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Baby/Toddler & Parent
Enrichment Center

Norwell, MA &  Pembroke, MA!

 

Interview Questions for Daycares

by Margaret Breen • March 6th, 2016

Visiting daycares can be daunting. Some expectant parents might feel the weight of the responsibility to choose The Best Daycare without knowing exactly what that looks like. We’re here to help, and composed a step-by-step guide to choosing a daycare , a printable Daycare Spreadsheet, and this set of interview questions to ask caregivers once you’ve narrowed your search.

Day-to-Day Operations

How does communication work? Do they use daily printouts of baby’s activities during the day? Will they email pictures? Do they produce a newsletter?

What is the sick policy? Weak sick policies don’t necessarily mean you won’t have to stay home less with a sick child. It might mean your baby will be sick more.

Does the center close any weeks for training or vacation? Some small shops may close 2-4 weeks a year, with varying payment policies. This might choose your vacation time for you.

Are you required to pay for days your child does not attend? Some daycares let you take weeks off for vacation without paying and some wont.

What is their security? Are there security codes or badges?

Do they have an open-door policy on parent visits?

What supplies must you provide? Most daycares ask you to provide diapers, crib sheets, wipes, extra clothes, pre-made bottles, cereal, and other things. Ask how labeling works and how they will communicate if supplies run low.

How do they deal with allergies?

Do they have flex care options or additional hours?

Do you need a contract?

Educators

What is the turnover rate for teachers?

Are teachers CORI formed?

What are teacher certifications?

Does anyone smoke? If so, where?

Curriculum

How do they calm a fussy baby? What happens if a baby cried inconsolably?

What is the discipline policy?

What are the age groupings? What is the theory behind the groupings, and when do children advance?

What is the caregiver-to-child ratio? Is there an open floor plan so instructors who need a break or could use an extra hand get additional support?

How is each day structured? Ask about curriculum, enrichment opportunities, and organization.

How do they encourage language development?

How do they encourage gross and fine motor skills?

What art and science is incorporated for older children?

-Do they incorporate extracurriculars? Do Spanish, music, or dance teachers come in, and does is cost extra? Do they offer swim lessons or sports?

The Space

Do they wash toys every time they go in any mouth? How often is everything wiped down? How are soft toys washed?

How often are sheets changed, and are they washed on site or sent home? Will an infant ever share a crib with another infant?

Is there a separate room for infants? Until what age?

Is there child-made art up or does it look like they raided the clearance aisle in Staples? Are the decorations season-appropriate or stagnant?

How often are baby swings used? Look for swing and appliance-free areas or “least-restrictive” environments that encourage babies to spend most of their time on mats where they can move, squirm, crawl, have tummy time, explore, socialize, and learn.

How is the room organized? Toddler and preschooler areas should be organized into stations (i.e., the art station, the blocks station, the sand station, the dress-up station, etc.) This helps your child learn focus (one task at a time), responsibility (you have to clean up before you can move), social skills (working together with others at one task), organization, and whatever the task itself if teaching her.

Is there outdoor play space available? How often do children go outside?

Feeding

How does the introduction to solids work?

Do they brush children’s teeth? MA state law requires daycare providers to brush children’s teeth after meals because gum disease is the most prevalent childhood disease.

How do they heat bottles? Microwaves and crock pots can be unsafe.

How is breastmilk handled? (It should be kept separate from other milk, labeled, and providers should use gloves while giving bottles.)

Where are babies fed in relation to where they are changed?

Changing

Do teachers wash their hands or change gloves after every diaper change? MA state law requires that they do.

How is potty training supported?

Looking for more resources for expectant parents who plan on returning to work? Check out our New Parent Work Program!

Why Take A Childbirth Class?

by Stacey Stratton • February 15th, 2016

You’re pregnant! Congratulations! With pregnancy come a lot of new feelings, sensations, and questions.

There are so many ways to get information these days: books, the web, friends, and your healthcare provider. Many expecting women ask why they should take a childbirth class if they can just Google it or ask their best friend who just had a baby. There are great benefits to taking a childbirth class.

1. An actual, live person who is an expert in childbirth
New Arrival Educators has certified childbirth educators leading their classes. Many of the educators have additional education and certifications as well. A certified childbirth educator has taken in-person trainings, read several books, researched topics for a written report, taken a test, signed an agreement to remain in a scope of practice, and agrees to stay current with evidence-based practices through continuing education. With a combined total of almost 100 years of experience teaching childbirth and parenting classes, New Arrival Educators are experts in the field.

2. Answers for your questions
Taking a childbirth class gives you the opportunity to ask questions, any question. No question is too embarrassing, too weird, or too silly to ask. This is your opportunity to ask your most important question and get an educated, non-biased answer. Every now and then, there is a question that your childbirth educator does not have an answer to, but rest assured she will find the answer and get back to you!

3. Get your partner involved
Moms get to experience the joys and challenges of pregnancy firsthand. Everything from nausea to those first fluttering movements of baby is experienced first by mom. Your childbirth class gives your partner the opportunity to experience an important part of the process. It gives them the opportunity to ask questions, discover ways to support you throughout labor and birth, and helps to reduce any fears they may be having.

4. Builds confidence and makes you powerful
Discovering ways to reduce anxiety and gain knowledge are extremely important for expecting families. There are so many new things to learn on your parenting journey, and with that, there is sometimes anxiety and fear. Knowledge about the process and knowing your options will make you a powerful parent who is able to make the best decisions for your family, while reducing your fear about the unknown. The ability to relax and trust your body in the labor process will assist you in an easier labor, and help you to enjoy the process as well.

5. Best use of your time

Busy is an understatement for many of us. Many expecting families feel that they do not have time for a childbirth class. We understand that, and have designed our classes to fit busy schedules. Our classes are designed for you to get a lot of information in a short period of time, with the ability to get more answers even after your class has ended. Taking a Saturday and becoming prepared for a variety of situations is so much better than having to quickly and frantically gather information, while working with con

tractions, and not having time to process that information in a timely manner.

Share with us your favorite part of your childbirth class, something you learned that surprised you, or some advice that you really took to heart. We look forward to hearing from you!

Supplemental Nursing System

by Melanie Venuti • February 8th, 2016

A supplemental nursing system (SNS) involves the use of a container or bottle, and a tiny tube leading from the container to the mother’s nipple. An SNS is used for supplemental circumstances when a baby either is not able to transfer milk from mother’s breast, or mother’s milk is in short supply. An SNS can be filled with expressed breast milk from the mother or a donor, or with infant formula.

An SNS may be recommended for a mother to use by a lactation consultant for specific reasons concerning the baby, or reasons concerning the mother. Some circumstances that may affect a baby’s latch including a premature baby, a baby with a cleft lip or palate, or a baby with Down Syndrome, would be perfect examples of when an SNS would be appropriate. A mother adopting a child who either wishing to induce lactation or create an intimate bond by breastfeeding their baby, a mother who has had previous breast-related surgeries, including augmentation, reduction, or removal of breast tissue for medical reasons, or a mother who congenitally has insufficient glandular tissue, would also be examples of which an SNS would offer a positive breastfeeding option.

The benefits of using an SNS versus a bottle for supplementation in the above situations, are both for the mother and baby. When a baby suckles directly on the breast, the baby is receiving nutrition from the mother’s milk supply directly, in addition to the tube. In this circumstance, the mother’s milk supply is stimulated hormonally by the infants suckling, and therefore helping increase her supply. In the event where mother either hormonally or congenitally is not able to produce a full milk supply for their baby, we must remember that breastfeeding is not only about providing mother’s milk to baby, it is just as much about creating and intimate bond, providing comfort, providing a safe place for baby and offering mother and baby a way to feed in the most natural approach.

Some quick tips:

  • Before deciding to use a SNS, talk with an Internationally Board Certified Lactation Consultant (IBCLC). She/he will be able to give you advice on which system to use, and may be able to assess and improve position and latching. This will ensure that your breast is being stimulated properly, and will avoid sore and damaged nipples.
  • If you have milk, use it! Talk with your LC and figure out when pumping is possible in your day to use your own milk in the device.
  • Donor milk is available, but formula is ok too!
  • Create a consistent routine with using your SNS. Decide what positioning is most comfortable for you (IE: placing in a pocket, hanging around your neck, having a partner or helper hold it), have a feeding area with all of your supplies (tape, water, cell phone) so that each feeding may happen with ease.
  • Make sure the tube is positioned in baby’s mouth towards the roof of their mouth for consistent flow and comfortable swallowing. If your baby seems to be gagging or coughing or coming off the breast, slow the flow of the SNS and re-position the tube.
  • Some mothers find it helpful to feed their baby with mittens or swaddled. This will prevent baby from tugging or pulling the tube out of their mouth. This is not the case in every circumstance, so make your best judgment during your feedings.

Remember that every task takes time to progress into ease. Take a deep breath, and remember that you are doing the best for you and for your baby. Reach out to your local LCs with all questions and concerns.
When you are beginning your journey of breastfeeding, remember that it is a special gift that only you can provide to your baby. If you need more support, take a breastfeeding class, come for a drop-in breastfeeding group, or talk to a lactation consultant on the south shore.

Hands-Free Baby-Wearing

by Judy Roy • February 1st, 2016

When most people hear the term “hands free,” they think of phones. Unless they are a parent.

Like most babies, mine liked to be held – all the time. But, it made getting things done a challenge. Behold, an infant carrier, the device for hands-free baby-wearing that got me through my children’s early years!

Housework? No problem, with a child strapped to my chest. Grocery shopping? A breeze. Walking the dog? I could stroll the neighborhood with the leash in one hand, a coffee in the other, and the baby snuggled content and close in the carrier.

They keep unwanted strangers from touching your newborns, too. The strangers who feel comfortable approaching a carriage in the mall to tickle a baby’s cheek would never dream of touching them in a carrier.

For nursing mothers of newborns, they can be a lifesaver. Babies who comfort nurse for hours on end can get all the snuggly warmth, mommy smells and rocking that they crave in a carrier, while giving their mothers a rest.

My first two children are two years apart to the week, though they actually weighed the same when the older was 2 ½ and the younger 6 months. I would strap the younger one to my front and put the older one in a backpack and head out for walks on the beach where a stroller was too hard to push.

(A word of caution: when grocery shopping, keep one hand on baby’s back to prevent banging their head on cart while unloading items.)

I highly recommend using a carrier, whatever style you feel comfortable with. Try a few different ones at the store to a friend’s house and then decide. I preferred the soft fabric ones for around the house and liked the more structured ones for outdoors. My husband would only use the structured style. Give hands free a try!

5 tips for nursing mamas

by Melanie Venuti • February 1st, 2016

1.) Breastfeeding can HURT…but it shouldn’t.
After your baby is born, and you and your baby are learning to breastfeed together. Sometimes it can be a little bit uncomfortable, and this is when you want to ask for help. When breastfeeding is painful, it typically means that something isn’t right with positioning, latch, engorgement, or even water retention or swelling. A Certified Lactation Consultant (IBCLC) has knowledge and experience working in the field of maternal and child health and has specialized skills in breastfeeding management. IBCLC’s use a problem solving approach and provide evidence-based information to breastfeeding women and make appropriate recommendations as needed to ensure breastfeeding success. Breastfeeding help is available!

2.) “It Takes a Village to Raise a Child.”
You can read books, take classes, and talk to friends and family to prepare for the arrival of your little one, but it’s also a great idea to take advantage of this community when your baby is born. Don’t be afraid to ask for help! Send an email with questions to the instructor of your newborn care or breastfeeding class. Reach out to friends and coworkers who have children for tips. Allow family to cook, clean and do laundry so you can rest.

3.) To make milk, you have to feed your baby.
Breast milk production starts during pregnancy. At about 18-20 weeks a woman’s body starts to produce colostum, baby’s first milk. After delivery, the endocrine control system continues to drive milk production, meaning that milk starts to increase by volume at about 36 hours due to changes in hormones. After milk has come in, production works via supply and demand. The more milk the baby takes the more the mother makes. So, feed your baby early and often!

4.) Some women have TOO MUCH milk.
Oversupply is a very real situation for some women. If your baby gags, chokes or pulls off the breast during the feeding or seems to have an uncomfortable gassy tummy, or if you are feeling “full” all the time or see sprays of milk coming from the breast upon stimulation, it is possible you have an oversupply. Talk to your IBCLC for what to do.

5.) You can enjoy your much-needed cocktail.
Alcohol does pass into breastmilk, and after one drink (1 beer, glass of wine, 1 mixed cocktail) typically peaks at about 30-60 minutes after consumption. Alcohol also passes out of a mother’s milk and her system, within 2-3 hours, making it safe to resume breastfeeding. Just like blood alcohol level, of course, the more alcohol that is consumed, the longer this process takes. “An occasional celebratory single, small alcoholic drink is acceptable, but breastfeeding should be avoided for 2 hours after the drink” as stated by the American Academy of Pediatrics.

Looking for Breastfeeding Support? Take a breastfeeding class, talk to one of our lactation consultants in the boston area or drop in to our breastfeeding group.

References:

http://www.lalecheleague.org/faq/alcohol.html
http://pediatrics.aappublications.org/content/115/2/496.full

How does milk production work?

Postpartum Depression

by Melanie Venuti • January 25th, 2016

Congratulations! You have just given birth to a beautiful baby! Everyone around you is so happy and excited for you and your partner. You, however, are feeling a bit confused; you love your baby but still feel so, so sad.

You are not alone. Childbirth and new parenthood can trigger a jumble of emotions from joy to extreme fear, as well as something unexpected: depression. About 9-16% of women experience Postpartum Depression (PPD) and up to 80% of women report having some degree of Baby Blues after delivery.

Baby Blues may include symptoms of anxiety, mood swings and crying spells, and almost always resolves after the first 2-3 weeks. Some women however, experience more severe symptoms and this is characterized as Postpartum Depression.

If you experience symptoms of Baby Blues or PPD, help is available for south shore moms.

Symptoms of Baby Blues (for first 2-3 weeks)

Mood swings
Anxiety
Sadness
Irritability
Crying
Trouble sleeping
Symptoms of PPD (beyond 2 weeks)

Loss of appetite
Insomnia
Intense irritability or anger
Lack of joy in life (especially with baby)
Feelings of guilt or inadequacy
Difficulty bonding with baby
Thoughts of harming self or baby
Causes of postpartum depression.

Hormonal changes
Emotional factors
Exhaustion
Overwhelmed
Stressed
Lack of support from family or partner
Financial difficulties
Outside responsibilities including caring for demanding older siblings
Other risk factors:

Family history of mental illness
Previous history of depression or anxiety disorders
If you suspect you may have symptoms of PPD, contact your health care provider immediately and discuss your options. Postpartum depression is a treatable condition that most mothers overcome within a few months.

Postpartum Depression Support for South Shore Moms:

South Shore Postpartum Support Network
24/7 Parents Helping Parents Line: 1-800-632-8188
Postpartum Support Group
Post Partum Progress
Sign up for a New Moms Class with New Arrivals Educators!
Talk with your OBGYN or PCP about a referral to a mental health counselor

references:

www.postpartum.org
www.womenshealth.gov
www.mayoclinic.org
www.depressionafterdelivery.com

Preparing for Motherhood

by Margaret Breen • January 25th, 2016

As soon as you discover you are pregnant, a whole new world opens up to you! It can be such an exciting time – but also very stressful.

All the anticipation and joy of having a new baby also can cause anxiety as you are flooded with information related to pregnancy, hospitals, doctors, midwives, baby registries, birth, caring for your new baby, breastfeeding, daycare, and more. There is so much to learn! Many new moms wonder, “How will my body change during pregnancy? What can I do to help myself have a healthy pregnancy and baby? What will my labor and birth be like? Will I be a good mom?” Partners wonder, “How can I help her during the pregnancy and birth? How will our lives change after the baby is born? Am I ready to have a baby in my life?”

Rest assured, most new parents share many of these same concerns. It is important to remember that all of this new information does not have to be learned overnight. There is plenty of time to prepare. The average first-time pregnancy is 39.5 to 41 weeks long, giving parents-to-be many months to learn and begin to adjust. Take it one day at a time.

First, focus on having a healthy pregnancy. Follow the guidelines from your health care provider. Be sure to “check-in” every day with your baby. Sit in a comfortable place, put your hands on the lower abdomen over the baby, close your eyes and take slow, deep breaths. Think about your baby and speak to your baby! (Baby’s ears start to develop at 5 weeks in utero and baby can hear your voice by 16 weeks.) This daily “check-in” with your baby will not only help you control your anxiety, but it will also keep you focused on what is important: the health and well-being of the baby.

By your 28th week of pregnancy, be sure to sign up for prenatal classes such as New Arrival Educators’ Childbirth Education, Breastfeeding, Newborn Care and Infant CPR and Safety Classes. These classes will help you feel more empowered and confident for your birth and your baby. You will learn tips and strategies to help you move through this transitional time more smoothly. Know what to expect and empower yourself to be an active participant in your birth and the care of your baby.

The first days and weeks after the baby is born continue to be a very transitional time. You will need help. Plan for it! Who is in your support village? Make a contact list of family, friends, co-workers, neighbors, health care providers, “In-Home” Lactation Consultant (New Arrival Educators), therapist, fitness club, and more. Look to connect with other new moms to learn from each other, feel supported and understood, and to have fun and make new friends! Join a new mom and baby group like Over The Moon Group and Baby and Me Group. It is one of the best things you do for yourself and your baby!

Congratulations and we hope to see your little family in class!

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