Lifestyle

Creating a Birth Plan

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I remember being pregnant and sitting down at my computer to google the words “birth plan.” I assumed that I was supposed to have one but wasn’t sure how to draw up this very personal document that held the fate of my birth story in its hands. My doctor obliged, but even with those words on paper -- “no pitocin” “no epidural” “free movement” -- my birth plan went haywire and I ended up with a c-section. My birth plan, which looked more like a laundry list of requests, didn’t pan out.

The fact is someone else’s birth plan may have simply been “c-section.”

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Everyone’s idea of the perfect birth is different, and chances are it won’t go according to plan (babies are cray cray that way). So we sat down with Birth Day Presence co-founder Jada Shapiro to get the lowdown on what exactly having a birth plan means. Not just having a list of what-not’s, but a plan that will bring a little more clarity to what you’re about to go through, and a place for you and your provider to come to a common understanding of what you want to happen.

Here Jada tells us how to get your plan (or lack thereof) on track.

How do you decide what kind of birth you'd like to have?

The most important decisions, in our opinion, are who is going to deliver your baby and where do you want to give birth. Some of what you are hoping for should influence who you hire as your birth team and where you plan to give birth. So consider whether you would like to use pain medication or not during your birth. Consider how much freedom of movement you would like to have. Do you want to have the option to give birth in a tub? Do you want to be able to bring lots of support people with you? Do you hope to avoid a cesarean unless absolutely medically necessary? All these factors will dictate your choices. The mom who hopes to give birth in the water is not going to choose Labor and Delivery in a hospital. The mom who definitely wants to use an epidural early in her labor is not going to give birth in a birthing center. The mom who truly hopes to avoid an unnecessary cesarean will not work with a doctor who has a 50% c-section rate.

Do you need a birth plan to achieve it?

You don’t need a birth plan to move toward the kind of birth you’d like to have. In fact, if you hire a midwife or doctor who you know espouses your birth philosophy ahead of time and supports your choices and options, as long as they are safe, then you seldom need a physical birth plan. If you are birthing in an environment that does not typically support what you are hoping for during your birth, it can be nice to have this physical, easy-to-read record which will help communicate your wishes in a quick way.

There are two real benefits of writing a birth preferences sheet. 1. You can sit down, alone or with your partner, and really get clear on what is most important to you. The more clear you are, the more effective you will be at communicating your hopes to your care provider. 2. You can take this document into your care provider well before you give birth to make sure you and your midwife or doctor are on the same page about giving birth. As hard as it is to switch care providers mid-pregnancy, it is much harder to find out during labor that they don’t support you!

Do doctors and nurses really read it, and what can you do to make sure they do? How long should it be?

Totally depends on the person. You should keep your birth plan to 1-2 pages max. Ideally one page. Resume-like. Clear and concise. And in a positive voice. The last thing anyone wants to receive is a long list of things they don’t want you to do to them. So for example, don’t write: Don’t give me an IV. Better: I would prefer to eat and drink to remain hydrated and nourished. Please offer me an IV only in the case that I am dehydrated or need specific medicines for my labor.

The best way to get a nurse to read your birth preferences is to take a moment to introduce yourself to her, and then kindly ask if she would mind reading through some of your preferences when she has a little time. Respect her time and her job and you will find you will have a lot easier time with some of the negotiable aspects of childbirth.

Note: If you are refusing all care that is standard where you plan to give birth, you may want to switch care providers or birth places.

Who should have a copy? Where should you put it?

Give a copy to your midwife or doctor, bring one for your nurse, give one to your doula, and have three extra copies. Keep it in a folder with other important documents in your birth bag.

What's a good way to think about a birth plan? Is it a wish? A guideline? A concrete set of steps?

We generally recommend that you begin with a short paragraph directed to your care provider, in which you thank them for assisting you with the pregnancy and birth and tell them that the following are your wishes under ideal conditions. It helps to note that you are happy to have their medical expertise and that you love to be informed and hope that they will inform you about anything which needs to be done during their care. Then organize your birth plan by the stages of labor. You can also add in a bit about in case induction becomes necessary and in case of cesarean birth.

If you're having a home birth would you draw up a birth plan?

It is definitely worth discussing with your midwife whether you want to actually write down your birth plan. In a home birth setting, you can be a bit more luxurious with your vision, including how you envision laboring, what kind of pain relief you imagine might help and environmental factors that will help you. You should absolutely write an “In Case of Transfer Plan” though. This can be packed in your hospital bag which will only come out if your midwife determines you need to give birth at the hospital.

What happens if your birth does not go according to your plan?

Birth seldom goes according to your plan. You should plan that birth won’t go according to your plan! Going to a childbirth class that addresses issues like this and helps prepare women to meet whatever their labor asks of them can help. Talking with a therapist or close friends or your doctor or midwife can also help. If you find that in writing your birth plan, you are adamant about avoiding a procedure, try to talk with your care provider about how best to deal with the procedure if it becomes medically necessary. Your birth preferences are a general guideline. Ultimately, if medical necessity dictates changes in the labor, hopefully you have chosen a care provider you trust! The best we can do for ourselves as birthing mothers is choose the best team of support and then step back and let labor unfold.

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When I think about the Super Bowl, two things come to mind: funny commercials and tasty snacks. If you're hosting the Super Bowl and have kiddos around, the name of the game (pun intended) is to offer a spread of snacks loaded with proteins and vitamins that will keep everyone's energy levels up the entire game, and won't make your friends rely on greasy items.

Try these healthy go-to treats for your viewing party that even your toddler will love:

Skinny baked mozzarella sticks

Skinny baked mozzarella sticks

Serves: 16 pieces

Time to cook: 1 hour and 18 minutes

Ingredients:

  • 8 sticks part-skim mozzarella string cheese
  • 1 large egg
  • 5 tbsp Italian seasoned breadcrumbs
  • 2 tsp parmesan cheese optional
  • olive oil cooking spray

Instructions:

  1. Cut the string cheese in half and place it in the freezer for 30-45 minutes. Beat egg in a small and set aside. In a separate bowl mix the parmesan cheese and breadcrumbs and set aside.
  2. Dip one string cheese in breadcrumb mixture than in egg mixture and then back in breadcrumb mixture. Repeat this for all the pieces. Place sticks on a greased foil or pan. Return the cheese stick back to the freezer for at least 30-45 minutes. Note: do not skip this step because the cheese will melt if they are not frozen.
  3. After the cheese is finished freezing, heat oven to 375 degrees. Spray the cheese lightly with cooking spray and place in the oven. After four minutes flip the cheese sticks and continue baking for another three minutes or until they are golden. Do not overbake because the cheese will melt. Serve hot with your favorite marinara sauce.
Recipe from Gimme Delicious.

Broccoli cheese balls

Broccoli cheese balls

Serves: 20 balls

Time to cook: 35 minutes

Ingredients:

  • 2 cups broccoli florets
  • 2 eggs
  • 1/2 cup almond flour or panko or Italian breadcrumbs
  • 1 cup shredded cheese mozzarella, cheddar, or favorite melting cheese
  • 1/4 cup minced onion or shallots optional
  • 2 tbsp cilantro chopped optional
  • 1 clove garlic minced
  • 1 teaspoon cajun or taco seasoning or favorite seasoning blend!
  • Pinch of salt and pepper black pepper

Instructions:

  1. Preheat oven to 400 degrees and line a baking sheet with parchment paper or foil.
  2. Steam broccoli in boiling water or microwave until tender. Chop broccoli using a knife or food processor until finely minced.
  3. In a large mixing bowl, combine the chopped broccoli, eggs, almond flour, cheese, parsley and spices. Mix until well incorporated.
  4. Scoop about 1 tablespoon of mixture and form into a ball. Place on a lined baking sheet and spray or drizzle lightly with oil. Bake 25-30 minutes or until lightly golden and cooked through.
  5. Serve on a salad, in a sandwich, with rice, or as an appetizer or snack with your favorite dipping sauce.
Recipe from Gimme Delicious.

Chicken taco lettuce wraps

Chicken taco lettuce wraps

Serves: 4

Time to cook: 30 minutes

Ingredients:

Grilled taco chicken

  • 1 pound boneless, skinless chicken breasts or thighs
  • 2 tablespoons taco seasoning
  • 2 cloves garlic minced
  • 1 tablespoon olive oil

To assemble

  • 8 leaves romaine lettuce rinsed
  • 1 avocado diced
  • 1 tomato diced
  • 1/4 cup onion diced

Cilantro sauce

  • 1/2 cup loosely packed cilantro
  • 1/2 cup Greek yogurt or sour-cream or mayo
  • 2 tablespoons olive oil
  • 1 jalapeno optional
  • 1 clove garlic minced
  • Juice of 1/2 lime
  • Pinch of salt

Instructions:

To cook chicken

  1. Add the chicken, garlic, olive oil, and spices in a large bowl or zip-seal bag. Place in fridge and let marinate for at least 15-30 minutes or up to 24 hours.
  2. Remove chicken from marinade and discard marinade. Place chicken on a grill or pan heated to medium-high heat. Let chicken cook until it is no longer pink on the inside, about 9-10 minutes per side (or until it has reached an internal temperature of 165 degrees).

To make cilantro sauce

1. Place all the ingredients in the food processor and blend for one minute or until creamy.

To assemble

  1. Layer lettuce wraps with chicken, tomatoes, onion and avocado. Drizzle with cilantro sauce or your favorite taco sauce.
Recipe from Gimme Delicious.

Eggplant pizza bites

Eggplant pizza bites

Serves: 4

Time to cook: 35 minutes

Ingredients:

  • 1 large eggplant cut into 1/4 inch slices
  • 1 tablespoon salt
  • 3 cloves garlic minced or crushed
  • 1 tablespoon olive oil
  • 1 teaspoon Italian seasoning
  • 1 cup pizza sauce
  • 1 cup mozzarella shredded

Instructions:

  1. Sprinkle the eggplant with the coarse salt, let sit on paper towels for 10-15 minutes and wipe dry.
  2. Preheat oven to 400 degrees. In a small bow, combine the crushed garlic, olive oil and Italian seasoning. Brush the mixture onto both sides of the eggplant slices and bake for 15 minutes.
  3. Remove eggplant from oven and flip eggplant slices, top each slice with a tablespoon of marinara sauce, and a sprinkle of cheese. Return to oven and bake for another 10 minutes or until cheese is fully melted.

Recipe from Gimme Delicious.

Rice krispie chicken tenders

Rice krispie chicken tenders

Servings: 4

Time to cook: 20 minutes

Ingredients:

  • 1 lb raw chicken, cut into long thin slices
  • 2 cups brown rice krispies (or regular if you desire)
  • 1/3 cup egg whites
  • 1/2 teaspoon each: garlic powder, onion powder, sea salt
  • Dash of cayenne pepper
  • 1/2 cup plain greek yogurt
  • 2 tablespoons mustard
  • 2 tablespoons BBQ sauce
  • 2 teaspoons honey
  • Sea salt, pepper and cayenne pepper to taste

Instructions:

  1. Preheat oven to 425 degrees.
  2. Place egg whites in a shallow bowl.
  3. In a separate bowl, add rice krispies and smash with the bottom of a cup until it is a crumb like texture (some will be almost a flour consistency, but don't smash long enough for all of the krispies to be completely crushed). Add seasonings in bowl.
  4. Dip each slice of chicken into egg whites, then coat completely on both sides, and place on a baking sheet sprayed with nonstick spray.
  5. When all are on a baking tray, lightly sprinkle a little more sea salt onto tenders and place them in the oven.
  6. Bake for 10 minutes, remove and flip and bake for 10 more minutes.
  7. Combine yogurt, mustard, bbq sauce, honey and seasonings in a small bowl.
  8. Serve with chicken tenders for dipping.
Recipe from TheLeanGreenbean.
Life

I have a love-hate relationship with maternity clothes. On one hand, I love them because they make me feel comfortable as my bump grows, without anything getting in the way of my breathing or baby's movement. On the other hand, I've really struggled finding items that are my style—which I admit is very particular—or don't cost a ton of money.

During my first pregnancy I bought a bunch of basic pregnancy outfits and tried to include some of my non-maternity favorites in the mix. Sometimes it worked, sometimes in the middle of a work day I had to run to the bathroom to unzip my high waisted skirt because it was too much to handle. By the time baby came, I realized I had spent a ton of money on clothing that I barely wore, and passed them on to other pregnant friends (some items still with tags on.)

With my second pregnancy, I decided I needed to be comfortable above all, but also not spend a ton of money on fast pregnancy fashion because these months go super fast and I'm trying to be more environmentally conscious. I had tried clothing subscription services before (hello wedding season!) and loved being able to wear different outfits I otherwise wouldn't have been able to. After doing some research, I found three subscriptions that offer maternity clothes. I tried them out in an attempt to dress better while sporting a huge bump and to save money and keep my closet decluttered. The best part was that if I really loved something, I had the chance to purchase it at a super discounted price.

Here are the three maternity clothing subscription services I tried:

Amoire

Amoire Style

About the service: This is a fairly new service and it's currently priced at $149 a month. Once you sign up, you take a style quiz by picking from a group of eight photos of the looks you like the most. Once you are done defining your style, you give your current sizing and then tell your stylist what you are looking for. You get four pieces at a time that you can wear as many times as you want, then return and get new items to wear.

More to know: Unlike other clothing services, you cannot pick from an endless list of clothes what you'd like to receive in your shipment. Instead, you have to go through a stylist who sends picks for you. To be honest, I found this a little annoying since I kept asking for rompers and pants, but kept getting blouses and dresses in my orders. So it did take some back and forth until my stylist sent me things I actually wanted to wear.

My thoughts: I received a mix of maternity and non-maternity clothes that were all bump friendly. The quality of all of them was great and some came with tags, which meant I was the first one ever wearing that piece of clothing.

$149

NUULY

Nuuly

About the service: This subscription is priced at $88 per month for six pieces at a time. The difference between Nuuly and other services is that you cannot return items to get new ones during the month—you return all of them at the same time and get six new ones the next month. This was a bit of a learning curve for me as I was used to sending back things that didn't fit or I didn't like to maximize my month of rental.

More to know: This service provides clothes from more edgy brands, like Urban Outfitters, Reebok and DL1961, which actually made it my favorite service because it was super aligned with my style. They offer both maternity and non-maternity clothes, so I was able to get super cool dresses (like the one pictured above) in a bigger size than my regular size to wear with my growing bump.

My thoughts: Their maternity catalog is pretty limited, however they have super unique items. One of the pieces I requested was already rented by the time my order was placed and they sent me something totally different to what I wanted. I understand the effort to make sure I was getting the full six items in my order but it was a non-maternity summer dress that didn't work with my bump.

$88

Rent the Runway

Rent the Runway

About the service: I went with their Unlimited Plan which is priced at $159 for four pieces at a time (you can exchange over and over again during the month). Their return service is super fast so if you are organized and return pieces you don't love quickly, you can get so many new things to wear in a month.

More to know: They have the biggest catalogue of maternity clothes and brands, including Hatch. Like Nuuly, you get to pick what you want from their options. It can be a little overwhelming since you scroll through pages and pages of really good quality stuff so I recommend going into it with something in mind (do you need jeans or a party dress?).

My thoughts: Because the service is so popular, I got some clothes that were super worn already and even damaged. I returned those immediately and got new items, but you really never know in what condition they are going to be in, despite the service trying to keep super worn clothes out of their rental catalogue.

$159

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When infectious diseases make headlines parents naturally get a little worried, and this week coronavirus is in the news constantly. The coronavirus has infected more than 600 people worldwide, though mostly in China. As of Jan. 23, Chinese authorities have reported 17 deaths from the virus so far. Only two cases have been confirmed in the U.S. and officials are monitoring 63 suspected cases.

Here's what you need to know, mama.

1. Don't panic.

According to the World Health Organization the coronavirus outbreak is not an international public health emergency.

"CDC believes the immediate risk to the U.S. public is low at this time, but the situation is evolving rapidly," Dr. Nancy Messonnier, the director of the National Center for Immunization and Respiratory Diseases, said on a conference call with media on Friday. "We have our best people working on this problem," Messonnier explained, adding that we will likely see more cases in the coming days.

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2. There have been no fatalities in children.

The youngest victim of a confirmed case of novel coronavirus is 36 years old. Most of the fatal cases in China have been in people over 60 and more men than women have been impacted.

3. The family of coronaviruses is a spectrum of severity.

According to the CDC, most people will be infected with a coronavirus at some point in their lives. The common strains of coronavirus cause "moderate upper-respiratory tract illnesses, like the common cold" while more severe strains, including Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrom (MERS) can be fatal.

The strain that is making headlines is a severe and novel coronavirus. It's new and the similarities to influenza make it difficult for experts to distinguish it from all the other respiratory illnesses floating around this time of year.

4. There is a test for it.

When public health officials suspect someone may have coronavirus they can send respiratory and serum samples to the CDC and find out if it's coronavirus or just the flu within about 24 hours.

5. There are steps to take for prevention.

To prevent the spread of the virus the U.S. State Department has issued its most severe travel advisory for the area of China (the province of Hubei, where the city of Wuhan is) most impacted by the coronavirus.

The CDC offers the following tips for protecting your family from the coronavirus (as well as other respiratory illnesses):

  • "Wash your hands often with soap and water for at least 20 seconds."
  • "Avoid touching your eyes, nose, or mouth with unwashed hands."
  • "Avoid close contact with people who are sick."
Bottom line: Don't panic, mama. The illness is likely to be in the headlines for months, but that doesn't mean we need to live in fear. We just need to be proactive and keep washing those little hands.
News

Every generation has its parenting trends. “The Greatest Generation" had the idealized “perfect family"—a “picture perfect" two-parent, gender-divided home in the suburbs, that was probably more trope than reality.

The Baby Boomers brought us parent-as-life coach/ friend/chauffeur and manager. At best, it's a nurturing style done out of love and wanting the best for your kids. At worst, it's called “helicopter parenting," the idea that parents try to protect their kids from all harm and difficulty, only to make their kids incapable of caring for themselves.

And our Millennial generation has a “free-range" parenting trend, a backlash against the overly-controlled childhood aimed at teaching kids to rise to life's challenges.

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All of this talk about gender roles, helicopter parenting, grit and independence has me wondering—what kind of parent do I want to be?

Do I want to give my kids a picture-perfect childhood? Do I want to control them and make sure every good thing is done to them and for them? Do I want to set them free to figure it all out on their own? Defining the parent I want to be—and deciding what values drive my day-to-day parenting decisions—can be complicated.

The truth is, “helicoptering" comes easy to me, even when I know it's good for my children to work hard, face obstacles, and experience the pride of genuine achievement.

I don't want to helicopter—but I want to make sure my kids have the best opportunities in life, especially in things that I may have missed out on in my own childhood. (Though I'm sure I'm pushing my own values on them and they will find their own way to rebel....)

I don't want to helicopter—but I want to make sure they always look both ways before they cross the street, have their carseat properly installed, and are aware of dangers in our world. (Though I teach them these things and do my best to keep them in safe situations...)

I don't want to helicopter—but having faith that they'll be safe when they're out of my sight is really hard for me. (Though I say a prayer and trust in the universe...)

I don't want to helicopter—but sometimes doing things for them can be so much easier/ faster/ better than letting them do it for themselves. (Though I try to be patient...)

I don't want to helicopter—but I set up play dates, schedule after-school activities, and encourage them socially so that my children can make new friends. (Though I'm sure they will find true friends in their own time...)

I don't want to helicopter—but watching my little ones struggle can be hard for my mama heart. (So I hope they know I'm doing this because I love them...)

I don't want to helicopter—but protecting my kids comes easy. Giving them space to struggle and grow is essential, but hard, for both of us.

Life
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