Expecting Summer 2023

2023 HOSPITAL BIRTHING DIRECTORY

proudly delivered by:

Sponsored by:

Rebecca A. Dandoy, MD Kenton A. Pate, MD

James M. Komer, MD

Diana E. Small, MD Jennifer Thornicroft, FNP

9 BABY BITS Massage, vaccinations and a teething surprise.

12 HOSPITAL DIRECTORY Where will you deliver your baby?

14 MANAGING A NEWBORN + TODDLER Roll up your sleeves because you’re in it now!

BROUGHT TO YOU BY CINCINNATI FAMILY

PUBLISHER

Stewart Day stewart@daycommedia.com

EDITOR IN CHIEF

Susan Swindell Day susan@daycommedia.com

EDITOR

Amanda Hayward amandahayward@daycommedia.com

PRODUCTION

Tim Henard timhenard@daycommedia.com

ACCOUNT MANAGERS

Amanda Ciani amandaciani@daycommedia.com

Theresa Cicchinelli theresa@daycommedia.com

Is the First One the Hardest?

Afriend of ours with a newborn and a toddler at home says yes. She says it’s now twice as difficult to meet each of her children’s needs. Who does the who, what, when and why of it all is inherent if you’ve done it before, but when there’s a toddler needing your attention, too, you’ll feel pulled apart in the spaces of your heart.

With first babies, learning how to do everything that they require for the very first time, is tricky. From washing infant clothes to the baby confusing night for day to sterilizing bottles to getting precious sleep, to one day waking up and realizing, hey, he slept through the night — it’s a lot. First babies mean roll-up-your-sleeves-andfigure-this-tiny-soul-out time. We’ve got you, and our aim is to be of help! — the editors

EXPECTING is published by DAYCOM MEDIA, publisher of CINCINNATI FAMILY magazine. Although every precaution has been taken to ensure accuracy of published material, DAYCOM MEDIA cannot be held responsible for opinions expressed or facts supplied by its authors. Editorial and business offices are located at 10945 Reed Hartman Hwy., Ste 323, Cincinnati, OH 45242. The phone number is 513-3225052; fax is 513-252-0081. CINCINNATI

FAMILY’S EXPECTING is copyright © 2023 by DayCom Media, Inc., a member of The Family Magazine Syndicate. All rights reserved. Reproduction in whole or in part is strictly prohibited.

Elite Nannies on Demand

bits

by Susan Day

Infant Massage Boosts Bonding

The magic of touch promotes a comfy connection with Baby while stimulating his internal systems.

Infant massage is a fun and fantastic way to bond with your new baby. Massage stimulates all of Baby's systems — nervous, circulatory, respiratory and immune — and helps develop closeness with your child.

In Massaging Your Baby: The Joy of Touch Time, author Elaine Fogel Schneider recommends the following preparation and basic techniques to get started:

• Create a calm atmosphere — a warm, quiet place is best. Try to maintain eye contact with Baby.

• Control your touch — be gentle and avoid tickling.

• Slowly stroke and knead each part of Baby's body — spend one minute each on different areas including Baby's head,

neck, shoulders, upper back, waist, thighs, feet and hands.

• Stay relaxed — talk to Baby during the massage. Try singing a lullaby or telling a story.

• Watch how Baby responds — if she jiggles her arms/legs and seems happy, Baby's likely enjoying the experience. If Baby turns her head away or appears restless, stop and try again later. As Baby grows, the massage can provide relaxation while experiencing discomfort with teething, learning to crawl/walk or transitioning to solid foods.

Talk to your baby's doctor before starting massage if your little one has underlying health issues. Also — know that it takes practice before you get the hang of it!

Benefits of Infant Massage

Research suggests that babies who are massaged enjoy many benefits:

• Deeper, longer sleep

• Improved muscle tone

• Increased body awareness

• Increased weight gain for premature infants or those who fail to thrive

• Relaxed response to sensory input

• Increased circulation

• More active time

• Better ability to self-regulate

• Decreased stress

Source: infantmassageusa.org

BABY bits

Vaccinating Your Baby

The Centers for Disease Control and Prevention (CDC) advises that children be vaccinated for 14 diseases before age 6 on a schedule, which involves roughly 29 shots, sometimes several at once. That said, a wide majority of pediatricians and family doctors permit parents who wish to delay vaccinations for their baby even though the decisions put the children at risk for measles, whooping cough and other ailments. A 2022 survey from the American Academy of Pediatrics revealed that many doctors get requests to spread out vaccines in a typical month and will agree to do so. It is important to be aware that vaccines help to prevent common diseases that used to seriously harm or even kill children.

Beginning in the hospital, your infant will receive: Hepatitis B (first dose)

Newborn vaccines recommended for babies at 1 - 2 months old:

Hepatitis B (second dose)

DTaP (first dose)

HiB (first dose)

Polio (first dose)

PCV13 (first dose)

RV (first dose)

At 4 months, a baby should receive the following newborn vaccines:

DTaP (second dose)

HiB (second dose)

Polio (second dose)

PCV13 (second dose)

RV (second dose)

What about the COVID-19 vaccine for babies?

In February, 2023, the CDC added COVID-19 shots to the schedule of routinely

recommended vaccines for children. In addition, updated guidance on influenza and pneumococcal vaccines and new vaccines for measles, mumps, and rubella (MMR) and for hepatitis B were added. COVID-19 vaccine is recommended for everyone ages 6 months and older. Consult with your doctor if you have questions.

For a complete list of recommended vaccines by age go to cdc.gov/vaccines/ schedules.

Teething Can Start Earlier Than You Think

You've finally gotten into a rhythm with Baby at about 3 months of age and then ... wait ... is that a little tooth breaking through the gums? Could be. Babies as young as 3 months old can begin teething, according to KidsHealth.org.

While it's more common for the first teeth to appear between 4 and 7 months of age, earlier teething can happen, too. First, it's the bottom two central incisors. After that, the four top teeth will come in about a month or so later.

Teething brings drool, swollen gums, fin-

ger sucking, crying, fussing and crankiness. So if your baby was sleeping through the night at this point, the schedule will see some upset now. Here are ways to bring some relief:

• Refrigerated rubber teethers

• Doctor-approved acetaminophen

• Cold, soft foods and milk

Frozen teething toys are too hard for a teething baby, so avoid those. And always consult with your pediatrician if fever, runny nose or diarrhea are present.

2023 Hospital Birthing Guide

Private, special care nursery rooms; two dedicated C-Section birthing rooms; the region’s only C-Section viewing room allowing families to watch with prior permission; hydrotherapy, large showers with seats for natural childbirth; lactation services; room-service style nutrition; free sleep sack; classes; wireless fetal monitoring; Baby Café – free breastfeeding support group.

Private rooms, hydrotherapy, free sleep sack, gentle C-section, seven-day lactation support, nitrous oxide, 24-hour neonatologist, natural childbirth supported, classes, wireless fetal monitoring, Baby Café – free breastfeeding support group, room-service style nutrition.

Spacious rooms to accommodate mom, Baby and support person; two C-section birthing rooms; inpatient lactation support; wireless fetal monitoring. A newly renovated Special Care Nursery with eight private rooms for 24-hour access to neonatologists, specialized nurses and state-of-the-art equipment.

All our physicians and certified nurse midwives and all eligible labor and delivery nurses are certified in Electronic Fetal Monitoring; exceptional mother-baby care. Outpatient lactation services by appointment.

Special care nursery, four-bed triage unit, all labor and delivery staff certified in external fetal monitoring, many staff certified in inpatient obstetrics and neonatal nurses certified in low-risk neonatal care; prenatal clinic staffed by nurses; all staff cross-training excellent care to mother and baby.

West Hospital is a five-star hospital. Voted Most Supportive Breastfeeding Hospital two years in a row. The birthing center is home to seven Daisy Award recipients. Our natural childbirth suite offers nitrous, birthing balls, a Swedish birth chair and hydrotherapy. We pride ourselves on providing exceptional, family-centered, memorable care.

Both traditional labor rooms and Natural Beginnings Birth Center for low-risk deliveries. Able to accommodate water births in both locations; many labor amenities including birthing balls, aroma therapy, massage therapy, hydrotherapy, epidurals.

Comfortable LDRP suites perfect for family-centered care; free childbirth and breastfeeding classes; Certified Nurse Midwife and natural childbirth options; MaternalFetal Center for diagnostic perinatal services at Edgewood; Level III NICU care provided at Edgewood.

Birthing suites for family-centered care; postpartum care separate from laboring unit, unless high-risk; recognized Baby Friendly Hospital; Perinatal Care Certification from The Joint Commission; free childbirth and breastfeeding classes; Certified Nurse Midwives, Level III NICU on site if Baby needs special care after birth.

State-of-the-art birthing suites including dedicated natural childbirth suites, renovated postpartum unit with 43 private rooms, three C-section operating rooms, Level II Special Care Nursery dedicated to tender care of babies who need extra attention after delivery. Interactive health and wellness education; Breastfeeding Care Center; childbirth education; comprehensive maternity care with the region’s largest network of physicians and midwives.

UC HEALTH UNIVERSITY OF CINCINNATI MEDICAL CENTER 234 Goodman St. 513-584-1000

KEY:

Level I: Basic care for low-risk. Level II-Obstetric: Maternal-fetal services for normal patients and those with mild obstetric complications. Level II-Neonatal: Specialty services for infants born at or beyond 32 weeks with problems that are expected to resolve rapidly.

II

An expanded L&D unit with valet, parking, bedside registration and concierge services. Spacious birthing suites with hydrotherapy and room-service style nutrition services. Good Samaritan offers the most comprehensive maternity care. TriHealth Maternal Fetal Medicine specialists, Advanced Obstetrical Care, Seton Center for Advanced Obstetrics, TriHealth Fetal Care and the region’s oldest and largest maternity NICU provide care for highrisk pregnancy patients. Breastfeeding Care Center and a wide variety of childbirth education options.

Comprehensive obstetric services with personal care in newly renovated spaces. Private LDR rooms with a homelike atmosphere. Baby Bound prenatal education program offers free, personalized consultations during pregnancy. Breastfeeding support offered by the nursing team in addition to the board-certified lactation consultants. Ongoing support available. Rooming-in is encouraged along with Kangaroo Care.

UC Medical Center is the first in the state of Ohio to receive Perinatal Care Certification from the Joint Commission. UC Medical Center is a Level IV maternity hospital, providing the highest level of maternal-fetal medical care in the state of Ohio. The partnership between University of Cincinnati Medical Center, Cincinnati Children’s and Good Samaritan Hospital provides exceptional medical care for women and their unborn babies.

Surgical Suites within Maternity Unit, access to Cincinnati Children’s neonatologists 24/7, lactation consultants on staff, room service for nutrition, bedside tables, birthday cake celebration, “Date Night” Dinner before discharge.

Level III-Obstetric: Maternal-fetal services for normal patients and those in need of intensive care. Level III-Neonatal: Care for infants born less than 32 weeks or with complex medical conditions. Level IV-Neonatal: Has capabilities of Level III units with additional functions. Surgeries for complex conditions.

Managing A Newborn and a Toddler

It's so exciting to bring a new baby home when you have another child waiting to meet him. But caring for two young kids is challenging for a new mama; demanding and exhausting. Your toddler may feel jealous, displaced or lonely to see you loving on another child — feelings that may cause them to act out. Know that there are a few helpful adjustments you can make moving from one-on-one to zone parenting. And you can do it all successfully. Here are a few tips for bringing your new baby home from From One Child to Two: What to Expect, How to Cope and How to Enjoy Your Growing Family by Judy Dunn.

INCLUDE YOUR TODDLER

While you may be consumed by your pregnancy and preparing for your new baby's arrival, remember to include your toddler. Feelings of being left out can arise quickly if you're preoccupied with new baby matters and skipping reading and play time with your Little.

As you wait for the arrival of your infant, spend quality time with your young child, assuring her that she is your baby, too. Include your Little in the naming of the new baby, decorating your nursery, storing diapers and allowing your Little to talk to your belly, read stories together and more.

ANSWER QUESTIONS THOROUGHLY

As you get closer to your delivery and your belly grows very large, your Little will start wondering what to expect. They may have lots of questions. Be sure to explain how everything will go to your child if they ask questions and especially if they don't. Explain who will take care of them while you're at the hospital and who will get their dinner and read them bedtime stories, how long you'll be gone, etc.

INTRODUCING THE SIBLINGS

Allow your older child to come to the hospital to meet their new sibling. Have someone else hold the baby when your child comes in so you can give your toddler affection and then help with the introductions. Have a small gift like a "I'm a Big Sister" t-shirt to give to your older child or even a new, soft baby doll so your child has a baby like Mama's.

AT HOME

Like in the hospital, the technique of asking someone else to hold the newborn when you arrive is a good one. You want to be available to get down on your little one's level and give them a good hug

You've been wondering what it will be like to take care of your newborn when your toddler is so demanding. Read on — and take heart.

Reminding your older child of her babyhood goes a long way toward helping child filled in about Baby’s daily progress and include your toddler as much

and a some one-on-one time before tending to your newborn. Once you're satisfied that your Little feels seen and heard, move on to your newborn.

Of course, understand that this is a big transition for your older child, so don't try to do anything like potty training during this time or they won't get the attention they need. In fact, avoid doing anything new to disrupt your older child's life except for bringing the newborn into their world at this time.

BREASTFEEDING

When you have to provide so much extended time breastfeeding a newborn, your time will really be divided. Explain the process of breastfeeding. You can involve your toddler in getting your pillow or assisting with changing the diaper and trying to schedule some interesting activity for them during your breastfeeding times.

REGRESSION

It is normal for a usurped older sibling to start regressing to gain attention. Thumb sucking, toilet accidents or nightmares may occur. Remember these are all temporary. Be empathetic but firm about rules. Keep telling your older child about the “big-child advantage.” They are older, so they can eat ice-cream, play in the park, etc.

TODDLER TIME

Having another child is not about dividing the firstborn’s allotted love. It is about giving them more. Make no compromise on having time

alone with your older child. It could be buying groceries, taking them to their favorite restaurant or watching a movie together. Make sure the baby is nowhere around during these precious moments. Encourage your child to share their feelings with you all the while.

HELP

Clearly stated, when someone offers help such as a playdate for your Little — say yes!

Susan Day is a mom of four and editorial director for this publication.

More Tips for Bringing Home a Second Baby

• REMIND YOUR OLDER CHILD OF HER BABYHOOD

It’s a great time to pull out photos and movies of your older child as a baby. As you go through them, help your child see that at one time they were the baby who was getting special attention.

• PROVIDE REALISTIC EXPECTATIONS

Give your older child realistic information about babies — that they sleep a lot, nurse a lot, have a noisy and loud cry, will have lots of messy diapers and that it will be a while before they will turn into a fun playmate.

• USE POSITIVITY

Use positive terms to patiently teach your older child how to touch and play with the baby. Avoid using, “No” and replace it with positive instructions. Instead of saying, “No! Don’t touch the baby’s eyes!”, you can say, “The baby's eyes are delicate; touch her gently on her cheeks or her tiny chin, instead.”

Avoid overusing “No” and “Stop” by using the “hover and rescue" approach. Hover over your children and intervene only if you see things moving away from your comfort zone. Then, simply pick the baby up, distract the older child and move on to something else.

• DON'T BLAME THE BABY

Avoid blaming everything on “the baby” – a common error. How do you do that? “We can’t go now, Mommy has to feed THE BABY.” “Be quiet so you don’t wake THE BABY.” “I can’t play right now, I have to bathe THE BABY.” And so on. Very soon, your older child will be ready to send THE BABY from whence it came! Of course, “the baby” really is the reason, but instead of calling that out, use a few multipurpose statements such as, “My hands are busy right now,” “We’ll go later, after lunch/nap,” “Yes, we can play, in 20 minutes.”

her understand what’s going on at home now. Keep your older as possible for a positive outcome.

nashvilleparent.com

Source: The No-Cry Solution by Elizabeth Pantley.

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