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  1. This webinar is about the ups and downs of parenting a baby during a pandemic. You will walk away from this webinar with an understanding of your baby’s emotional states, how to connect with your baby, and what to do when things feel hard.
  2. While many NICU stays come as a surprise, sometimes parents are told to anticipate their child needing specialized care in the Neonatal Intensive Care Unit (NICU) in advance. Leaving the hospital without your baby is never easy, whether you had the opportunity to emotionally prepare for it or not. For parents anticipating this very stressful and challenging time, l have compiled a list of resources to reduce stress, increase bonding and make the process as smooth on the family as possible. This list of resources and advice comes my experience as a NICU mom and from a fantastic group of attachment and trauma therapists I have the privilege of working with. Connect with other NICU moms right away—they will be a great source of support and advice during your journey. Search Facebook for groups and connect with local moms through parent groups like NPN. Visit Centering.org for resources. There's a section specifically for NICU babies. You'll be able to find some children's books and maybe even a coloring book or activity book to flip through with older children. Have a friend or family member bring you a clean washcloth or tiny baby blanket, or even two small matching ones. Sleep with them for a night or two and then give one to any children who will remain home while mom is in the hospital. It'll be a nice way for them to feel connected to you while you're not with them. Then, when your baby is born, ask the staff to put one in your baby's isolette. Depending on the hospital's infection-control policy, they may take it out after surgery, but they can put back in later. Sing to your baby. There has been some research into the effectiveness of singing to your baby in the absence of being able to touch them. You don’t have to have a wonderful singing voice or even know all the right lyrics, words are not as important as the tempo. Consider buying a small voice recorder to allow your baby to hear your voice even when you are not physically present. Create a narrative. I started putting together a Shutterfly book in the NICU to describe our experience. Also talk out loud with your newborn about her birth experience, the fearful transition away from you, the confusion of the new location and, most important, your joy of meeting face to face for the first time. That story is so important and healing, for both of you. Start conversations with your not-yet-born infant. If you find out while pregnant that your baby will spend time in the NICU, explain to him all that is about to happen, make guesses about how these things might feel to him (for example, that he might worry the grownups aren’t ready for him, or that he might worry they are trying to get him out before he’s ready). You don't have to get the words perfect, but you do need to occupy some of your energies with mentalizing this unborn child while communicating your assurance that you will be there when he comes out (even though you worry—and he knows it—that you won’t). You need to tell him all about the c-section, about who will be taking care of him, and how you will hold him in your heart when you can’t be right next to him. You do have the power to communicate with him, and to hear his “voice” back. Put some family pictures by your baby's bedside or even tape them onto the sides of the isolette. It will get the NICU staff talking about you to your baby when you're not there. Use kangaroo care as much as you can. Healing Touch is incorporated in the US and, given the research supporting it, most or even all NICUs are doing this. Healing Touch is the only accredited energy medicine, and most of the research has been gathered in hospital settings. It's usually just reserved for Mom and Dad. Find out the visitation rules for the NICU before your baby is born. Are there visiting hours? Can your other children come, too? What about extended family and friends? Get as much info as you can now so you feel prepared later. Figure out the parking situation. If you're going to a city hospital, parking may be expensive or complicated. Look into it. If family or friends are offering to help and you don't know what to say, ask for a ride to the hospital for visits. Or, often friends chip in for a "parking fund." Pump if you can. Your milk supply may increase if you pump while looking at a photo of your new baby and if you have your baby's scent nearby. So, actually, get a third clean washcloth for the staff to put in your baby's isolette for a day or two and then give to YOU to hold onto. Repeat as necessary. Also, drinking lots of water and/or Mother's Milk tea can help increse supply. Check with your health insurance company to find out whether it will cover the cost of a hospital grade double electric breast pump—it's the most effective and most efficient pump out there. Since it's medically necessary for you to pump, insurance will likely cover it. Don't forget about Dad. He is going to be very worried, and deeply frustrated by the limits on his ability to assure safe passage for the new, sick baby. It will be very important, later, that history shows (to himself, and to Mom) that he stood strong, and that he protected his children and his partner. Trust the staff. See if the NICU will assign a primary nurse to your baby so there will be as much consistency as possible in his/her care. Also, remember that the nurses and docs will lovingly care for your baby. Even when you're not there, they will tend to her cries and use beamy pillows and other tools to help your baby feel the sensation of being held, even if baby isn't stable enough to be moved around and cradled in their arms. Take it from me, it will be hard and it will be scary, but you will get through it. The NICU is a beautiful and terrifying place.
  3. When you're pregnant, how breastfeeding will work for you won't be apparent until after your little one greets the world and screams for food. You won't know whether your baby will latch easily, how much milk you'll produce, or whether it'll hurt a lot or not at all. But there is still plenty you can do while pregnant to get prepared and educate yourself about how to feed your baby. Barbara Hardin, an International Board Certified Lactation Consultant (IBCLC) with The Mother's Milk Company, clears up some of the myths about breastfeeding, as well as how to overcome the typical stumbling blocks. [Related: What to expect when you're expecting a Chicago baby] What are some things an expectant mom can do now to make breastfeeding easier when the time comes? It can be good to talk with other new moms about preparing for motherhood. If you ask them about breastfeeding, here are some things you may hear: 1. Take a breastfeeding class. The workshop I'm leading at Preparing for Parenthood is a great place to start. 2. Read a good book about breastfeeding, such as Nancy Mohrbacher’s Breastfeeding Made Simple: The Seven Natural Laws for Nursing Mothers. You will learn about baby’s instinctive behaviors and what normal breastfeeding looks like. 3. Learn about the benefits of being skin-to-skin with your baby. It’s a wonderful way to care for him (or her) in the early days after baby’s birth and also supports breastfeeding. 4. Identify one or more IBCLCs who provide in-home care just in case you need help once you are home with your newborn. 5. Contact your insurance company to learn how to get coverage for IBCLC services and how to obtain a breast pump. The Affordable Care Act mandates that insurance cover these services. What are the biggest stumbling blocks moms have when it comes to breastfeeding? It’s important to realize that babies expect to be held most of the time, and they feed frequently—8-12 times a day! Thinking of yourself as baby’s habitat and having unrestricted contact with your baby in the early days and weeks after birth can go a long way toward making breastfeeding easy. Also, having a supportive network of family and friends to help take care of you, the new parents, can ease the transition to parenting. Many cultures have a “lying-in” period when mom is relieved of all responsibilities except for caring for her baby. In our culture, moms are usually expected to maintain their pre-baby responsibilities after baby is born. So, help those around you learn how their support is vital to helping you achieve your infant feeding goals. And go easy on yourself! There are breastfeeding support groups, as well as NPN New Moms Groups, available. Find them, and connect to your tribe or your village to give you the information and ongoing support you need. [Related: 12 truths about giving birth from an OB nurse] Do you think moms put too much pressure on themselves to breastfeed? Is there a point at which you recommend a mom stop if she’s having a lot of trouble breastfeeding? While most moms are able meet their breastfeeding goals, as an IBCLC, I often see moms with difficult breastfeeding challenges. Sometimes these difficulties seem to be or can be insurmountable. It is always ok for a mom to decide that she wants to stop breastfeeding and to feel supported in her decision. It is the IBCLC’s role to give a mom information, strategies and options about her breastfeeding situation. It is the mom’s choice to decide how to go forward. While exclusive breastfeeding for the first six months is recommended, breastfeeding does not have to be an all-or-nothing process. Partial breastfeeding or partial breastmilk feeding can be viable options. Knowing this helps some moms continue to do some breastfeeding. I always support a mom’s decision about how to feed her baby, whatever choice she makes. My role is to help make it an informed choice. What are your thoughts on the recent findings that there’s no need to “pump and dump” when you’ve had a drink or two? The last thing we want to do is put unnecessary restrictions on what a breastfeeding mom “must do” or “cannot do” which may cause her to shorten the duration of breastfeeding. It is widely accepted in the medical literature that moderate and responsible use of alcohol does not cause harm to infants. There are, however, some cautions moms should be aware of. You can find a number of reliable sources of information to turn to for guidance on alcohol use and breastfeeding. What recommendations do you have for expectant moms who are planning to work full time but also want to continue breastfeeding? First, keep in mind there is plenty of time to prepare for going back to work after baby is born. In the early weeks, focus on getting breastfeeding off to a good start and establishing your milk supply before you begin to store milk for your return to work. You’ll find it helpful to talk with other moms in your workplace who have continued to breastfeed after returning to work. These moms will be able to share some of the ins and outs of your workplace. Find out if there is a designated area for pumping milk. If there is not, ask your employer to provide a suitable place to pump. Know that you have rights under the law to provide milk for your baby once you have returned to work.

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