Showing posts with label sleep. Show all posts
Showing posts with label sleep. Show all posts

Monday, 11 February 2013

Preparing for a newborns arrival-what you can do in advance

Advance preparation for a newborn

The amount of parents I see in the Magazine isle looking at parenting publications highlights the demand in this era for essential information on the subject. Parents want to read about the latest research on illnesses, the reviews on latest gadgets and they also want to know how others deal with parenting-it’s human nature to be curious about how others do things. Although I’ll be the first to say it can become an unhealthy obsession for some who end up becoming their own worse critic and worst still they constantly compare their child to another. Reading is research but it should be approached with caution when it comes to parenting. Anyhow, lecture over for today. I want to talk to you today about advance preparation for when your little bundle does arrive into the big world.

If you google the advance preparation you will come across hundreds of links to parenting forums where Mothers before you have leapt into the unknown. Most offer the same advice thus as a parent with previous experience I am writing this long yet useful article on the matter-enjoy.

What can I do to make life easier in the first few weeks of baby’s arrival?

That’s the golden question. When you have your first baby (or second/third/fifth...) the first few weeks can become a blur between nappy changes, feeds and cleaning up baby sick (sorry but it’s true). You struggle to dress yourself and the amount of visitors who want to see the baby quickly escalates to epic proportions. But all it not lost; you can do lots in advance to calm the situation.

Firstly, look at how you wish to announce the birth of your baby. Do you want to send out formal announcement cards with a small photo to your loved ones? Or will you do it via Social Media? Decide on your method and stick to it. Now here’s the key: write on the card something like "Hanna and Ryan look forward to you meeting baby X soon. We’re currently adjusting to the change so please give us a few weeks to settle and then pop in for a cup of tea". There you’ve done it. You’ve basically invited them around but when you are going to be a bit more alert than the first two weeks. If you decide to use Social Media by suggestion is you or your partner put something like ‘Mother and baby are doing superbly. We look forward to having guests in a few weeks time. Please call before you visit us-thank you!’. It’s short and sweet and gets the message across. If you want to get out of the house and have older children you may wish to visit a soft play centre and let others know you will be going so they can meet baby. It’s about going at a pace that suits you and your family. Don’t over stretch yourself. If you are too tired to make them a drink you could ask them if they wish to make their own hot drink-explain you are not feeling too perky. Most people will say yes and offer to make you a drink too. If you want to go down this route I suggest you label your drink containers and make life easier for your friends and family.

Make a list of all the items you wish to purchase-now. If friends and family have offered to purchase an item for you pass them the list and let them choose the item they wish to purchase. If friends and family have offered you their hand me downs ask to see them beforehand and see if they are in good enough condition to be used. Do that now-you don’t want to do that at the last minute.

If you are going down the pre-loved items route start looking around at nearly new sales and on notice boards as soon as you can. Again these type of activities cannot be left to the last minute.

If you purchase pre-loved clothing or blankets launder them and put them away as soon as you can .Organise them by age/weight so it’s easier to pull them out when time comes to use them.

If you buy new clothing or blankets and so on it’s advisable to launder them before using them too. You would be amazed at how much dust circulates around the factories where the clothes are prepared.

When it comes to food we all have to eat-FACT. Here are my top tips for how to feed yourself by advance prep. I’m afraid you need a freezer:

If you like pasta make up a large batch of sauce and freeze them into portions. That way you only need to boil pasta. Keep a couple of precooked pasta pouches at home too for those nights where you cannot face even boiling water

Curries freeze well and make a good meal. All you need to prepare on the day is either boiled rice or naans-which can be picked up at your local supermarket or Naan Shop.

If you have freezer capacity consider freezing complete meals that just need to be put in the oven-e.g. lasagne, enchiladas and even biryani. Prepare the dish up until the point you need to put it in the oven. Use foil dishes which means no washing. Double wrap the item with a sheet of foil-this should stop freezer burns. Label the item and write on the foil how the item needs to be cooked e.g. ‘remove on the day from freezer, leave to defrost for x hours, cook on gas mark 5 for 30 minutes"-done.

If you enjoy items such as tandoori chicken you are in luck. You can cook the chicken in advance and freeze it cooked. Then you take it out defrost and heat. Serve with naan and salad. It should in essence take less than 30 minutes to prepare a meal if you defrost the cooked chicken in a microwave.

It’s worth looking at what you like eating and having ea look online at cheats recipes that take less time to cook and also at recipes that freeze well.

If you like using your slow cooker (crock pot) then you could prepare the vegetables and meats for dishes and freeze them. Then on the day you take them out, place them in the slow cooker with the sauce (jars work fine) and basically you are done. Check online for more recipe inspiration.

If family or friends ask if they can help out and they can cook why not ask if they can batch cook you some meals? There’s no shame in taking up help. Every parent has been there; it can get too much and often offers of help in my experience have been sincere.

If you are a part of a playgroup why not set up a ‘meal support group’? Basically you need ideally 7 or more mums for it to work. You all cook a meal a day for a new Mother thus giving her a week off cooking to adjust to baby. You continue helping others in the group too. It’s a great idea which should be practiced more in the UK.

 

Older children:

If you already have children then organisation is going to be your best friend.

You need to be on the ball-fact. So here are a few tips to get you going:

If you take your child to Nursery, School or Playgroup organise for a friend or family member your child likes being around to step in your shoes for a week whilst you adjust to the new kid on the block. If your children are older (say 8 years plus) and a parent near you walks their child to School you could ask if they would be willing to take your child with them-as long as you understand your child needs to understand the whole ‘stop look listen’ concept as people will be doing you a favour; they don’t owe you anything.

If your baby is due around September time (new School year) order their School uniforms in advance. This will save you last minute tears and tantrums and hopefully reduce your stress too.

If your bundle of joy is due around a Festivity period try and organise as much as you can beforehand. This includes outfits and presents and if possible meal arrangements. If you live in the Manchester area of England Nawaab actually do an Eid dinner (or so I am informed). You may per person, and eat as much as you like from the delicious buffet (I’ve reviewed it previously). They take care of the washing up. A great option for a family who are expecting a baby around Eid and the Mother is the main chef. Many restaurants do similar meals for Christmas so everyone has an option to dine out on their special occasion.

If you have wardrobe capacity organise two weeks of children’s outfits. Clip on tights, vests etc to the hanger along with the dress/trouser/top etc so it’s a complete outfit. That will help other family members dress your children. This is especially helps Fathers who have no concept of putting together an outfit (my husband is guilty of this).

Try and delegate after School activity pick ups and drop offs. Same goes for Birthday parties, plays, matches and Discos that are scheduled around your due date.

If you have smaller children, say toddler age you may wish to buy them a few small gifts for when baby arrives. Often toddlers can feel left out with all the attention and gift giving that happens with a newborn. If they are given small wrapped up gifts it will make them feel special too.

The Hospital bag:


Aim to have this packaged by around 30 weeks-earlier if you are having twins. If you are having a complicated pregnancy I suggest you back an overnight bag with a nightie and toiletries in in case you get kept overnight at the Hospital before baby arrives.

I shall be posting a detailed blog entry on what you need in your Hospital bag-so keep an eye out for it.

Preparing your home for the new arrival:


Now is the time to complete all those half done tasks including any decorating that needs doing.

If you allow people to smoke in your home now is the time to stub it out and let them know if they wish to smoke they need to do so outside your home.

Baby proofing your home can be done when your baby is able to get about. But just as a note it’s worth understanding that any figurines or similar items will need to be re-homed if they are at low level. Cables should be secured and other electric appliances should be kept out of reach. Items such as fish tanks should be placed on a secure surface.

Furniture should ideally be kept away from windows to reduce accidents

Blind cords must be kept completely out of reach of children-I think it’s pretty much self explanatory to why this needs to be done.

Look into safety gates. You will need two for each set of stairs in your home and ideally one to block off access to the kitchen. Safety gates are often featured in the Asda Baby event.

Household tasks:


If you can budget for it there are plenty of ironing services that charge a reasonable amount to collect your ironing and they even drop it off for you once they are finished. Prices vary from area to area-look at services in your area via Netmums website and look for recommendations on there too.

If you plan to use reusable nappies contact your council about grants that maybe available and to find out if there are services that will collect soiled nappies and drop them of nice and clean. Again it’s about budget-so look at costs and factor those into your baby and household budget.

You can even buy reusable baby wipes-have a look online and see if they are suitable for your needs.

If you think you will be relying on fast food when baby arrives look up your favourite place online and find out if there are any vouchers or offers you could have to save a bit of money. Larger chains such as Pizza Hut often send out 50% off vouchers so it maybe worth signing up to their newsletter for offers.

Budgeting for baby essentials:


Look at your budget and set aside an allocated amount to baby stuff (if you are able to do that of course) which you can use to purchase items as you go along. Stocking up on enough baby grows, fabric softener etc is a good idea if you you have the budget and space for the extra items.

Babies cost a fair bit. If you plan to use disposable nappies and wipes you may wish to buy a packet of nappies and wipes her shopping trip to build up a supply before baby arrives. The cost of a pack of store own brand nappies and wipes will cost you approximately £5.00 and will be less missed on a weekly basis whereas bulk buying will be more noticeable to your budget.

Boots, Tesco, Asda and Sainsburys ALL host baby events during which baby essential items go on offer. I’ve picked up a box of six packs of Huggies baby wipes for £3.00 at the clearance before. I’ve also picked up six tommee tippee bottles for £5.00 at the end of the event. It’s worth you signing up to these stores newsletters and mailings so you know what’s on offer and when. Tesco offer a 1/3 off their newborn and two sizes up nappies during their baby event. That’s a big saving when you add things up.

The items worth stocking up on are:


Wipes (babies get through loads of these)

Nappies in Newborn size. Don’t buy lots in a small size. Babies get through anywhere between 8-12 nappies (and sometimes more) a day. Calculate how many you may need over a month. The blessing of buying store own brand nappies is you will be to exchange unopened bags of any nappies that you don’t use for a size up. So it’s worth thinking about that

Baby grows and body suits-ideally you could do with having enough for three/four days without having to rely on putting on your washer/dryer. Ideally stick to neutral colours and whites as you can wash them together

You will notice you do a lot of washing-if you see a non-biological washing powder in a bulk size box at a great price snap it up. Same goes for the fabric softener (if you use it) for delicate skins. I bought about six boxes of Fairy detergent. Each box did 80 washes and we got the boxes for £10.00 each from Sainsbury’s. They were an absolute bargain. We are still using them to wash our little girls clothes in.

What not to stock up on:


Baby formula-simply because you cannot tell if your child will be able to drink cows milk (Lactose Intolerance)

Food items and snacks-again you don’t know what your child’s tastes will be like and whether or not they will be able to eat said products

Gadget and gizmos-the ones you think you will need but never get round to using. Things like plastic mashers made by certain celebrities to mash bananas with work the same as a standard masher that costs a fraction of the price!

Parenting books-your local library should be well equipped to help you out. If that fails contact your local Children’s Centre and ask them if they have a parents book library.

Newborn developmental toys-really a newborn isn’t interested

Clothes in newborn sizes such as dresses, suits etc-people tend to give these as gifts and you end up with clothes you were unable to use. My advice is that you ask family and friends to give you vouchers not clothes for the stores you shop in-that way you can put them to better use afterwards when baby needs clothes.

Try not to become label obsessed. Own brand items are just as good quality as larger brands. Do a bit of research online to find out which own brand items are current parent favourites. Personally I like Tescos own brand nappies and switched to these when I found out Huggies would no longer be selling their nappies in the UK/Ireland.

 

Preparing mentally and physically


Now I would be the dumbest blogger around if I told you being a newborn’s parent was a brisk walk in the park. I think I’m best off describing it as a climb up Ben Nevis. It’s hard, testing but the reward from the achievement of reaching the top is amazing.

I didn’t know much about being a parent first time round so read every parenting book available to me at the Library. As readers of my blog will know I have read in detail books on baby sleep. I read and read and read. I attempted to prepare to the best of my capability.

I tried to rest as much as possible. Although I prepared I wasn’t prepared for a emergency C-section with a blood transfusion on top. Sometimes we prepare we are still tested;don’t be disheartened if this happens to you.

As long as you understand each child is different and they don’t all develop at the same speed or do the same things as their siblings/cousins you should be a happy parent. If you find you are worried about something speak out don’t let it stew.

An important note: if you feel down past the first few weeks of your baby’s life (e.g. past the Baby blues stage) PLEASE speak to your Doctor or Health Visitor and don’t be ashamed of the way you feel. It’s not a pleasant experience and Mothers often feel sad and alone and ashamed that they are struggling and cannot feel a strong bond with their child. Post Natal Depression needs to be sorted by a professional; it doesn’t just disappear. It must be dealt with efficiently so you can life a happy life with your family. I am talking from painful experience. I cheated on the ‘test’ the Health Visitors use to determine if you are indeed at risk of PND. I knew the test as I had previously worked alongside Health Visitors and other professionals. My PND effected my whole life; it brought me down and I felt at times I wasn’t coping and yes admittedly I had dark thoughts. I didn’t see the importance of my life.

It’s quite natural for a pregnant woman or a new parent to feel down; however there’s a thin line between the feelings that can go away without medical treatment and what needs to be seen and treated by a Medical Professional. What I can tell you from experience is that babies that are born during winter (when the clocks go back) are born at a time when a lot of people are generally feeling down due to the lack of sunlight. If this happens to you please speak to a Medical professional and explain your feelings. There is seriously nothing to be embarrassed about. Please for the sake of your child seek medical advice.

It’s going to be a bumpy, tiring and testing journey but it’s worth. I look at my little girl and look back on the two years and there have been moments of joy and moments I wish to forget. But the most important thing is my toddler is a happy toddler-and that’s the goal of parenting.

Sunday, 3 February 2013

Reflux-from the POV of a parent who survived it

Firstly I'd just like to apoligise to the regular readers over my month long absence. For this there are two reasons: illness and I was busy working on my first Novel and well needed to get so much typed up I didn't get round to blogging. However I am now back, even though I am still busy working on other books. No rest for the wicked.

Although my little one is two, her baby days are still fresh in my head and I hope this doesn’t change as years go by. My little blessing was born at 38 weeks via C-section. It was a complicated birth but the outcome was positive-a healthy baby girl.

Due to some complications my little one was put on antibiotics as soon as she was born. It was heartbreaking and a testing time to see a little baby having an iv line put in but she needed it. She managed to rip out the one in her hand; so the staff had to reinsert it into her foot to prevent further incidents.

After an extended stay in Hospital (I had an emergency C-section, followed by complications, followed by two blood transfusions plus little one had complications too) we made it home. Unfortunately the path wasn’t yet smooth and we soon started to notice that our little girl wouldn’t take the recommended amount of milk, she threw most of her feeds up, and she cried a lot too as if she was in discomfort.

Now as a new parent what a lot of parents do is google symptoms and panic. However this gets you nowhere at all; in fact most medical professionals will tell you that all is normal, your child is just settling etc etc.

I decided to invest in a few books about sleep and sleeping patterns. I like my sleep; but then who doesn’t. I came across a chapter or three on what can effect a child’s sleep. Now to say my little one was a very bad unpredictable sleeper was an understatement. We couldn’t get her to sleep. She’d cry most of the time. It was exhausting and a very testing time.

So I joined online parenting forums, read medical articles and books to find out what was happening to my three week old. It took approximately three weeks of research and five trips to out of hours medical service (it’s the out of hours GP service ran by the NHS) before a diagnosis was made. The diagnosis that was made was:

Lactose intolerance: the name of a condition whereby the person is unable to digest the sugars (lactose) found in milk and other dairy products (but not necessarily all)

Reflux: also know as Gastroesophageal reflux disease or GERD (the more popular name for it in the States). It’s basically a chronic condition whereby acid travels from the stomach up the throat-often for babies resulting in projectile vomiting.

Now I am aware of parents who struggled for much longer to get their child’s condition looked at and diagnosed. What helped me was the following which I hope someone will find useful and help them out too:


  • We noted down all feeds, the amounts, her reaction and how long it took her to bring up her feed. We also noted what the feed looked like (e.g. curdled)

  • We noted down wet nappies

  • Her behavior

  • Any sleep and how she liked to sleep

  • Other symptoms e.g. stomach cramps, upset stomach

  • (Anything else that we thought was of interest to a medical professional-including the parents medical history

 

We did the above observations over a few days. We had been told it was colic but no colic treatments worked, but as many parents will tell you our gut instinct wasn’t happy with that. I felt my child had a Lactose intolerance and Reflux but I needed a medical professional to help us.

After we visited the GP who applauded our note making (as it did help him notice a pattern) we were sent to the local Hospitals Children’s Ward where the staff looked at the notes and the amount of times we had visited out GP and out of hours service. We kept our Health Visitor in the ‘loop’ too as she was a great help and actively supported our mission to get our little one seen and diagnosed as soon as possible.

The Hospital Registrar signed off a prescription of lactose free milk and a diagnosis of Lactose intolerance and Reflux was made. Our little one took an instant dislike to the milk (it smelt like vinegar) so we went back to the GP and a few calls later and little one was put onto Wysoy milk. And would you believe as soon as little one tasted it she was able to take slightly bigger feeds and the projectile vomiting ceased?

It just shows that doing your own research properly can actually help you to understand the medical problem and help you get a quicker response from your medical team.

Throughout our little ones progress we were given support by a Dietician-also via the NHS. She was the biggest help possible especially around Weaning time. In this day and age a dairy-free diet isn’t a curse; there are plenty of alternatives on the market. We are blessed. Plus how many times do you hear from a medical professional that they give you the green light to feed your child chocolate desserts if that’s what makes them happy?

Our little one still has Wysoy milk although we are gradually introducing diary products whilst monitoring her. So far we’ve been happy with the outcome-our little one hasn’t had any reactions which means her lactose intolerance is indeed fading. We were told by our Dietician that most children (not all!) grow out of Lactose Intolerance by School age so we were prepared for either or really.

So to recap Lactose is the sugar found in milk thus in cheese and yogurt. Not all of us are able to digest it and develop problems as my little girl did.

Reflux is to sum it up when acid in the stomach doesn’t allow your food/drink to be digested and throws it back up (with babies it’s usually projectile vomiting). It is controlled with various medication however dosages usually change as a baby/toddler gains weight. Most babies grow out of it as they start to walk as their upright position helps the acid stay down.

These of course are very simple explanations, if you use google you will get greatly detailed descriptions of both. If you are a parent just getting the hang of both I suggest you read up on a detailed report, and go from there. The more knowledge you have the better.

If you are dealing with reflux here is my advice; from a Mother that has dealt with the issue.

If your child is on medical to combat the reflux STAY on top of the dosages. If you notice that the vomiting is returning tell your GP as soon as possible; it maybe a simple case that your child has gained weight and needs their dosage reviewed. My little one was on the following: Gaviscon infant (to thicken the milk), Domperidone which helped speed up the process of digestion and the emptying of the stomach, and Ranitidine which in essence stopped the production of acid. Combined these medications helped our little one thrive. She’s a happy and healthy two year old so it shows that medical professionals know what they are doing and sometimes we do need to give our children a cocktail of drugs if we want to sort out a medical issue.

Babies hate being sick and once they are sick a few times they develop a fear of sickness and will only take small feeds-this is normal for a child with Reflux. Smaller dosages stay down easier for them. You will find that your baby has more frequent yet smaller feeds compared to a child who doesn’t have Reflux-relax there’s nothing to worry about.

Babies like being upright; you will find that a baby suffering from Reflux doesn’t want to be on their stomach. We avoided ‘tummy time’ activities.

Weaning will help your baby; your Dietician will help you with this. Sometimes early Weaning is recommended. Not a problem as long as you are all happy with the situation.

ALWAYS keep Health Visitors and other professionals in the ‘loop’ on developments. All Hospitals (as far as I am aware) inform your GP of visits to out of hour service visits; sometimes they will even give you a letter to pass onto your GP with an update. This is all good as the more up to date the team are around your child the less likely they are to either repeatedly ask questions.

Reflux babies hate sleeping on a flat surface. This is easily dealt with by either:

Propping up your child’s cot (with reliable props) at one end to create a slight angle OR

Using a ‘wedge’ pillow support. You can buy these online and they basically go under the fitted sheet directly on the mattress creating a 45 degree angle elevating your little ones head which in turn helps the acid stay down.

Your little one may struggle with sleeping especially the concept of ‘sleeping through the night’ you may find the sleeping books out there are wasted on your little one. Please don’t panic. My two year old still wakes at night. At first I’d cry and cry and cry about it. Now I’ve grown accustomed to it. Not all children are the same; authors often forget this. PLEASE don’t fall for the trap of comparing your child to someone else’s perfect angel who eats three times a day, takes full feeds and has slept threw the night since he was 6 months old. Your child has a medical condition and needs you to be strong and supportive not a critical eye.

Swings are a favourite toy-they gently lull a child whilst in the upright position. You may find your little one naps in this position. If this is the case speak to your health visitor and discuss if there is any harm in this.

Enjoy your baby-take them to the park, join a playgroup etc etc. Don’t let the fear of accidentally giving them a dairy produce destroy your precious time together. It’s not worth it; if you do join a baby group you’ll find staff will ask you about medical conditions and intolerance-these days we are all aware of how many health problems bundles of joy come with. We are more medically aware than we were back in 1913.

Your ‘gut feeling’ as a parent is often a signal there is something wrong. A GP won’t really take this as something to start alarm bells ringing, however if you do your research and prove that you know what you are on about and you simply haven’t pulled a medical term out of a dictionary.

 
Breastfeeding and reflux-this is a big kettle of fish I don’t want to discuss however I will say this-if you are breastfeeding and your child develops symptoms it maybe time for Mama to look at her own diet and consider non-lactose milk. Speak to a professional and do your own educated research.

REMEMBER-you are not alone.If you don’t have family to support you join an online parenting forum and soon you will have more family virtually then you know what to do with. Online communities provide support that is priceless.