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Yelp just made it easier to find c-section delivery rates by hospital

What decision is more important: Where to have dinner or where to deliver your baby?

Yelp just made it easier to find c-section delivery rates by hospital

For years, Yelp has been telling us where to go for the best sandwiches. And now the review website is telling us where we should go to have a baby—in California, at least. Yelp’s maternity information reviews of the state’s hospitals now include sidebar statistics on the rates of cesarean births for low-risk first-time moms, along with the rates of episiotomies, breastfeeding success and vaginal birth after cesareans (VBAC).


It’s a significant step that both maternal care advocates and Yelp employees hope will help families.

In an interview with Motherly, Shannon Eis, vice president of communications at Yelp, explained why she’s personally invested in the new program: When she had her son nine years ago, she didn’t consider how hospital c-section and breastfeeding rates may affect her. Already a mom of one with a history of ideal labor, Eis wasn’t considered to be at risk for a c-section—but she ended up having one anyway.

She later learned the hospital she was in had the highest emergency c-section rate in all of all the hospitals in her city.

“It wasn’t something that I looked at: What would be the probability [of a c-section] if something went wrong with my delivery,” Eis explained in a telephone interview. “It wasn’t something that I thought corresponded to hospital practice and hospital philosophy and preference, which I now understand to often be the case. There are some hospitals who go more quickly to recommending that decision than others.”

If other parents have that data readily accessible before labor, Eis said she believes they will be more empowered.

“At the time, you’re in this panic,” she said. “If the hospital is suggesting it and you’re in the moment with some fear, you’re more inclined to go there. But, if you’re equipped with this data, you might put yourself in an environment such as a hospital that you’ve had a conversation with, where you agree with their philosophy.”

Stephanie Teleki of the California Health Care Foundation also said the new variety of Yelp reviews should be welcomed among parents, as the extra information can help moms advocate for themselves. “It allows for conversations with your OB,” Teleki told Motherly.

She stressed that while there is absolutely no shame in having a needed c-section, unnecessary abdominal surgery isn’t something anyone wants—and this work is part of a statewide effort to lower the c-section rate. She explained it’s especially important for first-time moms to know if their maternity ward does a lot c-sections, as moms who’ve had one performed are more likely to need another during subsequent deliveries.

If a California hospital’s Yelp page shows a c-section rate above 23.9 percent, they’re doing more than the recommended rate. The data may spur some women switch doctors or hospitals—but not all moms have a choice about where they deliver.

According to Teleki, even if you’re locked into a hospital because of your insurance or because you live in a rural area, getting the stats can help can help you prepare to have informed conversations on delivery day.

“If you’re going to a hospital that has a 50 percent c-section rate, it’s an opportunity to talk to your OB, talk to the nurses [or] bring family support with you,” she said, adding that if your hospital’s breastfeeding rates are low you may want to bring along a friend who can help you with those early latches.

California is currently the only state to list maternity outcomes on Yelp, but Eis said the review site hopes to add stats for more American hospitals in the future.

The data displayed on Yelp is based on numbers the hospitals themselves submit to the the Office of Statewide Health Planning and Development and the California Department of Public Health. While the information has previously been available to the public through calhospitalcompare.org, having it front and center on Yelp’s sidebar makes it a lot easier for moms to access, according to Teleki.

We’re all for this—we just couldn’t have predicted that the same place where we review take-out would also help moms decide where to spend one of the most important times of our lives.

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    Tips parents need to know about poor air quality and caring for kids with asthma

    There are steps parents can take to keep their children as healthy as possible.

    When wildfires struck the West Coast in September 2020, there was a lot for parents to worry about. For parents of children with asthma, though, the danger could be even greater. "There are more than 400 toxins that are present in wildfire smoke. That can activate the immune system in ways that aren't helpful by both causing an inflammatory response and distracting the immune system from fighting infection," says Amy Oro, MD, a pediatrician at Stanford Children's Health. "When smoke enters into the lungs, it causes irritation and muscle spasms of the smooth muscle that is around the small breathing tubes in the lungs. This can lead to difficulty with breathing and wheezing. It's really difficult on the lungs."

    With the added concern of COVID-19 and the effect it can have on breathing, many parents feel unsure about how to keep their children protected. The good news is that there are steps parents can take to keep their children as healthy as possible.

    Here are tips parents need to know about how to deal with poor air quality when your child has asthma.

    Minimize smoke exposure.

    Especially when the air quality index reaches dangerous levels, it's best to stay indoors as much as possible. You can find out your area's AQI at AirNow.gov. An under 50 rating is the safest, but between 100-150 is considered unhealthy for sensitive groups, such as children with asthma. "If you're being told to stay indoors, listen. If you can, keep the windows and doors closed," Oro says.

    Do your best to filter the air.

    According to Oro, a HEPA filter is your best bet to effectively clean pollutants from the air. Many homes are equipped with a built-in HEPA filter in their air conditioning systems, but you can also get a canister filter. Oro says her family (her husband and children all suffer from asthma) also made use of a hack from the New York Times and built their own filter by duct taping a HEPA furnace filter to the front of a box fan. "It was pretty disgusting what we accumulated in the first 20 hours in our fan," she says.

    Avoid letting your child play outside or overly exert themselves in open air.

    "Unfortunately, cloth masks don't do very much [to protect you from the smoke pollution]," Oro says. "You really need an N95 mask, and most of those have been allocated toward essential workers." To keep at-risk children safer, Oro recommends avoiding brisk exercise outdoors. Instead, set up an indoor obstacle course or challenge your family to jumping jacks periodically to keep everyone moving safely.

    Know the difference between smoke exposure and COVID-19.

    "COVID-19 can have a lot of the same symptoms—dry cough, sore throat, shortness of breath and chest pain could overlap. But what COVID and other viruses generally cause are fever, chills, vomiting, diarrhea and body aches. Those would tell you it's not just smoke exposure," Oro says. When a child has been exposed to smoke, they often complain of a "scrape" in their throat, burning eyes, cough, shortness of breath, chest pain or wheezing. If the child has asthma, parents should watch for a flare of symptoms, such as coughing, wheezing or a tight sensation in their chest.

    Unfortunately, not much is known about long-term exposure to wildfire smoke on a healthy or compromised immune system, but elevated levels of air pollution have been associated with increased COVID-19 rates. That's because whenever there's an issue with your immune system, it distracts your immune system from fighting infections and you have a harder time fighting off viruses. Limiting your exposure to wildfire smoke is your best bet to keep immune systems strong.

    Have a plan in place if you think your child is suffering from smoke exposure.

    Whatever type of medication your child takes for asthma, make sure you have it on-hand and that your child is keeping up with regular doses. Contact your child's pediatrician, especially if your area has a hazardous air quality—they may want to adjust your child's medication schedule or dosage to prevent an attack. Oro also recommends that, if your child has asthma, it might be helpful to have a stethoscope or even a pulse oximeter at home to help diagnose issues with your pediatrician through telehealth.

    Most importantly, don't panic.

    In some cases, social distancing and distance learning due to COVID may be helping to keep sensitive groups like children with asthma safer. Oro says wildfires in past years have generally resulted in more ER visits for children, but the most recent fires haven't seen the same results. "A lot of what we've seen is that the smoke really adversely affects adults, especially older adults over 65," Oro says. "Children tend to be really resilient."

    This article was sponsored by Stanford Children's Health. Thank you for supporting the brands that support Motherly and mamas.

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    14 toys that will keep your kids entertained inside *and* outside

    They transition seamlessly for indoor play.

    With fall in full swing, most parents are fresh out of boxes to check on their "Fun Concierge" hit list. It's also the point of diminishing returns on investing in outside-only toys. So with that in mind, we've rounded up some of our favorite toys that are not only built to last but will easily make the transition from outdoor to indoor play. Even better, they're Montessori-friendly and largely open-ended so your kids can get a ton of use out of them.

    From sunny backyard afternoons to rainy mornings stuck inside, these toys are sure to keep little ones engaged and entertained.

    Wooden doll stroller

    Janod wooden doll stroller

    Take their charges on a stroll around the block with this classic doll stroller. With the same versatility they're used to in their own ride, this heirloom quality carriage allows their doll or stuffy to face them or face the world.

    $120

    Detective set

    Plan Toys detective set

    This set has everything your little detective needs to solve whatever mystery they might encounter: an eye glasses, walkie-talkie, camera, a red lens, a periscope and a bag. Neighborhood watch? Watch out.

    $40

    Sand play set

    Plan Toys sand set

    Whether you're hitting the beach or the backyard sandbox, this adorable wooden sand set is ready for action. Each scoop has an embossed pattern that's perfect for sand stamping. They're also totally suitable for water play in the wild or the bathtub.

    $30

    Water play set

    Plan Toys water play set

    Filled with sand or water, this tabletop sized activity set keeps little ones busy, quiet and happy. (A mama's ideal trifecta 😉). It's big enough to satisfy their play needs but not so big it's going to flood your floors if you bring the fun inside on a rainy day.

    $100

    Mini golf set

    Plan Toys mini golf set

    Fore! This mini golf set is lawn and living room ready. Set up a backyard competition or incorporate into homeschooling brain breaks that shift focus and build concentration.

    $40

    Vintage scooter balance bike

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    Pedals are so 2010. Balance bikes are the way to go for learning to ride a bike while skipping the training wheels stage altogether. This impossibly cool retro scooter-style is built to cruise the neighborhood or open indoor space as they're learning.

    $121

    Wooden rocking pegasus

    plan toys wooden rocking pegasus

    Your little will be ready to take flight on this fun pegasus. It gently rocks back and forth, but doesn't skimp on safety—its winged saddle, footrests and backrest ensure kids won't fall off whether they're rocking inside or outside.

    $100

    Croquet set

    Plan Toys croquet set

    The cutest croquet set we've ever seen! With adorable animal face wooden balls and a canvas bag for easy clean up, it's also crafted to stick around awhile. Round after round, it's great for teaching kiddos math and problem-solving skills as well.

    $45

    Wooden digital camera

    fathers factory wooden digital camera

    Kids get the chance to assemble the camera on their own then can adventure anywhere to capture the best moments. With two detachable magnetic lenses, four built-in filters and video recorder, your little photographer can tap into their creativity from summertime to the holidays.

    $179

    Wooden bulldozer toy

    plan toys wooden bulldozer toy

    Whether they're digging up sand in the backyad or picking up toys inside, kids can get as creative as they want picking up and moving things around. Even better? Its wooden structure means it's not an eye sore to look at wherever your digger drops it.

    $100

    Pull-along hippo

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    There's just something so fun about a classic pull-along toy and we love that they seamlessly transition between indoor and outdoor play. Crafted from solid cherry and beechwood, it's tough enough to endure outdoor spaces your toddler takes it on.

    $33

    Baby forest fox ride-on

    janod toys baby fox ride on

    Toddlers will love zooming around on this fox ride-on, and it's a great transition toy into traditional balance bikes. If you take it for a driveway adventure, simply use a damp cloth to wipe down the wheels before bringing back inside.

    $88

    Balance board

    Plan Toys balance board

    Balance boards are a fabulous way to get the wiggles out. This one comes with a rope attachment, making it suitable for even the youngest wigglers. From practicing their balance and building core strength to working on skills that translate to skateboarding and snowboarding, it's a year-round physical activity that's easy to bring inside and use between Zoom classes, too!

    $75

    Meadow ring toss game

    Plan Toys meadow ring toss game

    Besides offering a fantastic opportunity to hone focus, coordination, determination and taking turns, lawn games are just plain fun. Set them up close together for the littles and spread them out when Mom and Dad get in on the action. With their low profile and rope rings, they're great for indoors as well.

    $30

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    29 last-minute family Halloween costumes you can pull together NOW

    If your little one is going as a lion, coordinating is as easy as breaking out the khaki!

    Here's how Halloween unfolds in most households I know: Mom spends weeks—even months—planning the perfect costumes for little ones. Then Halloween creeps up and they realize they need an outfit to coordinate with the kids' get-ups. What's a mom to do?!

    Thankfully, there's no need for fear or pressure: There are so many ideas for parents that are easy to make and still super clever.

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