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Pediatricians say play is the medicine our kids need

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It brings a smile to their faces and ours, while lowering stress and building little brains. Play is such an important part of childhood, but opportunities for play in modern life are shrinking, and the American Academy of Pediatrics suggests they need to grow so our kids can grow, too.

In 2018 the AAP published a clinical report stressing the importance of play in child development and urging parents to play with their children every day.

The report suggests pediatricians should offer a prescription for play to new parents, advising moms and dads to make time for playtime, and suggesting schools do the same. "I think we're continuously learning that play is really essential for kids — it's not just an afterthought or an accessory," Dr. Kathy Hirsh-Pasek, a professor in the psychology department at Temple University and one of the report's lead authors told AAP News.

A growing body of research on the subject shows that play—and the bonds we build when we play with our kids—helps kids learn important skills, leads to changes in neuronal connectivity, encourages prosocial behavior and protects kids from toxic stress.

"Collaboration, negotiation, conflict resolution, self-advocacy, decision-making, a sense of agency, creativity, leadership, and increased physical activity are just some of the skills and benefits children gain through play," the report's authors explain, noting that the science suggests play also leads to brain changes at the molecular and cellular levels.

"Play is really brain-building, and we tried to give examples of how play enhances the structure and function of the brain," says Dr. Michael W. Yogman, M.D., FAAP, a lead author of the report and chair of the Committee on Psychosocial Aspects of Child and Family Health, according to AAP News.

Yogman and the report's other authors point to animal studies as well as real-world studies of children's behavior in the report. One of the studies referenced involved 3 and 4-year-olds who were nervous about starting preschool. Half the kids were assigned a 15 minute play session while the other half listened to an adult read a story. The group that got to play showed a two-fold decrease in anxiety.

Another study of preschoolers exhibiting disruptive behavior found that when they were assigned one on one playtime with an adult (who allowed them to take the lead in play while narrating the children's behavior out loud and discussing emotions as they played) the kids' salivary cortisol stress levels went down and their behavior improved.

Early play with parents builds baby's brain architecture

The pediatricians are advocating for more playtime in schools, but they also want parents to include more playtime at home, and this should start way before school does.

"This evolution begins in the first three months of life, when parents (both mothers and fathers) interact reciprocally with their infants by reading their nonverbal cues in a responsive, contingent manner. Caregiver–infant interaction is the earliest form of play, known as attunement, but it is quickly followed by other activities that also involve the taking of turns," the report's authors write.

As Harvard University's Center on The Developing Child has previously pointed out, this kind of parental play known as "serve and return" builds the foundation of baby's brain architecture. It starts so simply with babies pointing at something or looking at something, serving up us parents and opportunity to engage with them by returning their interest. Games like peek-a-boo or point-and-name can happen any time, anywhere, giving little brains an opportunity to grow while bonding with mom or dad.

From peek-a-boo to problem solving

The authors of the AAP's report note that in the second year of a child's life, play becomes more complex. As our kids grow, we move on from those serve-and-return interactions into a whole host of interactive games and activities.

"Fantasy play, dress up, and fort building now join the emotional and social repertoire of older children just as playground activities, tag, and hide and seek develop motor skills. In play, children are also solving problems and learning to focus attention, all of which promote the growth of executive functioning skills," they explain.

Some parents love getting down on the floor to play pretend with their kids, but for some it can be hard to prioritize play when you've also got a huge to-do list to tackle.

Dr. Yogman suggests parents should see playtime not as a thief of time, but as a chance to "re-experience the joy of their own experiences in childhood play...and to notice the kind of nonverbal cues that their kids display during those … experiences, which are really critical to improving their interactions and their relationships with their children," he told AAP News.

Basically, making a fort or playing dress up is good for both of you.

You don't have to get fancy

The AAP's experts aren't suggesting parents blow the budget on toys—in fact, it's just the opposite. Dr. Yogman suggests the stuff you've already got around the house—wooden spoons, blocks, balls, puzzles, crayons and cardboard boxes—is enough to enhance playtime. "Sometimes simple objects with the least accoutrements allow kids to really be creative about how they're using them," Yogman explains via AAP News.

Get outside with your kids

The report notes that while "outdoor play provides the opportunity to improve sensory integration skills," a lot of families don't get enough time outside these days.

"A national survey of 8,950 preschool children and parents found that only 51% of children went outside to walk or play once per day with either parent," the AAP's experts note. Concerns over the safety of outdoor spaces was one reason parents did not engage in outdoor play with their children, but if you've got access to a safe neighborhood playground or a backyard space, getting outside and playing with your child invites all kids of opportunities for sensory development and bonding.

A cultural shift

The AAP's prescription for play is actually a prescription for a cultural shift. The report's authors note that demanding parental work schedules, fewer safe places for outdoor play, more screen-based media and a shrinking opportunities for play at school are having a negative impact on a generation of kids.

"These factors may negatively affect school readiness, children's healthy adjustment, and the development of important executive functioning skills," the report's authors note.

There is a silver lining though, and we are it. Parents can make a huge difference, even if we don't have as much time for play as we would like. We can make play a priority every day, and even bring play into everyday activities to make the most of the time we do have with our kids.

Dr. Yogman says even a trip to the grocery store can be a playful bonding experience that builds little brains. "Giving kids the opportunity to, say, count the apples in the supermarket. Those are the kinds of joyful experiences [that are good] for kids as opposed to just sitting tacitly in their shopping cart," Yogman tells AAP News.

Those are also the kinds of joyful experiences that make memories.

[Correction: August 21, 2018: Clarified attribution of quotes to AAP News.]

[A version of this post was originally published August 20 2018. It has been updated.]

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If there's one thing you learn as a new mama, it's that routine is your friend. Routine keeps your world spinning, even when you're trucking along on less than four hours of sleep. Routine fends off tantrums by making sure bellies are always full and errands aren't run when everyone's patience is wearing thin. And routine means naps are taken when they're supposed to, helping everyone get through the day with needed breaks.

The only problem? Life doesn't always go perfectly with the routine. When my daughter was born, I realized quickly that, while her naps were the key to a successful (and nearly tear-free!) day, living my life according to her nap schedule wasn't always possible. There were groceries to fetch, dry cleaning to pick up, and―if I wanted to maintain any kind of social life―lunch dates with friends to enjoy.

Which is why the Ergobaby Metro Compact City Stroller was such a life-saver. While I loved that it was just 14 pounds (perfect for hoisting up the stairs to the subway or in the park) and folds down small enough to fit in an airplane overhead compartment (you know, when I'm brave enough to travel again!), the real genius of this pint-sized powerhouse is that it doesn't skimp on comfort.

Nearly every surface your baby touches is padded with plush cushions to provide side and lumbar support to everything from their sweet head to their tiny tush―it has 40% more padding than other compact strollers. When nap time rolls around, I could simply switch the seat to its reclined position with an adjustable leg rest to create an instant cozy nest for my little one.

There's even a large UV 50 sun canopy to throw a little shade on those sleepy eyes. And my baby wasn't the only one benefiting from the comfortable design― the Metro is the only stroller certified "back healthy" by the AGR of Germany, meaning mamas get a much-needed break too.

I also appreciate how the Metro fits comfortably into my life. The sleek profile fits through narrow store aisles as easily as it slides up to a table when I'm able to meet a pal for brunch. Plus, the spring suspension means the tires absorb any bumps along our way―helping baby stay asleep no matter where life takes us. When it's time to take my daughter out, it folds easily with one hand and has an ergonomic carry handle to travel anywhere we want to go.

Life will probably never be as predictable as I'd like, but at least with our Metro stroller, I know my child will be cradled with care no matter what crosses our path.

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

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Having a baby changes a lot—your relationships, your life and your body. In the earliest days when you're dealing with sleep deprivation and finding your feet as a new parent, having sex with your partner is likely pretty far down your list of concerns.

That's why we are concerned that the results of our 2019 State of Motherhood survey revealed that nearly a third of Millennial moms (31%) say they had sex with their partner before they felt ready to do so.

When it comes to postpartum sex, no specific waiting period is right for everyone, but many doctors and midwives recommend waiting four to six weeks after a birth, or until the mother feels comfortable resuming sexual activity. The Mayo Clinic says that when it comes to postpartum sex, you should "set your own timeline". Some moms want to have sex at six weeks postpartum, but many don't just yet.

Our survey found that 53% of moms start feeling interested in sex again by the six week mark, and 11% of moms find they're interested in getting intimate before they are six weeks postpartum. Mothers under 30 are more likely to report being ready for sex by six weeks—with 67% reporting they were—while 54% of moms between 30 and 34 felt ready by six weeks, and 44% of moms over 35 did.

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But for a large number of mothers, nearly 40%, it takes a lot longer than six weeks—between six months and a year—to want to have sex again and there is nothing wrong with that. Whether you wait six weeks or six months, what's important is that you feel ready.

"Resuming your sex life, on your terms, after giving birth can be empowering, and let's be honest, fun! If a woman feels ready both mentally and physically to have sex, she should listen to her body and all that she knows about it, and go for it," says Diana Spalding, midwife and Motherly's Digital Education Editor.

After reviewing the findings of our survey (which saw 6,457 respondents answer questions online between March 28 and April 11, 2019, and was weighted to align with US Census demographic data), Spalding is concerned about why so many millennial moms are having sex before they want to.

"Having sex after birth before she is ready is troublesome. First, if she has sustained any pelvic floor dysfunction or vaginal, anal, or vulvar injuries from pregnancy and birth, she needs proper medical attention before engaging in sex, which could further injure her," she explains, adding that a lack of education around and attention to birth injuries is an unacceptable shortcoming of our healthcare system.

Spalding wants women to talk to their medical providers about any postpartum healing concerns they may have, and for our partners and society to put less pressure on new mothers to resume sexual activity.

"The emotional ramifications of having sex without feeling ready are significant. Feeling pressured into sex is simply not okay. Healthy and fulfilling postpartum sex is a wonderful thing, but we have to do a better job of conveying to women that they matter."

Yes, mama. You matter. Your comfort matters. Your pleasure matters. Your postpartum recovery matters and your partner and medical providers should understand that.

Research published in the journal Obstetrics & Gynecology suggests about 17–36% of mothers report experiencing painful sex at six months postpartum and that only about 15% of new moms bring this concern up with their doctor.

Here's the truth: When women are ready for postpartum sex, it can be really fun, but being ready is the key. If sex hurts it is a sign that something is wrong. If a medical provider tells you that this is just normal or the way sex is after a baby, that's unacceptable and you should seek a second opinion.

And if sex isn't painful, but just not something you want to do right now, that's just fine. Resuming sexual intimacy after a baby can be wonderful (if you have the energy for it). If you would rather just cuddle or go to sleep tonight, that's okay, too, mama.

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It's been more than a year since Khloé Kardashian welcomed her daughter True Thompson into the world, and like a lot of new moms, Khloé didn't just learn how to to be a mom this year, she also learned how to co-parent with someone who is no longer her partner. According to the Pew Research Center, co-parenting and the likelihood that a child will spend part of their childhood living with just one parent is on the rise.

There was a ton of media attention on Khloé's relationship with True's father Tristan Thompson in her early days of motherhood, and in a new interview on the podcast "Divorce Sucks!," Khloé explained that co-parenting with someone you have a complicated relationship with isn't always easy, but when she looks at True she knows it's worth it.

"For me, Tristan and I broke up not too long ago so it's really raw," Khloé tells divorce attorney Laura Wasser on the podcast. She explains that even though it does "suck" at times, she's committed to having a good relationship with her ex because she doesn't want True to pick up on any negative energy, even at her young age.

That's why she invited Tristan to True's recent first birthday bash, even though she knew True wouldn't remember that party. "I know she's going to want to look back at all of her childhood memories like we all do," Khloé explained. "I know her dad is a great person, and I know how much he loves her and cares about her, so I want him to be there."

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We totally get why being around Tristan is hard for Khloé, but it sounds like she's approaching co-parenting with a positive attitude that will benefit True in the long run. Studies have found that shared parenting is good for kids and that former couples who have "ongoing personal and emotional involvement with their former spouse" are more likely to rate their co-parenting relationship positively.

Khloé says her relationship with Tristan right now is "civilized," and hopefully it can get even better with time. As Suzanne Hayes noted in her six guiding principles for a co-parenting relationship, there's no magic bullet for moving past the painful feelings that come when a relationship ends and into a healthy co-parenting relationship, but treating your ex with respect and (non-romantic) love is a good place to start. Hayes describes it as "human-to-human, parent-to-parent, we-share-amazing-children-and-always-will love."

It's a great place to start, and it sounds like Khloé has already figured that out.

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Mornings can be so rough making sure everyone has what they need for the day and managing to get out the door on time. A recent survey by Indeed found that 60% of new moms say managing a morning routine is a significant challenge, and another new survey reveals just why that is.

The survey, by snack brand Nutri-Grain, suggests that all the various tasks and child herding parents take on when getting the family out the door in the morning adds up to basically an extra workday every week!

Many parents will tell you that it can take a couple of hours to get out of the house each morning person, and as the survey found, most of us need to remind the kids "at least twice in the morning to get dressed, brush their teeth, or put on their shoes."

According to Nutri-Grain, by the end of the school year, the average parent will have asked their children to hurry up almost 540 times across the weekday mornings.

We totally get it. It's hard to wait on little ones when we have a very grown-up schedule to get on with, but maybe the world needs to realize that kids just aren't made to be fast.

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As Rachel Macy Stafford, the author of Hands Free Mama, Hands Free Life, writes, having a child who wants to enjoy and marvel at the world while mama is trying to rush through it is hard.

"Whenever my child caused me to deviate from my master schedule, I thought to myself, 'We don't have time for this.' Consequently, the two words I most commonly spoke to my little lover of life were: 'Hurry up.'" she explains.

We're always telling our kids to hurry up, but maybe, maybe, we should be telling ourselves—and society—to slow down.

That's what Stafford did. She took "hurry up" out of her vocabulary and in doing so made that extra workday worth of time into quality time with her daughter, instead of crunch time. She worked on her patience, and let her daughter marvel at the world or slow down when she had to.

"To help us both, I began giving her a little more time to prepare if we had to go somewhere. And sometimes, even then, we were still late. Those were the times I assured myself that I will be late only for a few years, if that, while she is young."

It's great advice, but unless we mamas can get the wider world on board, it's hard to put into practice. When the school bus comes at 7:30 am and you've gotta be at the office at 8 am, when the emails start coming before you're out of bed or your pay gets docked if you punch in five minutes late, it is hard to slow down.

So to those who are making the schedules the rest of us have to live by, to the employers and the school boards and the wider culture, we ask: Can we slow down?

Indeed's survey suggests that the majority of moms would benefit from a more flexible start time at work and the CDC suggests that starting school later would help students.

Mornings are tough for parents, but they don't have to be as hard as they are.

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If you looked at the recently released list of top baby names from the Social Security Administration and thought, Those aren't popular around here, you're probably right.

While Emma and Liam are the top baby names for the entire country, when we break it down by state, the lists change.

For example, the third most common boys' name in California—Sebastian—is ranked 18 nationally, and Lucy gets the spot 51 overall, but is the fifth most common girls' name in Utah.

Skylar is in the top 5 in Mississippi but way down in the fifties nationally, and Easton is super popular in North Dakota, but is ranked 66th across the country,

Is your name pick in the top five for your state? Check out this list Motherly pulled from SSA data.

Here are the top five baby names for every state in America:

Alabama:

William, James, John, Elijah, Noah

Ava, Olivia, Harper Emma, Amelia

Alaska

Oliver, Logan, Liam, Benjamin, Michael

Aurora, Amelia, Charlotte, Olivia, Sophia

Arizona

Liam, Noah, Sebastian, Benjamin, Oliver

Emma Olivia, Mia, Isabella, Sophia

Arkansas

Noah, Elijah, William, Liam, Oliver

Ava, Olivia, Emma, Amelia, Harper

California

Noah, Liam, Sebastian, Mateo, Ethan

Emma, Mia, Olivia, Isabella, Sophia

Colorado

Liam, Oliver, William, Noah, Benjamin

Olivia, Emma, Charlotte, Evelyn, Isabella

Connecticut

Noah, Liam, Benjamin, Logan, Lucas

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Olivia, Emma, Isabella, Charlotte, Ava

Delaware

Liam, Noah, Mason, Logan, James

Ava, Isabella, Charlotte, Olivia, Sophia

District of Columbia

William, James, Henry, Alexander, Benjamin

Ava, Olivia, Elizabeth. Emma, Charlotte

Florida

Liam, Noah, Lucas, Elijah, Logan

Isabella, Emma, Olivia, Sophia, Mia

Georgia

William, Noah, Liam, Elijah, James

Ava, Olivia, Emma, Amelia, Isabella

Hawaii

Liam, Noah, Elijah, Logan, Ethan

Emma, Isabella, Aria, Mila, Olivia

Idaho

Liam, Oliver, Henry, William, James

Olivia, Emma, Evelyn, Harper, Charlotte

Illinois

Noah, Liam, Oliver, Benjamin, Alexander

Olivia, Emma, Ava, Isabella, Sophia

Indiana

Oliver, Liam, Noah, Elijah, William

Emma, Olivia, Amelia, Charlotte Ava

Iowa

Oliver, Liam, Henry, William, Owen

Harper, Evelyn, Emma, Charlotte, Olivia

Kansas

Liam, Oliver, Henry, William, Mason

Olivia, Emma, Charlotte, Evelyn, Ava

Kentucky

William, Liam, Elijah, Noah, Grayson

Emma, Olivia, Ava, Harper, Amelia

Louisiana

Noah, Liam, Elijah, James, William

Ava, Olivia, Emma, Amelia, Harper

Maine

Oliver, Liam, Owen, Wyatt, Henry

Charlotte, Amelia, Emma, Harper, Olivia

Maryland

Liam, Noah, William, Dylan, Ethan

Ava, Olivia, Charlotte, Emma, Sophia

Massachusettes

Benjamin, Liam, James, Lucas, Wiliam

Emma, Olivia, Charlotte, Sophia, Isabella

Michigan

Noah, Oliver, Liam, Benjamin, William

Olivia, Ava, Emma, Charlotte, Amelia

Minnesota

Henry, Oliver, William. Liam, Theodore

Evelyn, Olivia, Charlotte, Emma, Harper

Mississippi

John, William, Noah, Elijah, James

Ava, Olivia, Emma, Amelia, Skylar

Missouri

Liam, Oliver, William, Henry, Noah

Olivia, Emma, Charlotte, Harper, Ava

Montana

Liam, William, Noah, Oliver, Henry

Harper, Olivia, Emma, Charlotte, Abigail

Nebraska

Liam, Henry, Oliver, William, Jack

Olivia, Emma, Evelyn, Charlotte, Harper

Nevada

Liam, Noah, Sebastian, Elijah, Daniel

Emma, Isabella, Olivia, Sophia, Ava

New Hampshire

Oliver, Jackson, Mason, Liam, Henry

Olivia, Charlotte, Emma, Ava, Amelia

New Jersey

Liam, Noah, Jacob, Michael, Matthew

Emma, Isabella, Olivia, Mia, Ava

New Mexico

Noah, Liam, Elijah, Mateo, Logan

Isabella, Sophia, Mia, Emma, Olivia

New York

Liam, Noah, Jacob, Lucas, Ethan

Emma, Olivia, Isabella, Sophia, Mia

North Carolina

Noah, William, Liam, James, Elijah

Ava, Emma, Olivia, Charlotte, Harper

North Dakota

Oliver, Henry, Owen, Hudson, Easton

Olivia, Emma, Harper, Charlotte, Amelia

Ohio

Liam, Noah, William, Oliver, Owen

Ava, Emma, Olivia, Amelia, Harper

Oklahoma

Liam, Noah, William, Oliver, Elijah

Emma, Olivia, Ava, Isabella, Harper

Oregon

Oliver, William, Benjamin, Henry, Liam

Emma, Olivia, Evelyn, Charlotte, Amelia

Pennsylvania

Liam, Noah, Benjamin, Mason, Michael

Emma, Olivia, Ava, Charlotte, Sophia

Rhode Island

Liam, Noah, Benjamin, Alexander, Oliver

Amelia, Olivia, Emma, Sophia, Mia

South Carolina

William, James, Noah, Elijah, Liam, Mason

Ava, Emma, Olivia, Charlotte, Harper

South Dakota

Grayson, Henry, Liam, Owen, Oliver

Harper, Emma, Olivia, Charlotte, Ava

Tennessee

William, James, Liam, Noah, Elijah

Emma, Ava, Olivia, Harper, Amelia

Texas

Liam, Noah, Sebastian, Mateo, Elijah

Emma, Isabella, Olivia, Mia, Sophia

Utah

Oliver, William, Liam, James, Henry

Olivia, Charlotte, Emma, Evelyn, Lucy

Vermont

Oliver, Liam, Owen, Levi, Benjamin

Harper, Charlotte, Evelyn, Emma, Nora

Virginia

William, Liam, Noah, James, Alexander

Ava, Olivia, Emma, Charlotte, Sophia

Washington

Liam, Oliver, William, Noah, Henry

Olivia, Emma, Evelyn, Amelia, Charlotte

West Virginia

Mason, Liam, Elijah, Grayson, Owen,

Emma, Olivia, Ava, Harper, Amelia

Wisconsin

Oliver, Liam, Henry, William, Logan

Evelyn, Emma, Olivia, Harper, Charlotte

Wyoming

Oliver, Logan, Jackson, Lincoln, Wyatt

Amelia, Emma, Elizabeth, Harper, Olivia

[This post was originally published May 18, 2018. It has been updated.]

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    Alaska

    Olivia, Aurora, Isabella, Sophia

    James, Liam, Wyatt, William, Noah

    Arizona

    Emma, Isabella, Olivia, Mia, Sophia

    Liam, Noah, Sebastian, Alexander, Julian

    Arkansas

    Emma, Olivia, Ava, Harper, Isabella

    Elijah, William, Noah, Liam, Mason

    California

    Emma, Mia, Olivia, Sophia, Isabella

    Noah, Sebastian, Liam, Ethan, Matthew

    Colorado

    Emma, Olivia, Charlotte, Evelyn, Isabella

    Liam, Oliver, William, Noah, Benjamin

    Connecticut 

    Olivia, Emma, Ava, Mia, Sophia

    Noah, Liam, Logan, Jacob, Michael

    Delaware

    Olivia, Ava, Charlotte, Isabella, Emma

    Logan, Noah, Liam, Mason, Michael

    District of Columbia 

    Ava, Olivia, Eleanor, Genesis, Elizabeth

    James, Henry, William, Noah, Jacob

    Florida

    Isabella, Emma, Olivia, Sophia, Ava

    Liam, Noah, Lucas, Elijah, Matthew

    Georgia 

    Ava, Olivia, Emma, Isabella, Charlotte

    William, Noah, Mason, Elijah, James

    Hawaii

    Emma, Olivia, Aria, Ava, Chloe

    Liam, Noah, Mason, Elijah, Logan

    Idaho

    Emma, Olivia, Charlotte, Evelyn, Harper

    Oliver, Liam, William, James, Mason

    Illinois

    Olivia, Emma, Ava, Sophia, Isabella

    Noah, Liam, Benjamin, Logan, Alexander

    Indiana

    Emma, Olivia, Amelia, Charlotte, Harper

    Oliver, Liam, Elijah, Noah, William

    Iowa

    Harper, Emma, Olivia, Charlotte, Evelyn

    Oliver, Liam, Henry, Lincoln, Wyatt

    Kansas

    Emma, Olivia, Ava, Harper, Evelyn

    Oliver, William, Liam, Jackson, Henry

    Kentucky

    Emma, Ava, Olivia, Harper, Isabella

    William, Elijah, Noah, Liam, James

    Louisiana

    Olivia, Ava, Emma, Amelia, Harper

    Liam, Noah, Mason, Elijah, William

    Maine

    Charlotte, Olivia, Emma, Harper, Amelia

    Oliver, Lincoln, Liam, Owen, Wyatt

    Maryland

    Ava, Olivia, Emma, Sophia, Charlotte

    Liam, Noah, James, Logan, Jacob

    Massachusetts

    Emma, Olivia, Charlotte, Sophia, Isabella

    Benjamin, William, Liam, Lucas, Noah

    Michigan

    Emma, Ava, Olivia, Charlotte, Amelia

    Liam, Noah, Oliver, Lucas, Mason

    Minnesota 

    Olivia, Evelyn, Emma, Charlotte, Nora

    Oliver, William, Henry, Liam, Theodore

    Mississippi

    Ava, Emma, Olivia, Paisley, Amelia

    William, John, James, Mason, Elijah

    Missouri

    Olivia, Ava, Emma, Amelia, Harper

    William, Liam, Oliver, Noah, Elijah

    Montana

    Olivia, Emma, Harper, Ava, Charlotte

    James, William, Liam, Oliver, Wyatt

    Nebraska

    Emma, Olivia, Amelia, Charlotte, Evelyn

    Oliver, Liam, William, Henry, Noah

    Nevada 

    Emma, Mia, Isabella, Sophia, Olivia

    Liam, Noah, Elijah, Michael, Sebastian

    New Hampshire

    Charlotte, Evelyn, Emma, Olivia, Amelia

    Logan, Henry, Mason, Owen, Oliver

    New Jersey

    Emma, Olivia, Isabella, Mia, Sophia

    Liam, Noah, Matthew, Michael, Jacob

    New Mexico

    Mia, Sophia, Isabella, Olivia, Ava

    Noah, Santiago, Elijah, Liam, Daniel

    New York

    Olivia, Emma, Sophia, Mia, Ava

    Liam, Noah, Jacob, Lucas, Joseph

    North Carolina

    Ava, Emma, Olivia, Isabella, Charlotte

    William, Noah, Liam, James, Mason

    North Dakota 

    Emma, Harper, Olivia, Amelia, Ava

    Oliver, Henry, Liam, Noah, William

    Ohio

    Emma, Ava, Olivia, Harper, Charlotte

    Liam, Carter, Noah, William, Lucas

    Oklahoma

    Emma, Olivia, Harper, Ava, Isabella

    William, Liam, Noah, Elijah, James

    Oregon

    Emma, Olivia. Sophia, Charlotte, Evelyn

    Oliver, Liam, Henry, Benjamin, William

    Pennsylvania 

    Emma, Olivia, Ava, Charlotte, Sophia

    Liam, Noah, Logan, Benjamin, Mason

    Rhode Island

    Charlotte, Emma, Olivia, Sophia, Isabella

    Lucas, Liam, Noah, Julian, Mason

    South Carolina

    Ava, Emma, Olivia, Charlotte, Harper

    William, Noah, Mason, James, Liam

    South Dakota

    Emma, Olivia, Harper, Evelyn, Nora

    Oliver, Henry, Liam, Noah, William

    Tennessee

    Ava, Olivia, Emma, Amelia, Harper

    William, Elijah, James, Noah, Mason

    Texas

    Emma, Mia, Isabella, Sophia, Olivia

    Noah, Liam, Sebastian, Mateo, Elijah

    Utah

    Olivia, Emma, Charlotte, Evelyn, Hazel

    Oliver, Liam, William, James, Benjamin

    Vermont

    Evelyn, Olivia, Charlotte, Emma, Harper

    Wyatt, William, Oliver, Liam, Noah

    Virginia

    Olivia, Ava, Emma, Charlotte, Isabella

    Liam, William, Noah, James, Benjamin

    Washington

    Olivia, Emma, Evelyn, Ava, Isabella

    Liam, Oliver, Noah, William, Benjamin

    West Virginia

    Emma, Olivia, Harper, Paisley, Amelia

    Liam, Mason, Elijah, Grayson, Carter

    Wisconsin

    Emma, Olivia, Evelyn, Charlotte, Ava

    Henry, Oliver, Liam, William, Logan

    Wyoming

    Emma, Harper, Ava, Avery, Charlotte

    Liam, Wyatt, Carter, James, Logan

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