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Mindful Parenting Motherhood

On Parenting In A World Of Distraction

Recently, my 2-year-old son has started this new habit. He walks up to where I’m sitting, and he pulls on my arm. Specifically, he pulls on the wrist that is attached to the hand that is attached to my smartphone, and he asks me to get up.
If I’m being perfectly honest, it frustrates me. I don’t feel like I’m constantly on my phone, and typically I am trying to accomplish something for work when he interrupts. It wasn’t until more recently that I even considered that my distraction might be the problem—I kind of assumed he was just being a 2-year-old.

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I’ve worked from home for four years now. Even though I do have childcare pretty regularly, I also do a lot of multitasking while my kids play or sleep. I’ve worked really hard to try to maintain some kind of balance, to draw lines between work and home, but that hasn’t always gone well.
It wasn’t until my son began this habit of pulling on my arm that I realized this might be one of those seasons that isn’t as in balance as it should be. It wasn’t until I noticed how much frustration I felt being pulled away from my email or texts that I became open to the idea that I might not be doing the best job keeping the lines between motherhood and work in check, and that I might be letting tech become an unhealthy distraction.

Redefining Balance in a Digital World

When I first started to research tech distraction and parenting, I was nervous. My expectation was that I was going to find a mountain of evidence that I needed to draw hard lines between work and home. I expected I was going to walk away from my research believing I only had one choice—to give up stay-at-home parenting altogether and hire full-time care so I wasn’t so distracted by my tech devices around my kids.

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This wasn’t what I found to be true. Instead, I found experts are calling not for a complete absence of technology in family life, but a smarter, healthier approach to using and talking about technology. They’re calling for more intentional integration.

The Problem with Tech Distraction

Before I can get serious about changing the way our family approaches tech, I know I need to get clear on what problems tech-distraction creates for the modern family. Knowledge is power, right? In this case, the hope is that information will motivate lasting change in our family.

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There is a lot of research on screen time and how it impacts children, but the body of research on parental use of screens and how it impacts family is still developing. What I find interesting about the research that does exist is its logical progression.
First, there is research confirming that children are more likely to act out when their parents are distracted by tech. Specifically, a study published in Child Development reported that when parent-child interactions are frequently interrupted by technology, parents are more likely to report that their children have behavioral problems.
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Another study published in the journal Pediatrics observed families in a fast food restaurant, making note of their smartphone use and how it appeared to affect their interactions with their children. Researchers noted that 40 of the 55 observed parents used their smartphones during their meal. When left to entertain themselves (because of parental engrossment in technology), children were more likely to seek out their parents’ attention.
https://twitter.com/katie_willcox/status/1016892865006297090
“Parents who are distracted by their smartphones are more likely to see kids misbehaving because kids will have to misbehave in order to get their attention,” explains Shane Gregory Owens, PhD, a board-certified psychologist who works with families and young adults. “Parents with kids who learn that the fastest route to attention is misbehavior will end up with kids who misbehave.”
In this same study, we see another consequence of tech-distraction—parents who appeared to be very distracted by their phones were more likely to respond harshly when their children acted out or tried to get their attention.
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Most impactful, perhaps, is research on living in a digital world sponsored by AVG Antivirus. In 2015, they surveyed parents and children on family tech use and found that over half the children felt their parents were on a screen too often. Thirty-two percent of these children said the amount of time their parents spend on their phones makes them feel they are not important to their family.

Dealing with Our Tech Fascination

It is worth noting that many parents, like myself, are not unaware of the problem of technology in our lives. In the study mentioned above, 52 percent of parents admitted they were on their phones too often.
“My biggest concern … is that they’re really modeling behaviors that they’re not actually interested in their children picking up,” says Colleen Carroll, doctor of education and self-proclaimed screen freedom warrior. “It is not helping them as a parent to have credibility, and they lose the respect of their children.”

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In my own life, and what I suspect is the case in many families, using tech less is easier said than done. I am drawn to social media when I am bored, lonely, or simply exhausted. Being on a screen provides me with a positive experience that keeps me returning again and again, even when I’ve committed to using tech less.
For this reason, dealing with our tech fascination just might be the first step to a more balanced approach to technology and family life. If you find yourself compulsively reaching for your phone, Carroll offers some practical steps you can take to make phones less interesting.
“Almost all smartphones have the option to make the screens black and white instead of color,” she says. “Color saturation is one of the main addictive qualities of devices today.”
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Turning your phone to grayscale could be your first step toward becoming less fascinated with your phone. For those interested in making this switch, it’s an option usually found in the accessibility section of the general settings menu.
Next, permanently turn off all notifications on the apps on your phone. That way, you have to go out of your way to check emails, social media, or gaming apps.
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Lastly, she suggests protecting periods of time devoted to other things, like work or time with family, by turning your phone on airplane mode. It’s a simple way we can all disconnect for a bit for the good of our mental health and our relationships.

Changing the Family Culture

The goal of a healthy relationship with technology is not to give it up completely. Disconnecting entirely isn’t just impractical, it’s impossible for most.
“The idea that any of us is going to be able to be very strict about work versus family time, at least right now, it doesn’t seem possible,” says Owens.


Instead, Owens encourages parents to be very intentional about how they use tech at home. Parents who hope to see a positive change in the family dynamic surrounding technology need to step back and take a look at the family culture as a whole, according to Carroll. This can be accomplished by clearly defining your family values and then making concrete changes to center schedules and routines around them.

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“Families have success by creating designated work times where everybody can be on devices at some point,” she says. “For some families, it is between 7 and 9 p.m.; for other families, it’s more like 4 in the afternoon and 6:30.”
This time can be used in a way that works best for the family. This is the time when parents can catch up on work, kids can complete computer-based homework, and families can enjoy entertainment technology together.
[pullquote align=”center”]”The most important tool that any parent has is modeling the behavior they want to see in their kids.”
—Shane Owens, PhD, psychologist[/pullquote]
“Then there is an agreed upon shut down time so that everybody is also following that, and then they can do the other helpful activities that are really necessary on a nightly basis,” Carroll says, suggesting reading, bedtime routines, or even watching a show together as a family.
Building this schedule or routine is the perfect time for a formal discussion as a family about what the family values most and how they plan to make that a priority over screen time.
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“The family should get together and say, ‘Here’s why we don’t spend five or six hours a night on screens or playing video games,’” she says, providing outdoor time, reading, or socializing together as activities that could be scheduled in place of mindless screen time.
These two suggestions are part of a larger point that both Owens and Carroll stress as important. Parents need to explicitly talk about technology with their children. Children will make assumptions about their family values based on what they see and hear from parents, and if we don’t talk about why we’re not devoting our lives to screens, kids will likely get caught up in being connected.
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“The most important tool that any parent has is modeling the behavior they want to see in their kids,” says Owens. “So parents want kids to pay attention to them when they’re talking, so if your kids talks to you and you are on your phone, you put down your phone and you look at your child and pay attention to them until they’re done talking.”
Additionally, he recommends wrapping up this interaction by clearly spelling out that you are going to go back to work, but that you plan to spend time together once your allotted work time is over.
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What does this mean for me and my family dynamic? That’s a question I’m still exploring, beginning with talking with my spouse about how we want to start scheduling in screen-free family time on a daily basis. As someone who has grown into adulthood on tech, these changes don’t feel easy, but I believe they are worth the improvements to our quality of life and the relationships we have with one another.

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Mindful Parenting Motherhood

Current Events For Kids: How To Tell Your Kids About The News

No matter your politics, we can all agree that the last few years have been overwhelming. Thanks to social media and 24-hour news cycles, there is a lot of news, and most of it is quite scary and destabilizing: The 2016 election is still in our rearview mirror, and even preschoolers know the names “Trump” and “Hillary.” Small kids have been separated from their parents and detained. U.S. Immigration and Customs Enforcement is arresting people in their homes and workplaces.
Four young girls hold up feminist signs at a women's rights rally as they learn about current events.
And a lot of our kids are asking about it. That leads us to wonder, how much should our kids really know? How much should we share with them, and what should we hide? How do we keep them feeling safe when the world doesn’t seem very safe at all?

Should I teach my kids about current events?

With very little kids, it’s best to steer clear of explaining the news completely. “When there’s an election that’s preoccupying their parents, we might do a mock election at the preschool,” explains Jane Rosen, PsyD, child clinical psychologist and director of education at the IKAR ECC preschool in Los Angeles. “Current events have to be broad or catastrophic to pay attention to them [think: 9/11], and physical distance matters.”
If a catastrophic or nearby event is impacting your child’s life, it’s important not to be too vague—or too specific or graphic. Because they hear things from friends or other adults, your first question should always be: What do you know, and what have you heard?
Even if the event you’re discussing happened nearby, if the kid is younger than 5, you want to, first and foremost, reassure them: I will do everything I can to protect you.

Current Events That Aren’t for Kids

“Anything can be harmful or not, depending on how it’s messaged,” explains Rosen. “Young children have no capacity to make sense of what they’re seeing or hearing. They see that people are frightened, and they resonate with the feelings, but can’t process the event itself.”
Remember, too: Kids as old as elementary-school age may not understand that an image being repeatedly shown on a loop on TV or online is not happening over and over again. (Think, again, of September 11.)
Children may think it’s continuously happening, and this is terrifying. “Much repetition of graphic imagery is upsetting and has a nightmarish quality,” says Rosen. “Find ways that you can do something to help them process an event that makes no sense.”

How to Talk About Current Events With Your Kids (or Not)

  • Keep graphics to a minimum. Discussing a recent event with your child is much different than them catching glances of blurry, confusing footage for which they have no context.
  • Turn off the TV and put away your phones. There’s no need for them to watch the pundits constantly talking on cable news, and they certainly don’t need to be reading the opinions of the masses on social media.
  • Talk to your child about what we can do to be helpful and stay safe. You can say: Sometimes really scary or bad things will happen, and we will keep you safe.
  • Reassure them that their world will stay safe. If it’s not an authentic statement—if, for instance, you really fear ICE coming to pick you or your child up—explain what steps you are taking to try to keep everyone safe.
  • Give them multiple venues to express their feelings. Drawing and playing are good ways to get things out.

How to Get Your Kids Involved in Current Events

Talking about current events is one thing, but what about kids who want to get involved? That’s not a bad thing, but depending on their ages, you’ll want to be vague.
For instance, some kids at an L.A. preschool recently painted pictures for migrant children who were separated from their parents and detained by the American government. Did the teachers tell the kids all about the kids’ circumstances? No way. If you’d like to do something similar, the message can be: We’d love for you to draw pictures to cheer children up who are sad. The teachers didn’t say they were away from their parents or out of their homes.
It’s nice—and important!—to involve children in what’s happening in the world: collecting diapers, delivering food to those in need. “These instill ideas about healing the world, and that they have a place in it,” says Rosen. But you want to keep it simple at this age.
With slightly older children, you want to help them look for the helpers. There will always be helpers. (We miss you, Mr. Rogers.) Ask them, What can we do to help? “Children that age are action-oriented,” Rosen says. “Can you gather blankets? Cash in some allowance to send money?”
Kids want to be given something to do. Being proactive keeps us from sinking into despair.

Little Activists: Taking Current Events a Step Further

So, should you start molding little demonstration-attending activists in your household? By all means!
But you need to think about the how, when, and why. Who is this protest for? And why do you want to bring your kid? Is it a childcare issue, or is this vital to your family culture?

A mother teaches her kid about current events by bringing him to a protest in Philadelphia.
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“I don’t think very young children belong some places,” says Rosen. “You can bring a baby along on a march as long as it’s safe. But the idea that you’ll inculcate your 2-year-old can be inappropriate, and [protests] can be violent. Something peaceful can turn in a moment.” Rosen—who protested the Vietnam War along with her parents—suggests waiting until the kids are closer to 9 or 10.
It’s also important to think about what is being communicated. A 5-year-old who is about to start kindergarten might not feel safe at an anti-gun rally, but a 10-year-old who worries about this issue might be feel empowered by it. You know your kid best, but be mindful of developmental differences in ages, too.
Rosen adds that anything about family separation or where children are being abused is better left unmentioned to a small child. “It’s amazing what sticks, and what comes out in different expressions of anxiety.”
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Mindful Parenting Motherhood

How To Choose A Prenatal Vitamin That's Actually Worth It

Whether you recently learned you’re pregnant or you’re thinking about trying to conceive, you’ve got a long list of stuff to do. One thing that needs to be pushed to the tippy top of that list? Buy a bottle of prenatal vitamins and start taking them, ASAP.
We can already hear the questions formulating: If I’m not even pregnant yet, do I really need a prenatal vitamin? and If I’m already taking a multivitamin, isn’t that enough to cover me?
The quick answers are yes and no, but we talked to the experts to find out why you need to take prenatal vitamins when you aren’t even pregnant yet and which are the best prenatal vitamins for you.

What are prenatal vitamins?

The word “prenatal” in the name is a pretty big clue here: These are special vitamins meant to be taken before giving birth, and that sets them apart from your average multivitamin.
“The key nutrients in prenatal vitamins are iron and folate,” explains Bradley Price, an OB-GYN from Austin, Texas. “Iron is a key building block in the machinery for getting oxygen to every part of the body, as well as through the placenta to baby. Very few women have adequate iron stores in their bone marrow, so iron supplementation during pregnancy is crucial.”
[pullquote align=”center”]While a general multivitamin supplement can be helpful for the average population, Price says they’re no replacement for prenatal vitamins.[/pullquote]
That extra iron in prenatal vitamins helps prevent anemia for moms-to-be during pregnancy, and it also helps women avoid the risk of blood transfusion if blood loss is higher than average during delivery.
Prenatal vitamins are also packed with folate or folic acid, a B vitamin that Price calls “one of the most important nutrients women can take to protect the health of the baby.” Among the benefits of folate touted by doctors is a lower risk of baby developing neural tube defects such as spina bifida and anencephaly and a lower risk of preterm birth, which carries with it a variety of risks to a baby.
Dietary guidelines from the American College of Obstetrics and Gynecologists recommend that pregnant women get at least 600 micrograms of folic acid daily from all sources for that reason, and sources can include prenatal vitamins.

The Difference Between Prenatal Vitamins and Regular Vitamins

But you’ve got a multivitamin you’ve been taking for years, so you’re all set, right? Well, unless it’s specifically labeled “prenatal,” probably not.
While a general multivitamin supplement can be helpful for the average population, Price says they’re no replacement for prenatal vitamins as they’re designed specifically for the nutritional needs of those who are pregnant—and their babies.
Even grabbing your Granny’s vitamins thinking it’s better than nothing could put you and baby in a bad spot, he explains, because “supplements marketed for the elderly contain very little iron because this age group requires minimal iron and are actually at higher risk for getting too much iron.”

When to Start Taking Prenatal Vitamins

In part because of the name, there’s a common misconception out there that prenatal vitamins are only supposed to be taken by pregnant women, says Kara Manglani, a certified nurse midwife and founder of The Fertile Times.
“Ideally, you should start taking prenatal vitamins three months before trying to become pregnant,” Manglani says. “In fact, there is no downside to taking prenatal vitamins, so the earlier the better.”
That’s been a recommendation of the American College of Obstetricians and Gynecologists for years, however a prenatal health and nutrition survey of U.S. women performed on behalf of the March of Dimes in 2017 found just 34 percent of women said they started taking the prenatal vitamin or multivitamin before they knew they were pregnant.
Most providers agree that if you’re of “childbearing age” and thinking about getting pregnant, now is the time to start popping a prenatal vitamin.
Another bonus? Some studies indicate that taking prenatal vitamins may actually reduce baby’s risk of autism. Researchers at the University of California, Davis, followed 700 California families with children from 2003 to 2009. Their study, published in the medical journal Epidemiology in 2011, claims that “women who reported not taking a daily prenatal vitamin immediately before and during the first month of pregnancy were nearly twice as likely to have a child with an autism spectrum disorder as women who did take the supplements—and the associated risk rose to seven times as great when combined with a high-risk genetic make-up.”
[pullquote align=”center”]“Facing this array of side effects, many women are reluctant to take their vitamin regularly, if at all.”
—Bradley Price, MD[/pullquote]
A second study, published in the British Medical Journal in 2017, looked at more than 270,000 kids born in Stockholm, Sweden, between 1996 and 2007. Researchers say they found that women who take prenatal vitamins during their pregnancy may be able to lower their child’s risk of developing autism associated with intellectual disabilities by as much as 30 percent.
Of course, correlation does not equal causation, and other studies have purported that too much of two specific vitamins—B12 and folate—during pregnancy may have the opposite effect!
Still, doctors stress the need to take prenatal vitamins because of what they definitely do know, thanks to other studies.
“We do know that taking folic acid supplementation prior to conception decreases the risk of having a baby born with a neural tube defect, such as spina bifida,” says Mary Jane Minkin, an OB-GYN and clinical professor in the Department of Obstetrics, Gynecology, and Reproductive Sciences at the Yale University School of Medicine.
“We do know that babies in utero take iron from their moms—and if mom is anemic to begin with, she will likely become more anemic—and feel even more exhausted,” Minkin says. “We know that vitamin D is important for many organ systems to work properly. So a good prenatal contains proper amounts of all of those vitamins.”

How to Choose the Best Prenatal Vitamin

Before you hit the vitamin aisle at your local pharmacy, your best bet for finding the best prenatal vitamin for you is a trip to your OB-GYN or midwife’s office. They can test your blood to see what your iron and other levels look like and help you determine what nutrients you really need right now.
Some doctors advocate for a prescription-strength prenatal vitamin, as they typically have different amounts of folic acid than the kinds you’ll find in the store.
While an over-the-counter prenatal vitamin will likely contain about 800 mcg (micrograms) of folate, you’ll find about 1,000 mcg in prescription prenatals, Price says.
“But the key difference is the iron source,” he adds. “OTC sources typically contain iron salts, such as ferrous sulfate, gluconate, or fumarate, which are all poorly absorbed and aggravate acid reflux, leading to nausea, indigestion, heartburn, and constipation. Facing this array of side effects, many women are reluctant to take their vitamin regularly, if at all.”
Price recommends Prenate Mini, a prescription-strength prenatal vitamin that puts the iron molecule between two amino acids, so it’s absorbed efficiently in the same part of the small intestine as amino acids.
But other women may find that an OTC option works for them, says Manglani. “There is a huge selection to choose from when selecting an OTC vitamin,” she says. “This gives you a lot of choice, but it is also important to make sure you select a prenatal vitamin that has all the necessary nutrients.”

What to Look for in a Prenatal Vitamin

To ensure you do select the right prenatal vitamin, Manglani suggests you look for a one that includes the following, or that you take a vitamin that includes some of these ingredients, along with supplements that your healthcare provider approves.

Methyl-folate

Compared to folic acid, Manglani says methyl-folate is better absorbed by the body but still provides the necessary nutrients. The recommended intake is between 400 and 1,000 mcg per day.

Iron

This mineral will help mom stay healthy, Price says, and it will also help your body as it works to produce more blood to pump through the body and carry oxygen to the baby. Look for a vitamin that delivers 30 mg per day.

Vitamin A

The recommended daily intake of vitamin A is 770 mcg, and this is not a case of “770 is good, so more is better.” Manglani advises moms-to-be to be wary of anything with more than 5000 IU (short for International Unit), as vitamin A toxicity can lead to birth defects.

Vitamin D

It’s recommended that you get at least 400 units of vitamin D, a fat-soluble vitamin that’s typically found in fish and dairy products, a day. Most adults also get vitamin D from spending time in the sun. Because it’s recommended that parents keep newborns out of direct sunlight to protect their fragile skin, recent studies have shown a risk of vitamin D deficiency in babies. Consuming vitamin D in your prenatal vitamin has not only been linked to a reduction in the risk of pre-eclampsia during pregnancy, but it helps boost baby’s vitamin D levels.

Calcium

Moms-to-be should shoot for at least 1,000 mg per day, Manglani says. This will help the fetal skeleton develop, and it can be obtained via your prenatal vitamins and the consumption of calcium-rich foods such as yogurt and milk.

Iodine

Because of the impact pregnancy can have on the thyroid gland, the American Thyroid Association recommends iodine supplementation before and during pregnancy as well as while breastfeeding. Look for a supplement with about 150 mcg per serving.

Choline and DHA (Docosahexaenoic Acid)

Thought by scientists to help improve a baby’s brain development, these nutrients are not always available in prenatal vitamin form and may require an extra supplement, Manglani says. You can check with your provider to see if there is one that’s good for you. The recommended level of DHA is 200 to 300 mcg, while it’s suggested you get about 450 mgs of choline.

When Prenatal Vitamins Aren’t Worth It

In addition to making sure your prenatal vitamin has those ingredients outlined above, there are also a few other things to watch out for. Buying the wrong prenatal vitamin might not be worth it. Here’s what the experts recommend:
You’ll want to make sure any bottle of vitamins you’re considering has been thoroughly reviewed by reputable agencies, warns Vin Amin, president of vitamin maker Eu Natural.
“Look to see that the supplement has been made to meet FDA standards and cGMP, which stands for current Good Manufacturing Practices,” Amin suggests. “This ensures your product has been manufactured and packaged based on the latest regulations.”
[pullquote align=”center”]Prescription vitamins may be covered by your health insurance. That could net out to a cheaper or even free prenatal vitamin.[/pullquote]
You’ll also want to be wary of junk “fillers” added to a prenatal vitamin, Amin warns. Check the supplement facts panel in the “other ingredients” section on the bottle. If you spot magnesium stearate, titanium dioxide, or silicon dioxide, you know you’ve picked up a vitamin packed with fillers.
If you’re a vegetarian, you should also beware that many prenatal vitamins come in gelatin capsule form, which means they’ve been made from animal products. “Vegetarians will definitely want to avoid these products,” Amin says.
And while it’s tempting to load up on gummy vitamins (hey, who says the kids get to have all the fun?), Amin says they’re not as potent as the capsule formulation, which means a whole lot of extra sugar intake to get the same dosage.
One final thing to consider, Manglani says, is cost. While over-the-counter prenatals are cheaper for some and may be the best bet if your provider recommends an OTC vitamin, prescription vitamins may be covered by your health insurance. That could net out to a cheaper or even free prenatal vitamin, Manglani says.

Prenatals Without the Pain: Treating Nausea From Prenatal Vitamins

Some 97 percent of women do take prenatal vitamins during pregnancy according to the March of Dimes poll—which is good news—but while they should be taken all the way through pregnancy and even while breastfeeding, that doesn’t always happen.
The culprit is often nausea, says Sherry Ross, an OB-GYN at Providence Saint John’s Health Center in Santa Monica, California.
“With the high amounts of vitamins and minerals, prenatal vitamins are notorious for causing nausea during pregnancy,” Ross says.
To help quell the nausea and stick to your prenatal vitamin routine, she suggests taking your vitamins right after eating or before going to sleep at night. It’s also okay to cut that vitamin in half (many are scored for this purpose), taking half in the morning and half at night.
“If the nausea persists, I have my patients take a one-a-day multivitamin instead of a prenatal until they have a stronger stomach,” she says. Changing brands may also be a helpful option!

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How To Read Your Baby (And Gain Their Trust)

For parents of a new baby, deciphering what they need based on a series of subtle cues and seemingly identical cries can be overwhelming. As a new mom, I found a lot of comfort in developing a pattern of feed, sleep, and play, with diaper changes sprinkled in the mix, but there were still plenty of instances when I found myself confused to the point of tears.

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It often felt like nothing I tried would calm my baby or help her drift to sleep. With time, I learned that my baby was actually an excellent communicator—I simply needed to learn to watch for patterns in how she expressed her needs. My daughter wasn’t extraordinary; babies actually begin communicating with their parents from a very young age. Want to learn how to read your baby? Here’s what you need to know.

The Development of Communication

The foundation of communication is being built long before babies are born, according to Ayelet Marinovich, pediatric speech-language pathologist and parent educator.
“We know that even babies in utero are starting to use their sense of hearing,” she says. “So they’re listening to things like the components of speech and the melody of the language or languages.”

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This learning begins around 20 weeks into the pregnancy.
From birth, developing children tend to hit specific communication milestones, both verbal and nonverbal. One of those first milestones, seen roughly around 6 weeks post-birth, is a social smile. The baby observes someone smiling at them and returns the smile, noting that their smile evokes a positive response from the recipient.
“They can recognize … ‘Oh! That gets a response,’” Marinovich says, noting that crying functions very similarly, with babies learning quickly what their cries achieve.
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At 4 to 6 months, babies coo, indicating that they are learning vowel sounds. This is followed by babbling, which is all about learning to use vowels and consonant combinations. At 9 months, babies begin using gestures to draw attention to things.
And around 12 months, the first words are spoken.

Listening and Watching for Subtle Cues

A year is a long time to parent a baby without the assistance of words. The good news is that words aren’t the only form of communication, and babies use crying, body language, and facial expression to give voice to what they want and need most from their caregivers.

I’m hungry!

Although many babies cry if they’re hungry, most babies start dropping hints long before things feel urgent enough for tears. Cries are actually not considered hunger cues; instead, they signal distress, according to WIC Works (link opens a PDF), a project of the United States Department of Agriculture. According to this resource, parents can avoid distressing hunger in their children by learning patterns and subtle cues babies use to draw attention to their hunger.

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In newborn babies, rooting around for the breast, sucking on their hands or fingers, and drawing their hands to their face are all signals of hunger. Most babies also open and close their mouth when they’re ready for a meal.
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Typically, babies are ready for solid foods once they are sitting up on their own. Parents can gauge their baby’s interest in solid foods by watching for common signs like reaching for what is on their parents’ plate or the ability to handle foods without pushing them out of their mouths.

I’m full!

Just like babies signal their parents when they are hungry, they also communicate when they are satisfied. This is an interesting and important topic, as properly reading infant cues on hunger and satiety is considered part of obesity prevention. It helps avoid over-consumption, according to a research review in the journal Maternal & Child Nutrition.

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Newborns typically slow their sucking or even fall asleep when they are satisfied, according to WIC Works. They may turn their head away and appear more relaxed. As babies grow older, they become distracted or want to play while eating. Some babies clamp their mouth shut to refuse a bottle or breast.

I’m tired!

If you’ve ever cared for an infant, you know there is such thing as an overtired baby. Some babies become so exhausted it is actually more difficult to get them to sleep. Watching for cues that your baby is ready for a nap or bedtime can make the whole experience less dramatic for everyone involved—saving you from a bedtime struggle or hysterical crying from a wiped out baby.

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Most obvious, perhaps, is that newborns yawn when tired. They also pull their hands to their face, clench their hands into fists, rub their eyes, or pull at their ears, according to Today. As babies grow more tired, their movements become jerkier and they become less interested in their surroundings.
Catch sleepiness early, use a routine to make naps simple and predictable, and encourage healthy sleep habits in developing babies.

I need quiet.

From a young age, babies drop hints when their environment has become too much for them. Like older children and adults, babies need quiet and breaks from stimulation.
“Maybe they’re closing their eyes,” says Marinovich. “Or they’re crying for ‘no apparent reason.’”

Overstimulated baby is having quiet time
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Many babies will also look away, wave their hands, or kick their feet if they’re becoming overstimulated. The solution to overstimulation is as simple as making an adjustment to their environment like lowering or removing noise, stepping away from them for a time, or lowering the lights in the room.

I want to play.

One of the primary jobs that comes with being a baby is learning by interacting with their brand new environment, according to Marinovich.
“The baby is in this sensory world, they’re all of a sudden exposed to noise and everything they’re seeing and everything they’re touching,” she says. “This is a very different environment than what they had in the womb.”

baby sitting on floor looking up
iStock.com/Westersoe

As they watch, listen, and learn, babies are focused on finding patterns in their environment and indications of what deserves their attention, Marinovich explains. Having a parent present and close gives them an opportunity to learn through interaction.
Baby is learning by playing
iStock.com/LSOphoto

Of course, newborns don’t exactly toss a ball or drag out a train set when they’re looking for a little one-on-one with their caregiver. How can you know when they’re up for some interaction? According to Marinovich, babies indicate this even within their first week of life by settling into an awake, but calm, state of being.
“Babies sort of have these patterns of alertness and quiet,” she says.

I’m in pain.

Babies do so much crying, it is difficult to determine what their cries mean exactly. Are they tired and hungry, or is something causing them pain? Crying that indicates pain escalates in intensity and doesn’t resolve with comfort or food. A cry caused by pain may also have a higher pitch than usual, according to Kyla Boyse, RN, of the University of Michigan.

Baby in pain and distress is crying
iStock.com/damircudic

Parents can also watch for body language typically associated with pain. Infants in pain scrunch up their faces, and their body may become tense. Determining the source of pain is difficult, but a common cause is gas or an upset stomach. If you are concerned about your baby, a doctor can help determine what is causing the pain and if further treatment is necessary.

Encouraging Strong Lines of Communication

A strong bond between an infant and their caregiver is foundational to their emotional and physical health. One popular school of thought on child attachment, developed by German psychologist Erik Erikson, argues that the first lesson children must learn is that the world and the people around them are trustworthy. For this reason, understanding how to read your baby and responding to their needs is an important part of building a healthy relationship with your child.

Mom holds her baby and smiles
iStock.com/kate_sept2004

The good news is that encouraging strong lines of communication with an infant or young child isn’t rocket science—it’s really about being present and consistently tuned in to their needs. Marinovich strongly believes that parents are already equipped with the tools they need to bond with their baby, and she says many parents are already doing many of the things necessary to encourage communication.
Mom holding her baby
iStock.com/SolStock

“We tend to overcomplicate things,” admits Marinovich. “We can see how they are communicating by these early cries … we can offer comfort through things like our touch and smell and voice and milk.”
[pullquote align=”center”]”[Take] a moment while you’re changing a diaper or while you’re nursing, to get into a comfortable position, to make eye contact, to include a moment of touch on your baby’s skin. We already have the materials we need.”
—Ayelet Marinovich, pediatric speech-language pathologist and parent educator[/pullquote]
One specific example is the use of infant-directed speech, which is often referred to as motherese. Listen to yourself talk to a baby for even a few seconds, and you’ll probably hear it—you may slow down your speech, speak in a higher pitch, or add a kind of sing-songy component to your speech. This habit is universal, according to Marinovich, and doing so encourages more attention from infants.
Mom holding her baby and talking
iStock.com/PeopleImages

There is also research published in the journal Infancy that suggests infant-directed speech contributes to language acquisitions and is specifically helpful for learning the skill of word segmentation.
Lastly, consistent communication with your newborn can easily be included in your routine. Think about the things you do day in and day out with your baby and how talking and play could be introduced into those tasks.
“[Take] a moment while you’re changing a diaper or while you’re nursing, to get into a comfortable position, to make eye contact, to include a moment of touch on your baby’s skin,” encourages Marinovich. “We already have the materials we need.”

Categories
Mindful Parenting Motherhood

The Boy Scouts Are Allowing Girls, But Is There Such A Thing As Too Much Inclusivity?

This year, the Boy Scouts of America are making changes.
In February 2019, the organization will officially drop the word “boy” and change its name to “Scouts BSA.” It’s not an idle change; for the first time in its history, the Scouts are allowing girls to join and progress through scouting ranks, eventually earning the coveted Eagle Scout designation.

Eagle scout award
iStock.com/gloch

“The leadership of the BSA determined that the best way to welcome girls to serve today’s families is to offer a unique model that builds on the proven benefits of our single-gender program, while also providing character and leadership opportunities for both boys and girls,” a representative of the organization tells HealthyWay via email.
The move is somewhat controversial—and understandably so, since major changes to century-old organizations usually create some amount of controversy. But the Scouts’ new inclusivity highlights a cultural shift toward gender neutrality; these days, separating kids by biological sex seems almost arbitrary.
HealthyWay
iStock.com/dlinca

Of course, the Scouts aren’t totally ignoring gender. The organization claims the change is practical, geared toward getting more families involved with scouting.
“Now families can choose to sign up their sons and daughters for Cub Scouts,” the organization’s spokesperson explains. “Chartered partner organizations may choose to establish a new girl pack, establish a pack that consists of girl dens and boy dens, or remain an all-boy pack. Dens will be single gender—all boys or all girls.”
girls sitting and talking
iStock.com/SolStock

We asked whether the Scouts have received any significant backlash from members.
“Response has been very positive,” the spokesperson says. “In fact, 8,912 girls have already joined the Cub Scouts.”
That’s a surprisingly large—and incredibly specific—number. The Cub Scout program, by the way, is the largest of the BSA’s scouting divisions, open to boys and girls from first through fifth grade.
“Many of our current families, Scouts, donors, volunteers, and professional staff are in support of this decision, and in a number of cases from our Early Adopter efforts, we have heard that more parents have started volunteering since their entire family could now be involved.”

But soon after the Scouts announced the change, another major organization harshly criticized the move.

“Girl Scouts is the best girl leadership organization in the world, created with and for girls,” the Girl Scouts wrote in a blog shortly after the Scouts BSA announced their name change. While the blog didn’t mention the Scouts BSA by name, the message was clear.
“We believe strongly in the importance of the all-girl, girl-led, and girl-friendly environment that Girl Scouts provides, which creates a free space for girls to learn and thrive.”

Girl scouts walking together
Bureau of Reclamation/Flickr

The Girl Scouts—long maligned by traditionalists for their progressive stances on LGBT acceptance—were, in a sense, criticizing the Boy Scouts for being too inclusive. Their rationale: Some amount of gender exclusivity is healthy.
“The benefit of the single-gender environment has been well-documented by educators, scholars, other girl- and youth-serving organizations, and Girl Scouts and their families,” the blog post continued. “Girl Scouts offers a one-of-a-kind experience for girls with a program tailored specifically to their unique developmental needs.”
Girl roasting marshmallow
iStock.com/andresr

The blog, however, did not provide any references to support its “well-documented” benefits. It’s true that some educators and researchers believe single-gender structures can have benefits for kids. The science, however, is a bit complicated.

Let’s start with a widespread myth: Biological gender differences are, for the most part, overstated.

Some arguments against gender-neutral groups often cited psychological differences between boys and girls.
Those differences aren’t exactly clear-cut, however. According to the American Psychological Association, a 2005 meta-analysis indicated “that men and women are basically alike in terms of personality, cognitive ability and leadership.” From adolescence to adulthood, males and females are more similar than dissimilar.

HealthyWay
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We know what you’re thinking; boys and girls are different, almost from birth. But while some other studies show more defined differences between boys and girls, gender roles and social context play an enormous role—an objectively more significant role than neurological differences.
For example, one meta-analysis looked at the stereotype that boys are generally better than girls at math. The research showed that boys and girls perform equally well in the subject until they reach high school. Through high school, boys gain a minor advantage.
Girl taking math test at school
iStock.com/diego_cervo

Even so, women are underrepresented in STEM fields. We can blame established gender roles for that unfortunate reality, along with key differences in how boys and girls are treated in classrooms. One study found that elementary school teachers routinely value boys’ comments over girls’ comments, and that, while boys are eight times more likely to call out in class without raising their hands, girls who called out were more likely to get a reminder to raise their hands next time.
kids with raised hands in classroom
iStock.com/skynesher

Those social differences are troubling, but again, they’re not physiological. We can’t really blame any fundamental differences between male and female brains for the distinctions, and we can’t really use physiological differences as an argument against mixed-gender activities.

The physical differences between the sexes might be a better argument for some single-gender groups.

In that area, the differences between boys and girls are obviously more pronounced. If an activity requires certain physical traits, it makes sense to limit enrollment to a single sex.
Except, of course, when it doesn’t.
In 2013, 12-year-old Madison Paige Baxter made headlines when her school, Strong Rock Christian School, kicked her off their football team. Madison had been a successful player, but according to her mother, Cassy Blythe, an official from the school said the boys on the team might “think of [Madison] in an impure way.”

HealthyWay
iStock.com/Ales-A

As Strong Rock Christian School is a private institution, it was not subject to Title IX regulations, which prevent public schools from discriminating on the basis of sex.
The case brought an interesting tangle to the inclusivity discussion: Madison was apparently kicked off the team because of the way that boys might react, not because of concerns for her safety or a desire to provide boys with a single-gender group activity.
The ejection was, in a word, unfair—not simply because it excluded Madison, but because it did so for the wrong reason.
Young football player looking at the field
iStock.com/pkripper503

“My mom counted that I had five sacks,” Madison said at the time in an interview with ABC News. “The entire crowd thought it was one of their boys but when they saw my number and looked at the roster, they saw it was me. It’s taking that fun that I had for a year and snatching it right out from under me.”

That’s not to say there isn’t any justifiable reason to separate activities by gender.

Our point is simply that questions of inclusivity need to be treated carefully. In some situations, gender exclusivity might actually be beneficial for kids.
Remember those social constructs we mentioned earlier? They’re certainly powerful, and in order to correct them, we need to teach young girls to recognize them. Boys and girls are treated differently by our society, and sometimes there’s nothing wrong with recognizing those differences.

HealthyWay
iStock.com/SerrNovik

The Girl Scouts provide an excellent example. Writing for Slate, Parrish Turner notes that the organization provides kids with important lessons and leadership that wouldn’t be possible with a mixed-gender membership. Because the Girl Scouts assumes its members are female, scout leaders are able to talk about sexual harassment, discrimination, and various other topics specifically directed at women. They’re able to promote STEM fields, encourage girls to innovate, and give kids a safe space to develop into strong women.
Girl is working on her robotics stem project
iStock.com/Kerkez

With that said, moderation is still crucial. We do know from research that mixed-gender friendships and activities can be helpful, and when there’s no reason to separate the sexes, it’s probably best to let them mingle. One study found that increasing cross-gender interactions actually diminishes aggression; in schools where those types of interactions were rare, cross-gender friendships created “status distinctions” that magnified the effect.
Kids playing together
iStock.com/Rawpixel

In other words, in social environments where boys and girls aren’t typically expected to be friends, cross-gender friendships can have a powerful beneficial effect on behavior and, potentially, development.

Gender-exclusive situations may be helpful, but the reasoning behind them needs to be clear.

Ultimately, gender-exclusive groups aren’t necessarily a bad thing, provided the exclusion is occurring for a good reason. Kicking girls off a football team because the boys might have “impure thoughts” is harmful reasoning; establishing a girls-only group to give kids powerful female role models is perfectly reasonable.

HealthyWay
iStock.com/SolStock

As for the Boy Scouts—soon to be called the Scouts BSA—the move towards inclusivity seems like a practical one to drive recruitment and keep families involved in scouting. It’s also not quite as inclusive as the headlines might indicate; single-gender packs and dens will still exist. Time will tell, but scouting purists probably don’t have to worry about the organization changing in profound ways.
HealthyWay
iStock.com/pyotr021

In the meantime, a mix of single- and mixed-gender activities seem like an appropriate foundation for well-rounded children. More important is that we keep discussing gender imbalances—and making sure that when we’re excluding kids from anything, we’re doing it for the right reasons.

Categories
Mindful Parenting Motherhood

The Problem With YouTube: Protecting Kids From A Bizarre, Dangerous Trend

Parents, we need to talk about YouTube.
With over a billion users, YouTube’s audience includes nearly one-third of all of the people on the internet. By any measure, the site’s an excellent entertainment resource—for adults.
For kids, it’s problematic. We’re not talking about mature videos, intended for adults, that children might accidentally stumble onto while looking for something to watch; we’re talking about disturbing, shocking videos purposely created for children. Some of those videos are capable of traumatizing children, and if you allow your kids to browse the site unsupervised, you’re taking a significant risk.

HealthyWay
iStock.com/PeopleImages

Here’s a basic overview of the problem: YouTube uses various algorithms to match search terms to appropriate videos. Type in a search term like, “how to cut a dog’s hair,” and the site will provide you with a list of (relatively) high-quality instructional videos; if one of those videos is subpar, poor user ratings will eventually drive that clip from the search results.
HealthyWay
iStock.com/Tarık Kızılkaya

While YouTube (and Google, which owns YouTube) keeps its search algorithm factors a secret, we know that likes, dislikes, video length, and exact-match keywords play a significant role. That last point is crucial: If a video matches the exact keywords you type into the search bar, it’ll have a better chance of showing up on your search results.

For the most part, the system works great—for adults.

Children, however, don’t know how to search for content like adults.
When younger kids look for videos on YouTube, they’re often typing in a few simple keywords and clicking on the first interesting clip that comes up. They don’t know how to like or dislike videos, and they don’t mind sitting through longer content.
They also don’t recognize video titles that flagrantly take advantage of YouTube’s search algorithm. That makes them easy prey for content creators.

HealthyWay
iStock.com/FluxFactory

For instance, if an adult searches “how to cut a dog’s hair” and finds a video titled, “cut dog hair how to cut dog hair cut golden retriever hair dog barber,” the adult will probably recognize that the video is trying to trick people into clicking; a toddler wouldn’t draw the same conclusion.
That brings us to the problem. YouTube’s algorithm currently rewards videos that steal copyrighted characters, use crass titles, and contain shocking content. If the clips keep young kids clicking, they’re valuable—regardless of whether the content itself is harmful.
Take a look at this clip:
https://youtu.be/lfwxfQoobiA
Titled, “Disney Pixar Coco 2 Miguel Hector Wrong Heads Finger family Nursery Rhymes song,” it’s a relatively harmless (if slightly disturbing) example of the problem. It’s clearly designed for extremely young viewers, and at over 10 minutes long, it has probably made some decent money for its creator (the YouTube channel Super Story).
With that said, it steals copyrighted content and purposely exploits YouTube’s algorithm to do so.
That video we linked currently has more than 3.6 million views. Super Story has dozens of similar videos, most of which have tens of thousands of views.
HealthyWay
iStock.com/hocus-focus

Another video (which we won’t link here and have reported to YouTube) has a similarly exploitative title, but with a lewd keyword hashtag. It contains violent, bizarre content, including Mickey Mouse fighting while dressed up as various Marvel superheroes. It’s over 35 minutes long.
While these examples are strange, we’re just scratching the surface. Other clips include explicit sexual content, bad language, and depictions of violent acts. We’re not linking those videos for obvious reasons.
https://www.youtube.com/watch?v=7Eh8WQfwDnk
Unfortunately, they’re fairly easy to find, and thanks to YouTube’s current algorithm, they’re extremely profitable for content creators. For a much more detailed look at the content algorithm issues, check out this excellent piece from James Bridle of Medium.

YouTube claims to have taken steps to curb the problem.

In August 2017, the site said it wouldn’t allow creators to make money from videos that “made inappropriate use of family-friendly characters,” and three months later, YouTube announced stricter controls for videos aimed at young children. The company claimed the new controls had been in development for some time and said that they were not introduced in response to widespread media coverage.

HealthyWay
iStock.com/LSOphoto

However, the problem hasn’t disappeared. While researching this article, we easily found over a dozen disturbing videos that were clearly marketed toward young children. Some of the videos were over a year old. Some had millions of views.
We reported the offensive links to YouTube, and will not link to those clips in this article, but parents who want to understand the extent of the issue can do so by adding a few offensive terms to kid-friendly search strings (for instance, “finger family,” or “nursery rhymes”).
HealthyWay
iStock.com/laflor

This isn’t to say that YouTube isn’t taking action, but thousands of videos exist, and they don’t disappear from search results after they’re de-monetized. While YouTube’s strategy could eventually curb the problem, it relies on volunteer moderators and adults who can flag offensive videos before kids get a chance to see them.
For parents, that’s not good enough.

To keep your kids safe, here’s what you need to do.

The obvious answer is to prevent kids from using YouTube and to thoroughly monitor screen time until kids are old enough to understand how to use the website responsibly.
[pullquote align=”center”]”If parents decide to [use parental controls], it is okay to discuss with the child why these steps are being taken. Kids need to know there are dangers online parents are responsible for preventing.”
—Támara Hill, licensed child and adolescent therapist[/pullquote]
Practically, that’s something many parents have trouble with; children can become remarkably tech-savvy, as any mom who’s ever given her 4-year-old an iPad has quickly learned. Still, creating limits is absolutely crucial to ensuring your child’s developmental health.

HealthyWay
iStock.com/DragonImages

“Children having unlimited access to the World Wide Web is like having your front door open to your home, and YouTube can be a highway to the danger zone,” says Gretchen Campbell, a licensed professional counselor specializing in parent-child relationships (and, apparently, metaphors).
Campbell recommends restricting access to YouTube on any computers, tablets, smartphones, and other devices preteen children use.
HealthyWay
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“YouTube offers an option to apply a ‘restricted mode’ and lock its settings,” she notes. “This feature attempts to prohibit your child from viewing material that has been marked as inappropriate by the YouTube community. This, however, is not a guarantee that your child won’t be exposed to content that you don’t approve of, but it is an additional step that parents can take.”
YouTube also offers YouTube Kids, a mobile app designed to make browsing safer for children. It gives parents easier access to controls, but YouTube admits that it’s a work in progress.
“We use a mix of filters, user feedback and human reviewers to keep the videos in YouTube Kids family friendly,” the company says on its app’s website. “But no system is perfect and inappropriate videos can slip through, so we’re constantly working to improve our safeguards and offer more features to help parents create the right experience for their families.”

More importantly, parents should establish clear limits to electronic time for preteens.

“Set a time where [your child] can utilize their devices, preferably a time where the parent is available to check in on what they’re doing,” Campbell says. “Establish ground rules … Kids know when they’re viewing something that their parent wouldn’t approve of and will always test the limits when given the opportunity.”

HealthyWay
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Campbell recommends establishing clear consequences for broken rules, noting those consequences should be directly related to screen time. That helps establish the connection between the bad habits and the consequence. For instance, if kids watch a video without telling the parent, the parent might take away screen time for a day or week.
HealthyWay
iStock.com/MarkPiovesan

To make sure younger kids don’t stray into dangerous parts of the web, parents should check browser histories and use mobile apps designed to limit access.
“Parents can monitor a child’s access to inappropriate material by downloading apps such as  Screen Time Parental Control,” says Támara Hill, a licensed child and adolescent therapist specializing in trauma. “These apps make it possible for parents to monitor and locate content on iPads and cellphones.”
Again, these apps aren’t completely foolproof, but they can serve as an additional deterrent.
HealthyWay
iStock.com/monkeybusinessimages

“If parents decide to do this, it is okay to discuss with the child why these steps are being taken,” Hill adds. “Kids need to know there are dangers online parents are responsible for preventing.”

Another crucial tip: Don’t wait to establish guidelines.

If kids are old enough to use a smartphone or tablet, they’re old enough to follow the rules.
[pullquote align=”center”]”If you don’t allow kids to educate you to their social media worlds, how can we prevent the dangers of it? We can’t.”
—Gretchen Campbell, licensed professional counselor[/pullquote]
“It’s important that parents practice setting parameters around all social media as soon as possible so that kids will understand the consequences of accessing inappropriate materials online,” Hill says.

HealthyWay
iStock.com/vadimguzhva

Finally, realize that your child can help you identify (and avoid) questionable material. Keep communicating, and ask what they enjoy watching. Watch the occasional video with your child, and, if necessary, guide them toward higher-quality content from established brands (for example, Disney operates several YouTube channels, which are carefully curated for audiences of all ages).
“When I meet with families struggling with managing their child’s social media access, especially YouTube access, I often encourage them to let their children educate them to the YouTube influencers they are following and the types of videos they find funny or interesting,” Campbell says.
HealthyWay
iStock.com/AntonioGuillem

“I have had many sessions with kids where the majority of our conversation is about YouTube influencers and why they are interesting. During these conversations, I have learned of inappropriate and disturbing content that needed to be discussed in the open. If you don’t allow kids to educate you to their social media worlds, how can we prevent the dangers of it? We can’t.”

Categories
Mindful Parenting Motherhood

Yes, The Fourth Trimester Is Real—And It's Not Easy

There were plenty of sweet newborn snuggles when we brought our son home from the hospital, but there were also so many moments when my husband and I, baby books in hand, stared down at our crying newborn wondering, WTF do we do now?!
Contrary to what we started to think, we weren’t the world’s worst first-time parents. It turns out there’s a reason our baby—and most newborns!—are so fussy. It’s called the fourth trimester, it affects both mom and newborn baby, and no one really tells you about it.
swaddled baby making fussy face
But understanding the fourth trimester—a phrase that pediatrician and baby whisperer Harvey Karp, MD, coined to describe the first three months of a baby’s life—is crucial to getting through those tough first weeks at home with baby.
We spoke to Karp, along with OB-GYN Heather Bartos, MD, to learn exactly what the fourth trimester is, how it affects newborns, and tips for surviving this tricky time at home with a new baby.

My OB-GYN didn’t tell me there was a fourth trimester! What is it?

If you are pregnant or have been pregnant, you know that pregnancy is broken into three trimesters, with the third one lasting twice as long as the first two (okay, so that’s not true, but it sure feels like it does). So why did your OB-GYN not mention this mysterious fourth trimester?
Karp, who is the author of the Happiest Baby on the Block, uses this phrase to describe the first three months outside the womb, during which a baby goes through an intense period of change and development.
newborn feet with hospital band
According to the baby geniuses who developed the Wonder Weeks theory, in the first three months outside the womb, your baby will experience several mental leaps, and their little bodies rapidly mature, which is why your baby is extremely cranky during the fourth trimester. It’s hard work doing all that growing!
[pullquote align=”center”]“Babies have an innate neurological response called the calming reflex … that gets triggered by rocking, shushing, etc.
—Harvey Karp, MD[/pullquote]
Because of this rapid mental and physical development, Karp believes that babies are born too soon, even if they make it right up to their due date. Babies have to be born at 9 months because otherwise they’d be too big to pass through the birth canal. But if it were up to them, says Karp, they’d prefer a few more weeks inside the womb.
“The fourth trimester is a metaphorical term, but it is absolutely a real thing!” Karp tells HealthyWay. “It is the few-month window following birth when babies are almost magically calmed and soothed by rhythmic sensations that remind them of being in the womb. It’s not just a theory, it’s biology. Babies have an innate neurological response called the calming reflex—a virtual off-switch for crying an on-switch for sleep—that gets triggered by rocking, shushing, etc.”

baby in their fourth trimester being rocked by mom and dad
iStock.com/AleksandarNakic

Typically, babies who are having a tough time adjusting to life outside the womb constantly cry, especially toward the end of the day. They’re not trying to torture you, I promise. They’re simply trying to communicate their desire to be back in the cozy confines of the womb.
Since that’s obviously not an option, Karp suggests the next best thing: Recreate the womb experience for your baby using certain soothing techniques.

How to Handle the Fourth Trimester: The 5 S’s will save your sanity.

Is the fourth trimester preventing you from bonding with your new baby as much as you’d like? Are you frantically googling phrases like “how to stop baby crying in the middle of the night” or “how to make it look like you got a full eight hours when you really only got two”? If that sounds like your situation, stop what you’re doing right now and memorize what I’m about to share with you. (You can thank me later, when your baby is sleeping peacefully in his crib.)

happy baby with white blanket is smiling
iStock.com/NataliaDeriabina

Actually, you can thank Karp, who swears that his techniques for soothing baby are the next best thing to coming up with a highly realistic uterus impersonation.
Says Karp, “In my work researching colicky babies, I’ve observed five womb-mimicking techniques—used throughout time and across cultures—that effectively calm babies. To make it simple for parents, I called them the 5 S’s: swaddling, side/stomach position, shushing, swinging, and sucking. Each one of these steps triggers the calming reflex and sends babies into a peaceful bliss.”

The First S: Learn to make a baby burrito.

Karp’s first S stands for swaddle. By the third trimester, baby was tucked tightly in the womb with little room to wiggle about. Outside the womb, they’re still not in control of their movements, so when they accidentally move their arm or kick a leg, it can be startling and scary.
feet of baby lying down
That’s where swaddling comes in. Swaddling your baby tightly recreates that snug, womb-like feeling and usually has an immediate calming effect on newborns.

The Second S: Sometimes side or tummy is okay.

But never to sleep! The only safe sleeping position for a baby is flat on their back, with no loose blankets or toys in the crib. If you’re holding a fussy baby, though, try holding her on her side or even her tummy. It should have a calming effect, especially if you’re swinging at the same time. When baby is calm or has drifted to sleep, then lay her flat on her back.

The Third S: Shhhhh!

Placing a baby in a totally silent room for sleep is kind of the worst idea ever. The womb was a pretty loud place, and babies calm more quickly when there’s some ambient noise in the background. You can either learn to shush like a pro (tip: way louder than you think you need to) or pick up a white noise machine to mimic those womb-like sounds.

The Fourth S: Swing, swang, swung?

According to Karp, babies bounce around in the womb a lot, which makes sense. Every time mom moved, baby moved too. Instead of rocking slowly in a chair to calm a crying baby, use a shorter, faster, swinging motion.

mom is rocking and swaying baby to sleep
iStock.com/Halfpoint

Note that this is in no way the same as shaking your baby. It’s easy to get frustrated with a constantly crying baby. If you get angry or frustrated, hand the baby to your partner or another caregiver and take a break to calm down before returning to baby.

The Fifth S: Suck it, mom.

A lot of parents don’t want to give baby a pacifier because they’re afraid of nipple confusion early on. But if you have a crying baby, a pacifier might be just the trick to calming them down. That’s because babies are born with the urge to suck, even if they aren’t hungry.

I need more! What are some other calming techniques I can use in the fourth trimester?

“Things like babywearing and white noise machines are in fact 5 S’s techniques,” says Karp. “When you wear your baby, to her, it’s hardly different than being in your belly—she’s warm, snug, and constantly in motion. Swaddling works so well for sleep because, like babywearing, it reminds your baby of the womb’s embrace.”
Looking for a good swaddle? I recommend the Karp’s Happiest Baby Sleepea Swaddle (hey, he is the expert!) or an Ergo Swaddler for easy wrapping. Both are moderately priced at around $25 and are waaaaaay easier than trying to snugly wrap your baby in a regular blanket.
As for carriers, there are so many babywearing options, it’s kind of mind boggling. I loved my Sakura Bloom Sling when my son was a newborn, but he quickly outgrew it for daily use. To find a baby carrier that’s right for you, I suggest speaking to a certified babywearing expert (yes, they exist), who you can find through Babywearing International.

mom holding baby in sling
iStock.com/Halfpoint

“Whether you shush or use white noise, a hair dryer, or a vacuum cleaner, these are all loud, continuous womb-like sounds. As I’m sure you know, the rhythmic motion of car rides (and stroller rides) make babies deliciously drowsy,” says Karp. One mom I know absolutely swears by the Shusher, while another has a taped recording of the hair dryer that she can’t leave home without.
And a word of advice from a mom who’s been there: Make sure you’re sufficiently alert when going for a car ride or using a device like the hair dryer to soothe your baby to sleep. Falling asleep at the wheel (or with a running hair dryer in your hand) is obviously dangerous. Once little one falls asleep, take a nap too if you need one.

The fourth trimester affects mom too.

I, like everyone else in the world, saw the photos of Kate Middleton looking oh-so-glam mere hours after giving birth to her third child. But I’d be willing to bet my whole stash of frozen breastmilk that the minute Kate and Will arrived home at Kensington Palace, Kate ran straight to the freezer, grabbed a bag of frozen peas, and placed them right on her ah, royal assets.
How do I know this?
[pullquote align=”center”]“The biggest thing no one tells you about the fourth trimester is how hard it is trying to take care of yourself … when you are up all night and constantly caring for a helpless baby.” 
—Heather Bartos, MD[/pullquote]
Because the fourth trimester doesn’t just affect babies. All moms, even duchesses, experience the fourth trimester, though in a different way from baby. After I gave birth, I didn’t even recognize myself. I felt like I had lost control of my own body. I sat on an ice pack for days and then cried when I needed that ice pack for my engorged breasts as my milk came in.

mom holding her baby looking out window
iStock.com/ljubaphoto

“The biggest thing no one tells you about the fourth trimester is how hard it is trying to take care of yourself (showering, sleeping, quiet time) when you are up all night and constantly caring for a helpless baby,” says OB-GYN Heather Bartos.
Bartos says that things like stretch marks and linea nigra don’t just magically disappear after giving birth. It’s hard to embrace these changes, so Bartos shared her favorite self-care tips for dealing with a postpartum body during the fourth trimester.

Stretch Marks

Even if you didn’t get stretch marks during pregnancy, you may get them postpartum.
[Postpartum stretch marks] happen when skin rapidly changes (like shrinking after that 9-pound kid!)—so keep moisturizing after bathing, and also using something like a belly band can help,” says Bartos.

Linea Nigra

Linea nigra is the name for that dark vertical line some women get on their belly during pregnancy. Bartos says that the melanin changes in your skin do take a while to fade, but eventually the linea nigra will go away. In the meantime, try to keep your tummy out of the sun.

Engorged Breasts

Engorged breasts are the worst. Typically, you’ll experience engorgement three to five days after baby is born as your milk comes in or sometimes if it’s been a while since a nursing session. To reduce the likelihood of engorgement, Bartos says, “pump or feed as soon as possible. If you’re in a pinch, try hand expressing milk to ‘get the edge off.’”

baby being fed by bottle
iStock.com/stock_colors

If you don’t have a breast pump yet, get one! They’re usually free or fairly inexpensive through your insurance. I’ll be honest though, my insurance-supplied breast pump did not work for me. Instead, I purchased a cheapie battery-operated travel pump, and it worked like a charm. All this is to say that if pumping isn’t working out, it may be the pump, so don’t be afraid to try a different kind.

Self-Care During the Fourth Trimester

While it can be hard for mom to find a free moment to relax, Bartos recommends taking time to complete daily meditation and low-impact exercises that can really help reduce stress. Here are her favorite practices (and you only need about 15 minutes to complete them!):

  • Alternate nostril breathing (1 minute): This premise is simple. Sit somewhere. You can sit up straight and cross your legs to look cooler. Take your index finger and put it to the side of your nose. Plug one nostril and take a deep breath in through the one that’s not plugged. Exhale through the same nostril. Repeat using the other finger and other nostril. The benefits of this exercise? Scientifically, it can reduce blood pressure but it also balances out your energy and does relax you.
  • Legs up the wall (5 minutes). Also known as Inverted Lake, this mild inverted yoga pose is known for a wide range of health benefits—improved digestion, brain function, relaxation, and sleep—and for its anti-aging effects. Ancient Hindu scriptures claim that this pose hides wrinkles in addition to banishing old age and death. While true yogis can do this pose from 30 minutes to several hours, we everyday gals can benefit from just 5 minutes of this a day.
  • Meditation (10 minutes) When I think of meditation, I think of a long, dreamy process, but in truth, you can do a beneficial mindful meditation in less than 10 minutes. (Heck, you can do it in just one!) If you’re new to the practice, there are guided meditations to take you through the steps. Try this 7-minute loving kindness meditation by meditation mama Megan Winkler. Apps like Calm (iOS and Android) and Headspace (iOS and Android) and hypnotherapy apps by Andrew Johnson are other options that provide a short respite from everyday stresses.

Don’t be afraid to ask for help during the fourth trimester.

“I think you should seek help any time you’re worried about your baby,” emphasizes Karp. “The 5 S’s soothe most colicky babies, so it’s really the first thing to try. There could be a medical concern if you’re confident you’ve mastered the precise techniques and your baby is still fussing a lot. …It’s always smart to get your pediatrician’s opinion.”

HealthyWay
iStock.com/GeorgeRudy

That goes for mamas too. If you feel that something isn’t right with your body, don’t be afraid to reach out to your OB-GYN for postpartum care—postpartum depression and postpartum anxiety are more common than you’d think.
If you just need a little TLC, you know what I’ve found? Sometimes the 5 S’s work on adults too. So if you’re feeling tired or down, grab that ratty blanket, swaddle yourself on the couch with a white noise machine, and take a nap to recharge.
[related article_ids=1001371]

Categories
Mindful Parenting Motherhood

Temper Tantrums Are (Unfortunately) Normal; Here's How To Deal

Imagine this: There’s something on a high shelf that you really, really want. Like, desperately. Chocolate. Or wine. Or a book you’ve been dying to read. Or the remote after a long, long day. But you can’t reach it, and you can’t really communicate to anyone that you want it or how to get it. People around you are trying to help (or maybe they’re not trying to help at all). Whether they are or not, they have no idea what you’re saying, and eventually it becomes so frustrating that you just give up and collapse into a fit of tears. Why doesn’t anyone get me???
This, my friends, is how a toddler throwing a temper tantrum feels so much of the time.
While temper tantrums can be a huge pain in the you-know-what, they are a totally natural part of childhood (and parenting), so the best thing you can do is get on board with how to deal.

5 Guiding Principles for Addressing Temper Tantrums

1. Temper tantrums are not a bad thing. In fact, they are a necessary part of growing up. (Sorry.)

“If a child is always compliant and never asserts herself, I worry about that kid more than the kid who won’t eat her broccoli,” explains Barbara Kaiser, early childhood consultant, trainer, and co-author of Challenging Behavior in Young Children: Understanding, Preventing and Responding Effectively.  “Learning what you like and don’t like, what you want and don’t want, is an important part of growing up.”

2. Parents play a huge role in how a tantrum plays out.

We look at temper tantrums as negative because they are—you guessed it—embarrassing, especially in when you’re in the grocery store. But Kaiser explains that it’s very important to not let the embarrassment override the fact that you really love your child (even as she kicks and screams!). As a parent, you need to try to figure out what the child is telling you and work with her so the tantrum doesn’t escalate even further. Desperate to make it end? “Us wanting it to stop so desperately plays a role,” Kaiser says.

3. Grown-ups have to…grow up.

“We tend to take everything seriously and turn it into a power struggle,” Kaiser says. We always blame the child, but often the situation escalates because we didn’t respond to our child’s needs (I’m hungry, I’m tired, I don’t want to do this now, etc.) early enough. Parenting in a proactive, preemptive way can stall out much of this behavior.  

4. Sometimes there is no reason for a temper tantrum.

Sometimes the kid is just over it (just like we often are!). Something that didn’t set him off yesterday could be a huge deal today. “Trying to find a specific reason can be hard,” explains Jane Rosen, PsyD, child clinical psychologist and director of education at the IKAR ECC preschool in Los Angeles. “That’s what our adult brains don’t understand about children’s brains. There is sometimes no rationale. Parents think the kid has more understanding and control than he does.”

5. We make worse parenting decisions when we feel judged.

Why do things always go awry in the grocery store, on a plane, or when that nasty old woman is staring us down as we try to get our kid to get her mitten on? Because we are self-conscious. “Who allowed her to have children? we imagine people thinking about us,” says Rosen. This doesn’t make averting the meltdown any easier. In all likelihood, you will never see those strangers again, so, as best you can, try to ignore.

Why do tantrums happen?

Behavior has a purpose, no matter your age, and kids have tantrums because they work. If the behavior wasn’t working, they would stop having them.
“Tantrums are common for first two years of life because toddlers don’t have a lot of other ways of expressing their needs,” says Kaiser. “If adults don’t understand what they’re trying to communicate, the best way to be understood is to fall on the floor and become a noodle and scream and yell.”  
By the time kids reach ages 3 to 4, their executive function starts to kick in. They have more self-control, they develop the skills they need to delay instant gratification and deal with frustration—but perhaps most importantly, they develop language. So instead of screaming, she can say, Can I please have some milk? or This car seat is uncomfortable.

Temper tantrums are normal.

Temper tantrums are not a sign that something is wrong with your toddler. They are, in fact, a necessary part of the individuation process—the realization of the self. “The first way [they’re] saying ‘I’m not you’ is by saying no. The child is discovering her emergent identity as a separate being, which is what we want!” explains Rosen.
This, however, can be confusing to adults, especially since it comes after a year of deep love and connection between baby and parent. “To have this loving being turn into Mr. Hyde is deeply upsetting to parents,” Rosen says. “They feel like it’s something they’ve done or can be avoided.”
Not so.
Too many of us think our M.O. should be about stopping tantrums before they start. But we’re better off thinking of temper tantrums as a necessary stage of development. Although we shouldn’t tolerate all behaviors (biting and hitting are off limits, for example), we don’t need to stop a tantrum in its tracks (by then it’s probably too late anyway).
“When your beloved being comes to you with something not pleasant, it’s a big part of them learning unconditional love,” Rosen explains. “We are, in essence, saying I will love you even when you are like this, too.

Why does my kid always throw a temper tantrum in the grocery store?

We’ve all been there. You just need to zip through—eggs, milk, emergency chocolate. It’ll only take 10 minutes! But suddenly your child has become a wailing monster in the middle of a grocery store aisle.
Why does this happen?
Your kid is really overstimulated. Lights! Colors! People! All the things they can’t have! “The things that are least healthy are the most attractive to them,” Kaiser explains. Think of all the brightly packaged chips and cookies perfectly designed to get their attention. The kid wants it and doesn’t understand why he can’t have it. So a major tantrum ensues.
All you have to do is to put that one thing he wants in the shopping cart and he’ll stop, right? No.
Let’s rewind the tape. First thing to do upon entering the store? Go to the veggie and fruit section, pick out something your kid likes, and let him eat it. Many kids will happily sit in the cart if they have a banana or apple to nibble on. (You’d be surprised how many grocery stores allow this; they don’t want to hear screaming kids either.)
Once a child is old enough, make a trip to the grocery a project (yes, this involves some forethought, but can save you a scene): Make a book of supermarket specials, and give your child a job. Or say, Go find me two red things! as you watch close by. “If they’re busy and focused, they won’t have tantrums,”  says Kaiser.
Another big way to avoid a grocery store tantrum? If you can, choose a sensible time to go. Otherwise, you are setting them up to fail. “A child who’s been at daycare all day wants downtime, or connecting time, or running around time,” says Rosen. “When you’re at the supermarket, they’re confined and you’re not relating. There is no upside for them.” It’s worth asking yourself: Am I pushing too hard at this point in the day?
Finally, remember that walking out of the store, even if it means abandoning a full grocery cart mid-aisle, is not the end of the world. If all else fails, that’s what Instacart is for.

What do you do when your child is throwing a temper tantrum in public?

The main thing a tantruming child needs is to be kept safe. So take your child to a place where she can have the temper tantrum. “Sometimes we don’t have a choice. We need to get food. You can say, I see you’re having a hard time; Mommy has to finish shopping. Finish what you need to do and leave.”
The acknowledgment piece is key. That moment of connection tells the child that she is seen and heard. When we’re worrying about what fellow shoppers think of us, we will make bad decisions because we’re mortified. “But a steady diet of distracting a child from tantrums will not work over time,” Rosen says. “You miss the teachable moment—the moment to say, I see you; it’s okay. You can’t tolerate being here. Let’s get out of here quickly.”

What do you do when your kid is throwing a temper tantrum at home?

There are so many reasons why a child has a temper tantrum, but it always comes back to one thing: He has a need. The need is real (I want a hug, something to drink, some attention, to lose it), so once the fit is over, you can figure that out. But in the meantime:

    1. Don’t say anything. “Anything you say they’re going to misinterpret,” Kaiser explains.
    2. A few steps away, take an L-stance: Stand with one foot toward your child, the other perpendicular. The point is that it’s not confrontational, and you’re a reasonable distance away—present but not standing over them.
    3. Don’t look at them, but past them (think over her shoulder). Because all kids need to breathe, they will stop and take a breath. “This is what you want: For them to breathe,” Kaiser says. “That’s when you make eye contact. You’re creating non-verbal communication.” Why is this important? “They don’t hear a word you say but they feel your body language. Look at them with ‘It’ll be okay’ in your eyes. Don’t say anything.”
    4. If the wailing starts back up, withdraw eye contact again. When he stops for a breath, make eye contact again. The child begins to connect the dots: When I’m not yelling and screaming, I’m getting support. Alternately, get down at (or below) eye level, this way they don’t feel a presence towering over them.

What to Do After a Temper Tantrum

If your child is under 2, simply give him a hug.

See if there’s any way he can let you know what he wants in a more rational way. This means helping him along. Do you want this or this? Tell her, Point at what you want!
Do not talk it over. “You’re assuming that it’s something we need to debrief on,” Rosen explains. You don’t need to process the tantrum because the brain hasn’t reached a phase where this is possible.

For a kid who is older than 2, use your sense of humor (but watch your tone of voice).

This means being aware of your non-verbal communication—in other words, don’t tell the kid it’s okay but with a nasty look on your face or anger in your voice. You can even say light-hearted things like I’m glad that’s over! Lower your voice. Your tone is important here because you want to communicate that you are not out of control.

Talk about the tantrum.

Ask questions that might make the situation a little clearer: What was that about? What can I do differently so that I can understand what you want? What can you do?

Separate the child from the behavior.

“No matter how upset or angry you were about that tantrum, you still love your child, and she still loves you,” says Kaiser. “You can say, That’s not okay; let’s find other ways to express those feelings.”

Pick your battles.

The neverending refrain of parenthood. How important is it to you that your child finish all the broccoli on her plate? If it’s not worth a massive tantrum, maybe it’s not something you really need to push her to do. Examine your own beliefs before you insist on particular behaviors.

Talk it out with your partner.

Sometimes the problem actually stems from a marital spat or a disagreement about what to do in a given situation. If another parent or caregiver was part of the equation, it’s really important to go back and talk, adult to adult, about what happened and what you can do differently next time.

Preventing Temper Tantrums

Recently I was in the car with my 4-year-old on the way home from a party. She was exhausted at the end of a long weekend and angry we had to leave the party. I could feel a meltdown coming on. I was not convinced that once we got home she would have it in her to eat dinner, have a bath, and read before collapsing in a fit of tears and screams.
What should I have done?
You seem really tired: Do you want to have a bath? How does a short bath feel?” Kaiser suggests I should’ve asked. “Treat children as people. We get so caught up in power struggles. That’s our problem, not the child’s. By giving them options, you’re teaching them to figure out what they need. Our job is to be supportive of their needs. Then a tantrum isn’t required.”

But what about when she writes on the wall with markers and then has a meltdown over it?

When a child does something he or she shouldn’t have done, the best response is natural or logical consequences—not punishment. So if the kid draws on the wall, the response should be something along the lines of, I’ll help you, but we need to wash this off, not Go to your room. She’s just going to have a tantrum—and that doesn’t teach her anything. “A tantrum is a response to us not meeting their needs,” Kaiser explains.

How do I know if a temper tantrum is a sign of something more serious?

In most cases, any out-of-control behavior a child exhibits before 18 months is not an indication of anything diagnostic. “If you’re seeing inconsolable and constant tantruming with no relief, or they can’t recover, this is sometimes diagnostic—but only with a lot of other things being present as well,” explains Rosen. In other words: It’s normal.
Throwing temper tantrums at a later age (say, between 3.5 and 4) in the style of a younger child might point to something problematic. If the child is is rageful and silent with no trigger or has no capacity to self-soothe or willingness to accept comfort, you might want to discuss the behavior with a healthcare provider. But beware of diagnosing your child on your own: “Parents read things and think their kid is autistic or a sociopath,” says Rosen. “This is almost never the case.”
Kaiser also suggests thinking more intentionally about prevention. If your kid has learned over time that the only way she gets what she wants is by holding her breath and passing out, then her needs need to be met much earlier. “We have more control over things if we are intentional, but we are often not intentional enough,” Kaiser says. “Our expectations are so off the wall. Children have the right to express their need. Our job is to listen.”
[related article_ids=18997,1006832]

Categories
Mindful Parenting Motherhood

Is Your Baby Ready For Baby-Led Weaning?

Recently, a friend gave me a really well-written and informative book all about baby-led weaning. Immediately, I felt like a failure, because for the past couple months, I’d been giving my eight-month-old pureed baby food. Worse, I didn’t even make it myself.
My friend didn’t intend to mom-shame me. She practiced baby-led weaning, and she just wanted to share an awesome book that had helped her tremendously. Of course, I’d heard of baby-led weaning, and I’d even tried it—once. But after watching my son gag on a piece of banana, I was too scared to try it again.
Fast forward a couple of months, and he’s more interested in what’s on my plate than his bowl of pureed green beans (and who could blame him?), so I decided to give baby-led weaning another go.
I spoke to a few nutritionists and child feeding specialists who work with parents and infants to introduce solids the right way to get the scoop on baby-led weaning. Here’s what I found out.

What is baby-led weaning?

Baby-led weaning, sometimes referred to as BLW, is a bit of a misnomer. Contrary to the name of this feeding method, you’re not actually weaning your little one. According to the American Academy of Pediatrics, babies should have only breast milk or formula until they are at least six months old. But after six months, you can use baby-led weaning to introduce solids to your baby, who is still getting several nursing sessions or bottles per day.
Baby-led weaning is a method of starting solid foods with an infant that skips traditional purees and spoon feeding,” explains Diana K. Rice, a pediatric feeding expert who teaches baby-led weaning workshops in St. Louis, Missouri. “Instead, the baby is offered whole table foods in appropriate sizes and textures and allowed to self-feed from the start.”
For example, if you’re practicing baby-led weaning, you’d give your baby chunks of banana to bite into instead of pureed banana (a common first food). During baby-led weaning, your baby will still continue to breastfeed on demand until at least 12 months of age, or whenever you decide to stop breastfeeding.

Baby-Led Weaning Benefits

Until a few years ago, the World Health Organization and the American Academy of Pediatrics recommended that babies be exclusively breastfed until four months of age, at which point solids could be introduced. At four months though, babies aren’t developmentally ready to chew, so that’s why purees have traditionally been baby’s first food.
Since both organizations changed their guidelines and now recommend that parents wait until six months of age to introduce solids, baby-led weaning has become a popular way to introduce complementary foods to baby. Between four months and six months of age, babies reach several developmental milestones necessary for successful baby-led weaning: They learn to sit up unsupported, grasp food and bring it to their mouth, chew, and swallow. Because the guidelines changed, and in light of these milestones, it may not be necessary to feed baby traditional purees.
[pullquote align=”center”]”Baby-led weaning is a method … that skips traditional purees and spoon feeding. Instead, the baby is offered whole table foods in appropriate sizes and textures and allowed to self-feed from the start.”

—Diana K. Rice[/pullquote]
Few studies have been conducted on baby-led weaning, but some research does suggest that baby-led weaning may help reduce obesity rates in children by encouraging healthy eating habits where the child is in control of their own diet from an early age. In fact, the UK recently changed their infant feeding guidelines to include finger foods as an acceptable way to introduce babies to solid foods.
While more research is needed, letting baby lead the way when it comes to introducing solids could help them be better eaters as they age. According to another study, babies who weaned with a baby-led approach demonstrated less food fussiness and more food enjoyment at 24 months compared to babies weaned with other methods.

Does my baby really need solids? Isn’t “food before one just for fun”?

Whether you’re introducing your baby to solids via baby-led weaning or purees, most parents are taught the adage “Food before one is just for fun.” But Melanie Potock, a pediatric feeding specialist and author of the book Adventures in Veggieland, explains that this phrase is a little misleading:

Food before one is definitely not just for fun. Learning to eat is developmental, just like learning to crawl, then walk, then run. Certain foods help babies learn to control mouth reflexes and learn to bite, chew, and swallow effectively and safely.

Plus, at around six months, many infants use up their iron stores. Iron is necessary for baby’s brain development, so you may need to supplement with iron-rich foods. While evidence shows that extended breastfeeding is a good way to prevent [linkbuilder id=”6532″ text=”iron deficiency”], introducing foods rich in iron around 6 months of age is also recommended.
Sarah Skovran, a registered dietitian who specializes in maternal and child nutrition, weighs in: “I might amend this to ‘food before nine or ten months, just for fun,’ which I realize doesn’t rhyme. And this is absolutely a question to discuss with your baby’s doctor, as the expert opinions vary quite a bit based on the source. My recommendation is two-fold: One, offer iron-rich foods like cooked broccoli and sweet potato, and two, if you are concerned your baby isn’t eating enough by ten months of age, visit your pediatrician.”

How to Do Baby-Led Weaning: A HealthyWay Guide

Before you begin baby-led weaning, review a list of foods that could be choking hazards for babies. Rice says that includes:

  • Whole grapes
  • Whole cherry tomatoes
  • Small coin-shaped foods like raw carrot slices
  • Whole nuts
  • Whole leafy greens
  • Seeds
  • Popcorn
  • Very soft bread
  • Thickly spread nut butters (She does say “you can toast bread or spread nut butters in a thin layer to make them safe to consume.”)

Even though baby-led weaning is totally safe when done correctly, you should still get your infant CPR certification and learn the Heimlich maneuver for infants. Most hospitals offer free or low-cost infant safety classes for new parents. Even if you’re a veteran mom, it never hurts to be up-to-date on your certification—just in case.

Recommended First Baby-Led Weaning Foods

Your baby may be reaching for your plate, but she’s probably not ready for everything you’re eating just yet. So what can baby eat?
“Try slices of ripe avocado, steamed vegetables, or strips of buttered toast,” says Potock.
[pullquote align=”center”]Most hospitals offer free or low-cost infant safety classes for new parents. Even if you’re a veteran mom, it never hurts to be up-to-date on your certification—just in case.[/pullquote]
Cut each food into strips about the size of an adult’s index finger for baby to grasp and mouth. Roll slippery foods in fine cracker crumbs to make them easier to hold and to add a bit of texture.  Include pea-sized pieces of safe foods for baby to rake up with his fingers and, over time, pick up between his finger and thumb as he develops his pincer grasp.
One good way to test if a food is right for baby-led weaning is to try it yourself. If you can mash the food between your own tongue and the roof of your mouth, baby can too.

Dos And Don’ts Of Baby-Led Weaning

Do: Include baby at mealtimes!

Including baby at mealtimes with the whole family keeps them engaged and occupied during meals. Plus, pulling baby up to the table at mealtime lets them know Hey, it’s time to eat! That way, they’ll begin to understand their eating schedule.

Don’t: Season baby’s food.

Some seasoning on food is fine, Potock says, but limit salt and sugar. One easy way to do this is to portion out baby’s food first, and then season the rest as you like. Speaking of flavoring, it’s also crucial that you avoid feeding baby anything that contains honey, which is not safe for kids under a year old.

Do: Cut baby’s food into pea-size bites.

Recently, I let my son nibble off a banana I was munching, and before I knew it, he had a huge chunk of banana in his mouth. He was totally fine, but I had to fish it out and give him more manageable bite-size pieces. For babies just starting solids, food needs to be no larger than pea-size. Once baby is older and has more teeth, they can have larger bites.

Don’t: Overload baby’s senses.

Don’t give your baby too many new foods at once. Try one new food at a time. This will help you notice any signs of food allergies in addition to helping you tune into what baby will and won’t eat. If baby doesn’t seem to like one food, try it again a couple of times. It may not necessarily be the taste they don’t like, but the texture of a new food that takes some getting used to. My son hated avocado at first, but now it’s one of his favorites. If baby still doesn’t like a food after a couple of tries, move on to something new, and come back to it later.

Do: Get ready for gagging.

When we tried baby-led weaning the first time, I was not prepared to watch my infant gag. My son gagged like he was dying for a few seconds, swallowed, then gave me a huge grin. Though he was totally fine (and even seemed to enjoy the experience), I was traumatized. That said, gagging is a normal part of the process when introducing solids.
“It is very important for a parent to be prepared for the baby to gag,” Rice says, “The baby will make a U shape with his or her tongue and make a gagging noise. The baby’s eyes may water and he or she may even spit up a little bit as [they work] to spit out the large piece of food. Parents should keep in mind that gagging is a sign that the baby is learning NOT to swallow large pieces of food.”
This sounds really scary (and it is!), but Rice explains that by gagging, baby is learning how to avoid choking, which is obviously a very important life skill. Also remember that choking is typically noiseless, but when babies gag, it’s usually with a loud coughing or retching sound.

When Baby-Led Weaning Isn’t Right for You

Baby-led weaning is just one way to introduce solids to your baby. It’s still totally okay to give your baby purees, or to both spoon-feed baby and give them finger foods.
In fact, Potock says that while some proponents of BLW suggest skipping purees, many feeding specialists who focus on mouth development recommend introducing purees along with safe hand-held solids.
“Purees have a purpose: They help babies swallow safely by providing a consistent texture that’s thicker than breast milk or formula while offering new tastes and temperatures,” Potock continues. “Although some BLW educators feel that parents should never put a spoon or food directly into the child’s mouth, feeding specialists feel differently. The most important thing, which both camps can agree upon, is that parents read their baby’s cues. If baby isn’t interested in a new food, don’t attempt to help things along by putting the food in the baby’s mouth. Instead, show baby how to pick up the food, play in the food and experience the texture and temperature with the sensations in his hands and fingers. Kids are programmed to explore with their hands first and then their mouths, and that’s what leads to an interest in tasting.”
[pullquote align=”center”]“Purees have a purpose: They help babies swallow safely by providing a consistent texture that’s thicker than breast milk or formula while offering new tastes and temperatures.”
—Melanie Potock[/pullquote]
Plus, baby-led weaning is just plain hard sometimes. It requires a lot of time. Working mamas or moms with more than one kid may just not have enough time to sit and patiently supervise baby through a baby-led weaning session at mealtime. And baby-led weaning can be downright messy. If you’re a busy mama (and who isn’t?), you may barely have enough time to shower yourself, much less clean up a messy baby and even messier eating area after mealtime.
Baby-led weaning is totally safe when done correctly, but some parents are understandably concerned about choking hazards. If that’s the case for you, it might feel more comfortable to spoon-feed until baby is a bit older. Also, some babies may be perfectly capable of eating finger foods, but just prefer purees over finger foods at first, and that’s also okay.
Ultimately, deciding how to introduce solids to your little one is a personal decision. Whether you choose to do baby-led weaning, purees, or a combination of both, the most important thing is that eating is a positive and nutritious experience for baby.

Sweet Potato Pancakes: A Recipe for All Ages From Adventures In Veggieland

Yield: 12 Pancakes

Ingredients:

  • 3 large eggs, beaten, plus one more if needed
  • 1 cup cooked and pureed sweet potato
  • ½ teaspoon ground cinnamon
  • 1 teaspoon ground nutmeg
  • Butter or oil for pan

[noads]

Method:

  1. Combine all ingredients to form a batter the consistency of thick applesauce. Add an additional egg if the batter is too thick.
  2. Heat a skillet or griddle over medium heat and coat with butter or oil.
  3. Carefully spoon batter onto your cooking surface to make pancakes the size of a baseball. Brown one side, flip, and brown the other (cooking about 5 minutes per side).

Serve with maple syrup for older kids and grown-ups. Babies can just hold, smush, and eat!
Adapted from the recipe on page 52 in “Adventures in Veggieland” by Melanie Potock, MA, CCC-SLP
[/noads]

Categories
Mindful Parenting

Should Children Be Playing Contact Sports? The Risks And Benefits Of Youth Athletics

“Do I love hockey more than I love my child?”
This is the question Bennet Omalu, a neurologist and forensic pathologist, asked in his book Truth Doesn’t Have a Side. Omalu is famous for publishing groundbreaking research documenting the damaging effects of football on professional athletes in America. His research changed the way we think about contact sports. In his opinion, no person under the age of 18 should participate in contact sports. The risk, in his mind, is simply too great.

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In a country in love with sports, this claim has caused many parents to pause and ask hard questions about their decisions regarding their child’s participation in sports. Should all adolescents be withdrawn from contact sports completely? What is the real risk of continuing to let them play? And on the other hand, could there be risks associated with refusing to let your child play team sports?

The Risk of Joining the Team

There is no denying that there are risks associated with participating in contact sports. Recently, a Texas NBC affiliate published quotes from doctors warning against preventable injuries caused by sports. Their specific worries concerned overuse injuries (injuries caused by too much stress on a certain body part).
According to the article, these injuries are so common, they’ve reached “epidemic levels.” Doctors said these injuries could be prevented, however, by scaling back on training in childhood sports.

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The risk of traumatic brain injury is also gaining national attention.
Participating in competitive sports puts young athletes at a high risk of sustaining at least one concussion in their lifetime, according to research published by JAMA: The Journal of the American Medical Association in 2017. Of the survey’s 13,088 adolescent responders, 14 percent reported sustaining at least one concussion. When responders also reported participating in competitive sports, that number increased.
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This isn’t surprising, considering that sports accounted for roughly half of all concussions in adolescents, according to a 2013 report published in JAMA.
The good news is that concussion symptoms are typically temporary. It isn’t common for adolescents to experience lasting effects from a properly treated concussion, according to the Mayo Clinic.
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The real concern about concussions pertains to the risks that come with repeated or compounding concussions. One study performed pre-season cognitive testing on high school adolescents, examining for symptoms of impairment and asking students to self-report concussions. The adolescents who reported more than one concussion were more likely to exhibit cognitive, sleep, and physical symptoms. The symptoms for students reporting three or more concussions were more likely to be significantly more severe.

The Risk of Benching Your Kids

All three experts who contributed to this article are in favor of participation in high school sports despite the risks involved. When safety precautions are taken, experts believe sports are an important part of the adolescent experience.
[pullquote align=”center”]In many cases, it seems that a lot of the narrative has been around what contact sports can do to an individual … I think we need to … discuss the things that sports in general … can do for the individuals participating.”
—Vernon Williams, MD[/pullquote]
The experts also point out that non-participation is not without danger. Parents may believe they are keeping their kids safe from health problems, but there are real risks associated with benching kids, too.

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“We’re living [at] a time when we have an obesity epidemic,” points out Mark McLaughlin, MD, who practices neurological surgery at Princeton Brain and Spine Care. “Keeping [children] out of sports for fear of risk of concussion is doing them a disservice.”
Just participating in one team sport in high school can significantly reduce students’ obesity risk, according to The New York Times. There is also convincing evidence that team sports participation is linked to success in school, capable of teaching skills on the field or court that translate well in the classroom, according to a University of Kansas study as reported by KU News Service.
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Through participation in team sports, students learn discipline, persistence, and resilience in the face of adversity, says McLaughlin. Sports are also an opportunity to improve physical fitness through increased strength, balance, and endurance.
“In many cases, it seems that a lot of the narrative has been around what contact sports can do to an individual,” agrees Vernon Williams, MD, sports neurologist and director of the Center for Sports Neurology and Pain Medicine at Cedars-Sinai Kerlan-Jobe Institute in Los Angeles. “I think we need to widen that narrative and discuss the things that sports in general, including contact sports, can do for the individuals participating.”
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According to Williams, if withheld from team sports for fear of possible injury, children would miss out on numerous benefits, including improved physical fitness, a lowered risk of obesity, and improved cognitive function. He also points out that being on a team teaches cooperation, how to overcome adversity, and many other skills important to being a productive member of society.
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Pediatric neuropsychologist Katie Davis, PsyD, adds that sports are an important part of the school experience.
“I think team sports … increase kids’ attachment to school,” says Davis. “So if they’re playing team sports, they have a real reason to go to school. They enjoy school and feel more connected to the school community.”

Keeping Kids Active and Safe

Deciding whether to withdraw kids from sports or involve them is not an easy choice. For parents who want their child to remain involved in team sports, however, there are a few guidelines they can follow to keep kids as safe as possible during practices and games.
One of the first things to know is that some contact sports simply aren’t worth the risk; McLaughlin doesn’t believe there is any reason for adolescents to be involved in boxing or mixed martial arts. In these sports, hitting someone in the head is part of the strategy.

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“The goal of boxing is to give somebody a concussion,” he says.
Outside these two sports, McLaughlin says contact sports are getting safer for children. He notes that, because we have greater awareness, it may seem like concussions are becoming more frequent, when we’re really just getting better at detecting injuries. Additionally, thanks to the research on brain injury in contact sports, rules at the high school level are changing to increase safety.
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To guarantee that the team a child plays for is implementing safe practices, McLaughlin advocates for high parental involvement in sports. He says it is currently lacking, but it is the only way to be certain your child is safely participating in their sport of choice. Parents should go out of their way to educate themselves on safety practices that can decrease the risk of injury in their child’s sport.
In the unfortunate instance that a child is injured while playing contact sports, the right response is crucial. Specifically, parents should take action and take their child to a health professional any time the child experiences loss of consciousness or memory impairment after a hit in sports.
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More common symptoms include tiredness, headache, and sound and light sensitivity, but loss of conscious and loss of memory are the biggest indicators that the child needs immediate medical care, according to Davis.
“If someone has any symptoms of concussion, they should be removed from play, and they shouldn’t be allowed to return to play until they’ve been cleared … by the appropriate healthcare professional,” says Williams.  
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According to Williams, experiencing a second concussion before the first has healed poses serious risks to all athletes. Additionally, he notes that emerging research suggests sub-concussive brain injuries can add up over time to create some of the same effects a full-blown concussion can create.
For this reason, he pushes for reduced blows to the head in general in contact sports. He encourages parents to discuss ideas for reducing contact during practices with coaches as well as teaching athletes proper techniques. He also encourages athletic officials to enforce the new rules that have been created to minimize risks.
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Lastly, Davis, who is a strong supporter of participation in team sports, believes monitoring should be non-negotiable.
“One thing that I think schools really need to implement … is requiring baseline cognitive testing for anyone who is going to play a sport,” she says. “Contract with a neuropsychologist and have them do baseline paper-and-pencil testing.”
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This would create a baseline for all participating athletes, says Davis. That way, if they were to experience an injury like a concussion, trainers and coaches would have a starting point to measure the impact of that injury. Without this initial test, post-injury testing is inaccurate.
Ultimately, it is a parent’s choice if their child will participate in team sports. If you have any concerns about your child’s unique circumstances, it is always a good idea to consult with a doctor before allowing a child to become involved in activities with a risk of physical injury. With their help and proper education, you can confidently make a decision you feel is best for your child.