Pregnancy BUMP&baby issue 15 by BUMP&baby

Is your baby’s room really safe & sound? There are things in your baby’s nursery that look harmless, but could be very dangerous in an earthquake. Here are some simple ways to make your baby safer and help you sleep at night. • Don’t hang pictures, shelves or clocks above baby’s cot • Move heavy items onto lower shelves • Secure tall or heavy furniture to wall studs with brackets or straps • Hang pictures on appropriate hooks (no single nails) • Move baby’s cot away from windows – next to an interior wall is best.

Visit eqc.govt.nz/nurseries to prepare your home and protect your whānau

EarthSmart Aquawipes help you care for your baby and the environment, naturally. LOONEW SAM K PA E G CK R WIP EAT ES

*Packaging may vary whilst we transition into our new design

WIPES MADE FROM PLANTS, NOT PLASTIC. Made in New Zealand from 100% bamboo fibre and, just two ingredients (99.8% pure New Zealand water and 0.2% natural soybean amino acid). Our biodegradable wipes are a kind choice for your baby and the planet. Dermatologically tested, EarthSmart Aquawipes gently cleanse, soothe and hydrate even the most delicate skin.

www.earthsmartaquawipes.co.nz

PlunketLine is here to support all parents, caregivers and whānau, whenever you need. We offer support on areas such as sleep, adjusting to parenthood, children’s health, breastfeeding via video call, and much more - so you and your family can receive the help you need. Free from any landline or mobile and available 24/7.

0800 933 922

Kei konei mātou

contents

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Health+ wellness

show us your bump!

48 Every issue

8 EDITOR’S LETTER

22 MOVE IT, MAMA! Tips on exercising during pregnancy

24 UNDER PRESSURE Solutions for pelvic girdle pain

A moment in time

10 ONLINE ANTENATAL COURSE Take our in-depth course at home

must have it

26 THE RIGHT SIDE… OR IS IT THE LEFT? How to sleep safely to protect your baby

29 SUPPLEMENTS Do you need them?

32 SAVING FACE

12 PARENTAL GUIDANCE News, views and products we love

The dos and don’ts of pregnancy skincare

16 COVER BUMP

34 SUMMER MAMA

Our cover māmā Hannah shares pregnancy thoughts

Products you need for fun in the sun

126 RESOURCES Birthing bag, checklist and support services

COVER | Photographer: Annupam @annupam, annupam.com; Makeup: Luisa Petch @glamsquad nz, glamsquad.co.nz; Stylist: Maddie Long, @seventhsister, the7thsister.co.nz; Model mama: Hannah Boric, @hannah.boric; Dress: Bubble Bardot Mini Dress in Stone, ASOS LUXE; Jewellery: Meadowlark @meadowlarkjewellery, meadowlark.co.nz

36 NOURISH YOUR BODY & SOUL No-fuss recipes from Mothers Mylk

BUMP +baby 42 SUGAR HIGH The lowdown on gestational diabetes

44 SMALL PACK AGES Not all placentas stick the same

46 BUILDING A BOND The importance of bonding with your baby

48 MY BEAUTIFUL BODY Kiwi women share how pregnancy empowered them

54 WIN A PĒPI PACK Send in a picture of your baby bump and be in to win a $700 pēpi pack thanks to Chicco and Isoki

Life+ relationships 56 THE NAME GAME How to pick a name without picking a fight

60 DAD LIFE Hey, dad, time to step up!

62 DADS SUPPORTING DADS Real-life tips from Kiwi fathers

64 OUT OF OFFICE Your parental leave entitlements Pregnancy BUMP & baby

contents

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110 Newborn+ postpartum Shop from Nursery+ home equipment

Labour+ birth

20 SUBSCRIBE TO BUMP&baby

66 NURSERY NOOK

82 YOU CAN DO IT!

Special Māori stories for small people

How to be a great birthing partner

And enjoy a BUMP&baby Box full of goodies

58 BUMP&baby MALL.CO.NZ The online store that delivers everything – except the baby!

124 DIRECTORY Some of our favourite businesses to support

68 PRETT Y & PRACTICAL Style your baby’s nursery with essentials

70 FROM DAYS GONE BY How to create a beautiful vintage sanctuary

cutest pacifier ever! 6

Pregnancy BUMP & baby

72 BOTTLES UP! Everything you need to know about bottles

75 THIS SEAT’S TAKEN Answering your pressing car seat questions

78 MAMA, TAKE THE WHEEL! Five things to consider when buying a stroller

80 IT’S IN THE BAG Baby bag essentials

96 COPING WITH BIRTH TRAUMA You are not alone

98 TIME TO HEAL Eight tips for post C-section care

84 WHAT A PAIN

100 BREA STFEEDING MY THS BUSTED!

Your guide to epidurals

Clearing up some misconceptions

86 CAN’T TEAR ME AWAY

106 MAKING MEMORIES

How to reduce perineal tearing during childbirth

How to plan a newborn photo shoot

88 WELCOME TO THE WORLD

108 THE WITCHING HOUR

Capturing three very special birthdays

Brace yourself, it’s inevitable!

94 HEY, CHECK ME OUT! Explaining your newborn’s health checks

110 HEADING THE RIGHT WAY Flat head? Don’t panic, it’s common in newborns

88 112 CULTURE CLUB

Traditions and celebrations for new mums in different cultures

118 HOW TO SAVE A LIFE Steps to perform CPR on a baby

120 TIRED? WE KNOW Ways to combat mama fatigue

122 BE STRONG, STAY STRONG Exercises for the fourth trimester

130 STOP GROWING UP! Milestones in the first weeks and month

we're all about

family

kia ora

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PREGNANCY

L AT F O R M • G P BE

LE A MOT

Pregnancy BUMP & baby

P L AT F O R M •

Want to learn more about pregnancy in your own environment? The Introduction to Antenatal Online Course, in association with Nest Pregnancy and Parenting, is available at bumpandbaby.co.nz or by scanning this QR code. Turn the page for more info.

CHARLOTTE COWAN, EDITOR

C h arlo tte

BEST Mother-to-be learning platform

The funny thing about having children is how different they can be. I have two girls who are three-and-a-half years apart. Both are blond-haired and brown-eyed – but wow, are their personalities different. When Quinn – my eldest – was born, I organised a newborn photo shoot when she was about 10 days old. Like your typical newborn, she slept through the whole thing and we got some gorgeous squishy posed pics. She’s always been my calm, compliant one – she absolutely hates being in trouble. However, with my second daughter, Belle, I organised the newborn shoot for when she was just a few days old. And she was awake the entire time – literally. Not one of those sweet wee eyes would close no matter what I did. That little one has been a firecracker from the moment she was born and she was absolutely not going to do what I wanted her to do (sleep). And today, at four years old, she is exactly the same. My family and I were lucky to have a photo shoot with Moira from Wild Little Hearts at Karekare beach in West Auckland. As we were walking towards the location of the shoot, I heard my husband say, “No, Belle, no!” and as I turned around, I saw my daughter walk into what she thought was ankle-deep water. Instead, she fell waist-deep into a pond in her brand-new perfectly-ironed blush-coloured dress – before we had even taken one photo. At the time I was so frazzled and frustrated but now, looking at the gorgeous photos, it’s a funny memory and you can’t tell at all that she was soaking wet and filthy. In a time where life races by, it’s so important to pause and create memories. The walls of my house are laden with photos of my girls and I love them all. The shoots may not go exactly how you planned (especially if you’re a Type A control freak like me) but that’s okay. It’s a snapshot of time that you won’t get back but that has been captured for you, your children and your children’s children to look back on fondly. So mamas, make that time, book that shoot (see pages 104-105), you won’t regret it – just steer clear of ponds!

Voted

LE A

A moment in time

H E R -T O - B E

MOT

BUMP&baby

PREGNANCY BUMP&baby IS AVAILABLE FROM SELECTED RETAILERS OR VISIT BUMPANDBABY.CO.NZ TO SUBSCRIBE. PUBLISHERS / Tony and Aana Marinovich [email protected] [email protected] EDITOR / Charlotte Cowan [email protected] ART DIRECTOR / Emma Henderson [email protected] DIGITAL EDITOR / Maraya Robinson SUBEDITOR / Katherine Granich ADVERTISING ENQUIRIES Tony Marinovich [email protected] Ange Steiger [email protected] DIGITAL ENQUIRIES [email protected] [email protected]

PREGNANCY BUMP&baby PUBLISHED BY TOTS TO TEENS PO Box 70, Kumeu Auckland 0841, New Zealand or The Media Barn 91 Moontide Road, RD2 Kumeu Auckland 0892, New Zealand T: +64 9 412 5123 JOIN US ONLINE! bumpandbaby.co.nz facebook.com/bumpandbabynz pinterest.com/bumpbabynz instagram.com/bumpandbabymagazine tiktok@bumpandbabymagazine PRINTER / Webstar Pregnancy BUMP&baby ISSN 2463-283X is published bi-annually (2 issues per year) The opinions expressed and statements made in Pregnancy BUMP&baby are those of the contributors and advertisers and do not necessarily represent the views of the publishers. Pregnancy BUMP&baby, on behalf of itself and the authors, asserts copyright on all original material appearing in Pregnancy BUMP&baby and none of it shall be reproduced wholly or in part without the prior written consent of the publishers. The publishers reserve all rights in respect of all material received and accepted for publication. Pregnancy BUMP&baby reserves the right to edit or abridge all articles, letters, or other material (solicited or otherwise) accepted for publication. While every care has been taken in the research and compilation of this publication, it is not intended to replace professional or medical advice. To the best knowledge of Pregnancy BUMP&baby, all information herein is correct at the time of publication. Please contact your healthcare provider in the first instance for medical assistance and advice. Prices on products are a guide only and may differ from stockist to stockist.

PHOTOGRAPHY BY MOIRA MEIRING OF WILD LITTLE HEARTS.

NI N

Issue 15

online course

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YOU'LL LEARN ABOUT...

d b i t e -s i z e Y O J N E HOM E! T A s o e vi d

• Choosing your LMC • Birthing options • Pregnancy discomforts • Informed consent • Pregnancy nutrition • Scans and monitoring • Premature birth • Your birth plan • Induction • Pelvic floor • Baby clothing • Perineal massage • Position of baby for birth • Signs of labour • Stages of labour • Positions in labour • Assisted delivery • Labour support

Introducing the online

Introductory Antenatal Class

Brought to you by Nest Pregnancy & Parenting and BUMP&baby magazine This is the perfect course to do with your partner when you find out you’re expecting, or a great refresher if this isn't your first baby. Watch and/or listen to our online course in your own time to better understand your pregnant body, birth options, and to feel more confident about labour and birth. A friendly, easy-to-understand course made up of bite-sized sessions, each ranging from five to 15 minutes long, so you can binge-watch or select a different session to watch every few days. This is the perfect introductory course for yourself, or as a gift to a friend, to get a handle on pregnancy and everything to expect in the next nine months.

COURSE BONUS!

“We both loved the bite-sized workshops. They were so easy to listen to at the end of each day; we would make a cuppa and watch them together.” – Caylie

UNLOCK EXCLUSIVE DISCOUNTS AND LOTS OF PRACTICAL, BONUS DOWNLOADABLES.

ALL THIS FOR JUST $28.75!

bumpandbaby.co.nz/courses 10

Pregnancy BUMP & baby

Get your energy back with support from

Floradix

Did you know that iron deficiency is the most common nutritional deficiency for women? When you’re lacking in iron, your body has to work harder to get the energy it needs, leaving you feeling tired, weak, irritable and unable to focus. Floradix is a liquid iron supplement packed with fruit and vegetables extracts which helps healthy iron levels. Floradix is one of the tastiest and most effective ways to top up on iron because, unlike tablets, it’s absorbed immediately.

Tired of feeling tired? Take Floradix - NZ’s No1* iron supplement. * IRI sales data total Grocery and Pharmacy to 30 April 2022 TAPS BG2301

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Parental guidance... News, views, and handy products in the pregnancy and parenting space. beautiful

TIMELESS STYLE

Salour is a new nursing lingerie brand founded by Kiwi mum Holly Kilgour and designed in New Zealand. The first product release – the Rochelle bodysuit – helps to protect the abdominal area and caesarean scars after birth. It also provides mothers with the option of wearing more of their normal clothing, given they can pull up a standard shirt to feed without exposing their abdomen. These features are enhanced by the easy-open clips you would expect from a nursing garment, as well as the soft, stretchy fabric and trim selections. Available in black for $129.99 from salourlingerie.com

MAGICAL MEMORIES

Forget Me Not Journals has released its first baby record book, Your First Years. Culturally diverse, genderneutral and inclusive of babies and children with disabilities, this gorgeous book has a nostalgic feel and is illustrated in beautiful watercolours. A precious and timeless memento to pass down to your children, $79, forgetmenotjournals.com

Pregnancy BUMP & baby

noteworthy

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SIPPING ON SEEDLIP

Seedlip is on a mission to change the way the world drinks with the highest quality non-alcoholic options. Discover the aromatic Seedlip Spice 94, the herbal Seedlip Garden 108 and the citrus Seedlip Grove 42, all free from not only alcohol, but also sugar, sweeteners, calories and allergens, making them the ideal beverage for summer! $64.99, cookandnelson.com

Did you know?

BREATHE & SURRENDER

Birth is one of the most important and magical moments in our lives and these affirmation cards are a beautiful tool for your pregnancy and birth. Hang these birth affirmations as simple reminders of your power as an amazing mama. Available in two colour options, $64 (20 cards, large A5), bonniegracecreates.com

HELLO POPPET Kiwi cloth nappy company Bear & Moo has launched a little sister clothing brand, Hello Poppet. Full of trans-seasonal pieces, the range focuses on lightweight items, designed to be layered, in warm neutral colours and tones. Available in sizes newborn to four years and priced from $19.95-$49.95, you can get yours at bearandmoo.co.nz

Research shows that babies born in the month of May are on average 200 grams heavier at birth than children born in any other month.

science is cool

NEW SIDS RESEARCH New research from The Children’s Hospital in Sydney has found that a lowered level of an enzyme called butyrylcholinesterase (BChE) may explain the malfunction that causes some babies not to startle or wake if they stop breathing in their sleep. For years, medical experts have suspected that SIDS is caused by a defect in the part of the brain that controls arousal from sleeping and breathing. According to the Mayo Clinic, it was theorised that if an infant stopped breathing while asleep, the defect would keep the child from waking up. The Sydney researchers confirmed the theory by analysing dried blood samples that were taken during the newborn heel prick test. They found that SIDS babies had lower levels of BChE, an enzyme that’s known for its abilities in the brain’s arousal system. Researchers will now turn their attention to having the BChE biomarker added to newborn screening and “develop specific interventions to address the enzyme deficiency”. They expect these next steps to take around five years to complete. Pregnancy BUMP & baby

noteworthy

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30 YEARS OF SAFE SLEEPING

Kiwi activewear brand CLIQUE Fitness has released a new maternity range including full-length and 7/8 tights, plus biker and mid-biker shorts. Following a number of years in development to create the perfect maternity range, CLIQUE Maternity activewear includes a specially shaped waist to allow freedom of movement and security of fit. The super-soft maternity band with adjuster has been designed for ultimate comfort, no matter what stage you are on your pregnancy journey. From $89, cliquefitness.com

CALM DOWN BUBBA! Containing homoeopathic potencies of Aconite, Chamomilla, Cimicifuga Racemosa and Hypericum, Calm-med from Naturo Pharm is an alcohol-free spray that supports normal infant response to distress and has beneficial calming and settling properties. Use as directed and if baby’s distress does not resolve, consult a health professional. $26.68, naturopharm.co.nz

Pregnancy BUMP & baby

save time!

MIX IT UP

Let Thermomix TM6 do the cooking, so you can make time for what matters most. With step-by-step recipes on-screen for everything from baby’s first foods, to toddler foods and family meals, save time and money cooking recipes you love. With Thermomix – it’s only the best for you and baby. $2,499, thermomix.co.nz

COMPILED BY CHARLOTTE COWAN

CLIQUE HERE

This year marks 30 years since the baby sleep wrap, Safe T Sleep (safetsleep.com), was introduced to the market by Auckland mother Miriam Rutherford-van Gisbergen. Initially invented to keep her own aspiring little abseiler safe from known cot accidents, the Safe T Sleep Sleepwrap is suitable from newborn to two years old and prevents known suffocation accidents and cot and bed accidents, including those from climbing and falling from cots and beds. Since its launch in 1992, Miriam says there have been no cot injuries reported with the use of the Safe T Sleep Sleepwrap, which is trusted by parents worldwide. “In New Zealand, parents can get assistance from WINZ to purchase a Sleepwrap, which ideally is washed and ready on baby’s bed as soon as mum and baby come home from the maternity ward,” she says. Miriam says Safe T Sleep products are designed to go hand-in-hand with responsible, nurturing parenting and supervision skills.

One cream. Double action Heals and protects your baby’s delicate skin from nappy rash sudocrem.co.nz Always read the Label. If symptoms worsen or change unexpectedly, talk to your healthcare professional. Follow the directions for use. Teva Pharma (New Zealand) Limited, Auckland. Ph 0800 800 097. TAPs MR7924, BGA220110, Jan 2022. SUDO-B&B Spring2022

our cover bump

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y M little love Gorgeous cover mama Hannah Boric loves new experiences but has found her first pregnancy more challenging than expected.

hirty-year-old Hannah lives in Northcote, Auckland, with her husband – former All Black lock, Anthony Boric. A marketer by day and part-time Pilates instructor in her spare time, Hannah calls herself an opportunist – “I’m always busy doing something!” It was the day after New Year’s this year when Hannah suspected she may be pregnant after extreme tiredness left her feeling lethargic. “I didn’t tell Anthony I was going to get a pregnancy test, and when I got home, I took the test straightaway, and called him over and his reaction was ‘Yippee, yippee!’” says Hannah. “When we told the family there were a few tears, which was pretty special. He is already incredibly spoiled as he will be the first grandchild on both sides of our family.”

On the ups and downs of pregnancy…

“I’ve found my pregnancy quite challenging, to be honest,” says Hannah. “The first trimester was just incredible exhaustion and nausea all throughout the day. [During the] second trimester I probably had about four weeks of grace, which was nice, and I was back to my usual social self. Then in the third trimester I was hit with the flu, bronchitis and then COVID-19.” Hannah says the one thing she really noticed was the waves in hormones throughout her entire pregnancy. “It’s like I would get all these symptoms at once for a couple of weeks and then have a break… And so on,” she says. “I had symptoms like reflux and Braxton Hicks – that they talk more about in the third trimester – really early on, and they would just come and go throughout my pregnancy.”

Pregnancy BUMP & baby

our cover bump

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Hannah's

MUST-HAVES SILVER CROSS STROLLER AND CAPSULE I love my beautiful pram and capsule from Silver Cross and I’m very excited to put them to use! He’s going to be one comfy and spoiled baby. MOSES BASKET WITH ROCKING STAND This is probably the number one for me while our baby is little, as it’s portable and will allow him to sleep near us wherever we are. BOUNCINETTE This will be great when I need a minute to run to the loo or make breakfast. CLOTH NAPPIES Old-fashioned cloth nappies can be used for everything like putting on a bed sheet if I’m feeding in bed, or on a pillow if I’m feeding on the couch.

Typically constantly on the go, Hannah says she struggles with insomnia during pregnancy, and has really had to work on slowing down and doing less during the day. “The last couple of months I have been focussing on doing things that help to relax me both mentally and physically, such as swimming, walking, listening to podcasts, Pilates, and having baths with Epsom salts,” she says. “I’d often wake up in the early hours of the morning, so I’d put on a relaxing track, or I’d practice different breathing techniques that I had learned from my hypnobirthing course. One big thing I have learned during pregnancy is the best sleep I get is before midnight, so the earlier I can jump into bed, the better!”

On scans and gender reveals…

“As much as I love the idea of a surprise, it was too hard,” says Hannah on finding out the gender of her baby. “We were so sure we were having a girl, so when we found out it was a boy, it was a bit of a surprise! I’ve been brought up with only sisters, so this will be a good change for me.” Hannah says she and husband Anthony found scans exciting to see how the baby was progressing. “In saying that, I have found the growth curve a little daunting when they tell you you’re on track for a very big baby!” she laughs.

On choosing a name…

“Anthony and I have quite different tastes, so we still haven’t secured a name,” says Hannah. “We somehow got the nickname ‘Brucie’ for our baby and it’s really stuck – all our family and friends call him Bruce! But I have a couple of favourites that I still really like. At this rate, we are going to wait until he’s born and hopefully it will just miraculously come to us.”

Silver Cross Pioneer Eclipse with Simplicity Plus + ISOFIX base, $2,259, silvercross.co.nz

Childhome Moses Basket, $159.99, and Rocking Stand, $129.95, thesleepstore.co.nz

Pregnancy BUMP & baby

On growing a tiny human…

Although nine months may feel like a long time to wait, Hannah says it’s actually a nice length to get in tune with the baby. “At the beginning I didn’t feel super maternal, but I am definitely starting to feel it now, especially now he is constantly moving. It’s also nice because now more of my friends are pregnant or have babies – it’s pretty much all we talk about now!" she says. “I’m not going to lie, I’ve definitely enjoyed some of the more physical things that come with pregnancy, like actually having boobs for once… And good skin!”

On staying healthy…

Having been brought up to eat healthy and loving to exercise, Hannah says it has been difficult to not have the energy to do both. “I’ve run my whole life, but I think I only managed to do one run at about nine weeks and I couldn’t believe how heavy I was breathing, it just didn’t feel right,” she says. “So I switched to Pilates, walking and swimming, which I have absolutely loved.”

On being a mum…

“Our biggest wish is for a healthy, happy baby,” says Hannah. “They say the first couple of years are the most important for their brain and emotional development, so I want to make sure we put a lot of effort into showering him with lots of love and positive vibes.” Hannah says she hopes to be a loving, supportive and patient mama. “I have had a very fortunate and grounded upbringing from my parents, and hope I can use the same parenting skills with mine,” she says. “I also hope we can fill his life up with lots of laughter and teach him to not take life too seriously.”

Baby First Cloth Nappies (six pack), $39, babycity.co.nz

Bouncinette, $54.99, dimples.co.nz

INTERVIEW BY CHARLOTTE COWAN

On trying to slow down…

We somehow got the nickname ‘Brucie’ for our baby and it’s really stuck!

Photographer: Annumpam @annupam, annupam.com Make-up: Luisa Petch @glamsquad nz, glamsquad.co.nz Stylist: Maddie Long, @seventhsister, the7thsister.co.nz Model mama: Hannah Boric, @hannah.boric Dress: Turn Back Time dress in Sage, sndys.com.au Jewellery: Meadowlark @meadowlarkjewellery, meadowlark.co.nz

S ubscribe AMAZING VALUE BUMP&baby SUBSCRIPTION + SAMPLE BOX OFFER! What’s in the BUMP&baby Box? We work with the most amazing pregnancy, mother, and baby brands to bring you our BUMP&baby Box – jam-packed with amazing products, full-sized samples, and vouchers. Look out for the following brands that we love and regularly include in the BUMP&baby Box: Sudocrem, Bear & Moo, MAM, ZOONO, Mamma’s Milk Bar, EarthSmart, Only Organic, Tui, Lansinoh, Cetaphil, Bio-Oil, Weleda, Palmers, NUK, Forget Me Not, Hemptuary, Crystawash, Dermal Therapy and many more!

Check out our website bumpandbaby.co.nz/ subscribe to see the current box of treasures that you'll receive when you subscribe. We promise you'll love them all!

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Pregnancy BUMP & baby

Move it,

mama!

Exercise during pregnancy is healthy for both mum and pēpi, but there are a few things to consider before you get started.

hile exercise is often said to be safe to do while pregnant, with so much information out there, it can be hard to figure out just how much exercise you should do – and if there are certain exercises to avoid. Exercise is good for both mother and her baby, but given all the changes that happen to the body during pregnancy, it is advisable to take it a bit easier when exercising. One of these changes is how our cardiovascular system functions. Because the baby needs a constant supply of oxygen to develop – and because of how quickly it grows – the mother will experience a 45-50% increase in blood volume to carry this much-needed oxygen to the baby. The mother’s heart rate also increases to ensure the baby gets enough oxygen. This could put an extra strain on the woman’s heart and lungs when doing any sort of activity. The respiratory system is also affected. The amount of oxygen a mother can inhale increases by around 40-50% to give the

Pregnancy BUMP & baby

note MAKE SURE YOU CONSULT WITH YOUR LMC BEFORE BEGINNING ANY E XERCISE ROUTINE!

health+wellness

PUBLISHED WITH PERMISSION FROM THECONVERSATION.COM

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baby the oxygen it needs. This change also WHAT YOU SHOULD AVOID happens because the growing baby affects But though exercise is safe for both mother lung function by reducing the space in and baby, some activities may need to be which the mother’s lungs can inflate. These avoided. Somewhat obviously, combat sports changes may see the mother experience more or those that may have an increased risk of shortness of breath – which will make even falling (such as horse riding or mountain everyday tasks more demanding. biking) should be avoided. The body’s joints also relax – partly due If you enjoy lifting weights, it’s still to the mother’s centre of mass changing, considered a safe and effective form of and because the pelvis has tilted. The way exercise to do during pregnancy. But it the body fuels itself also changes. When we may be best to lift with a friend or personal eat foods, the body stores these by-products trainer and avoid excessive loads, as these (typically glucose or carbohydrates) in our increase the risk of muscle and joint injuries. liver and muscles so that our body can draw You should also avoid exercising in hot upon these stores for energy when needed temperatures (especially those above 32°C) (such as when we exercise). because of the extra stress When pregnant, there is less this could place on you and “Exercise is glucose available to draw on your baby’s heart. Something good for both else to consider carefully is for energy. This is because the baby needs this energy any form of exercise that mother and to develop. As a result, the her baby, but requires the mother to lie mother might feel more flat on her stomach or back given all the fatigued more quickly when – such as during yoga or they’re doing any type of task pilates. The reason for this is changes that – including exercise. there’s an increased chance happen to the of hypotension (a rapid drop KEEP MOVING in blood pressure) that may body during But all these changes don’t increase the risk of fainting pregnancy, it mean you shouldn’t exercise when standing up. is advisable during pregnancy. Studies So while you might need to show that doing aerobic to take it a bit take it a bit easier if you want exercise (such as walking, to exercise while pregnant easier when jogging or swimming) (especially during the second during pregnancy for at least and third trimester), this exercising.” 150 minutes a week can doesn’t mean you need to improve fitness, increase muscle tone and work out less than you did before. Generally, strength and reduce weight gain. Exercise people are recommended to get at least may also lower the risk of experiencing back 150 minutes of cardiovascular exercise a pain, which is a common problem for many week. The same is true for women who are pregnant women. pregnant, though you may need to lower the There’s also some limited evidence that intensity you exercise at. following an exercise plan during pregnancy And if you do decide to exercise during can help some women experience shorter pregnancy, it’s important to make sure labour – and decrease the likelihood of you’re eating and drinking enough since needing a Caesarean section. It’s currently exercise requires more energy. The more unclear why this link may exist. demanding the exercise, the more calories Not only is exercise safe for the mother, you’ll need to consume afterwards. it’s also safe for the baby. Although exercise can directly affect the baby (such as the baby’s heart rate increasing when the mother By Dan Gordon, Associate Professor Cardiorespiratory Exercise Physiology exercises), researchers have shown exercise causes no symptoms or signs of stres to the at Anglia Ruskin University, and baby. Exercising regularly during pregnancy Matthew Slater, PhD Candidate and may also lower the likelihood of the baby Vascular Healthcare Scientist at Anglia being overweight in adulthood. Ruskin University. Pregnancy BUMP & baby

health+wellness

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Sacroiliac joint (SIJ)

Under

pressure

Struggling with pelvic pain? Pregnancy and postnatal osteopath Sarah Boughtwood (sarahboughtwood.co.nz) shares tips for how to relieve it.

This is the joint between the sacrum (big triangle bone in the back of the pelvis) and the Ilium (part of the innominate). This joint is a shock absorber of the force to and from the lower back to the legs. During pregnancy, due to the relaxin hormone, the sacroiliac joints can become hypermobile (too flexible) creating pain. Equally, they can become hypomobile (restricted).

tips Stretch the gluteal muscles, ask your osteo or physio about a pregnancy belt, articulate/movement the joint by placing one foot up on a table and rock forwards.

WHAT IS THE PELVIC GIRDLE?

The pelvis is made up of the left and right innominate bones, which are three bones: Ischium, ilium and pubis (fused together), sacrum and coccyx. This is the bony structure that houses and protects the pelvic reproductive organs; nerve, blood and lymphatic supply to the pelvis and lower limbs; lower gastrointestinal tract and urinary organs. The joints of the pelvic girdle include the left and right sacroiliac joints, symphysis pubis joint (between the left and right pubic bones) and sacrococcygeal joint (sacrum and coccyx). The pelvic girdle has further joints connecting the pelvis to the lower back between L5 (last lower back bone) and sacrum (L5-S1) and the pelvis to the left and right hip (femoral head and the acetabulum, which is parts of the innominate). During pregnancy, the pelvic girdle naturally widens slowly to allow room for the growing baby. This widening is done by the relaxin hormone, which "loosens" the pelvic ligaments. The pelvic girdle is made up of many ligaments between all the bones in the pelvis that help hold pelvic joints together and allow force (impact, gravity, ground reaction etc) to pass through the pelvis.

general tips to avoid pelvic girdle pain Keep active. Avoid/modify activities that cause pain. now your limits and K rest when needed. Sit down to get dressed.

Pregnancy BUMP & baby

Tailbone

Pain around the tailbone mostly refers to the coccyx bone. The coccyx sits below the sacrum and is a smaller triangle bone. During pregnancy your posture changes, tilting the pelvis forwards and this places extra weight on your coccyx. The pain is typically worse with sitting, bending, lifting, climbing stairs and passing stools.

tips Sit on a neck travel U-shaped pillow so your tailbone doesn’t touch the chair, elevate your feet on a stool when passing stools, pelvic floor exercises (both strength and being able to relax your pelvic floor are important, best assessed by a pelvic physio) and stretch your gluteal muscles.

Sleep with a pillow between your knees, ankles, and a pillow wedged behind your lower back.

See a pelvic physio early in pregnancy for appropriate pelvic floor exercises.

ear proper, W supportive shoes.

on’t suffer in pain D and see a pregnancy osteopath.

Avoid sitting or standing for extended periods. Take hourly "movement breaks" at work to keep everything mobile.

Pubic joint/SPD

The pubic joint is located at the front of the pelvis. It is where the left and right pubic bones join via ligaments, a synovial disc and joint. Naturally in pregnancy this joint widen 3-7mm to allow for the growing baby. In some women this widening of the joint (and other factors) can make the joint painful.

tips Stretch your inner thighs, keep your knee’s max hip width apart, sleep with a pillow between your knees, get in the car bottom first then feet together, ask your osteo or physio about a pregnancy belt, get dressed sitting down and step into pants.

Sarah Boughtwood is a pregnancy and postpartum osteopath based in Milford, Auckland. No referral needed and ACC registered.

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Embracing all bumps Looking for cute and comfortable maternity activewear? You’ve found it.

SPONSORED CONTENT

aunched by sisters Carena and Bex West in 2017, CLIQUE is not just another activewear brand. Focused on fostering an inclusive, supportive, encouraging environment for all women, no matter the stage they are on in their fitness journey, CLIQUE began with simple compression tights and has now expanded into a huge size-inclusive range of tights, bras, shorts and more. This year the sisters embarked on a new journey and launched CLIQUE Maternity to provide comfort and style for pregnant and postpartum mamas.

THE DESIGN PROCESS…

“The process from start to finish took a long time – sourcing fabrics, sampling and resampling, who would have thought HOW IT STARTED… that my daughter Emily would be two"When I was pregnant I wore my CLIQUE and-a-half by the time we finally released tights right through my pregnancy – albeit them?” says Carena. “Time flies!” The a size larger than normal!” says Carena. CLIQUE Maternity range is constructed “I loved the way they supported my using two distinct fabrics. The base (from stomach and back, but I wished that we the hips down) is made from CLIQUE’s had something a little more popular classic compression comfortable around the fabric, so you can have Making all tummy for when I just didn’t the “CLIQUE” feeling right feel like squeezing my tights through your pregnancy. The active mamas on over the bump.” area is specially shaped look good with hip Carena says when she to avoid the dreaded sag style and shape down that many maternity and Bex set out to design a maternity range, they for your bump... tights inevitably get from wanted to create “the most having less hip support. And your bum! comfortable maternity The waistband is a butterytights that ever existed.” soft recycled fabric that is so Offering compression support to legs and comfortable to wear, can be folded down ankles, a perfect fit at the hips to stop the and has a hidden drawstring that you can tights from sliding down and becoming use to tighten over your tummy if needed. baggy at the crotch, and a soft, stretchy “Our maternity tights feature a leg pocket tummy band. “Of course, they had to be – the same as our power compression environmentally friendly, too!” she says. range – because who doesn’t need

a pocket, right?” says Carena. “As with our Power, Dynamic and Zone collections, CLIQUE Maternity fabrics are all made from post-consumer recycled plastics.”

THE RESULT… The CLIQUE maternity range features full-length and 7/8 tights, as well as classic biker shorts and mid-length bikers. “Comfort and functionality were our two biggest concerns,” says Carena. “We wanted to make maternity wear that you don’t have to keep pulling up when you are going about your day-to-day activities or exercising, but that isn’t too tight on your growing stomach!” CLIQUE Maternity is available in sizes NZ6-22 from cliquefitness.com – and you can have any colour you like, as long as it’s black!

Pregnancy BUMP & baby

The right side…

or is it the left?

sn' t mat ter what p os I t doe i t io n s t ill k I 'm ick s in, m

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th e bl

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f you don’t already sleep on your side, early to mid-pregnancy is a great time to retrain your own sleeping habits. From 28 weeks at least, side sleeping is highly recommended.

of Auckland’s Professor Lesley McCowan and midwife Robin Cronin PhD, identified that the risk of stillbirth more than halved when study participants slept on their side.

WHY THE SIDE?

Did you know side-sleeping is already the preferred sleep position for around 60% of adults? Even when you’re not pregnant, sleeping on your side can offer benefits such as improved spinal alignment, digestion and brain health, as well as a reduction in snoring, heartburn and back pain. Sleeping on your left side will also take pressure off your liver and kidneys, helping with swelling.

A side sleeping position eases any pressure on the inferior vena cava (IVC), a large vein in your tummy which carries deoxygenated blood from the lower and middle body into the right atrium of the heart. Sleeping on the left side is considered the ideal position to allow optimal blood flow from the IVC. Research from 2019, led by the University

What is the safest way to sleep during pregnancy? Tiffany Brown explains…

Pregnancy BUMP & baby

THE GOOD STUFF

THE BAD STUFF

As your baby depends on you for nutrients and oxygen through the placenta and umbilical cord, it’s thought any interruption to the flow of oxygen could potentially put the baby in distress. Not only does backsleeping squash the IVC, it also partially compresses the aorta, the main artery carrying oxygen-rich blood from the heart. Although your circulation responds to the pressure by increasing flow though the other veins, it doesn’t fully compensate. Healthy unborn babies may be able to compensate for the reduced blood supply, but those who are already vulnerable may not.

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from the

OTHER T YPES OF SLEEPING Stomach sleeping

This is okay until about 16 to 18 weeks; until this point the uterine walls and amniotic fluid protect your baby from being squashed. However, tummy sleepers may find it even harder to transition to their side if they don’t retrain earlier in their pregnancy.

Back sleeping

HOW TO SIDE-SLEEP COMFORTABLY

Back sleeping is okay through the first trimester, but beyond that you could run into the blood-flow issues. Sleeping on your back may also contribute to back pain, haemorrhoids, digestive issues and poor circulation producing dizziness. Many women worry about going to sleep on their side but waking up on their back. Try not to worry too much, just go back to sleep on your most comfortable side. If the issue persists, consider using a pillow or two to wedge yourself into a tilted position.

First trimester

While any sort of sleep position is generally okay in the early stage of pregnancy, doing some solid side-sleep habit-forming could really pay off later, when other physical discomforts kick up a notch or two. An effective tip to support and encourage side-sleeping is to slip a pillow between your legs while you sleep.

Third trimester

Midwife Robin Cronin says most pregnant women find that sleeping on their side is the most comfortable position, and that doing so halves your risk of stillbirth and reduces the incidence of low birth weight. “Supporting pregnant women to go to sleep on their side from 28 weeks of pregnancy could reduce the proportion of babies born smaller than expected by 9.5% and prevent one in 17 late stillbirths,” she says. Lesley McCowan has now retired, but Robin is continuing with research into pregnancy sleep positions and their impact. “We are pleased to be collaborating with an Australian multidisciplinary research team to assess the impact of pregnancy sleep position aids versus current recommended advice on the proportion of time spent backsleeping overnight and the risk of having a small baby.”

Chicco Boppy Total Body Pillow, $169.95, chicco.co.nz

sleep tight

Second trimester

As your tummy expands, specialty pregnancy pillows could be a worthwhile investment to assist you to side-sleep. You’ll also want to ensure your mattress isn’t too soft, which could cause your back to sag. A board between the mattress and base could help, as could upgrading to a larger bed with a firmer support mattress.

experts…

Emma Comfort Mattress, $1,299-$1,999, emma-sleep.co.nz

Belly Bandit Sleep-OnSide Pregnancy Pillow, $149.95, bellybandit.co.nz

This mattress is made with a supportive HRX foam for proper hip, shoulder, and spinal alignment, and ultra-comfy Airgocell® foam to allow one area to compress without impacting the rest, topping off with a fresh air comfort cover to regulate humidity and keep moisture away.

Extra padding around your body will continue being useful, and you may look at some wedge pillows to keep yourself from rolling on to your back. If you’re really struggling, try lifting the head of your bed a little by stacking books or blocks under the head of your mattress. Pregnancy BUMP & baby

EasyDNA New Zealand offers you fast affordable, highly accurate and confidential DNA tests, before, during and after pregnancy that can help you determine a range of different things such as genetic carrier screening, non invasive prenatal screening or paternity of unborn baby and parents. Choose from the range of tests we offer.

[email protected] | ph: 09 363 9745

easydna.co.nz

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Supplements

do you need them?

Registered nutritionist, author, and mum-of-three Vanessa Clarkson explains the supplements you may require during pregnancy and postpartum.

utritional needs ebb and flow throughout life. Sometimes our bodies need more nourishment, sometimes less. Pregnancy and breastfeeding are notable seasons of motherhood that place high demands on a woman. Our bodies can also be remarkably resilient and adaptable to changing needs — they have had to be. Across history, there will have been times when our ancestors made do with less food and at other times, abundance, and these experiences are woven into our bodies. All that said, making do may not be without health consequences for a mother or baby. Whatever the reason, when it is hard to meet nutritional needs through food alone, supplements may offer the possibility of plugging gaps in the short term.

Beyond the physical demands of growing a baby, instances when food intakes may fall short of nutritional needs could include severe morning sickness or prolonged illness. Or sometimes we seem to eat well, but the soils from which our food is grown may have been depleted of nutrients for various reasons, including industrial agricultural practices. Or animals may eat diets that are distant from their ancestors — changing the composition of the meat, milk and eggs as a consequence. Fruits and vegetables may be stored for long periods, gradually depleting their sensitive nutrients. And, sometimes, food intakes don’t fall short, but underlying health issues may reduce the absorption of nutrients from food. The challenge lies not in appreciating that there can be shortfalls in nutrient

“When it is hard to meet nutritional needs through food alone, supplements may offer the possibility of plugging gaps in the short term.” intakes, but in knowing whether gaps are a possibility (often without invasive medical tests), why these emerge, and whether they matter in the grand scheme of things. We should also be mindful of the limitations of isolated nutrient supplements in fulfilling roles of nourishing foods, in all their wonderful complexity. The global nutritional supplement industry is worth over AU$200 billion annually. It has a vested interest in convincing us, through marketing and the funding of biased research, that their

products offer solutions to issues that often don’t even exist. In reality, supplements are not superior to foods and the likelihood of supplements being helpful is only a possibility when food intakes are inadequate (whatever the reason for that may be). When women are well nourished, there is no evidence to suggest that supplements will increase the chance of conceiving, carrying to term, or improving the health of a mother or a baby. We begin here by looking at supplements that may be worth considering. Pregnancy BUMP & baby

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PREGNANCY VITAMIN B6

Ethics Folic Acid 0.8mg 120s, $9.99-$12.99, multichem.co.nz

Some studies have found that supplementing with vitamin B6 can help alleviate morning sickness, although it is unclear why this would be the case. Pregnancy markedly reduces B6 levels in a woman as the nutrient is transferred to the baby. However, it is unclear whether B6 needs during pregnancy should increase to offset this. Even so, intakes of B6 are generally not a concern as it is abundant in whole plant foods, including green leafy vegetables, whole grains and pulses. It is also found in meat, fish, eggs and dairy foods. Bacteria in the lower gut can also make B6, which is also where it can be absorbed from.

the evidence is unclear. This could perhaps be due to the fact that building nutritional status takes time. If you are at risk of low iodine levels, it is worth considering a supplement.

IRON

Although less iron is needed early on in pregnancy than beforehand (because menstruation stops), after the first trimester, iron requirements increase significantly. FOLATE Iron is critical to sustaining a baby’s rapid Routine folate supplementation should be growth, particularly of their brain. So continued until the end of the first trimester. much so that a woman’s body prioritises If folate supplements have not been taken transferring iron to her baby, at the expense before pregnancy, folate stores can be raised of meeting her own needs. While this can quickly, prior to neural tube closure at mean that pregnancy can increase the risk of 28 days after conception, using the following iron deficiency and anaemia, unless these are regimen: 7500mg (7.5mg) 5-MTHF once diagnosed, supplementation is unnecessary a day for four days (four doses) or and potentially harmful in 7500mg (7.5mg) 5-MTHF twice women with adequate or nearalways a day (every 12 hours) for two adequate iron levels. and a half days (five doses). Note Supplemental iron in pregnancy r e m e m b e r can be problematic in several ways. that this regimen is for rapid, short-term repletion of stores Firstly, despite iron being essential Before only and there is no advantage for life, free iron is toxic to the taking any to continuing at this level for the body and concerns have been supplements duration of your pregnancy. raised that in excess it or medication can be teratogenic (can disturb during IODINE the development of the embryo pregnancy and During pregnancy, more iodine or foetus) in the first trimester. postpartum, is needed to support increased Excess iron in the digestive tract make sure you consult with production of thyroid hormones. can also create gut disturbances your GP However, it is unclear whether the like constipation, nausea and or LMC. body needs more iodine from foods vomiting. In the first instance, (or a supplement) because it can the focus should primarily be adapt to absorb more if needed. on eating more iron-rich foods and using The body stores iodine in the thyroid gland practices that promote absorption, rather and controls losses well — it loses less than having a supplement. iodine when needs are increased and more when they are not. These adaptations work POSTPARTUM to ensure a baby doesn’t miss out on this Pregnancy and birth may leave a woman essential nutrient during pregnancy. nutritionally depleted, especially if excessive On the other hand, there are concerns blood loss is experienced (some women may that even mild iodine deficiency during receive a blood transfusion, but others do pregnancy can affect a baby’s cognitive not). Breastfeeding can also be the most development well into childhood, if not nutritionally demanding phase in a woman’s beyond. As with other nutrients, there are life, even more so than pregnancy. During no known benefits of supplementing with the first four to six months of life, a baby will iodine during pregnancy when intakes are double the weight gained during the entire adequate, and even when they are not, nine months of pregnancy. Eating well at

Pregnancy BUMP & baby

Folic Acid is a compound that is essential in development and growth of rapidly growing tissues. Taken once a day before conception and during the first three months of pregnancy has been shown to reduce the risk of having a baby with spina bifida by two thirds. Always read the label and use only as directed.

this time ensures a mother’s nutritional stores are not depleted at the expense of producing breast milk, which is incredibly rich in nutrients. The duration and intensity of breastfeeding will influence the amount of food a woman needs to eat. In time, nourishing foodways will work to restore health but, particularly when coupled with the physically draining early days and weeks of postpartum, some may be interested in supplements that could quicken nutritional repletion.

IRON

Pregnancy, blood loss during birth, and postpartum lochia may all drain a woman’s iron reserves, and this can exacerbate the feelings of tiredness and lethargy that are common in the newborn phase. Nevertheless, this may not mean that iron supplements are needed. In contrast to pregnancy, postpartum iron needs are relatively low, even when breastfeeding. This is partly due to the continued cessation of menses (lactational amenorrhoea), which can extend for six months with exclusive breastfeeding, if not longer. Newborns also need significantly less iron than during pregnancy. Iron in breast milk is combined with a special protein called lactoferrin which ensures it is readily absorbed. While the iron level in breast milk is much lower than formula, babies absorb about 50% of it, compared to only 10% absorbed from formula. The amount of iron in breast milk is tightly regulated and does not vary according to a mother’s iron status. If you are concerned about your iron levels you can request a blood test from your doctor and commence supplementation if indicated. Edited extract from Motherfood: The Science, Art and Practice of Nourishing Maternal Foodways by Vanessa A Clarkson, $59.99, Bateman Books.

YES P L

HYALURONIC ACID Hyaluronic acid (HA) is a natural antiageing and hydrating skincare ingredient. Despite its slightly scary name, HA is a gentle ingredient that is produced naturally by your body to retain water and help lubricate your joints and connective tissues. By adding hyaluronic acid into your skin care routine, you can restore lost hydration and combat dryness and sensitivity.

VITAMIN C SERUM Used for its brightening, anti-aging and antioxidant properties, vitamin C serum is a potential defence against environmental toxins. Studies suggest vitamin C (L-ascorbic and its derivatives) may assist in brightening the dark spots and hyperpigmentation that are associated with pregnancy melasma.

NIACINAMIDE (AK A NICOTINAMIDE, A T YPE OF VITAMIN B3) An alternative to Retinol for the treatment of acne, rosacea and UV damage, this is a water-soluble, active form of vitamin B3. It may help to reduce redness and inflammation, improve skin tone and fade dark spots.

POLYHYDROX Y ACIDS (PHA S)

Saving Wait! Before you lather on that cleanser, you might want to check out the ingredients.

Pregnancy BUMP & baby

face P

regnancy comes with a lot of skin changes – dark spots, melasma (brown patches on the face around the cheeks, nose, and forehead), acne, dryness and any tendency you have to eczema can flare – but not all skincare is safe for your growing baby. Here are some of the ingredients that are safe to use or better to avoid during pregnancy and postpartum.

These super-gentle chemical exfoliating acids (most commonly called gluconolactone, galactosen and lactobionic acid) are suitable for sensitive skin and don’t penetrate the skin as deeply as most alpha hydroxy acids (AHAs). PHAs may help brighten, smooth, and hydrate your skin.

ZINC OXIDE AND TITANIUM OXIDE These active ingredients in mineral sunscreens – also known as physical blockers – can be used during pregnancy as they are hypoallergenic and sit on the surface of the skin, so are minimally absorbed. They work as chemical filters and protect against the full UV spectrum. Avoid spray-on sunscreens as inhaling any product is not advised as it may be readily absorbed into the lungs, and remember that covering up with hats and clothing and avoiding high UV times of day in the sunnier months also reduces risk of sun damage.

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for sensitive skin

Lemon & Beaker Vitamin C Serum with Lemon Essential Oil, $62, lemonandbeaker.com

Boost Lab 2D Hyaluronic Hydro Boost Serum, $34.95, farmers.co.nz

Better safe…

Skin Republic Hyaluronic Acid 1% + Niacinamide 2% Serum 30ml, $22.99, chemistwarehouse.co.nz

NO THAN SALICYLIC ACID (BHA)

Used as an acne treatment, salicylic acid (which is a type of beta hydroxy acid) should be avoided during pregnancy and breastfeeding. Some experts say it is safe in concentrations under 2%, however, as it can be absorbed into the bloodstream, it’s probably best to pop it away until you’ve finished breastfeeding.

RETINOL

HYDROQUINONE

Clarins Hydra-Essentiel Bi-Phase Serum 30ml, $92, clarinsnewzealand.co.nz

remember

BOTULINUM TOXIN A (AK A BOTOX)

There have not been sufficient or dedicated studies done on the effect of having Botox during pregnancy, and there is a risk that the toxin may spread beyond the localised area, which can cause botulism. Medsafe says the use of Botox when pregnant or breastfeeding is not recommended, so wait until bub is weaned before heading in for your next treatment.

Best known for anti-aging, brightening, acne-fighting benefits, and also for use on stretch marks, Retinol (and any of its derivatives such as retinoic acid, tretinoin, palmitate and retinaldehyde) may pose a risk to your baby due to overexposure of vitamin A. It is recommended to avoid vitamin A altogether during pregnancy and while breastfeeding.

Naked Sundays SPF50+ Collagen Glow 100% Mineral Perfecting Priming Lotion, $42.50, meccabeauty.co.nz

COMPILED BY CHARLOTTE COWAN. THANKS TO DR JULIE SMITH (JULIESMITHDERMATOLOGY.CO.NZ) FOR ADVISING ON THIS STORY.

Choose simple fragrancefree products to cleanse and moisturise – particularly if you have sensitive skin or a history of eczema – and avoid shampoos, cleansers and skin wipes if they contain antibacterial preservatives such as benzalkonium chloride or MIT (methylisothiazolinone).

This is used in skin-brightening and lightening creams and is readily absorbed into the body which may pose a danger to your developing baby. Vitamin C can offer similar benefits for the treatment of melasma.

DIHYDROX YACETONE (DHA)

Dihydroxyacetone (DHA) is the most common ingredient used in spray self-tanners. The good news is that it won’t absorb into your skin, but the bad news is that inhaling the chemical during application could affect you and your baby. You could try a rub-on alternative, or just rely on your pregnancy glow to get you through!

It’s important to consult with your LMC or dermatologist before starting any new skincare routine. If skin problems develop, seek medical treatment advice.

Pregnancy BUMP & baby

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L OV E

Self-Care for New Mums, $34.99, Macmillan Australia Isle of Eden Eugene Sunglasses in Champagne, $189, isleofeden.co.nz Bio-Oil Body Lotion, $24.99, bio-oil.com/en Weleda Hydrating Facial Mist 100ml, $29.90, weleda.co.nz Clarins Calm-Essentiel Soothing Repairing Balm, $70, clarinsnewzealand.co.nz Back To The Wild Natural Sunscreen, $27.99, backtothewild.co.nz Birkenstock Arizona in White, $200, birkenstock.co.nz Frank Green Ceramic Reusable Bottle (regular), $54.99, nz.frankgreen.com

sun safe

SUM MER MAMA

Time for a bit of fun in the sun.

Pregnancy BUMP & baby

COMPILED BY CHARLOTTE COWAN

Back To The Wild's Natural Organic Sunscreen is safe and good for your skin! Gentle enough for babies from birth, and strong enough for full days outdoors, this sunscreen is sure to be a hit with the whole whānau! The nongreasy moisturising formula is great for eczema-prone skin too.

Only the best for you and Baby

Whether you’re currently pregnant, planning a pregnancy, breastfeeding or well into your parenthood journey, nourishing you is as important as nourishing Baby. Not only when what you eat is literally what your baby eats (pregnancy and breast-feeding) but also when you go onto role model healthy eating to your growing family. Sounds great, doesn’t it? But we all know how busy life can get. Luckily, this is where having Thermomix® TM6 on your kitchen bench can become your super-power. Thanks to it’s smart, connected tech, not only will TM6 look after most of the cooking, but you can browse recipes, make weekly meal plans, and even shop for ingredients with TM6 and Cookidoo® (Thermomix®’s recipe platform). So, here’s to the whole family enjoying wholesome, nourishing food while making more time for what matters most.

Top 5 Thermomix® Tips for Stress-free Cooking Plan ahead Spending just 30 minutes a week planning your meals will save you so much time and money, and also help ensure healthful choices are on-hand for all the family. Cookidoo® can do it all. You can browse recipes, make a weekly plan and even shop straight from the App. Multi-tasking (hands-free) Time is so precious, which is why having TM6 manage most of the cooking will be a game-changer. Follow the prompts on-screen, then let TM6 get on with it, while you make time for other things. Save on cleaning With TM6, you’ll love its ‘layered cooking approach’ and ‘Pre-clean mode’ – it’ll practically clean itself while you enjoy your meal.

Make one for all For growing families, the end goal is one meal for everyone, as opposed to multiple meals. With Thermomix®, it’s easy. You have a world of recipe inspiration on Cookidoo® and, with TM6, you can puree or roughly chop meals in line with Baby’s needs. Be in control As parents, we worry about what goes into our children’s food. With Thermomix®, you can take away any question marks and quickly and easily make food for the whole family, free from any nasties. Scan for the downloadable First foods, fuss free eBook which includes 7 recipes to get you on your way, from first foods, through to baby-led weaning and finger foods.

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NOURISH YOUR BODY & SOUL

re p ng i r du Easy no-fuss recipes to help you thrive

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Pregnancy BUMP & baby

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MOROCCAN STYLE LAMB

stew

Lamb provides a good source of dietary iron, which is an important nutrient during pregnancy and post-birth. We encourage women who are bleeding or have lost blood during the birthing process to focus on including iron-rich foods into their diet regularly during this time. SERVING SIZE: 4-6 PREP TIME: 15 MINS / COOK TIME: 1 HR 10 MINS GLUTEN-FREE, DAIRY-FREE, FREEZER-FRIENDLY • Extra virgin olive oil (EVOO) • 500g lamb (diced) • 1 brown onion (diced) • 2 celery sticks (diced) • 3 cloves garlic (finely chopped) • 2 sprigs of fresh rosemary (removed from stem) • 2 carrots (diced) • 2 potatoes (diced) • 2 bay leaves • ½ cup dried Turkish figs (cut into quarters) • Zest of 1 lemon • ½ bunch parsley (finely chopped) • 1L chicken stock • 1 tin organic diced tomatoes SPICE MIX

• 1 tsp cumin • 1 tsp paprika • 1 tsp coriander seeds • ½ tsp nutmeg • 1 tsp cinnamon 1. In a large pot, heat a splash of EVOO on

high heat and braise the lamb for 2-3 minutes. Remove the lamb and set aside. 2. Add the onion, celery, garlic, rosemary and spice mix and sauté until browned. 3. Add the lamb back in and the remaining ingredients and bring to a gentle boil. 4. Reduce heat to a simmer and cook for approximately 1 hour. --Store in an airtight container in the fridge for up to three days, or freeze in small batches for up to three months.

Pregnancy BUMP & baby

NO MORE MORNING SICKNESS smoothie

SERVING SIZE: 2 PREP TIME: 5 MINS / COOK TIME: 2 MINS GLUTEN-FREE, DAIRY-FREE, VEGAN • 1 knob ginger • 400ml coconut water • 1 banana • ½ cup fresh pineapple • 1 tbsp lemon juice 1. Place all ingredients into

a blender and blend until smooth.

tip

ld! i t ’s c o e r u s ake and m y l w o sl Sip it

Ginger is a known traditional remedy to help relieve symptoms of nausea. Coconut water, banana and pineapple provide electrolytes to rehydrate your body if you have been experiencing vomiting. Pineapple aids in protein digestion and provides you with a wonderful source of vitamin C. 38

Pregnancy BUMP & baby

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A delicious way to eat cauliflower! This nourishing salad is the best combination of savoury and sweet. Perfect alongside grilled chicken, fish or beef!

CAULIFLOWER & DATE salad SERVING SIZE: 3-4 SERVES PREP TIME: 5 MINUTES / COOK TIME: 25 MINUTES GLUTEN-FREE, DAIRY-FREE, VEGAN

• 1 whole cauliflower • Extra virgin olive oil (EVOO) • 1 tsp cinnamon (ground) • 7 dates (pitted and diced) • ½ bunch parsley (finely diced) • ½ cup pecans (diced)

1. Preheat oven to 180°C. 2. Chop cauliflower into small

florets and place onto a baking tray. 3. Drizzle with EVOO and cinnamon and place in the oven to roast for 25 minutes. 4. Remove cauliflower from the oven and transfer to a salad bowl. 5. Toss through remaining ingredients and enjoy!

Pregnancy BUMP & baby

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LACTATION

slice

Oats and brewer’s yeast have been used traditionally to promote and support lactation. This lactation slice is the perfect sweet treat for a depleted mama needing some extra nourishment. SERVING SIZE: 10-12 PREP TIME: 5 MINS COOK TIME: 20 MINS DAIRY-FREE, COLIC BABY FRIENDLY, VEGETARIAN DRY INGREDIENTS • 2 cups rolled oats • 1 cup buckwheat flour • ½ cup shredded coconut • ¼ tsp salt • 2 tsp baking powder • 4 tbsp brewer’s yeast • 3 tbsp flax seeds • ¾ cup coconut sugar • ½ cup dark chocolate chips WET INGREDIENTS • 2 eggs (whisked) • 3 tbsp almond butter or ghee • 2 tsp vanilla bean extract • ¼ cup coconut oil (melted) 1. Preheat the oven to 180°C

fan-forced and line a baking tin with baking paper. 2. In a medium-large bowl, add the dry ingredients and mix. Make a well in the centre. 3. In a separate bowl, add the wet ingredients and combine well until light and fluffy. 4. Pour the wet ingredients into the dry mixture and combine (use your hands if you need to). 5. Add the mixture into the prepared baking tin and press it firmly into the tin. 6. Place in the oven and bake for 20 minutes or until golden on top. 7. Cut the slice into squares of desired portion size. Enjoy warm or cool! --Store in an airtight container in the fridge for up to five days.

Pregnancy BUMP & baby

tip

e r. r wat o k l i ed m t-bas n a l p h of splas a d d r y, a too d s i e r mixtu If the

EASY ENERGY

bites

These easy energy bites are the perfect nourishment and quick mid-morning or afternoon pick-me-up. The addition of Brazil nuts provides a wonderful source of selenium to support healthy thyroid function. Fresh medjool dates provide a nice sweetness and are a great source of fibre. Plant-based omega-3-rich hemp seeds provide essential fatty acids, whilst goji berries support antioxidant status.

SERVING SIZE: 12-16 PREP TIME: 15 MINS SET TIME: 30 MINS GLUTEN-FREE, DAIRY-FREE, COLIC BABY FRIENDLY, FREEZER-FRIENDLY • 1 cup Brazil nuts • 5 fresh medjool dates (pitted) • ½ cup goji berries • ½ cup shredded coconut • ½ cup sunflower seeds • ¼ cup hemp seeds • 1 tsp cinnamon (ground) 1. Place all ingredients in

a food processor and process on high for approximately 3 minutes until combined. 2. Use your hands to roll the mixture into balls or flatten the entire mixture into a brownie tray using a spatula. 3. Place in the freezer to set for 30 minutes. Enjoy! --Store in an airtight container in the fridge for up to one week, or freeze for up to three months.

tip If the mixture is crumbling, add 1 tbsp of coconut oil or 1-2 tbsp of warm water and process for an additional 30 seconds.

Recipes reprinted with permission from Mothers Mylk (mothersmylk.co). Co-founded by Australian mums Shannon Hayes and Alana Mulhall, Mothers Mylk evolved from their passion to nourish, educate and support women on their motherhood journeys. Check out their website and book Nourished Postpartum, AUD$65, for educational, nourishing and empowering tools that are essential for mamas to thrive post-birth.

Pregnancy BUMP & baby

I 'll

u as

r-f

o re e

n e,

t hank

Sugar

high

More than 3,500 pregnant women in New Zealand are diagnosed with gestational diabetes each year. Registered dietitian Dr Robyn Lawrence explains what that could mean for you.

estational diabetes mellitus or GDM is a form of diabetes that first becomes apparent during pregnancy. As pregnancy progresses, pregnancy hormones rise and block the action of insulin, which is a hormone responsible for blood glucose regulation. This is thought to occur to ensure the baby gets enough glucose for growth and development. In women with GDM, the body does not effectively compensate to keep blood glucose at normal levels, and these rise to levels that can be harmful to both mother and baby.

WHAT ARE THE EFFECTS OF HIGH GLUCOSE LEVELS IN PREGNANCY?

High blood glucose in pregnancy can cause excessive foetal growth as the baby

Pregnancy BUMP & baby

is exposed to a high amount of sugar. This can lead to trauma during birth or the need for a Caesarean section. Constant exposure to high sugar also means the baby over-produces insulin to keep up with the high sugar levels in utero, and this can lead to dangerously low blood glucose levels after birth when the maternal supply of glucose is cut off. Exposure to high glucose levels in pregnancy also puts baby at increased risk of obesity and Type 2 diabetes in later life, perpetuating an ongoing, intergenerational cycle of obesity and diabetes. Although for some women GDM resolves after pregnancy, women who experience GDM are at high risk of developing GDM again in a subsequent pregnancy and face an almost 10-fold increased risk of

developing Type 2 diabetes in the future. Appropriate management during pregnancy and following a healthy lifestyle postnatally can help to reduce these risks.

HOW CAN I MANAGE GDM IN MY PREGNANCY?

Medical nutrition therapy (dietary advice provided by a registered dietitian) is considered the first-line treatment for GDM and it is recommended that all women with GDM see a dietitian for appropriate support. There’s no one-size-fits all approach when it comes to dietary recommendations, as this should be tailored to a woman’s individual health and lifestyle. Some things that are important to consider, however, is ensuring women

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+ K ATE'S STORY I will start with a disclaimer – my experience with gestational diabetes may not be yours, so it’s important not compare. I had gestational diabetes with all three of my pregnancies. It started with a sickly-sweet sip of a glucose fizzy drink and resulted in my blood tests showing I had gestational diabetes. This diagnosis immediately sends you on a very different pregnancy path.

I was quickly referred to the Auckland District Health Board (ADHB) Diabetes Team, and to this day I remain impressed with how well the referral was handled. They called me, booked me in with a midwife, a nutritionist and a doctor. I was given insulin – short-acting and longacting – and was taught how to use the needles. I needed to inject insulin four times a day. Getting the dose right is a work in progress and the team will want to know your readings each week and will look at tweaks needed to keep your blood sugars in an acceptable range. During my first pregnancy I was booked in for an induction around 38 weeks. The baby was measuring full-term and, with gestational diabetes, extra care is taken in the last few weeks to track baby’s size and health. During my next two pregnancies, this was also closely monitored.

or Māori descent are at greater risk of developing the condition, but GDM does not discriminate. Women within the healthy BMI range with GDM are getting the right balance and other ethnic and genetic backgrounds of nutrients from all the food groups. do develop the condition too. There is a tendency for some to drastically What’s more is that GDM doesn’t often cut carbs when diagnosed with GDM, come with any physical symptoms to alert but carbohydrates are still an women to the fact they have important source of nutrients, it. That’s why screening for all GDM is fibre and energy. Choosing women during pregnancy wholegrains, managing is so important. thought to portion sizes and distributing It’s recommended that all affect at carbohydrates across the day can pregnant women go for an least 6% of help to minimise any spikes HbA1c screen after their first pregnancies antenatal visit (before 20 weeks’ in blood glucose. gestation). This test helps to in NZ WHO IS AT RISK OF GDM? identify whether diabetes might GDM is thought to affect at already be present and determine least six percent of pregnancies in New an appropriate management pathway. Even Zealand which is more than 3,500 women if this initial test comes back within healthy each year. Women who are overweight or limits, it’s still important to go for further obese, older and of Asian, Indian, Pasifika GDM screening between 24-28 weeks of

The hardest part for me was the blood sugar heel pricks they do on the baby post-birth. You are given this little person you are responsible for and mum guilt kicks in when they are having their heel pricked and squeezed to get blood to check baby’s sugars. The team wants to see three blood sugars at an acceptable level. With my first baby, he would have one good, two not, two good, one not. It was a very stressful process. Thankfully all three of my babies came through the experience perfectly healthy. All in all, my experience with GDM wasn’t scary. I felt really supported and was incredibly impressed with the professionalism of the team working within the ADHB. My advice would be not to feel overwhelmed, ensure you feel supported by the people looking after you, advocate for yourself and baby if you are worried, and don’t let the diagnosis overrun your pregnancy. One foot in front of the other and you will get through it as a healthy mum with a healthy baby.

pregnancy, as this is when the interplay between pregnancy hormones and insulin can result in GDM. Your midwife or lead maternity carer will arrange this test for you, and if you are diagnosed with GDM, you will be referred on for support from a specialist "diabetes in pregnancy" team that work alongside your doctor, midwife or lead maternity carer. Getting appropriate treatment can help to minimise any risks to mother and baby during pregnancy and potentially improve their future health too. Robyn Lawrence is a registered dietitian and researcher at The University of Auckland and is looking for Aucklandbased babies to take part in a new study exploring how baby’s first foods influence their gut health and immunity. For more information or take part in the study, visit thesunstudy.auckland.ac.nz Pregnancy BUMP & baby

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Small

packages

Not all placentas stick the same. Specialist obstetrician Dr Nicholas Walker shares insights into this amazing organ.

Pregnancy BUMP & baby

POSTERIOR PLACENTA

Posterior position placentas, being on the wall of the uterus far from the belly skin, do not have this effect and the baby therefore is literally just under the skin, so the movements are regularly and strongly felt. Anterior and posterior position placentas have no medical risk, and a normal birth can be expected as a default.

PLACENTA PRAEVIA

The final position, placenta praevia, does carry some risks and problems – fortunately, these are manageable in modern maternity settings. When a placenta is identified as such, you will need to meet with an obstetrician during the lead up to the birth to discuss what to do. In some cases, the position of the placenta is close to the cervix, though your baby can still get around the edge and a vaginal delivery is possible. In other cases, the placenta effectively blocks the exit from the uterus, and the baby must find another way out of the womb, which means a Caesarean section. So when you get halfway through your pregnancy, and get the 20-week scan, don’t just consider your baby… Spare a thought also for the all-important placenta, that special packaging to which we all owe our own lives.

THANKS TO MAMA CLAIRE. PHOTOGRAPHY BY MOIRA MEIRING OF WILD LITTLE HEARTS.

PRAEV

CEN TA

placenta positions

PL A

TERI

OR PL ACEN

POS

During pregnancy, a scan is performed at around 20 weeks to detail the physical anatomy of the baby. At this scan, the placenta is also mapped as to where it has sited itself inside the womb, which is a random process. The placenta may be described as "anterior"

Anterior position placentas tend to soften and muffle the mums perception of the baby’s movements, especially during the 20-32 week period. Beyond that time, the larger baby is stronger and movements are far more easily noticed. The reason for this is that foetal movements are actually registered, not by the uterine wall and not by the placenta itself, but by the belly skin. So only when a baby strikes the front uterine wall firmly enough to impact through to the belly skin is a movement felt. The anterior placenta adds another layer of cushioning, reducing that sensation for mum.

WHERE DOES IT SIT?

ANTERIOR PLACENTA

R PL ACEN

Like any packaged goods, your baby’s sac and placenta keeps your baby safe, sound, and nurtured by transferring fluids and nutrients to him or her. The placenta also takes away the baby’s waste products which, in ex-utero life, are managed by the kidneys. While in utero, the baby sub-contracts this job to the mum’s kidneys! The placenta is a disc-shaped blob of tissue, and looks just like a jellyfish which has wrapped around a bunch of strawberries. It forms at the very beginning of pregnancy, and grows along with the baby, and ends up being around one-fifth the size of the baby by weight: A 3500g baby will, on average, have a 700g placenta. The placenta sticks to the inner wall of the womb, and special growth factors encourage mum’s blood vessels to pour large amounts of blood across its surface so it can both extract goodness and offload waste all at once.

ERIO

WHAT IS THE PLACENTA?

– meaning it is on the wall of the uterus just under your belly skin; "posterior" – meaning it is on the opposite wall that is closest to your back; or low-lying (also called placenta praevia) – where it is very close to or covers the exit tunnel of the uterus, the cervix.

ANT

regnancy is a special time. For an expectant couple, their thoughts and feelings tend to focus a lot on the baby, naturally. However, just as important is the "packaging" that the baby comes in – meaning the sac (membranes) and the placenta.

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BUMP&baby’s am azingweek-by-week

WEEK 14 In the 1950s, Swedish photojournalist Lennart Nilsson embarked on 12-year project to use photography and technology to document life before birth. Together with medical experts, and in collaboration with five hospitals in the Stockholm region, Lennart produced unrivalled crystalclear colour images of the 266 days between conception and birth. The photographs were published both in his book A Child is Born and in a Life Magazine article entitled “Drama of Life Before Birth” in 1965. Such images have never been reproduced. BUMP&baby readers have the chance to see these fascinating, thought-provoking images in our week-to-week pregnancy guide at bumpandbaby.co.nz/week-by-week.

Measuring around four centimetres, your baby’s facial muscles have learnt to squint, frown and grimace. Their kidneys are processing urine and they can even try to suck their thumb.

WEEK 33

Now the size of a pineapple, at 33 weeks your baby is able to show the rooting reflex by turning their head and opening their mouth to respond to stimulation of the cheek. They are also practising sucking and swallowing.

WEEK 27

At 27 weeks, baby is now the size of a cauliflower head and spends 10-20% of the time taking practise breaths (of amniotic fluid), an important exercise to strengthen the lungs.

Scan to see images

Pregnancy BUMP & baby

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Building

a bond

Dr Felicia Low explains why bonding with your baby during pregnancy and beyond builds better brains.

Pregnancy BUMP & baby

– both mother and father – stimulates physiological changes not just in the baby, but in the parents as well. This helps establish immediate bonding. Ongoing physical contact continues to help make the attachment more secure, which supports the child’s psychosocial development.

INFANCY

As infants begin to relate to the outside world, so-called “serve-and-return” interactions come into play. When your baby gurgles, makes faces, or cries, respond promptly with eye contact, reassuring words, or a hug. This helps fulfill your baby’s innate need for meaningful connections. Simple serve-and-return style games like peekaboo can also be invaluable.

PRESCHOOL AGE

Sharing a book together and using serveand-return interactions such as questioning, answering and commenting helps not only with bonding, but also with your child’s literacy and socio-emotional development. As a new parent or a parent of an active young child, it may sometimes feel difficult to find enough time and energy to engage in extra activities. However, as you can see, building a strong bond with your child and helping their brain development does not require lengthy sessions or special equipment. Many can even be done at the same time as other caregiving activities. Incorporating them into your routine may well be one of the simplest yet best ways to give your child a good start to life. Dr Felicia Low is a Research Fellow at Koi Tū: The Centre for Informed Futures and author of Bonding: A Brilliant Brain Builder, an evidence brief highlighting the importance of parent-child bonding.

PHOTOGRAPHY BY KIRSTEN ALDRIDGE OF KIRSTEN NAOMI PHOTOGRAPHY.

very parent wants to give their child the best chance to live a fulfilling life. But did you know to plan ahead, to work towards goals, and that you can start this even before the ability to restrict impulsive behaviours. your baby is born? If a very young child hasn’t been provided There is compelling evidence that one of with the optimal conditions to develop the most important ways parents can help executive functions, their later life, from their child develop into emotionally secure, as early as school age, can be a struggle. contented children who have a good chance Research such as that in The Dunedin of having a happy, successful adulthood Study, which has followed more than comes down to forming 1,000 people for 50 years, a strong parent-child bond. highlights the sometimes building That might sound rather troubled lives that ensue: Job obvious, given no one would poorer relationships t h e b o n d instability, argue that children benefit with others, poorer physical from a strong bond with and mental health, and lower their parents. However, we life satisfaction. • PREGNANCY: Talking, singing. now know how bonding It is now clear that children helps babies and children, and who miss out on warm, • BIRTH: Skin-to-skin contact. just how enduring this benefit sensitive parenting from could be – it all comes down an early age may have • INFANCY: “Serveand return” activities: to brain development and the compromised executive talking, smiling, nurturing of specific skills that functions that have adverse singing, engaging help with lifelong wellbeing. impact on them throughout in interactive play. From conception through the rest of their lives. • PRESCHOOL AND babyhood and early childhood, So, the connection between OLDER: Frequent human brains undergo massive the strength of the parent-child meaningful activities growth, with potentially more bond and the degree to which such as reading than a million new neural children thrive or otherwise is books, having connections being formed every well established. What, then, conversations, second. A newborn’s brain is can you do to help build playing, telling stories, snuggling. already a quarter of the size a strong bond with your child? of an adult’s, and by age two, a child’s brain is 80% of adult size. PREGNANCY Brain imaging techniques and detailed Babies can recognise sounds such as their behavioural studies show that early brain mother’s voice while still in utero. In fact, development is fostered by strong bonds newborns tend to prefer their mother’s voice between children and their parents or to a stranger’s. So go ahead and talk or sing primary caregivers. to your belly! Crucially, strong bonding helps shape the brain for the establishment of neural NEWBORN connections that underpin the set of life Interestingly, specific types of closeness skills known as “executive functions”. These between parent and child are particularly are characteristics that help us with basic life beneficial. For instance, skin-to-skin tasks, including the ability to pay attention, contact between a newborn and its parents

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beautiful bumps

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MY BEAUTIFUL Five Kiwi women share how pregnancy empowered them in personally unique ways. 48

Pregnancy BUMP & baby

body

Ashleigh 32 WEEKS PREGNANT

“Bearing a child is such a special gift and milestone in life, and although it may not always feel glamorous 100% of the time, it was super-important to me to be able to capture this moment to reflect on this period of time. After all, time goes so quick, but memories last a lifetime. Knowing that our baby girl can hear our voices from inside the womb made it very important for us to bond by talking to her throughout the pregnancy. I chat to her and tell her how much I love her daily, and my husband likes to speak to her in Afrikaans too. It’s so gorgeous when she reacts to our voices with a kick or roll.” --PHOTOGR APHED AT WHENUAPAI, AUCKL AND, BY NATALIA BOWERS OF LITTLE LOVELY PHOTOGR APHY.

Pregnancy BUMP & baby

Kayla 36 WEEKS PREGNANT

“My husband and I struggled to get pregnant for five plus years and our second round of IVF was successful. I’ve never loved my body so much. How could you not when you’re creating a new life? I especially would love being in the water with my bumps as it made me feel more connected to them. So baths or swims were a constant for me and found it deepened my connection to my babies.” --PHOTOGR APHED AT K AR AK ARIKI TR ACK BY ACACIA LILLY PHOTOGR APHY.

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Jess

34 WEEKS PREGNANT

"I loved the feeling of being able to grow a beautiful wee human and I loved the changes my body was able to make through each trimester. It was an amazing feeling! It was so relaxing to do my photo shoot with a friend in our backyard. A natural environment and very special to have these moments captured." --- PHOTOGR APHED BY A FRIEND AT JESS’S HOME. Pregnancy BUMP & baby

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Jessica 34 WEEKS PREGNANT

“This was my first pregnancy, so I thought why not take on the experience in showing off my beautiful bump and feeling so confident and empowered as a plus-size woman. My maternity shoot was at sunset, so it was such an intimate time for me and my partner. We both loved it so much. And, of course, having to show off my beautiful bump feeling a million bucks, even having people walking on the beach tell me how amazing I looked!” --PHOTOGR APHED AT PIHA BEACH, AUCKL AND, BY AIMEE LOUISE PHOTOGR APHY.

Pregnancy BUMP & baby

Alexis 37 WEEKS PREGNANT

“I loved watching my belly grow, which shocked me as I had always dreaded that part of pregnancy when I thought about it – but it became one of my favourite things on this journey. Knowing my body was doing all of these incredible changes to grow our darling daughter always left me in awe of what our bodies go through to give us these blessings.” --PHOTOGR APHED AT WAIPU COVE BEACH BY MEGAN COPE PHOTOGR APHY.

Pregnancy BUMP & baby

SHOW US YOUR BUMP

And be in to win!

PEPI CARE PACK AGE WORTH OVER $730

BUMP&baby is running a year-long search for beautiful pregnancy photos. Send in yours and you’ll not only be in to win amazing prizes, we’ll also publish our 10 winning photos across two issues of BUMP&baby magazine! See details for the chicco and isoki prizes and enter at bumpandbaby.co.nz/win

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small toys such as cars, blocks or little trinkets we all know they love to collect. Aspire is 1.5m high, which easily slots under an existing top shelf and rail – perfect for customers that want a super-easy wardrobe unit to simply place in the wardrobe and go! Check out Wardrobes Online’s range of options at wardrobesonline.co.nz to find the best storage solution for your nursery. Delivery is available across the country, or collect from one of their warehouse locations.

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Super Nanny Hudson soothe easy chair and rocker, $599.99, babies.co.nz

Pretty and

practical

How to style your baby’s nursery with early-days essentials. BLACK IT OUT

Sheer floor-to-ceiling curtains may add a whimsical quality to a room but what your baby really needs is complete darkness, especially at night. Adding blackout blinds or curtains, which will block out any bright light, will help to regulate your baby’s circadian rhythm and allow their little brains and bodies to rest. Thermal curtains will not only make the room dark but will also help keep your baby’s nursery cool in summer and warm in winter. Two birds and all that…

LIGHTBULB MOMENT

Zazu Lou Night Light, $79.99, babycity.co.nz

Now, in saying that it’s great for your baby’s room to be completely black, you also don’t want to walk in and smack your little toe on the changing table every night. So a soft nightlight is a great addition for night feeds. Opt for one with an adjustable brightness function, so you can dim it right down when your baby is drifting back to sleep. Voiceand touch-activated is also helpful to save you from fumbling around for the switch.

CHAIRS TO THAT

Boston change table package, $479.85, mocka.co.nz

It’s so tempting to choose style over function when it comes to a feeding chair, but you’ll be spending a lot of time in it, so pick wisely! Cushiony comfort will help during those nighttime feeds; just make sure you can easily sit up straight and you have enough room to move about (because it’s never fun to sit in one position!). And if the chair rocks, even better! Don’t forget to add a side table for your nightlight, phone, wipes and water bottle so you don’t have to keep getting up and down in the middle of the night.

Vtech Monitor RM901HD Smart Wifi, $449, babybunting.co.nz

Pregnancy BUMP & baby

CHANGE AND STORE

If you have a small space, adding a change table and a dresser will clutter the room and make it feel closed-in. Choosing an all-in-one dresser/change table will not only serve two functions, but it means nappies and wipes can be tucked out of site in the drawers but still in easy reach. And once your baby gets too big (or wiggly), simply remove the change table from the top and you instantly have more storage space!

SEE CLEARLY

If your baby sleeps in a nursery which is a fair distance from yours, or you live in a large multi-storey home, a baby monitor is a must-have. There are all sorts of monitors available with different functions and for a wide range of budgets but the main things you want to look for are: Clear day and night vision: Look for HD monitors where the image will be crystal-clear and not grainy. Wifi: This is not a must-have if you don’t need to view your baby’s nursery when you’re not at home, but a wifi monitor will connect to your internet and stream live video to an app on your phone. Long range: Choose a monitor with a good range and long battery life so you don’t have to sit beside it in one spot while your baby sleeps. Adjustable camera: This will allow you to pan side-to-side, tilt upward and downward, and zoom in or out without going in and disturbing your baby. COMPILED BY CHARLOTTE COWAN

hatever your personal style, there is a theme and furniture pieces out there that will fit your aesthetic and will make a nursery look gorgeous. But the big question is, are they practical? Here we share some tips on what you and your newborn actually need in a nursery space during the first weeks and months.

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TH E ON E- ST OP BA BY SH OP The newest addition to Aotearoa’s baby shopping scene, Baby Bunting has everything you need for your own new addition.

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essica is already in her third their everyday low price and Price Beat trimester, and yet the baby’s room Promise,” she says. “I’m conscious that still remains a twinkle in her eye. we will be on a single income for a year, Life is busy in her Hobsonville and Baby Bunting’s Promise means that Point townhouse: She has a fullI don’t have to wait for sales to get the time job in IT, a creative hobby (resin best price and if I find a lower price at modelling), and an active social life. While a New Zealand competitor on an identical she’s looking forward to becoming a mum, product, they will beat it by 5%.” she comes from a small family and has Another thing she appreciates about never been around babies. “Don’t hate Baby Bunting is that it started as a me, but I’m not someone family-owned business who goes ‘Ooooooohhh!’ with a single store back Baby Bunting is when they see tiny booties in 1979. “It’s older than Australia's largest I am, and that gives me or a rattle,” she says. “I’m speciality nursery confidence,” says Jessica. not even sure what a layette is.” “It’s adorable that they retailer, now In her professional field, started as a mum-and-pop expanding into Jessica is a bit of an expert, shop. My own parents had New Zealand. so she’s uncomfortable a family business when feeling like a novice when I was growing up, and so it comes to things baby. “What’s even did my grandparents before them, so worse? My in-laws come from a traditional I’m delighted with the Baby Bunting culture in which mothering defines a success story.” woman. It’s making me feel… inadequate.” Baby Bunting is Australia’s largest So Jessica has decided to treat speciality nursery retailer and onepreparing for her baby’s arrival the same stop baby shop, now expanding into way she would deal with a project at New Zealand. Their super-friendly and the office – she’s made a list of what knowledgeable team at the flagship store a baby will need: Car seat, pram, cot, in Albany, Auckland, offers personalised baby monitor, the dreaded layette. She’s service to in-store shoppers and to make chosen Baby Bunting, a recent addition family life easier and more comfortable. to the Kiwi baby shopping scene, as her Jessica was thrilled to find a checklist go-to vendor. “It’s mainly because of for new-born toiletries on the Baby

Bunting website (babybunting.co.nz) and she’s grateful that she can shop online from the comfort of her sofa and then either collect it from the Albany story or have it delivered. There’s just one snag: Even with all the convenient Buy Now Pay Later options like Afterpay and Laybuy available at Baby Bunting, all the essentials are adding up, and there are quite a few big-ticket items on her nice-to-have list. So Jessica has decided to set up a gift registry with Baby Bunting. “I will have a baby shower, too, of course, but the gift registry will allow family overseas to contribute without the hassle of international shipping,” she says. Jessica is holding off on bottles and a pump for now. “I can always buy them when and if I need them,” she says. “I’ll probably be a regular at the Baby Bunting shop when my baby is here and I’m not so busy.” Not so busy? Yeah, right!

Pregnancy BUMP & baby

From

days gone by

Interior stylist and mum-of-three Leaha Riley (sisustyling.com.au) shares how to create a beautiful vintage sanctuary for your baby. FOCAL FURNITURE

Finding a standout piece for a room will quite often inform the styling of the rest of your little one’s special space. The cot is a natural focal point of a nursery and is usually one of the first things parentsto-be think about buying. Incy Interiors (incyinteriors.co.nz) has wonderful replications of late 19th century, simple, metal cots, while many retailers offer their take on the curved, ornate, timber cot which was popular in the late 18th century. Choose classic furniture with nods to various vintage periods or upcycle antique or secondhand pieces (ensuring items are safe and structurally sound) for a bespoke touch. Featuring natural materials such as timber, metal, wicker, wool and linen will create a rustic and welcoming, timeless feel.

Pioneer vintage wooden car, $35, woodntoys.co.nz

Pregnancy BUMP & baby

DREAMY DECOR

Incorporate decor items such as wooden, jointed toys, vintage dolls or classic, hardcover books. Don’t worry if you don’t have treasured items from your childhood or your parents’ childhoods to pass down, many stores offer their take on yesteryear with nods to days gone past – with everything from whimsical nightlights, to baby doll prams, to handmade timber toys. Skip the garish, plastic toys and stick to muted tones. Classic hardcover books are an easy addition and the Little Golden Books range is an inexpensive way to add a vintage touch to your baby’s bookshelf. If you do have family items you’d love to give a new lease on life, mix the old and the new to create a personalised room both you and your mini will love. Incorporate hand-knitted blankets from grandma and hand-me-down wooden toys or a dollhouse from your childhood with a luxurious new textured rug or upholstered armchair.

Interweave classic patterns such as floral or herringbone in your baby’s bedding or add whimsical wallpaper or prints, keeping the colour palette of the room simple with pastels and/or neutral, natural tones. Gender-specific or gender-neutral all work with versatile vintage styling!

FINISHING TOUCHES

Ensure various lighting options are incorporated to provide the most calming atmosphere for you and your baby. Warm lights are a must, and options like wall sconces or cute, playful nightlights provide enough light for those middle-of-the-night cuddles without disrupting the dreaminess. Simple decorative pieces such as buntings, natural garlands made from dried or faux flowers, a premium fabric canopy or simple wooden mobile are the perfect finishing touch. The key to a peaceful, classic kiddie space is "less is more" and keeping it uncomplicated will usher in the peacefulness of days gone by.

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Into The Woods Wallpaper in Blush, $POA, storiesforwalls.com

cs modern classi

A Tale of Tails, $5.99, penguin.co.nz

Bunny Night Light, $54.99, adairs.co.nz

Vintage Baby Blanket in Oatmeal (100% Merino), $219, heirloombaby.co.nz

Banners, $26.50 each, store17.co.nz

Olli Ella Strolley in Natural, $199, littlegatherer.co.nz

Ivy Nickel Cot, $1,199, incyinteriors.co.nz

Many stores offer their take on yesteryear with nods to days gone past.

Maileg Teddy Junior, $46.50, littlegatherer.co.nz

Pregnancy BUMP & baby

Bottles

up!

Finding accurate information on using baby bottles can be hard – here’s everything you need to know!

hoosing to feed your baby with a bottle is a personal decision and it’s important that you have the right information to ensure you’re using bottles safely. New mums often don’t know where to begin when it comes to using baby bottles. Here are some answers to your frequently asked questions about getting started with bottles.

WHICH BOTTLES SHOULD I CHOOSE? Material If you’re buying plastic bottles, check they are BPA-free. BPA stands for “bisphenol A”, a chemical which has been used to make

Pregnancy BUMP & baby

plastics and resins. Some research has shown that BPA can leach into food or drinks from containers which are made with BPA, and exposure to BPA is a concern because there are possible health effects. Glass bottles should be made from pharmaceutical-grade glass which is heat-resistant and thermal shock resistant – note that these can be heavy and more breakable than the other options. Silicone bottles are lightweight, flexible and BPA-free and most can be boiled, sterilised, microwaved and frozen. Some baby bottles are made from food-grade stainless steel, which is durable and unbreakable but more expensive.

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HOW MANY BOTTLES DO I NEED TO BUY?

“Use the milk immediately and throw away any left over after the feed. It’s not safe to reheat or refreeze milk.”

Shape

Bottles typically come in three shapes. Standard, which are narrow and cylindrical; angled, which are bent at the neck; and wide, which are designed to hold wide, short teats that mimic a breast. You may need to try a selection of shapes before you find one that your baby is happy with.

Anti-colic

These bottles are designed to reduce the amount of air that your baby swallows during feeds, lessen gas bubbles in their stomach, and slow down food intake. These may help with reflux, wind and discomfort.

This depends on personal preference, whether your baby is taking a bottle full-time or only occasionally, and how frequently you want to be washing and sterilising your bottles (once a day all at once, or after every time your baby has had a bottle). You need to have the right number and size of bottles for the amount of food your baby needs, and you need to have enough bottles to be sure to always have a clean bottle to feed at hand. Four to eight bottles is a good place to start. A smaller 125ml bottle is ideal for the first eight weeks of your baby’s life, when younger babies eat smaller amounts but feed more frequently. Larger 260ml bottles are more appropriate for when your baby starts feeding less frequently or wanting to drink more than one 125ml bottle.

GETTING STARTED…

When you’re giving your baby a bottle, there are a few things you need to be aware of before bottle preparation. • Always wash and sterilise all bottle feeding parts before each use. • Wash your hands thoroughly and make sure your surfaces are clean before handling the sterilised equipment. • Don’t use abrasive cleaning agents or anti-bacterial cleaners when you’re cleaning bottles and teats. • To inspect the teat, pull it in each direction and look for cracks or punctures.

HOW DO I CLEAN MY BOTTLES AND TEATS?

If you have a dishwasher, ensure your bottles and teats are dishwasher safe. Place the small parts on the top rack of the dishwasher or in a special basket which sits in the top rack of your dishwasher and keeps small items from being tossed around during the cycle. Bottles and rings can also be hand-washed in the sink with plenty of hot, soapy water. When hand-washing teats, use only your fingers and warm soapy water. Avoid washcloths, sponges, and bottle/teat brushes with bristles that may tear the silicone. When your bottles are clean and rinsed, you can sterilise them by using an electric

TOP TIPS FOR BOT TLE FEEDING • Hold your baby so that they lie in a semi-reclined position (not completely flat) and make sure their head is not tilted too far back or too far forward. •T ilt the bottle so that the neck and teat fill up with milk before you place the teat in your baby’s mouth – this avoids swallowing any air bubbles, which could cause gas. •H old the bottle at a right angle to your baby’s face so that the nipple points towards the back of the mouth. •M ake sure that the bottle lids are not over-tightened to allow air bubbles flowing into the bottle during feeding. •T ry to get into the habit of burping about halfway through the feed and after feeding – this can help to prevent spitting up. •N ever leave your baby alone to feed with a propped-up bottle as they may choke on the milk. •U se the milk immediately and throw away any left over after the feed. It’s not safe to reheat or refreeze milk.

or microwave steam steriliser, a UV steriliser, or boil them in a pot on the stove for five minutes. You can also use chemical sterilisers such as Milton tablets – just follow the instructions on the packet. Remember, your bottles must be fully disassembled and clean before you sterilise them. Also, there is no need to turn the teat inside out during washing and sterilising. Pregnancy BUMP & baby

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go-go gadgets for bottles

Milkbar UV Steriliser 10L, $279, milkbarnewzealand.com

This depends on how often your baby is receiving a bottle. For babies who take the occasional bottle, teats may last longer, while if your baby is having bottles full-time, the teats will need to be replaced more often (every three months is recommended). Check them regularly for signs of wear and tear. If you notice cracks, tears, punctures (from little teeth!), or breaks, it’s time to replace the teat. Also watch for signs of discolouration, and if the liquid pours out of the teat in a stream, the hole or holes may have stretched and the teat needs replacing.

HOW SHOULD I HEAT THE MILK?

HOW DO I STORE EXPRESSED BREA ST MILK?

NUK Microwave Steriliser, $79.99, babycity.co.nz

Tommee Tippee All-In-One Advanced Bottle & Pouch Warmer, $149.99, tommeetippee.co.nz

FIND THE PERFECT FLOW... • If your baby is becoming frustrated at mealtimes – you may notice them suckling hard and then pulling away and crying, then suckling hard again – or if they are taking longer than 20 to 30 minutes to finish a bottle, this may be an indication that the current flow is too slow. • However, if your baby has let go of the teat and is spilling milk, is getting too much milk to swallow, or milk is dripping out from between their lips and the teat while they are drinking, the flow rate may be too fast and you should try a teat with a slower flow rate.

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HOW OFTEN DO TEATS NEED TO BE REPLACED?

It’s important that you do not use When you’re using a breast pump, you might a microwave for heating or defrosting breast extract more milk than your baby can drink milk as it can destroy important qualities in one meal! Fortunately, you can easily store of breast milk. It is also advised not to warm it for future use. Breast milk can be kept at room milk in a microwave as it may cause uneven temperature for four hours or refrigerated heating and could scald your baby. To warm milk, either place the container immediately and stored on a shelf in the of milk in warm water until the milk fridge to add to during the day (if you are thaws and then warm it to body expressing a few times a day), you can add newly expressed milk to temperature in a bowl of hot previously expressed milk, but only water. Or use an electric pouch add milk that has been expressed or bottle warmer which will quickly and evenly heat the into a sterilised bottle or breast milk milk to a safe temperature. container, and only make one batch Only store of milk per day – don’t carry over. Always check the milk breast Also, don’t add freshly expressed temperature before feeding milk which breast milk to previously frozen by squirting it onto the inside has been milk or to milk that’s already of your arm. collected in a container in the freezer. with HOW DO I KNOW WHICH You can store breast milk in the a sterilised freezer for up to three months, as TEATS MY BABY NEEDS? breast long as it is stored in either sterilised Teats are either made from silicone pump. bottles fitted with a sterilised screw (clear) or latex (brown) and they are available in different flow rates ring and sealing disc, sterilised for your growing baby. Often they have storage cups, or sterilised milk storage bags. numbers on them to indicate which stage Clearly label each container with the date and time it was expressed, and use older they are for. Depending on the age of your baby, teats may have one, two, three, or breast milk first. four openings for fluid, which means your baby will be getting either a slow, medium, or fast flow. hey mamas! A newborn baby will normally need an extra-soft, newborn-flow teat. Younger We know it’s not easy making decisions when it comes to your babies need a slow flow, while older babies baby and it’s so common to feel prefer a faster flow. Teats which are made judged. Please know that whatever for older babies may also be bite-resistant your choice when it comes to as babies love to chew everything in sight feeding your baby, we know you when their teeth start to come in. It is are doing your absolute best and recommended that you use slower-flowing that you are making the right teats if you are feeding your baby expressed choices for you, your baby and breast milk, and also for babies under the your family. Love ya! age of six months.

tip

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While it seems convenient to leave a sleeping baby in a capsule, it is safest to transfer them to a flat sleep surface once they’re out of the car.

This seat’s

taken

A car seat is one of the most important purchases for your new bundle – but where to start? Certified Restraint Technician Carla Canty (safensnug.co.nz) answers your pressing car seat questions.

Baby Jogger city turn, $999.99, babyjogger.co.nz Getting baby in and out of the car is a breeze with the Baby Jogger city turn. Featuring a secure rotating mechanism, the car seat can swivel 180° with one hand, in rear-facing mode. Newborn-ready, it grows with your child to a height of 124cm and converts to forward-facing.

I DON’T HAVE A VERY BIG CAR; HOW CAN I ENSURE I GET THE RIGHT INFANT SEAT?

Regardless of your car’s size, the best way to ensure you’re getting the right fit car seat for your vehicle is to test it out before you buy it. There are a few vehicle factors that affect how a car seat installs, so what works in your friend’s car might not work in yours. Enlisting the guidance of a certified restraint technician who can give you a personalised recommendation and show you how the seats will fit in your car ensures that you get the right seat for you the first time. Many retail shops have technicians employed or you can visit one who works independently. We’re all listed on the NZTA website (nzta.govt.nz/safety/ what-waka-kotahi-is-doing/educationinitiatives/child-restraints/find-a-childrestraint-technician).

DOES THE SIZE OF MY CAR AFFECT HOW I SHOULD INSTALL A CAR SEAT?

Yes, the size of your car can affect how you install your seat. Many rear-facing seats require a gap between the front seat and

the back of the car seat, so you usually lose leg room for the front passengers. Installing a car seat in the middle can sometimes help with this, as the car seat will sit between the two front vehicle seats. Other considerations are how much room there is to lift baby in and out if the door height is low, whether or not you have tether points if your car seat requires them, what type of locking mechanism your seat belts have, what rules your vehicle manual has about car seats, and whether you need to forward-plan for a growing family or other back seat passengers.

HOW WILL I KNOW IF MY BABY’S CAR SEAT HA S BEEN INSTALLED CORRECTLY?

When you have read and re-read the manual that came with your seat and gone through the below checklist: • Less than 2.5cm movement at belt path (seatbelt or ISOFIX). • Harness height: At, above, or below shoulders, depending on your seat. • Harness pinch test: Ensuring it’s tight enough so you cannot pinch the harness together vertically at the shoulder. Pregnancy BUMP & baby

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InfaSecure Stellar Go Car Seat, $599, farmers.co.nz

for all budgets

TOP FEATURES TO LOOK FOR...

Safety 1st onBoard 35 LT Infant Capsule & Base, $289, babybunting.co.nz

Edwards & Co Avery Capsule, $269, edwardsandco.co.nz

Britax Safe-n-Sound Brava, $399, babybunting.co.nz Narrow and compact, great for small cars!

• Recline angle: Newborn or young babies should be at 45 degrees. You can download a free angle app to check. • Locking clip (if needed). • Tether (if needed). • Front seat gap (if needed).

MY BUDGET IS QUITE SMALL, HOW WILL I KNOW IF A CAR SEAT HA S ALL THE SAFET Y REQUIREMENTS EVEN IF IT’S A BUDGET BUY? In New Zealand, we are allowed to use seats complied under the US, European, and Australian/NZ standards. All seats for sale in New Zealand have met or exceeded the crash-testing criteria under those standards. Price isn’t always an indication of safety and the standards are all different in the way they are tested and in their use – particularly in their limits for each stage. When comparing budget seats, those tested to the Australian standard will have undergone the most stringent minimum crash-testing and are your safest bet. It is always safer to purchase a new budget seat than an expensive second-hand one, unless you know and trust the full history of the used seat.

Pregnancy BUMP & baby

1. Extended rear-facing and extended harness options. There is no question that rearfacing for as long as possible is safest and keeping children harnessed forward-facing until they’re mature enough for a seatbelt is important too. You want to look at the overall height, harness height, weight, and/or fit limits for each stage of the car seat. Read and compare the specifications, not the description or published ages, as these can be a misleading indication depending on the size of your child.

“It is always safer to purchase a new budget seat than an expensive secondhand one.”

WHAT ARE THE TOP THINGS I SHOULD BE LOOKING FOR IN AN INFANT CAR SEAT?

It’s difficult to read between the lines when looking at product marketing in any category and car seats are no different. Some features marketed as "safer" are actually more about convenience and others really do make a difference to the performance of a seat in an accident. It’s important to understand the safety features and also to consider your lifestyle and how you will be using the seat, keeping in mind that the safest seat is one that is installed and fitted correctly every time.

2. ISOFIX vs seatbelt. Both options are safe, they are just a different method of installation. Not all ISOFIX car seats are compatible in all cars, this is where test-fitting is really important. Many car seats also have an easier seatbelt installation, even when ISOFIX is available.

3. Easy install options are a necessity if you’ll be swapping cars daily/weekly. If the seat will only come out for WOFs, it’s not such a big deal.

4. Easy adjust headrests mean you don’t need to take the seat out of the car to adjust the straps as your child grows. Easy growth adjustment often means a proper harness fit. This is the one convenience option I recommend paying for if it fits into your budget.

5. Some covers can be taken off while the seat stays in the car and are machine washable. This makes cleaning a lot simpler!

6. Width is important if you’re thinking about multiple children in the long-term, or often carry other passengers in the back seat.

7. With the borders opening, travel is an important consideration. New Zealand allows car seats from multiple other countries to be used here, but many other countries only allow their own standards. If you have family abroad or will be traveling a lot to a particular country, purchase a seat under that standard.

MY BABY IS PREMATURE, DOES THAT AFFECT WHICH CAR SEAT THEY SHOULD BE IN?

Many car seats have a minimum entry weight or height requirement. Often prem babies are not tall enough for their shoulders to be in the correct position for the harness to fit safely. Hiring a capsule suitable for premature babies is the easiest and often cheapest way to safely travel with these tiny babies until they grow into a seat with higher limits.

hire me! Chicco KeyFit 30 Orion Capsule & Base (for infants from 1.8 to 13.6kg), from $50, babyonthemove.co.nz

on get your stroll Baby Jogger city elite 2, $999.99, babyjogger.co.nz Premium urban aesthetic pairs with all-terrain tenacity in the city elite 2. Enjoy ultimate convenience with the height-adjustable handlebar, hand-operated parking brake, and Baby Jogger’s one-hand compact fold. The stroller also features large forever-air tyres, all-wheel suspension, and a high weight capacity, ensuring comfort and endurance for every adventure. Baby Jogger city sights, $1,099, babyjogger.co.nz As the most compactfolding four-wheel, modular stroller on the market, the city sights is an ultraversatile stroller for everyday use. Multiterrain wheels and moderate suspension mean more paths and places to roam, while the reversible seat lets your child see everything – in parentfacing or world-facing mode – along the way.

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Mama, take t he wheel! Five things to consider when shopping for the perfect pram.

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FULL-SIZED OR COMPACT?

Full-sized strollers: These are bulkier than their lightweight counterparts, but they will take your baby right through from newborn to toddler years. Usually including storage, the option for parent-facing (newborn–12 months) or world-facing (12 months+) and comfortable padded seats, full-sized strollers can come with all the bells and whistles. Make sure you check out the fold and dimensions of your pram pre-purchasing as if you have a compact car with a small boot, you’re often taking public transport, or you have a small home with limited storage, a lightweight stroller might be a better option. Lightweight strollers: Typically weighing under 7kg, these compact strollers are easy to manoeuvre and load in and out of cars or transport up and down stairs. However, they may only be world-facing and suitable from six months and up due to their reclining capabilities, and they don’t typically offer great storage options, so make sure you check before you buy.

THREE OR FOUR WHEELS?

Three wheels: Great for active parents who spend a lot of time outdoors, three-wheeled strollers usually have larger, more robust wheels to tackle bumpy terrain. This option is a must if you plan to run with your baby (from six months) and the single front wheel also makes it easy to move around corners and through tight spaces – especially when pushing with one hand. Make sure you look for a swivel front wheel with an optional locking system. Three-wheelers often have non-reversible seat units, however, so your baby will be facing away from you. Four-wheels: For mamas who plan to use their stroller for chores, walks to the park, shopping trips or general activities, a four-wheeled option is a great choice. Known for stability and extra accessory options (coffee holder, anyone?), fourwheeled strollers are great for everyday use and ease of storage.

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Silver Cross Reef Orbit with First Bed Folding Carrycot, $1,999, silvercross.co.nz Functional and comfortable, this new multi-terrain travel system from Silver Cross includes the Reef pushchair frame, Reef First Bed Folding Carrycot, and reversible pushchair seat, plus accessories. Newbornready, the enhanced four-wheel suspension will take you and your little one from park to pavement in a breeze, and the Reef First Bed Folding Carrycot is approved for overnight sleeping, folding flat onto its base to save space at home or when travelling.

3 COMPILED BY CHARLOTTE COWAN.

FIXED SEAT OR REVERSIBLE?

Fixed seat: Some strollers, such as many jogging strollers, three-wheelers and lightweight/compact strollers, have seats which are fixed directly to the frame so you can’t adjust your baby’s view from world- to parent-facing. However, some three-wheelers do have the option of attaching a bassinet or capsule which will allow your baby to be parent-facing when they’re small. Worldfacing fixed seats can be roomier but also may not allow your newborn to fully recline, so make sure your check with the store prior to purchase. This option is great for older children who want to see what’s going on in the world, but makes it difficult to interact with your baby while pushing the stroller. Reversible: Usually found in four-wheeled strollers, reversible seats allow you to unclip the seat and make it either world- or parent-facing. This allows you to interact or soothe your baby while staying mobile and provides comfort to a new baby as they can always see you. When your baby outgrows parent-facing, simply turn the seat to offer more leg room and engagement with the world. Reversible strollers may also allow you to completely remove the seat and attach your capsule to the frame with adapters – as long as your capsule is compatible with the stroller you choose.

Safety standards If the stroller you choose doesn’t carry an “S” or “tick”, that does not necessarily mean it is unsafe. But make sure you check that it has:

Thule Spring, $799, foray.nz A lightweight three-wheel stroller designed to make dayto-day mobility as easy as possible, the Thule Spring also has larger wheels to handle some rougher terrain. The amazing one-hand fold makes it very compact at just 45cm wide when folded. High quality Swedish design backed with a threeyear warranty.

A sturdy frame. A five-point harness consisting of two shoulder straps attached to the backrest, two waist straps attached to the stroller frame, and a crotch strap. The straps should be adjustable.

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No sharp edges or small parts that can detach and be choking hazards. No gaps that could trap fingers. Fully secured fabrics and linings. Brakes that work properly and are easy to use. A two-stage lock to stop it collapsing.

DO I NEED A BA SSINET ATTACHMENT?

Yes: If you’re planning on often being out and about with your newborn or want to take walks during naptime, a bassinet attachment is a good option. They allow your baby to lie flat with room to move and can be used until your baby is 9kg. Bassinet attachments can be easily removed from the stroller frame, so you don’t have to wake your sleeping baby when you get home. But if you’re walking outside, make sure you have a sunshade or UV cover to protect pēpi from the sun. No: Bassinet attachments are only used for a short time, so if either your stroller fully reclines to allow your newborn to lie flat, you prefer your baby to sleep in their bassinet or cot at home, or you are only out for short periods at a time, you probably don’t need the extra addition.

DO I HAVE TO SPEND A LOT OF MONEY?

Yes: See next option. No: Absolutely not. There are prams on the market for all budgets but the most important things are to make sure it is safe and durable. Safety standards are not mandatory in New Zealand but an “S” mark (or red Australian “tick”) indicates it is certified. And make sure you check the warranty length as your stroller will get a huge amount of use over three to four years, so you need something that will keep working! Pregnancy BUMP & baby

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Merino Basket Weave Blanket, $209.99, dimples.co.nz Bear & Moo Sweet Swans Reusable Change Mat, $25.95, bearandmoo.co.nz

Lansinoh Nursing Pads, $11.99, lansinoh.com.au

Bear & Moo Duck Egg and Blush Nappy OSFM, $18.50 each, bearandmoo.co.nz

It's in t he bag Babies (and mamas) need a lot of stuff, here are a few ‘what-I-should-take-out-with-me’ essentials.

Lansinoh’s ultra-thin nursing pads are super-absorbent and designed to hold shape, even with the heaviest flow. They can absorb up to 20x their own weight in moisture to help you stay dry while the breathable waterproof layer keeps clothing protected. The pads are super-soft with a stay-dry quilted lining for maximum comfort and stay securely in place. Each pad also comes individually wrapped for convenience and hygiene – perfect to slip into your nappy bag!

Fluffy Ducks Premium Double Pocket Wet Bag, $14.50, fluffyducks.co.nz

love! BIBS Pacifier in Boheme and Blossom/Dusky Lilac, $24.99, whitefoxandco.co.nz Weleda White Mallow Nappy Change Balm, $19.90, weleda.co.nz

Boston + Forest Burp Cloth in Ballet and Navy Stripe, $18, bostonandforest.co.nz Catch all the spills with Boston + Forest’s sweet burp cloths – linen-backed with towelling for extra absorbency. Designed simply in neutral tones to blend in with your home and made live on as a hand towel, so make sure you save yours. We’re all about that sustainable life!

Pregnancy BUMP & baby

Silk Ultimate & Water Wipes, available from supermarkets, silkproducts.co.nz

COMPILED BY CHARLOTTE COWAN

Montessori Toy Wooden Rattle in Rose, $19.90, ecosprout.co.nz

Tear Free

O% Parabens & Mineral Oils

Soap Free

Hypoallergenic

Because happy, healthy skin starts with Cetaphil Foundations. Available in Supermarkets and Pharmacies Distributed in New Zealand by Healthcare Logistics, 58 Richard Pearse Drive, Airport Oaks, Mangere. Phone: 0800 174 104. www.cetaphil.co.nz CET17-03-0154

“To be the best support you can for the mum, it’s really helpful to know what to expect.”

You can do it!

Birth partners and whānau support can make all the difference in the world for a mum in labour. Whānau Āwhina Plunket (plunket.org.nz) shares how to be a great support person and go in prepared.

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A birth partner is a mama’s go-to support person during labour and birth, along with her lead maternity carer (LMC). They’re often the mum’s partner, the father of the baby, a trusted whānau member or friend, and/or a doula (professional birth partner). The mum might also choose to have more than one birth partner.

HOW TO BE A GREAT BIRTH

PARTNER Are you going to be a birth partner soon? Here are some things that might help.

Be “the rock”

The mum you’re supporting will go through a lot in labour, and it’s your job to be the calm and reassuring presence that helps her through it.

THIS COULD LOOK LIKE:

• Coaching her through contractions. Encourage her, saying things like: “You can do this!” “Kia kaha!” “I’m so proud of you.” It might be useful to ask beforehand if there’s a phrase/mantra/whakatauki that’s meaningful for the mum that would be helpful for her to say, or for you to say or remind her of during labour. • Mirimiri/massage or pushing acupressure points to help manage pain, if that’s something she wants. • Physically just “being there”. • Distract her and keep her company during early labour. • Be the hand she can squeeze during contractions. • Ensure she has plenty to drink and eat to keep her energy level up. • Offer her ice chips or a cold flannel for her face. • Be by her side during a C-section, talking to her and helping her feel safe and at ease.

Do your research

Birth is nothing like what you see in the movies. To be the best support you can for the mum (and to be emotionally prepared yourself!), it’s really helpful to know what to expect. This could look like...

ATTENDING ANTENATAL CLA SSES And any other appointments. Plunket (plunket.org.nz) provides antenatal education across the country facilitated by qualified Child Birth Educators.

FINDING OUT MORE

• Ask whānau and friends what it’s like to give birth, and what helped them. • Listen to empowering experiences that support your vision. • Check out some podcasts, YouTube videos, or books about labour and birth. • Find out about the common interventions that might be needed.

KNOWING THE PRACTICAL STUFF

• Where the hospital bag is, and what additional bits may be needed (see page 126). • When to call the LMC. • How to get to the birthing centre or hospital (where to park, how to get to the birthing suites or labour ward). If you know what’s happening, you’ll be better able to provide reassurance to the mum (and stress less, yourself). Take “transition”, for example, the most intense part of labour. It’s when the mum goes from 8cm to fully dilated (10cm), and it’s very common for her to feel completely overwhelmed. She might be physically sick, or say things like, “I can’t do this anymore, I have to have the epidural...”

IF YOU KNOW ABOUT THE TRANSITION, THEN YOU:

• Can reassure her that she’s nearly there – that this is the hardest, but shortest, part of labour – and that she can do it. • Know that an epidural unfortunately isn’t an option at this stage. • Can support her to do things that may help – like panting through contractions and staying upright to work with gravity.

Know what she wants

It’s important you know the mum’s birth plan and how she wants labour to go. This allows you to support her in her decisions – and speak up for her if necessary.

THIS COULD LOOK LIKE:

• Helping to create the birthing environment she wants. • Knowing where she stands on interventions. Does she want an epidural as soon as possible? Does she want a natural labour? Knowing what she wants means you can empower and support her in her choices. • Speak up for her. You might need to advocate for the mum to the LMC or doctors if she’s not able to. Just remember to keep things respectful; the medical team want what’s best for mum and baby, too.

+LOOK AFTER YOURSELF

Being a birth partner is hard work. You’re providing nonstop support, and it can be emotionally and physically draining. • Pack yourself some food, water and a change of clothes in the hospital bag. • Do what you can to feel prepared – research what happens in labour, know where to park at the birthing unit etc. • Have some stress management techniques up your sleeve. Deep breathing calms your nervous system – inhale for six seconds and exhale for seven seconds; or head out of the room for a quick toilet break or phone call. Just make sure it’s when the LMC is with the mum. • If blood makes you feel faint, stay up by the mum’s face – and if you start feeling light-headed, sit down straightaway, put your head between your knees and take slow breaths in and out. This will help the feeling to pass. Pregnancy BUMP & baby

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What a pain

Not sure about pain relief during labour? Obstetric anaesthetist Dr Morgan Edwards (@drmorganedwards) answers the most common questions about epidurals. HOW ARE EPIDURALS ADMINISTERED?

Epidurals are a form of pain relief that are offered only in hospitals, placed only by anaesthetists. They work by temporarily blocking the pain messages from the lower half of your body and on the whole, having an epidural is very safe for you and your baby. To receive your epidural, you will need to drop your shoulders, put your chin to your chest, and curl up into a ball. The anaesthetist will clean your back, place numbing medication, and then place the epidural using a needle to insert a fine plastic tube (an epidural catheter) into the soft spaces between the bones in your back. A catheter will sometimes later be placed into your bladder (since you might not be able to tell when you need to pass urine), which shouldn’t be uncomfortable, and you can keep the epidural right up until the baby is born.

temporarily numb the nerves that carry information about pain and temperature sensation from the lower half of your body to your brain.

WHAT ARE THE RISKS AND BENEFITS OF EPIDURALS?

Epidurals are the most effective form of pharmacological pain relief available. Commonly you will develop leg weakness and numbness, or low blood pressure. Occasionally your epidural might not work perfectly right away – but this can usually be fixed. Epidurals WHAT IS THE Rare complications can are the most DIFFERENCE include headache or infection. effective form of Temporary nerve injury BETWEEN A SPINAL AND AN EPIDURAL? pharmacological almost never happens, and A spinal – often used in permanent nerve injury pain relief C-sections – is placed as is even more “vanishingly available. a once-off slightly further rare”. Epidurals can slow into your back (the intrathecal down labour by about 12-15 space). It works quickly and wears off minutes, but there is also no higher risk in about six hours. Spinals are usually of Caesarean birth and – with the type of very straightforward to insert, although epidural used in most places in Aotearoa occasionally (in an emergency) there isn’t – there is also no higher chance of needing time to place one and you might need forceps or ventouse to help your baby be a general anaesthetic instead. born. People who’ve chosen an epidural An epidural involves the placement of are also no more likely to develop back pain. a catheter between dural layers in your back. In some rare situations with specific It usually starts to work within 20 minutes medical conditions, having an epidural can and can be topped up, and stay in for several help blunt potentially harmful side effects hours (or days). of painful contractions, and so might be Both a spinal and epidural work to recommended.

Pregnancy BUMP & baby

CAN I BREA STFEED AFTER AN EPIDURAL?

Breastfeeding after a spinal or epidural is absolutely okay. You’re also okay to breastfeed after a general anaesthetic, too, so long as you’re awake enough to hold your baby! Breastfeeding following a C-section may be a little harder but in order to establish your breastfeeding journey: Avoid lots of IV fluid (drinking drink fluid orally is a good idea), do lots of skin-to-skin with your baby, feed your baby whenever they show interest, and talk to a lactation consultant if you need help.

SHOULD I FEEL GUILT Y ABOUT HAVING AN EPIDURAL OVER A NON-MEDICATED BIRTH?

I feel very strongly that we must do everything to support birthing people to make informed choices that feel right for them. The leading cause of maternal death in Aotearoa has been suicide for the past several years, telling us that our current paradigm is missing the mark. Shame and guilt have no place in the sphere of birthing choices – including when those choices change as labour and birth unfold. My hope is that birthing people feel supported to seek out factual and unbiased information, have meaningful conversations with their LMC and whanau, and make their own informed choices around approaching labour pain.

Saving your baby’s cord blood could save your baby’s life. It takes just a few minutes to collect umbilical cord blood from your newborn baby. Saving the stem cells from this blood can give your child the chance to recover from many serious illnesses and conditions – now and into adulthood. It’s a once in a lifetime opportunity. Here in New Zealand, we have our own world class cord blood storage facility at CordBank. Only CordBank collects and stores your baby’s cord blood right here in New Zealand. They’re 100% New Zealand owned and operated, and they deal exclusively with cord blood – the world’s most proven source of stem cells. And because your child’s cord blood stem cells are stored here, they’re close at hand and protected by New Zealand law. To learn more about the lifesaving value of cord blood stem cells go to cordbank.co.nz or phone 0800 CORDBANK.

cordbank.co.nz

Can’t tear me away Three midwives share seven ways to reduce painful perineal tearing during childbirth.

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t ha

rip

hile most expectant mothers are excited, many are also anxious about giving birth, especially first-time mothers. Perineal trauma is something many expectant mums are fearful about. It is hard to comprehend being able to give birth to an entire human, but a woman’s vagina is pretty amazing, and nature has designed it to accommodate the baby. Hormones, increased blood supply and a clever, stretchy design all play a role in making this happen. No muscles in the female body are able to stretch without rupturing as much as those of the pelvic floor. The perineum is the soft tissue between a woman’s vagina and anus, and it has the capacity to stretch significantly during birth. However, it can tear, or may be surgically cut if medically indicated and consented to by the woman (called an episiotomy). When women have their first baby, they are more likely to have some perineal tearing. Most tears heal well and are never thought about again, but for some women there is ongoing pain and psychological trauma.

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PERINEAL TRAUMA PREVALENCE

PUBLISHED WITH PERMISSION FROM THECONVERSATION.COM

There are different degrees of perineal trauma (first, second, third and fourth). First-degree (involves skin but not muscle) and second-degree tears (involves perineal muscles) are the most common. Third- and fourth-degree tears, known collectively as “severe perineal trauma” are more serious, as they also involve the anal area and can lead to long term consequences, such as pain and incontinence for women. Statistics show more than one in four women have no perineal tearing during the birth (more likely when not the first baby), 21% have a first degree tear, 30% have a second degree tear and less than 3% have a third or fourth degree tear (more common with the first baby). Around 24% have an episiotomy, which is worrying as this has doubled in the past 10 years and there is evidence the recovery is more painful than if the perineum tears naturally. There is little doubt the rates of perineal trauma have increased over the past 100 years, with early midwife records indicating most women had no tearing. An increase in the use of birthing interventions such as vacuum, forceps and episiotomy (which can cause further tearing), women giving birth at an older age to fewer babies, and greater vigilance by midwives and doctors when examining the perineum after birth have all played a role in the increased perineal trauma rates we see today.

fyi

1 in

women have no perineal tearing during childbirth.

HOW TO REDUCE PERINEAL TEARING

There are recommendations on how to reduce the chance of perineal tearing and trauma, based in part on our research.

DURING PREGNANCY

1. P erineal self-massage (or with help from your partner) after 34 weeks of pregnancy can help protect your perineum and reduce the risk of third- and fourth-degree perineal tears. 2. Pelvic floor muscle training may help prepare you for labour and birth and reduce the possibility of a third- or fourth-degree perineal tear.

massage it, mama Weleda Perineum Massage Oil 50ml, $23.90, weleda.co.nz

Mère Perineal Massage Oil 100ml, $28, biglittlethings.store

DURING A VAGINAL BIRTH

3. A pplying warm compresses to the perineum during the second stage of labour (when pushing and giving birth) can significantly reduce the risk of a third or fourth degree perineal tear. 4. S lowing the rate at which the baby’s head and shoulders emerge, with the help of your birth attendants, may help prevent perineal injuries. 5. P erineal massage performed by your healthcare professional during the second stage of labour may reduce the risk of third- and fourth-degree perineal tears. However, some women may not feel comfortable with this option, and it is not recommended for everyone. 6. Listening carefully to your midwife’s voice and following their instructions can help the baby emerge from your vagina gently and slowly. For example, your midwife will tell you to breathe and not push just before your baby is born. 7. P erineal trauma is less common when women give birth in environments where women can use water for pain relief and give birth in upright birth positions. In a new paper, we have also found having two midwives in the room in the late stage of birth, instead of one, can reduce perineal trauma by up to 31%. Our study found having a second midwife in the room meant one of them was focused on the woman at all times, and was not distracted by other things that needed to be done. It also meant they could give suggestions and reinforce the first midwife’s words to the mother during the birth.

Natures Touch Perineal Massage Oil 15ml, $25, naturestouch.co.nz

TREATMENT AND RECOVERY Following the birth, your midwife or doctor will stitch any perineal trauma that needs to be repaired in the birthing room, and these stitches dissolve over the coming weeks. Some tears are minor and do not require stitches. Most perineal wounds heal well by resting, applying ice for the first day or two if swollen, changing sanitary pads and keeping the perineum clean, gentle pelvic floor exercises after a couple of days to help healing, and adequate pain relief. After birth, if you have problems with your perineum, don’t just put up with it. Contact your midwife or doctor to get further advice. Hannah Dahlen is a Professor of Midwifery, Associate Dean Research and HDR, Midwifery Discipline Leader, Western Sydney University; Malin Edqvist is a senior midwife and researcher, Karolinska Institutet; and Christine Rubertsson is a Swedish midwife and Professor in reproductive, perinatal and sexual health at Lund University, Sweden. Pregnancy BUMP & baby

Welcome

to the world

PHOTOGRAPHY BY KIMBERLY-JOY PHOTOGRAPHY

Three special birthdays captured by photographer Rebecca Claridge (rebeccaclaridge.com).

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"Watching my own son being brought into the world, and holding him skin to skin, was unforgettable."

The birth of Zion

"How blessed I am to be a woman and be able to give birth. What an indescribable experience!"

Zion Passos Hypolito was born at 41 weeks and five days and weighed 4.2kg. Mum Lais was induced due to irregular contractions and baby Zion was delivered safely in hospital. Lais was in so much pain during labour that she asked her husband Eduardo to cancel the photographer as she didn't want anyone else in the room. But she is forever thankful that he didn't listen to her!

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"I was just so glad we made it to the birthing unit and baby was okay."

PHOTOGRAPHY BY REBECCA CLARIDGE.

"The happy, amazed feeling of meeting the little person and stoked he had dark hair like me."

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The birth of Arthur The newest addition to the Clayton family was delivered safely in the car outside the birthing unit. Overdue by eight days and weighing 4.38kg, Arthur Bruce was not keen to wait any longer to meet his mum and dad. Mum Shea was at least glad they made it to the birthing unit where her midwife met them in the carpark for delivery.

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"Ready to head into theatre, contractions were on top of each other."

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PHOTOGRAPHY BY BY EMILY 0'DELLCLARIDGE. – WHANGAREI BIRTH PHOTOGRAPHER PHOTOGRAPHY REBECCA

The birth of Summer

"Meeting Summer for the first time, in the hat her two older sisters wore."

Summer Lynne CollinsGroves was welcomed to the world by emergency C-section at 40 weeks, five days, and weighed 3.29kg. Following a long, slow labour, mama Hayley was rushed into theatre. During the C-section it was found that Hayley's bladder had adhered to her uterus during pregnancy, which is what caused the slow, painful labour and lack of dilation.

Pregnancy BUMP & baby

Hey, check me out! The team at Nest Pregnancy and Parenting (nestpregnancyandparenting.co.nz) explains the health checks that will be performed on your baby soon after birth.

o, you’ve done it. You’ve given birth to your gorgeous baby and are having your first cuddles. There is a mix of relief and euphoria as you look at the miracle you have made. To make sure your baby has arrived into the big wide world in the best possible physical condition, your LMC will ask your permission to complete a few health checks and screening tests. These are explained here, and are generally carried out in the first few hours and days after birth. The very first check your baby will

Pregnancy BUMP & baby

receive is one minute after birth, when they will be given a score out of 10 (no, it’s not based on beauty!). This number is a score based on your baby’s response to their new environment. It’s called an APGAR score. Your LMC won’t take your baby away from you to do this. They won’t even touch them. It’s simply a visual assessment. The score out of 10 is based on the way they move, breathe, and their colouring in that first minute. The score is then repeated about five minutes later. At this point, many babies have adjusted a little more and their score

is often higher. However, if at five minutes post-birth your baby scores seven or below, your LMC may call a paediatrician to check your baby out more thoroughly. A lower score can be caused by several things, such as a rapid birth, or your baby may have been affected by some of the medication mum used during the birth. This might mean your baby is a bit slow to react to their new environment. Your baby may need a little help adjusting, but most are fine after a little help from a health practitioner. After the all-important hour of skin-toskin contact, there are a series of tests your LMC will ask to carry out on your baby. Please note these vary depending on the LMC, health of baby and parental consent.

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AFTER SKINTO-SKIN CONTACT

Length, weight, and head circumference are measured

These are standard checks to have a baseline from which to guide general progress over the following months.

Eyes will be checked

To ensure the lenses in the eyes are clear.

Heart rate assessed

A quick check with a stethoscope will check that baby’s heart sounds and rate are within the normal parameters.

Checking the abdomen

Your LMC will feel your baby’s tummy area to check that the internal organs feel correctly sized and positioned.

Reflexes tested

A strong reflex response suggests good communication between the nervous and muscular system. There are a variety of reflexes that can be tested. Some of the more common ones are: Grasp reflex – the LMC will place their fingers in the baby’s hands to see if the baby will grasp and hold on tight. Sucking reflex – a finger placed gently into the baby’s mouth will check that the sucking reflex is working well. Startle (Moro) reflex – if baby doesn’t throw their arms out (and sometimes legs) immediately at birth, your LMC will try to encourage this movement by holding and releasing baby in a safe movement. Stepping/walking reflex – standing a baby upright and placing its feet on a firm surface will initiate a reflex where it will lift one leg, put it down, and then lift the other. Thus, the name.

Pelvis is checked for clicky hips

Your LMC will gently bend your baby’s knees up towards its chest and rotate their hips outwards. They are listening for a sound like a "click". This may suggest the ball and socket joint of the hip hasn’t completely finished forming. They may also check that

the legs appear the same length and that the creases under the buttocks are level. It’s most common in breech babies, but also seems to be more common in baby girls. You will probably be invited to see a paediatrician a week later to repeat the test. In the days following birth, some babies hip joints stabilise and there is no need for further treatment. However, if the "click" sound is still there, and following an ultrasound or x-ray of the joint, the doctor may suggest you keep your baby in a thick harness (worn over their nappy) for approximately 12 weeks. This gives the joint the opportunity to finish forming in a position supported by the harness. It’s a bit inconvenient for you as a parent, but doesn’t hurt your baby and may prevent some serious problems later in life.

WITHIN TWO HOURS OF BIRTH Vitamin K injection

One of the things that enables our blood to clot is vitamin K. We can get vitamin K from food sources, but our primary source is made naturally in our gut. However, babies are born with an immature gut, so they don’t have access to the amounts needed to protect them if they bleed. An intramuscular injection of vitamin K is highly recommended in the first hours after birth to help protect them. Unfortunately, on rare occasions, newborn babies have serious bleeding around the brain or from other areas like the bowel or the umbilical site. Years of giving babies vitamin K at birth has proved effective at saving lives. (In New Zealand the risk of a baby developing vitamin K deficiency bleeding is 1 in 1439 babies. The risk reduces to less than 1 in 100, 000 when vitamin K is received.) Vitamin K can also be given orally, but the intramuscular injection ensures the baby gets the full dose directly into the blood circulation much more effectively in one go. The oral dose has to be given in several doses over a few weeks. Your LMC will discuss your wishes relating to this prior to birth.

AROUND 48 HOURS AFTER BIRTH Newborn Metabolic Screening (Guthries test/Heel Prick test) via a blood sample

A scratch made on your baby’s heel will provide a small sample of blood. The blood is taken when your baby’s feet are warm (maybe after a bath or simply rub the heel

area with your hand) when there is a good blood supply to the area. This allows the blood to flow more easily. The blood sample will be sent to the laboratory where it is tested for a wide variety (over 20) of rare metabolic disorders (most of which we have never heard of, such as Maple Syrup disease). The most commonly known disorder tested for is Cystic Fibrosis. You will only hear from your LMC about these tests if there is a positive result. Otherwise assume your baby is well and doesn’t require further treatment. Although rare, if your baby’s blood is positive for one of these disorders, you will receive information about treatment from a paediatrician.

WITHIN TWO TO SEVEN DAYS AFTER BIRTH Hearing screen checks for signs of deafness

This test checks for any significant hearing loss at birth. It can be done at a hospital or a clinic if you had a home birth or leave the hospital within two days. Small "headphones" are used to cover the baby’s ears and several gentle sounds are played through the headset. The computer measures how well your baby’s ears respond to the sound. The test is usually done when your baby is asleep when there is less brain activity. If the test results show there may be a problem, it will be suggested that your baby undergo some more tests with an audiologist. It’s relatively common to repeat the test if an accurate result in one or both ears is not possible (if baby is too unsettled or has fluid in middle ear), so try not to worry of a repeat screen is required). Book your antenatal class or postnatal workshop now at nestpregnancyandparenting.co.nz

And be sure to check out our Introductor y to Antenatal Online Course by scanning this QR code, or visiting bumpandbaby.co.nz (more information on page 10).

Pregnancy BUMP & baby

Coping with birth trauma

Not every birth is straightforward, and you may be left with emotional as well as physical scars. But you are not alone, writes Yvonne Walus, and there is help available.

f something unplanned happens during labour – such as an injury, assisted delivery or emergency Caesarean – and it results in distress to the parent, we call this birth trauma. There is no single definition for what’s considered a traumatic birth, because two women could experience the same complication during labour and yet have different psychological outcomes. Furthermore, many women hesitate to use the trauma label. “I had an upsetting experience during childbirth, wouldn’t call it traumatic exactly, but it makes me sad,” is how one mum put it. Trauma support workers often hear comments such as: “Who am I to complain” and “I should feel grateful”, and their message is clear: If you’re experiencing overarching and ongoing negative consequences of childbirth, be they physical, emotional or psychological, you are traumatised and you need help.

HOW DO I KNOW IF I’VE SUFFERED BIRTH TRAUMA?

Specifically, your trauma symptoms may include nightmares, unwanted thoughts about the childbirth, or flashbacks to something unpleasant that happened there. You may feel angry, anxious, or resentful towards your partner. You may cry a lot, have trouble falling asleep, not bond with the baby, or avoid places and people that remind you about the labour. In particular, watch out for guilt, shame, negative self-talk, and self-blame.

DON’T SUFFER IN SILENCE The Accident Compensation (Maternal Birth Injury and Other Matters) Amendment Bill was passed in September which means the ACC will now cover the cost of 12 birth injuries, including specified prolapses, tears, fractures and dislocations, and the rupturing of the uterus. For more information or to apply for cover, visit acc.co.nz/im-injured/what-we-cover/ cover-for-maternal-birth-injuries

Pregnancy BUMP & baby

IS THERE A WAY TO REDUCE THE RISK OF BIRTH TRAUMA?

Giving birth is a natural process, but some factors are outside our control. Preparing your mindset for childbirth can facilitate a more empowering birth experience, so consider antenatal classes, pregnancy articles, and podcasts. Find an LMC who has the same birth priorities as you (non-medicated versus an epidural, for example). Decide who will support you during labour (your partner, mother, friend, a doula) and what role they need to perform. Dr Sue Cowie, Director of Clinical Psychology Training Programme at the University of Auckland, stresses the need for having a someone you trust at the birth. If things escalate, this person will have to keep calm, ask questions and make quick medical decisions on your behalf. You and your partner might not be in a good state to make confident choices. Labour often requires strength and stamina, so get your body ready with prenatal yoga, dance, gentle strengthening exercises and relaxing breathing techniques. Trust your body to know what to do when the time comes.

WHAT IF I EXPERIENCE BIRTH TRAUMA?

If, despite best efforts, things don’t go to plan and you experience birth trauma, then Carla Sargent from Healing Birth (healingbirth.co.nz) has a powerful message for you: “Whatever choices you made during your pregnancy and birth, please know that they were the best decisions you could make based on the support and information you had available to you at the time.” Acknowledge your feelings and reach out for. You deserve to be heard. You deserve to heal. Ask for as much practical help as you can get, such as ready meals, vacuuming

py trauma thera Three-step rewind technique: A threestep treatment programme that lifts the symptoms of PTSD by using neurolinguistic programming (NLP) to help shift the negative emotions and anxiety that are attached to a traumatic birth. EMDR: Eye Movement Desensitisation and Reprocessing (EMDR) is a form of therapy that helps people heal from trauma or other distressing life experiences. You don’t need to share the traumatic event with your therapist, which makes this form of healing accessible to those not comfortable with verbalising their trauma. Havening: A psychosensory therapy that uses touch to help people cope with stress, trauma, anxiety, and physical pain.

or shopping runs. Share your birth story with others who’ve had difficult births. If you’re struggling, seek out Maternal Mental Health Services through the hospitals. Your doctor can also prescribe therapy or medicines if needed. Another source of help is mybirthstory.org.nz/ external-resources – these birth trauma support workers can offer therapy such as the three-step rewind technique, desensitising trauma therapy such as EMDR, and self-healing techniques such as havening. All therapists are experienced at dealing with birth trauma, and they

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STORY

Nobody informed her, but by the time Veronica got to the final weeks of her pregnancy, the placenta was failing, so the baby wasn’t getting sufficient oxygen or nutrients. “I kept having all these ultrasounds,” she says. “I thought, ‘Okay, clearly that’s what happens at 35 weeks… And at 36 weeks… And at 36 and a half weeks.’ They let me go full-term and have a natural labour. My baby was born underweight but otherwise healthy, I delivered the placenta and thought that was the end of it.” But as the days passed, Veronica found her energy drain away. Instead of recovering from labour, she was getting weaker, and her discharge turned green. “I kept the baby in my bed because I wasn’t strong enough to lift him out of his crib. I thought, ‘Yeah, that’s

what being a mother must feel like.’ I was in no state to think rationally. But one morning I looked in the mirror, saw my sunken eyes and said to myself, ‘You’re dying. You’re actually dying. Get help.’” The hospital discovered a piece of placenta left behind in Veronica’s uterus, which led to severe infection. Two D&C procedures were needed to remove all the bits of the placenta – the same surgical procedure that’s used after a miscarriage – which amplified Veronica’s distress. “I should have received psychological support,” she says. “But nobody offered it, and I was too traumatised to ask. Then I got pregnant again, and having a positive experience with my second childbirth helped me deal with the PTSD of the first.”

+GRACE'S STORY

know the art of creating a validating space in which you can heal and go on to having tremendous birth experiences in the future.

CAN DADS EXPERIENCE BIRTH TRAUMA?

Fathers can absolutely be affected by birth trauma, says Alexandra Bijl Brown of Auckland University. “A traumatic event can be: having directly experienced the event, having heard about it firsthand, or having witnessed it. So, for dads whose partners are having a difficult birth, yes, that counts as a trauma.” This is important because if society or medical staff perceive men as secondary parents, it might make it more difficult for fathers to access treatment for birth-related distress. So a mum who experienced trauma might subsequently have to manage her own recovery, plus the normal stressors associated with having a new baby, plus her partner’s distress.

Where to seek help • YOUR MIDWIFE, LMC OR GP. • MY BIRTH STORY – external resources to help following a negative birth experience mybirthstory.org.nz • BIRTH TRAUMA SUPPORT NZ – Facebook support group. • BIRTH TRAUMA AOTEAROA – Facebook page @birthtraumaaotearoa • NZ DOULAS – birth trauma support nzdoulas.nz/birth-trauma-support • PERINATAL ANXIETY AND DEPRESSION AOTEAROA pada.nz • THE LITTLE MIRACLES TRUST – not-for-profit charity, set up to provide support and resources to parents and whānau going through an neonatal journey littlemiraclestrust.org.nz • SANDS – support for bereaved parents sands.org.nz

Grace had an easy birth, but three weeks later, she was still bleeding. She remembered it wasn’t like that with her first, but life was busy with a boisterous toddler and a hungry infant, so she wasn’t really paying attention to her own health until the midwife saw the size of Grace’s clots, and alerted the hospital. The triage process didn’t prioritise her until she vomited and passed out on the hospital floor. “While certainly traumatic, this wasn’t actually as awful as when my firstborn was whisked away from me and taken to Starship because had low APGAR scores,” says Grace. “That first night I spent away from him I imagined the worst-case scenarios. Even once he was safely home, I couldn’t relax. I would stay awake to watch him breathe.” Grace didn’t know that she was experiencing birth trauma, but she instinctively shared her birth story with fellow mums. It was difficult at first, but the process helped her heal. Buying a motion sensor for the cot also helped Grace overcome her fear of SIDS.

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i t ing v

ia the sunroof ? Deep breath: You can do this.

Time to heal

A Caesarean delivery is major surgery. Getting through your recovery following a C-section operation, while caring for your newborn, is a unique challenge for body, mind, and soul. Tiffany Brown shares some ways to look after yourself and your scar.

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1| EASE UP

• Resting after any surgery or trauma to the body is essential. • For the first few days at least, expect to stay as still as possible. • You’ll stay in hospital for two to four days post-surgery, so make the most of the extra help, even if it means telling well-meaning relatives and friends to hold off their visits. • Medication, stress, anxiety and hormonal changes can all contribute to bowel issues after birth, with the majority of women experiencing constipation as a result. Drinking plenty of water and making sure you are eating nourishing foods will help get your bowels moving.

2| GET HELP

• Nursing staff and support people will be on hand to help in the hospital, so try to follow that timeless advice to sleep when your baby sleeps. • Back at home, you’ll need to allow around six to eight weeks for your body to fully heal. • Beyond your own healing, your baby is your number-one priority, so work out how you can get help with housework and meal preparation.

3| TAKE YOUR MEDS

• Now is not the time to be stoic when it comes to pain. • Pain medication can help you recover by reducing the pain and allowing the mind and body to focus on healing. • Natural supplements and remedies can also assist the body to replenish and heal.

4| DON’T LIFT A FINGER

• Well… Do lift your baby! But nothing heavier. • Avoid strain, and be thoughtful when moving around. • Try not to make sudden movements or deep bends. • Hold a pillow over or press a flat hand on your wound site when you have to sneeze or cough. • Postpartum support bands can help by providing gentle compression. • Use a grabber to lift light items up from the floor. • Make sure your feeding and changing area is well-stocked with everything you need before you settle in. • If you have older kids, have them climb up on chairs or stools instead of bending down to reach them.

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5| FIND THE BEST SLEEP • Sleeping in an upright position can be a practical, short-term solution. Ensure you have plenty of supportive pillows. • Sleeping on your back places the least amount of strain on your wound. To get out of bed, roll onto your side and push yourself up to a seated position with your arms, keeping your tummy relaxed as you move. Do the same in reverse to get back in. • Side sleeping won’t put extra pressure on your wound, and helps you get in and out of bed easier. The left side is preferable for optimal blood flow, and to ease digestion. • Sleeping on a 45 degree incline eases pressure on your wound and ensures your airway is open. Obstructive sleep apnoea is not uncommon following a C-section.

6| KEEP MOVING

• Walking around the house will encourage circulation to reduce swelling as you recover. • Expect not to be able to return to your usual exercise routine until cleared by your doctor. • Gentle core and pelvic floor muscle exercises will help your recovery.

7| WATCH FOR INFECTION

• The leading complication after a C-section is infection. • Make sure the wound site is kept clean and dry. • If the area becomes red, swollen or leaking discharge, or if you experience any fever, consult your GP or follow-up maternity carer. • Heavy bleeding or clots could also indicate a problem requiring medical help.

8| BE MINDFUL

• C-section births have been linked with an increased likelihood of postnatal depression. • It helps to have discussed this possibility with your spouse, partner, co-parent or trusted friend or family member, especially if your C-section is planned.

Maternal assisted C-section:

One mum’s story Kate Murray, naturopath and founder of Mere Botanicals (merebotanicals.com.au) – a range of natural products designed to support new mothers – experienced the first emergency maternal-assisted Caesarean birth in Darwin, Australia. A maternal-assisted Caesarean section (MAC) helps to facilitate women to be actively involved in the C-section birth of their baby. During a MAC, a mother is able to reach down to pull her baby out of the womb, lifting the baby straight onto her chest for immediate skin-to-skin contact. “With my first child, I had an emergency Caesarean,” says Kate. “I tried for a VBAC (vaginal birth after C-section) with my second son and ended up with an emergency Caesarean again. So when I became pregnant with baby number three, it was strongly suggested that I didn’t try for a VBAC again, as much as I would’ve loved to.” Kate worked with an obstetrician to plan for and schedule a MAC. However, the morning of Kate’s scheduled C-section, she went into labour spontaneously. Since her birth was now an emergency C-section, Kate went into the hospital thinking that a MAC was no longer a possibility. However, much to her surprise, the same doctor that had advocated for her to have a MAC during pregnancy was the doctor in theatre when she was

brought in. Kate’s baby’s birth was the first emergency MAC in the region. “I definitely found that I bonded better with this baby and believe this type of birth benefited my mental and emotional health postpartum,” she says. “I think for mothers, it’s more about having an input in the decisions that happen, so that birth is not something that is just happening to you. I think that makes such a difference in mental postpartum healing. “[Mothers] think that just because they’re having a Caesarean, that you don’t have options, but you do. You can put music on, your partner can cut the cord, you can have that drape dropped, and you can deliver your own baby these days.”

By Isobel Benesch from interviews for atlasofmotherhood.co – a modern resource to help you thrive in your transition to motherhood, inspired by support and care practices across the globe. Pregnancy BUMP & baby

THANKS TO MAMA KAITLIN AND BABY MICAIAH. PHOTOGRAPHY BY MOIRA MEIRING OF WILD LITTLE HEARTS.

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Breastfeeding myths

busted!

There are a lot of misconceptions about breastfeeding, so the kaimahi from Women’s Health Action (womens-health.org.nz) are here to clear them up.

T The Ministry of Health recommends continued breastfeeding for up to two years and beyond.

o get a supply of milk in a woman’s breast for suckling a child: Warm the bones of a sword fish in oil and rub her back with it.” While the myths in this story may not seem as obscure as this one from Ancient Egypt, parents today find themselves on the receiving end of all kinds of advice. There are many myths and “old wives’ tales” about breastfeeding that have no scientific basis or even logical sense. Whānau are often left to wade through a lot of misinformation in order to get the truth, but we are here to bust some of these common myths and misconceptions! Myth

You get less sleep if you breastfeed.

Truth: While it may not feel like it when you are in the thick of the newborn stage, research shows that breastfeeding parents actually get more sleep! There are no latenight or early-morning bottles to prepare, and when you breastfeed, your milk is readily available at the right amount and temperature for your pēpi. Myth

Don’t breastfeed if you’re sick:

Truth: When you get sick with a cold, flu or infection, your body makes antibodies to help fight whatever bacteria or virus is making you ill. Your breast milk will

contain these antibodies to help protect your baby. There are a small number of medications that should be avoided when breastfeeding – talk to your midwife, LMC or doctor if you are concerned. Myth

Breastfeeding a baby after 12 months is just for comfort and has no benefit for māmā or baby. Truth: The Ministry of Health recommends continued breastfeeding for up to two years and beyond. Breastfeeding past one year continues to support your pēpi nutritionally, immunologically and psychologically. It is true that the composition of breast milk changes as babies get older, but it is designed that way! Breastfeeding for 12 or more months also lowers your risk of breast cancer, ovarian cancer, rheumatoid arthritis, high blood pressure, heart disease, and diabetes. Myth

It is not worth starting breastfeeding if you have to go back to work.

Truth: Being a breastfeeding and working parent can have its challenges, but a supportive workplace and having the resources you require can make a big difference. Breastfeeding and working is protected through legislation in Aotearoa New Zealand. The Employment Pregnancy BUMP & baby

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Truth: Feeding to sleep is one of the most common ways to get pēpi to sleep. Breastfeeding your pēpi to sleep is not a bad thing to do – in fact, it’s normal, healthy, and developmentally appropriate. Relations Amendment Act 2008 gives employees the right to breaks and appropriate facilities where possible to breastfeed or express milk for their baby. Continuing to breastfeed while you are working will provide many benefits for you and your pēpi, and the immune-boosting properties of breast milk can really help with fighting all those nasty daycare bugs! Preparation is key! Check out advice and top tips at bfw.org.nz.

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Myth

If you smoke or vape you shouldn’t breastfeed.

Truth: It is always best to stay smoke-free while pregnant and breastfeeding. However, we know that your breastfeeding is still best for babies, even if you do smoke. If you need to smoke or vape, create a smoke-free bubble around pēpi. Help keep pēpi by safe by: • Breastfeeding before smoking. • S moking outside and leaving your baby safe inside your smoke-free whare or with people you trust. •W earing a jacket or robe that you can leave outside after your smoke or vape. •W ashing your hands before going back to pēpi. •M aking sure your car, pēpi car seat and waikawa/sleep spaces are always free from smoke. •C heck out smokefree.org.nz and heruandhapumama.co.nz for more information.

Myth

You have to “pump and dump” if you drink alcohol.

Truth: Current research says that occasional use of alcohol (one to two drinks) does not appear to be harmful to a breastfeeding baby. There is no need to pump and dump milk after drinking alcohol, other than for your own comfort. Expressing does not speed the elimination of alcohol from breast milk. If you’re away from your baby, try to express as often as they usually feed (this is to maintain milk supply, not because of the alcohol). Myth

Expressing is a good way of measuring milk supply.

Truth: Don’t stress if you don’t see a lot of milk when you express. You will never get as much milk out with a pump as your baby does when fed directly at the breast. Tamariki empty your breasts far better than any pump can. Talk to your LMC or Well Child Tamariki Ora provider if you are worried about your milk supply.

Being a breastfeeding and working parent can have its challenges, but a supportive workplace and having the resources you require can make a big difference.

THANKS TO BABY JASPER. PHOTOGRAPHY BY RENEE ANDERSON OF TWIG & THISTLE PHOTOGRAPHY.

You should not feed your p pi to sleep.

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HOLDING ON

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RUGBY BALL HOLD Hold your baby under your arm with her body supported by a feeding pillow. Helpful for largebreasted mums.

Let's get comfortable with these positions SIDE-LYING POSITION

Rugby ball hold

Lay down with your body parallel to your baby's body. Rest your head on a pillow or your arm so you're comfortable.

CROSS-CRADLE HOLD

Side-lying position

Hold your baby across your lap, supporting her head and body with the opposite arm as the side you're feeding on. Helpful if you have large breasts.

Cross-cradle hold

Myth Cradle hold

CRADLE HOLD Hold your baby across your lap. Support your baby's head and body with the same arm as the side you're feeding on.

Koala hold

KOALA HOLD Seat your baby on your knee and support her head and neck. This can be good for feeding out and about.

Your breast milk is easy for pepi to digest and is loaded with your own unique blend of antibodies, hormones, nutrients, and anti-allergens. Myth Myth

If you have small breasts, you won’t produce enough milk.

Truth: Size doesn’t matter! While breasts come in a wonderful variety of shapes and sizes, the truth is that the size of your breasts has no impact on your body’s ability to produce milk. Myth

You can’t breastfeed if you have had breast surgery.

Truth: Many people who have had breast surgery can still breastfeed. Talk to your LMC about your breast surgery and how this might impact your breastfeeding journey. They might suggest you work with a lactation consultant to help get you off to the best start. Remember, even if you can’t fully breastfeed, every drop counts!

Breastfeeding gives you saggy boobs!

Truth: This is a common myth, but breastfeeding does not cause breast changes. Research shows that hormones and changes to body shape during pregnancy are the main cause of breast changes. Aging and whānau genetics also play a role. Myth

Once a baby has a bottle, it will be hard to breastfeed.

Truth: All journeys are unique. Many breastfed babies will switch back and forth between breast and bottle without any problem. However, some develop a preference for one or the other. If you plan to regularly supplement breastfeeding with formula, talk to your midwife or lactation consultant about how you can help protect your milk supply.

The benefits of breastfeeding are overstated.

Truth: While there have been many attempts to undermine the benefits of breastfeeding, the science on this matter is fairly conclusive. Breastfeeding offers unrivalled health benefits to breastfeeding parents and their tamariki. Your breast milk is easy for pēpi to digest and is loaded with your own unique blend of antibodies, hormones, nutrients, and anti-allergens. The composition of your milk changes over time, to meet the changing needs of pēpi and to ensure they get the vitamins and nutrients they need when they need them most. Research shows that parents who breastfeed experience lower rates of postpartum haemorrhage, postpartum weight retention and depression. Breastfeeding may also protect against chronic illnesses, such as: • Invasive breast cancer. • Uterine cancer. • Ovarian cancer. • Type 2 diabetes. •O steoporosis and reduced bone density in later life. It can take time for you and your baby to learn how to breastfeed, and the right support can really help! Find Your Breastfeeding Support (findyourbreastfeedingsupport.org.nz) is a new site listing regional and national breastfeeding support services, including, breastfeeding classes, community support services, peer support groups, lactation consultants, online forums and much more.

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myth

Breastfeeding makes it hard for dads and other whānau to bond with pēpi.

Truth: We often hear parents talk about how they needed to bottle-feed so that the dad or other family members could bond with the baby. The truth is that whānau don’t need bottles to bond with their tamariki. There are many ways that support people can help – here are our top tips: 1. Practical baby care: Burp, change and play with pēpi. 2. Skin-to-skin: Skin-to-skin has been shown to have real benefits for pēpi and papa. 3. B athing and co-bathing: A great producer of Oxytocin. 4. M irimiri /massage: This can help calm your pēpi and help with digestive issues. 5. Baby wearing. 6. Rocking, pacing and swaying. 7. Singing oriori: Traditional waiata that tell stories, and are often sung to pēpi and tamariki. 8. N ight parenting. 9. Taking the baby for a walk.

Your milk will dry up if you stop – you can’t go back!

Truth: If you have recently stopped breastfeeding, it is possible to re-lactate or re-establish the production of breast milk. Parents who re-lactate can produce enough milk to breastfeed an infant fully or partially. The easiest way to bring back a milk supply is through a baby suckling at the breast. The more often a baby suckles at your breast, the more likely your breasts will make milk. Talk to your LMC or Well Child Tamariki Ora nurse for more information on re-establishing your breast milk supply if this is something you would like to do.

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THANKS TO BABY TAYLOR AND DAD MOKE. PHOTOGRAPHY BY NATALIA BOWERS OF LITTLE LOVELY PHOTOGRAPHY.

Myth

Supporting you through breastfeeding While breas�eeding has a lot of beneﬁts for you and your baby, it can also be challenging, especially in the early days. It’s common to experience some discomfort, sensi�vity, and sore nipples due to latching issues, hormonal changes, and nursing frequency. Thankfully, Lansinoh are here to help!

Sore, cracked nipples Beyond the ini�al tenderness of baby’s ﬁrst few feeds, the most cmmon cause of sore or damaged nipples is poor posi�oning and a�achment. This can happen when the baby doesn’t always take a big mouthful of breast. If you are struggling, it is recommended to seek out the support of your midwife, child health nurse or lacta�on consultant. In the mean�me, Lansinoh® HPA® LANOLIN can soothe, heal and protect sore and cracked nipples. Lansinoh® HPA® LANOLIN is 100% pure lanolin and clinically proven to accelerate healing. Being all natural and hypoallergenic, it is safe for you and baby, and doesn’t need to be removed before breas�eeing.

Engorgement & Mas��s It is normal for your breasts to become larger, heavier and a li�le tender when they begin to make more milk. Occasionally this fullness can lead to engorgment, when the breasts feel very hard and painful. Ease symptoms with Lansinoh Thera°Pearl reusable packs. These can be used either warm or cold depending on your needs and conform to your breast to provide 360° relief. Cold therapy with Thera°Pearl can help to soothe the pain and swelling associated with engorgment and provide soothing relief for the symptoms of mas��s (which is inﬂamma�on of the breast and some�mes an infec�on). If you believe you have mas��s, it is important to see your doctor straight away. Lansinoh Thera°Pearl can be used warm on the breast before a feed to encourage let-down (the reﬂex that makes your milk avaiable to the baby). When used warm with a breast pump, Lansinoh Thera°Pearl can also help reduce the �me spent expressing. Also available in the Lansinoh range are Nursing Pads, designed to keep you dry all day. For more informa�on see h�ps://lansinoh.com.au/

The Lansinoh Range ®

5 stars out of 5*

Always read the label. Use only as directed. If symptoms persist, see your healthcare professional. Wilson Consumer Products, Auckland TAPS NA BG2548

Lansinoh is available in pharmacies and supermarkets nationwide.

*source: 24 New Zealand Mums who trialled Lansinoh® HPA® Lanolin Nipple Cream, Nursing Pads & 3-in-1 Breast Therapy.

Our cover mama Hannah, husband Anthony and their gorgeous new baby boy Marko.

Moira Meiring Wild Little Hearts wildlittlehearts.nz / @wildlittlehearts 1. For sweet, sleepy portraits, keep your baby awake before the shoot (30 minutes is great, but aim for an hour). Then, do a nice long feed just before the photo session starts. This way they will be in their deepest and happiest sleep. A good way to keep them awake is a nice long sponge bath. A well-fed baby is a happy baby! 2. If the newborn session is happening at your home, tidy the house and make sure the temperature is at a comfortable level for your baby. This way your photographer can take some sweet nude portraits too. A neutral-coloured nappy cover/bloomer is great for these types of photos!

Making

memories

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PHOTOGRAPHY BY MOIRA MEIRING OF WILD LITTLE HEARTS.

3. If you’re unsure of what to dress your baby in, you can have more than one outfit on standby. If there’s time, you could do an outfit change. And consider laying out some lovely "props" such as a hat, baby blankets etc that the photographer can use during the shoot.

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s Natalia Bower Little Lovely Photography l i t t l e l ove l y.co. n z / @l i t t l e l ove l y n z 1. Newborn sessions don’t have to be about posed perfection, styled sets and mamas that look like models. Think back to your own baby photos. What was captured that you appreciate? Early moments with your parents; photos with your siblings or pets; perhaps it’s the timestamp of the home you lived in, the furniture and the fashion of the era. It’s this kind of thing that I love thinking about documenting in my newborn sessions. Capturing moments that are to be treasured by the whole family in the years to come! 2. Newborn sessions can be held anytime! Yes, newborns tend to be sleepier in the first two weeks – so if you have your heart set on sleepy-curly poses, and you can book in first two weeks, then go for it. If you need extra time to rest and recover, physically or mentally, then take the pressure off and wait until you are ready to have your newborn moments captured before booking. Whether baby is two weeks old or two months old, you will adore these photos in the years to come, regardless of what age your baby was at the time. 3. Consider the option of newborn videography. Photos are beautiful, and a must for filling your walls at your home, but video is something else. Add movement and music to these moments and it’s just magic – trust me, when your wee babe is a sassy pre-teen and you rewatch videos of them being so-darn-cute as a teeny tiny newborn, you will be an emotional puddle! If newborn videography is outside of your budget, then take as many video snippets on your phone as you can, to capture all of the little moments that fly by far too quickly.

THANKS TO BABY TAYLOR. PHOTOGRAPHY BY NATALIA BOWERS OF LITTLE LOVELY PHOTOGRAPHY.

e Kirsten Aldridg Kirsten Naomi Photography kirstennaomi.photography @kirstennaomiphotography 1. Choose a photographer whose work aligns to the “look and feel” you want for your images. Most photographers have developed a personal style with consistent colour tones and poses, so when you look at their portfolio online you will get a good idea of what to expect. And make sure you check their client reviews. 2. Don’t worry that your baby won’t sleep, might cry or generally won’t be the perfect model. We’ve seen it all and have strategies for working with all babies. Some of my favourite images (with lots of personality) have come from unsettled babies who were wide awake for the whole session.

THANKS TO BABY RAFFERTY. PHOTOGRAPHY BY KIRSTEN ALDRIDGE OF KIRSTEN NAOMI PHOTOGRAPHY.

3. Don’t over-plan your session. It’s great to know what you do and don’t like, and your photographer will want to know what style of images you are drawn to. However, much like your birth plan, consider your ideas as a flexible set of options that can be modified to suit your baby. All babies have their own preferences and may not be comfortable in all positions. Your photographer will understand what works for your baby and adapt accordingly. Pregnancy BUMP & baby

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The witching hour is different from colic. For colic, we use “the rule of 3”: the baby cries about three hours a day, for more than three days a week and for three weeks.

The witching Brace yourself, mamas, the witching hour is inevitable! But baby sleep and developmental specialist Kenna Zachinskaia (babysleep.nz) is here to explain how you can survive it.

rying is typical for all babies – on average, they do it for about 2.2 hours a day. The witching hour is when your baby becomes extremely fussy, and it typically occurs daily between 5pm and 11pm – the time when everyone in the house is tired. You’ve been taking care of your baby (or babies) all day, barely getting a moment to have a cuppa or use the bathroom... And then witching hour hits. It’s draining, exhausting, and feels like it will never end. It can last from a few minutes to a couple of hours. For most babies, the witching hour starts to occur around two to three weeks and peaks at six weeks, but it will typically resolve by three to four months.

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hour

WHAT IS THE REA SON FOR THE WITCHING HOUR?

1| Overtiredness

Being overtired is the number one reason for fussy babies. Your baby just came from a warm, quiet, peaceful place to stimulation at every corner. While they may seem like they are constantly sleeping at the beginning, they may become more irritable by afternoon or evening if they haven’t had time to get into a deep, restful sleep. So by 5pm, babies can start releasing adrenaline into the bloodstream, making it hard to fall asleep. solutions One way to prevent

your witching hour baby is by creating an age-appropriate daily rhythm and ensuring that the baby doesn’t stay awake for too long.

It is important to understand your child’s sleep cues and catch “wake windows”. If you are waiting for your baby to rub their eyes, you are waiting too long. Early sleep cues include redness of the eyelids and staring off. If you can get them to sleep at this time, you can avoid the odd witching hour. Remember that the wake window for the newborn child is only about 40 minutes, slowly increasing to 90 minutes by the child’s third month of life (including feeding time). If children stay awake longer, they may get overtired. Nap schedules frequently change as your baby gets older, but if your little one tends to scream for hours in the evening, it may have something to do with their routines and the amount of sleep they have throughout the day. It’s essential to keep your baby wellrested, as a well-rested baby sleeps better.

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2| Overstimulation

IMAGE : ALIYAH - TWIG AND THISTLE XXXXXXXXXX

If your baby has been overstimulated throughout the day, it can cause fussiness and irritability. Newborns can only handle a little stimulation at a time, so loud noises or bright lights can worsen the witching hour. Babies only have a short tolerance for stimulation as their brains process all the different sensory elements. For example, if your baby has been swimming, you may notice that they have a long nap shortly afterwards because the stimulation of the water, the temperature change and the noises have made them very tired. Attention to your baby’s cues is vital to prevent overstimulation. If your baby turns their head away from you or avoids eye contact, then that is a good indication that they are overstimulated, and your witching hour baby is just around the corner. solutions If you suspect your baby is getting overstimulated, change the activity or go into a quieter room. Turn the TV or other noise-producing appliances off and place your baby in a “tiger in the tree” position or simply lay them across your knee. A calming environment and a full belly may be just what your baby needs during the witching hour. White noise isn’t only great for sleep, but can also work during those witching hours. It mimics all that noise your little one heard in the womb, so it can be very calming for them. You can also try to swaddle your baby – wrapping in a thin blanket may help them feel safe and secure. Putting your baby in a sling reminds them of being in the womb and may help decrease overstimulation.

3| Not enough physical activity/stimulation

From birth to one year, babies should have some physical activity, especially supervised floor play in a safe environment. While awake, infants should not be restrained or kept inactive for more than an hour. solutions Massage can soothe

babies and help them to sleep. It has many added benefits, including improving

The witching hour is when your baby becomes extremely fussy, and it typically occurs daily between 5pm and 11pm. weight gain, aiding digestion, improving circulation, and easing teething pain. “When you give your baby a massage, you’re stimulating their central nervous system,” explains Tiffany Field, PhD, director of the Touch Research Institute. “That sets off a chain reaction: it makes their brain produce more serotonin, a feel-good chemical, and less cortisol, a hormone that’s secreted in response to stress. As a result, the heart rate and breathing slow down and the child becomes more relaxed.” The benefits of massage are both emotional and physical. Each time the baby experiences a change, its muscles react and tense up. Massage helps to relax the muscle and therefore helps relieve some of the trauma and anxiety tied up with birth and the world the baby has just entered. Sometimes just going outside for fresh air and a change of scenery will help your little one. I have seen babies go from crying nonstop during the witching hour to completely calm when outside taking a walk.

4| Stomach discomfort

Gas or acid reflux can indeed contribute to the witching hour. Your baby may suffer from a buildup of wind and gas from their feeds throughout the day, a common cause of the witching hour. Babies have immature digestion, so if they take in excess air as they feed (for various reasons), it sits in the stomach, creating an uncomfortable and bloated feeling. As a result, the baby wriggles and cries as they try to dispel the gas. solutions Hold your baby in

your arms on their left side or stomach; it might help with your baby’s digestion and their stomach will feel better. Tummy time or a warm bath are good options to help the baby eliminate extra gas, but you can also try to help them by gently massaging their tummy and pumping their legs back and forth (like riding a bike) while on their back.

5| Cluster feeding

In the evening, you may find that your baby constantly wants to feed, especially if you are breastfeeding. You may think it is comfort feeding, but in fact, it’s what’s called cluster feeding. Newborns tend to cluster feed at night to prepare for a longer stretch of sleep. Your baby may become fussy and demand what feels like one feed right after another. Remember that this phase may be frustrating, but it is also temporary! Babies are very clever and know how much milk they need, which may be much more when they are going through a developmental leap. By feeding more, they are increasing your milk production. solutions There is no miracle

cure for this; you just have to keep calm and feed your baby. When it comes to having a newborn, letting go of certain expectations and just going with the flow can help reduce some of the pressure new moms put on themselves.

If you have tried implementing these steps, and are still struggling during those late afternoons and early evening hours, then ask yourself, does your baby seem unhappy most of the time? Do they constantly cry and keep refusing to eat? Do they seem uncomfortable? If you answered yes, I would advise contacting your GP or paediatrician for a checkup.

Lastly, take a breath, and tell yourself: witching hour does not last forever! While you are in the thick of it, it may seem like it will never end – but it does. Taking care of a crying baby is very stressful. If you feel overwhelmed, call a friend or relative to take care of your baby while you take a break. If no one can help, put the baby in their crib, close the door, and take a 10-minute break. Take care of yourself; remember that the secret to a happy baby is a happy mummy! Pregnancy BUMP & baby

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Heading t he right way

Is your baby’s head looking a little flat on one side? Aesthetic & reconstructive plastic surgeon Dr Tristan de Chalain explains why you don't need to panic! In order for a baby to pass down the birth canal, it has to have a very soft and malleable head so it can be deformed without damaging the brain. So after the baby comes out, it is left to sleep on its back. But if you lie on your back, your head will often slump to one side or the other. Even more so with a baby where the head is huge and heavy by comparison with the rest of the body. So let’s say you put the baby down for the first time and the head sort of falls to the left. Then the next time you put it down, it slumps to the left, and the head is then starting to mould into that position, so it’s going to be more likely to fall off to the left. So it’s positioning – whether deliberate or accidental.

CAN OTHER CONDITIONS CAUSE NEWBORNS TO HAVE A FLAT HEAD?

There is a condition called torticollis which is where one of the neck muscles is tight and pulls the head around. With this, you need to do something about the tight muscle as it will almost always pull the head into one position and cause flattening. In addition, and much more rare, is a condition called craniosynostosis. This is where some of the fusion plates for the bones of the skull are prematurely fused, so that the growing brain can’t expand the skull and it stays flat and tight on one side – that will be the flat part of the head. Both of these conditions can be excluded by your doctor or a specialist.

WHAT CAN YOU DO TO PREVENT OR IMPROVE PLAGIOCEPHALY?

When I was still working in the craniofacial clinic we tried to push the message that if

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– on the first night at home – your baby sleeps with its head to the left, put something under the left side to stop it going to the left on the following night, so that it can only go straight ahead or to the right. Some of the ways you can do this is with a baby wrap such as a Safe T Sleep or a head wedge. Do whatever is safe to do to get the baby off the flat spot.

HOW LONG DOES IT TAKE TO REMEDY PLAGIOCEPHALY ?

In the first year of life, the brain grows very rapidly, and it is the pressure of the growing brain inside the skull that shapes the skull. So if you’ve got a flat spot and you’re not lying flat on it, the growing brain will push that out. So the earlier you diagnose it, the sooner it will correct itself.

WOULD YOU RECOMMEND BABIES WEAR A SPECIALISED HELMET?

Our experience with them was not particularly positive, so unless somebody’s come up with a better helmet design, I don’t think they’re a great idea. What the helmet does is it’s designed to fit snugly all around the head – except for over the flat spot. Safe T Sleep Sleepwrap, from $59.99, safetsleep.com

In other words, the brain can’t grow wherever the helmet fits well – it can’t push the skull out wherever the helmet fits well. The only place it can push out is where the flat spot is. Because you’ve created a negative space within the helmet for the skull to move into. So in theory it makes great sense, but the practicalities of getting a helmet to fit snugly on a baby without strangling it with a chin strap or getting the child to go to sleep with huge heavy helmet on… it’s not great.

IS PLAGIOCEPHALY SOMETHING TO WORRY ABOUT?

Don’t panic, but do something about it and, better still, keep an eye out for it. Expect it and prevent it by moving the child regularly. One piece of advice I would offer is that if you do have serious concerns about it, address your GP, and if they are not interested, get in touch with the paediatric department at your local hospital. Currently in private practice in Auckland, Dr Tristan de Chalain is a former Consultant Surgeon in the Paediatric Plastic Surgery, Cleft and Craniofacial Surgery Service at Middlemore Hospital. The Safe T Sleep HEADwedge is for babies under six months old. To ensure it is not loose in the cot, tuck it securely underneath the Safe T Sleep Sleepwrap. Safe T Sleep HEADwedge, $19.99, safetsleep.com

THANKS TO BABY ALIYAH. PHOTOGRAPHY BY RENEE ANDERSON OF TWIG & THISTLE PHOTOGRAPHY. INTERVIEW BY CHARLOTTE COWAN.

WHY DOES PLAGIOCEPHALY OFTEN OCCUR IN NEWBORNS?

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ran Babita Kam

Culture club Four amazing women share insights into their cultural traditions and celebrations during pregnancy and post-birth.

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BABITA'S PHOTOGRAPHY BY JENIFER DE VILLIERS OF JENIFER ANNE PHOTOGRAPHY.

India (Hindu)

EMAN AND FAMILY'S PHOTOGRAPHY BY ZARA JAWADI PHOTOGRAPHY.

Northern Sudan

Eman Nasser AFTER BIRTH

“After birth, there is the 40 days tradition called ‘Nufas’, in which the mother and baby are looked after by females from both sides of the family. During this time, relatives take over all the home duties and look after both mother and baby, allowing the mother to recover from birth – giving her the space to heal and connect with her baby. During this time a special celebration takes place called ‘Aqiqah’ – which is a naming celebration to introduce the new baby to family and friends. A special feast is prepared in honour of the new baby.”

REST AND RECOVER

“The concept of ‘it take a village to raise a baby’ is central to the Sudanese culture. Family takes a huge role in caring for the new mother and her new baby – that’s why the idea of postpartum depression is almost nonexistent [in our culture]. Mothers feel supported and looked after during this period. During the postpartum period, the focus is on meals that help mother recover, such as a hearty chicken and vegetable soup. In addition to recovery, some meals are focused on helping to increase the mother’s milk supply, using ingredients such as fenugreek and dates. Madida Hilba is a famous dish for mothers postpartum and is made out of milk and fenugreek.” Pregnancy BUMP & baby

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New Zealand Māori

Reumah Horne CULTURAL TRADITIONS POST-BIRTH

Babita Kamran TRADITIONAL CEREMONIES

“Babies are life-changing, and being mother is a gift. You cannot know how important you are to your parents until you become a parent yourself. When baby is born there is happiness in the air. On day six post-birth, a priest conducts some rituals to start the baby’s journey. They draw a Swastik symbol on a journal and consult horoscopes for the first letter of the baby’s name. He also suggests a name and writes it on the journal – but that doesn’t necessarily have to be the name chosen. Parents are allowed to pick any name using the first letter chosen by the priest. On day 11 is pooja, which includes holy rituals, chanting mantras and performing yagya (mango wood burned in clear butter and kapoor with some hắwan samagri) by a priest to purify the house and environment to get rid of any negative energy. When a baby is born, they have a past, and it’s considered that after pooja, the baby is more settled in their new world. On this day maternal grandparents bring gifts for whole family and all close relatives, such as siblings, aunts, uncles, etc are invited. Following pooja, lunch is served to everyone. On day 40, both mother and baby visit the temple to take blessings of God and then they are allowed to travel anywhere. Before that, they are supposed to stay home and rest. Another tradition is that the baby’s first hairs are shaved and put into the ocean or Ganga river. This is done to signify freedom from the past and babies can happily move into future, and it’s done on the day of Dussehra.”

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POSTPARTUM NUTRITION

“For first 11 days after the baby’s birth, the mother is not allowed to enter the kitchen as she is considered impure. It also lets the mother rest as she is tired after giving birth. Mothers are offered heavy meals (at my home it’s vegetarian meals), light vegetables which are not gassy, along with paratha (flatbread), milk porridge and dal soup. Mothers are also offered panjiri. Its base is wheat flour which is roasted in clear butter for 30-40 minutes on a low flame until it turns golden brown and then shallow-fried. Almonds, apricots, cashews, linseed, melon and pumpkin seeds, along with lotus seed popped like popcorn, are added into it with ginger powder, jaggery (cane sugar) and fried ground edible gum. This is considered to help with milk supply, healing your body and giving you energy. For few days, mothers are also offered water which is boiled with two to three tablespoons of carrom seeds. This is considered helpful to clean your stomach.”

FAMILY A SSISTANCE

“Grandparents help the mother and father to settle with the baby by helping with household chores and attending to the guests that visit home to see new baby. Sisters and aunts also visit often during first 11 days to help with household chores and baby care. From day six, the baby is massaged with warm oil every day (in summer, or alternate days in winter) and generally that is done by the grandmother. Fathers play an equally important role, and I personally feel that emotional and physical support from the father is the most important for mothers. Love and care helps you heal quickly and settle well with baby and the changes happening to your body. Every man is different and I don’t think culture really matters when it comes to being a good father.”

“E kore au e ngaro, he kakano ahau i ruia mai i Rangiātea.” I will never be lost, for I am a seed sown in Rangiātea. ~ Proverb REUMAH AND FAMILY'S PHOTOGRAPHY BY PHOENIX RUKA OF NIWHA CREATIVE.

India (Hindu)

"We had a muka tie made by a friend to tie my son’s pito (umbilical cord), rather than the western peg that is used now. We had an oriori (a traditional waiata) written by a close family member intended to be sung to him by everyone in the room when he was born. I sing it to him every night and when he was smaller, it used to calm him when he was distressed. His pito (umbilical cord) was cut with a kohatu (which was lent to us by close whānau who also used it for their pēpi) on a pounamu slab (lent to us by our midwife). His whenua (afterbirth) was saved and we took it to his whenua (land) in Te Rawhiti, one of the many places where he is from on his paternal side. We buried this under a kauri tree that was planted for his grandfather (my partner’s dad) when he passed away unexpectedly. His first bath was given to him by his Nanny (my mum) in the lounge surrounded by our closest whānau on our first night at home; he was one week old.”

Muka Pito Tie with Gemstone, $29, aotearoagemstones.co.nz

A SPECIAL NAME

“My son Rangiātea carries two very important middle names. Karaka is his first middle name and is his paternal great-grandfather’s name (Karaka Karaka). He is a massively important person to my partner’s whānau and in te ao Māori as he was one of the people who led the Māori land March from Te Hiku o te Ika to Parliament steps in 1975. We are lucky enough to have him here with us and we were able to get his blessing to name son after him. Rangihoro belongs to one of our important tūpuna from Te Arawa. We wanted him to carry a name from his Te Arawa side too, and my grandpa (my son’s great-grandfather) was happy to bless us in giving him this name too. For us, Rangiātea’s name is an act of reclamation. It has been many generations since either of our whānau have had any Māori first names. For some of our whānau it was a hard pill to swallow, because the intergenerational trauma of seeing Māori names butchered by non-Māori has made many of our whānau members almost fearful of giving pēpi Māori names. For myself and my whānau, it has been many generations since we've seen Māori first names; however, my grandfather – whose birth name is James – later took on the name Hēmi in many of his circles. And a few of my first cousins (on my mum's side) who are much younger than me were also gifted ingoa Māori at birth. However many of us, including myself, carry Māori names as our middle names. For my partner, it has been three generations as his grandparents carry Māori names but also took on Pākēha names. Only in the past few generations have we seen Māori first names make a comeback in both of our extended whānau.”

KNOWING WHERE HE IS FROM

“I was not raised in a Māori household. My whānau were very far removed from our whakapapa Māori when I was a child, and I grew up on the land that my greatgrandfather bought when he immigrated from England. I did not really know my dad, and he then passed away when I was nine, and the first time I visited my marae was for his tangi. He is my whakapapa connection to Northland (my mum's

whānau are from Tauranga Moana) and it was only as an adult that I truly began to reclaim my identity as a wāhine Māori and began breaking the intergenerational disconnect that I had from my whakapapa. My partner Shane continues to be a massive driver in my journey to reclamation, and throughout my pregnancy he was the one who found wananga for us to attend to learn more about pregnancy, birth and children through a te ao Māori lens. We both really wanted for our son to grow up knowing who he is and where he is from and to be really proud of that. We have been really intentional in making this a reality for us and implementing as many cultural tools and practises as we can in an overwhelmingly westernised society. Our son already loves his culture. Whenever he hears te reo Māori being spoken or sung, his whole spirit calms and you can just see how connected he already feels, which is so special for me as it’s something I was only lucky to experience in my 20s. In no way am I an expert in Māori culture, and many of the practices that we have implemented are more an act of reclamation of traditions rather than continuation of traditions, which is a reality for many Māori parents. We absolutely love this journey and feel that having our son is drawing us deeper and deeper into the journey of reclamation of both our culture and our language. Western culture still continues to be a very dominant force in society today, so we are grateful to be able to give this to our son.”

China

Janet Chen POST-BIRTH TRADITIONS

“On the day the baby is born, the father must go to the parents-in-law’s house to tell the news. They inform them that the mother and baby are safe, congratulate them on the addition of a grandchild, worship their ancestors, and set off firecrackers to celebrate. This process is called ‘announcement of good news’. In our traditional Chinese culture, postpartum women cannot be seen until one month following birth. It is said that babies within three months are easily frightened, so they must be kept secret. After the baby is born, the mother needs

“In our traditional Chinese culture, postpartum women cannot be seen until one month following birth.” ~ Janet Pregnancy BUMP & baby

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to be in confinement for 30-45 days. Following the full month of confinement, the mother and baby are presented to friends and relatives with a full moon celebration – this is a popular folk custom in China. On this day, relatives and friends bring gifts to congratulate, and the host sets out a sumptuous feast. Then 100 days after the baby is born, the 100-day ceremony is celebrated."

Chinese people believe 100 days is an important milestone for the baby, and the 100-day birth celebration represents the wish that the baby will live 100 years.

HELP FROM GRANDPARENTS

"The grandparents usually take care of the confinement for postpartum mothers, such as preparing nutritious meals with reference to nutritional recipes, usually six to seven meals a day. Breastfeeding women are advised to eat more papaya and pig’s trotter soup, which are said to help breast milk production, and postpartum women are advised to eat more red dates, brown sugar water, and porridge. In traditional Chinese culture, postpartum women are not allowed to eat cold food. Grandparents also help with nappy changes, baby baths, and milk feedings. I had a baby in 2020, and New Zealand’s borders were closed from my pregnancy to postpartum, so my parents couldn’t come to New Zealand to take care of me. I hired a nanny to help me with the confinement.” * See “It Takes A Village” (right) for more on the practice of confinement.

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IT TAKES A VILLAGE Leila Armour You can purchase Leila’s book, Village for Mama (villageformama.com) – a unique postpartum recipe book containing 30 recipe gift cards with a pre-written letter explaining the importance of the postpartum period.

CHANGING POSTPARTUM PRESSURE

cause further ailments and prevent the body from properly healing. This means a mother is encouraged to “In today’s society, we place so much pressure stay warm inside, avoid drinking cold liquid on new mothers, and culturally we do a or eating cold food. The mother does not wash terrible job of supporting them through this her hair and some do not shower either, as transition,” says Leila Armour, a postpartum it is believed that contact with water opens doula, naturopath, and author, who is working the pores, causing wind and cold to enter to change how we view postpartum. the body. There is no physical activity, which “We set an unachievable standard of the includes housework. Some take it as far as perfect mother, who ‘bounces back’ to her old removing all television, books, and devices. self unchanged by the whole experience. This This period of confinement allows a mother’s fictional mother can ‘do it all’ and is incredibly body to close up, and rebalances the chi or productive in a time where we worship life force of a mother. productivity. The race is on, as soon as you Leila explains that in today’s modern world, give birth, how quickly can you get back the lack of cultural awareness and village to your old self with a baby in tow. support, as well as the financial To learn how to “There is so much pressure for requirements of a “confinement create your own mother’s to meet this ideal, that nanny” are all challenges to creating confinement period a traditional confinement period. they then begin to associate their in today’s modern success as a mother with how world, take Leila’s unchanged they are from class on Atlas the experience.” of Motherhood (atlasofmotherhood. Located on the Sunshine Coast in co/classes/ Australia, Leila supports mothers traditionalin creating a modern adaptation But in some cultures, postpartum confinement-class), of a traditional Chinese postpartum looks different. For thousands which includes a confinement period. During the of years, traditional cultures have sample confinement first week of confinement, Leila implemented and honoured an meal and support recommends focussing on foods to extended period of rest, healing schedule and flush out remaining placenta blood. and adjustment for new mothers confinement Foods during this phase are typically after they give birth, known as recipes. carbohydrate-heavy and avoid fats. a confinement period, placing Gently introduce meat and avoid a heavy emphasis on the first 40 days following fish, while enjoying lots of slow-cooked, easybirth because they believe the future health to-digest foods like rice, congee, bone broth, of a mother is dependent on her recovery. millet, sweet potato, and adzuki beans. A confinement period is a traditional During the second week, the focus is on practice following the birth of a baby where rebuilding the mother’s body and replenishing a mother is confined to her home to enable blood with collagen- and iron-rich foods, such proper healing and recovery during the as organ meats. And lastly, during the third postpartum period to prioritise rest and phase, or weeks three and four postpartum, recovery with warmth, bed rest, easy-to-digest the focus is on supporting a healthy milk and nutrient-dense food, and no visitors. supply with broth, meat, papaya, pork, Traditional Chinese medicine believes Chinese herbs, and red dates. that after a mother gives birth, there is empty The benefits of following a confinement space within her body where her baby once period include supporting natural healing, was. They believe that a woman’s body is open replenishing and nourishing blood, supporting and her ligaments are loose, and if yin or wind milk production, as well as reducing the risk and cold comes into the open space, it will of postpartum anxiety and depression.

HEALING AND ADJUSTING

MODERN TRADITIONAL SUPPORT

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How to save a life It’s super-important to know how to resuscitate a baby if you need to, so St John (stjohn.org.nz) shares how to perform CPR the right way.

PR is a manual method of pumping blood around a person’s body when they have suffered from a cardiac arrest – which simply means the heart has stopped functioning. CPR is not designed to restart the heart but, rather, to keep blood pumping so that heart and brain cells do not die due to lack of oxygen. CPR is required when the patient is unresponsive and not breathing normally. It is not difficult and is vital for anyone who is in cardiac arrest if they are to have any chance of survival.

1. A SSESS DANGERS

• Make sure that you, the baby, and bystanders are safe from any dangers. • Do not put your own safety at risk.

2. IS THE BABY RESPONSIVE?

• Check for response by calling the baby’s name loudly and gently squeezing their toes. •M oving or making a noise is regarded as a response. • I f there is no response, the baby is unresponsive and in danger of dying because of their airway becoming blocked.

3. SEND FOR HELP

•C all 111 for an ambulance or send someone else to call. • I t is important to call an ambulance as soon as possible so that advanced resuscitation assistance is on its way. Remember – you will be keeping the baby alive with CPR, but they need additional care to start their heart. If you are on your own, and a phone is not readily available, do CPR for about one minute then call for help. If portable, bring the phone with you to the patient.

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note

This form of CPR is for a baby which is generally regarded as being under the age of one year. To learn CPR for a child over the age of one, head to stjohn.org.nz

4. OPEN AND CLEAR THE AIRWAY

When a person is unresponsive, their muscles relax. The tongue is a muscle and so relaxes. This is dangerous because the back of the tongue can flop downwards against the back of the airway and block it. This means the baby cannot breathe. In any unresponsive person, it is important to open the airway: • In a baby, this is done simply by moving the head into a neutral position and lifting the chin. • If you see anything in the baby’s mouth, use two fingers to sweep it out.

5. CHECK TO SEE WHETHER THE BABY IS BREATHING NORMALLY When the airway is open and clear, check for normal breathing: • Look and feel for movement of the lower chest and stomach area. • Listen and feel for air coming from the nose or mouth. • Check for any movement.

I f the baby is breathing, move them and support them on their side with their head in a neutral position, and continually monitor their breathing. Note that occasional gasps of air are inadequate to sustain life and should be ignored.

6. IF THE BABY IS NOT BREATHING •P osition the baby on any flat surface or even support them on your lap or arm.

•P lace two fingers of one hand in the centre of the chest, just below an imaginary line between the nipples. •P ush down hard and fast 30 times (push down one third of chest depth). Do not worry about pushing too hard – good CPR requires you to push hard and fast. •O nce you have completed 30 compressions (pushes) on the chest, breathe into the baby’s mouth two times. To breathe into the baby: • Keep the head in a neutral position with one hand. • Seal your lips around the baby’s mouth and nose. •G ently puff into the baby until you see the chest rise. •R emove your mouth, take a fresh breath, and puff into the baby again. • Continue with the cycle of 30 chest compressions and two breaths until the ambulance arrives.

DO NOT GIVE UP!

If you are unable to breathe into the baby, or are uncomfortable with doing so, just perform chest compressions. Scan the QR code to see a demonstration of how to perform CPR on an infant.

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Tired? We know

The physical tiredness of caring for a baby extends beyond lack of sleep, says Dr Ainslee Roughan from Brain Under Construction (brainunderconstruction.co.nz). further forward than the other, bend your knees and crouch down in this split lunge Here’s how to combat mama fatigue. position. Lean forward to pick up your baby

s a new mum, are you HOW TO MAKE SOME CHANGES… absolutely exhausted from When standing being up all night? One Whether you’re settling your baby or hundred percent. But this carrying a small child, consider your pelvis isn’t the only reason you may be suffering position; this feeds through to the tension from fatigue. According to chiropractor and comfort levels in your lower back. Dr Ainslee Roughan, the movements we Aim for a neutral pelvis position where use to care for our babies include standing, possible rather than arching your lower back rocking, settling, patting, and feeding – and curvature (pushing your stomach forward) we use them repetitively throughout the day and putting more strain on your back. and night. Add to this lifting baby capsules This might be easier to achieve if you don’t and pushchairs in and out of vehicles and lock your knees backwards and, instead, lifting and carrying babies in ways we never tilt your pelvis into a more neutral position did pre-parenthood, it’s no wonder at the and soften your knees. end of the day our bodies feel sore and overloaded. “The new movements we make When feeding when we become parents can quickly lead When you’re feeding your child (bottle to sore lower backs, tight or heavy arms and or breast), support your body where possible. wrists, and an overall feeling of physical Parents think a lot about supporting the fatigue,” says Ainslee. Over the baby’s body, but what about course of each day, the new theirs? When you’re feeding, take “It’s no movements associated with to pause. Find support wonder at the aformoment caring for a baby or small child your body by resting your end of the day supporting arm on a surface; that may seem inconsequential but compounded over days and may be a cushion under your arm our bodies weeks they can cause lower back feel sore and on the couch, the edge of a table, discomfort, tight neck muscles, or a kitchen counter. Take a deep overloaded.” breath, relax your shoulder blades headaches and wrist tension. “But what if some small changes down your back and towards in how we stand and hold our babies your spine to bring your shoulders back and could considerably lighten the physical away from your ears. Then, relax any extra load we feel?” says Ainslee. “A simple unneeded grip tension that you might be change in 20% of your daily movement holding your baby with. patterns throughout a day can have a big impact. This 20% change in loading When lifting your baby from the floor (the strain your body feels) means Rather than using your back like a crane, get 20% less total load at the end of a day.” your feet close to your baby with one foot

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and bring them to your chest, then stand up. This helps ensure your body is in a position that is less likely to injure than using your back like a crane.

When carrying a capsule

A lot of parents are uncomfortable carrying a capsule in their low back and/or shoulders. When carrying a capsule, try to lift the capsule closer to your centre of gravity. There are lots of ways to carry a capsule. Here are two that can be a game-changer: 1. Carry the capsule in front of your body with the capsule handle hooked into the crook of your elbows. This means the capsule is close to your body and centre of gravity, which decreases loading. 2. Facing your baby while you are crouching beside your capsule, reach your hand through the handle and hook it around to hold the capsule handle pivot point. Straighten your arm and stand up with a straight arm. This is a great way to carry a capsule provided it doesn’t hurt your elbows and you don’t try to walk through a doorway that is too wide!

When loading a capsule into a vehicle Lifting can also cause strain – especially baby capsules. Ainslee says when you’re carrying a baby capsule think lift smart, not hard. When loading a capsule into a car, put your feet under the car and get your shins as close to the vehicle as you can before putting it in. You can also put one leg into the footwell of the car, this helps balance your centre of gravity and avoid unnecessary strain on your lower back.

mama insight

Pregnancy and postpartum health

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hen Auckland mum-of-two Wendy Poon gave birth to her first child, she found that breastfeeding wasn’t as easy as she thought. Tired and struggling with low milk supply, Wendy searched for natural and healthy ways to boost milk production without relying on sweet lactation treats. Coming up emptyhanded and tired of being unable to find a healthier alternative to deliver lactation support, Wendy started making her own blends with and 100% natural ingredients – and Mamma’s Milk Bar was born.

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Mamma’s Milk Bar aims to support Kiwi women both during and after pregnancy with protein and lactation blends to ensure all mums are at optimum health. “Pregnant women require extra protein in their diet to meet their own needs – replenish dead skin cells, fight infection and digest food,” says Wendy. “However, she is also growing another human from scratch, and this tiny human needs to form all of its organs and begin to produce antibodies and hormones. Its muscles will develop, and the baby will start to move. Synapses in your baby’s brain begin to form connections. All of these things require proteins. The third trimester is the period of prenatal development with the most rapid growth, so the increased protein requirement is especially important.” Wendy says eating well in the postpartum period is also superimportant for your own health and, if you’re breastfeeding, for your baby’s growth and development. “Having a healthy diet can help postpartum recovery. A nutrientdense diet full of complex carbs, fibre, healthy fats and protein, plus adequate hydration, can help heal your body, promote breast milk production and support overall wellbeing and mood during the fourth trimester as a mum finds her way around motherhood.”

antioxidant and prebiotic blend combines ingredients including organic New Zealand blackcurrants, organic fermented grape skin, organic acai fruit, organic maqui fruit, organic green banana, organic camu-camu and a few other amazingly nutritious ingredients.

POSTPARTUM ENERGY Supermum SuperGreens+: The new SuperGreens blend uses fermented superfoods to unlock prebiotic properties and key minerals and vitamins to support your nutritional needs through your motherhood journey. Supermum SuperReds+: This special

MOTHERHOOD IMMUNITY BOOSTER Golden Milk: Supports immunity, boosts energy, supports hormones and mood, and aids digestion with the goodness of adaptogenic ingredients such as organic ginger, turmeric, organic shatavari and organic lucama. Pregnancy BUMP & baby

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r m d ay w ay i s a

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Be strong, stay strong Now that the tiny human has been evicted, personal and postnatal trainer Fleur Park (corestore.co.nz) shares how to repair and strengthen your post-baby body.

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he fourth trimester, or postpartum period, is all about repair, restoration, and reconnection. Pregnancy and birth compromise the integrity and strength of the pelvic floor and other core muscles. Therefore, rehabilitation and strengthening of these muscles becomes crucial and can help manage or even alleviate life lasting symptoms of dysfunction and weakness. These symptoms include incontinence, Diastasis recti (separation of the six-pack muscle), pelvic organ prolapse (POP), hypertonic or overactive pelvic floor, lower back and pelvic girdle pain (see page 24). Working with a certified postnatal fitness professional is essential at this stage, as safety is of the utmost importance to ensure that symptoms are not made worse and that the process is effective. The focus of the fourth trimester should be on core and pelvic floor rehabilitation and strength work, along with correcting and realigning the posture. This aids in ensuring a successful and strong reconnection with the deep core and pelvic floor and helps with pelvic stability. By laying strong foundations and correcting postural alignment, you can achieve better results when it comes to overall strength, muscle tone and achieving your fitness goals. After getting clearance to exercise from your LMC at your six week check-up, this circuit will help you reconnect and strengthen muscles that are weak, while stretching and releasing muscles that have become tight or overactive.

1. ACTIVATORS STRENGTHENS THE PELVIC FLOOR AND DEEP CORE MUSCLES.

Start by lying on your back with legs hipwidth apart and knees bent. Inhale for two seconds, then as you exhale slowly, lift all of your pelvic floor muscles with a vaginal lift, stopping pee and a pinch at the back stopping wind. At the same time activating your deep core by imagining your hip bones drawing together. Hold the contraction for the entire exhale of breath, and then release completely, feeling your pelvic floor lengthen and relax. Complete six to 10 repetitions per set, slowly building up reps and sets as strength increases.

2. BAND PULL-APARTS STRENGTHENS THE UPPER BACK AND SHOULDER MUSCLES.

Hold a resistance band in front of you with outstretched arms shoulderwidth apart at shoulder height. Set your shoulders back and down and engage your core before pulling the band apart taking your hands out the side until the band makes contact with your chest. Squeeze your shoulder blades together at the back holding the contraction for one second Then slowly reversing the movement. Complete eight to 10 repetitions.

3. GLUTE BRIDGE STRENGTHENS GLUTES, HAMSTRINGS AND DEEP CORE.

Lying on your back with legs hip-width apart, knees bent and heels close to your bottom. Tilt your hip bones towards your ribs as you push through your heels, lifting your hips up while keeping your ribs down. Squeezing your glutes at the top of the movement for one second and slowly lowering the hips down to the starting position. Complete 10-15 repetitions.

4. SIDE-LYING BANDED CLAM STRENGTHENS GLUTE MEDIUS.

Lie on your side with a band above the knees bending them to a 45-degree angle. Make sure heels are in line with the bottom and legs and hips bones stacked. Keeping your feet in contact with one another, engage your core as you raise your upper knee as high as you can, without rotating at the hips or pelvis. Slowly and with control return the knee back down to start position. Complete 8-10 repetitions.

HOW TO CHOOSE POSTPARTUM ACTIVEWEAR

CHOOSE BREATHABLE TOPS

WEAR LEGGINGS WITH CORE SUPPORT Your tummy may still be a bit jiggly and shrinking down postpartum, so choose postnatal recovery tights or highwaisted compression tights to help speed up recovery and assist with postnatal issues such as pelvic girdle pain (see page 24) or diastatis recti. But don’t let those high-waisted pants make you forget about focussing on your core strength!

cute outfit

It’s a good idea to pick tanks and singlets that are breastfeedingfriendly and made from breathable, sweat-wicking materials – such as polyester and nylon. These fabrics allow you to stay comfortable and cool during your workout.

FIND A BRA THAT FITS An ill-fitting bra can cause discomfort, swelling and even mastitis, so it’s important you get the right size. Your bra should have wide straps and complete coverage for support, no underwires, and seams that expand and contract with you as you breathe. It’s also a good idea to choose a sports bra with an adjustable back and straps – and when choosing low, medium or high impact, more is more.

Harmony Nursing Bra, $59.99, and Ultra 7/8 Postnatal Leggings, $59.99, gomamamaternity.co.nz CLIQUE Power Compression Tights, $109, and Super Support Bra, $79, cliquefitness.com Pregnancy BUMP & baby

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helpful resources

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Birthing ba g It’s a good idea to pack a bag in case of an emergency – or simply to have all the essentials together in one place when you give birth. MUM

Books/magazines

HOME COMFORTS

Pyjamas or night shirt, preferably one that buttons up in front (at least two pairs)

Cash/credit cards/wallet

Take your own pillow and pillowcase to the hospital or your birthing centre. It’ll bring you comfort and might even make it easier to drift off to sleep in the minimal moments you’ll get.

Dressing gown Nursing bras x 3 Bikini/tank top (water birth option) Cotton knickers x 10 Socks Slippers Drink bottle Portable speakers, earpods (hypnobirth, music) Sandals (for the shower) Clothes to wear home (alas, still your pregnancy clothes, because even after the baby’s out, your tummy will be still be swollen) Toiletries (your usual overnight stuff)

A few pairs of big granny undies (high-waisted) because if you have a C-section you don’t want the elastic to rub the stitches

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BABY Car capsule or car seat (already installed and ready for the baby) Blankets x 2 Muslin wraps x 2 Baby bodysuits x 4 Socks/booties x 2 Beanie

Make-up (to be honest, you probably won’t bother with it, but just in case)

Going home outfit

Breast pads and nipple cream

Nappies and baby wipes

Any medications or vitamins you are taking

Bottles/formula/steriliser if you plan to bottle-feed

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Copy of your birth plan

PARTNER

List of people and numbers to call after birth (store them in your phone)

A change of clothes, toiletries (toothbrush, deodorant), water bottle, some snacks and water, something to read, money for the parking meter (and for the vending machine!). Phone/camera.

Snacks and bottles of water Camera (with extra batteries or charger) Mobile phone and charger

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Maternity pads (these should be supplied by the hospital, but you’ll feel better knowing you have them available)

Pregnancy BUMP & baby

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REFRESHMENTS If you "run hot", take a mini fan, face cloth, or face mist to keep you feeling refreshed during contractions, in labour, and in the days following.

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handy tips Toiletries: Free up room in your bag with miniature toiletries or decant what you have into smaller containers. Clothing: Don’t assume your little bundle will fit "newborn" baby clothing. If they’re overdue or simply on the larger size, they might already be ready for the next size up! (See the size guide below.)

NEWBORN

0-3 MTHS

SIZE: 0000 WEIGHT up to 4kg

SIZE: 000 WEIGHT up to 6kg

ANTENATAL CLASSES College of Midwives auckland.midwife.org.nz/ for-birthing-women/antenatalclasses

introduction to

ULTRASOUND

Nest Parenting & Education nestpregnancyand parenting.co.nz ANXIETY/DEPRESSION Depression Helpline 0800 111 757 depression.org.nz Lifeline 0800 543 354 lifeline.org.nz

Support

Mental Health Foundation mentalhealth.org.nz Mothers Helpers mothershelpers.co.nz Perinatal Anxiety and Depression Aotearoa pada.nz APPS BreastfedNZ Māmā Aroha BREASTFEEDING BreastFed NZ breastfednz.co.nz BreastfeedingNZ Facebook page facebook.com/ breastfeedingnz Feeding and Work womens-health.org.nz Lactation Consultants nzlca.org.nz La Leche League lalecheleague.org.nz Plunket plunket.org.nz Women’s Health Action infantfeedingsupport.org.nz C-SECTIONS Your Caesarean Section Birth yourcsection.co.nz/home/ electivesections CAR SEAT SAFETY Car Restraint Technician nzta.govt.nz New Zealand Transport Agency nzta.govt.nz Safe 'n Snug safensnug.co.nz Sit Tight Education sittight.co.nz

se rvices CHILD’S HEALTH Kids Health kidshealth.org.nz PlunketLine 0800 933 922 plunket.org.nz DOULAS Bespoke Births bespokebirths.co.nz New Zealand Doulas nzdoulas.nz GENERAL HEALTH Healthline 0800 611 116 Health Navigator healthnavigator.org.nz Ministry of Health health.govt.nz IMMUNISATION COVID-19 health.govt.nz Immunisation Advisory immune.org.nz MIDWIFERY Find Your Midwife findyourmidwife.co.nz MISCARRIAGE Miscarriage Support NZ miscarriagesupport.org.nz Sands sands.org.nz PARENTAL LEAVE & BENEFITS New Zealand Government govt.nz/browse/work/ parental-leave

Work and Income NZ workandincome.govt.nz/ eligibility/children/having -a-baby PREGNANCY Kellymom Parenting & Breastfeeding kellymom.com Pregnancy Counselling Services pregnancycounselling.org.nz Pregnancy Health NZ pregnancyhelp.org.nz SINGLE PARENT SUPPORT SERVICES Auckland Single Parents Trust heartsandminds.org.nz Birthright birthright.org.nz Solo Parent Support workandincome.govt.nz/ products/a-z-benefits/soleULTRASOUND SUPPORT SERVICES Ministry of Health health.govt.nz/publication/ new-zealand-obstetricultrasound-guidelines WOMEN’S HEALTH National Women's Health nationalwomenshealth.adhb. govt.nz Women’s Health Action womens-health.org.nz YOUR RIGHTS Maternity Rights NZ maternity.org.nz

As explained by midwives.co.nz, an ultrasound scan uses sound waves to create a picture of your baby in the uterus. "Scans" are carried out by trained professionals (sonographers) and the main purpose of a pregnancy ultrasound scan is to check your baby’s anatomy, growth, and development – and to check for other things such as the placenta placement. Each pregnancy is different, and depending on your own personal circumstances, you may have additional tests and scans; however Wellington Ultrasound list these as the most common scans for New Zealand mums-to-be: FIRST TRIMESTER SCREENING OR NUCHAL TRANSLUCENCY (NT) WHEN: 11-13 weeks WHAT: Nuchal translucency is a measurement of fluid behind a baby’s neck. It’s a non-invasive screening tool to see how likely it is that your unborn baby could have a chromosomal abnormality. ANATOMY SCAN WHEN: 19-21 Weeks WHAT: A thorough check of your little one’s anatomy and growth/development. Some birth defects cannot be diagnosed early in pregnancy, but most can be picked up at this scan. Fortunately, these defects are rare.

GROWTH SCAN WHEN: Closer to your baby's due date WHY: To track your baby’s growth to ensure that the baby is born at the optimum time for their wellbeing. The placental function, placement, and the level of amniotic fluid – among other things – are checked at this time.

Pregnancy BUMP & baby

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helpful resources

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A new

language

A super-quick lesson in pregnancy lingo. You’re welcome!

amniotic fluid – the liquid that surrounds a baby in the uterus (commonly called "waters") amniotic sac – the sac that surrounds the baby, inside your uterus anaesthetic – an administered drug that gives total or partial loss of sensation of a part or the whole of the body anaesthetist – a doctor who specialises in giving the anaesthetic to a patient antenatal – meaning "before birth" (also called "prenatal" and "antepartum") APGAR score – a test given one minute after a baby is born, then again five minutes later, that assesses a baby’s appearance, pulse, grimace (reflex), activity (muscle tone), and respiration. A perfect APGAR score is 10; typical APGAR scores are seven, eight, or nine. A score lower than seven means that the baby might need help breathing birth canal – the cervix and the vagina. the route that the baby travels through to be born birth plan – a written document describing a woman’s preferences for her care during labour and birth Braxton Hicks contractions – a tightening of the uterus that feels like a labour contraction. Braxton Hicks contractions are not painful and do not get stronger and closer together like true contractions

breaking of water – when a healthcare practitioner bursts the sac holding the amniotic fluid using an instrument with a pointy tip. Often used to speed up a labour that has slowed breech – when the baby is positioned inside the uterus with its bottom or feet down (instead of its head) Caesarean section – a surgical procedure where a baby is delivered through a cut in the abdomen and uterus (also called C-section) cervix – the narrow, lower end of the uterus that softens during labour to allow the baby to come out contraction – strong and often painful tightening of the uterus, indicating that the cervix is dilating as well as helping the baby make its way out crowning – a point in labour when the baby’s head has reached the external vaginal opening and can be seen from the outside dilation – the opening of the cervix, usually measured in diameter from 1 to 10 centimeters embryo – a fertilised egg from the time of conception until week eight of pregnancy epidural – an anaesthetic that can be used in labour where drugs are used to numb the lower half of the body for birth pain relief first-degree tear – a tear involving only the perineal skin (adjacent to the vaginal opening) that occurs at the time of delivery

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first trimester – weeks one to 14 of pregnancy fontanelles – soft spots on a baby’s head that allow its skull to compress during birth so it can pass through the birth canal forceps – instruments shaped like a large tong that is placed around the baby’s head to encourage the baby through the birth canal during childbirth full-term – 37 to 42 weeks gestation/ pregnant gestation – the length of time that a baby is in the uterus home birth – labour and birth that takes place in someone's home, under the supervision of a midwife induced – when a professional tries to artificially "kick-start" a woman’s labour jaundice – when a baby's skin and the whites of their eyes appear yellowish, caused by an excess of a chemical called bilirubin in the blood labour – the process a woman’s body goes through when her baby is born lactation consultant – a professional trained to give advice and support about breastfeeding and breast milk meconium – a black tar-like substance; baby's first poo midwife – someone who has been specially trained to care for women physically and mentally during pregnancy, labour, birth, and the postpartum period

Nappy morning sickness – nausea, vomiting, and aversions to certain foods and smells. Symptoms are not restricted to morning only multiple pregnancy – when a woman is carrying more than one baby Neonatal Intensive Care Unit (NICU) – an area in hospitals for babies who need high-level medical care post-birth obstetrician – a specialist doctor who has training in pregnancy and childbirth paediatrician – a specialist doctor who has undertaken training in treating children perineum – the area of skin between the anus and vagina placenta – an organ that connects to the wall of the uterus and nourishes the baby during pregnancy, through the umbilical cord postnatal – after the baby is born premature – when a baby is born before 37 weeks of pregnancy

chat

You’ll be changing up to 10 nappies a day in the first month, so it pays to get down with the vocab.

scented or unscented, in travel packs or in big bulk packs you can put into refillable containers.

CLOTH NAPPY Often made of cotton or bamboo, cloth nappies are reusable fabric nappies.

BARRIER CREAM AND NAPPY RASH PRODUCTS Powders, lotions, and creams to help treat and prevent nappy rash and chafing of delicate bottoms and legs.

DISPOSABLE NAPPY A one-use nappy that is thrown out after use. Compostable options available. NAPPY BIN This can be a simple lidded bucket, a pedal-bin with a lid, or even nappy disposal systems where you open a lid, put the dirty nappy in, and turn the top to seal the nappy into its own nappy bag. BABY WIPES You can make your own reusable wipes from terry cloth, or purchase disposable baby wipes which are

SWIM NAPPY Nappies that can be worn in the swimming pool or at the beach, which hold in poo but allow wee to soak through (regular nappies can’t be worn in water because their absorbency would make them too heavy and bulky). NAPPY BAG Totes and backpacks, some with special adapters to hang on the pram, with lots of convenient pockets to hold nappies and

supplies for when you’re out and about. CHANGE MAT Disposable, wipeable, or even washable, these are great for nappy changes on the go, for travelling, and for public restrooms. CHANGE TABLE Special waist-height furniture that makes changing your baby’s nappy more convenient and saves you bending over and straining your back. Caution: Never leave a baby unattended on a change table. WET BAGS Waterproof fabric bags to hold dirty clothing, swimwear, or used cloth nappies. NAPPY WALLET A compact bag to hold one or two nappies and a travel pack of wipes. Great for your handbag or in the car.

second trimester – 14 weeks to 26 weeks of pregnancy special care nursery (SCN) – an area in hospital for babies who need special medical care stretch marks – lines or patterns that can appear on the tummy, breasts, or legs during pregnancy. This happens because the skin stretches TENS machine – Trans-Electrical Nerve Stimulation, a machine used for pain management during labour third- or fourth-degree tear – a tear of the perineum involving the skin, muscles, and anus. Classed as more severe than a first-degree tear

third trimester – From 26 weeks to 40 weeks of pregnancy trimester – a time span of certain months during pregnancy with different phases of foetal development. See "first trimester", "second trimester", and "third trimester" on the previous page/s ultrasound – a scan of the uterus (womb) and baby during pregnancy umbilical cord – a cord-like structure that connects the baby to the placenta, allowing nutrients and oxygen to be carried from the woman to the baby

uterus – a woman’s womb vacuum cap/ventouse – a suction device that can be used during the end of labour to help to pull the baby down the birth canal water birth – when a baby is born submerged in a birthing pool, either at home or at a birthing centre waters – the amniotic fluid that surrounds an unborn baby inside the uterus

newborn+postpartum

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The Peanut Shell Milestone Blocks, $24.95, babybunting.co.nz

Stop

growing up! Whānau Āwhina Plunket (plunket.org.nz) shares some of the milestones your pēpi will reach in the first few months.

our little one can grow quickly. Blink and all of a sudden they’re in your cupboards stealing snacks. It’s fun to watch them learn about the world around them and start interacting with you more. Milestones represent what most children can do at a certain age in terms of their movement, hearing, sight, communications.

DEVELOPMENT IN THE FIRST SIX WEEKS

Your newborn will spend most of their time sleeping, feeding, and cuddling, but they’re learning as they move, watch and listen to the world around them. They can hear, feel, taste and smell when they’re born, but their vision takes a few months to develop fully. In the first six weeks most babies… • Will know your voice and may turn towards it. • May startle when they hear loud noises. • Love looking at your face. • May enjoy seeing toys with faces, patterns, or contrasting colours. • May make eye contact with you and move their head to see where you are. • Will grab your finger if you place it in their hand. • Will automatically turn in the direction of a source of food (breast or bottle) because of their rooting reflex.

DEVELOPMENT FROM SIX WEEKS TO THREE MONTHS

By three months most babies will… • Listen to your voice and other sounds. • Try to communicate by making sounds. • Stop moving to listen to new sounds. • Wake or stir to loud sounds. • Blink or cry when there’s a sudden noise.

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Baby Book (available in various colours), $57, foxandfallow.com.au

Funny Bunny Kids "My First Milestone" Plaques, $69, littlewhimsy.co.nz

is looking at you, look back at them. Eye contact is important for bonding, so spend lots of time gazing at your baby. When they look away from you, they’re telling you they’re tired and need a rest. Play! Your baby will enjoy looking at your smiling face, listening to you sing, make funny faces, and blowing raspberries. Give your baby a massage. This helps you connect with your child. Give them space to stretch and move their arms and legs. Let your baby have tummy time when they’re awake, to help the muscles in their back and neck strengthen – but always stay with your baby during tummy time to keep them safe.

• Focus on and follow people and objects in the room. • Close their eyes against a bright light. • Smile at you without being touched or spoken to. • Stare at people’s faces. • Smile and coo. • Watch your face, and try It’s important to respond to speech. BUT REMEMBER… to note that • Like listening to sounds It’s important to note that children develop children develop at different and voices. • Start changing their coo at different rates rates and there is a wide range of “normal”. Comparing your to a babble. and there is a baby to other tamariki can be • Hold their head up. wide range of stressful and may cause you to • Lift their head for a short time when lying on the floor on worry unnecessarily. “normal”. their tummy. If your baby isn’t developing social, communication, or THERE ARE A FEW THINGS YOU physical skills at the same rate as most CAN DO TO HELP YOUR BABY other children their age, chat to your LEARN AND DEVELOP Plunket nurse, other Well Child health Read, tell stories, talk or sing to provider, or doctor about your concerns. your child. It’s a great way to bond You may have nothing to worry about, but it’s important to detect any developmental and helps them to get familiar with sounds and words. issues early as it helps ensure your child gets Make eye contact. If your wee one the support they need.

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