PregnancyNew 122016

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PREGNANCY
&newborn
Our guide
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5 major
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december 2016 | c o n t e n t s
on the cover
17 $2,150 worth of
free stuff up for grabs!
58, 90 Festive
ensembles for bumps
and babies
62 Multiple choice:
5 major decisions
facing moms-to-be
70 Our guide to
holiday gifting
78 Bug off: Protect
your little one
against the flu
82 Car seat safety
88 Hands-free
diaper bags
92 The best gear

of the year
FEATURES
62
Big decisions
It may be nine months before your
baby arrives, but there are plenty
of things youll want to think about
beforehand. By Chantel Newton
70
Just because
Whether youre shopping for your
favorite people or creating your
own wish list, weve picked out all
the best gifts to give and receive.
62
4 PNMAG.COM
December 2016
PHOTO: MOMCILOG / ISTOCKPHOTO.COM
Produced by Lauren Brockman Andre
good health
33
Say cheese
good mom
77
34
Healthy mama
Getting pregnant
a second time isnt
always easy.
36
Express lane
78
Healthy baby
The best ways to
fend off the flu.
Nutritional
know-how
82
Maintain your
special diet without
missing out on any
key nutrients.
The pros answer

your most pressing
questions.
Ask the experts
78
84
40
Labor & delivery
What to expect at
every stage of labor.
44
Birth day
When her epidural
doesnt work as
anticipated, moms
dream of a natural
birth comes true.
Parenting
No matter how
much thought
you put into it in
advance, sometimes
babys name just
isnt the right fit.
good gear
87
good looks
51
40
88
Backpack diaper
bags prove both
handsome and
handy.
Clothes call
52
36
Road test
91
Style watch
Get inspired by
Anne Hathaways
elegant style.
54
90
Haute tots
Cozy up in sweet
and snuggly styles.
Beauty
91
Giftable beauty
bundles, a cheat
sheet on when to
toss old makeup
and more.
Babyspace
Wall dcor to make
babys nursery pop.
92
The a-list
58
The coolest gear

of 2016.
Retail therapy
Stunning ensembles
for merry occasions.
6 PNMAG.COM
December 2016
88
92
PHOTOS: (MOM & BABY) PEOPLE IMAGES , (GRAIN BOWL) BHOFACK2 / ISTOCKPHOTO.COM, (CHILDBIRTH) RUBBERBALL PHOTOGRAPHY / VEER
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28
IN EVERY ISSUE
12
You tell us
20
Cravings
What you
had to say.
Studies, stats
and stuff
we love.
14
From the
editor
96
Baby steps
17
Giveaways
Nicknames for
grandma and
grandpa.
Your chance
to win.
Shea, Fashion &

Style Editor
COVER
LOOK
due
next
month
HERES WHAT YOU
CAN EXPECT IN OUR
JANUARY ISSUE:
Your pregnancy
survival guide
Easy ways to
boost babys
development
All the postpartum quirks
your doc forgot
to mention
The best infant
bathtubs
8 PNMAG.COM
Were chic-ing out

over this months
maternity-andnursing getup.
Pair an anyoccasion dress
with a rue
dickey for all
bang without
the bulk.
December 2016
Model
Selina White
Photography by
Angela Murray
Hair and makeup by
MARAZ
Produced by
Erin Shea Long
Le Cou ruffle collar, $89,
lecoulecou.com
Loyal Hana dress, $150,
loyalhana.com
Cartier bracelet, $6,300,
cartier.com
Whether styled with

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safe sleep, our

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We believe every baby's crib should be a safe and tranquil sanctuary. Our mission
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SLEEP
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Visit us at
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HERES WHAT
YOULL FIND:
Contests boasting
fabulous freebies
Blogs with real talk
from expectant and
new parents
Hands-on gear reviews
Articles on all things
mom and baby

Stop by
pnmag.com/offer
s
for exclusive deals
and discounts for
P&N readers!
THE DUX BED

GIVE AWAY
One mom-to-be will receive

the gift of a good nights sleep,
thanks to a luxury bed that
evolves to support her
growing body.
Lets roll
Youll be pushing
your tots new set
of wheels for a
long time, so make
sure you find a
cushy ride that
youll both love.
Our parent panel
has kicked the tires
on the latest and
greatest models
all so you
dont have to!
pnmag.com/
strollers
Put a
pin in it
From our Wit Happens
board filled with funny
finds to our Prints
Charming board stocked
with art fit for nursery
walls, inspiration abounds.
pinterest.com/pnmag
Youve got mail

Enter for your chance to win at
pnmag.com/DUXIANA.
STAY UP-TO-DATE ON YOUR PRENATAL PROGRESS WITH OUR

WEEKLY BUMPDATES. EACH MESSAGE IS CHOCK-FULL OF
INFO TAILORED TO YOUR DUE DATE WITH LINKS TO ARTICLES,
RESOURCES AND EXPERT ADVICE. PNMAG.COM/BUMPDATES
Stay
in touch
/PNMAG
Contest closes January 3, 2017 at 11:59 p.m. EST.

For full terms and conditions, visit
pnmag.com/DUXIANA.
THE DUX BED IS AVAILABLE ONLY AT
DELIVERY DIARIES
We want to hear your birth stories! Submit
your labor tale to birthstory@pnmag.com,
and you may just see it show up on our
Birth Day blogor in an upcoming issue.
pnmag.com/birthday
@PNMAG
/PNMAG
@PNMAG
PHOTOS: (WOMAN WITH TABLET) RYAN J LANE, (DAD & BABY) ALEKSANDAR NAKIC, (BABY PACIFIER) ALIJA, (DELIVERY DIARIES) SAM74100, ILLUSTRATIONS: (PUSH PIN) BLACK RED, (ENVELOPE) RAMBO182 / ISTOCKPHOTO.COM
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POP CULTURE
You might be the one
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papas really think about
breastfeeding (total awe)
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90 YEARS OF RESEARCH
AND ENGINEERING
yo u te ll u s
Were pregnant!
Bakers man
MOMS REVEAL HOW THEY CLUED THEIR

PARTNERS IN ON THE GOOD NEWS.
ON THE PLUS SIDE
a
Adeline
will receive a
special packag
e
from P&N.
He told me! I peed on the stick, left it on the bathroom counter

and went to work. The previous one was inconclusive because it
was too early. He texted me and said, Positive-ish! I took another
when I got home and called the doctor for a blood test. We had only one
shot to get pregnant before he deployed, and it worked! He comes home six
to eight weeks before our baby arrives. Adeline McGonigle, San Diego, California
Dinner is served
Sister, sister
I wrote it on a plate and served his spaghetti

on it. Bad idea. While he was eating he
could see something written, but half of it
wore off, and Im pretty sure he consumed
Sharpie marker from it. Darn Pinterest DIY!
He did however get the point and about
passed out.
@declanandcrew, via Instagram
With my second baby I wrote, Im a

big sister! in washable marker on my
11-month-old daughters belly, and then
I asked my husband to change her diaper.
At first he said, What are you talking
about? Shes not a big sister. And then
he got it.
Grace Pringle, Ontario, Canada
Game on
Under wraps
I convinced him to play hangman with me

to practice a game for my students.
@polkadottyplace, via Instagram
I took a test, wrapped it up as a Christmas

present and gave it to my husband as his
last gift. He was so surprisedand so were
our other children. He cried and said it was
the best Christmas ever.
Candi Teter, Huntersville, North Carolina
Short and sweet

I called and said, I am, and hung up! It
was such a dramatic day, but we both have
been super excited ever since.
@jhsmiles06, via Instagram
Twenty questions
I told him on Valentines Day after I took
four tests because I was in denial. It took us
six years of trying (and we gave up about
two years ago), so I didnt believe it myself.
I bought a sock monkey and taped the test
to it. I said, Happy Valentines Day He
asked, Are you really? Are you serious?
Are you kidding me? I recorded all of this,
and we went back to count how many
times he asked: 12!
Heather Stankovsky,
New Berlin, Wisconsin
Home slice
We went to get pizza, and I had them spell
out Im pregnant in pepperoni.
@dianarama9, via Instagram
Plumbing ploy
I kept calling for him to come upstairs,
and he kept asking why. I finally just told
him, The toilet is clogged! I had three
positive pregnancy tests.
@lalrah, via Instagram
Ready to pop
I filled our living room with pink and blue
balloons and waited until he got home
from work.
@kjrkids, via Instagram
I put a hamburger bun in our oven and told

him dinner was in the oven when he got
home. Then I recorded him staring at the
bun in the oven totally confused. But he
understood eventually!
@motherlovingskincare, via Instagram
Chew on this
My husband comes home for lunch, and for
some odd reason I felt off that day. So I
excused myself from the table to go to the
restroom. When I came back, I told him
mid-bite we were expecting, and he almost
choked from pure joy and excitement!
@carolinacrockett, via Instagram
Aced the test

I was so worried that one of us was going
to be sterile that I told him to get a fertility
test. The next day I found out I was pregnant! So when he got home from work, I
asked if he had picked up the test yet. (He
hadnt.) Then I really casually said, Well,
I guess you dont need to anymore. He
paused and looked up at me with the most
priceless expression.
@laceandlu, via Instagram
Party favor
I took one test before work but didn't believe
it was really positive, so I didnt say a peep.
We were having a party that night, so while
my husband went to the store to get a couple
things, I went to the store, came home and
took another test. Two positivesthere was
no denying it now! I wrote a note that said,
Guess who is going to be a daddy? and set
it on the table next to the two tests. It was
the first thing he saw when he walked in the
door, and I still cant believe he didn't drop
the six-pack in his hands when he read it. I
made myself mocktails all night, and we
were both giddy keeping our secret from
our friends the whole time.
@cryingoverspilledmilk, via Instagram
Cry baby
After our second round of IVF, I found out
I was pregnant while my husband was in
New York City. I picked him up from the
airport wearing a shirt that read, Baby
on Board. He cried coming down the
escalator, and I cried running up to him.
@jkiz, via Instagram
Working mom
I was running late, so I took the test when
I got to work. And when it came back
positive I freaked out and couldnt help
myself, so I texted my partner that we had
to go to the doctor ASAP.
@that_girl_chelsea, via Instagram
Catch of the day

My husband is a football player, so I taped
my pregnancy test to a football. While we
were at the park I told him to catch, and
so he did. He caught the best surprise of
his life.
@raintribeof5, via Instagram
12 P N M A G . C O M
December 2016
When did you first feel like a mother? We want

to hear, so head to pnmag.com/youtellus to let us know.
Your answer could be printed in a future issue!
Well send
our favorite
respondent a
fun surprise!
from the editor
Days gone by
t the risk of sounding pretty seriously

uncool here, Im going to share the first
thought that flitted through my brain when
I sat down to write this note: December?! You mean
2016 is almost over? Wasnt it January like five minutes
ago? Turns out our grandmothers were right, you
guystime really does fly by.
Heres where most people would encourage you
to enjoy every second because it passes so quickly
but I live by a different philosophy. Honestly, I dont
enjoy every second. Im coming off a week filled
With the holidays upon us, life is even crazier than usual. Dont be
with moments of which I have enjoyed few. Case
afraid to use your pregnancy or newborn to your advantage: Say no
in point: I told my husband at 8:30 last night, Im
when you need to. Bring the easiest option to the potluck. (Long live
going to bed early because I need this day to be over.
the premade veggie trays available at nearly every grocery store in
I can handle tomorrow, but I cant do anymore of
America.) Use our handy-dandy gift guide (page 70) to knock out all
today. (And then I hung out in bed by myself
reading for two hours while he solo parented. And
your shopping at once. And most importantly, take care of yourselves,
it was lovely.)
mamas. Its easy to get caught up in the hustle, but a little downtime
Youre just not going to love every single second
will do both you and baby good. Happy holidays from P&N!
of motherhood. Many momentsmost of them,
evenwill be beautiful. But there will be hours and
days and weeks and perhaps even months that will
just flat-out suck. And its OK not to enjoy those.
realize in Aldi that you have spit-up dripping down your back,
Theres nothing wrong with you if youre suffering through a bad
you left your wallet at home, and youre probably about to start
season. Bad days dont make you a bad mom. Kindly, well-meaning
crying along with baby right in frontof everyone.
older folks tend to tell us that these are the best days of our lives.
Remind yourself: Its just a bad day, not a bad life. Tomorrow
Sure, our kids are screaming, and we havent bathed, but they
is a fresh start, and its all going to be OK. When it comes to
assure us that this is the good stuff. We should be enjoying every
parenting, your love is enough. If you loved your baby today
seconditll all be gone in a flash. When I had tiny babies, Id
and I know you didyoure doing great. Kids give out grace in
always walk away from those conversations racked with guilt,
spades. That wee one thinks you hung the moon, even on your
lacking confidence and assuming I must be the worst mom on
less-than-perfect days.
the planet.
And when someone reminds you how wonderful this season
I survived that spell, though, and learned something important:
of parenting is, smile and thank herand know that, to those
Those werent really the days. It was hard, mothering tiny creatures.
sharing this advice, its wonderful in part because its over. They
Id do it again in a heartbeat because, as you know, its all worth
made it to the other side. And you will, too.
it in the end. But when I was in the heat of it, I didnt really need
someone telling me to love every second. I needed someone to
tell me how to survive every second. I was barely getting by.
So, in case it helps, heres how you survive every second:
You just keep going. Doing the next thing. Finding joy when and
where you can. Honestly, theres a ton of happiness to be had.
It isnt all sleepless nights and fussy babies. There are giggles
and chubby thighs and sweet-smelling postbath towel wraps
the good outweighs the bad by far. That can be hard to remember
at 2 a.m., though, when youd really just like to sleep for longer
than an hour at a time. Or at 12 p.m. the next day, when you
December 2016
Happy December!
Lacey Major
Editor in Chief
PHOTO: (BABY) KATARZYNA BIALASIEWICZ / ISTOCKPHOTO.COM
Seize the season
a
Enter daily
to improve
your odds.
g i veaways
Free stuff
Feeling lucky? Head to
pnmag.com to enter for
your chance to win these
terrific prizes.
worth
$475!
COMPRESSION
OBSESSION
CARRY ALL
One style-conscious mom will win a
PacaPod Firenze leather changing bag
in pewter, so she can look good and
stay organized wherever she goes.
worth
$375!
Two fashion-conscious momsto-be will win a $100 gift card

to Preggers.com, so they can
shop for chic support to wear
throughout pregnancy
and beyond.
STARTER KIT
One tiny cutie will win a MAM
Infant Basics Gift Set, including
anti-colic bottles and more.
SLUMBER PARTY
One sweet snoozer will win a Naturalmat
Spring Mat complete with a removable,
washable quilted cotton cover.
PRENATAL
PAMPERING
Five lucky momsto-be will win a
Pregnancy Prize Pack
from The Boppy
Company, featuring a
full set of Boppy Bloom
Skincare and a Total
Body Pillow.
LADIES WHO LUNCH

Three nursing mamas will win a Hello
World gift set from Cassidys Cradle,
featuring a nursing pillow and cover,
nursing cover-up and two burp cloths.
TUNE IN
One music lover will win a Baby
Blanket Music gift certificate,
so she can download the entire
collection of lullaby arrangements
of songs from artists like Elton
John, The Beatles and Lady Gaga.
Great
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eat
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Ba
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Shower
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Uncle Goose Cubelings blocks, $17,

unclegoose.com
Editor in Chief
LACEY MAJOR
contributors
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JULIANN SCHAEFFER, JENNIFER TORRES,
LINDSEY WINSTON
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Executive Editor
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ADAM WOODMAN
Partner
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Fashion & Style Editor

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Partner
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ANGELA MURRAY, MARAZ
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GINNY BUTLER
our inspiration
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STOCK IMAGES THROUGHOUT THIS ISSUE ARE FROM GETTYIMAGES.COM, ISTOCKPHOTO.COM, SHUTTERSTOCK.COM, FOTOLIO.COM AND BAUERGRIFFIN.COM. IMAGES OF PRODUCTS NOT PHOTOGRAPHED BY PREGNANCY & NEWBORN MAGAZINE ARE PROVIDED BY THE MANUFACTURER, RETAILER AND/OR PUBLIC RELATIONS FIRM.
PREGNANCY
&newborn
S P E C I A L A D V E RT I S I N G S E C T I O N
CONTOUR
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cravings
news
m u s t - h ave s
and more
I am beginning to learn that it is the

sweet, simple things of life which
are the real ones after all.
Laura Ingalls Wilder, author
December 2016
PHOTO: COSPV /ISTOCKPHOTO.COM
editors picks
Stuff
we
love
CAMERA CREW
Photo-worthy finds that
proudly display your
littlest muse.

Ive never been
more excited to
get organized.
(And for a neatnik
like me, thats
saying something.)
Chantel
Associate Editor
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December 2016
cravings
December
1
4 5 6 7 8 9 10
handy how-to
Prep your pooch for baby

W
hen a newborn moves in, its a big
adjustment for everyone in the
familythere are startling sounds, new
gadgets and unusual sleeping patterns. Its a
lot for any pup to get used to, which is why
Sarah Hodgson, dog
trainer and author of
Modern Dog Parenting,
suggests laying the
groundwork for a
smooth transition
even before your
babe arrives.
Personality type
Think about how your dog acts when
something unexpected happens or a
newcomer enters your home. Is he easygoing? Hyper? Anxious? Every dog is
different, attests Hodgson, but you know
your canine counterpart best, which is
why you might be able to predict how
your pet will respond.
Play pretend
The best thing to do to prepare a dog for
the reality of life with a baby is to bring a
baby home now, Hodgson counsels. Not
the baby, of course, but a doll. Sure itll be
made of rubber, but holding it, rocking it,
and treating it like its the real thing will
help acclimate your pup. Expert tip: If you
have a friend with an infant, ask to borrow
a blanket, and while youre at it record a
tantrum or two. Get your dog socialized
to the sounds and smells of a real baby,
suggests Hodgson.
December 2016
Command center
Now is the time to bone up on your training

rituals (think sit, stay, lie down).
My book makes learning with your dog a
snap, promises Hodgson. Daily 10-minute
rituals can have you on the road to good
behavior in less than a week. Use directions
like stay while you go through the motions
of changing a diaper or feeding a bottle with
babys stand-in.
December 1 is World AIDS Day

(worldaidsday.org).
December 4-10 is National
Handwashing Awareness Week
and National Influenza
Vaccination Week (cdc.gov).
December 24-January 1 is
Hanukkah.
December 25 is Christmas Day.
December 26 is Boxing Day.
December 26-January 1 is
Kwanzaa.
December 31 is New Years Eve.
Follow the nose

Before the first meet-and-greet, bring a
hospital blanket or moms shirt to whomever
is watching your pup, so Fido can sniff around
and become familiar with babys scent.
Remember dogs dont use their eyes to see.
Sight is a dogs weakest sense. Dogs see with
their noses. When you bring your newbie
home, ask a friend to be there. Even better:
Have your BFF play or take a stroll with your
pooch before you arrive, so your four-legged
family member isnt too energized when
you walk through the door.
Caution tape
Some dogsespecially those who have zero
experience with young childrenmight need
special attention. When you bring your baby
home, listen to your dog with your eyes,
instructs Hodgson. Dogs talk with their
body. Watch your dogs eyes, ears, tail and
posture to know how [hes] feeling. Need a
cheat sheet? Find one at whendogstalk.com.
@pp
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Sound Sleeper
Choose from a
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waves to a vacuum cleanerto
encourage your tot to nod off,
and track his sleep schedule to
learn what soothes him best.
Dont be
ashamed if
you use the
app to help
mom and
dad get
those much
needed Zs
as well!
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24
25 26 27 28 29 30 31
JniffirlRt
~
Is your social
THE MOMMY SHORTS GUIDE TO
REMARKABLY
AVERAGE
PARENTING
media feed overrun

with updates about
your best friend's
newbie? Consider
letting her know she's
kicking butt at this
mom gig-in real life,
instead of with a like
or comment. Findings
from a recent study
from The Ohio State
University suggest
that frequent
Facebook posts
about baby could
be a telltale sign
that new mothers
feel pressured to
be picture-perfect
parents.
book club
THE MOMMY SHORTS GUIDE
TO REMARKABLY AVERAGE
PARENTING
Ilana Wiles, mom of two and
the hilarious creator of the blog
Mommy Shorts, is here to let
you in on a not-so-little secret:
If you want to enjoy being a
parent, give up on perfection.

Her self-described "momoir" is
GOTTR CRTCHEmRll
a refreshingly honest celebration

of parenthood that reminds you
Pokemon Go, the augmented reality game that has become a worldwide phenomenon, is prompting new parents to bestow Pokemoninspired names on their little ones, according to BabyCenter.com.
In rank order, the most popular picks include: Roselia, Onyx, Star,
Eevee and Ivy. (Thankfully, Pikachu didn't make the cut.)
to hang on to the good stuff and

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cravings

%
WELCOME MAT
Crop out
After analyzing trends in childrens fruits and

vegetable intake over the course of seven years,
the Centers for Disease Control and Prevention
found that fruit intake increased from 2003 to
2010, but veggie intake did not. In other words:
Keep up the good work with those apples and
oranges, but dont forget about peas and carrots.
In good
taste
A new paper published
in the journal Nutrients
outlines the top characteristics that parents
should look for when
choosing first foods for
baby. They include
lust
must
vs.
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Texture/
consistency
Nutrient
density
Energy-dense
foods that are
low in sugar and
rich in multiple
nutrients that
contribute to
proper infant
health and
development.
A soft and smooth

texture that is
creamy, pureed
or mashed to help
little ones learn
how to chew and
swallow.
Neutral flavor
profile
Low to moderate
sweet and salty
flavors to avoid an
early preference
for sweet eats.
Whats a great starter food that

fits the bill? Avocados!
Lust
Must
Whatever the weather
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Crush of
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cravings
WELL, THAT DOESNT SUCK.
Findings from a recent study in the journal

Pediatrics suggest that children who suck
their thumbs or bite their nails are exposed to
more bacteria and, as a result, less likely to
develop immune disorders, like allergies.
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good health
symptoms
sol utions
fitness
nutrition
and more
Board
meeting
Hosting a holiday fete?
Gal pals will eagerly
gather round the table
when a tasty assembly
of cheeses is front
and center.
From varieties produced on
family-owned farms in Vermont
to international picks from as far
as Israel, Brent Delman, founder
of The Cheese Guy (thecheeseguy.
com), knows his fromage. So, who
better to give you the inside scoop
on what pregnancy-safe options
are worth adding to your next
cheese board? Heres what he
recommends
For saltier and more fullflavored selections, try a good

cheddar, Gouda, pecorino or
Parmesan.
Add in some spice with a
habanero jack or smoky chipotle
cheddar.
PHOTO: MAYUKO DEASON
Sweeten things up with fresh

fruits, like strawberries and figs,
or a scoop of preserves.
tip
a
Provide partygoers with a balance

of flavors and texturesfrom the
cheeses to the accompaniments
(think crackers, nuts and olives).
Choose wisely
Expectant women are advised to skip out on raw milk cheeses, particularly
young, creamy and unpasteurized varieties, like Brie and feta.
December 2016
P N M A G . C O M 33
good health | h e a l t h y
mama
Try, try again

It can be harder to get pregnant
the second time around, but
there are steps you can take to
beat the odds. BY PAMELA BRILL
You might be diagnosed with

secondary infertility if ...
division, explains Philip Chenette, MD,
fertility specialist at the Pacific Fertility
Center in San Francisco. A woman trying
to conceive her second child at age 40 will
find her fertility half as good as compared
to age 38.
Jill Hechtman, MD, an OB/GYN in
Tampa, Florida, agrees: As we age, there
is a natural decline in the number and
quality of our eggs. We are born with all
the eggs our bodies will ever make.
Hechtman compares a healthy 30-yearold with a 20 percent chance of becoming
pregnant each cycle to a 40-year-old
whose odds drop to 5 percent.
With age also comes an increased risk
of other complications associated with an
older uterus: fibroids or polyps, irregular
or lack of ovulation, scar tissue or chronic
endometritis (an inflammation of the
uterus). There is also increasing concern
about high blood pressure and diabetes,
which become more common as the
kidneys and heart age, adds Chenette.
Not just a number
Male service
According to the experts, the biggest culprit

has to do with the age of a mom-to-be.
As we age, egg numbers decline, and the
eggs that are available have a harder time
managing the chromosomes in early cell
December 2016
You have given birth without the use of

medical support or fertility medications,
but you find yourself unable to get pregnant
again or experience recurrent miscarriages
AND
You have been trying for one year (if youre
younger than 35)
OR
You have been trying for 6 months (if youre
older than 35).
(Source: The National Infertility Association)
High-risk concerns
If your first pregnancy was considered
high-risk, you may wonder if that sets
you up for successive complications. The
answer: not necessarily. According to
medical experts, high-risk pregnancies
do not directly affect future fertility. Just
because you were labeled high-risk the
first time doesnt guarantee that thats
how things will play out in round two.
Instead it can serve as a tip-off to prevent
related complications.
A mans age does not come into play when determining the cause for secondary infertility.
Men have far more fertility reserve and continuously produce sperm throughout their
reproductive lifespans, notes fertility specialist Philip Chenette, MD. A poor diet, stress,
smoking and heavy alcohol consumption become more of a concern as men age,
contributing to a decline in sperm concentration and motility.
PHOTO: DAVID PEREIRAS / FOTOLIA.COM
ow that your firstborn is getting

older and you feel like you have
gotten the hang of motherhood
(finally!), you might be ready to expand
your family once again. But, after months
of negative pregnancy tests, you begin to
wonder: How can it be this hard? Weve
done this before. Its not like Im infertile.
Having one baby doesnt guarantee any
mother that shell be able to easily conceive
again when shes ready. In fact, if you find
that getting pregnant is proving to be more
difficult the second time around, you arent
alone. According to the Centers for Disease
Control and Prevention, 830,000 American
women ages 15 to 44 experienced secondary
infertility from 2006 to 2010.
Although a number of factors can
contribute to trouble conceiving after having
one child, experts believe that there are
viable ways to boost your chances of having
a successful subsequent pregnancy. By
taking a closer look at the common causes
and zeroing in on how to overcome them,
concerned couples can put their fears to rest
and focus on growing their broods.
h e a l t h y m a m a | good
What [a high-risk pregnancy] may do

is suggest the next pregnancy would be
high-risk as well, explains Mary Jane
Minkin, MD, clinical professor of obstetrics,
gynecology and reproductive sciences at
Yale University School of Medicine. For
example, the No. 1 risk factor for preterm
labor and delivery is indeed previous
preterm labor. Minkin also notes that
prior gestational diabetes produces a greater
risk of developing repeat gestational
diabetes. However, as Minkin points out,
this concern can be addressed in advance.
If a woman is overweight and loses the
weight, she will reduce her risk.
Other previous conditions that could
serve as warning signs for future pregnancies
include a uterine septum (a malformation
of the uterine cavity), an incompetent
cervix (cervical inefficiency) and fibroids,
which can become progressive.
Getting a boost
PHOTO: BONCHAN / ISTOCKPHOTO.COM
Once you have ruled out possible medical

concerns, experts recommend a number
of ways to actively boost your chances for
another positive pregnancy test. For starters,
add at least 400 micrograms of folic acid to
your diet before conceiving. It minimizes
the chances of neural tube defects, says
Minkin.
Another tip? Maintain your body weight
as best you can. Both too high and too low
[weight] can make women not ovulate
well, Minkin says. A sensible, balanced
diet is also key to providing your body with
essential vitamins and nutrients.
Making important lifestyle changes in
fitness and sleep can help improve your
chances for conception. Fertility rates
decline at a rate of 2 to 3 percent per month
which, over time, becomes a significant
barrier to fertility, explains Chenette.
He advises cutting down on your alcohol
intake, quitting smoking and getting
plenty of rest, along with keeping your
BMI under 30. If you feel you need to
lose weight, seek guidance from an
experienced nutritional consultant, and
balance exercise and calorie intake to
keep your body in check, he adds.
Standardized tests
A variety of prescreening options can
alert women to possible fertility issues in
advance. Blood tests [can] check for
ovarian reserve and function, but [they]
have not been proven to reliably predict
the possibility of becoming pregnant,
cautions Hechtman.
health
Eat your way

to fertility
A healthy diet is a must when
youre trying to get pregnant.
Boosting our fertility is really
about boosting our heath overall,
so that our bodiesspecifically,
the uterus, follicles and eggsare
primed and ready for growing a healthy
baby, says Ebeth Johnson, the nutrition
expert behind The Breastfeeding Chef
(breastfeedingchef.com). Happily, the
same foods that boost fertility also
support our health.
To up the odds of a positive
pregnancy test in your future, try adding
these good-for-you eats to your plate.
WHOLE FOODS: Free from

additives and minimally
processed, these options
provide vitamin B, vitamin E
and fiber. Organic meats
and produce lessen the
amount of toxins that are
introduced into the body,
notes Johnson. A body with
a lower toxic load is more
likely to conceive a baby.
Add brown rice, wholewheat pasta and quinoa
to your shopping list.
FRUITS AND VEGGIES:
Rich sources of vitamin C,
potassium and antioxidants,
plant-based foods are
best when eaten in season.
Dark green vegetables like
spinach, Swiss chard and
romaine lettuce are packed
with nutrients that support
follicle development and
egg release.
LOW-FAT DAIRY: Yogurt,
fat-free cheese and skim
milk provide protein and
calcium, which are necessary for maintaining bone
health. Topping off Greek
yogurt or cottage cheese
with berries, fruit or nuts

makes a sweet treat without
any added sugar.
LEAN MEATS AND
BEANS: Also good sources
of protein and calcium,
these foods offer the added
benefit of iron. Increasing
iron levels encourages
ovulation and can help
women avoid anemia
during pregnancy, explains
Johnson.
FISH: High in omega-3s,
certain fishlike salmon
and canned tunaprovide
essential fatty acids.
According to registered
dietician Kimberly Gomer,
Research has shown that
the DHA/omega-3s benefit
the babys brain and nervous
system development and
reduce the risk of premature
birth. The caveat: Be sure
Alternatively, doctors may recommend

a complete fertility assessment, which
Chenette believes is critical to determining
treatment routes. This includes a semen
analysis, ultrasound, physical exam and
blood test for ovarian reserve, and prepregnancy health screening.
For those looking to take matters into
their hands, consider purchasing an
to avoid fish with a high

mercury content, such as
swordfish and tilefish, as
well as raw fish, like sashimi.
LIQUIDS: When planning
your prepregnancy diet,
limit your caffeine intake
to no more than 200
milligrams (about two
8-ounce cups of coffee)
per day, and drink plenty
of water to flush out toxins
and transport necessary
hormones throughout
the body.
For those considering
fertility drinks, experts
advise saving the extra
calories for natural foods.
Being overweight can
influence fertility and
generally liquid calories
dont provide much satiety,
says Gomer. Skip the
shakes and teaseat the
fruits and veggies.
at-home ovulation predictor test kit (to

determine how well you are ovulating)
and/or a fertility kit. This gives a ballpark
idea of how the ovaries are, with active eggs
available, says Minkin. If that [test] shows
that ovarian reserve is somewhat diminished, I would encourage a woman to speak
to her gynecologist. Your doctor can offer
tailored advice on how best to proceed. P&N
December 2016
PNMAG.COM
35
good health | n u triti o n a l
kn ow -how
Special order
Whether youre vegan by
choice or gluten-free by
necessity, heres how to
tweak your diet to ensure
you and baby arent missing
out on any key nutrients.
BY JULIANN SCHAEFFER
avigating the seemingly endless

dos and donts of pregnancy can
sometimes feel like a full-time
job, right? No matter what youre doing
or where youre going, theres a constant
nagging inside that nudges, Is that safe for
my baby? Food is no different, and those
daily decisions can be even more overwhelming when youre on a modified diet.
If youre watching your carbs because
of gestational diabetes, eating gluten-free
due to an allergy or intolerance, or simply
skipping meat or dairy for personal
reasons, weve got you covered. After
chatting with a few experts, were giving
you the lowdown on what you should
know about common diet restrictions
during pregnancy.
A gluten-free diet is the primary treatment

for celiac disease, an autoimmune condition
in which the body reacts to the gluten
protein found in wheat, barley and rye by
attacking the intestines. According to
Alaina Strobel, RD, LD, CDE, at Texas
Childrens Hospital Pavilion for Women
in Houston, this results in gastrointestinal
damage and malabsorption of key nutrients
which is why people with celiac disease
are advised to avoid foods with gluten
altogether.
Outside of celiac disease, going sans
gluten has increased in popularity in part
because some have touted its overall
healthfulnessalthough the experts insist
there are no extra health benefits to going
gluten-free unless your body has shown
a negative reaction to gluten.
If youre pregnant and eating glutenfree, you should know that its absolutely
possible to get the necessary nutrients
tip
a
for you and baby from whole foods. Even

though grocery stores continue to offer
more gluten-free options, its best to opt
for whole over processed foods when
youre able.
To ensure adequate intake of thiamin,
riboflavin, niacin, folate and iron, Reut
Bardach, MD, a board-certified OB/GYN
at Obstetrics and Gynecology of Trinity,
near Tampa, Florida, suggests pregnant
women eat more fresh fruit. Foods such
as potatoes, rice, corn, nuts, beans,
lentils, eggs and dairy can also be used
to supplement the loss of nutrients from
following a gluten-free diet, she says.
To up your fiber and overall nutrient
intake, Vandana Sheth, RDN, CDE, a
spokesperson for the Academy of Nutrition
and Dietetics, recommends focusing on
naturally gluten-free whole grains such as
brown rice, quinoa or amaranth instead
of heavily processed gluten-free grain
products, which are often stripped of
key nutrients and fiber.
Check out choosemyplate.gov for a free tool that helps you create meal plans,
set goals and ensure your nutritional needs are met all throughout your pregnancy.
December 2016
Thinking about a diet tune-up during

pregnancy? Give your doctor a heads up
before significantly changing your eating
patterns, so youre both on the same page.
This goes for supplements, too.
Intimidated by unfamiliar grains such

as amaranth or millet? Many cook in a
way that is similar to brown rice, and all
freeze beautifully. (Check out Pinterest
for a plethora of easy recipes and cooking
tutorials.) After you find a gluten-free
grainor twoyou enjoy, whip up a large
batch. Then freeze some in single-serving
containers, and use the rest for this weeks
dinners.
One meal Sheth loves for expectant
mamas? Combination bowls. Use some
leftover quinoa, then add some chicken
and stir fry vegetables, and youve got a
quick and easy meal thats giving you a
good combination of vegetables, protein,
and whole grains. Swap a hard-boiled
egg for chicken, or mix up the veggies
for whatever youre craving, and voila!
Multiple meals at the ready.
Beating gestational diabetes

Did your doctor ask you to make certain
diet changes to watch your carbohydrate
content? That might be because you have
gestational diabetes (GD)and if so, youre
PHOTO: BHOFACK2 / ISTOCKPHOTO.COM
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good health | n u t r i t i o n a l
know-how
certainly not alone. According to the Centers

for Disease Control and Prevention,
gestational diabetes affects up to 9 percent
of expectant women.
With GD, your pregnancy triggered the
diabetes, and the condition will likely go
away after youve given birth. Until then,
your blood sugars run higher than normal,
and if left unchecked, can lead to serious
risks for both you and your baby.
Babies born to women with uncontrolled diabetes tend to be larger, tend
to have a large amount of amniotic fluid,
and tend to have complications after
birth, including an inability to regulate
their own blood sugars, says Bardach.
However, diet plays a huge role in GD
blood sugar management, and thankfully
theres lots you can do to avoid those
complications.
Rather than thinking of it as a restrictive
diet, Bardach likes to refer to GD-specific
eating as a healthy eating plan that is rich
in nutrients and low in fats, calories and
carbohydrates. What does that look like?
Lots of fresh fruits, vegetables and whole
grains. Instead of simple sugars in baked
goods or processed foods, you should
choose complex carbs such as oatmeal,
brown rice and whole grain pastas.
I will generally tell women, once
diagnosed with gestational diabetes, that
a great way to start this diet is to replace
all white foods with their brown alternatives, she says. So ditch the white bread
for whole wheat, white rice for brown,
and russet potatoes for sweet potatoes.
Forgo the fruit juice or soda for some
sparkling fruit-infused water, and youre
well on your way to a diabetes-friendly
diet.
As Strobel points out, this way of eating
is less about what to eat and more about
how much. So get out your measuring
cups because portion control reigns queen
here, particularly when it comes to carbs
(the main culprit in blood sugar spikes).
Just how many carbs you shoot for in

any given meal will depend on multiple
factors, so ask your doctor if you dont
already know those specifics. But in general,
Sheth says most women with gestational
diabetes can eat between 30 to 45 grams
of carbohydrates per meal, and up to 15
grams of carbs per snack.
The more protein and veggies you load
your plate with, the more satisfied youre
going to feel. When in doubt, always add
a protein to your carbs. For example, snack
on a piece of string cheese with that apple.
According to Sheth, its that carb-protein
combo that helps to blunt the rise in blood
sugar.
Vegging out
Many people today follow a wide variety
of vegetarian and vegan dietsfrom
vegetarianism (which excludes red meat,
poultry and seafood) to ovo-vegetarian,
(which allows the consumption of eggs)
to pescetarian (which includes fish but no
meat or poultry). Veganism is the most
restrictive, excluding all animal products,
including meat, dairy, eggs and honey.
Religious leanings, health goals or ethical
considerations the reasons someone
might follow one of these diets are as
varied as the restrictions themselves.
As far as pregnancy concerns go, all of
these diets can be safe for mom and baby.
The trick is in knowing which nutrients to
pay extra attention to and ensuring youre
eating an array of whole foods to get those
nutrients.
Most vegetarian diets will meet most of
the nutritional needs and goals for pregnant
patients with the exception of iron, vitamin
D, vitamin E and chloride, says Bardach,
who notes that focusing on plant-based
proteins such as grains, legumes and nuts
can provide the vitamins and minerals
necessary for a healthy pregnancy.
Make sure youre meeting your
increased protein requirements (70 to
90 grams daily) by leaning on nuts, legumes,

beans and quinoa. For calcium and
vitamin D, look to orange juice, almonds
and broccoli. Dark leafy green vegetables
such as bok choy and collard greens are
also high in calcium.
To up your iron intake, Strobel points
to plant sources of iron (called non-heme
sources), including grains, spinach and
beans. Theyre best absorbed when
combined with a source of vitamin C,
such as citrus or strawberries, she says.
Conversely, If you need to take an
additional iron supplement, avoid eating
calcium-containing foods at the same
time because this inhibits absorption,
Strobel advises.
For vegans in particular, vitamin B12
and essential fatty acids are two of the
biggest nutritional concerns. Vitamin
B12 is obtained from animal sources
so a supplement may be necessary, says
Bardach. Your prenatal vitamin should
offer at least some of the vitamin B12 you
need, and many foods these days are
fortified with it as well. Check out the
food labels on cereals, soy milks and
other products to see how much youre
consuming.
Flaxseed, walnuts and soybeans can
provide the necessary amounts of DHA,
but you should talk to your doctor about
microalgae supplements if youre worried
that youre not getting enough from
plant-based sources alone.
One great veggie-friendly meal idea
for pregnant women: vegetarian chili. Full
of beans, vegetables, spices and tomatoes
(which enhance the iron absorption from
the beans and lentils), its easily customizable to what you crave and whats in
season.
Pour that on top of quinoa or brown
rice, says Sheth, or eat it with a whole
grain tortilla, and thats a great nutritionally balanced meal. P&N
Pregnancy is the perfect time to make contact with a dietitian, according to Vandana Sheth, RDN,
CDE. Whether youre looking for input on a special diet or just want some healthy food tips or
meal ideas, a professional can help ensure youre getting the nutrients needed for you and baby.
Pregnancy can be overwhelming, and special nutritional needs or restrictive diets can add to
that, she says. A dietitian can help you with meal plans and snack ideas, and offer practical tips.
In fact, Sheth recommends women check in with a nutrition expert even prior to getting
pregnant, if they can. Because babies need certain nutrients, such as folate and iron, starting
the day theyre conceived, why wait until your little bean is already growing to make sure the
environment is just right?
Look up a dietitian near you at eatright.org. If youre unsure about whether your insurance
will cover such a visit, call or email your plan administrator to find out.
December 2016
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good health | l a b o r
& delivery
Easy as 1, 2, 3
Labor can be broken down into three stages.
The first consists of early labor, active labor
and transition. This is the time during
which contractions take place, and your
cervix thins out (effacement) and opens
(dilation) to prepare for the big event. Stage
two happens when you are fully dilated
and actively working to push baby into the
world. The third and final stage takes place
immediately after babys birth and ends
with the delivery of the placenta.
The duration of each stage is anyones
guess. Average estimations for the total
length of labor for first-time moms fall
somewhere between 16 and 20 hours, but
the truth is, it can vary greatly in either
direction.
First up
Pushing through
Your body spends 280 days getting ready for its most
awesome undertaking yet: ushering baby from womb
to world. BY SARAH GRANGER
quick look down at your burgeoning belly makes it

all too obvious that your body is undergoing some
pretty remarkable transformations in preparation
for babys debut. Although the bump is the most obvious
change, whats going on insideand out of sightis
perhaps even more stunning. And it all culminates in the
final frontier of pregnancy: labor. Heres a look at what
happens during each stage of the process, from the Wait,
was that a contraction? to the big Hello, baby! at the end.
December 2016
Fewer than 15 percent

of expectant moms
report their water
breaking before labor
begins; in most cases,
your membranes will
rupture sometime in
early or active labor, or
perhaps even have to
be manually burst by
your doctor or midwife.
Early labor. Its a little different for every

mom, every time, but most women know
theyre officially in early labor when they
begin feeling contractions at somewhat
regular intervals. Although you might be
experiencing discomfort (it can range
from bothersome to painful), most care
providers encourage mothers to hang tight
at home in early labor. (Note: If youre
high-risk, preterm or experiencing
complications, go ahead and make your
way to the hospital for safetys sake.)
Many moms opt to stay active during
this time. Light walking can keep your
mind off things (plus, it can help labor
progress), and you might also be taking
care of a few last-minute tasks, like
PHOTO: RUBBERBALL PHOTOGRAPHY / VEER
In the last month of your pregnancy,

youll be seeing a lot of your care provider
most obstetricians and midwives like
to see their patients once a week upon
reaching the 36th week of gestation. At
some point, a physical check down below
is typical, and your practitioner might
report that you are dilated and/or effaced
to a small degree. For a gal looking to get
the show on the road, thats great news
but dont get too excited just yet. Although
its a good sign that your body is on the
right track, it doesnt necessarily mean
baby will be making her grand entrance
the next day.
Your first real sign that baby is on her
way will most likely come by way of
contractions. Theyll feel similar to the
Braxton Hicks contractions you had in your
final trimester, but they might not hit hard
and fast right off the bat. For many moms,
labor starts with a kind of crampy, uncomfortable feeling that eventually leads to the
moment of realization: This is the real thing!
When that happens, youre in early labor.
EXIT STRATEGY
putting the finishing touches on your
delivery bag or tossing one last load of
laundry into the dryer.
If you need some relief, try getting wet.
Water is a wonderful comfort, says
Margaret Buxton, CNM, clinical director of
Baby+Company birth center in Nashville,
Tennessee. So, consider hopping in the
shower or soaking in a warm tub. Buxton
suggests setting the mood, too: Keeping
the lights dim, listening to good music,
and eating light snacks are also helpful
comforts.
Eventually, youll notice that the
contractions have become longer, stronger
and closer together. This is normally your
sign that its time to hit the road. If you
havent already checked in with your doctor
or midwife, put her on alert. Buxton and
her fellow midwives at Baby+Company
encourage families to call and check in with
them during early labor; some doctors
might prefer you to call when your
contractions are occurring consistently
in a specific pattern, such as five minutes
apart. Ask your provider at one of your
prenatal appointments when shed like to
be notified. If youre ever in doubt, dont
hesitate to pick up the phone.
At some pointnormally when your
cervix has dilated between 4 and 6
centimetersyoull notice that the tone
of your labor changes. That means youve
moved on to the next phase of stage one:
active labor.
Active labor. Most women easily recognize
when they move into active labor. Active
labor brings a change in intensity, explains
Buxton. Not only will your contractions
grow stronger, but many women feel the
sensations deeper in their pelvises and
down into their groins, she says.
Dealing with these contractions might
be more challenging than those of early
labor. Some women opt for pain medication
or an epidural at this point in the game;
others continue with the same natural
methods they exercised in early labor.
Breathing techniques can be useful, and
mobility is still a great help, although youll
most likely find yourself leaning against a
wall or your partner during contractions
rather than walking through them, as you
could before. Rocking or bouncing can

provide further relief.
The changes wont just be physical,
though. Mothers mood often changes as
well, says Buxton. Going from cheerful
and talkative to quiet and focused during
a contraction is a sure sign that she is
settling into active labor.
Transition. When your cervix opens from
8 to 10 centimeters, youre in whats often
considered the most challenging part of
labor: transition. The contractions are real
here, ladiesvery intense and right on top
of each other. You might shake, shiver,
feel nauseated or vomit. Transition is the
most intense part of labor, and it takes
everything a mom has to stay focused and
present in the experience, says Buxton.
Your previous methods of pain
management might not be as effective
here, and you might get pretty snippy.
(No worries, everyone will forgive you!)
According to Buxton, Women often
become very focused on each contraction,
are easily annoyed by distractions in the
room, may not want to be touched, and
need a lot of support from their providers
and support people.
As your baby moves lower into position,
youll feel intense pressure in your rectum.
Some moms who are delivering drug-free
have an undeniable urge to push when this
happens, which escorts you right into the
next stage of labor. This is where things
get exciting.
Second act
Once your cervix is fully dilated, its go
time. Youll work with your contractions,
bearing down during each one, to move
baby through the birth canal.
When it comes to pushing, one size
doesnt necessarily fit all. Your caregivers
might walk you through a counting and
pushing routine. (This is almost guaranteed if you received an epidural because
you wont have full feeling down below.)
Others might encourage you to push when
you feel ready. The more you allow your
uterus to work and move baby into position,
the less physical exertion you have to put
inbut it can be hard to wait when you
feel the urge to bear down.
Blood bath
You may notice an increase in mucous vaginal discharge leading up to and during labor,
which is normal. It may be tinged with blood, which can also be normal but is worth a
mention to your caregiver. This bloody show is a good indicator that youll soon be
meeting your babybut soon is a loose term here because, like with everything labor
related, it could still be hours, days or even weeks (sorry, mamas) before that final push.
Your cervix prepares for babys arrival in two

ways: (1) dilation, the opening of the cervix,
and (2) effacement, the thinning of the cervix.
Dilation is measured in centimeters, while
effacement is measured by percentage. Its
delivery time when youre 10 centimeters
dilated and 100 percent effaced.
Pushing is tiring, but its also a really

encouraging time because youre finally
able to take action. You have a sense of
control now that you didnt have before.
As you continue to work on moving baby
down, his head will become visible. The
pressure on your perineum will be intense,
and youll experience that ring of fire
that means baby is almost here. Your midwife or OB might guide you through the
next few pushes to help minimize tearing.
Babys head will make its appearance,
followed by his body, and youll finally
come face-to-face with the most amazing
person youve ever met. Emotions will be
high! Soak up that sweet baby, and allow
your little one to latch on for his first
breastfeeding session if youre up for it.
Babys cord will be cut shortly after his
birth, but the timing might vary depending
on whether youre delaying cord clamping
and/or storing babys cord blood.
Threes company
The third stage brings both good and bad
news. The bad news is your job isnt done
just yettheres still a placenta to be
delivered. The good news: Its a whole lot
easier than delivering the baby.
The placenta is soft and squishy, so it
wont cause any tearing or pain, assures
Buxton. [It] usually comes out between
five and 15 minutes [after baby], but sometimes can take up to 30 minutes. Providers
will usually give the cord a gentle pull to
see if it has released from the uterine wall.
If it has, gentle traction and a small push
from the mother will allow it to deliver
easily.
Once placenta delivery is complete,
youre officially in the recovery zone. If
your care provider has any work to do
down below (like stitching up a tear),
shell take care of it now. Otherwise, your
uterus will continue contracting as it
begins shrinking back to its normal size.
It takes a bit of time, so youll feel crampy
afterbirth pains in the days following
labor. Rest assured, though, they are
nothing compared to what you just went
through. Youve conquered the hard part,
and now youre on to the next (and best)
stage of the whole ordeal: motherhood.
P&N
December 2016
PNMAG.COM
41
The future is a wonder

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grow healthy and strong.
Banking your babys cord blood is a simple way
to think forward as science develops. Research
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Get a free interactive info kit by

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research is ongoing. Copyright 2016 ViaCord. All rights reserved.
good health | b i r t h
d ay
Perfect
storm
The birth of Stanley.
BY LINDSEY WINSTON
December 2016
wouldnt even care enough to ask. Or

remember. Maybe everyone would forget.
Everyone but me.
Take two
When I found out I was expecting my
second child, I decided to be lighthearted
about the birth plan. I wasnt going to have
onesimple as that! Why go through all
that planning and daydreaming for it to
end up differently? I took a practical
approach and had the mantra of que sera
serawhatever will be will be. Secretly I
still wanted my natural birth story. Not
only for my selfish reasonsbut for my
child. But did I dare put myself and my
husband through that again?
Fast-forward (because that second
pregnancy really flew by at lightning
speed) to week 39. This marked the start
of biweekly stress monitoring and ultrasounds to measure my fluid levels in the
sac. I had shared at my routine checkup
that movements had slowed, so my doctor
ordered testing to ensure the health of our
little boy blue. It was nothing new to us
we had been through the same routine
with our daughter.
However, with our daughter, we only

ended up having one appointment before
her birth. So when we strolled into the
office for the fifth time with our son, it
was all new, and the anxiety was growing
greater by the day.
I was 40 weeksand threedays. We could
sense something was off this time because
the ultrasound technician excused herself
from the room to grab a doctor. As if our
sharp glare toward each other wasnt
enough, my husband and I said aloud,
Something isntright.
The doctor told us that my fluid had
dropped from a 9 to a 7. (Normal range is
5 to 25.) To make matters more intense,
the umbilical cord was wrapped around
our little guys neck. Doc felt the best way
to proceed was to schedule an induction
for that day.
I was totally, utterly, full-body nervous.
(1)I did not want any complications with
baby boys health. (2)What if I had to have
a C-section? (3)Pitocin! (4)An induction
is not natural. (5) Was I ready for twochildren? (Admittedly, a little too late for my
fifth thought.) >>
PHOTO: COURTESY OF LINDSEY WINSTON
y sons birth story does not

begin on his birthday. It begins
threeyears prior2 years, 11
months and 2 days to be exact. Thats when
I gave birth to my firstborn, a beautiful
baby girl named Makena.
Like many first-time mothers, I had
everything mapped out in my mind about
how my daughters birth would take place.
I had never loved anyone or anything
remotely close to how much I loved this
growing child, and I wanted to ensure she
had a healthy entrance into life.
I prepped the entire 40 weeks and one
day of pregnancy for the perfect birth.I
had read books and blogs, spentcountless
hours practicing HypnoBirthing techniques,
and took natural birth classes (during
which my husband submergedhis hand in
a bucket of ice for oneminute to help him
understand the intensity of a contraction
the same hand hed use to rub my lower
back throughout labor). We watched what
my husband called bloody, scary, youarent-having-our-child-like-that videos,
took a breastfeeding course, bought a
balance ball, listened to pregnancy and
parenting podcasts, installed a contraction
timeronbothof our phones, and wrotea
birth plan. Everything wouldgo according
to plan or so I thought.
After 16 hours of labor without pain
control, I threw in the towel. I felt like I
was in a triathlonI was in the lead, but
then I lost to the person in second place
called Epidural.
However, 45minutes later I was holding
my daughter, and all thoughts of defeat
melted away as I stared into her eyes for
the first time, finally grasping the phrase
love at first sight. She was wide-eyed,
alert, strong and healthynot what I
expected herto be after an epidural.
Hours turned into days, which turned
into weeks. But my birth story was still
haunting. I replayed it constantly in my
thoughts. Would I have to share it with
everyone I told I was going natural? Maybe
I could hide behind my newborn and the
question wouldnt even arise? Maybe they
Spit up.
Wash.
Repeat.
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good health | b i r t h
d ay
Letting go
Now! I blurted.
She rushed back and
checked my dilation.
You are having this
baby!
I noticed ateam
quickly hurrying to my
crying plea. There must
have been six, maybe
seven,of them. This
was way too sudden. It
had only been an hour
and 50 minutes since
my water had broken,
since I had endured
contraction after
contraction, since I had been stabbed in my
spine. This was really happening!
My doctors office is across the parking
lot, which was where my doctor was. We
cant get in touch withhim, but we do have
a labor specialist here in case you feel the
urge, the nurse told me. I looked up
at the labor specialist who said that if I
could wait for my doctor that would be
the best option.
Finally, after severalcontractions,
they were able to get in touchwithhim.
He advised them he would be in the room
in fiveminutes. My sweet husband kept
encouraging me, Only a few more
contractions until our doctor arrives
threemore contractions to go two more
contractions onemore And in the
doctor flew.
Alright, Lindsey. When you feel a
contraction, I want you to begin pushing.
Wait, what? Itwas happening! It was
happening naturally. The way I wanted.
The way I wanted. Thats the story of
Stanleys birth.
Its not practical to hold on to an idea

that may not be your path, your destiny,
your design. What is practical is to take
deep breaths and remember that everything almost always works out the way it
was intended to for you, your body and
your baby.
Parenting isnt perfect, nor does it have
a written plan. It takes on its own course.
Allow room for error, and smile or cry
tears of happiness when moments do
resonate with you. Most aspects oflife arent
perfectwhy should our birth stories be?
Why should parenting be? My children
are the only parts of mylife that are
unconditionally perfect. P&N
As I reflect on my attitude toward my

birth stories, I have learned a valuable
lesson. I have learned that when it comes
to parenting, things arent going to be the
way you dreamed. Nothing will match the
plan you have in your headduringthe nine
months when you first begin your journey
of parenthood.
Meet the Winstons

Every mama has a story to tell
Whether you had a home birth, hospital birth, 37-hour labor or emergency C-section,
wed be honored to read the tale of your little ones grand entrance. Write up your
birth story and email it, along with a few photos, to birthstory@pnmag.com. Well
share it on our Birth Day blog (pnmag.com/birthday) and may even print it in an
upcoming issue.
December 2016
HOME: Las Vegas, Nevada
STANLEY NOW: An 8-month-old

music lover (his favorite tune is
The Itsy Bitsy Spider)
BIG SIBLING: Makena (3 ), who
Stanley adores
TWO TO TANGO: Stanley loves
watching Makena twirl and dance,
as if he cant wait to join in the
fun someday.
PHOTOS: (FAMILY) TIFFANY GAIN, (OTHER) COURTESY OF LINDSEY WINSTON
I had already dilated to 5 centimeters upon

arrivingat my appointment where my child
was going to be evicted from my womb. I
was in no pain. I was a warrior or so I
thought.
It was 6 a.m., a long time from when
we scheduled the induction at 8 p.m. the
day prior. It was 10 hours later, andmy
doctor was orderingthe Pitocin drip to
be increased.
My doctor came to check on me again
at 8:30 a.m. and decided to break my
water. Boy, oh boy(pun intended), did
I begin to feel the contractions.
It brought me back to those intense
16 hours of labor pains with my daughter,
and I couldnt help but bluntly remark,
What the hell? I wanted the epidural.
We were friends now anyhow.
Gosh, what a production it takes to get
an epidural. I wasnt watching the clock or
anything, but it felt like forever. My friend
had sent me an inspirational quote that said
something to the effect of, Each surge
brings you closer to your baby. I tried to
focus on that and think about the end result.
However, the contractions were getting the
best of me. To be honest, I didnt even feel
the epidural. Thats how much pain I was
experiencing.
Apparently, I was lying slightly on
my left side, which caused the epidural
drip to not work properly. I could still
feel everything with numbness in only
my right upper thigh. What is that good
for? I demanded the anesthesiologist
return to my room.
He is in with another patient and then
heading to another room after that, so he
will be in shortly, explained the nurse.
Having to wait that long was atrue test of
patience. It felt like an eternity before he
arrived. He ordered more medicine and
checked the entry site. Nothing could be
done at this point. I was far too close to
having my boy to start another pipeline
running out of my spine.
Let me know when you feel pressure,
my nurse said over her shoulder as she
was walking out of the delivery room.
S P E C I A L A D V E RT I S I N G S E C T I O N
Safe dreams
New room-sharing recommendations encourage families to rest easy.
leeping in the same room as mom and

dadbut in a separate sleep space
can reduce babys risk of sudden infant
death syndrome (SIDS) by as much as 50
percent, according to a new report from the
American Academy of Pediatrics (AAP).
Its a stunning statistic and a strong
argument for roomsharing, but there are
still a few important guidelines families need
to follow to ensure theyre sleeping safely.
Give it time
The AAP recommends parents keep their
mini roommates in their bedroom ideally
until babys first birthday, or for at least the
first six months. Research shows the rates
of SIDS and other sleeprelated deaths,
particularly those occurring in bedsharing
situations, are highest in the first six months.
Proximity is key
Babys bed should be positioned nearby mom
and dads bed, advises the AAP. The closeness
allows baby to be within view and reach of
her parents, so they can readily feed, comfort
and monitor her throughout the night.
No kids allowed
Sharing the grownup bed with mom and
dad is a big nono for babies, warns the AAP,
because the pillows, sheets and blankets put
her at risk of suffocation, strangulation and
entrapment. Instead, little ones should be put
down in a bed designed specifically for infants.
If you bring baby into your bed to feed or
comfort her, return her to her own bed before
going back to sleep.
MORE SAFE SLEEP

STRATEGIES FROM
THE AAP
Place baby on her back every
time you put her down to sleep.

Use a firm sleep surface.
Breastfeed if you can.
Keep soft objects and loose
bedding away from babys

sleep area.
Consider offering a pacifier
at nap time and bedtime.

Avoid smoke exposure during
pregnancy and after birth.

Avoid alcohol and illicit drug
use during pregnancy and after

birth.
Avoid overheating and head
covering in infants.
Schedule supervised, awake
tummy time to facilitate

development.
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A new report from the American Academy of Pediatrics states

For at least the rst six months of their lives infants should be
sleeping in the same room as their parents, but not in the same bed.
The best place for baby to sleep is in an Arms Reach Co-Sleeper
Bassinet next to mom to facilitate breast feeding,
bonding and night time comforting.
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trends
beauty
and more
Dress
the part
PHOTO: JGI / TOM GRILL / GETTY IMAGES
There should be no
shame in your game
when it comes to
shopping for
pregnancy clothes,
so dont put it off
if your current
wardrobe is illfitting. Maternity
wear is designed
just for your
changing shape,
and the sooner you
get into styles that
accommodate your
bump, the less your
underwear will
show and the more
comfortable youll be.
tip
a
If your pants are too tight to button

and your maternity jeans havent
arrived yet, a hair tie can act as a
waistband extender in a pinch.
December 2016
good looks | s t y l e
watch
Ultimate portrayal
MOTHER AND AWARD-WINNING ACTRESS
ANNE HATHAWAYS DAPPER ENSEMBLE IS
A CHARACTER STUDY IN ELEGANCE.
PRODUCED BY ERIN SHEA LONG
a
Get
Annes
look!
Got silk?
Own the
room in this
smooth
getup.
Seraphine
dress, $369,
seraphine.com
gold & gray necklace, $130,

goldandgray.com
JL by Judith Leiber heels, $275,

zappos.com
December 2016
PHOTO: (HATHAWAY) AXELLE / BAUERGRIFFINONLINE.COM
Nissa Jewelry hand chain, $148,

nissajewelry.com
good looks | b e a u t y
Bundle up
TIS THE SEASON FOR PRETTY
LITTLE PACKAGE DEALS.
Treat your face to

a good-looking set
of brushes.
Sonia Kashuk, $30,
target.com

Enjoy a pampered
pregnancyand
discourage stretch
markswith a
soothing lavender
body scrub and
body oil combo.
basq, $44,
basqnyc.com

Three shades that
will have your lip
moods covered.
Smith & Cult, $60,
neimanmarcus.com
Take your skin

care regimen on
the go with these
powerful minis.
H2O+, $25,
h2oplus.com
Maintain a
frizz-free mane
with smoothing
shampoo and
conditioner, plus
three travel-size
bonus goodies.
Redken, $58,
ulta.com
All youll need to keep babe as beautified as you: shampoo, wash, lotion and bubbles.
Noodle & Boo, $48, noodleandboo.com
December 2016
Through December, 100 percent of profits benefit the Alliance

of Moms, which provides support and educational parenting
programs to teens with babies born in foster care.
Nail your holiday hands.

Deborah Lippmann, $17,
deborahlippmann.com
beauty
Breaking up is hard to do
Have you hung on to your favorite foundation for too long?
Should you dump that red lipstick youve worn only twice?
Experts counsel on when the goods that make you feel
beautiful arent good for you anymore.
BY ERIN SHEA LONG
Past its primer

Jamie Kern Lima, founder and
CEO of IT Cosmetics, feels your
pain. When you love a product,
it is so hard to let it go! admits
Lima, who advises that even your
favorite makeup gets to a point
when you need to say goodbye.
Heres her helpful timeline to
prepare you for the time to toss.
Pro tip:
If you live in
warmer climates,
dont keep
makeup in the
carheat can
speed up the
expiration
process.
MASCARA: Three months
IT Cosmetics
concealer, $24,
itcosmetics.com
POWDERS: One to two years

LIPSTICKS AND CREAM COLORS:
Six months to one year
Nothing lasts forever
Giving it more time
Celebrity facialist Joanna Vargas,

founder of Joanna Vargas Salon
and Skincare Collection, has a sixmonth rule for skin care products:
Usually they are made to last for
a year on a shelf. Once you open a
product, you can expect to be able
to use that product freely for about
six months. After that, you need
to just throw it away.
If youre like most of us, the

expiration date is more like a gentle
suggestion that we, well, ignore. But
does pursuing the relationship with
our favorite concealer put us in harms
way? Elizabeth Tanzi, MD, founder
and director of Capital Laser & Skin
Care and assistant clinical professor
of dermatology at The George
Washington University Medical
Center, diagnoses the issue: In most
cases, expired products may not be
as effective as they were before.
These products are tested to last for
a certain period of time, but after
that the ingredients can break down.
They wont hurt you, but they may
not be as effective.
If you have
commitment
issues, individually
wrapped sheet
masks are great
for sporadic
face treatments
without wasting
product.
Did
you
Most packaging will

have a Period After
Opening (PAO) symbol, says
IT Cosmetics founder Jamie
Kern Lima. It looks like an open jar and notes the
maximum number of months you should use
the product after opening.
KNOW?
Joanna Vargas exfoliating mask, $75;
sheet masks, $75 for five,
joannavargas.com
ILLUSTRATION: (PAO) MALU STUDIO / SHUTTERSTOCKPHOTO.COM
EYELINERS: Six months
beauty
Scent of a
woman
Turn your nose on to these

fragrant selections.
Delicate and
flowery.
Naked Princess
oil in boudoir
blush, $34,
nakedprincess.com
Inspired by e
rfum
pregnancy, pe elle
st
ri
Ch
er
n
desig
t to
ou
t
se
e
d
a
pr
La
inity
in
m
fe
capture the
in.
sk
s
er
h
ot
of a m
Confident
and musky.
LITE+CYCLE
oil in inheart, $58,
liteandcycleshop.com
Fresh and
citrusy.
Pinrose eau de
parfum in merry
maker, $55,
pinrose.com
good looks | r e t a i l
therapy
The jokes
on hue
WHATS BLACK AND
WHITE AND RAD ALL
OVER? THESE READYTO-PARTY PIECES IN
MONOCHROME.

HAIR AND MAKEUP BY MARAZ
PHOTOGRAPHY BY ANGELA MURRAY
BLACK OUT
Let the evening get spotty.
Urban Outfitters velvet choker, $14,
urbanoutfitters.com
Seraphine dress, $289, seraphine.com
Chinese Laundry heels, $90,
chineselaundry.com
December 2016
good looks | r e t a i l
therapy
WHITE HOT
Fringe benefits to get
you moving.
IDEAS 108 headband, $20,
ideas108.com
House of Leyton dress, $68,
houseofleyton.com
Moorea Seal cuff, $24,
mooreaseal.com
Report booties, $70,
reportshoes.com
December 2016
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US WEEKL Y MAGAZINE
BIG
DECISIONS
Youve got a lot of

important choices
to make as you prep
for the transition
from bump to baby.
By Chantel Newton
PHOTO: MOMCILOG / ISTOCKPHOTO.COM
hile expecting, momsand dads-to-be will need

to ask themselves a lot of
questions about how they
want to bring baby into
the world and how to care for her once shes
finally here. Some decisions (like a color for
the nursery walls) will be less daunting than
others (writing a will), but were here to talk
about the major forks in the roadbecause
you can always repaint. Theyll crop up early,
and there are a lot more to come. So, lets
take a peek at what you might be picking and
choosing as you ready yourselves, your home
and your lives for a tiny addition.
December 2016
A prenatal care
provider
Begin your search by asking mom friends

whom theyd recommend. Its also worth
checking in with your health insurance
company for a list of local care providers
Maybe you havent started buying up baby
who are covered by your plan.
gear yet, but there is one thing you should
Once youve narrowed down your top
be shopping for right from the get-go: a
candidates, Brooks suggests meeting with
health care provider. Choosing who
a few early in your pregnancy to learn their
you should turn to for your care is a big
different styles of care and find the best fit.
decision and one of the first you make
Ask questions to assure this is where you
during your pregnancy, says Maria J.
and your partner will receive
Brooks, BSN, RNC-OB, LCCE,
the support you deserve. (See
FACCE, president of Lamaze
In 2014
sidebar below for common queries
International and mom of two
to bring up.)
in Philadelphia. Depending
Giving birth will be one of
on your health care needs,
of births were
the most memorable events of
you may want to work with a
attended by
your life. It may be hard to
midwife, an obstetrician or
PHYSICIANS.
imagine how you will respond
family physician.
to the powerful physical and
A small number of women
emotional aspects of labor,
who have diagnosed health
explains Brooks. But no matter
concerns that require more
were attended by
how you feel, it is bound to be
intensive observation may
MIDWIVES
easier if you are surrounded by a
require a maternal-fetal
team of people you trust before,
medicine specialist. But,
during and after the birth.
Brooks assures, if you and
Source: Centers
for Disease Control
your babe are healthy (and
and Prevention
most are!), a midwife, family
doctor or general OB is an excellent choice.
Have an OB/GYN you love? Then you
might already have your answer. But thats
not always the case. A doctor who you
Where do you have delivery privileges?
have always seen for gynecological needs
When I deliver, will you be there or
may not be the best fit to guide you through
will it be whoever is on call?
pregnancy and birth, notes Brooks. After
all, youll be seeing a lot more of each
What routine practices should I expect
other than an annual checkup, so its OK
in labor?
to want to switch things up.
Do you limit the length of labor?
84.8%
8%
Thats the plan

Writing out your birth plan is essentially
dozens of decisions rolled into one tidy
document. Heres what to consider
when it comes time to pen your labor
and delivery wish list
who should be present in the room
epidural or other pain management
fetal monitoring
moving or changing positions
during labor
delayed cord clamping
skin-to-skin bonding
cord blood banking
rooming in or use of nursery
tip
a
Be sure to discuss your

preferences with your partner
and caregiver early and often!
FAQS FOR DOCTORS AND MIDWIVES
Where to deliver
PHOTO: NENSURIA / ISTOCKPHOTO.COM
good to know ...

Not all of the decisions
youll have to make will be
so serious. A fun one around
week 20: whether to find
out if youre having a boy or
a girl! (And then, whether
to tell the world or keep it
your little secret.)
The answer to this question will be closely

tied to whom you choose to be your
prenatal care provider, so it makes sense
to think about them in tandem. When it
comes to where youll welcome your newbie
into the world, you have four choices: a
hospital, an in-hospital birth center, a
freestanding birth center or your home.
A comfortable environment that makes
you feel relaxed and supported will help
your body move through the important
process of childbirth, Brooks says.
Consider whats most important to you:
a particular doctor or midwife you really
clicked with or the birth center thats 15
What is your rate for C-sections?

What are the main reasons you
perform them?
How often do you perform inductions?
At what point in pregnancy do you
routinely recommend an induction?
minutes from your house. If youre set on

a home birth, then that narrows your list
of potential providers (youre looking for
a midwife!). If you know you want an
epidural stat, then youll need to do your
laboring in a hospital where an anesthesiologist can help. Aim to surround yourself
with people who share your birthing goals.
If youre unsure about where to

deliver, dont hesitate to tour a
couple different hospitals or birth
centers. Nothing beats getting a
feel for a place in person.
December 2016
PNMAG.COM
63
Formula takes
longer than
breast milk
to digest in
tiny tummies,
which means
formula-fed
infants usually
need to eat
less often.
What your minis first meals will be tends

to get a lot of attention from health care
professionals, fellow moms and even total
strangers. But before you get too worried
about making the wrong call, just remind
yourself that (1) its your call to make, no
one elses, and (2) what matters most is
that your babe is fed and cared for.
There are an array of reasons why you
might opt for breast or bottle, so lets get
down to the pros and cons of each
Breastfeeding is a natural and powerful
way of helping mothers recover from birth,
learn mothering skills and connect with
their babies, Brooks explains. [It also]
ensures that babies are well-nourished,
protected against disease and allowed to
develop optimally. The American Academy
of Pediatrics recommends that babies be
exclusively breastfed for six months.
Breast milk includes just-right amounts
of protein, sugar, fat and vitamins for your
growing sprout. Plus, its loaded with antibodies that help fight off infection. The
composition of your milk even changes to
give your baby exactly what she needs as
she gets older.
There are advantages for mom, too.
Nursing burns calories and helps shrink
the uterus back to its prepregnancy size,
so you can lose some of those lingering
December 2016
good to know ...
PHOTOS: JONAS UNRUH, SERGEY CHAYKO / ISTOCKPHOTO.COM
Breast milk or
formula
Whether youre unable to breastfeed,

you simply choose not to, or you prefer
to supplement your breast milk supply,
formula is a top-notch alternative for
infants. Its specifically designed to
meet their nutritional needs and help
them thrive. Nowadays, even infants
with food allergies and intolerances can
find a formula that fits their dietary
restrictions.
Another benefit is that its easy for
dad, grandma or even a babysitter to
pitch in when mealtime rolls around
which means more bonding for everyone
pounds more quickly and without hitting
(and a maybe even a little more rest for
the gym. Furthermore, it lowers the risk
mom). Knowing your baby has an alternate
of breast cancer, high blood pressure,
food source takes the pressure off, so you
cardiovascular disease and diabetes.
wont be scheduling your day around
Beyond wellness, another major perk is
feedings or pumping sessions. For some,
that its free and readily available. You are
that flexibility is essential.
the only thing you need to feed your little
On the flip side, formula requires a little
one. Pretty cool, right? That convenience
more planning. Youll need to
could come in handy
stay on top of dishwashing to
when youre out and
ensure you always have the
aboutor just when
necessary supplies, like bottles
your hungry babe is
Breastfeeding can be
and nipples, clean and ready to
demanding her next
uncomfortable at
toss in your diaper bag.
meal pronto.
first, but it shouldnt
Many mothers worry that
On the other hand,
hurt for long if you
opting for formula will hinder
the fact that you are
have a proper latch.
their connection with their little
the only thing your
ones. But you can still practice
baby needs to chow
skin-to-skin with a bottle in hand, and
down can really wear a mama out. Having
the fact is a mamas love is felt regardless
a frequent eater nipping at your, well, nips
of how her baby eats.
can be a lot for a momand her breasts.
Whatever feeding method you settle
Your body produces milk to meet the
on, the choice is a personal oneand
demand of your baby (or pump), which
remember that its A-OK to change your
means the girls will need to be emptied
mind after birth. Although many pose this
every few hours or engorgement will set in.
decision as breast versus bottle, you dont
If youre breastfeeding, youll also need
have to stick with one. There are many
to keep tabs on what youre eating and
lanes on the feeding highway, and they
drinking to ensure its safe for baby. Yep,
all get you moving in the right direction
just like during pregnancy, youre sharing
toward a happy, healthy baby. So, excluyour meals with your miniso avoid highsively breastfeed, mix bottles of formula,
mercury fish, more than one or two cups of
serve up expressed milk, supplementor
coffee (or any caffeinated beverage), and
do a little bit of everything and see what
wait at least two hours after sipping on a
works best for your family and lifestyle.
single alcoholic drink to nurse or pump.
A last will and

testament
wanted, Rampenthal warns. Failing to

have an estate plan can leave your heirs
wondering about your wishes after youre
gone. Dont make them guess. Let them
Its not the cheeriest subject matter, but
know exactly what you want.
planning for the futureeven when youre
When youre ready to spell it all out, the
not in itis crucial for parents. A common
first thing Rampenthal suggests is taking a
trigger for creating a will is the birth of a
quick inventory of what you have. Afterward,
child because the importance of protecting
sit down and discuss your wishes with
your family becomes more of a reality for
your spouse or partnerthat includes who
new and expectant parents, says Chas
should inherit what and any final requests.
Rampenthal, general counsel at
List all the assets you plan to leave behind
LegalZoom. A will makes your wishes
(dont forget to include relevant paperknown in regards to the division
work, such as deeds and appraisals)
of any assets, last wishes and
along with who the beneficiaries
probably most importantly
will be. Rampenthal adds, This
for new parentsnames a
of American
includes putting assets for minor
legal guardian or guardians
adults dont
children into a trust until they are
for your minor children,
have a will.
of age.
should you and your spouse
Next, those with young children
not be around to take care
(source: LegalZoom)
need to name a guardian. Be sure
of them.
that you are in agreement with your spouse
If you were to die without a last will (also
or co-parent on this to save valuable time
known as dying intestate), the state where
later on. Youll also need to appoint an
you live would assume responsibility for
executor (and an alternative), who will be
deciding how your assets would be distribthe person to ensure your will is carried out
uted. Most notably, passing away without a
when youre gone.
will means you wont be the one deciding
Once you have a plan on paper, its time
who takes care of your little one. Instead,
to consult an expert. Even if you think that
living relatives, and eventually a court,
you have it all figured out, parents should
would come to an agreement about who
consult an attorney and go over their wishes.
would step in as legal guardian.
... Pay attention as your attorney explains
While judges are charged to do what is
the options you will likely have for your
in the best interests of the child, the judges
plan, stresses Rampenthal.
choice might not be what you would have
55%
It sounds like a lot, but preparing a last

will can take as little as 15 minutes. [Its]
a much simpler process than most people
imagine, Rampenthal says. Costs can vary
depending on whether you go through
online resources, such as LegalZoom (estate
plan bundles start at $199), or a traditional
attorney. If you go the latter route,
Rampenthal suggests asking if your lawyer
is willing to quote a flat fee beforehand and
finding out exactly what that price includes.
After a will has been executed, the last
decision youll have to make is where to
keep the documents. Pick somewhere
secure yet accessible to the executor, such
as a sealed envelope in a home safe, held
with your attorney or backed up by digital
archives. Let your executor and guardians
know its whereabouts, and update them
on any significant changes.
Will we or wont we
For married couples, joint wills are permitted
in many states, but attorney Chas Rampenthal
encourages parents to create separate wills
instead. A joint will limits the ability of the
surviving parent to make changes to the will
relating to his or her property after the first
parent dies.
C
DO OR DONT:
PHOTO: KATIE MARTYNOVA / ISTOCKPHOTO.COM
PACIFIER
With breastfeeding moms, I usually advise to hold off on
pacifiers until they have gotten more comfortable with
latching and feeding their baby, notes pediatrician Russell
Horton, DO. Some babies never want a pacifier no matter
how they are fed, and that is OK, too. But before you nix
the nook entirely, keep in mind that pacifiers have been
linked to a decreased risk for sudden infant death
syndrome (SIDS).
Remember, too, that whoever giveth must also taketh
away. Prolonged pacifier and bottle use beyond 1 year of
age can affect tooth development and potentially lead
to cavities, cautions Horton. Pediatricians recommend
stopping bottles at a year, and I usually start trying to
wean the pacifier off between 1 and 2 years of age.
December 2016
PNMAG.COM
65
BOYS
ONLY
If youre the parents
of a mini man, youll
be asked whether you
want to have him
circumcised. New
research has told us
that circumcision can
help prevent UTIs in
young boys and helps
stop the spread of
HIV. It also reduces
the risk of penile
cancer, explains
pediatrician Russell
Horton, DO. It is
ultimately a personal
choice for any family.
Those considering the
procedure may want
to call their insurance
provider because,
Horton notes, many
dont cover circumcisions. Youll also want
to find out if your
pediatrician performs
them at the office or
in the hospital after
birth.
You arent the only one in the market for a new

doc. The bean in your belly will need one, too,
just as soon as shes on the outside. But dont
wait until then to begin looking: In general,
it is never too early to start the search, advises
Russell Horton, DO, pediatrician in Queen
Creek, Arizona. I would definitely start no
later than the beginning of your third trimester
to allow for plenty of time.
The process will be similar to finding your
prenatal care provider (ask friends and coworkers with kiddos about their experiences,
set up consult meetings to get to know your
top picks), but youll have a whole new list
of questions.
Consider all the things that are most
important to you, and then feel free to ask
about those things, Horton suggests. If
having early or late hours or an after-hours

phone line is necessary for your family, then
seek out offices that offer those things.
Other topics worth chatting about include:
their willingness to handle sick questions over
the phone, how quickly they can get your child
in for an impromptu visit if youre concerned
and how they handle well-child visits. If you
have questions about vaccines, chime in with
those, too.
Your pediatrician should be willing to
tackle any inquiry about babys health and
care (because as a new mom, youll have
lots!). Always feel comfortable asking your
pediatrician anything, Horton adds. There
are no unimportant questions. At the end of
the day, your pediatrician should put your
mind at ease and leave you feeling confident
that your child is in good hands. P&N
Today
33%
Five
years ago
56%
Sixty
years ago
90%
Source: Centers for Disease
Control and Prevention
December 2016
PHOTO: PATRICK HEAGNEY / ISTOCKPHOTO.COM
A pediatrician
The percentage of
infant boys who are
circumcised in the U.S.
babywearing
in style
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Pictured here: Baby Ktan
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COUPON CODE EXPIRES 12/31/2016.

VALID ON NEW PRODUCT ONLY.
Grow-with-me giveaway
Were treating three winners to Pregnancy & Newborn editors favorite Stokke products, so
they can foster the parent-child bond with gear designed to bring their families together.
Each winner gets to choose one of the following prizes (up to $1,225 value):
Adventure
awaits
Stokke Stroller
of choice
Stokke TrailzTM
(pictured at left),
Stokke Xplory
(pictured at right)
or Stokke ScootTM
Pull up
a seat
Two Stokke High

Chairs of choice
Tripp Trapp Chair
or Stokke StepsTM
Chair (pictured)
Home is where
the heart is
Stokke Crib of choice

(+ mattress & bedding)
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or Stokke SleepiTM Crib
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Enter for your chance to win at pnmag.com/stokke.

Contest closes December 31, 2016 at 11:59 p.m. EST
For full terms and conditions, visit pnmag.com/stokke.
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W I T H T H E C H I L D
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Spread good
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thoughtful gifts
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the season.
PRODUCED BY
LAUREN BROCKMAN ANDRE
December 2016
PHOTO: CARMEN MURILLO / ISTOCKPHOTO.COM
Just because
Because she can

wear it with or
without a bump.
FOR
MOM
Everlane chunky
wool cardigan
coat, $165,
everlane.com
Because a pretty
mat makes yoga
in the living room
during naptime
feel legit. Leah
Duncan x Yeti
Yoga mat, $60,
yetiyogaco.com
The woman who always knows

what to say and do, and even when she
doesnt, makes everything instantly
better just by being there.
<
Because theyre feminine,

functional and as suitable
for playdates as they are
date nights. ZUZII FOOTWEAR
linen ring sling, $75,

hopecarried.com
blush oxfords, $110, zuzii.com
<
<
Because wearing her

newbie while supporting
American women through
fair employment is a
win-win. Hope Carried
Because even frozen

casseroles seem gourmet
when doled out with
hand-dipped serving
spoons. Willful wooden
utensils, $29 for set,

willfulgoods.com
<
Because counting down

the days till her due date
has become an obsession.
<
Because a diaper bag that makes her

feel pulled together even when the baby
is crying and her hair hasnt been washed
in three days is worth its weight in gold.
Gingiber enchanted animals

wall calendar, $24,
gingiber.com
ILLUSTRATION: (GIFT TAG) LAVANDA PRINT / ISTOCKPHOTO.COM
cee cee & ryan Stef baby bag, $98,

ceeceeandryan.com
< Because its cheaper

than a minivan (and
better-looking, too).
Brooklyn Bicycle Co.

seven-speed bike, $499,
brooklynbicycleco.com
Because family picnics in the park are

what her mama dreams are made of.
Turkish-T cotton blanket, $98,
turkish-t.com
December 2016
PNMAG.COM
71
FOR
DAD
<
Because a more handsome extension

cord has never existed. Rejuvenation
extension cord, $79, rejuvenation.com
Because adventure awaits.
<
The surprisingly sentimental dude

whos forever cracking jokes, flipping
pancakes and doing whatever it
takes to protect his crew.
<
Because he just
wants to know what
the heck is inside all
those pouches in the
diaper bag. Amanda
Herschel Supply Little America

backpack, $100, herschelsupply.com
Jane Jones x Maptote

zip pouch bundle, $50,
maptote.com
< Because the woodsy, tangy scent

of his well-groomed facial hair
drives mom crazy (in a good way).
Herbivore Botanicals beard tonic, $20,

herbivorebotanicals.com
<
Because bedhead past noon isnt

ideal in publicand a shower before
then isnt always possible. Harding-
<
Because phones have

been banned from the
bedroom. Kikkerland alarm
Lane ball cap, $35, harding-lane.com
< Because hell
inevitably be
tasked with toy
assembly. Toydriver
<
Because pulling his

weight in the kitchen is one
of the many reasons hes a
keeper. Chez MLain half
<
apron, $83, chezmlain.com
battery-operated
screwdriver, $10,
thetoydriver.com
Because hes a kid at heart

(and because the built-in HD camera
could result in some super cool family photos).
TRNDlabs SKEYE mini drone, $99, trndlabs.com
December 2016
clock, $10, kikkerland.com
<
Because her fine

tuft of hair can finally
accommodate a bow.
Pitchoun Designs leather
bows, $22 for two,
pitchoundesigns.com
<
Because everyones abuzz
about stacking toys.
Because it could
easily become an
heirloom. Blabla
PBS Kids PlanToys stacker, $20,

Whole Foods Market stores
knit blanket, $84,

blablakids.com
FOR
BABY
<
Because a tiny kitty

with an even tinier kitty
is the cats meow. Kata
<
Golda plush pal, $48,

treehousekidandcraft.com
Because
handmade toys
feel extra special.
Manzanita Kids
rattle, $16,
manzanitakids.com
The chubby, giggly little human

who happily and literally drools
over whatever gifts mom
carefully curates.
< Because stripes and

hoodies are a winning
combo. June + January
hoodie jumper, $35,
juneandjanuary.com
<
Because matching your best

buddy is as adorable as it gets.
Because learning special characters is

nearly as important as knowing the
alphabet. The Land of Nod activity gym
<
Hazel Village plush fox, $42;

baby suspender leggings, $40,
hazelvillage.com
<
Because the illustrations

are stunning (and its quiet).
Garbo&Friends fabric book, $45,

garboandfriends.us
with rattles, $123, landofnod.com
December 2016
PNMAG.COM
C
73
<
Because he wont even care whats

inside when he notices thats him on
the wrapping paper. Stardust Prints
<
custom gift wrap, $32, stardustprints.com
Because its a tech-free activity

she can do while babys nursing.
<
Because giant books are

where its at. Candlewick
eeBoo watercolor tin, $13,

shop.eeboo.com
Studio oversized book, $22,

candlewick.com
<
Because theres a 99
percent chance that thats
whats inside. WeeStructed
snack container, $8,

weestructed.com
<
Because switching up the

message will provide endless fun.
G
FOR BIG
S
SIBLIN
My Cinema Lightbox sign, from $30,

mycinemalightbox.com
The mini grown-up who eagerly

volunteers to find a missing pacifier
or help bake cookies but is rarely
as thrilled about putting on
shoes or going to bed.
Sirch ride-on car, $240,

shophorne.com
<
Because boys like

playing with dolls,
too. Candy Kirby
<
Because a stuffed ball can cause

far less destruction than a real one.
Because she loves naming her favorite people.
<
Oeuf plush ball, $48, oeufnyc.com
Designs doll, $48,

candykirbydesigns.com
Pinhole Press custom puzzle game, $35, pinholepress.com
December 2016
ILLUSTRATION: (GIFT TAG) LAVANDA PRINT, PHOTO: (MOM / PUZZLE) JULIEF514 / ISTOCKPHOTO.COM
<
Because shell be driving a

real one before you know it.
<
Because pretty
pjs made in
India by women
whove escaped
sex trafficking
are beautiful for
so many reasons.
Sudara
Punjammies
lounge pants, $49,
sudara.org
< Because her
FOR
CARE-S
GIVER
knowledge
of childrens
books never
ceases to
amaze you.
Out of Print
tote, $20,
outofprint
clothing.com
The nanny, daycare teacher or date

night babysitter who has saved the
day (and your sanity) on more than
one occasion and never judges when
babys wearing only one sock.
<
Because no
one needs to
know whether
its water or
wine inside.
Still House
bottle, $40,
stillhouse
nyc.com
<
Because shes totally got this. Sweet Water Decor

inspirational pen set, $15, sweetwaterdecor.com
<
Because she
makes sure your
kid receives plenty
of kisses and hugs
while youre away.
<
MULXIPLY earrings,
$28, mulxiply.com
Because anyone who spends her

day with children spends her evenings
dreaming about order that lasts
longer than three seconds. Universe
book, $25, amazon.com
print, from $45, joreyhurley.com
Because it looks festive

at home or in the classroom.
<
<
<
Because she taught your tot how

to peel a clementine. Jorey Hurley art
Because it
holds all the
essentials and
easily slips
into the diaper
bag. Kestrel
wallet, $158,
kestrelbags.com
Threshold felt ball garland,

$13, target.com
December 2016
PNMAG.COM
75
!
W
E
A Smarter Way
To Pump!
Available at Babies R Us,

Target and through
insurance providers
Connects to your smartphone and the Lansinoh

Baby App for tracking, reminders and more
3 customizable pumping styles mimic babys natural
feeding patterns to maximize milk production
Hygienic, closed system keeps milk from entering
tubing or motor to help prevent mold and bacteria
Since 1984, weve supported expecting and new moms like you with encouragement,
advice, and products. Were here to help you reach your breastfeeding goals.
2016 Lansinoh Laboratories, Inc. All Rights Reserved.
Lansinoh.com
good mom
infant health
motherhood
expert advice
Pump and
circumstance
Going back to work doesnt have

to mean giving up breastfeeding.
and more
a
tip
Breastfeed before
and after work and
on your days off to
keep your milk
supply strong once
youre back to the
grind. Your baby is
better at removing
milk than any pump,
says lactation expert
Helen Anderson.
PHOTO: IMAGE SOURCE / GETTY IMAGES
Add a daily pumping session around three to four weeks postpartum,

so you can start storing up milk before returning to the office, advises
Helen Anderson, MSN, BSN, RN, CLE, founder of Milkies and chief
lactation officer atFairhaven Health. Dont worry if you only get 1 to
2 ounces in the beginning, she assures. Thats normal. To maximize
your output, use a double electric pump and place a warm compress on
your breasts to encourage your body to release as much milk as possible.
December 2016
PNMAG.COM
77
good mom | h e a l t h y
baby
good to know ...

Flu season in the U.S. typically begins in
October or November, peaks between
December and March, and tapers off in
the springsometimes as late as May.
Preventing the flu starts with taking

the illness seriously. Doctors recommend
annual flu shots and commonsense safeguards as the best ways to keep both you
and your little one healthy this winter.
Unlike other viruses, influenza can
be a truly deadly infection. It is not to be
taken lightly, notes Stan Spinner, MD,
chief medical officer for Texas Childrens
Pediatrics. This is a bad bug.
Little babies, big risk
Protect your newbie from winters worst respiratory

infections. BY JENNIFER TORRES
f all the routinely recommended

inoculations for children, the flu
vaccine is the one theyre least
likely to be current on, according to a 2015
report by the National Foundation for
Infectious Diseases. Although the reason
why isnt clear, it could be because the
vaccine is required annually for ongoing
protection, and remembering the once-ayear to-do isnt always a priority for busy
parents. Or, it could be that the flu isnt
perceived to be as big of a deal as, say,
measles or rotavirus. But the truth is:
Influenza is serious business.
December 2016
Caused by a virus, influenza is a respiratory illness often associated with fever,

cough, body ache and fatigue. Anyone can
get the flu, but according to the U.S. Centers
for Disease Control and Prevention (CDC),
pregnant women and infants are especially
vulnerablenot just to infection but to
severe and even deadly complications.
MYTH-BUSTING
Can the flu shot

give you the flu?
Protect yourself, protect

your baby
If your newborn isor will betoo young
to receive a flu shot, the best way to protect
him is to protect the people around him,
starting with yourself, says Carol J. Baker,
MD, executive director of the Center for
Vaccine Awareness and Research at Texas
Childrens Hospital. >>
Not a chance, says Stan Spinner, MD. The virus we give

in the flu shot is the killed virus. It cannot infect you.
People might feel a little sore and achy for a day or two,
but its just your bodys reaction to the virus causing
those mild symptoms.
PHOTO: PEOPLE IMAGES / ISTOCKPHOTO.COM
Breathing easy
On average, some 20,000 young children

a year are hospitalized because of the flu,
according to CDC estimates. Because their
immune systems are immature, infants
are at increased risk of complications
such as ear or sinus infection, pneumonia,
dehydration and even organ failure.
Theres no way to predict whether
your child will experience severe complications, Spinner says. Its best to be
protected ahead of time. He and other
experts recommend that all babies and
children ages 6 months and older get a flu
shot each yearand that they get them as
soon as the vaccine is available, usually in
early fall.
Thats because timing is important,
especially when it comes to babies. For
one thing, it takes about two weeks for the
body to develop flu-fighting antibodies.
Second, if this is your babys first time
getting a flu shot, shell need two doses,
spaced four weeks apart, to be fully
vaccinated.
baby
The flu vaccine is safe throughout

pregnancy. Not only can it help a momto-be avoid dangerous flu complications,
Baker adds, but it can guard her new arrival,
too. The mothers antibodies are passed on
to the newborn, she says, and can remain
effective two months or more after birth.
Mommy can give her immunity to her
baby. Its like a gift, says Baker.
Anyone else who will be regularly caring
for or spending time with your baby should
be immunized as well, recommends Jillian
Parekh, MD, attending pediatric physician
at Montefiore Medical Centers Family
Care Center in New York.
That includes grandparents and older
siblings. People might think its an
outrageous request, but you have to have
your infants best interests in mind,
assures Perekh.
Stop the spread

Besides vaccination, doctors advise that
the best way to guard against the flu is to
prevent it from spreading. Influenza is
passed person-to-person through coughs,
sneezes and, unfortunately, kisses.
Wash your hands often, and make sure
anyone holding your baby does, too, says
Deborah Mulligan, MD, director of

the Institute for Child Health Policy
and clinical professor of pediatrics
at Nova Southeastern University
in Fort Lauderdale, Florida.
Cover your nose and mouth with
a tissue when you sneeze or cough
and then throw that tissue away. We all
know people who are compulsive about
cleaning. Thats a good thing during flu
season, says Mulligan, who also serves
as chief medical officer of MDLIVE, a
telehealth company.
Of course, you should do your best to
keep your newborn away from anyone
whos sick. And if you come down with
the flu? That might mean dad or grandma
or grandpa have to pick up some of the
responsibilities, Baker says. But, she adds,
if youre up to it, breastfeeding is still safe,
even if youre taking antiviral medication.
Its also a natural way to boost babys
immune system.
No flu-prevention effort is 100 percent
effective. Even if youve done everything
you can, you or your baby might still get
sick. Call your pediatrician if you suspect
your little one has the flu, advises Parekh,
and know that symptoms can seem a lot
How
long to
wash?
The American Academy

of Pediatrics recommends
scrubbing your hands with
soap for 10 to 15 seconds
to keep germs at bay.
like those of the common cold: They

might have a fever, a cough or just really
not seem like themselves. Poor feeding,
vomiting and diarrhea can be signs of the
flu in infants as well.
Even if your baby doesnt have any
symptoms, let your pediatrician know if
someone else in the house has flu, advises
Parekh. As a precaution, your doctor
might decide to treat your baby with the
antiviral medication Tamiflu. P&N
UNDERSTANDING RSV
ike the flu, respiratory syncytial virus

(RSV) often begins with symptoms
such as cough, fever, and runny or
stuffy nose. And, like the flu, its highly
contagious.
In fact, nearly all children will have
been infected by RSV by the time they
turn 2, says Deborah Mulligan, MD. For
most of them, the infection is no more
troublesome than the common cold.
But for some, RSV can become lifethreatening, leading to pneumonia or
bronchiolitis, an infection of the airways
that has been linked to asthma later in
life. Newborns are among those most
at risk for dangerous complications.
Unlike the flu, however, there is no

vaccine for RSV and no treatment. For babies
at extremely high riskthose who were born
prematurely or with heart diseasedoctors
might recommend injections of antibodies
that can help prevent infection during peak
RSV season. The injections are very expensive,
though, and only administered in special cases.
According to Carol J. Baker, MD, researchers
are working to develop a vaccine for RSV. In
the meantime, she and other doctors advise
parents to practice healthy habits like frequent
hand-washing and to seek medical attention
if baby develops any of these serious symptoms:
High fever
Trouble breathing
Thick nasal discharge
or a cough with yellow,
green or gray mucus
Difficulty feeding
Signs of dehydration
December 2016
PHOTOS: ICONARTS / ISTOCKPHOTO.COM; JGI / JAMIE GRILL / GETTY IMAGES
good mom | h e a l t h y
good mom | a s k
the experts
QA
&
Do I really have to take

my babys coat off when
hes riding in his car seat?
A: The short answer is: yes! Why is it
1 Heat up the car ahead of time if it

is safe to do so, so its already warm
when you get in.
2 Wrap baby up in a blanket as you
transport him to the car. Once youve
secured the harness correctly, place
the blanket over baby, and tuck it in
on either side of his body.
3 Heat easily escapes from the head
and feet. Keeping these areas of the
body warm will help regulate body
temperature as you transport baby
out of the house and into the car. A
cozy hat and thick socks or booties
will provide the extra warmth your
little one needs.
4 Many infant carrier car seats come
with a warming boot to put over the
baby. If not, one may be purchased
from the car seat manufacturer or
from another approved manufacturer.
Additional covers may be available
for wind protection.
ALLANA PINKERTON,
certified child passenger safety technician
and global safety advocate for Diono
(us.diono.com)
December 2016
What should I do at the

first sign of diaper rash
on my infants bottom?
A: Diaper rashes are common, but they can be one of the most frustrating problems to
treat in a pediatricians office. Thats because they are often caused by a combination of
factors, so fixing one problem at a time doesnt always do the trick.
At the first sign of diaper rash, soak your baby in a warm bath of clear water (no soap).
Gently clean the diaper area using a soft cloth or your hand.
After the bath, dry your baby gently, but do not replace the diaper right away. Allow
her skin to become fully dry before you use any creams or ointments. This is the most
common mistake parents make when treating diaper rash.
Once your babys skin is completely dry, cover it generously with a water-repelling
barrier cream. Most over-the-counter creams are water-repelling, and they dont need
to be expensive. Many brand-name products also contain anti-inflammatories, antifungals or vitamins to encourage skin healing. I tell parents to apply the cream like
spreading icing on a cake. In other words, go thick! There is no danger of overdoing it.
After that, watch your baby carefully. Change her diaper immediately when it is wet
or soiled. Although you may see some improvement right away, it can take several days
to heal entirely.
A new diaper rash is often triggered by chemical irritation. Chemicals can be artificial,
such as those in baby wipes, or natural, like urine. Disposable diapers contain chemicals
that may irritate babies skin, and detergent residue in cloth diapers can be a factor, too.
Chemical irritation leads to inflammation, and inflammation can persist long after the
chemical is removed. In these cases, a mild anti-inflammatory cream, such as 1 percent
hydrocortisone, may be helpful in older babies.
Microorganisms play a role as well. Yeast is common in our intestinal tracts and is in
poop. It grows well on warm, moist skin. For that reason, an antifungal cream might also
be helpful for difficult rashes.
Babies have sensitive skin to begin with, and diapers make the problem worse by
keeping the area humid. Allowing your baby to have some diaper-free time is often the
best trick to healing a stubborn rash. If that doesnt work, its time to talk to your
pediatrician.
KERRY MCGEE, MD, private practice pediatrician in Pittsburgh, Pennsylvania
PHOTO: NATALIA DERIABINA / ISTOCKPHOTO.COM
necessary to take babys coat off? If you

dont, the harness might not perform
as it should during a crash. A harness
should fit snug and comfortably, as
close as possible to the childs body.
If hes wearing a thick coat, the
padding in the coat will not allow
you to tighten the harness adequately,
so it will actually be too loose on the
child. This could cause serious or fatal
injuries to a baby, toddler or even an
older child.
Lets face it: Your child will not
freeze as you walk from the pediatricians office to your vehicle. Unless
you will be keeping him out in the
elements for more than 15 minutes,
hell be OK. (Besides, imagine how
uncomfortable he would be strapped
in while wearing a heavy coat for
the duration of the ride. His body
temperature may actually heat up too
much with all the thick material and
lack of airflow.)
That said, there are a few things
you can do to keep your baby warm:
Keep them
SMILING
from
Reach for the Doctor to

Treat and Prevent Diaper Rash.
Dr. Smiths premium blend creates a moisture barrier
to help keep babys skin dry and soothed. The creamy
ointment provides soothing relief and the spray provides
a touch-free and mess-free option to treat and prevent
diaper rash. Dr. Smiths helps keep your precious little
one smiling, and diaper rash free.
DrSmiths.com
Copyright 2016 Mission Pharmacal Company. All Rights Reserved. DSO-P168087-
DAY ONE.
good mom | p a r e n t i n g
The baby
formerly
known as
Rising stars
Wonder what names are on
the rise? Ezra, Finn and Wyatt
are quickly shooting to the
top of the boys name charts;
Olivia, Charlotte and
Amelia are ranking high
among the girls.
Source: Nameberry.com
What to do when you

dont quite nail your kids
name on the rst try.
BY SARAH GRANGER
hile expecting her second

baby, Courtney Owens of Los
Angeles thought long and hard
about what her daughter-to-bes name
should be. She wanted a moniker that
honored her late grandfather and his
adventurous spirit, and she wanted
it to fit well with her older daughters
name, River Mae. During a date
If its just a matter of the
night late in the pregnancy, she
chosen name not being music
and her husband gleefully decided
to mamas ears, there are ways
what theyd call their wee one:
you can learn to live with a notWylder June.
quite-right name. Nicknames
At first, the name seemed
can soften (and shorten) the
perfect. The babys birth certainly
blow. But keep in mind that on
looked to indicate Wylder was an
all legal documentsmedical
apt designation for their newbie.
forms, college applications, tax
Her birth was crazy. I broke my
recordsyour wee one is going
pelvis, says Owens. Wild birth,
to be Ollivander, not Ollie.
baby Wylder.
However, doubt set in almost
immediately after the birth certificate was
is a hard job. Aside from the kicking and
signed. When the nurses [came] into my
rolling patterns of your in-utero wonder,
hospital room and I had to repeat her name
you have no idea what the little person
three times, I got a sinking feeling in my
brewing in your belly is going to be like
stomach that this was not it. Then, as she
yet youre to assign her a title shell be
started to wake up and I got to know her
toting for the rest of her life. (No pressure!)
I just could not look at her and call her
You weed through ideas, make the decision,
Wylder.
and then cant help but wonder, Is this
right? Will this name fit my kid? Will she
hate it when shes older?
Baby name regret is more common than
Although theres no foolproof way to
one might think. One BabyCenter survey
pick a namethe options are endless,
found up to 11 percent of parents regret
as are the opinions and preferences of
the names they picked for their babies;
those selectingputting in a fair amount
of those, more than a third would pick a
of effort on the front end can help prevent
different name if given a do-over.
sorrow on the back end. (See sidebar on
Considering that nearly 4 million babies
page 85 for tips on trying out your chosen
are born in the U.S. in an average year,
name prior to babys arrival.) Sometimes,
thats a lot of mamas and papas dealing
though, youre still going to end up feeling
with name-related remorse.
like you made the wrong call.
But when you think about it, it really
Like Owens, Elissia Perez of Tampa,
isnt that surprising. Picking the perfect
Florida, settled on a name during her
appellation for someone youve never met
pregnancy. Upon finding out she was
Name-drop
December 2016
carrying a boy, her heart immediately

latched on to the name Zion. However,
she says, I was always convinced that my
child should have a very safe first name,
so we decided on Zion as a middle name.
Friends and family members further
convinced Perez that Zion would make a
better second name than first. So, Lucas
Zion it was until it wasnt.
When I saw him, I felt like his name
should be Zion. I didnt see him as a
Lucas, Perez confesses. She was sad that
shed played it safe and let others views
sway her from what her instinct had told
her was the right name.
Her husband had preferred Zion as the
first name all along, so when Perez finally
confessed a few weeks after the birth that
she wanted to officially make a change,
the couple quickly agreed it was the right
thing to do. Sure, they couldve kept the
name the same and simply called the baby
Zionplenty of people go by their middle
PHOTO: LINDA KLOOSTERHOF / ISTOCKPHOTO.COM
QUICK FIX
parenting |
namesbut to Perez, it was about righting
a wrong. I felt I owed it to him to make
the change.
So the baby previously known as Lucas
Zion legally became Zion Lucasand mom
and dad couldnt be happier with the
change.
Whats in a name?
Often when a parent suffers from baby
name regret, it stems from the same place
that some of Perezs originated: other
peoples opinions. Its a reason that many
people dont share their name choices
until the baby arrives. The onslaught of
judgment can make a gal (particularly
an expectant hormonal one) question
everything she believes in.
Dont be too influenced by other
peoples opinions, advises baby-naming
expert Linda Rosenkrantz, co-founder of
Nameberry.com and co-author of 10
baby-naming books. This is your child,
your decision.
Its true that too many cooks in the
kitchen can make picking the right name
a daunting task. Whether your motherin-law is lobbying for Harvey Charles IV
or your co-worker keeps wrinkling her
nose at Maeve, youll have to overcome
some unwanted input anytime you share
babys future title. But ultimately you and
your partner have earned the right to call
the shot, and youre certainly the people
best equipped to make the choice.
Now, although the opinions of others
shouldnt be a deciding factor, the caveat
is that you should consider how the name
will be perceived by the general public.
Whether its fair or not, your babys name
will often be the first impression she
Out with the A,

in with the O
Names beginning and ending
with O are taking over, according
to the experts at Nameberry.com.
Olivia, Olive, Owen, Oscar, Milo,
Theo and Margo are moving in on
names beginning and ending with
A, which used to be the most
popular picks.
makes on those around her, from teachers

to potential employers. In fact, a National
Bureau of Economic Research study
found that job applicants with unusual or
ethnically diverse names are 50 percent
less likely to get a callback for an interview
thats kind of a big deal! So, dont let
Aunt Sallys snide remarks deter you from
Clementine, but maybe consider her future
resume before calling her Ice Cream.
Name that character

If youve settled on a name but are
second-guessing your decision, fret not.
Even if the ink on the birth certificate is
long dry, changes can be made should you
realize while bonding with your babe that
perhaps Bonnie wasnt the best fit after all.
Both Owens and Perez attest to the
name-changing process being a simple one.
I went to the courthouse, filled out a form,
paid a fee, and now its being published
for four weeks in the local newspaper.
Then well have a hearing, and after that,
its done! says Owens. I was thinking it
would be hard and maybe not even worth
it, but its been so easy.
Rosenkrantzs advice: If youre going
to make a legal change, do it as soon as
possiblebefore you and the child get too
used to it. Its much easier for a newborn
to adjust to a new name than a 4-year-old.
The procedure varies from state to state,
but your first step is always to call or visit
your local county court to find out exactly
what you need to do to make the change
happen. (Expect a fee, although its
typically a modest one.)
The hardest part of the process might
just be the emotional aspect. I felt I failed
my baby, admits Perez.
I was so scared to tell people, says
Owens. She also questioned whether a
change was what she really wanted. I
thought, Oh, its just the hormones. Im
sleep-deprived, Owens recalls. But when
the feelings of remorse didnt go away,
she knew shed made a mistake. And so
Wylder June became Lyla June, which
everyone agrees is a better fit.
To help you settle on a name that you
wont end up wishing to change, Owens
offers up some advice: Say it out loud,
all day every day. Let it roll around in
your mouth and in public and hear other
people say it. Practice with it! It was not
Spell check Cutesy spellings can lead to frequent misspellings and

mispronunciations, so make babys life a little easier: Dont be afraid to be
original, but dont go overboard, either.
good mom
Pick a winner
Here are a few things to consider
when choosing a moniker for
your tot.
What does the name mean?
While some people dont put much
stock in meanings, others wouldnt
dream of saddling a kid with a name
that means unfortunate (Mallory)
or bitter (Molly).
What will babys initials be?
Abbott Sailor Smith might not love
jotting down his initials; Fiona Kate
Umbridge might be hesitant to have
anything monogrammed.
How popular is babys name?
Maybe you want something trendy;
maybe you want your tot to be the
only Zebulen in class. Either way,
you should check recent top 100
lists to see where your choice falls.
How will this name sound when
your babys an adult?
Keep in mind that the baby you
are namingwill eventually be a
kindergartner, a college and job
applicant, a mature personso
dont try to be too cute or cool,
advises name expert Linda
Rosenkrantz.
The big three

Short, three-letter names
think Kai, Mia, May and Ivy
were particularly popular
in 2016, reports Linda
Rosenkrantz, co-founder
of Nameberry.com.
until I started saying it out loud that I was

like, Oh no. (Pro tip: Use the name when
you place an order at the coffee shop or
deli; youll have the opportunity to hear it
called out in a crowd, and you can see how
you feel about it in a real-world setting.)
Also keep in mind that you dont have
to stick with a name you chose during
pregnancy if it doesnt feel right. Spend
a few hours in the hospital with the baby
trying it out before you sign the birth
certificate, suggests Owens. A name is
such an honor, and its something that
you give your child that lasts forever. You
want her to feel confident when she says
it and when she hears it. P&N
December 2016
PNMAG.COM
85
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models.
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lifestyles.
l organize
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a
tr
to
ways
Messenger bag
Style bag
Because every mother has her own style, Babymoov has

created a wide range of fashionable diaper bags.
These bags combine all the practicalities you need in a diaper
bag with a hint of Oh-la-la so you can stay organized on the
go with a bag that suits your style.
Essential bag
Glober bag
Discover the Diaper Bags collection!

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Traveler bag
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good gear
nursery dcor
baby fashion
big-ticket items
and more
Worth the
splurge
Three big-ticket items
that merit a little extra
expenditure.
Every family has a budget, but sometimes scrimping can cost more in the
long run. Save your sanity and skip
the hassle by investing in quality
products where it counts.
1 Carrier
Babywearing can be a serious godsend
when it comes to keeping baby close
while going about your daily routine
at home (like folding laundry and
washing dishes) as well as getting out
and about (think family walks and
grocery shopping). Opt for a quality
carrier that adjusts to fit both you and
your partner well, and use it from
infancy into toddlerhood.
2 Glider
Its hard to overestimate the amount
of time youll spend in your glider
(or rocker) feeding your baby, reading
bedtime stories and lulling her to
sleep. You wont regret choosing a
chair thats comfortable, supportive
and made to last until junior outgrows
your lap.
PHOTO: CHRISTINE SCHNEIDER / GETTY IMAGES
3 Diaper bag
Unless your child potty trains at a
miraculously young age, youre
looking at several years of throwing
this bag over your shoulder. It may be
hosting your kiddos stuff, but youll
be the one hauling it, so spring for a
style you really love. A good one will
make you feel pulled-together and
stylisheven when youre outfitted
in athleisure.
December 2016
good gear | r o a d
test
Pack it in
Get schooled on the most practical
bags for hauling babys stuff.
a
For full-length reviews
of the diaper bags featured
here (and more!),
visit pnmag.com/
diaperbags.
VEGAN LEATHER IS BETTER

Fawn Design Bag, from $146,
fawndesign.com
This faux leather stunner quickly
won me over. The stitching is strong,
the material is durable, and the
zippers and hardware are not only a
beautiful gold but also top-quality
and easy to slide. Its not a huge bag,
so its perfect for daily errands.
BLACK IS THE NEW BLACK

Storq Carryall, $115, storq.com
After trying what felt like a zillion diaper
bags, I was drawn to the simplicity of this
classic backpack. Its understated style fits
both my aesthetic and my partners, and
its smallish size is just right for carrying
the essentials. The magnetic front pocket
is a nice touch, too.
ANIMAL INSTINCTS
TWELVElittle Companion Backpack, $195,
twelvelittle.com
PREP IN YOUR STEP

Skip Hop Highline Convertible
Diaper Backpack, $200,
skiphop.com
I love this bag! Its big but
doesnt feel weighty, and it has
pockets for days. I get so many
compliments on it and even use
it when Im not with my kiddos.
Can you blame me?
December 2016
This cute nylon option is so easy.

It weighs next to nothing, has every kind
of pocket you could want (zipper, elastic,
insulated) and is comfy to
carry even when its
stuffed to the gills.
Ive all but ditched
my other diaper
bag in favor of
this gem.
road test
Lets be friends!
WASH AND GO
Ju-Ju-Be Be Right Back
Backpack, $155, ju-ju-be.com
This practical pick is
drumroll, pleasemachine
washable. And with all the
spills and thrills we put this
gem of a bag through, I
couldnt be more thankful.
There are also plenty of
pockets, including Thinsulate
bottle pockets, and a memory
foam changing pad.
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THOROUGHLY
MODERN MOMMY
Petunia Pickle Bottom Pathway
Pack, $159, petunia.com
Coated canvas and a sturdy
design mean this looker was
built to last. The laptop sleeve
is handy for working moms
like myself, and I adore the
mod aesthetic. My only
warning: Every mom on the
playground will want to know
where she can get one.
SPACE EXPLORATION
Babymoov Glober Bag, $80,
toysrus.com
This spacious pack has room
for everything and comes with
accessories like an insulated
bottle bag, changing pad and
stroller straps. It even has MP3
access, so we can get our
groove on wherever we are.
P&N
good gear | h a u t e
tots
Power couple
Camouflage
isnt for blending
in anymore.
FORMAL ATTIRE
FOR PLUS-ONE
OCCASIONS.
Appaman
jacket, $115,
appaman.com
We cant stop
yakking about
this awesome ensemble.
Wintry mix
The forecast calls for cozy fashions.
Izzy & Ferd sweatshirt, $60;

sweatpants, $53, izzyandferd.com
TURN HEADS IN TAILS

The Tiny Universe romper, $55,
childrensalon.com
pediped boots, $45,
pediped.com

Top it off in
cashmere cuteness.
LIVLY hat, $67,
livlyclothing.com

Outfit your
lumberjack or
lumberjane.
A coat for the fashion-forward lady.
OshKosh Bgosh
bodysuit, $26,
oshkosh.com
Bunnies by the Bay coat (and hat, not pictured), $60,

bunniesbythebay.com
KEEN booties, $38, keenfootwear.com
December 2016
Take a hike with your tyke.
THE LADY IS A MUSE

egg by Susan Lazar dress, $99,
egg-baby.com
LUXE + RO shoes, $40,
luxeandro.storenvy.com
babyspace |
Deck the walls
good gear
Its a stickup
Create statement walls or cover large areas
with wallpaper and decals.
Take a ho-hum nursery to new heights

by lling in the blank spaces.
PRODUCED BY LACEY MAJOR
Art arrangements
Let your personality (and babys) shine
with illustrations, typography and prints.
<
Big love.
Petit Collage fabric wall decal, $49,
petitcollage.com
<
Road trippers.
<
Creative Thursday VW print,

from $45, creativethursday.com
Modern history.
Parade and Company
RAWR canvas art print, $29,
paradeandcompany.com
<
Small mom-and-pop businesses

and handmade marketplaces
(like Etsy) are lush with unique
prints and posters.
Statement piece.
Chasing Paper removable wallpaper,
$40 per panel, chasingpaper.com
<
City smarts.
Lolo Print Co. Chicago alphabet print,
from $30, loloprintco.etsy.com
Top it off
<
Hang up a few finishing touches for extra flair.
Shelf life.
Pillowfort whale shelf, $30, target.com
<
Stripe hype.
WallsNeedLove Easy Stripe wall decals,
from $12, wallsneedlove.com
Fiona Walker England

elephant head, $165,
shop.projectnursery.com
<
<
Get a head.
Name game.
Tree by Kerri Lee custom wooden
garland, $52, treebykerrilee.com
December 2016
PNMAG.COM
91
a-list
the
NEW KIDS ON THE BLOCK

Our favorite products that debuted in 2016.
PRODUCED BY LAUREN BROCKMAN ANDRE
2
3
4
5
1 Bumbleride Speed,
$549, bumbleride.com
2 PRIMO Charli Chair,

$140, amazon.com
Speed3 steering allows

the front wheel to swivel
360 degrees for everyday
errands, be locked into
place for long distance
runs or swivel just 30
degrees for jogs around
the neighborhood that
require more twists and
turns. That third option?
Its a game-changer.
If your home doesnt

have a full-size tub,
bathing baby once shes
outgrown the sink can
be a real conundrum.
Enter this handy chair,
which features a
two-position recline,
five-point harness and
37-pound weight limit,
so tots can splish-splash
safely in the shower.
December 2016
3 Nanit, $349, nanit.com
Going above and beyond

the call of a typical video
monitor, this innovative
surveillance system actually
tracks sleep quality and
delivers analysis parents
can use to make improvements. The sleek stand
offers a birds-eye view
and theres no mounting
required. (Smartphone
not included.)
4 Jonathan Adler Crafted

by Fisher-Price Deluxe
Rock n Play Sleeper,
$150, buybuybaby.com
Thanks to a partnership
with designer Jonathan
Adler, the beloved Rock
n Play got a face-lift. Its
midcentury aesthetic
is on point, and its
practical featuresthink
the ability to control
speed and vibration from
a deviceare clutch.
5 Ergobaby Adapt,
$145, ergobaby.com
With all the features

parents have come to
love about Ergobaby
carriers but without
the need for an infant
insert, this grow-withme option expands to
accommodate babes
from 7 to 45 pounds in
up to three positions,
including front facing
inward, hip and back. >>
a-list
the
10
6 Cybex Cloud Q Plus,

$450, buybuybaby.com
It may look like a typical

infant car seat (albeit a
stylish one), but this
innovative model converts
to a full-recline position
outside the car, which
means baby can safely
and comfortably stay
strapped in and snoozing
even after youve reach
your destination.
7 Austlen Baby Co.

Entourage, from $850,
mbeans.com
The stroller equivalent of

a pack mule, this versatile,
expandable ride can handle
up to 150 pounds of cargo
(including two passengers).
Whether youre hauling
kids, gear or groceries,
theres a configuration
that can get youand
your stuffwhere
youre going.
December 2016
8 gb Pockit, $250,
gb-online.com
There are times when

bigger is better (see No. 7),
and there are times when
small is essentialthe
latter is where this ultracompact set of wheels
comes in. Measuring just
11.8 x 7 x 13.8 when
folded, its small enough
to fit under the seat of
an airplane or even
inside a handbag.
9 Skip Hop Uplift

Multi-Level Baby Bouncer,
$150, skiphop.com
10 Lansinoh Smartpump
& Baby App, $199,
babiesrus.com
This bouncer takes it to

the next levelliterally
with an adjustable base
that allows baby to hang
out at floor height, sofa
height or anywhere in
between. A vibration
feature, soothing sound
effects and tuck-away
toy bar are thoughtful
bonuses.
Connect your pump to

your phone via Bluetooth
to readily track pumping
sessions, feeding sessions,
dirty diapers and more.
Beyond being technologically convenient, the
closed-system contraption
is quite small and quiet,
too. (Smartphone not
included.) P&N
baby steps
Terms of
endearment
FOR HIM
FOR HER
Bubba/Bub
Buddy/Bud
Buster
Doc
Gramps
Papa
Pop Pop
Popo
Pops
Popsicle
Babs
Gigi
Grams
Gran
Mimi
Mami
Maymay
Mia
Nana
Nanny
Cultural references
Look to your family heritage, and use the word for grandmother
or grandfather (or a variation of it) in another language.
Oma and Opa might be just the right fit!
December 2016
PHOTO: DAVE LONG / ISTOCKPHOTO.COM
Not sure your mom and dad are cut

out to be Grandma and Grandpa?
Try these alternative titles on for size.
VIARD.
Quick-fold 3-wheel Stroller
Let ~our
~Utal:Wn
Soar!
Maneuverability is
Front and Center

Precision turning: Dual-swivel
front wheels for easy navigation
Viaro'" Travel
System includes
the #1-Rated
KeyFit 30 Infant
Car Seat and
stay-in-car base
for easy travel
Lightness you'll love: Sturdy and

lightweight aluminum frame
A quick fold you can handle:
Fold and carry with one hand
Viaro'" Travel System: Teak'"

Available at buybuy Baby
Dream big! Viaro lets you

and your baby move simply
through your world!
chiccousa.com
Cl 2016 Artsana USA, Inc. 1-877-4CHICCO
wherever there's a baby

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