Jan
15
2015

Nurse in Peace: Keep Siblings Busy with Great Kids Books

A Selection Of Favourites from a Nursing Mom of (now) 3!

Nurse in Peace: Keep Siblings Busy with Great Kids Books

My ultimate favorite gifts to give and receive are books. Books are timeless and can give hours of entertainment, which translates into hours of often needed quiet time. And best of all, books are relatively inexpensive and easy to send to family and friends who live abroad, and they're reusable and can be enjoyed time and time again.

With a new baby in the house, books are a great way to keep my older two occupied when they want to be close by while I nurse their new brother, so I wanted to share with you a few of the classics that have hit home in our house. My kids got a ton of gift cards for the holidays - and I bet yours did, too - so perhaps some of these books will find a spot on your shelves soon.

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Age 0-12 months

Sometimes I Like to Curl Up in a Ball 

Authors: Vicki Churchill and Charles Fuge

This is a sweet book about a wombat and his favourite things to do. It’s a great, short book for little ones that gets them inspired for sleep. And more sleep is never a bad thing.

Brown Bear, Brown Bear, What Do You See? 

Author: Bill Martin (Author), Eric Carle (Illustrator)

This is a classic Eric Carle book many of us know well, and may likely be on your shelves already. If not, it is a much needed addition. Each page is a peek at a different animal, which helps with animal and colour recognition for toddlers. It is simple, predictable, and bright. Even young children can easily memorize the pages and "read" it to you by age one. It never fails to bring a smile.

Goodnight Moon 

Author: Margaret Wise Brown

Yes, it's on my list; how can it not be? Many of us had this book read to us when we were kids. This is a great book for teaching simple words such as "comb" and "balloon." The images are a bit retro, but this adds to the appeal - at least for parents. But while perhaps not the most eye-pleasing - the "old style" telephone is out of date and would be a cell phone now - my kids seem to adore it and it gives me a glimpse back at life before cell phones and tablets took over. This is another book that kids can easily memorize, and they love to recite back to parents before bed.

Age 12 months – 2 years

Peas On Earth and Bear in Underwear

Author: Todd H. Doodler

I adore Todd Doodler’s books and could recommend many more. "Peas on Earth" is one of my kids’ all-time favourites. Who wouldn’t love a book that teaches kids to share, play nicely, and eat healthy too? We love the rhymes, cute drawings, and a pop-up surprise at the end.

"Bear In Underwear" is another great book about a bear who stumbles upon a bag of random underwear in the woods and finds his favourite pair, and then his friends all find great pairs, too. (Next to more sleep, comfy underwear is very important.) My kids and husband think it's hilarious and the pictures are adorable. This is a great springboard book for kids transitioning to underpants, too!

Pete the Cat and His Four Groovy Buttons 

Author: Eric Litwin (Author), James Dean (Illustrator)

We have been fans of the Pete the Cat series since the first one, "His Four Groovy Buttons." There are now several more and my kids can’t get enough. Pete is a friendly, chill cat who gets into some trouble but stays happy and positive. The illustrations are cute and you can even listen to the stories being sung by Eric Litwin online for free. So fun.

Grumpy Bird 

Author: Jeremy Tankard

Don’t let the name get you down. Yes, "Grumpy Bird" is a story of a bird down-on-his-luck, but his helpful friends soon cheer him up. This book will turn a bad mood around and teach kids about various animal types and how to look on the bright side, and it's great for building friendship values.

Don't Let the Pigeon Drive the Bus! 

AuthorMo Willems

I get a kick out of the various Pigeon books, of which there are several. These stories are about an eager pigeon who wants independence and choice – much like our toddlers. He has to learn to accept this isn’t always possible. Mo Willems wrote several brief and funny for both kids and adults, and the illustrations are simple, yet explosive and depict action beautifully. They really capture a small child's attention.

The Very Cranky Bear 

Author: Nick Bland

This is a great book about a team of animal friends who work diligently to cheer up a friend. I love the lessons about friendship, sacrifice, and kindness. Great rhyming and illustrations keep kids attention from wandering.

How To Catch A Star

Author: Oliver Jeffers

There are several books by Jeffers that my boys and I love. This one is about a boy who wants a star of his very own. He is persistent and his hard work pays off, and without giving away the ending, I'll just say that it is one of the most requested books in our house.

Age 3-4 years

Fly Guy #4: There Was an Old Lady Who Swallowed Fly Guy

Author: Tedd Arnold

There are now many books in the Fly Guy series about a boy and his pet fly. They are great stories about friendship and acceptance, and this book is a hilarious take on the classic idiom that consistently makes our kids giggle. These books are excellent for new readers too, and our older son can read many of the simple sentences already.

Big Book of The Berenstain Bears

Author: Stan Berenstain and Jan Berenstain

The Berenstein Bears are a classic that I remember well from childhood. I love the stories about family, friendship, and values we all share are parents.

Please do share your favorites with me!

My kids’ book library can never get big enough!


Read more from Dr. Dina at The Baby Doctor blog, or on her Facebook page.

Jan
05
2015

Breastfeeding Tips from a Doctor (Who's Breastfeeding!)

The Most Rewarding Thing I’ve Done, And Most Difficult

Breastfeeding Tips from a Doctor (Who's Breastfeeding!)

I’m a new mom, again. This is our third baby in four years, and I’m a pediatrician, so I feel like I have the ‘mom thing’ down pat. Of course, it is never easy dealing with the repetitive and seemingly hourly wake-ups, battling fatigue, hormone fluctuations, and chasing around the older siblings. This I haven’t gotten used to.

For me - and many other moms - the hardest part of having a newborn can be breastfeeding. I think popular culture has lead many to assume you deliver the baby, pop the baby on the boob and it’s all good. Baby feeds well, gains weight and all is right in the world. NOT SO for so many moms, myself included. In my experience at least 90% of new moms have some difficulty with breast-feeding. For me and the many moms I speak with this leads to feelings of failure, inadequacy, and often guilt when formula is introduced. People often don’t speak about their breastfeeding challenges, which only adds to the stigma.

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Breastfeeding was the most challenging thing I have ever done - more challenging than residency, fellowships, and exams. Our oldest son was colicky and irritable and wanted milk in large volumes and quickly! My body was hard pressed to produce enough milk let alone keep up with rate at which he wanted it. We tried it all – pumping, not pumping, tube feeding, cup feeding, formula… In the first two months of his life I spent upwards of 15 hours a day preparing to feed, feeding, or cleaning up after a feed, not to mention the every other day visits to the pediatrician’s office for weight checks. It was PAINFUL, EXHAUSTING, STRESSFUL and HARD. No one prepared me for that. But I was obsessed with making it work, and we did. By four months he settled (and was on solids to help fill him up) and I continued to nurse him until he was 13 months old. All good things are worth fighting for, and it became the thing I most valued in my early parenting life.

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So what have I learned from this less-than-ideal experience? A whole bunch of tips:

Skin to Skin

Try to place baby at the breast as soon as you are able after delivery. Delay can hamper feeding. Keeping the baby near the breast often may mitigate some breastfeeding issues.

Latch

Seek guidance in latching your baby. Many mothers do not find latching baby on to be natural and easy. If baby isn’t latched well, they will not be able to transfer milk well, and your body will not respond by making more milk. This downward spiral is the reason many women feel they are unable to breastfeed. If you are having lots of nipple pain when feeding, please ask a lactation consultant or physician to examine your latch.

Supply and Demand

The more milk that comes out, the more milk you’ll produce. How to increase milk supply? Feed! Your body should make enough milk to feed your baby. Trust in that. If you are concerned that you don’t have enough, you can try pumping or hand expressing after feeds. This will stimulate a greater supply.

Compress

I recommend that moms compress the breast when baby stops sucking to stimulate the baby to start sucking again. This also seems to calm babies like mine that want it fast!

Breast Milk Pump Use

As I mentioned above, the more milk that comes out, the more milk you will likely produce. Some women respond well to pumping after each breastfeed to increase supply. However, if this decreases how much you have available for baby at the next feed, hold off.

Feed One Breast Fully, then Switch

I recommend that moms fully drain one breast before offering the other. One breast is the meal and the other is dessert. By completely draining one breast the body will make more milk to refill this breast.

Stop timing Feeds

Many parents watch the clock and assume that by 15 or 30 or 45 minutes the baby should be full. Some babies who feed vigorously and with an excellent latch are full in 10 minutes, others take an hour. The trick is to watch how the baby is sucking. What I look for is strong suck, suck, suck, suck, … pause. This is the baby stimulating the let down and then pausing to swallow. If the baby is merely softly sucking with no pausing, they are likely pacifying and getting no milk transfer.

Feed 8-10 times a Day to Start

Some babies need more feeds, some less, but this is a good starting point. If your baby wants to feed more during the day, and less at night, and they are gaining weight well, then I’d take the extra sleep! As long as weight gain is steady, I think babies should tell you when they want to eat. I don’t wake my son if he is sleeping more than 3 hours. I relax.

Some additional tips:

Drinking and breastfeeding: To have lots of milk for baby you need to drink a lot of fluid yourself. Drinking at least 2 liters a day can make a big difference.  I sit with a water bottle beside me and sip throughout breast feeds.

Avoid artificial nipples early on: Once babies are stable at the breast and gaining a consistent amount of weight, artificial nipples (bottle, soother) can be okay. Babies like a fast flow and minimal work. Breastfeeding is harder and slower than feeding by bottle. I find babies that get the bottle in the first few weeks of life tend to get frustrated by the slower flow of milk from the breast. If baby requires supplementation, I suggest using a lactation aid (essentially a straw at the breast, where baby gets pumped milk or formula as supplement, while also breastfeeding, thus stimulating the breast to make more milk), cup or syringe.

What to eat when breastfeeding: Some lactation consultants swear by Guinness Beer and oatmeal. There is some evidence that these may help increase your supply. Oatmeal you can eat any time of the day, though the beer I would save for after a feed, as drinking alcohol when breastfeeding should be limited to at least an hour before a feeding.

Natural and prescription treatments:  I took fenugreek and blessed thistle pills along with a prescription, Domperidone, for the duration of my breastfeeding time with my eldest. I simply didn’t have enough milk otherwise. Discuss these with your doctor or midwife.

Bottom line: If you decide to breast feed, know you are not alone if you have struggles. There are a lot of things you can do to remedy any difficulties and you are not alone!


Read more from Dr. Dina at The Baby Doctor blog, or on her Facebook page.