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As a certified nurse midwife, I take a lot of time with my women to explore the challenges they’ve overcome in their lives and to channel that energy if they face obstacles during labor and birth. I have them go back to their power. I want their mind to shift from thinking “Birth is going to be really difficult” to “This is challenging, but wow—this is incredibly empowering. I can do this!”


Part of the challenges women face in preparing to give birth is that we separate ourselves from other birth stories we’ve heard, or other experiences we’ve taken on as our own—specifically from the women typically closest to us, like our mothers, sisters and best friends.

As providers, we need to strive to have close relationships with our patients. If that’s not necessarily possible, then we must at least be intuitive and listen well. I work with women and hear what they say, paying close attention to the language they use.

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Here are 6 questions I often get from women about their mothers’ experiences with labor and birth.


1. My mother had complications during labor. Will I have them, too?

She’s your mother and you love her, but you don’t need to unconsciously re-create her birth story—especially if it was a difficult birth. Our minds are very powerful, and we can cleverly re-create the trauma our own mothers experienced. But your mother’s birth(s) had to do with what was going on in her day-to-day life at the time—what her health was like, her relationship with her doctor, what was going on in her personal life, etc.

If your mom has mentioned that she experienced complications, ask her exactly what they were and what possibly caused them. It’s not enough for her to tell you, “This happened to me.” You have to ask her specific questions.

Let’s start with one example. If your mother had preterm labor, will you?

Well, what was her amniotic fluid like at the time she went into preterm labor? What was her stress level? Was she working a job that required her to be on her feet 40 hours a week? That can certainly trigger preterm labor. There are specific reasons why your mother had the complications she did, and it doesn’t mean you will, too.

2. My mother had a C-section. Will I have one?

So many women have asked me this question. The answer is no, not necessarily. Do you and your mother have the same body type? Is your mother 5 feet tall and your father 6 feet tall? Did your mom have a baby who weighed 10 pounds?

A situation when the baby’s head circumference may be too big for the diameter of the mother’s pelvis size and shape is called cephalopelvic or fetopelvic disproportion. If this occurs and a baby is unable to descend through the pelvis due to a narrowing of the mid-pelvis or pelvic outlet, then a medically indicated C-section is appropriate.

There are four types of pelves, but we often see a mixture of characteristics. So even if you have the same type of pelvis as your mom, the size and position of your baby will be unique for you—so you can understand how we can’t let your mom’s delivery outcome predict yours.

Many women ask me whether their pelvis is an adequate size. Forty-one to 42% of women have a gynecoid pelvis, with diameters quite optimal for vaginal childbirth. An extremely narrow pelvis, also referred to as male or android, where the front of the pelvis is narrow (about 32.5% of white and 15.7% of nonwhite women have this type) does make it more difficult for a good-size baby to navigate through. The rare platypelloid pelvis, which occurs in less than 3% of women, is characterized by a wide front diameter and shallow depth from front to back. It makes a vaginal delivery unlikely. The good news is that labor and birth are about movement, and babies are resilient, with heads designed to mold through delivery.

When the health care provider understands the mother’s pelvic size and structure as well as the baby’s position and size, the timing of labor and repositioning the mother in a knee-chest or left side-lying position can make all the difference in assisting the baby through.

A woman needs to labor and be pushing for several hours to determine whether the baby is unable to emerge under the pubic arch. This is definitely a subject to discuss with your health care provider. It is difficult to know all the circumstances of your mother’s C-section that contributed to her outcome.

3. Can I prevent any of the complications my mother experienced?

Yes. Make sure you’re eating well, staying hydrated and communicating openly and often with your health care provider. I also recommend seeing a chiropractor to make sure your pelvis is aligned. This gives the baby more room to move and adjust.

I had a woman transfer to me late, at 33 weeks—her baby was high and she wasn’t doing any exercise. I recommended she visit a chiropractor regularly. And sure enough, when the time came, she had a three-hour labor where her baby descended nicely.

4. Can my sister’s birth experiences tell me anything about what mine will be like?

Yes. Not necessarily physically, but psychologically.

I had a client in labor who kept saying things like, “I can’t believe it, I know I’m going to need a C-section.” I looked at her and asked her why she was talking out of such fear. It all finally clicked and I said, “This isn’t you you’re talking about, is it?” And she told me it was her sister she was talking about. She was subconsciously taking on her sister’s negative birth experience as her own. So I worked with her in labor to guide her through extreme birth counseling.

When we talked about her relationship with her sister, I learned she didn’t even like her sister’s ideas about birth. So I asked what made her different from her sister. She said she was holistic, and her sister was not. I asked her to repeat after me—“I am holistic. I am not my sister.” And that is what her birth mantra became.

With this mantra she was able to validate that she was different from her sister, and just because her sister had Pitocin and then a C-section didn’t mean that she had to have it too. She did have Pitocin to augment her contractions, which had spaced out, but I helped turn the face-up baby and then she had a beautiful vaginal birth.

This could happen with any woman you’re close to—your mother, mother-in-law, sister, sister-in-law, best friend, etc. That’s why it’s so important to have the right provider guiding you.

5. My mother/mother-in-law had big babies. Could that determine my babys size?

While there could be some genetic connection for large gestational size babies, what I really believe is that your mother or mother-in-law could have been eating lots of carbs or foods high in sugar, and she might have had undiagnosed gestational diabetes. You have to know your clients, and quite often I have to be a sneaky detective to find out what she’s eating.

But keep in mind: I would much rather deliver a 9-pound, 5-ounce baby than a 6-pound, 5-ounce baby. Bigger babies are often well positioned—they don’t get into unusual positions that could cause complications. For example, a smaller baby can spin around during labor and cause a longer labor, and if you’re in a more conservative hospital or have a more traditional health care practitioner, they may not let you wait around to progress from 4 cm to 8 cm and instead suggest a C-section. But it all comes down to understanding fetal positioning.

6. What questions should I ask my mother?

I always ask the women I work with: What messages has your mother given you about birth? Does she talk openly about it?

If you’re pregnant and your mother seems to be avoiding talking about her own pregnancies, it’s likely for one of these reasons: She had a traumatizing experience; it’s just her nature not to share; or she doesn’t want to interfere because she doesn’t want to scare you.

If you’d like to talk to your mother about her birth experiences, here are a few questions to review on your own and with your mom.

Reflect on personally...

—Do I have the same pelvis as my mother?

—Do I have the same build as my mother?

—How do I differentiate myself from my mom and/or my sister(s)?

Discuss with Mom...

—What was the position of your baby? Was I/were my siblings face-up or posterior?

—Did you have a C-section? Do you know why?

—Were you stressed during your pregnancy and/or labor? What was going on in your life at the time?

—How much weight did you gain during your pregnancies?

—Do you remember the name of who delivered me?

—How long did you push?

If you have fears that aren’t alleviated by talking with the women close to you and reflecting personally, talk about them with your health care provider or find a therapist who specializes in pregnancy. If you don’t talk about your fears, they can surface during labor and delivery and possibly sabotage your birth experience. A prepared birth is best.

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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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