum.net, or call 800-944-4PPd (4773).

www.MedEdPPd.org was developed by the National Institute for Mental Health (NIMH) to provide information about postpartum depression.

www.womensmentalhealth.org is an online resource created by Massa-chusetts General Hospital as a way to provide up-to-date information and resources on women’s mental health issues.

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BaBy Blues occur in up to 80 percent of new mothers due in part to hormonal changes postpartum. Symptoms, which include extreme tearfulness, irritability, anxiety, mood swings, feelings of inade-quacy, insomnia and fatigue, can appear right after delivery, peak at five days and usually disappear by twelve days postpartum. A small percentage of women with baby blues go on to develop postpartum depression. baby blues are the only one of these conditions considered a disturbance, not a disorder.

PostPartum dePression occurs in up to 13 to 15 percent of women and is said to be the most common complication of childbearing. Symptoms parallel clinical depression and can include sadness, lack of interest in things particularly bonding with the baby, feelings of guilt or inadequacy, worthlessness, irritability, impa-tience, sense of hopelessness, insomnia, change in appetite or concentration, difficulty enjoying things and recurring harmful or suicidal thoughts. Symptoms can occur soon after delivery or up to a year postpartum.

PostPartum anxiety disorders, which include

anxiety, panic, obsessive-compul-sive (ocd) and post-traumatic stress (PtSd), occur in up to ten percent of women suffering with postpartum depression. Symptoms vary according to disorder and may come and go, but one com-mon characteristic they share is excessive worry that interferes with one’s ability to function. Here is a breakdown:

• Postpartum anxiety disorder symptoms could include feeling keyed up, tiring easily, irritability, fidgety, insomnia and difficulty focusing.

• Postpartum panic disorder is characterized by sweating, trem-bling, nausea, dizziness, difficulty breathing, tight chest and numb-ness in hands and feet.

• Postpartum obsessive-compul-sive disorder symptoms include repetitive behaviors or thoughts which cause anxiety, worry or panic. it may also be accom-panied by protective behaviors and constant, obtrusive thoughts related to the baby’s safety. Note this is not postpartum psychosis. Women with ocd have no intent of harming their child. these thoughts are very disturbing to

them and because they don’t understand it, the condition is accompanied by fear, shame and emotional turmoil. this is, in fact, the one disorder people know the least about and most women are afraid to talk about for fear others will think they are crazy.

• Postpartum traumatic stress disorder occurs in women who experienced trauma during pregnancy, labor and/or delivery. Symptoms, which can occur up to two months after deliver, can include flashbacks about what happened, nightmares and hyper vigilance.

PostPartum Psychosis is a rare disorder that occurs in only one to two percent of women who deliver. Symptoms usually develop within 48 to 72 hours postpartum and can include delusions, halluci-nations, disorganized speech and inappropriate behavior. Symp-toms may also be preceded by a period of restlessness or agitation. Women with a history of bipolar disorder are at a higher risk for developing postpartum psychosis, and in-patient psychiatric treatment and medication may be required immediately.

PoStPARtuM Mood coNditioNS // the following is a list of postpartum mood con-ditions. Women with a personal or family history of mood disorders should talk with their physician prior to conceiving as they are at a higher risk of developing conditions while pregnant or postpartum. if any of these symptoms persist two weeks after delivery, women should get an evaluation by their physician or mental health professional.

Support Inter-national to work as an advocate for new mothers and their families. Today she’s on a mission: “I want to tell mothers that postpartum depression is treatable and you’re not alone. With the help of support groups, counseling and medication it will get better,” she says. “Now that I’m expect-ing again I have the tools to get through this, should it happen again.”

Denise Yearian is the former editor of two parenting magazines and the mother of three grown children.

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During pregnancy, your body becomes more efficient in pro-cessing food. To accommodate your baby’s needs, all you have to do is add a few more calories each day. Gaining too much weight during pregnancy is something to be avoided – ex-cessive weight gain is a health risk for mother and child. It

can cause raised blood sugar levels which can develop into gestational diabetes for mom. Additionally, mothers can suf-fer from high blood pressure, back pain and swollen feet. Re-cent studies show that babies of mothers who gained too much weight during pregnancy risk being obese as they grow up.

How Much Weight Should You Gain? Women who are at a healthy weight prior to pregnancy should aim to gain 25-35 pounds. Those who are over-weight should make 15-20 pounds the goal and very obese women should limit it to 11- 20 pounds. From the day that we hear the good news, “You’re going to have a baby!” it’s our desire to nur-ture the little one

growing in our womb. Instead of overeating, though, it’s best to make simple adjustments.first trimester: no addi-tional calories neededsecond trimester: add 300 calories per day third trimester: increase that to 450 additional calories per day.

Myth: No matter what you do or do not get nutritionally, the baby will do fine. Your pre-born child will sap nutrition right from your body. This old wives’ tale is not true. Your baby will suffer from con-sistent nutritional lack in your diet. You don’t have to overdo the amount of food you eat but it is important to concentrate on eating a healthy diet. Eat something from each of the food groups every day: protein, dairy, fruit, veggies, healthy fats and grains. Both you and baby will be so much better for it!“There are some easy guide-lines for expectant mothers on how to eat healthy. ‘Less is best.’ Less processed, less sugar and less additives. ‘Keep it Green,’” recommends Tam-my L. McGarvey, a Roch-

ester-based Board Certified Family Nurse Practitioner at Hope Family Health.

What Should You Eat?While there are foods to strive to include every day, there are others to steer clear of. McGar-vey recommends that pregnant mothers avoid genetically modified foods, high fructose corn syrup, artificial sweeteners and caffeine. “Obtain carbohy-drates, proteins and fats from whole foods,” she says. “They are the best sources. Eating carbohydrates from vegetables, fresh fruits and whole grains (rolled or steel cut oats, brown rice, or quinoa), rather than highly processed cereals, breads and boxed products, improves overall nutritional intake.”

What Foods Should You NOT Eat?Certain kinds of foods can car-ry bacteria that may not harm you as an adult but can be very dangerous for your unborn child. It is important, as a rule of thumb, not to eat foods that are raw or extremely rare or have been left on the counter uncovered and unrefrigerated

“G o ahead honey, have another piece of

cake. After all, you are eating for two!”

How many times have you heard that?

Years ago, this was the belief. Two people — double the

food. Today we know that this is not right. You and your

baby will have plenty of nutrition without doubling up on

volume.

health & wellness // by Sinea Pies

Eating for Twopregnancy and nutrition

What Should You Eat?• Whole Grains and Breads - 6-11 servings• Lean Protein - 4 servings (meat, poultry, fish, eggs, nuts)• Dairy - 4 servings• Fruit - 2-4 servings• Vegetables - 4 or more servings• Fats - use healthy fats sparingly

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for a length of time. (Note: raw fruits and vegetables are perfect-ly safe to eat!)

some of foods to avoid would be:• Soft cheeses• Extremely rare beef• Freshly squeezed juices• Sushi• Raw cookie dough• Raw or undercooked eggs (egg nog, Caesar salad dressing,

Hollandaise sauce, etc)• Unrefrigerated casseroles/foods (such as foods left on the table

at a potluck dinner or buffet)• Caffeine (high amounts)• Alcohol • Excessive helpings of sweets

In addition, do not eat fish that is known to contain high levels of mercury. Mercury is a poison that can affect development of the brain. Fish with high levels of mercury include sword-fish, shark and tuna (yellowfin, bigeye and Ahi), among many. Chunk light tuna is OK but limit the amounts to a serving per week. The American Pregnancy Organization has produced a list of fish with mercury levels online for more precise informa-tion www.americanpregnancy.org/pregnancyhealth/fishmer-cury.htm

Vitamin Supplements Take a prenatal vitamin and be sure that you get enough calci-um, Vitamin C and iron. Daily intakes should include: 1000-1300 mg of calcium, 70 mg of Vitamin C and 27 mg of iron. Vitamin A is also important to prenatal health but should be taken with caution. Excessive intake of Vitamin A (10,000 IU or more per day) can result in fetal abnormalities. Best practice: eat orange vegetables and fruit that are rich in Vitamin A such as carrots, squash, pumpkins, and cantaloupe. Skip Vitamin A supplements, unless prescribed by your obstetrician. McGarvey also suggests that you have your medical profes-sional check your Vitamin D levels. “Recent studies support the importance of adequate Vitamin D to prevent some pregnancy complications,” she says.

What about Food Cravings? Food cravings can be a real experience during pregnancy. We all remember the old TV sitcoms where the wife sends her husband out in the middle of the night to find her raspberry ice cream and dill pickles. Funny, but for some, these cravings are very real. Just as real are repulsions to food that normally would have been very appetizing. (For example, you may not be able to stomach a glass of milk where it may have been your chosen beverage pre-pregnancy.) Pregnancy truly is a unique experience. If you are having cravings for foods that really aren’t good for you, look for a substitute that is smarter but satisfying. If for instance you are craving sugary cookies, how about a slice or two of multi-grain raisin bread toast instead? Less sugar, higher nutrition.

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Additional TipsIn addition to excellent nutrition, it is important that you enjoy moderate activity and a good night’s sleep. If you were used to participating in an exercise routine prior to pregnancy, continue it under your medical professional’s supervision. If you were not, start by simply adding a bit more walking – again, with your health care provider’s advice. The benefits of exercise are that you will feel better, look better and your muscles will be healthier and stronger when it comes time to deliver.

Getting a full night’s sleep on a regular basis is important for both you and your baby. When it comes to sleep, some moms do just fine. Others can’t get out of bed. If that’s you, have your iron levels checked, you may be low. If you are having trouble sleeping through the night, adding a nap during the day may be the solution.With all these “dos and don’ts” this is an exciting time in your life, try not to over-stress. Enjoy it!

Sinea Pies is a native of Rochester and contributing writer to the Genesee Valley Parent Magazine. As a freelance writer, she writes about parent & family, organizing, cleaning, cooking, faith, food and dogs on her website Ducks ‘n a Row. www.ducksnarow.com

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One might think that repeating a monumental experience sev-eral times, like having a baby, would make me an expert. However, these pregnancies continue to surprise me. My friends laugh when I tell them the story of our last crazy trip to the hospital. I had waited longer than was comfortable for the hospital staff because I really didn’t know I was in labor. Really. My first three deliveries had all started and progressed in the same way, although not at the same speeds. This fourth labor began differently, mani-festing different symptoms, and at a quicker rate than before, so it took me by surprise. Needless to say, we are glad we made it to the hospital, even if it was with only fifteen minutes to spare. The surprises haven’t stop with childbirth. As the mother of four boys, I would have ex-pected infancy and toddlerhood to progress in similar ways, especially since my kids are all the same sex. But, as the saying goes, all children are different. I can say that I have learned something new every time. As I await the birth of our fifth child, I assert with confi-dence that I am no expert. Yet, I see things that I have experi-enced have colored my perspec-tive on motherhood and having babies today. I present these, not as “expert advice,” but as suggestions from someone who has been there.

Bargain shop. When pregnant with my first child, I searched through every specialty shop in town for the stroller/car seat system with the most uniquely patterned fabric. I thought I just had to have it. I didn’t want the generic print from the discount department store. It was only a few months later when I realized that the extra money I spent could have bought a lot of diapers. Don’t think that the baby has to have the best and newest of everything. Research and choose wisely. Am I saying you can’t buy new? Absolutely not. But, know that a few years, or even just months down the road, there may be an unexpected need or more important desire that arises, but not enough funds to make it possible. If you can purchase items on sale or secondhand, do it! The quality is about the

same since babies don’t usually wear things out. Since safety standards are constantly being updated, make sure that the used items you purchase are not outdated or subject to recalls. This is advice that I need to repeat to myself over and over now that we are expecting our first girl. My desire for “NEW” is great: new crib bedding, new cushions for the glider…. My husband wisely reminded me that much of what we already have will do for a girl just as well for a boy. Try not to get swept away by the “gotta haves.” Par-enthood is full of opportunities to forego instant gratification.

Share your maternity clothes. The small fortune you spend on clothes that will get little wear may create the temptation to

A fter a wild

10-mile ride,

while I panted

and moaned, my hus-

band pulled up to the

Emergency Room with a

police car flourish, park-

ing crooked in front of

the entrance. He ran to

get a nurse, “My wife’s

going to have a baby

any minute.” The young

nurse, calmly walked

out with a wheel chair.

“It’s ok, sir. Is this her

first baby?” “No! It’s our

fourth!” At that moment,

the nurse lost her confi-

dent demeanor. Even in

transition, I recognized

her panic. She knew a

multipara, or woman

who has given birth

more than twice, was

likely to deliver quick-

ly. She absolutely did

NOT want to have that

woman, me, deliver in

her ER.

modern motherhood // by Jessica fisher

First Time Mom... for the Fifth Time

parenting tips from a mom who’s been there

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hoard them away for your next pregnancy. Try to fight it. First, by sharing your stash, you will bring great relief to a friend quickly growing bored with the maternity items she has. Second, fashions go by so quickly, you may find out, like I am, that the dress you absolutely loved a few years ago just isn’t going to cut it this time around. If you antic-ipate another bundle of joy in your future, certainly save the classic pieces, but feel free to share with expectant friends in the meantime. Chances are they will return the favor during your next pregnancy.

Have a teachable heart. For some reason, when my first child was born, I thought I knew everything about baby care. I was resis-tant to my mother’s input, intent on “making my own mistakes.” Even in the hospi-tal I failed to heed instruction. Neglecting to watch their nursing information videos or read the handouts, I missed out on valuable information while my baby missed out on important regular feedings. Thankfully, I read those handouts once at home a day later and strove to make up for lost time. But if I had been a little more humble and willing to learn, I could have avoided a lot of guilt and panic as well as painful engorgement.

Be open minded. A natural companion to a teachable heart is an openness to hear opinions contrary to ours. Breast or bottle? Crib or Co-sleeping? Cloth or disposable? Parenting is rife with controversy. Get used

to it. Better yet, approach it with grace. Sound parenting principals include feeding a baby well, keeping him clean and warm, and ensuring him a safe place to sleep. HOW we choose to apply these prin-cipals will vary from family to family. Allow those around you the freedom to make their own choices and not feel judged by it. Offer feedback and explain why you’ve chosen what you do. For your part, focus on achieving the sound principals of baby care rather than feeling judged and defending your own methods.

Enjoy the moment. Those little old ladies in the grocery store are correct – the time flies too quickly. While I feel like I’ve been a mom only a short nine years, my husband soberly pointed out that our time with our oldest could be half over! If he leaves home for college or work at age 18, I only have nine more years to enjoy having him under our roof.

drink the joyful cup of parenting dry! Yes, there will be challenges. There may even be moments when you ask yourself, “Why am I doing this?” But, oh, the delights of childhood! Cuddle your baby even though there is laundry to fold. Read sto-ries with your toddler though there may be calls to make. Cherish the giggles of your little ones. God bless you and your baby and the memories you have to make.

Jessica Fisher is a wife and busy mom. She regularly writes about fun, frugality, and the pursuit of a clean house at www.lifeasmom.com.

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20sYour BodY Now: “Physically, the 20s are ideal for pregnancy,” says Peter Bernstein, M.D., an ob/gyn at Montefiore Medical Center, in New York City. You’re at the lowest risk for gestational diabetes, chronic hyperten-sion, pre-eclampsia or having a baby with spina bifida. And at 25, you’re risk of having a baby with Down Syndrome is also low – one in 1,250. (At 35, it’s one in 378.) You’re also less likely to have a C-section. “When a woman is in her 20s, doctors tend to be more patient with a vaginal delivery,” says Dr. Bernstein. Once your baby is born, caring for her may not be as taxing as it might be for an older mom.

Your MiNd Now: If few of your pals have kids, “Get emotional support from other moms-to-be,” says Shellie Fidell, a psychotherapist in private practice, in Chester-field, Missouri. Connecting with other moms online is a

great way to get parenting tips and feel part of a like-minded community. You can also join a local moms club or group to find support and friendship. If you’re newly married, get a babysitter occasionally so you can forge an identity as a couple.

Modern Mom –Monika Bogumil, 23“My husband Marcin, and I have been married for two years, and we thought we’d hold off on getting pregnant because we’re both still in school — I’m studying to be a labor and delivery nurse. But we finally decided we couldn’t wait. My mother was 20 years old when she had me, and I love how close we are. She real-ly understood me growing up because she was such a young mom, and I want to have the same kind of relationship with my child. I’ve had a healthy pregnancy so far, although my whole body’s gotten more swollen than I expected.”

30sYour BodY Now: Although many healthy women have uneventful pregnancies at this age, the risk of gestational diabetes and pre-eclampsia is higher now. “By age 35, the risk of chromosomal abnor-malities in general is about 1 in

200, which is roughly the same risk as having a miscarriage from an amniocentesis,” says Lorraine Chrisomalis-Valsiadis, M.D., maternal fetal medicine specialist at Columbia-Presby-terian Eastside, in New York City.

Your MiNd Now: Since you’ve had time for your-self and accomplished some professional goals, you may be psychologically ready for motherhood. You’re also likely to know other pregnant wom-en, so finding a support system shouldn’t be a problem. Your marriage is probably on solid footing since you’re older and more confident in yourself and in your relationship, points out Margaret Howard, Ph.D., di-rector of postpartum disorders at Women and Infants Hospital of Rhode Island.

Modern Mom –Andrea Pietronuto, 34“I’ve been married for four years, but I wanted to delay pregnancy so that I could focus on my career. Then one of my cousins, who was just 36 and had two children, died sudden-ly, and that spurred me on to have a baby because it made me realize how short life can be. Now my husband, Richard, and I both feel ready to take that next step. I’ve always been very active, and I’ve contin-ued to work out during my pregnancy, which gives me tons of energy. I even take kickbox-

ing classes (though I’ve had to modify some of the moves!).”

40sYour BodY Now: Pregnancy is riskier. At 40, your chance of having a baby with Down Syndrome is 1 in 106. If you’re having multiples, there’s an increased chance of delivering preterm or low-birth-weight babies. The good news? If you’re physically fit, eat well, and don’t have preex-isting health conditions such as diabetes or hypertension, your overall risk of other pregnancy complications isn’t markedly higher than someone in her 20s or 30s, says Dr. Bernstein.

Your MiNd Now: The self-confidence and perspective you have by now may make you more patient with a de-manding newborn. However, you may expect more of your-self since you’ve waited so long and perhaps invested so much to get pregnant. Don’t feel guilty for going back to work or missing your old, pre-baby life. Remind yourself, “Your baby doesn’t have to be perfect and you don’t have to be the perfect mother,” says Dr. Howard. If you don’t have many friends with small children, make friends with younger moms. “Motherhood is the great uni-

T here’s no “right time”

to have a baby —

but there are simple

steps you can take to stay

happy and healthy at

every age and make the

most of motherhood.

modern motherhood // by Sandra Gordon

Pregnancy in Your 20s, 30s & 40s

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fier,” Dr. Howard says. “When you’re with your baby in the park, age issues sort of melt away because babies are the focus.”

Modern Mom –Amy Scherber, 44“I spent most of my 30s getting a successful business off the ground and traveling. I didn’t get married until I was 42. I guess I always thought I’d have a baby someday, but I never worried about it. When we found out I was pregnant, my husband, Troy, and I were thrilled. I think my parents were even more excited, since they had pretty much given up on me! At my age, I think I have lots of wisdom and stability to offer my baby, so for me it’s the perfect time to become a mom. I feel really good, and my doctor says the baby is doing great.”

Sandra Gordon is a freelance writer and frequent contributor to Genesee Valley Parent Magazine.

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Tell your child before someone else does. When to tell your child you are expecting a baby is a personal choice. You don’t want to in-form her too early, but waiting too long may mean your child overhears other adults discuss-ing the baby or is asked how she feels before you’ve talked with her about it. Many par-ents choose to tell their children between the third and sixth months of pregnancy.

Provide age appropriate information. Give your child enough information about reproduction and birth to answer questions she may have. Enlist the aid of a book which explains the body and birth in terms meant for your child’s age group.

Explain the reasons for another child in positive terms. For example saying, “We love you so much we want another baby” often backfires. The child wonders why you need another child if you do love her so much. Instead, talk about the fun you had growing up with your siblings. Share your desire that she experience the same.

Let your child maintain her childhood. Saying, “You’re going to be a big sister” often makes the child feel she can no longer be a child. Explain that she will continue doing the things she does now -- playing house, building with blocks and so on. The difference is that there will be a baby who can’t do all the things she can do. Use her own baby pictures to show her the growth and prog-ress she has made since birth.

Involve your child in easy preparations. Asking your child her opinion on too many things will overwhelm her, but she will be thrilled to help pick out a special outfit or blanket to bring the baby home in. Let her help with decorating the nursery or choosing a special toy for her to give the baby.

Acknowledge anger. Your child has been the center of at-tention and now she must share your lap, love, and attention. There are sure to be feelings of loss and even anger. Allowing your child her feelings lets you help her deal with them. You might simply say, “When I have to spend time caring for the baby instead of playing

with you, it makes you upset. You feel I care about the baby more than you.” This leaves it open for your child to share her feelings.

Give your older child extra attention. Nearby relatives may help give your older child the extra attention she needs. If not, enlist dad’s help to play with or bathe the baby while you read to your older child. Use some of the baby’s sleeping hours to do quality activities with the sibling.

Adding a child through adoption. Adding a child through adoption also means changes for your child, but the discussions you have differ than those a birth mom has with her child. You not only have to explain that another child is joining the family, but why this child isn’t being born to you or why the child’s birthmom isn’t raising him. Unlike a child added by birth, an adoption doesn’t al-ways follow a set time schedule. You may have little warning

A dding a new sibling means changes for your child,

and preparing ahead can help smooth the way.

Here are some tips to help you.

growing family // by Katrina Kassel

Preparing a Siblingfor Baby’s Arrival

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before receiving a child, or the paperwork may be delayed in an overseas adoption and your child arrives weeks or months later than expected. You can take many of the same steps birth parents take in preparing their children for siblings. Enlist the aid of books about adoption to explain the process to your child. Allow your child to help prepare for the arrival of her sibling by letting her choose an age appropriate toy or other item.

Adding a new sibling means change and transition. Life takes on a new routine. The sibling who feels secure and has her needs and feelings acknowledged adjusts to the changes. Bonding takes place and your child is eager to in-teract with the new sibling.

Katrina Cassel, M.Ed., is a freelance writer and author who lives with her husband, seven of their children, and an assortment of pets.

Books to share

A Baby Sister for Frances by Russell Hoban, Scholastic. // fran-cis feels she isn’t special anymore after her baby sister arrives.

The Berenstain Bear’s New Baby by Stan and Jan berenstain, Random House. // brother bear outgrows his old bed just in time for his baby sister to use it.

Daddy’s New Baby by Judith Vigna, Albert Whitman and co. // A girl is not sure she likes her new half-sister.

Darcy and Gran Don’t Like Babies by Jane cutler, Scholastic. // darcy doesn’t like how her new brother looks or smells. only Gran really understands.

I’m a Big Brother/I’m a Big Sister by Joanna cole, Morrow. // these simple books help children adjust to the new arrival.

My Baby Brother/My Baby Sister by Anne Geddes, cedco Pub-lishing. // these keepsake books have space for an older child to record how the new baby’s hair feels, what color her eyes are and much more.

Nobody Asked Me If I Wanted a Baby Sister by Martha Alexander, dial Press. // oliver doesn’t like all of the fuss over his baby sister so he decides to find her a new home.

Poor Carl by Nancy carlstrom, Puf-fin books. // carl’s brother thinks of all he can do that the baby can’t do yet.

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How Breastfeeding Benefits Babies Advantages to the infant include bonding between mother and baby through the physiologic manner in which the baby nurses at the breast, which is quite different from sucking on a bottle. The infant has been sucking in-utero from about 14 to 16 weeks gestation and knows the proper action of the tongue and the swal-lowing mechanism very well. Other advantages for the infant include the fact that it is perfect nutrition for growth and de-velopment and specifically for ideal brain growth. Exclusively breast-fed in-fants have been shown to score better on intelligence tests and developmental tests. In addi-tion to nutrition, breastfeeding provides protection against in-fection. Breast-fed infants have a low incidence of otitis media, pneumonia, diarrhea and other infections. The immunologic protective components in hu-man milk provide ongoing pro-tection until the baby is weaned and beyond – no matter how old the infant is at the time of

weaning. Human milk contains many protective properties including the apparent reduced incidence of childhood onset cancer, diabetes and Crohn’s Disease. Don’t underestimate the short-term and long-term breastfeeding benefits for moth-ers as well. Be Patient with Yourself Many mothers worry that they won’t know how to breastfeed. Breastfeeding is not a reflex for the mother but a learned procedure, but the baby (who is born to breastfeed) knows exactly what to do. Read about breastfeeding before delivery to gain familiarly on the subject like The Nursing Mother’s Compan-ion by Kathleen Huggins. Women should also consid-er attending local breastfeeding group meetings before delivery. La Leche League International has local groups all over the world. Four groups meet in the Rochester area – North, South-east, South and West – call Lifeline at 275-5151 to locate your nearest group. Breastfeed-ing mothers, mothers- to-be and babies are welcome to at-

tend. Your obstetrician’s office can also provide breastfeeding information and your hospital of delivery usually has a session on breastfeeding in their prepa-ration for child birth series. Some mothers worry about breastfeeding because they need to go back to work. This does not mean you can’t breastfeed. Any time spent breastfeeding (one week, two, three, or a few months) is a very good investment in the in-fant’s well-being. There is plen-ty of help for working mothers. In some circumstances, women can return to work and arrange to feed their baby at daycare while they work, or pump at

work and save the milk for the baby the next day. Focus on the First Few days The first few days of breast-feeding in the hospital are very important. The first oppor-tunity to breastfeed is right after birth. The World Health Organization and UNICEF “Baby Friendly” guidelines suggest that every mother have the opportunity to put her baby to breast within the first hour following delivery. The baby is ready and eager and it is the perfect opportunity to interact with the infant for the first time. The bedside nurses in

M any women think about how they will feed

their baby long before they become preg-

nant. It’s important for every woman to have

the opportunity to make an informed decision and

know all the facts. Much research and experience has

been collected recently about the tremendous value

of breastfeeding for both the mother and infant. While

these thoughts are not new, the new documentation has

become very substantial.

health & wellness // by dr. Ruth Lawrence

The Benefits of Breastfeedinga mother’s precious gift

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the birth center or the delivery room will help mother position herself and the baby so the feeding will go smoothly. Actu-ally, babies placed on mother’s abdomen and left to their own resources will find their way to the breast and latch on if not interfered with. Babies are born to breast-feed. Following this initial experience at the time of deliv-ery, mothers should be ready to breastfeed the infant when-ever the infant demonstrates interest in feeding. Interest in feeding is manifested by the baby bringing his own hands to his mouth or getting more active and rooting around. Crying is a late sign of hunger. Babies latch on and feed much more effectively if they are fed before they get frantic. While in the hospital, ask for help. It should not hurt to breastfeed. If it does hurt, it’s because the baby has not latched on cor-rectly so ask for help in getting the baby adjusted comfortably. When discharged from the hospital, plans for follow-up should be made with the pediatrician and the lactation support person in the pediatri-cian’s office. They will want to see the baby within a few days and see how things are going.

Knowing How Much is Enough Some mothers are uncomfort-able not knowing exactly how much milk the baby received when breastfeeding. The way to tell how much the baby receives is listening for the swallowing sounds and seeing a little milk drip from the breast during a feeding. In addition, the baby’s weight and output should be monitored. A well-fed, breastfed baby in the first month of life should have at least three seedy yellow stools per day. The baby also should wet at least six or seven diapers a day. With disposal diapers, it is often hard to be sure they have wet, although the weight of the diaper will change.

Breastfeeding is a wonder-ful opportunity to provide a lifetime of good health and the most precious gift a mother can give her infant. If there is illness, it may be a life-saving gift, and, if there is poverty, it may be the only gift. Dr. Ruth Lawrence is the Medical Di-rector of the Breastfeeding and Human Lactation Study Center and a Professor of Pediatrics, Obstetrics/Gynecology at Golisano’s Children’s Hospital at Strong in Rochester.

HOW BREASTFEEdING BENEFITS MOTHERS SHORT-TERM BENEFITS • When one breastfeeds, the uterus responds and con-tracts which contributes to a reduced loss of blood and a more prompt return to the pre-pregnancy state • Women who breastfeed lose the additional weight they gain during pregnancy more quickly • Breastfeeding mothers are also at lower risk for post-partum obesity than women who bottle feed LONG-RANGE BENEFITS • Women who breastfeed have a decreased inci-dence of osteoporosis, breast cancer, and ovarian cancer • Many women describe a tremendous feeling of well-being while they are breastfeeding • Women with diabetes are often in much better con-trol of their disease during the period of lactation

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Adoption resources Adoption resource network at hillside children’s center100 Metro Park, Rochester 14623 350-2500 | www.hillside.com/AdoptionMain Jewish family services of rochester, inc.441 East Ave., Rochester 14607 461-0115 ext.120 www.jfsrochester.org/adoption.php _____breastfeeding highland hospital breast pump rentals. Operates in conjunction with Highland Hospital Lactation Education services.341-0519www.urmc.rochester.edu/hh/services-centers/maternity

highland hospital lactation consultant. 341-6808

highland hospital mother’s help line. 341-8021

la leche league lifeline Call Lifeline at 275-5151 for referral to the local leader nearest you. rochester general Lactation Consultant 922-LINK (-5465) | www.rochestergeneral.org

urmc breastfeeding hotline 275-9575 | (Noon-1 p.m. M-W-F)275-0096 | Breastfeeding classes The specialty shop at strong memorial hospital601 Elmwood Av, Rochester 273-1276 | (10 a.m. - 2:30 p.m. M-F) _____child care resources child care council, inc.595 Blossom Rd., Suite 120, Rochester 14610.654-4720 | www.childcarecouncil.com_____

childbirth education

birthright of rochester 385-2100 or toll free at 800-550-4900www.birthright.orgEmergency pregnancy support services. Pregnancy tests, non-judgmental counseling, fol-low-up, material assistance, and referrals.

highland hospital center for women1000 South Ave., Rochester 14620 271-4636 473-2229 for Family Classes highland hospital childbirth classes . 473-2229www.urmc.rochester.edu/hh/services-centers/maternity/childbirth-programs.cfm infertility focus, inc.P.O. Box 343, Pittsford 14534 .385-1628 | www.infertilityfocus.org

planned parenthood of the rochester/syracuse region114 University Ave., Rochester 14605 866-600-6886 | www.pprsr.org A non-profit organization that provides education and reproductive health-care services regardless of age, race, sexual orientation, disability or eco-nomic circumstances.

rochester general childbirth education program1425 Portland Ave., Rochester 14621 922-5465 or 877-922-5465www.rochestergeneralhospital.org Rochester General Hospital offers a modern Birthing Center, outstanding pediatric services and leading-edge, minimally invasive OB/GYN procedures.

strong beginnings education program601 Elmwood Ave., Rochester 14642 275-0096http://www.stronghealth.com/services/women-shealth/maternity/strongbeginnings.cfm

strong fertility center 500 Red Creek Drive, Suite 220, Rochester 14623. 487-3378 | www.fertility.urmc.edu

strong midwifery group905 Culver Rd., Rochester 14609 275-7892 | www.midwifery.urmc.edu _____

hospitals golisano children’s hospital 601 Elmwood Ave., Rochester 275-URMC (8762) | www.golisano.urmc.eduA division of U of R Medical Center, Golisano Children’s Hospital at Strong Memorial Hospital is the area’s only children’s hospital and a referral center for seriously ill and injured children from the Finger Lakes region.

highland hospital 1000 South Ave., Rochester 14620 473-2200 | www.highland.urmc.edu Exceptional healthcare specialist skill delivered with a warm, attentive, compassionate attitude. A family-centered hospital which considers every visitor (patient, family member or friend) a guest.

newark-wayne community hospital 1212 Driving Park Ave.,Newark 14513 .(315) 332-2022 | www.rochestergeneral.orgDedicated to providing the best care possible (to people from Wayne County and beyond) in direct partnership with Rochester General hospital.

rochester general hospital1425 Portland Ave., Rochester 14621 922-4000 | www.rochestergeneral.org Modern Birthing Center, outstanding pediatric services and leading-edge, minimally inva-sive OB/GYN procedures. Among Thomson Reuters List of Nation’s 100 Top Hospitals® for Cardiovascular Care.

strong memorial hospital 601 Elmwood Ave., Rochester 14642275-2100 | www.strong.urmc.eduStrong Memorial Hospital, Highland Hospital and Golisano Children’s Hospital (w/other Strong Health care providers) are part of The U of R Medical Center – a leader in clinical care, research and education. unity hospital (formerly park ridge hospital)1555 Long Pond Rd., Rochester 14626 723-7000 | www.unityhealth.org Offering specialty services at Unity Hospital and at more than 50 other locations throughout Rochester and Monroe County (including Unity St. Mary’s Campus in Rochester, formerly St. Mary’s Hospital)._____

Services & Groupscommunity resources

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midwifery care DOnA international (Doulas of north America)888-788-DONA (3662), Toll Freewww.dona.org Doula cooperative 234-0164 | www.doulacooperative.org

strong midwifery 905 Culver Rd.,Suite 2B, Rochester 14609275-7892 | www.midwifery.urmc.edu _____parenting groups & services 2-1-1 finger lakes region2-1-1 or 1-877-356-9211 Toll Freewww.211fingerlakes.org Available 24 hours a day. Run by local coun-selors trained to address your needs. Providing information and human service agency referrals.

292-bAby 292-2229 | www.292baby.org Free phone service connects parents w/Non-Emergency questions about baby/child health or development to pediatricnurses.

Al sigl center 1000 Elmwood Ave., Suite 300 Rochester 14620442-4100 | www.alsiglcenter.org

Providing shared and dedicated facilities, busi-ness services, awareness and financial support for independent human service agencies.

Autism speaks, inc.www.autismspeaks.org Funding global biomedical research, raising awareness about autism and bringing hope to those dealing with related hardships.

birthright of rochester 320 N. Washington St., Suite 116, Rochester 14625 385-2100 1330 Buffalo Rd. Suite 201, Rochester, 14624 328-8700or 800-550-4900 (Toll-free)www.birthright.org Other locationsavailable. Emergency pregnancy support services. Pregnancy tests, non-judgmen-tal counseling, follow-up, material assistance & referrals.

crisis nursery of greater rochester 201 Genesee Park Blvd., Rochester 14619 546-8280 [email protected] ~ www.cngr.orgCNGR is a non-for-profit agency where children (birth to age 10) can stay when their families are in crisis. Services are free of charge and can be used in cases of illness, unemployment, housing problems, respite care, judicial problems, and for many other reasons. No referral is necessary.

easter seals n.y.103 White Spruce Blvd., Rochester 14623 292-5831 | www.ny.easterseals.com Provides assistance to children and adults with disabilities and other special needs to live, learn and work independently in their communities.

epilepsy foundation of rochester-syracuse-binghamton1650 South Ave., Ste. 300, Rochester 14620 442-4430 or 800-724-7930 (Toll-free)www.epilepsyUNY.orgAiming to prevent, control & cure epilepsy through service, education, advocacy & research. Helping people with epilepsy & related disabilities reach their potential.

family resource centers of crestwood2nd floor in Bishop Kearney 89 Genesee St., Rochester 14611 436-0370 | www.hillside.com flower city Down syndrome network2117 Buffalo Rd. #132, Rochester 14624 56Tri-21 (568-7421) | www.fcdsn.com A group of individuals joined to provide support & education regarding issues relating to Down Syndrome to families & the community. infertility focusP.O Box 343, Pittsford 14534 385-1628 | www.infertilityfocus.org Offers support, education and information to indi-viduals and couples at any stage of and with any type of infertility. la leche league lifeline 275-5151 | www.lalecheleague.orgCall Lifeline for your local chapter. Go to www.lllusa.org for area meeting times and other infor-mation.

CONTINuEd >>

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march of Dimes (genesee valley/finger lakes Division)3445 Winton Pl., Ste. 121 Rochester 14623 424-3250 | www.marchofdimes.com Our mission is to improve the health of babies by preventing birth defects, premature birth and infant mortality. mental health Association (better Days Ahead)320 Goodman St. N. Suite 202 Rochester 14607 325-3145 | www.mharochester.org Endorses creative thinking, focuses on family strengths, supports action which empowers. Information, referrals & support.

moms Offering moms support (mOms) clubsVarious locations throughout Rochester 234-6667 | www.momsclub.org/links.htmlMOMS offers support to stay-at-home moms and their children, as well as playgroups and other activities.

mommies for miracles5 Grey Fox Lane, Fairport 14450 507-5367 | http://mommiesformiracles.orgThis non-for-profit raises funds to purchase gifts for sick or disabled children in need of specail-ized services.

mothers & more rochesterwww.MothersandMoreRochester.org Extended neighborhood of women which meets twice monthly to share concerns, friendship, acceptance & fun.

mothers of Twins club www.grmotc.com Open to any mother of multiple birth children, including those expecting multiples. Offering dis-cussion groups to support mothers. noogieland (at gilda’s club rochester)255 Alexander St., Rochester 14607 423-9700 | www.gildasclubrochester.org Noogieland is a unique arts & activities based program that meets the needs of children who have cancer or a loved one who is living with cancer.

parents without partnersP.O. Box 204, Fairport 14450 251-3647 | [email protected] Support, friendship, an exchange of parenting techniques and growth opportunities await single parents and their children.

planned parenthood of the rochester/syracuse region114 University Ave. Rochester 14605 866-600-6886 | www.pprsr.org A non-profit organization that provides edu-cation and reproductive health-care services regardless of age, race, sexual orientation, disability, or economic circumstances.

regional early childhood Direction center Monroe #1 BOCES41 O’Connor Rd., Fairport 14450 249-7817 | www.monroe.edu/recdcSupporting families with children birth to 5 years by providing free information and individualized assistance to connect them with programs and services.

rochester Area birth network425-7105 | www.rabn.org The purpose of Rochester Area Birth Network is to advocate for health, safety and informed options in childbearing.

rochester holistic moms & holistic moms westwww.holisticmoms.org Local chapter of a non-profit organization dedi-cated to supporting mothers with an interest in natural health and mindful parenting.

rochester society for the protection and care of children148 South Fitzhugh St., Rochester 14608 325-6101 | www.spcc-roch.orgProvides various programs supporting children and strengthening families.

ronald mcDonald house of rochester, inc.333 Westmoreland Dr. , Rochester 14620 442-5437 | www.ronaldshouse.com Providing a home-away-from-home for families while their child receives healthcare in Rochester area hospitals. Also awards community grants. stepfamily Assoc. of rochester 442-3440 | www.stepfamilyrochester.org A non-profit organization offering education, support and counseling on the challenges involved in blending families and nurturing stepchildren.

united cerebral palsy Association3399 Winton Rd. S., Rochester 14623 334-6000 | www.cprochester.orgAdvancing the independence, productivity and full citizenship of people with disabilities.

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Visit these advertisers onlineBanners Child Care ~ www.bannerschildcare.com

Child Care Council, Inc. ~ www.childcarecouncil.com

Doodle Bugs! Children’s Centers ~ www.doodlebugs.com

Eastview Mall ~ www.eastviewmall.com

Elmwood Pediatrics Group ~ www.elmwoodpediatrics.com

English Road Pediatrics & Adolescent Medicine ~ www.englishroadpediatrics.com

Fidelis Care of New York ~ www.fideliscare.org

Genesis Pediatrics, LLC ~ www.genesispediatrics.com

Lifetime Health -MSM ~ www.lifetimehealth.org

MCC - Child Care Center ~ www.monroecc.edu

Mendon Pediatrics ~ www.mendonpediatrics.com

Musikgarten ~ www.musikgarten.org

Panorama Pediatric Group ~ www.panoramapeds.com

Parkway Pediatrics & Adolescent Medicine ~ www.parkwaypeds.com

Rochester Childfirst Network ~ www.rcn4kids.org

Rochester General Pediatrics ~ www.rochestergeneral.org/twigbirthingcenter

Rochester GYN/OB Assoc ~ www.rgoa.com

Rochester School for the Deaf ~ www.RSDeaf.org

Sandbox Playground ~ www.TheSandboxPlayground.com

State Farm Insurance - Breen ~ www.christinabreen.com

Storybook Child Care, Inc. ~ www.storybookchildcare.com

Webster Montessori School ~ webstermontessori.org

West Ridge OB/GYN, LLP ~ www.wrog.org