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Dr. Tovah Klein, affectionately called a ‘Toddler Whisperer’ by her many fans, shared her insights with Motherly about the science of early childhood development, how to navigate challenges like potty training and bringing home a new baby, and her advice for over-extended new parents.


Can you help us understand the science (biological & social) underlying the deep bond between mother and child?

Newborns are biologically set up to attach to a caregiver, ideally a loving, sensitive and responsive one.

Early bonding

Mothers also have hormonal systems in place that encourage and support this growing bond. This earliest relationship literally molds the baby’s brain and begins her journey of becoming a person.

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Attachment

The relationship provides the context where the infant becomes attached to the mother as she responds to the infant’s cues for love, nurturance, comfort and care. The back and forth of the mother responding to and taking joy in her baby establishes the model for the child’s future relationships and sense of self.

Learning love

In a loving relationship, the child learns how to love and to be loved, the basis of both becoming one’s own person and learning to care for and be compassionate to others. Years of developmental research and newer neuroscience findings show the underpinnings of how this develops.

Independence

During this early part of life, a baby’s brain is molded by loving care that forms the basis for the infant growing into the toddler who will be capable of separating and becoming independent (“my own person”).

Trust

The paradox is that the baby must be attached first in order to feel safe enough to separate and go out in the world. The reason a toddler can start to explore the exciting world around them is that they have built trust that “I am not alone in the world.”

Security

The young child can go out and explore knowing that they have a secure base (mommy or daddy) to return to for comfort and care. It is a powerful relationship and provides the key to the deeply forming self.

Recent research shows that 90% of a child’s brain growth is complete by age five. What are the most impactful things parents of toddlers can do to plant the seeds for lifelong success?

A loving, stable, caring relationship is the most important base a parent can provide. 

Needs

Before a child can be excited about learning, she has to feel safe and that her needs (emotional and physical) are taken care of. This happens starting at birth, and from there the child moves out in the world with curiosity and desire to learn. I don’t mean to worry parents by saying that so much of the brain growth happens before age five.

Growth

In fact, there is room for change and growth in the brain after five; but the base gets established. The firmer the base, the better able the child is to negotiate their environment, to handle life’s ups and downs, to grow and learn.

The early years

What it means is that the early years matter a lot. The most crucial piece of what matters is how the young child is treated, responded to and loved by the parents.

Emotions

When children feel secure and safe in who they are, they are set up to develop the ability to relate well to other people and care about them, to handle their emotions and control their impulses, to pay attention and try new things, to get back up when they fall down and to develop confidence.

These are essentials for growing up and for being part of a community.

“A baby’s brain is molded by loving care.”

Many children welcome new babies to the family while in their toddler years, what’s the best way to prepare a toddler for a new sibling?

This is both a joyful, exciting time for a family and a trying time, as it means big change. Toddlers are little, and it is hard for them to understand what is happening when a new baby comes into the family.

Preparation

In terms of preparation, I advise parents not to over-prepare the child. Yes, this is an exciting time and parents and grandparents are excited. But children have very little sense of time, so the earlier they know a new baby is becoming, the more anxious they can be. A child of four or five will be better about waiting for the arrival, but still can get worried.

Conversation

Don’t over-talk it; and if it is a child under age four, wait even longer to tell them. I work with parents who have waited until the final month of pregnancy to tell the two-year-old. It is hard for them to not say anything, but then they are so relieved they did, for the child’s sake.

Prepare the little one by saying something like, “in a while we are going to have a new baby in our family. But you (toddler) will still be our baby, and mommy and daddy will always take care of you.”

Toddlers are self focused, as they should be at this age, and the main thing is to assure them that they will still be with you. You will still be their mommy and daddy.

Reassurance

Close to the due date, let the toddler know that soon the doctor/midwife will help the baby come, mommy will be going to the hospital for a few days and tell your child who will stay with them and take care of them at that time. Then reassure them of the one thing they really want to know—that mommy will come back. (Dr. Klein shares more in a Baby Chat TV video you can watch here.)

Potty training is at the top of the stress list for most parents of toddlers. What are some of the biggest mistakes to avoid?

The mindset a parent takes into this process is more important than anything.

The biggest mistakes are thinking it happens right away or worrying it will never happen. Neither is true. Most parents seem to know someone who breezed through potty training.

It’s a process

Lucky for you if that occurs; but most often it is a process, with accidents and setbacks. It takes time for a child to make this leap.

There is no shame

The biggest mistake to avoid is shaming the child. Your child knows you want him out of diapers and he wants to please you. But it is a big step for a child to take. For some children, learning to use the toilet is harder than for others. Do not ever shame them for it.

Learning

Instead, let them know that accidents happen and you will keep helping them learn. If your child resists a lot, it may be a time to step back, let them know you will try another time. No shame. No blame.

You talk a lot about the importance of creating routine for toddlers in your book, what does that look like and how do we balance that with not creating a rigid or inflexible child?

Children have no sense of time. The toddler brain does not have the structures in place for time.

That is hard for an adult to imagine. We organize our lives around schedules, dates and time. The reason routines are important is they help organize the child’s day and also provide a feeling of security and control as in, “I know what happens next; I am part of this.”

Routines

Routines should be for anything you do daily: getting dressed, brushing teeth, mealtimes, bedtimes, getting out the door in the morning. That way, the child learns what to expect and does not feel as if suddenly things shift without them knowing what is going on. I view routines as a ‘roadmap,’ a set of goal posts that guide the child. They have an order but need not be rigid.

Rituals

For example, a bedtime routine can be bath (‘pick two toys to put in the tub’ gives a child some control), drying off, pajamas, books, cuddles and lullaby, kisses and good-night. Some children like to arrange their animals in bed or have a blanket put on them. That becomes a final ritual before sleep. What the routine does is help a child move forward in a similar way each night.

Flexibility

Flexibility comes from different parents having a slightly different way, or maybe tonight there is no bath so you do extra cuddles. The routine can vary slightly, such as when visitors are there. Going back to it the next night brings comfort and teaches the child it is okay to do it differently at times, the routine will return.

Change

Beware! Two- and three-year olds (and even older) can be very attached to a routine and thrown off it changes. They get better at flexibility in time. The more that routine is followed, the more flexibility will follow. Routine is ‘home base’ for them. It is what they know. And that brings comfort.

We’ve found that a lot of moms are overwhelmed with contradicting parenting advice on nearly every topic, what is the one piece of advice about raising toddler’s that you think is universal?

Your child is little now and that will pass quickly. Love and acceptance of your own ups-and-downs as a parent and of who your child is goes a long way in raising children. There will be good parenting moments and not so good ones. The world is not a perfect place, and that holds true for being a parent.

Relax

If you can step back, exhale and relax a bit, you will trust yourself more. I am a ‘parenting expert’ yet I can tell every parent that there is no one right way to be with a child.

Every child is different

I know this from my own experience as well of raising three children, each with different needs and personalities. There are hallmarks, such as loving, responsive care, but there is no single ‘how-to’ that fits every child.

Trust yourself

Try not to get overwhelmed by all the information and ask yourself what you feel will work, what you can trust yourself to do. Too much information can undermine trust in ourselves. Have humor, a lot of it. Kids are fun and funny. Enjoy them, knowing that whatever they are doing now that is driving you crazy will likely pass.

Is there anything else you’d add about the wonderful ‘toddlertopia’ of early childhood?

The toddler years are both wonderful and trying. It is because the child is new to the world, has so much to discover, and so much they want to do. But they are limited by their own inabilities and still developing skills, brain and mind as well as the reasonable limits and boundaries you establish.

Try to look at the world through their eyes, rather than adult eyes, and you will see the wonder and curiosity they experience.

It will help you enjoy this time more. It passes fast.

Finally, keep in mind that there is much to learn and see in their toddler world and that can overwhelm them, too. They need you.

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As a former beauty editor, I pride myself in housing the best skincare products in my bathroom. Walk in and you're sure to be greeted with purifying masks, micellar water, retinol ceramide capsules and Vitamin C serums. What can I say? Old habits die hard. But when I had my son, I was hesitant to use products on him. I wanted to keep his baby-soft skin for as long as possible, without tainting it with harsh chemicals.

Eventually, I acquiesced and began using leading brands on his sensitive skin. I immediately regretted it. His skin became dry and itchy and regardless of what I used on him, it never seemed to get better. I found myself asking, "Why don't beauty brands care about baby skin as much as they care about adult skin?"

When I had my daughter in May, I knew I had to take a different approach for her skin. Instead of using popular brands that are loaded with petroleum and parabens, I opted for cleaner products. These days I'm all about skincare that contains super-fruits (like pomegranate sterols, which are brimming with antioxidants) and sulfate-free cleansers that contain glycolipids that won't over-dry her skin. And, so far, Pipette gets it right.

What's in it

At first glance, the collection of shampoo, wipes, balm, oil and lotion looks like your typical baby line—I swear cute colors and a clean look gets me everytime—but there's one major difference: All products are environmentally friendly and cruelty-free, with ingredients derived from plants or nontoxic synthetic sources. Also, at the core of Pipette's formula is squalane, which is basically a powerhouse moisturizing ingredient that babies make in utero that helps protect their skin for the first few hours after birth. And, thanks to research, we know that squalane isn't an irritant, and is best for those with sensitive skin. Finally, a brand really considered my baby's dry skin.

Off the bat, I was most interested in the baby balm because let's be honest, can you ever have too much protection down there? After applying, I noticed it quickly absorbed into her delicate skin. No rash. No irritation. No annoyed baby. Mama was happy. It's also worth noting there wasn't any white residue left on her bottom that usually requires several wipes to remove.


Why it's different

I love that Pipette doesn't smell like an artificial baby—you, know that powdery, musky note that never actually smells like a newborn. It's fragrance free, which means I can continue to smell my daughter's natural scent that's seriously out of this world. I also enjoy that the products are lightweight, making her skin (and my fingers) feel super smooth and soft even hours after application.

The bottom line

Caring for a baby's sensitive skin isn't easy. There's so much to think about, but Pipette makes it easier for mamas who don't want to compromise on safety or sustainability. I'm obsessed, and I plan to start using the entire collection on my toddler as well. What can I say, old habits indeed die hard.

This article was sponsored by Pipette. Thank you for supporting the brands that support Motherly and mamas.

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I was as prepared as I could be for my body to run the marathon that is childbirth, yet it turned out to be more like a sprint.

You see, I gave birth in a car—and I felt invincible.

During pregnancy, I chose to create a positive experience. I sought all the research I could. I watched birth videos and documentaries, read birth stories, learned about the stages of labor, recorded coping techniques, drank red raspberry leaf tea, and ate all the dates. I sought care, prepared my cookies and teas, gathered breastfeeding cream, a pump, and belly bind. I folded baby's diapers and clothes, praying for those important first weeks.

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Perhaps the most important thing I did was to join a due date group with like-minded mamas to learn and grow with, and to share all the information, research and tips we could.

Much of my preparation was mental and spiritual prep-work. I read tons of books about birth, including faith-based books about labor, a practical guide to an "emergency" birth, and a natural pregnancy and childbirth guidebook. (And yes, I did end up using knowledge of each of these resources!)

Each of my two births were very different. With my first child's birth, I did not know much about birth or my options. My water broke at the onset of labor and I labored grudgingly in the one hour car ride to the hospital. Once there, I begged for an epidural.

This time around, though, I approached labor differently.

I chose to experience unmedicated labor, even though it isn't an easily understood decision. There were so many unsolicited opinions from people about what I should do with my body, and it was hard to not feel bombarded with all of the negative talk surrounding birth. But by having the support of the due date group and learning the wisdom that has been passed down in generations about childbirth, I wasn't deterred in my decision.

I knew that I needed to focus on not being overtaken by the potential overwhelm of birth. I remembered that I had a right to informed consent and that I could find kind of positive help I needed to give birth the way I knew I needed to. I chose to memorize biblical and positive affirmations to recite during birth to help calm myself through the contractions, and focus on what's at hand, rather than panic.

Labor began

The day my son came, I woke up before the sun at 4am and headed for the bathroom. I felt nauseous and achy like I was going to throw up and have diarrhea all at once. It was a very distinct, disgusting feeling throughout my body. Yet even with that feeling, I was in denial that labor was really starting.

My water was intact, and I was expecting my water to break at the onset of labor, as it did with my first. I was having some contractions, although extremely erratic. They were not consistent with clockwork, but they didn't stop, either. I would have a contraction that lasted five seconds, then a break for 20 minutes. Another contraction, this time for 20 seconds, and a break for seven minutes. I tried using an app to track and time the contractions for a bit, but ultimately that proved to cause more anxiety than peace.

So I turned the app off, and focused on being present. I was so calm. I let the contractions come and go. My family didn't even know I was in labor until they woke up with the sunrise! (I didn't want to wake everyone up—silly me, being in active labor!)

I was grateful to labor on my own in a quiet house in the early pre-dawn hours before the house and outside world woke up. I kept my composure, breathed through contractions, read and prayed, and let the birth process happen on its own.

When the contractions did not stop, I realized this was the real thing.

Once everyone was awake, I realized that I should probably be doing more to prepare, like get to help! We haphazardly packed a bag and rushed out the door to drive an hour to the place chosen to have our baby. I was not excited for that long car ride. I remember laboring in the car before, and it was miserable for me. I also knew how quick my past labor had been, and had this deep feeling, perhaps a mother's intuition, that we wouldn't make it to our destination in time.

I knew that this labor was progressing very quickly, and the baby was going to be born soon. Yet we went.

Giving birth in the car

My family got into the car and we drove, planning to meet more family at the hospital to take over the care of our toddler for a few days.

I labored in the car for 40 minutes until the ring of fire came. I knew what this meant: He was crowning, and we had to park. I tried to get into the best squat position I could, facing the seat, relieved that the car had stopped at this point. I repeated my affirmations over and over, and tried to focus on staying as calm as possible.

And he was born in the car, in the back of a small town grocery parking lot.

My baby was 6 pounds and 6 ounces, born at 9:15 in the morning, as I was facing the seat backward and squatting in the passenger seat of the car.

I didn't really push. A combination of by body's contractions and gravity seemed to do all the work. I was squatting upright, and the baby to just sort of plopped out. Head first into the car seat, with my hand to guide his head down, and a bit of the cord and fluids followed.

I attempted to squat fairly awkwardly in the seat to hold my fresh son and rub the vernix into his sweet skin. We were in love, and I felt invincible. I immediately felt relief of all the pain and tension. The rush of oxytocin and hormones from birth made me feel on top of the world. (In that moment, I almost forgot that my toddler was in the backseat watching, eyes wide open—he was so quiet!)

The ambulance was called, we were checked out, and all was well. I waddled to the ambulance while the EMTs held towels around me and baby. They needed to take me to the hospital to make sure we were okay. I sat in the back of the ambulance stroking my baby, relieved to have more space to stretch out.

At the hospital, we sat in a room for a while until they figured out what to do with us, since the baby was already here. We stayed overnight and I reflected on the birth as I could.

Reflecting on my car birth

In some ways, I was sad. This is not what I wanted first moments with my son to be like. Although I was prepared for birth and felt incredible afterward, I felt sort of exposed to the world during the process. My body was depleted—and ultimately, my baby was born in the car (not exactly something that was on my bucket list).

I felt grief for the way (or rather, place) that my labor happened. But I was also thankful for a powerful, unmedicated birth. I grieved the loss of expectations, while being thankful for the reality. And that's okay.

I did it. We did it. This birth was a sprint, not the marathon so many women talk about.

Nothing about my labor and contractions were predictable. I did not have much knowledge about birth before I was pregnant, but the preparation during my pregnancy helped me feel more at ease. Despite the situation, I didn't feel that it was challenging. I felt able, or at least as able or prepared as any mother can be, for labor.

The feeling of being in labor is indescribable—the juxtaposition between pregnancy and postpartum, the time in labor where you are in the hyphen of here and there, a time that forever changes your life and family.

It was truly vulnerable and powerful—an unusual presence of two feelings that left me over-the-moon. As soon as my son was born, the feeling of pain was gone, just like that. And in its place was exhilaration; a rush of adrenaline and awe. I did it completely on my own, in the front passenger seat of the car!

Our bodies are absolute miracles. I grew into a mother of two that day, and with that, my new mission was born: to help other mothers learn and experience the feeling of being empowered by your birth and labor, not in fear of it. I decided to become a birth and postpartum doula, to empower, coach and be alongside other mothers in their own journey in birth and motherhood.

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Life

For starters, this article is not to be confused with 10 ways to win a power struggle. I know, I'm disappointed too, but there is no way to win a power struggle with a 3-year-old. They can refuse to put on their shoes all day—they have nowhere better to be!

More importantly, you don't necessarily want to win a power struggle. Sure, you may occasionally triumph in a battle of the wills with your child, but I doubt either of you will emerge from the experience feeling good about yourselves or your relationship.

Plus, as nice as it would be to have our children just do what we ask without argument, our goal isn't to raise little people who blindly follow orders. Rather, we want to raise children who are able to compromise, accept advice and guidance and follow a trusted authority.

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What we can think about is how to make the most of the inevitable power struggles we find ourselves in with young children, and how to come out of them with our relationship intact.

Here are 10 ways to turn power struggles with your toddler into a win:

1. Demonstrate how to compromise

One of the best ways to teach children how to be kind and reasonable in their interactions with others is through modeling. I know, no pressure, right?

Instead of standing over them and yelling at them to pick up their toys while they sit there with their arms crossed giving you the evil eye, try offering to put away the blocks while they put away the dolls. Or, try offering them five more minutes before clean up time. Extend the olive branch and see if you can gain their cooperation rather than their obedience.

In time, you can involve your child more in coming up with the solution. Say something like, "I want you to clean up your toys and you don't want to. What's a compromise we could use here?"

2. Model empathy

It can be really hard to show empathy for something that seems completely ridiculous to us. Can you really have empathy for someone refusing to eat their breakfast because you gave them the blue spoon? Maybe not.

But you can show empathy for how hard it is to not get what you want, or to not have the control you wish you had over your own life. You can say something like, "I know the red spoon is your favorite. It's hard for you when it isn't clean."

This shows our children that we see and care about how they're feeling, and it is often enough to help them move on.

3. Show the strength of your relationship

Perhaps the most important win that can come out of a power struggle is a stronger relationship. Power struggles are incredibly draining for us and for our children, and it can be hard not to emerge from it angry and tired.

Once you've recovered, spend some time repairing your relationship and let your child know that, no matter what, you still love them for exactly who they are.

4. Model how to apologize

At some point you will inevitably lose your temper over a power struggle you have with your child. It's almost impossible not to. When this happens, it is a great opportunity to show your child how to apologize.

While making children say "I'm sorry," doesn't teach them remorse, when we apologize it teaches the importance of admitting when we do something wrong.

You might say something like, "I'm sorry I yelled at you earlier. I was so frustrated when you wouldn't put on your shoes and we needed to leave, but yelling wasn't a good choice. May I give you a hug?"

5. Teach them to read their bodies

Children frequently become argumentative when they're tired, hungry or thirsty. They are not good at reading their own body's signals, yet the way they feel physically dramatically affects their behavior.

When you find your child buckling down and refusing everything you ask them to do, teach them how to pause and scan their body. Explain to them that when they are feeling this way, it is sometimes because they haven't eaten or rested in a while.

Teaching your child to be in tune with their body is a lesson that will last well beyond the stage of power struggles.

6. Let them learn from natural consequences

Many power struggles center around things we ask our children to do for their own good. We ask them to bring a coat so they won't be cold. We ask them to use the potty so they'll be comfortable. We ask them to do their homework so they don't get in trouble at school.

Next time you feel a power struggle coming on, ask yourself what would happen if your child didn't do what you asked. Is there a natural consequence that would be meaningful, but not harmful? If so, let the situation unfold.

You might say something like, "I think you should wear a coat so that you're not cold, but it's your body, you can decide."

Later, when they're too cold and have to leave the park, you can talk about what happened. Sure, your child will be mildly uncomfortable for a while, but you will avoid a daily power struggle about coats.

7. Show them it's okay to change your mind

Some rules are really important and we simply cannot back down. Other times, you may make a minor request in passing, only to set off a monumental power struggle. Do you have to stick to what you said simply to avoid backing down to your unreasonable child?

No, of course not, what message would that send?

If something isn't important to you, simply tell your child that you've changed your mind, not out of exasperation, but simply because it's not important to you.

Say something like, "Wow, I can see this is really important to you. You know what, now that I think about it, I'm okay with it if you wear your princess dress to the park, if you're okay with it getting dirty."

This demonstrates that it's okay to give in to what someone else wants sometimes, we don't have to be in a power struggle just to avoid backing down at all costs.

8. Teach respectful disagreement

Power struggles can be an excellent opportunity to teach our children how to disagree, respectfully. After all, there is nothing wrong with our children having a different opinion, we just don't want them to express it by flat out refusal or laying on the floor screaming. You can explain this to your child, offering them an alternative way of expressing their opinion.

Say something like, "Wow, I asked you to get dressed and you really don't want to. You could say 'I'm not ready Mom, may I wait five minutes?'" If your child is already emotional, try having this discussion later when they've calmed down.

9. Practice problem solving skills

Involve your child in coming up with a solution for ongoing power struggles. Do they argue every day about what's for breakfast? Invite them to look through a healthy cookbook with you and choose a new recipe to try.

Do they say no and run away every time it's time to leave the park? Sit down with a pen and paper and involve them in coming up with a good solution for when it's time to go.

This is a great exercise in creative problem solving and children are far more likely to go along with a solution they helped create.

10. Show them they can trust you

In the midst of a battle of wills, it is generally useless to use logic, to explain your reasoning to a child who has already decided that they are, under no circumstances, backing down.

Later though, when all is calm and you have both recovered, sit down with your child and explain why you were asking them to do something.

Explain that you asked them to get in their car seat because it's so important for safety and you care about them. Explain that you asked them to put their toys away because it's important for your family to have a nice and tidy home to live in.

Explain to them that you always, always, have their best interests at heart, that they can trust you.

The best way to handle power struggles is to avoid them. Still, you are human, and you are likely to get dragged into some power struggles from time to time. When that happens, just try to make the best of it.Your child will likely try to initiate many power struggles, but you don't have to actually join the fight every time. Remember that protecting and repairing your relationship is more important than winning any battle.

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Learn + Play

Meghan Markle is opening up about some of the challenges of pregnancy and life as a new mom. While most of us can't relate to her status as a royal we can totally relate to some of her feelings about motherhood.

Markle was recently interviewed by ITV News at Ten anchor Tom Bradby—and when Bradby asked her how she was doing she kept it real.

"Thank you for asking, because not many people have asked if I'm OK, but it's a very real thing to be going through behind the scenes," Markle said.

ITV News on Instagram: “'Not many people have asked if I’m ok... it’s a very real thing to be going through behind the scenes.' Meghan reveals to ITV’s @tom.bradby…”

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Many moms can relate to this, and it's something we at Motherly have often commented on. People always ask how the baby is doing, but don't always think to ask mama how she is. Of course, we want the people around us to care how our babies are doing, but mom needs to be cared for, too.

Bradby pressed on, asking Markle if it would be fair to say she is " not really OK?"

"Yes," she replied.

The most famous new mom in the world is saying that she is not okay. We applaud her for that because by telling her truth she is no doubt inspiring other mothers to do the same. We don't have to pretend that motherhood is free from stress and struggle. It is hard, even for someone with the resources Markle has.

The Duchess of Sussex has a lot of financial resources, but she has also been highly scrutinized during her pregnancy and early motherhood, which has added to her stress.

"Any woman, especially when they're pregnant, you're really vulnerable, and so that was made really challenging," Markle says. "And then when you have a newborn, you know. And especially as a woman, it's a lot. So you add this on top of just trying to be a new mom or trying to be a newlywed. It's um… yeah. I guess, also thank you for asking because not many people have asked if I'm okay, but it's a very real thing to be going through behind the scenes."

Media coverage of Markle's pregnancy and personal life were a factor in Prince Harry releasing a statement on the matter earlier this month.

"My wife has become one of the latest victims of a British tabloid press that wages campaigns against individuals with no thought to the consequences—a ruthless campaign that has escalated over the past year, throughout her pregnancy and while raising our newborn son," it reads, in part. "There is a human cost to this relentless propaganda, specifically when it is knowingly false and malicious, and though we have continued to put on a brave face—as so many of you can relate to—I cannot begin to describe how painful it has been."

As Prince Harry suggests, there are certain things about Markle's struggle that many of us can relate to. Pregnancy and life with a newborn are hard, and trying to pretend you're okay when you're not (or as Harry calls it, putting on a brave face) can make it even more stressful.

Here's to it being okay for a new mom to say she's not okay.

The rest of Bradby's interview with Markle (and conversations with Harry) will air during the upcoming ITV documentary Harry & Meghan: An African Journey, this Sunday in the UK. Stateside, the doc will air Wednesday, Oct. 23, at 10 p.m. ET on ABC.

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News

Johnson & Johnson announced on Friday that it's initiating a voluntary recall in the United States of a single lot of Johnson's Baby Powder due to low levels of asbestos contamination. In a statement posted to its website the company explained this is a "voluntary recall in the United States of a single lot of its Johnson's Baby Powder in response to a U.S. Food and Drug Administration (FDA) test indicating the presence of sub-trace levels of chrysotile asbestos contamination (no greater than 0.00002%) in samples from a single bottle purchased from an online retailer."

The recall is only for one lot of 33,000 bottles of baby powder. If you have a bottle of Johnson's Baby Powder from Lot #22318RB stop using it and contact the Johnson & Johnson Consumer Care Center at www.johnsonsbaby.com or by calling +1 (866) 565-2229.

Johnson & Johnson stresses that this recall is a precaution and that it can't yet confirm if the product tested was genuine or whether cross-contamination occurred. The voluntary recall comes after years of allegations about asbestos contamination in Johnson & Johnson's talcum powder-based baby powder.

As Bloomberg reported in July, the Justice Department and U.S. Securities and Exchange Commission are investigating Johnson & Johnson due to concerns about alleged asbestos contamination in its baby powder. This came after numerous lawsuits, including a case that saw Johnson & Johnson ordered to pay almost $4.7 billion to 22 women who sued, alleging baby powder caused their ovarian cancer. In July 2018, St. Louis jury ruled the women were right, but what does The American Academy of Pediatrics say about baby powder?

It was classified "a hazard" before many of today's parents were even born

The organization has actually been recommending against baby powder for years, but not due to cancer risks, but inhalation risks. Way back in 1981, the AAP declared baby powder "a hazard," issuing a report pointing out the frequency of babies aspirating the powder, which can be dangerous and even fatal in the most severe cases.

That warning didn't stop all parents from using the powder though, as its continued presence on store shelves to this day indicates. In 1998, Dr. Hugh MacDonald, then the director of neonatology at Santa Monica Hospital and a member of the American Academy of Pediatrics Committee on Fetus and Newborn, told the Los Angeles Times "Most pediatricians recommend that it not be used," adding that the consensus at the time was that "anybody using talcum powder be aware that it could cause inhalation of the talc, resulting in a pneumonic reaction."

Recent updates

A 2015 update to the AAP's Healthy Children website suggests the organization was even very recently still more concerned about the risk of aspiration than cancer risks like those alleged in the lawsuit. It suggests that parents who choose to use baby powder "pour it out carefully and keep the powder away from baby's face [as] published reports indicate that talc or cornstarch in baby powder can injure a baby's lungs."

In a 2017 interview with USA Today, Dr. David Soma, a pediatrician with the Mayo Clinic Children's Hospital, explained that baby powder use had decreased a lot over the previous five to eight years, but he didn't believe it was going to disappear from baby shower gift baskets any time soon.

"There are a lot of things that are used out of a matter of tradition, or the fact it seems to work for specific children," he said. "I'm not sure if it will get phased out or not, until we know more about the details of other powders and creams and what works best for skin conditions—I think it will stick around for a while."

Talc-based baby powder is the variety of baby powder involved in the The Justice Department and Securities and Exchange Commission's investigations and the lawsuits against Johnson & Johnson, but corn starch varieties of baby powder are also available and not linked to increased cancer risks.

In a statement on its website, Johnson & Johnson states that "talc is accepted as safe for use in cosmetic and personal care products throughout the world."

When Motherly requested comment on the recall and the safety of talc a spokesperson for the company issued the following statement:

"[Johnson & Johnson Consumer Inc] has a rigorous testing standard in place to ensure its cosmetic talc is safe and years of testing, including the FDA's own testing on prior occasions--and as recently as last month--found no asbestos. Thousands of tests over the past 40 years repeatedly confirm that our consumer talc products do not contain asbestos."

Bottom line: If you have one of the 33,000 bottles of Johnson's Baby Powder from Lot #22318RB, stop using it.

If you are going to use baby powder other than the recalled lot on your baby's bottom, make sure they're not getting a cloud of baby powder in their face, and if you're concerned, talk to your health care provider about alternative methods and products to use on your baby's delicate skin.

[A version of this post was originally published July 13, 2018. It has been updated.]

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