Swaddling Tips from the PRO!

www.BetterBirthDoula.orgA friend was asking about swaddle blankets and I mentioned it to Kit and this was the email he sent in response to her questions. I married the Swaddle Pro. 😀 Seriously, he does all the swaddling around here because I always do something off and the baby escapes. He's also the master at burping, diaper changes without waking the baby up, and getting the baby's to take nice, long naps on his shoulder.

I've had way too much time to think about swaddling over the years. I hope you don't mind if I add some things to what Heidi was saying.

In no particular order:
Swaddlers need to be a fairly stiff fabric, very non-elastic. I've had the best results with natural fibers -- cotton blankets are especially nice. Too much synthetic in the blend will stretch and slip and they tend to be hotter.

I didn't like the storebought swaddlers with the little velcro tabs and all. They focus all of the stress of the swaddle at one or two points and invariably come all undone except at those two points. Fairly useless, IMO.

Bringing me to the real secret of swaddling: surface area. If you get as much contact with the blanket over as much of the length of the baby as possible, then it'll stay more snug. Bonus points if you take that first pass around the baby and secure the end behind the baby's back so they're laying on the point of the blanket -- lots of surface area.

It also helps if the child's arms are wrapped up without a point of leverage. If their arms are crossed in front, they'll totally wiggle out. If their arms are more at the side, they have a harder time of wiggling.

Here are more tips from Kit, including his swaddle demo video!

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Why We Hired a Doula for our (Fifth) Birth!

BetterBirthDoula.org(I wrote this up to explain to friends why we had hired a doula for our fifth birth. We hired the same doula for our sixth birth, of course!)

Why did I need a doula? In order to be able to best surrender to the experience, I needed to be able to hand off my list (literal and figurative) and know that someone else was going to take over the duties of my logical/analytical self. I needed someone to be my brain, as I told my doula - so that I could just release everything except the focus I needed to best birth my baby.

This was my fifth baby and I had a pretty fine tuned list of what I needed/wanted/didn't want in labor. But as a first time mom, I think a doula is ESSENTIAL. Especially if you are laboring in the hospital and dealing with their protocols and don't want to do things exactly by the book. I think the extra support person is a crucial part of ensuring your labor wishes are accompanied whenever possible. Just for the peace of mind, someone with labor experience that can help explain things and remind you of what you wanted and reassure a partner that is also going through this labor thing for the first time. We've had five babies and Kit said just with this last one he thinks he started to get it right. 🙂 (For the record, he has always been amazing as labor support but it's true - this last time he blew me away with how perfectly he read my needs.)
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Breastfeeding & Brains

In a nutrition book I'm reading they mentioned the higher IQ scores found among breastfed babies but said perhaps it's related to the increased bonding from frequent feedings - since breastmilk is digested faster, bottle fed babies often go longer between feedings and are thus spending less feeding interaction time with parents (the book proposed.) Curious, I started googling. One handed. While nursing. 😉

One study summary said this:

A study published in the American Journal of Clinical Nutrition shows that breastfed infants tested 5.2 IQ points higher than formula fed infants, for a comprehensive study involving 11 different studies and over 7000 children.

The study, to be published in the October edition of the American Journal of Clinical Nutrition was performed by University of Kentucky nutritionist James Anderson.

"Our study confirms that breast-feeding is accompanied by about a five-points higher IQ than in bottle-fed infants," Anderson said.

Within that increase, Anderson and associates were able to separate the benefits from mother-infant bonding from the purely nutritional benefits of human milk.

"Our best estimates are that maternal bonding and the decision to breast-feed account for about 40 percent of that increase, but that 60 percent -- 3.2 points -- are related to the actual nutritional value of the breast milk," he said.

And that is found here with links to the study abstract.

This study said the difference was 11 IQ points.

This study said it's not the breastmilk, it's that women with a higher IQ were more likely to breastfed and thus had babies with higher IQs:

The mother's IQ was a better predictor of whether she would breastfeed than race, education, age, poverty status, smoking, the home environment, or the child's birth weight or birth order. One standard deviation increase in maternal IQ (15 points) more than doubled the odds that a woman would breastfeed her child.

However, if you are part of the 10% of the population with a different gene, then this study says nursing won't improve your child's IQ. But for the other 90% of the population, it says they found a 7 point IQ difference on average.

And this study says that even after adjusting for variables such as social/economic background or maternal education, breastfed babies still averaged higher IQs.

Interesting. 🙂

(I would like to add that I typed this entire thing while nursing. Which means I wasn't really interacting with him but we had flirted for awhile and then he passed out and kept chugging away so I let him sleep-nurse until I was done typing. I'm very proud of my crazy nursing-while-doing-other-things talent.)

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Pregnancy – Keep Them Baking!

Why every week counts - interesting article about the dangers of inducing labor/scheduling c-sections for babies prior to 39weeks. Not just short term risks but the long term impacts showing up in children school age. And the diagram of comparative brain size for babies between 35 and 39 weeks is scary. (I cannot imagine the size for 23 weeks* vs. 39 weeks!) But really good explanation for why doctors and parents need to avoid deliveries prior to 39 weeks unless something is wrong and the baby needs to come early. Unless a woman is certain of her conception date, there is also the risk of the due date being off by two weeks meaning the baby is even less ready to arrive

*23 weeks is significant to us since our third child decided to arrive at that gestation.

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Consumer Report & Pregnancy!

Consumer Reports article about potentially risky & way overused medical interventions and underused low risk tools to help with pregnancy & birth. Nothing shocking or earth shattering, just more verification that even if we have the medical tools, it does not mean we need to use every single tool for every single pregnancy - and that sometimes, using the tools causes more problems than it may catch.

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Asthma & C-Sections

This study found children delivered by c-section were 80% more likely to have asthma by the age of 8 vs. kids born vaginally.

EIGHTY PERCENT?? I admit that stunned me, even though I knew c-sections carried short and long term risks for moms & babies. Still, that's astonishing. Which makes it kinda stink that my one c-section baby was also my child with chronic lung disease. But he's four (SIX!) now and has no indictors of asthma so we'll keep our fingers crossed.

Oh, and if a parent had asthma then the rates went up and a child born by c-section with an asthmatic parent was 200% more likely to have asthma than a peer.

The authors suggest that this association may be linked to the development of the immune system at birth. That is, a cesarean may prevent the baby from being exposed to certain microbes earlier in life.

I'm reading this while trying to eat lunch and hold a sad, sick J so I've only skimmed it. The magazine I found it in said they recommend that people avoid scheduling elective c-sections. Though I think there are plenty of other reasons to avoid elective surgery, this is a pretty good one as well. 🙂

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Birth Links to Explore


Borrowing the following from my midwife:

Orgasmic Birth

Homebirth in the Hospital: Integrating Natural Childbirth with Modern Medicine

Birth Models That Work

The Business of Being Born

She met authors of some of the books and it was very interesting to hear about her discussions with them. Fun, I love birth stuff! And I love that I can pop down the street and borrow these from my midwife. 🙂 I'll let you know how they are.

Born in the USA: How a Broken Maternity System Must Be Fixed to Put Women and Children First opens with two quotes and I'm already hooked:

To remain silent and indifferent is the greatest sin of all. - Elie Wiesel, Nobel Prize Winner

You can't change the status quo by being appropriate. - Susan Sarandon

I start out reading the intros of the various books and then I have them scattered around the house and I pick one up from whichever room I'm in when the kids are distracted and playing without me. So I get these books in bits and chunks and chapters here and there, forcing my brain to keep track of four different texts at the same time. It's good mental exercise, right?

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Breastfeeding & Heart Disease

This new report says that breastfeeding a year decreases your risk of heart disease, among other things... that's nice to read, as I sit here typing with a nursing baby resting his head on my arm. It's good to know this is benefiting both of us. 😀

Women who breast-feed for longer than one year seem to be 10 to 15 percent less likely to develop high blood pressure, high cholesterol, diabetes, and cardiovascular disease after menopause than women who don't breast-feed, according to a study in the May issue of Obstetrics and Gynecology.

I'm hoping this is cumulative, too, since I've been nursing (or pumping) for almost exactly five years, between our five babies. And I anticipate nursing J another year or so. I just may hit 6 years - that should lower my risk of heart disease and breast cancer.

* Well, happy to report that now I've been nursing over six years, thanks to the arrival of Miss O. Woo-hoo, let's hope those health benefit statistics apply to me...

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Postpartum SLEEP Reminders!

IMG_2328- Baby will sleep after birth/for first couple days so arrange childcare for other kids and just SLEEP. That first day you may be so exhausted you cannot keep your eyes open or you may be wide awake from the adrenaline. But as soon as you are able, sleep.

- First couple weeks are babymoon, baby perks up around 3 weeks (in our experience) and things get challenging. REST all you can in first couple weeks and have easy meals ready/ask for help in weeks 3 and 4.

- Watch for signs of drowsiness 1.5 to 2 hours after baby wakes up and soothe baby to sleep.

- Soothe baby in whatever way feels natural! Rocking, walking, cosleeping, nursing, singing, whatever works.

- It's not just the first six weeks, it's the first 3 months. Don't get ambitious. 🙂 Plan to take it easy for the "fourth trimester" - your first three months postpartum.

- Stick to consistent nap & bedtime routine for older kids. Enforce quiet time in afternoons for everyone (train them on that pre-baby arrival) BUT don't worry about making it 100% quiet, baby will sleep through some noise.

- Implement that bedtime routine from the start, recognizing the new baby will have to get use to day/night differences and you will have to be flexible: dim lights, quiet time, nurse, song, etc. Around 7 to 9pm watch for drowsy signs and try routine (to train yourself, not the baby.)

- For Mom & baby, take walk in morning sunshine and shower to wake us up. Eat breakfast.

- Get high protein snacks throughout the day and enough water.

- Around 3 to 4 months expect to see some more consistent daytime naps/drowsy windows coming: 9 to 10am-ish, noon to 1pm-ish, 3 to 5pm-ish. Watch them for them and do soothing routine. Still attempt to get baby to "bed" in early evening. Around 5 to 8 months they may cut back to two naps and by a year be down to one nap. (Yes, big windows there - who knows, really?)

- Go with your intuition. No one is an expert on your child like you, though it may take awhile to get to know each new baby and learn to read them well. Have confidence that as parents you WILL learn to read your baby's sleep cues. In the meantime, do what feels most comfortable to you, as there is no one right answer. If you want to rock your baby to sleep, don't ever let a parenting book or another person make you feel guilty for rocking your baby! 🙂 You'll hear it a million times but it's so true - these years go too fast. My firstborn, the child that nursed every two hours all night long for a year? He's now my heaviest sleeper and turning ten. I am thankful for every sweet moment I spent cuddling him to sleep.

- Each baby is so very different. My first child could not sleep unless he was in our arms or on one of our chests. He needed physical touch to sleep. Our second child would fuss and cry and not sleep as we spent hours rocking and attempting to soothe her. When we laid her down for a moment we turned around and she was passed out! Our attempts to soothe had overly stimulated her. When we lay her down and left her in the quiet she was zonked out in moments. You have to learn to read your child, YOU will become the world's expert on your baby. It may just take awhile to feel confident in that!

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Birth Supplies List for Home

This is a combination of lists from US based midwives, so check with your local care provider for additional supplies they may need (and please feel free to let me know what things are missing from this list!)

8-10 old receiving blankets
2 towels for mom & 1 for baby
heating pad to warm blankets/towels for baby (midwife may bring)
2 plastic sheets (shower curtains fine) and 2 sheet sets*
hydrogen peroxide and cotton balls (for cord and any blood clean up of sheets)
tissues
1 roll paper towels - very soft
flashlight with fresh batteries
medium size hand mirror (if you want to see what's going on)
Candles if you so desire!
2 one gallon ziplock bags (for placenta)
one dozen sanitary pads** and/or depends (at least one dozen!)
12 gauze pads soaked in comfrey tea and frozen (for postpartum)
bulb syringe (midwives may bring this)
peri bottle (for herbal rinse)
herbal bath/peri rinse
ample supply of juices, ice cubes, gatorade, etc
easily digestible foods/postpartum food
bendy straws
snacks for kids/partner
crushed ice in bags
hot pack
crockpot for hot compresses
bowls (placenta & in case of nausea so two bowls!)
cookie sheet (I think this is for them to spread out and examine the placenta?)
chapstick
lotion
bathrobe
list of location of stuff for attendants, tips to help me cope, affirmations, etc.
list of phone numbers of who to call FOR birth (care team) and AFTER birth (family, friends)
olive oil for perineal massage during crowning and for baby's bum
frozen meals
disposable dishes
betadine (midwives bring)
underpads (also known as chux pads - you can find them at Walgreen by the birth center)
4x4 gauze pads
Tea Tree Oil or any other essential oils you like
thermometer for mom/baby (midwives have)
4 black plastic garbage bagsFor birth tub:
inflatable pool
tub pillow (or just use rolled up towels)
small fish net (if planning waterbirth)
connector hose (lead free for filling, standard garden one for draining) and adaptor
pump or buckets to drain tub
thermometer for tub temperature

*Make your bed up as normal, then place the plastic sheet/shower curtain liner over it and make the bed again over that with the second set of sheets.

**Soak some sanitary pads in water, witch hazel, or herbal bath rinse then put into plastic bag and freeze. They are DELIGHTFUL postpartum.

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