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Do I need to be screened for Zika infection?


The recommendations about who needs to be screened for Zika virus are constantly evolving and changing. Make sure to share you and your partner’s recent travel history with your provider, and they will guide you based on the most up to date CDC recommendations.

Finally, do not be stressed out by the preconception visit. It may seem like a lot to take in, and a lot of things that can go awry, but if you are going to a preconception visit, you are already ahead of the game in terms of being prepared for a healthy pregnancy and delivery.

You’ve got this.

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Am I at a healthy weight?

If you are overweight or underweight, you may have irregular periods and find it harder to conceive (check out “6 Tips for Getting Pregnant Fast”), and both extremes are linked to pregnancy problems for mom and baby.

Am I at risk of any exposures?

Cats, for example, can carry a parasite called toxoplasmosis, so while only weakly associated with acute infection in humans, to be on the safe side, your partner should clean the litter box during your pregnancy. Also be sure to avoid lead, mercury, radioactive substances (no x-rays or CT scans unless necessary), and certain solvents. If you aren’t sure if it’s safe, ask your doctor.

Does my family history of “x” matter?

Ask around in your family to investigate if any of your relatives were born with a birth defect, had developmental delay, or any other genetic syndromes, and ask your partner to do some digging with his family too. These are things your provider will want to know as certain genetic conditions could be passed on to your kiddos. The preconception visit is the time that you and your partner can be screened (with a simple blood/saliva test) to see if you are carriers of certain conditions, allowing you to take steps to minimize your chances of passing them on.

Choosing to have a baby and start this crazy journey we call motherhood can be one of the most terrifying and most rewarding decisions you will ever make in your life. If you are anything like me, I’m sure that you like to do everything in your power to be prepared for big life events— especially ones that include bringing a new little human into the world.

If you’re wondering why you should have a preconception visit at all, here’s why:

Most of your baby’s organs start to form in the first 3-10 weeks of pregnancy, and about 30% of women don’t have their first prenatal visit until after week 12—long after a lot of crucial development has already occurred. The goal of a preconception visit is to identify any risks to you, the baby, and your pregnancy, and then to minimize those risks and maximize your overall well-being. Take your partner with you, because at this visit, your doctor will ask you (and your partner) all sorts of past health and family history type questions.


With that in mind, I’ve put together 10 important questions you should ask your OB at your preconception visit—

Are the medications I’m taking safe for pregnancy?

Make sure you take a list of ALL the medications, supplements, and vitamins you are taking for your doctor to look over. Some medicines/supplements are known to cause birth defects and you may need to be switched to something else while you are pregnant.

Are my health conditions in good control?

Pregnancy, while generally a state of wellness, can wreak havoc on your body and pre-existing health conditions. High blood pressure, seizure disorders, diabetes, depression, clotting disorders, and hypo/hyperthyroidism are some examples of things that may require special attention or medication adjustments throughout your pregnancy. Also let your doctor know of any surgeries you’ve had or if you ever had problems with anesthesia.

What is a good exercise regimen?

If you already have a workout routine you like, your doctor will most likely tell you to continue. If you do not, they will encourage you to start. Some studies have shown that regular exercise during pregnancy may be associated with reduced risk for cesarean delivery.

Does anything in my obstetric or gynecologic history affect this pregnancy?

If you have a history of irregular periods, abnormal paps, surgery on your cervix, sexually transmitted infections, ectopic pregnancy, terminations, or any other gynecologic surgery, your doctor will need to know. Also be sure to mention any history of recurrent miscarriage, preterm birth, preeclampsia, or gestational diabetes.

Do you recommend a prenatal vitamin?

Most of the time any prenatal vitamin with 400mcg of folic acid will do. However, if you are on certain medications or have a history of a child with a neural tube defect, you may need more folic acid.

Are my vaccinations up to date?

This is important to ask at your preconception visit because some vaccines, like the MMR vaccine (Measles, Mumps, Rubella) and Varicella (Chicken pox), are not safe to receive during pregnancy. However, these infections can cause severe problems with your baby if you were to get them while pregnant, so being immune is best for your health and that of your baby.

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I'll admit it: I love a pretty pink and blue nursery. It sounds overly cliche, but it's really classic. Traditional nursery colors are all well and good, but wouldn't it be cool to incorporate the same colors you love in your living room and bedroom in your baby's room? If you're ready to step outside the box and be a tad darring, we reached out to designers at Decorist to help us reimagine nursery color palette trends to put a spin on our existing designs.

Here are the top new nursery color palettes for 2020:

1. Mint colorways

"What's really popular are subtle mint shades paired with organic neutrals (think textural ivory and wood tones) with soft pops of black and white, creating a soothing retreat for you and your little one," says Decorist designer Meg Weber. When used in its more vibrant shades, mint can add moments of playfulness and it blends itself well to maximalist spaces. "There is a strong case for calling this shade of green, in its more subtle hues, the new grey," says Weber. "It feels updated and can act as a neutral itself while adding more dimension."

Get started with:

Pairings:

2. Blue + yellow balanced with brown + grey

It's important to remember that blue isn't just for a boy nursery, and pink isn't for girls. The color of your nursery is all about colors you like that make you feel good. You want it to be your happy place.

A blue and yellow palette is a great foundation for any nursery. "This color palette is a classic that strangely feels new again with the infusion of brown and gray furniture in fun colors and bohemian accents," says Weber. "The key is to keep a neutral ground so the blues and yellows pop in a modern way and work with bold geometric shapes. This palette is another great gender neutral option that can also grow with your tot."

Get started with:

Pairings:

3. Jewel tones + vibrant tropicals

Jewel tones are officially trending in 2020 and it feels especially fresh when paired with tropical accents and hints of blush. If you're looking for depth in your nursery, go for rich colors like sapphire, topaz, emerald, ruby and amethyst. This palette works best when executed with a maximalist approach, layering color on color and mixing bold patterns with natural materials. If you're new to the trend, and not quite sold on it, start small with a jewel tone rug. Rugs are a great way to add color without fully committing.

Get started with:

Pairings:

4. Neutral Bohemian colors with a touch of terracotta

When it comes to Bohemian colors, you'll want to look to browns, greens and grays. Think of 1970's design when creating a Boho aesthetic—it's all about mixing colors, patterns and textures. "While I'm personally not a huge fan of Boho, I do love the serene and neutral space it creates," says Decorist designer Belinda Nihill. "Layering texture rather than color is such a beautiful way to do so. For boys, I love adding leather and timber to the soft neutrals; for girls, it's the palest of blush tones."

For terracotta colors, you'll want to look for earth tones that land somewhere between orange and brown.

Get started with:

Pairings:

5. Brooding, moody hues

"Brooding hues are also trending across the board in home decor and translate beautifully to nurseries," says Weber. Moody hues like blue, green and gray undertones are soothing and can make both large and small spaces feel extra cozy. They also look lovely paired with dark greys and rust, and can be infused subtly or saturate a room.

Get started with:

Pairings:

We independently select and share the products we love—and may receive a commission if you choose to buy. You've got this.

Lifestyle

It's finally 2020. It's hard to believe but the old decade is over, the new one is here and it is bringing a lot of new life with it. The babies born this year are members of Generation Alpha and the world is waiting for them.

We're only a few days into the new year and there are already some new celebrity arrivals making headlines while making their new parents proud.

If your little one arrived (or is due to arrive) in 2020, they've got plenty of high profile company.

Here are all the celebrity babies born in 2020 (so far):

Laura Prepon is a mama x 2! 

Actors Laura Prepon and Ben Foster share 2-year-old daughter Ella and now share another "bundle of love".

Prepon announced her pregnancy back in October on Instagram:. "We are so excited to announce that our family is growing. Life is beautiful!" and has now announced her birth as well.

"Overwhelmed with gratitude." she captioned an Instagram photo of her baby.

Ashley Graham is a mama! 🎉

A new chapter is unfolding for model and podcaster Ashley Graham, who just announced she and her husband Justin Ervin have met their baby.

The baby arrived Saturday, according to a post made on Graham's Instagram Stories.

"At 6:00pm on Saturday our lives changed for the better," reads the Story. "Thank you for all your love and support during this incredible time."

Graham previously announced that she and Ervin were expecting a son. They initially announced the pregnancy on their ninth wedding anniversary.

Congratulations to Ashley and Justin!

Cameron Diaz and Benji Madden just welcomed a baby girl! 🎉

Surprise! Cameron Diaz and Benji Madden are ringing in the New Year as first-time parents!

"Happy New Year from the Maddens!" reads a birth announcement posted to both Diaz and Madden's Instagram accounts. "We are so happy, blessed and grateful to begin this new decade by announcing the birth of our daughter, Raddix Madden. She has instantly captured our hearts and completed our family."

Raddix Madden is the first child for Diaz, 47, and Madden, 40.

The couple say they won't be posting any pictures of their daughter on social media as they "feel a strong instinct to protect our little one's privacy."

Congratulations to the Maddens! 🎉

Dylan Dreyer of 'Today' is a mom of 2! 

Today meteorologist Dylan Dreyer and her husband Brian Fichera, welcomed their second child, Oliver George Fichera, the first week of January 2020. Oliver joins his big brother Calvin to make the family a foursome.

Dreyer is still recovering from birth but her voice was on TV this week when she called into her show with an update on her new family. "I feel good," Dylan told her colleagues. "I just feel so happy and so blessed."

Caterina Scorsone of 'Grey's Anatomy' now has 3 girls!

Caterina Scorsone of Grey's Anatomy has so much to be thankful for in 2020: She's now a mom of three! The actress announced the birth of her daughter via Instagram, noting that her baby's name is Arwen.

Arwen joins big sisters Eliza, 7, and 3-year-old Paloma, who has Down syndrome. Speaking on The Motherly Podcast last year, Scorsone explained how Paloma's diagnosis made her "whole concept of what motherhood was had to shift."

It is likely shifting again, as any mama who has gone from two kids to three knows.

News

We are constantly absorbing emotions from those around us. That's part of the reason being around kids and teens, with their roller coasters of emotion, can be so exhausting. And when our own hearts and minds are clouded by emotion, we are not showing up and responding with our wisest mind and most open heart.

Our capacity for calm in the midst of a kid's emotional storm offers hope, because it signals that calm is possible in the midst of chaos.

What's happening in your child's brain during a tantrum

Neuroscientist Dan Siegel and parenting expert Tina Bryson creatively describe "downstairs" and "upstairs" aspects of the brain. Our primitive brains—the limbic system and amygdala—are reactive and emotional, driven by impulsive, short-term interests, and primitive drives. This childlike, impulsive, instinctual system lives downstairs.

Meanwhile, the outer cortices of our brains, which enable us to inhibit impulses, slow down, gain perspective, process emotional stimuli, and articulate these stimuli into thought and action, live upstairs. This upstairs area helps us plan, think before we act, take perspective, make moral decisions, and form relationships.

The "wise mind" integrates both our emotional and our rational minds, according to Marsha Linehan, the creator of dialectical behavior therapy. The four aspects of our brains—left, right, upstairs, downstairs—need strong connections to work together to build wise, healthy brains.

During a tantrum, when the amygdala and emotions flare up, it's almost impossible for logic to penetrate our kids' closed-off outer cortices. Helping them settle down from a tantrum to engage their wise mind takes wisdom, compassion, and plenty of patience on our part.

Why children (unlike adults) can't calm down during a tantrum

Our children are not miniature adults—their growing brains are actually incapable of taking an adult perspective on a situation and using that knowledge to calm down.

Remembering this can help us see that tantrums are not methodically manufactured manipulations. A child's tantrum operates at an instinctual level that simply won't respond to reason.

Once we recognize this, we can make more effective choices about responding.

How to respond calmly to a tantrum

Yes, sometimes challenging behaviors are premeditated, and in those cases, we should respond with intention, logic, and clear boundaries or consequences. However, when our kids are experiencing a limbic system meltdown, what they need is connection and calming.

When children descend into lower-brain chaos, parents need to work overtime to first calm our own prefrontal cortex (PFC), which is associated with planning and thinking and is located just behind the forehead—so we can view the situation clearly.

When we show that we've regulated our own emotions, it signals to kids that it's safe for them to calm down. It also models and mirrors to them (often literally, through what are called mirror neurons) how to calm down. Thus, the quickest way to cultivate calm in a child is to practice being calm yourself.

As one meme I recently saw on Twitter says, "Never in the history of calming down has anyone ever calmed down by being told to calm down."

Telling kids to relax doesn't work nearly as well as a soft voice or a gentle touch, both of which turn on the "attend and befriend" response, shut off fight or flight, thin out cortisol, and boost oxytocin, the so-called love hormone.

Once we establish that fundamental connection with our child (or anyone, for that matter), we can open our hearts and minds to each other, see each other's perspective, and move on together.

Once your child calms down, you can move toward processing and planning verbally. Here are some things to try:

  • Continue to engage the PFC by asking what consequence they think would be fair or asking them to reflect on why certain expectations exist in your household.
  • Don't forget your kids' basic needs. That PFC is an energy guzzler—sometimes just a rest or snack is all that's needed to get things up and running again.
  • Sometimes you have to get creative and throw your kid a curveball, maybe literally. In other words, you have to hijack their lower brain by getting them to do something with their bodies—playing catch or doing a few downward dogs.
  • Engage their senses with strong sensory stimuli, like eating a bit of spicy food, smelling or tasting a lemon, or moving to a different room or getting outside.
  • Try to jump-start their PFC with a seemingly random question, like what they want for dinner or what's the name of their best friend's mom.
  • Decrease the dominance of the amygdala with games—a quick round of cards, some fun verbal wordplay, or a checkers match. From there, you can steer your kids back into their wisest minds.

When we interrupt tantrums like this, it's vital that, once things calm down, we address what triggered the tantrum. You don't have to rehash the details of every conflict, but remember that consistency is always key to raising resilient and healthy kids. So if you say you are going to come back to something later, come back to it. This lets kids integrate the experience with their whole brain once it's fully back online.


What's happening in your child's brain during a tantrum

Neuroscientist Dan Siegel and parenting expert Tina Bryson creatively describe "downstairs" and "upstairs" aspects of the brain. Our primitive brains—the limbic system and amygdala—are reactive and emotional, driven by impulsive, short-term interests, and primitive drives. This childlike, impulsive, instinctual system lives downstairs.

Meanwhile, the outer cortices of our brains, which enable us to inhibit impulses, slow down, gain perspective, process emotional stimuli, and articulate these stimuli into thought and action, live upstairs. This upstairs area helps us plan, think before we act, take perspective, make moral decisions, and form relationships.

The "wise mind" integrates both our emotional and our rational minds, according to Marsha Linehan, the creator of dialectical behavior therapy. The four aspects of our brains—left, right, upstairs, downstairs—need strong connections to work together to build wise, healthy brains.

During a tantrum, when the amygdala and emotions flare up, it's almost impossible for logic to penetrate our kids' closed-off outer cortices. Helping them settle down from a tantrum to engage their wise mind takes wisdom, compassion, and plenty of patience on our part.

Why children (unlike adults) can't calm down during a tantrum

Our children are not miniature adults—their growing brains are actually incapable of taking an adult perspective on a situation and using that knowledge to calm down.

Remembering this can help us see that tantrums are not methodically manufactured manipulations. A child's tantrum operates at an instinctual level that simply won't respond to reason.

Once we recognize this, we can make more effective choices about responding.

How to respond calmly to a tantrum

Yes, sometimes challenging behaviors are premeditated, and in those cases, we should respond with intention, logic, and clear boundaries or consequences. However, when our kids are experiencing a limbic system meltdown, what they need is connection and calming.

When children descend into lower-brain chaos, parents need to work overtime to first calm our own prefrontal cortex (PFC), which is associated with planning and thinking and is located just behind the forehead—so we can view the situation clearly.

When we show that we've regulated our own emotions, it signals to kids that it's safe for them to calm down. It also models and mirrors to them (often literally, through what are called mirror neurons) how to calm down. Thus, the quickest way to cultivate calm in a child is to practice being calm yourself.

As one meme I recently saw on Twitter says, "Never in the history of calming down has anyone ever calmed down by being told to calm down."

Telling kids to relax doesn't work nearly as well as a soft voice or a gentle touch, both of which turn on the “attend and befriend" response, shut off fight or flight, thin out cortisol, and boost oxytocin, the so-called love hormone.

Once we establish that fundamental connection with our child (or anyone, for that matter), we can open our hearts and minds to each other, see each other's perspective, and move on together.

Once your child calms down, you can move toward processing and planning verbally. Here are some things to try:

  • Continue to engage the PFC by asking what consequence they think would be fair or asking them to reflect on why certain expectations exist in your household.
  • Don't forget your kids' basic needs. That PFC is an energy guzzler—sometimes just a rest or snack is all that's needed to get things up and running again.
  • Sometimes you have to get creative and throw your kid a curveball, maybe literally. In other words, you have to hijack their lower brain by getting them to do something with their bodies—playing catch or doing a few downward dogs.
  • Engage their senses with strong sensory stimuli, like eating a bit of spicy food, smelling or tasting a lemon, or moving to a different room or getting outside.
  • Try to jump-start their PFC with a seemingly random question, like what they want for dinner or what's the name of their best friend's mom.
  • Decrease the dominance of the amygdala with games—a quick round of cards, some fun verbal wordplay, or a checkers match. From there, you can steer your kids back into their wisest minds.

When we interrupt tantrums like this, it's vital that, once things calm down, we address what triggered the tantrum. You don't have to rehash the details of every conflict, but remember that consistency is always key to raising resilient and healthy kids. So if you say you are going to come back to something later, come back to it. This lets kids integrate the experience with their whole brain once it's fully back online.

Learn + Play

Most nights as I put my daughter to bed, rocking her to sleep in the darkness, I find my mind wandering to all the things I need to accomplish once she's asleep. I can't forget to throw that load of laundry in the dryer. I need to make sure I finish that lesson plan. I really should mop the kitchen tonight if I have time. As a busy working parent, the mental to-do list is never-ending, and my mind is always taking inventory of all that I've accomplished, and all I've yet to get done.

But tonight as I rocked her, I looked down at my daughter's legs, which now stick out past my arms when I cradle her in the rocking chair. I recalled how my arms used to wrap completely around her tiny little body. She used to lie in my arms, swaddled tightly like a little burrito, and her entire body would fit perfectly in my arms. It feels like this was only yesterday.

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I blinked, and somehow my tiny, sleepy newborn became a sweet, but strong-willed toddler.

I stared down at her little face in the darkness, forgetting the list of things I wanted to accomplish once I put her to bed. I watched her eyelids flutter as she fought sleep, and I recalled all the sleepless nights we spent in this rocking chair.

I remembered rocking her back to sleep on that very first night home from the hospital, so overwhelmed with love and joy, but also plagued with exhaustion.

I thought of all the nights between then and now. The tough, sleepless nights—through growth spurts, teething, and colds—and those sweet, easy nights where she drifted to sleep effortlessly and slept the whole night through.

I watched her eyelids become heavy as she drifted off to sleep, and I snuggled her a little tighter and rocked her a little longer. The days have flown by since we brought this tiny little blessing home, and I know that time is never going to slow down.

I know that there will come a day in the not-too-distant future where my precious little girl won't want her mama to rock her to sleep anymore. She won't want to hear Goodnight Moon for the one-millionth time. She won't want me to kiss her forehead and wish her sweet dreams before tucking her into bed.

So tonight, I made sure to be present in the moment rather than letting my mind wander to the next item on my to-do list. I watched my precious girl fall asleep and I savored every moment of it. I rocked her and rocked her and then rocked her some more.

I stared at her sweet face, wishing I could freeze this moment and keep her my baby forever. But I know that the future will bring new and exciting things as well.

For the time being, I'm going to enjoy where we are right now and do my best to just be in the moment. Because the laundry will still be there in an hour or two, and if the floors don't get mopped until tomorrow, nothing is going to happen.

Right now, just being here in this rocking chair with my baby is the most important thing in the world.

Life
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