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My kids could not have been happier as they splashed in the water, playing with their friends.


I felt like I was going to throw up.

I’d dropped them off at their first day of summer camp that morning, thrilled to have four hours to myself. When I’d enrolled them in the camp run by the gym where I work out and teach group fitness, I asked about the ratio of adults to kids in the pool. They told me it would be two adults with a maximum of 15 kids, plus a lifeguard.

“Isn’t that kind of a low ratio?” I’d asked. The camp was for kids ages two-and-a-half and up. The pool has an infinity edge that gradually extends to a depth of three feet. The camp director, a mom herself, assured me they’d always done it this way and it had been fine. She encouraged me to sit by the pool and watch if I wanted. Perhaps I was being overly protective, I thought. Obviously, the other parents didn’t seem to have a problem with it.

My kids are three and five years old and neither of them can swim well. Though I pride myself on being a pretty hands-off (read: lazy) parent, when it comes to water safety, I don’t take chances. On the first day of camp I sat poolside and watched during swim time. My initial feeling of, “I can’t see how this is going to work” progressed to, “Oh my god this is a total shit show” to, “I don’t know how much longer I can stand to watch this before I start hyperventilating.”

There were 13 campers, many of them under five years old, two adults, and zero lifeguards. Plus there were kids with their parents who were not attending camp swimming. I could hardly keep my eyes on my own two kids through the sea of people. At times, one camp staffer would take a kid to the restroom, leaving one adult in charge of 12 kids.

I waited for them to blow a whistle and have the kids buddy up like we used to do at summer camp when I was a kid. That never happened. I waited, my eyes darting wildly to keep track of my girls until finally, they took the kids out of the water. At that point, I gathered my things, went to the locker room, sequestered myself in a bathroom stall and exhaled. Tears of frustration and anxiety spilled out while I choked back a little sob.

Was I overreacting? I didn’t think so. But when I brought my concerns to one of the administrators of the gym, they were brushed off. I was offered only reassurance that the staff was extremely responsible. “I’m sure they are,” I countered. “I just don’t think there are enough of them for all of the kids to be safe in the pool.”

To meet the American Camping Association’s (ACA) standards, camps must adhere to minimum staff ratios, which pertain to overall supervision, but not specifically to aquatic supervision. While these ratios vary according to age, requirements change according to whether the children are on land or in the water is at each camp’s discretion. ACA-accredited day camps require a minimum ratio of 1-to-6 for children ages five and under, 1-to-8 for children ages six to eight, and 1-to-10 for children ages nine to 14. Ratios are slightly higher for overnight campers: 1-to-5 for children ages five and under, 1-to-6 for children six to eight, and 1-to-8 for children ages nine to 14. ACA accreditation is completely voluntary, however. If a camp has the credential, they have gone through a rigorous, costly accreditation process, and will typically display proof of certification on their website and/or in their office.

While the ACA accreditation is a valuable credential, it is no replacement for doing your homework. According to Becca Mack, the executive director of camping at Colorado’s Boulder Valley YMCA, ensuring that your child’s camp follows state licensing guidelines and provides adequate staff training is just as important as the ACA stamp of approval, if not more so. Whether or not they’re accredited by the ACA, camps must meet certain minimum standards set by their state. These requirements vary widely from state to state. While some states’ requirements are consistent throughout, in others they are specific to the city or county.

Meanwhile, there are a few states that have adopted the same standards as the ACA. An index of resources for each state compiled by the ACA can be found here. While some states’ websites are very transparent about their staffing ratios, including specific requirements for aquatics (Maine is a great example), others, like my home state of Colorado, are clear as mud.

Mack recommends parents talk directly to camp administrators to find out how they train their staff to manage swim time and make sure they know and adhere to their state’s licensing standards. For example, staff training at the Boulder Valley YMCA includes a water safety segment where they go over every aspect of swim time, including face checks, staff presence in the pool, and more. Says Mack, “[at the Boulder Valley YMCA] we do a mock pool time, so everyone learns what needs to be done.”

While the ACA standards dictate that camps must institute a system to quickly account for all campers involved in aquatic activities, it is at the camp’s discretion to decide which system to employ. While there is an app for nearly everything, they still haven’t come up with one to replace the Buddy System, a common water safety check that has not changed much, if at all, since my youth, whereby the lifeguard blows a whistle signaling campers to pair up with a pre-designated swim buddy. The Boulder Valley YMCA, which is not ACA-accredited, takes that requirement a step further, stipulating that every 15 minutes a staff member “must physically see each child. Instead of just a head count, they are specifically matching the child’s name on a list to their face.”

Some camps take the initiative to exceed state minimum staffing ratios. Boulder Valley’s YMCA Inspire Preschool is one such example. The state of Colorado requires a minimum staff ratio of 1-to-10 for preschoolers (ages three to four years old). According to Lisa Swainey, the preschool’s director, Inspire raises the bar by requiring not only a lifeguard dedicated exclusively to the preschoolers but also a minimum of two preschool staffers anytime the kids are swimming. Additionally, preschoolers are allowed only to splash within the confines of the baby pool, which reaches a maximum depth of one foot.

Beyond my casual questions about the swimming situation at my kids’ camp, it never occurred to me to explore my state’s licensing requirements until I witnessed the swim program firsthand. (I use the term “swim program” loosely.) I admit, my main camp selection criteria were convenience and price. After my poolside near-panic attack, though, my concern was safety. And rightly so, according to experts like Dr. Sanjay Gupta, senior medical correspondent at CNN Health. In an article posted there, he says toddlers are at a relatively huge risk of drowning, even in water as shallow as one inch, due to their top-heavy bodies: “Children 4 and under actually have the single highest drowning death rate according to the National Safety Council.” And according to Alan Steinman, MD, former director of health and safety at the U.S Coast Guard, drowning is a highly inconspicuous event. It happens quietly, without any arm flailing or cries for help.

Though I hated to break my kids’ little hearts, I felt I had no choice but to pull them out of camp. My kids got over it within a couple of weeks. I, on the other hand, would never have gotten over it had anything happened to them at that camp. I never would have forgiven myself for not trusting my instinct. As parents, we can research every topic, ask every question, and Google until our eyes burn, but at the end of the day, selecting the right camp is like the rest of parenting: Mostly we go on instinct.

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We spend a lot of time prepping for the arrival of a baby. But when it comes to the arrival of our breast milk (and all the massive adjustments that come with it), it's easy to be caught off guard. Stocking up on a few breastfeeding essentials can make the transition to breastfeeding a lot less stressful, which means more time and energy focusing on what's most important: Your recovery and your brand new baby.

Here are the essential breastfeeding tools you'll need, mama:

1. For covering up: A cute nursing cover

First and foremost, please know that all 50 states in the United States have laws that allow women to breastfeed in public. You do not have to cover yourself if you don't want to—and many mamas choose not to—and we are all for it.

That said, if you do anticipate wanting to take a more modest approach to breastfeeding, a nursing cover is a must. You will find an array of styles to choose from, but we love an infinity scarf, like the LK Baby Infinity Nursing Scarf Nursing Cover. You'll be able to wear the nursing cover instead of stuffing it in your already brimming diaper bag—and it's nice to have it right there when the baby is ready to eat.

Also, in the inevitable event that your baby spits-up on you or you leak some milk through your shirt, having a quick and stylish way to cover up is a total #momwin.

2. For getting comfortable: A cozy glider

Having a comfy spot to nurse can make a huge difference. Bonus points if that comfy place totally brings a room together, like the Delta Children Paris Upholstered Glider!

Get your cozy space ready to go, and when your baby is here, you can retreat from the world and just nurse, bond, and love.

3. For unmatched support: A wire-free nursing bra

It may take trying on several brands to find the perfect match, but finding a nursing bra that you love is 100% worth the effort. Your breasts will be changing and working in ways that are hard to imagine. An excellent supportive bra will make this so much more comfortable.

It is crucial to choose a wireless bra for the first weeks of nursing since underwire can increase the risk of clogged ducts (ouch).The Playtex Maternity Shaping Foam Wirefree Nursing Bra is an awesome pick for this reason, and because it is designed to flex and fit your breasts as they go through all those changes.

4. For maximum hydration: A large reusable water bottle

Nothing can prepare you for the intense thirst that hits when breastfeeding. Quench that thirst (and help keep your milk supply up in the process) by always having a water bottle with a straw nearby, like this Exquis Large Outdoor Water Bottle.

5. For feeding convenience: A supportive nursing tank

Experts recommend that during the first weeks of your baby's life, you breastfeed on-demand, meaning that any time your tiny boss demands milk, you feed them. This will help establish your milk supply and get everything off to a good start.

What does this mean for your life? You will be breastfeeding A LOT. Nursing tanks, like the Loving Moments by Leading Lady, make this so much easier. They have built-in support to keep you comfy, and you can totally wear them around the house, or even out and about. When your baby wants to eat, you'll be able to quickly "pop out" a breast and feed them.

6. For pain prevention: A quality nipple ointment

Breastfeeding shouldn't hurt, but the truth is those first days can be uncomfortable. Your nipples will likely feel raw as they adjust to their new job. This will get better! But until it does, nipple ointment is amazing.

My favorite is the Earth Mama Organic Nipple Butter. We love that it's organic, and it is oh-so-soothing on your hard-at-work nipples.

Psst: If it actually hurts when your baby latches on, something may be up, so call your provider or a lactation consultant for help.

7. For uncomfortable moments: A dual breast therapy pack

As your breasts adjust to their new role, you may experience a few discomforts—applying warmth or cold can help make them feel so much better. The Lansinoh TheraPearl 3-in-1 Breast Therapy Pack is awesome because you can microwave the pads or put them in the freezer, giving you a lot of options when your breasts need some TLC.

Again, if you have any concerns about something being wrong (pain, a bump that may be red or hot, fever, or anything else), call a professional right away.

8. For inevitable leaks: An absorbing breast pad

In today's episode of, "Oh come on, really?" you are going to leak breastmilk. Now, this is entirely natural and you are certainly not required to do anything about this. Still, many moms choose to wear breast pads in their bras to avoid leaking through to their shirts.

You can go the convenient and disposable route with Lansinoh Disposable Stay Dry Nursing Pads, or for a more environmentally friendly option, you can choose washable pads, like these Organic Bamboo Nursing Breast Pads.

9. For flexibility: A breast pump

Many women find that a breast pump becomes one of their most essential mom-tools. The ability to provide breast milk when you are away from your baby (and relieve uncomfortable engorged breasts) will add so much flexibility into your new-mom life.

For quick trips out and super-easy in-your-bag transport, opt for a manual pump like the Lansinoh Manual Breast Pump .

If you will be away from your baby for longer periods of time (traveling or working outside the home, for example) an electric pump is your most efficient bet. The Medela Pump In Style Advanced Double Electric Breast Pump is a classic go-to that will absolutely get the job done, and then some.

10. For quality storage: Breast milk bags

Once you pump your liquid gold, aka breast milk, you'll need a place to store it. The Kiinde Twist Pouches allow you to pump directly into the bags which means one less step (and way less to clean).

11. For keeping cool: A freezer bag

Transport your pumped milk back home to your baby safely in a cooler like the Mommy Knows Best Breast Milk Baby Bottle Cooler Bag. Remember to put the milk in a fridge or freezer as soon as you can to optimize how long it stays usable for.

12. For continued nourishment: Bottles

Nothing beats the peace of mind you get when you know that your baby is being well-taken of care—and well fed—until you can be together again. The Philips Avent Natural Baby Bottle Newborn Starter Gift Set is a fan favorite (mama and baby fans alike).

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

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Motherly is committed to covering all relevant presidential candidate plans as we approach the 2020 election. We are making efforts to get information from all candidates. Motherly does not endorse any political party or candidate. We stand with and for mothers and advocate for solutions that will reduce maternal stress and benefit women, families and the country.

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A viral video about car seat safety has parents everywhere cracking up and humming Sir-Mix-A-Lot.

"I like safe kids and I cannot lie," raps Norman Regional Health System pediatric hospitalist Dr. Kate Cook (after prefacing her music video with an apology to her children."I'm a doctor tryin' warn you that recs have changed," she continues.

Dr. Cook's rap video is all about the importance of keeping babies facing backward. It's aptly called "Babies Face Back," and uses humor and parody to drive home car seat recommendations from the American Academy of Pediatrics (AAP).

"Switching from rear-facing to forward-facing is a milestone many parents can't wait to reach," Dr. Cook said in a news release about her hilarious video. "But this is one area where you want to delay the transition as long as possible because each one actually reduces the protection to the child."

Last summer the AAP updated its official stance on car seat safety to be more in line with what so many parents were already doing and recommended that kids stay rear-facing for as long as possible. But with so many things to keep track of in life, it is understandable that some parents still don't know about the change. Dr. Cook wants to change that with some cringe-worthy rapping.

The AAP recommends:

  • Babies and toddlers should ride in a rear-facing car safety seat as long as possible, until they reach the highest weight or height allowed by their seat.
  • Once they are facing forward, children should use a forward-facing car safety seat with a harness for as long as possible. Many seats are good up to 65 pounds.
  • When children outgrow their car seat they should use a belt-positioning booster seat until the vehicle's lap and shoulder seat belt fits properly, between 8 and 12 years old.

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[Editor's note: Motherly is committed to covering all relevant presidential candidate plans as we approach the 2020 election. We are making efforts to get information from all candidates. Motherly does not endorse any political party or candidate. We stand with and for mothers and advocate for solutions that will reduce maternal stress and benefit women, families and the country.]

Suicide rates for girls and women in the United States have increased 50% since 2000, according to the CDC and new research indicates a growing number of pregnant and postpartum women are dying by suicide and overdose. Suicide rates for boys and men are up, too.

It's clear there is a mental health crisis in America and it is robbing children of their mothers and mothers of their children.

Medical professionals urge people to get help early, but sometimes getting help is not so simple. For many Americans, the life preserver that is mental health care is out of reach when they are drowning.

Democratic presidential candidate Pete Buttigieg just released a plan he hopes could change that and says the neglect of mental health in the United States must end. "Our plan breaks down the barriers around mental health and builds up a sense of belonging that will help millions of suffering Americans heal," says Buttigieg.

He thinks he can "prevent 1 million deaths of despair by 2028" by giving Americans more access to mental health and addictions services.

In a country where giving birth can put a mother in debt, it's not surprising that while as many as 1 in 5 new moms suffers from perinatal mood and anxiety disorders, more than half of new moms who need mental health treatment don't get it. Stigma, childcare and of course costs are factors in why women aren't seeking help when they are struggling.

Buttigieg's plan is interesting because it could remove some of these barriers. He wants to make mental health care more affordable by ensuring everyone has comprehensive coverage for mental health care and by ensuring that everyone can access a free yearly mental health check-up.

That could make getting help more affordable for some moms, and by increasing reimbursement rates for mental health care delivered through telehealth, this plan could help moms get face time with a medical professional without having to deal with finding childcare first.

Estimates from new research suggest that in some parts of America as many as 14% or 30% of maternal deaths are caused by addiction or suicide. Buttigieg's plan aims to reduce those estimates by fighting the addiction and opioid crisis and increasing access to mental health services in underserved communities and for people of color. He also wants to reduce the stigma and increase support for the next generation by requiring "every school across the country to teach Mental Health First Aid courses."

These are lofty goals with a lofty price tag. It would cost about $300 billion to do what Buttigieg sets out in his plan and the specifics of how the plan would be funded aren't yet known. Neither is how voters will react to this 18-page plan and whether it will help Buttigieg stand out in a crowded field of Democratic candidates.

What we do know is that right now, America is talking about mental health and whether or not that benefits Buttigieg's campaign it will certainly benefit America.

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[Editor's Note: Welcome to It's Science, a Motherly column focusing on evidence-based explanations for the important moments, milestones, and phenomena of motherhood. Because it's not just you—#itsscience.]

If you breastfeed, you know just how magical (and trying) it is, but it has numerous benefits for mama and baby. It is known to reduce the likelihood of developing cardiovascular disease, type 2 diabetes, and rheumatoid arthritis, and cuts the risk of sudden infant death syndrome (SIDS) by half.

If this wasn't powerful enough, scientists have discovered that babies who are fed breast milk have a stomach pH that promotes the formation of HAMLET (Human Alpha-lactalbumin Made Lethal to Tumor cells). HAMLET was discovered by chance when researchers were studying the antibacterial properties of breast milk. This is a combination of proteins and lipids found in breast milk that can work together to kill cancer cells, causing them to pull away from healthy cells, shrink and die, leaving the healthy cells unaffected.

According to researchers at Lund University in Sweden, this mechanism may contribute to the protective effect breast milk has against pediatric tumors and leukemia, which accounts for about 30% of all childhood cancer. Other researchers analyzed 18 different studies, finding that "14% to 19% of all childhood leukemia cases may be prevented by breastfeeding for six months or more."

And recently, doctors in Sweden collaborated with scientists in Prague to find yet another amazing benefit to breast milk. Their research demonstrated that a certain milk sugar called Alpha1H, found only in breast milk, helps in the production of lactose and can transform into a different form that helps break up tumors into microscopic fragments in the body.

Patients who were given a drug based on this milk sugar, rather than a placebo, passed whole tumor fragments in their urine. And there is more laboratory evidence to support that the drug can kill more than 40 different types of cancer cells in animal trials, including brain tumors and colon cancer. These results are inspiring scientists to continue to explore HAMLET as a novel approach to tumor therapy and make Alpha1H available to cancer patients.

Bottom line: If you choose to breastfeed, the breast milk your baby gets from your hard work can be worth every drop of effort.

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