hospital bag

CHARLES EVERETT: WHAT'S IN MY BAG, BABY EDITION


BABY & BABY PRODUCTS 


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I thought this would be a fun take on the Us Weekly series, What's in my bag?

CHARLES EVERETT : WHAT'S IN MY BAG? 

Bourdreaux's Natural Butt Paste®

I love Bourdreaux's Natural Butt  Paste. Not only is the consistency thick enough for great coverage but it's not so thick you feel like you need to soak your hands to get all of the residue off. Charlie has only had one diaper rash in the last 18 months and I truly do believe this product has helped keep his bum healthy. I'm always very conscious of the type of products I use on Charlies's skin. The natural butt paste uses all natural ingredients including, soothing aloe, beeswax, and Peruvian balsam oil. It is FREE from: dyes, preservatives, parabens and talc. 

Honest Company Soothing Baby Bottom Wash

Have you ever changed your baby's poopy diaper but the smell just won't go away? There were times when my husband and I were actually checking our shoes and wiping Charlie clean 2-3 times because we could not get rid of the smell. Then we started using this soothing bottom wash. I'm not sure why it works so well but it does. It completely takes away the smell which is especially important when you don't have a bath tub handy. It's also all natural made with organic aloe, witch hazel, and botanical extracts, not to mention it has NO: SLS, sulfates, phthalates, parabens, fragrances, dyes, formaldehyde, MEA, DEA, TEA, or most common allergens. However, if your child has a bad diaper rash,  I would NOT recommend spraying this on the area. 

Boogie Wipes

A few friends of mine introduced me to these over Christmas. They swear by them. We tried them out and I can see why. Boogie wipes contain saline. Saline dissolves snot and mucus! When infused into a moist wipe like Boogie Wipes, saline makes mucus easier to wipe away while remaining gentle enough to comfort stuffy noses. Because saline is natural and hypoallergenic, it can soothe even the most delicate skin without irritation. Charlie does not pull away with these wipes like he did when I would use regular wipes on his nose. 

 

Arnicare

Any boy moms out there? My 18 month old runs through the halls of our home without even looking up. That being said, he has had his share of bumps and bruises. If this sounds like your little boy or girl then Arnicare will be a go to for you. Arnica is the main ingredient and has shown to be one of the most popular homeopathic medicines throughout the world. It is trusted by professional athletes to soothe sore muscles, by prominent cosmetic surgeons to relieve post-procedure pain, and by savvy parents to treat playground bumps and bruises. This stuff works! 

Pamper Swaddlers diapers

I am usually very good at staying organic/all natural but I couldn't find a diaper as good as these guys. I tried a bunch of brands that were just so stiff and non absorbent. These have been the best for our family. I recommend trying out a few different brands to see which ones work the best for your baby. 

Water Wipes

WaterWipes are my favorite wipes. A baby’s skin is much more delicate than your own, so it should be cleaned with only the gentlest and purest elements possible. WaterWipes are the only wipes made with just water, specially purified and softened, with a tiny drop of grapefruit seed extract. WaterWipes have been carefully designed to be gentle on babies’ sensitive skin. They are the only wipes that contain 99.9% water and a drop of grapefruit seed extract – a natural skin conditioner. 

Extra change of clothes

 ALWAYS!!!

 

 

HOSPITAL BAG ROUND UP


HOSPITAL BAG & PREGNANCY


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Hospital checklist for mom

You really don't need much! I overpacked with Charlie and my hospital bag looks much different this time around. Here are my top picks:

  • Something personal: Everything at the hospital is very sterile, something you obviously want. Though during such a personal time, it's nice to bring something special of your own. A pretty hospital gown that doesn't make you feel like a giant or a patient is always a good idea. I'm currently loving the Ingrid & Isabel x James Foxx Co. hospital gown. It's so pretty and feminine, it even has an adjustable waist! I think the flower printed one is perfect for those first photos with your baby. You can find the Ingrid & Isabel x James Foxx Co. hospital gown, HERE. 
  • Electronics: Phone, camera, ipad & chargers. You could be at the hospital for a while even before you deliver. Having some movies downloaded onto an ipad is always a good way to pass the time.  
  • Toiletries: Make up, blow dryer, body wash, face wash, shampoo/conditioner, lip balm etc. Keep the lip balm handy, your lips can tend to run on the dry side during labor. After deliver, you will want to feel like yourself again. Bringing these items from home will help you feel a little more refreshed after such a physically exhausting experience. 
  • For the Boobs: A bra without underwire & breastfeeding pads: I hardly wore a bra at the hospital but it's nice to have one, especially if you are leaking. I attached some nursing bras below. 
  • For your feet: Slippers, flip flops, and cozy socks with treds. Anything that will make you feel as comfortable and cozy as possible post shower after delivery.
  • Clothing after delivery: Comfort is key. Bring loose fitting clothing that will keep your upper body as accessible as possible. Nursing tops and robes work best. Cozy sweat pants, pajama pants, leggings, robes and tank tops are a must. 
  • Birth plan: If you create a birth plan, make sure to review it with your doctor around 30 weeks pregnant and then again closer to delivery. Print several copies and hang on the door. Make sure your doula/midwife, nurses, doctor and anyone else who communicates and cares for you will be certain to see it. This is especially important if you are not finding out the gender ahead of time. I've heard too many stories of doctors or nurses inadvertently revealing the gender of the baby right before delivery. 
  • Going home outfit: Just remember you will still have a bump and will most likely still be in maternity clothing. Many say your bump will be the size it was when you were around 6 months pregnant. Bring some loose comfy clothes for the ride home.
  • Snacks: Not all hospitals have lobster dinners, but believe it or not Greenwich hospital does! In any event, be prepared for hospital food. Unless you have delivery options close by, bring some snacks you enjoy! 
  • Others: photo ID, Insurance card, credit card, cash. Basically, don't forget your wallet. 

MY HOSPITAL CHECK LIST:

  •  Ingrid & Isabel x James Foxx Co. hospital gown, you can find it, HERE
  • Phone, camera, ipad, chargers, memory card
  • Make up, blow dryer, body wash, face wash, shampoo/conditioner, lip balm
  • Nursing bra & breastfeeding pads 
  • Car seat with base installed a few weeks before your due date
  • Going home outfit for baby
  • Warm blanket for the ride home for baby
  • Some hospitals offer photography. Don’t forget a nice blanket and hat for photos
  • cozy socks with treds X2
  • flip flops for the shower
  • slippers to wear post delivery 
  • nursing tank top X2
  • Robe/pajama pants set  
  • nursing top 
  • leggings
  • going home outfit 
  • you can also just bring sweat pants and a zip up sweatshirt (whatever YOU feel most comfortable in)

Hospital checklist for baby

  1. Your baby's car seat. Make sure your base is installed ahead of time. The hospital will not let you leave without a properly installed car seat.
  2. A nice blanket and hat for photos. I personally love the classic hospital hat and receiving blanket. However, some hospitals have professional photographers, in which case you may want to pack some personal baby items. 
  3. A going home outfit. Make sure to bring both a Newborn size and a 0-3 size. Many doctors predictions of the babies weight can be off. 
  4. Packed diaper bag that you can leave in the car for the ride home. 

A few things to point out:

The hospital gave me a HUGE bag of recovery items which lasted weeks. Don't be afraid to ask for extra items. 

The disposable underwear at the hospital are so comfortable, no need to bring your own

I wouldn't bring any of your baby products, nursing pillow, etc. because you will have to wash everything when you get home and you can live without those items for a few days. 

 

 

PREPARING FOR BIRTH, BABY, AND BEYOND


PREGNANCY & PREPERATION 


Mrs. Nipple: So I met a friend on the internet :) That sounds as funny as I thought it would, but she's pretty awesome. Her name is Meg Hall and she has a great blog called, For The Long Hall. When I read her mom's post about preparing for birth & labor, I just knew it was too good not to share. Meg's mom has quite the track record. Family Nurse Practitioner, Certified Nurse Midwife, and most recently, a Doctor of Nursing Practice and Certified Nurse Educator. 


 

Meg Hall: Arguably the greatest benefit I've had at my disposal throughout my pregnancy is my mom! While she's a rockstar mama in general, she also happens to be an extremely talented women's health provider (and now professor). My mom has a passion for learning and caring for women and has worked for many years as a Family Nurse Practitioner, Certified Nurse Midwife, and most recently, a Doctor of Nursing Practice and Certified Nurse Educator. She's not only a super smart cookie, but also a very level-headed, non-judgmental and rational healthcare provider that immediately puts her patients at ease (you can ask my friends - who have been asking her 'embarrassing' questions my entire life ;)

Disclaimer: any and all advice below should not replace or override the recommendations of your healthcare provider. Please ask your doctor for recommendations specific to you or your pregnancy.

Brenda M Gilmore DNP, CNM, FNP, CNE (Meg's mom) will take over for the remainder of the blog post

Introduction

First, we’ll start with preparation for birth including the choice of the birth attendant and then we will talk about some common practices during labor and birth. We end with some thoughts about going home with the new baby. I am not including my resources for this post. However, I did consult the literature while writing this and I am including links with supportive information as I go along.

Preparing for Labor and Birth

Remember, women have been having babies for centuries. Our bodies are made for this amazing job. Have confidence that your body will know what to do when the time comes to give birth. We are extremely fortunate to have so many ways to support you in the birth process. Embrace this new journey you are about to take. Be thoughtful and informed about the birth process and the multitude of options you have in this country. Do some research and consider your expectations and beliefs surrounding labor and birth. This will facilitate your choice of a provider and your decisions regarding pregnancy, labor and birth. Be an active participant in your pregnancy and birth experience.

Choosing a Provider

When choosing a provider first you have to consider where you would like to have your baby. Are you planning a home birth? If so a licensed midwife may be the choice for you. Licensed midwives or direct-entry midwives who are non-nurses and they are trained to do home birth. Be aware that they are not available in all states. https://mana.org

If you are still looking for a more holistic midwifery approach but not necessarily a home birth then certified nurse midwives (CNMs) may be the answer. Certified nurse midwives are advanced practice nurses who can attend birth at home, in birth centers, or in the hospital setting. Overall, CNMs have a close relationship with the medical community for collaboration. They can also provide women’s health across the lifespan and not only during pregnancy. http://www.midwife.org

If you have medical conditions or other circumstances that may put you at higher risk then you may be more comfortable with a physician overseeing your care. Or some women just prefer care by a physician. There are many options for board certified OB/GYN physicians throughout the country. https://www.acog.org/Patients

Today, many OB/GYN practices have both physicians and CNMs who work together collaboratively so you can have the best of both worlds. Regardless of your choice you should verify your provider’s credentials and reputation.

Labor and Birth Expectations

What do you know about labor and birth? Have you done this before? Is this your first baby? Have you read up on the process? Have you taken any childbirth classes? Do you know what your options are regarding care? Who’s going to be with you? Have you discussed this with your provider? Have you thought about a birth plan? I know I’m asking more questions than providing answers but really knowing about the birth process and considering what you expect and want will lessen the fear of the unknown and help you prepare in a thoughtful way and reduce your anxiety while awaiting the birth of your baby.

Birth Plans

A birth plan is not a contract or a concrete expectation of what should happen during labor and birth. It is a thoughtful list of choices surrounding birth and labor that you would prefer. There should always be room for contingency plans in case emergencies arise and care for you and the has to be changed. By working through a birth plan it assist you in considering aspects of labor and birth that you may not have thought of before you became more educated and inform on this subject. The birth plan can also prompt conversation with your provider as specific questions arise. Here is a very comprehensive birth plan template.

https://www.cmqcc.org/resource/toolkit-appendix-e-preferences-labor-and-birth-plan-guide-decision-making-and-inform-my

Labor Support

Labor and Birth Coaches

So this is a big question for “the big day.” Who do you want to support you during labor?” Please notice did I did not say, “Who do you want in the room with you?” A birth is not a “show or circus” to watch. Labor and birth are hard work and you need people around you who can help you do that. Labor coaches should only include people you trust and don’t mind being naked or doing bodily functions in front of. That probably narrows the list down a little bit. Labor coaches should know your birth plan and/or expectations. They should be able to advocate for you and work with you through the process of labor and birth.

Doulas

There are also professional trained labor coaches available. For a fee, doulas provide individualized, continuous, and comprehensive support before, during and shortly after birth. I have worked with doulas throughout my career as a CNM and I have seen them make a huge difference for laboring women and their families. An effective doula is worth their weight in gold. If you are considering a doula make sure you meet with a few to insure they will meet your needs, include your other labor support in their approach, and be available when you need them. https://www.dona.org/what-is-a-doula/

Preparing for your hospital stay

A big step for preparing for birth is packing the hospital bag. My advice is to be thoughtful and brief. For an uncomplicated vaginal or c-section birth the hospital stay is usually only 2-3 days so leave the big suitcase at home.

Don’t:

  • Buy fancy PJs. You’re only going to get body fluids all over them. Use the provided hospital gowns and underwear for at least the first 24 hours after birth.
  • Bring a full complement of toiletries. Leave the majority of your morning preparations (make-up, curlers, etc) at home. You will be in the recovery phase for a few weeks so allow yourself some down time.
  • Bring your skinny jeans to wear home. You will not fit into them. Bring loose comfortable clothing. Your maternity clothing will still work well.
  • Bring a mini nursery for the baby. The hospital will supply basic supplies for the baby while in the hospital. Use those and leave yours at home. You really only need one weather appropriate outfit to bring the baby home in and one back-up outfit (for unplanned messes). Extra blankets, toys, little shoes, bows, etc. just get soiled or lost.

Do:

  • Bring your own basic toiletries including your toothbrush, travel size shampoo, soap, etc. Bring just enough to make you feel comfortable and normal.
  • Bring your own pillow(s). Hospitals NEVER have enough. Be sure to bring ones that you can part with if they are lost or soiled beyond salvation.
  • Make sure you have a safe and properly installed car seat for the baby. Hospital staff will not let the baby go home in anything else. Have a stocked diaper bag in the car for baby’s trip home

What every woman know should before labor/birth.

Labor and birth is EXTREMELY individual and unpredictable. My biggest pet peeve is every well-meaning friend and family member who must tell every newly pregnant woman their absolutely horrific birth story. DON’T LISTEN!!! This is your labor and birth and yours alone. Be informed and keep an open mind. Collect information and facts but don’t get caught up in others drama stories. Be flexible and know that labor may be tougher than you think so be ready to consider all of your options. Communicate, communicate, communicate with your provider and your labor support team.

Care and Coping during Labor

So now you are in labor. How long will this take? How much worse is it going to get? Unfortunately, there are really no answers to these questions. That’s what makes labor so intriguing. We know so much but labor really continues to mystify us. That’s why “going with the flow” is so important. Since I could write a book about coping with labor (and many have) I’m going to focus on the specific questions that were asked.

Eating in labor

Traditionally, in the hospital setting, woman have not been fed during labor. The biggest concern is complications of anesthesia administration (if needed) with a full stomach. However, there are randomized controlled trials that do not show any increase in adverse effects on maternal or neonatal outcomes with food consumption in labor. In my experience starving a patient does not facilitate labor and can make women pretty uncomfortable. Some birthing units will allow light meals during early labor and then limit intake as the labor progresses. Honestly, women in active labor are much less interested in food and if there are complications they are more apparent as labor progresses. The bottom line is that food intake during labor should be considered on a case by case basis and definitely not automatically ruled out.

Pain management

There is a multitude of pain management options available to cope with labor. Each setting or facility will have their own options for patients. The hospital setting will have the most options available. Intravenous pain medication and the epidural are the two most common options. There are pros and cons for both options. Informed decision-making is paramount in choosing what option is right for you.  I have provided a comparison table to summarize the information.

 

 

Breech Birth

After many decades of breech birth the evidence is pretty undeniable that overall neonatal outcomes are better with c-section delivery. Vaginal breech deliveries are still performed but there are very few providers adept at vaginal breech birth. If a woman has a primary (first delivery) c-section for breech position there are still many providers that would consider a vaginal birth after c-section (VBAC) in this circumstance.

https://www.acog.org/Clinical-Guidance-and-Publications/Committee-Opinions/Committee-on-Obstetric-Practice/Mode-of-Term-Singleton-Breech-Delivery

http://americanpregnancy.org/labor-and-birth/vbac/

After Birth

So now the baby’s out. What’s next? Believe it or not things that occur right after birth are EXTREMELY important.

Skin to Skin

I cannot say enough about skin to skin contact right after birth. There is so much new research that supports early skin to skin contact for mother and baby. The skin to skin not only facilitates closeness and bonding but it actually initiates the process of the breast milk composition to be tailored specifically to the baby’s immunologic needs. It’s called the “microbiome.” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4686345/

Really interesting stuff!

Delayed cord clamping

This when the umbilical cord is not cut or clamped for several minutes (or when pulsation stops) after birth. I have actually given a mother oxygen and watched a newborn pink up with the umbilical cord still attached directly after birth. In general, delayed cord clamping is recommended if feasible. http://americanpregnancy.org/labor-and-birth/delayed-cord-clamping-risks-benefits/

Breastfeeding

Initiation and maintenance of breastfeeding can be a challenge, especially in the first few weeks. Make sure you have the support you need during your hospital stay and beyond. Most facilities provide lactation services to their new mothers. Know what your options are in your community. https://www.babyfriendlyusa.org/about-us/10-steps-and-international-code

http://www.ilca.org/why-ibclc/falc

Breast pump recommendations

It’s funny that this is one of the questions. Meg and I just went through this process. I work in an academic setting and I am surrounded by maternal child experts. Two of which are experience lactation consultants. Four experienced nurses (including the 2 lactation consultants) recommended the Medela portable double pump for general use. However, they also recommended a hospital grade (you can rent them) double breast pump for the first month after birth to establish a solid milk supply. Please note that I have no relationship with any company that sells breast pumps. Medela is widely available and parts/supplies are easy to obtain. It is also recommended to maintain individual use (meaning only you use your pump) and follow the pump instructions to maintain sanitization and cleanliness of the pump and supplies.

(Meg note: I was deciding between the Medela vs. the Spectra S1. All of my mom's LC friends/academic colleagues recommended the Medela and all of the working moms I spoke to recommended the Spectra (mostly because it is apparently much more quiet, it is hospital grade (stronger), kept its suction longer and is a 'closed' vs. open system). I am still undecided but found this review to be very helpful!

If you cannot or decide not to breastfeed

Your breasts do not know you are not going to use them for feeding. The natural process of preparing to feed a newborn will still occur to some extent. To decrease discomfort related to milk production and engorgement avoid breast stimulation. Wear a snug fitting sports bra most of the time and use icepacks and take Tylenol/ Motrin for comfort measures. Do not express milk or pump as this will continue to stimulate milk production. Over time your breasts will get the message that their services will not be needed. It may a few days to a week to get them on board with your plan.

Going Home

Everyone feels overwhelmed when they go home with this tiny being they are now responsible for. You are new parents and it is normal to feel unprepared. Give it time for you and your baby to get to know each other. Again, know your resources and accept any help that’s available… on your terms.

Rest and Recovery

As a new mother your primary responsibilities should be to care for and get to know your baby and to recover from birth. The majority of other tasks like sibling care, house work, errands, and cooking should be delegated to others as much as possible for the first few weeks. This will sound cliché but SLEEP WHEN THE BABY SLEEPS if you can. It does help when you are up several times a night with feedings.

Visitors

Well-meaning friends and family may just pop over to “help you take care of the baby” or just stand around not quite knowing what to do. This is what I tell all mothers going home from the hospital. Schedule your visitors! Figure out when you and the baby are at your best and have visitors come at that time. AND if they want to know what to do to help tell them to bring food (especially if that is their expertise). This really helps minimize this job for you and your visitors truly feel like they are helping you. It’s a win-win!

In summary...

I believe I have incorporated all of your questions in this extensive blog post. I will be glad to do a follow up post to address any additional questions that this information may bring to light!

Brenda M Gilmore DNP, CNM, FNP, CNE