Guest Mom Blogger: Pregnancy Heartburn

Every pregnant woman has her share of discomforts but I would argue that none are quite as annoying or uncomfortable as heartburn. I say this because many other things that plague pregnant women (morning sickness, back pain, swollen feet, sleepless nights) usually don’t last the entire pregnancy. Heartburn, on the other hand, can often start at the beginning and last right on through until your little one is born. There are a host of factors that contribute to heartburn in pregnancy. Hormones and the pressure your growing baby puts on your stomach are the biggest causes. Clearly, there is not much pregnant mommas can do to avoid these things. If you are blessed enough to be heartburn-free during your pregnancy, thank your lucky stars. You have no idea how much fun you are missing.

Honestly, I never experienced a single episode of heartburn before becoming pregnant. Now, in my second pregnancy, I can say that I’ve become a heartburn expert. This second pregnancy is much worse than the first (although perhaps I just blacked out how bad it was the first time.) I recently heard an old wives tale that experiencing heartburn while pregnant means your baby will be born with a full head of hair. My first son was actually born with lots of hair (score one for the old wives). This time I’m fully expecting to deliver Chewbacca or the Woolly Mammoth.

In my case it seems that no matter what I eat or how careful I am to avoid the foods that will likely make things worse, I end up with heartburn. It’s maddening. Of course there are times when I absolutely bring it on myself. Cravings for spicy foods aren’t exactly satisfied with toast and milk. Despite the fact I know I will pay for it later, sometimes I just can’t resist a good bowl of curry. I mean, come on.

If you are having trouble, be sure to speak to your doctor about taking some over the counter antacid medications. Most doctors readily give you the green light on things like Rolaids, Tums and even Zantac – but check in just the same before taking these. Here are some additional tips to help manage your heartburn.

  • Slow it down. Eat slowly and chew foods well. When you eat quickly you end up gulping more air which only adds to heartburn and gas.
  • Size matters. Have smaller meals more frequently throughout the day. Five or six mini meals will be easier on your system than the traditional three. Avoid sitting down to large meals which can stay longer in your stomach (and make heartburn worse).
  • Avoid the main offenders. Spicy, fatty and/or greasy foods, chocolate, peppermint, carbonated drinks, citrus fruits/juices (orange, lemon, grapefruit) and tomato-based sauces/juices.
  • Keep liquids and foods separate. Drink liquids separately from your meals to avoid overfilling your belly. Small sips with meals are fine but avoid downing large amounts when eating.
  • Loosey Goosey.  Choose clothes that aren’t too tight on your belly. Honestly, the idea of wearing tight clothes while pregnant is so unappealing that hopefully no one is doing this in the first place – however, it is worth mentioning.
  • Keep it up(right). Don’t lie down too soon after eating. Remain in an upright position (sitting or propped up with pillows) for at least two hours after each meal/snack. Sleeping with your head elevated may also help you avoid heartburn.

Originally posted December 19, 2011, this post is part of series of guest posts from Modern Mom Nutrition

About the Author:: Leslie Judge MS, RD, CSO, LDN is a dietitian and a mother, dividing her life between work and home. She practices in the greater Boston Area and has experience counseling on a variety of topics including weight management, non-diet approach to weight loss, cancer prevention and mindful eating. Her personal experiences feeding her own toddler have given her insight into the nutritional issues that many mothers face. She knows first hand how chaotic the week can be and is focused on providing ideas for healthy eating that are convenient, smart, tasty and modern. Leslie enjoys helping other moms and families live nutritionally balanced lives in a realistic way. 

You can help support our mission of healthy moms, healthy pregnancies and healthy babies with a financial contribution toThe Stork Fund today. 100% of donations to The Stork Fund benefits Brigham and Women’s Hospital. 

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Good News, Bad News & Hoping to Hear More

The good news is Dos is officially not deaf. {sighs of relief} I mean we knew he could hear. He does talk a little bit. But at 26 months old he should have at least 50 words in his vocabulary. He says maybe 10 words…on a good day. And out of that little amount, you can barely make out anything else he’s saying. It’s gibberish with a clear one-syllable word thrown in ever so often. We’re frustrated because we don’t know what he’s saying. He’s frustrated because we don’t know what he’s saying. As such, he’s become incredibly temperamental throwing multiple tantrums a day. Our former pediatrician tried to calm us and say it’s normal behavior. This is also the same doctor who I had to practically bully into a referral for ear tube surgery after more than 7 raging ear infections in less than 5 months. I’m glad I did because the ENT said one of Dos’ ears was “full of goop as thick as airplane glue.” Imagine having to listen to someone talk to you underwater - that’s what Dos was hearing! I’m no doctor, but I trust my mothers intuition. When his vocabulary stalled I reached out to his ENT and he agreed we should have him tested.

The bad news is we don’t know what exactly Dos can hear and how well he hears it. He will have to be retested in another month. It’s called a Visual Reinforcement Audiometry exam. Your child sits on your lap in a soundproof room and frequency specific sounds are presented either through speakers or through earphones. When your child hears the sound and turns to look, mechanical toys mounted on walls light up to reinforce the turning behavior. The quietest levels that your child turns to the sounds are recorded.  If poor hearing is noted, testing is done through bone conduction to determine if the hearing loss is permanent, or due to conductive problems.The audiologist explained testing for children who are over 2 but younger than 3 is a challenge. “They are usually easily bored with the visual aspect of the test and not mature enough for the testing we provide for children over age 3.” This was true for us. Dos hated the earphones, did not want to sit still in my lap, and attempted to pull on every knob or cord he could find in the little soundproof room.

We go back to MEEI in another month for more tests. In the meantime, the audiologist instructed me to let Dos practice by wearing headphones and make a game out of placing a toy in a bucket or game when a sound is heard. He also suggested simple interactive questions like Where’s your nose? Where’s your belly button? to see if Dos will respond and understand easy commands.  Lastly, he recommend Dos see a speech pathologist to work on speech, too.

So now we will wait. We will play the games. We will set up the appointment with the speech pathologist. We will be anxious again for the next round of tests. We will hope this is a just a taste of his teen years and perhaps he’s only ignoring us.

Do you have a child who has hearing or speech problems? Are you aware of the warning signs? Advocates of early intervention emphasize the importance of having your child tested. If you’re concerned about your child’s speech, language and auditory development speak to your pediatrician.

You can help support our mission of healthy moms, healthy pregnancies and healthy babies with a financial contribution toThe Stork Fund today. 100% of donations to The Stork Fund benefits Brigham and Women’s Hospital.

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Guest Mom Blogger: Working with Your Tot’s Taste Buds

Many parents are unaware of one of their greatest tools in feeding their child: knowing your little one’s palate. Yes, a discerning palate isn’t the first thing that comes to mind when looking at your child but just like any fine food critic out there, they  have a certain taste preference and it’s in your best interest to use it.

This is an especially important method to use in children with a history of acid reflux. Many of pickiest eaters referred to me tend to have a history of reflux. Parents offer them the usual kid-friendly options of chicken fingers, pasta and oatmeal without much success. The reason these child favorites aren’t working is because they might not be flavorful enough. Children with a history of acid reflux may experience a desensitization of their taste buds, making typical foods taste bland and un-interesting; leading to fewer bites and pickier eaters.

To get your child interested in trying more bites, first learn what their taste buds like. There are the sweet toothed kiddos who tend to like things like yogurt, fruit, desserts and other sweet treats. While the savory tots tend to like things like olives, garlic, cheese or lemon.  Determine what may be your little one’s preferred flavor group and start introducing these tastes into meal times to get a bit more interest and a few more bites.  This can be especially helpful with getting children comfortable with trying some new healthy foods that may be a bit challenging such as the ever dreaded vegetables. Don’t worry about adding a few dips here and there to increase your child’s interest; it can help to increase intake and acceptance of healthy foods in the long run without too many added calories.

Here are a few ideas for working some flavorful options to tantalize those taste buds!

For the sweet lovers… 

                • Honey glazed cooked carrots
                • Strawberry cream cheese on graham crackers or wheat toast
                • Grilled chicken with duck sauce
                • Beef with honey barbeque sauce
                • Sweet red pepper hummus with cucumbers
                • Honey mustard dressing with a variety of raw veggies

For the savory kiddos…

                • Broccoli in cheese sauce
                • Zesty lemon hummus & baby carrots
                • Garlic mashed potatoes
                • Lemon pepper chicken
                • Guacamole with a variety of veggies
                • Sautéed veggies in garlic or soy sauce

 

About the Author:: Ashley Bade RD, LDN, CNSD is a pediatric dietitian in the greater Boston Area, counseling newborns to young adults. Her specialty areas include weight management, disordered eating, infant feedings, failure to thrive, feeding behaviors, and non-diet approach to lifelong healthy eating. Ashley hopes to help families overcome the struggles of today to raise the healthy eaters of tomorrow. 

This is the second in a series of guest posts by Modern Mom Nutrition.

You can help support our mission of healthy moms, healthy pregnancies and healthy babies with a financial contribution to The Stork Fund today. 100% of donations to The Stork Fund benefits Brigham and Women’s Hospital.

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Guest Mom Blog: Pregnancy Journal, Week 34

You know how a song can get stuck in your head? These days there’s some serious Cat in the Hat love at my house and so it’s that darn theme song for me: “We’re gonna go-go-go-go on an adventure…” But with all my pregnancies - yes, all of them - it was The End by The Doors. You know the one I’m talking about. And it wasn’t whole song that would repeat; just the beginning of the song playing over and over and over again in my mind. I kept thinking this is the end. I’m almost finished. As much as I enjoyed being pregnant there came a point and time when it was simply no fun anymore and incredibly uncomfortable. But having a baby early is no fun either. Tres was born at 37 weeks and 1 day. It was a scary time: deliver and risk breathing issues or stay and risk continued decreased movement. My doctors and I chose to the former. Over a year later, Tres continues to thrive – you’d never know he was born early or had serious breathing issues – but not every child born early is so lucky.

In Jessica’s latest post, she shares her thoughts about (spontaneously!) delivering early and the risks involved for babies who are born before 39 weeks.

THOUGHTS ON GOING EARLY: PREGNANCY JOURNAL, WEEK 34
by Jessica Severson

The last month of pregnancy can seem like an eternity.

Since my son was born I’ve heard lots of pregnant friends say they expect to go early. And I can’t blame them for thinking that. There’s something about these last weeks of pregnancy that makes you think it isn’t physically possible to keep this going until your due date. A few of them do give birth early, but most of us are still gigantic and uncomfortable once 40 weeks goes around.

This is when it’s good to do your research. Even though babies born around 34 weeks have excellent survival rates, their odds of spending time in the NICU are much higher. 37-42 weeks is considered “term” but with respect to elective deliveries (not medically indicated) it’s better to wait until 39 weekssince some babies are not fully developed until then. (If a baby spontaneously delivers in “early term” (i.e. 37-38 weeks) it’s typically because they were ready. So no worries.) These are comforting thoughts as I watch the days tick by.

Click here to continue reading Thoughts on Going Early

About the Author:: Jessica Severson posts weekly for the Isis Parenting blog, Parenting Starts Here, about her pregnancy. Due in February 2012 with a little girl, Jessica plans to deliver at Brigham and Women’s Hospital.

You can help support our mission of healthy moms, healthy pregnancies and healthy babies with a financial contribution toThe Stork Fund today. 100% of donations to The Stork Fund benefits Brigham and Women’s Hospital.

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Run, Mama, Run!

You’re like Lola, Gump, and DMC. Always on the run. For your kids, for your job, for your life.

So why not get a run for your money and help support The Stork Fund at the same time?

Whether you’re a novice (your treadmill doubles as a drying rack) or an athlete, a transplant or homegrown Bostonian, we want you on Team Brigham! Join us for the 2012 Boston Marathon. Our awesome trainers and runners will support every step of your journey.

At the end of it all, you’ll walk away with better health (hey, that’s one thing off your list of resolutions this year) and the satisfaction of knowing that the money you raised goes towards delivering the future.

To sign up and for more information, please visit: http://www.teambrigham.org

You can help support our mission of healthy moms, healthy pregnancies and healthy babies with a financial contribution toThe Stork Fund today. 100% of donations to The Stork Fund benefits Brigham and Women’s Hospital.

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Stork Fund Symposium

Hosted by The Stork Fund Leadership Council, the first annual Stork Fund Symposium is an opportunity for Boston area parents, patients and the general public to engage with some leading doctors at Brigham and Women’s Hospital (BWH).

Dr. Audra D. Robertson will speak on the Birth Equity Initiative (BEI) which is BWH’s comprehensive effort to address persistent disparities in infant mortality and low birthweight, particularly among infants born to black women, through the engagement and empowerment of women, their families, and their communities.

Following the BEI discussion, Dr. Catherine Racowsky will discuss the needs for preserving fertility for young female cancer patients and the technology to do so.

Finally, Dr. Robert M. Insoft will talk about ways to improve the efficiency of hospital systems that impact care to critically ill NICU babies.

The symposium is Tuesday, January 10 from 11AM – 2PM. Additional details are available here. This event is free and open to the public, but you must register in advance to attend.

You can help support our mission of healthy moms, healthy pregnancies and healthy babies with a financial contribution toThe Stork Fund today. 100% of donations to The Stork Fund benefits Brigham and Women’s Hospital.

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Guest Mom Blog: Pregnancy Journal, Week 32

I had a nearly perfect pregnancy with Gus - despite the ridiculous weight gain and a bleeding scare at 25 weeks - and so I figured I would have a perfect delivery, too. Four hours of pushing with no baby and a c-section later, my beautiful baby boy arrived. Our little family had few visitors in the hospital without any relatives nearby and we came home to an empty house. Gus was truly the best baby, but I knew I wanted to do things differently when it was time for Dos. Despite my efforts, that delivery was marred in complications, although we did come home to family who was in town to entertain the new Big Brother. Thinking the third time would be a charm was anything but when Tres arrived nearly a month early. No one was prepared - especially me! All in all in the end, while none of it was perfect everything worked out, well, perfectly.

FANTASY AND REALITY: PREGNANCY JOURNAL, WEEK 32
by Jessica Severson

Why am I so stuck in my baby daydreams? I keep trying to remind myself that most of this is out of my control.

As the time till delivery nears, it can get a little scary. Even though I feel like we have all our baby necessities, how ready can you ever really be?

I don’t know yet if this baby will sleep, how she’ll eat, or if she’ll scream. And because I don’t know I have a tendency to imagine how I’d like things to be.

I have in my head how I’d like everything to go. Deliver just a few days early. (I’m shooting for Valentine’s Day, 4 days before my actual due date.) No need for induction. A smooth labor, not much pushing, and no new stitches.

Then when they move us up to recovery I imagine seeing my baby—I’m picturing a head of dark hair. I hold her and nurse her and everything happens just like it’s meant to. She sleeps soundly, there’s no need to send her to the nursery so I can sleep and no need to give her formula to supplement her nutrition.

A few calm days in the hospital. I feel good enough to see a few visitors and they coo over my beautiful new girl. My husband brings me a cheesesteak from the greasy spoon downstairs. (If my stomach is up for it, this is definitely going to happen. They’re really good.)

I come home to greet my toddler, who’s missed me. And he investigates the new baby calmly. My Mom and my husband tend to me and my son, while the baby and I hole up in the bedroom sleeping and feeding. After a week or two, I start to carry her around the house in a wrap or carrier that she can get comfy in. My son gets to spend more time with her. My husband and I change diapers and wash onesies and shush and bounce our new baby to sleep.

For the four weeks of my husband’s paternity leave and the visits from our parents, we manage a smooth transition to a household of 4.

Of course, this fantasy only lasts so long. I can’t quite envision a beautiful fantasy AFTER my husband goes back to work and I’m suddenly there with 2 kids all by myself. That part is terrifying, but everything else is lovely in my mind.

As nice as it is to think about all this, I know I’m deluding myself.

Click here to continue reading Fantasy and Reality

About the Author:: Jessica Severson posts weekly for the Isis Parenting blog, Parenting Starts Here, about her pregnancy. Due in February 2012 with a little girl, Jessica plans to deliver at Brigham and Women’s Hospital.

You can help support our mission of healthy moms, healthy pregnancies and healthy babies with a financial contribution toThe Stork Fund today. 100% of donations to The Stork Fund benefits Brigham and Women’s Hospital.

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