TULSAKIDS 2020 BABY GUIDE
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TULSAKIDS 2020 BABY GUIDE
PHOTO CREDIT:
KRISTEN MACKEY,
SON KISSED
PHOTOGRAPHY
W W W.T U L S A K I D S . C O M SEPTEMBER 2020 23
TULSAKIDS 2020 BABY GUIDE
THE BABY GUIDE TO
(ALMOST) EVERYTHING
A DIRECTORY FOR NEW AND EXPECTANT PARENTS
BREASTFEEDING mother struggling with a troubled PLAYGROUPS, PROGRAMS, SUP- their families with full-day, year-
La Leche League of Tulsa pregnancy or parenting concerns, PORT, CLASSES AND round early childhood education,
The League offers up-to-date, prac- regardless of age, race, religion, INFORMATION family support services and ongoing
tical information and mother-to- marital standing or economic sta- American Academy of Pediatrics medical care.
mother support for pregnant and tus.” Pregnancy testing, counseling, Information for parents on a wide 918.779.6233–Tulsa Educare I,
nursing mothers through monthly prenatal care, parenting classes, ma- range of child development and Kendall-Whittier
meetings, telephone help, lending ternity and baby clothing, health topics. www.aap.org 918.508.2250—Tulsa Educare II,
libraries, playgroups and mothers’ diapers/wipes, medical referrals, Hawthorne
nights out. Meetings are informal agency referrals, select financial as- Catholic Charities of Eastern Okla- 539.832.8200—Tulsa Educare III,
discussions and are open to all sistance. homa MacArthur
women interested in breastfeeding. 24-hour hotline: 1.800.550.4900 Prenatal care clinic. Other services www.tulsaeducare.org
Children of all ages are welcome. 918.481.4884 include counseling, education, im-
llloftulsa.org 6600 S. Yale, #1307, migration, care for homeless moth- Emergency Infant Services
Warren Clinic Tower ers and children, residential program Provides formula, milk, blankets,
Oklahoma Breastfeeding Hotline www.birthright.org/tulsa for pregnant women, adoption, and clothing, medicine, etc. to meet the
24-hour assistance with certified lac- Tulsa@birthright.org help with Soonercare applications. basic human needs of infants and
tation consultants. 2450 N. Harvard Ave. children under age 5 whose families
1.877.271.MILK (6455) Bradley Method of Husband- P.O. Box 580460, Tulsa, OK, 74158- are in crises or emergency situa-
www.okbreastfeeding.org/okla- Coached Natural Childbirth 0460 tions.
homa-breastfeeding-hotline.html Information on natural, un-med- 918.949.HOPE (4673) EIS Downtown
icated childbirth. cceok.org 1110 S. Denver, Tulsa
Area hospitals offer breastfeeding 1.800-4-A-BIRTH EIS East Side
information and classes (see hospi- 818.788.6662 Community Action Project (CAP) 9910 E. 42nd St., Suite 100
tals). www.bradleybirth.com. of Tulsa EIS South Tulsa Community House
Early Childhood Education, income 5780 S. Peoria Ave.
CHILDBIRTH INFORMATION Tulsa Doulas Inc. tax assistance, Home-based Early EIS Tulsa Dream Center
(See hospital information for child- Doulas provide continuous physical, Childhood Education, ESL classes, 200 W. 46th St. N. (Call
birth classes) emotional and informational sup- CareerAdvance ®. 918.430.9984 for availability)
port to the mother before, during 918.382.3200 918.582.2469 (reaches all locations)
American College of Obstetricians and just after birth. A non-profit sup- www.captulsa.org contact@eistulsa.org
and Gynecologists port, resource and referral group Operates Tulsa 2-1-1 Helpline and www.eistulsa.org
Includes current information and supporting doulas in Tulsa and the online site www.211 tulsa.org, and
practices regarding on COVID-19 surrounding area. online site www.211tulsa.org, which Family & Children’s Services
and pregnancy www.tulsadoulas.com or provide referrals to a wide range of Offers a variety of parenting, coun-
www.acog.org. www.dona.org. community services and resources seling and family life education
as well as information, referral, and classes and workshops. Educare and
American College of Nurse-Mid- Lamaze International crisis intervention for Eastern Okla- Early Head Start for children birth -
wives Teaches parents birth practices for homa. Also provides the Child Care age 4 are offered through F&CS.
Provides names and numbers of childbirth and labor. Resource and Referral Service 918.587.9471 www.fcsok.org
area nurse-mid-wives. 202.367.1128. 918.834.2273 to help parents find
Main phone number: 240.485.1800 info@lamaze.org child care. www.csctulsa.org International Cesarean Awareness
www.midwife.org www.lamaze.org Child Care Resource Center: Network (ICAN)
Find a midwife in your area: www.ccrctulsa.org; 918.834.2273 ICAN gives support and information
www.midwife.org/find-a-midwife International Childbirth Education to mothers who have experienced
Association (ICEA) Tulsa Educare Cesarean births. For newsletter or
Birthright of Tulsa 919.674.4183 A state-of-the-art early childhood information call 1.800.686.4226
A non-profit crisis pregnancy service www.icea.org school that provides education and www.ICAN-online.org
to help “every pregnant woman and care for children (birth to age 5) and
24 SEPTEMBER 2020 W W W .T U L S A K I D S . C O M
TULSAKIDS 2020 BABY GUIDE
ICAN Tulsa cations. Qualified children get free WIC Women, Infant and Children’s SAFETY & HEALTH
1.800.686.4226 EXT 237 medical, vision, hearing and dental Nutrition Program American Association of Poison
tulsa.ok@ican-online.org check-ups and services. WIC is a supplemental nutrition pro- Control Centers
www.ican-online.org/tulsa/ SoonerCare Helpline: 800.987.7767 gram that serves to safeguard the America’s poison centers are open
www.okhca.org health of income-eligible women, in- 24 hours a day, seven days a week.
National Association for the Edu- Oklahoma Department of Human fants and children up to age five Visit website for information about
cation of Young Children (NAEYC) Services: www.okdhs.org who are at nutritional risk. The pro- poisons. If you have an emergency
Nation’s largest organization of early gram provides food vouchers for nu- involving poison, call your Poison
childhood professionals with a wide Sprouts Child Development tritious foods to supplement diets, Center at 1.800.222.1222.
range of resources for adults who Take a free online child-develop- information on healthy eating, and www.aapcc.org
work for and with children. ment screening questionnaire to see referrals for health care.
202.232.8777 if your child is progressing on track. 918.582.WELL (9355) American Red Cross
Toll-free: 800.424.2460 Find local resources for help and in- www.tulsa-health.org/personal- CPR, babysitting courses, swimming
help@naeyc.org formation. health/maternal-child-health/wic instruction, safety information, first
www.naeyc.org 5840 S. Memorial, Suite 302 aid and more. 918.831.1100.
918.699.4250 WorkOptions.com www.redcross.org/local/oklahoma/a
Parent Child Center of Tulsa www.sproutsdevelopment.com Max Maternity Leave Proposal Tem- bout-us
Education and treatment aimed at plate, a planning tool for pregnant www.redcross.org/local/oklahoma/a
preventing child abuse. Includes cri- Tulsa City-County Health Depart- women who are employed in the bout-us/locations/Northeast-Okla-
sis/respite services, prevention pro- ment Child Guidance U.S. homa.html
gram, resource library and parenting A statewide program that promotes
classes. and supports healthy family relation- INFANT LOSS Auto Safety Hotline
1421 S. Boston ships and child development. It pro- Tristesse Grief Center Information on infant car seats and
918.599.7999 vides prevention, education, Support for bereaved parents who recalls.
info@parentchildcenter.org screenings, diagnostics and short- have suffered the loss of an infant. 888-327-4236
www.parentchildcenter.org term treatment to children and fami- 2502 E. 71st St. HOW TO FILE A SAFETY ISSUE:
lies, and classes and workshops for 918.587.1200 www-odi.nhtsa.dot.gov/recalls/re-
Planned Parenthood parents and professionals. Services www.thegriefcenter.org callprocess.cfm
Offers a full range of reproductive are provided in group settings or on CHECK FOR CAR SEAT RECALLS:
healthcare services. an individual family basis. Child The Compassionate Friends https://www.nhtsa.gov/recalls
1007 S. Peoria Ave. Guidance’s staff of masters and doc- Offers support to bereaved parents CAR SEAT SAFETY INFO:
918.587.1101 toral degree-level professionals in- who have experienced the death of www.nhtsa.gov/equipment/car-
www.plannedparenthood.org clude: audiologists, child a child. Monthly local meetings. seats-and-booster-seats
development specialists, 877.969.0010 or 918.693.1914
Postpartum Support International speech/language pathologists and Tulsa Chapter Email: Car Seat Inspection
(PSI) behavioral health specialists. Many samb1234@att.net; Certified Child Passenger Safety
Support for new mothers suffering of the services and classes are for a http://tulsatcf.org Technicians will inspect car seats for
from postpartum depression or minimal fee. For more information, www.compassionatefriends.org parents and caregivers. For a sched-
those who may have questions call 918.594.4720. www.compassionatefriends.org/cha ule of monthly car seat check-up
about it. Includes a “warm line” for www.tulsa-health.org/personal- pter/tulsa-oklahoma-chapter/ events, call 918.494.SAFE (7233) or
support. health/child-guidance go to www.safekidstulsa.com.
1.800.944.4773 (English and Es- First Candle
panol) Tulsa Health Department Assistance in dealing with a loss Consumer Product Safety Com-
www.postpartum.net Children First from crib death. mission
Uses home-based services by regis- Works to eliminate SIDS “and other Information on safety standards for
Preemie Mom Camp tered nurses (RNs) to help first-time sleep-related infant deaths through cribs, toys and other children’s ac-
Preemie Mom Camp is a gathering mothers and their families prepare education and research, while pro- cessories. 800.638.2772
place for preemie moms to discover for parenthood. Mothers receive in- viding support for grieving families www.cpsc.gov
tips, research and personal stories formation on promoting a healthy, who have suffered a loss.”
so they can find comfort and com- safe lifestyle for their family while 1.800.221.7437 InfantSEE
munity while their child is in the gaining a greater understanding of firstcandle.org A Public Health Program for Infants.
NICU and beyond. the types of help and resources Optometrists on the list will give a
www.preemiemomcamp.com available to them in the community. American Sudden Infant Death free eye exam to infants between 6
No cost. Syndrome (SIDS) Institute and 12 months of age.
SoonerCare (Oklahoma Medicaid) 918.779.6949 A nonprofit health care organization 888.396.3937
A health coverage program jointly www.tulsa-health.org/personal- that works to prevent sudden infant www.infantsee.org
funded by the federal and state health/maternal-child-health/chil- death while promoting infant health
government to help pay some or all dren-first through research, education, and
medical bills for many people who family support.
can’t afford them. People must meet 239.431.5425 www.sids.org
certain financial and resident qualifi-
W W W.T U L S A K I D S . C O M SEPTEMBER 2020 25
TULSAKIDS 2020 BABY GUIDE
Juvenile Products Manufacturers tips, and more. Down Syndrome Association of for New Foster Care & Adoption
Association (JPMA) www.text4baby.org Tulsa Families Hotline 800.376.9729
Informs consumers about the safe The Down Syndrome Association of https://okfosters.org
use of juvenile products. Tulsa Area SAFE KIDS Tulsa (DSAT) is a non-profit organiza-
www.jpma.org. Safe Kids Tulsa Area works to elimi- tion that exists to enhance the lives AdoptUsKids
nate unintentional injuries. Affiliated of individuals with Down syndrome, The mission of AdoptUsKids is to re-
Miller Swim School with the Safe Kids Worldwide, Safe their families and communities. cruit and connect foster and adop-
Year-round Diaper Dolphin classes Kids Tulsa Area is dedicating its ef- 918.804.3728 tive families with waiting children
for children ages 6 months to 3 forts to help raise awareness among dsat.org throughout the United States. Na-
years, pre-natal water fitness classes the general public and policy mak- tional photo listing.
for expectant mothers, swim les- ers through education, direct inter- Little Light House, Inc. 888.200.4005 (English)
sons, CPR and First Aid certifications vention programs and public policy Christian child-development center 877.236.7831 (Español)
and safety instruction for parents initiatives. Car seat checks, informa- for children with disabilities, birth-6 info@adoptuskids.org
and children in and around the tion on water safety, car safety, and years. espanol@adoptuskids.org
water. Locations in Tulsa and Jenks. much more. 5120 E. 36 St. www.adoptuskids.org.
918.254.1988 918.494-SAFE (7233) 918.664.6746
www.millerswimschool.com. www.safekids.org www.littlelighthouse.org Dillon International, Inc.
www.safekidstulsa.com Specializes in adoptions of children
Oklahoma Caring Van March of Dimes from other countries. Offers parent-
Provides all immunizations required Tulsa Health Department Immu- Information about pregnancy, ing and adoption workshops, her-
by Oklahoma law for enrollment in nizations breastfeeding, birth defects, nutri- itage events, adoption awareness
schools or child- care facilities. Serv- Information about immunizations tion and more. 918.877.1096 programs and other post-adoptive
ices provided at no charge to chil- and vaccines for children through www.marchofdimes.org support.
dren, 6 weeks to 18 years, who age 18 years may receive vaccines FIND A LOCAL CHAPTER: 7335 S. Lewis Ave., Suite 204
qualify; includes children who are at no charge if they are uninsured, https://www.marchofdimes.org/local 918.749.4600
uninsured, Medicaid eligible or Native American, Native Alaskan, or /in-your-area.aspx www.dillonadopt.com
American Indian. their insurance policy does not FACEBOOK: https://www.face-
Oklahomacaringfoundation.org cover vaccines. THD currently ac- book.com/marchofdimes.ok/ Eastern Oklahoma Catholic Chari-
Text TULSAVAN to 33633 to receive cepts Cigna, Community Care, Blue ties Adoption Services
a van schedule Cross Blue Shield, Health Choice, TARC 918.508.7131
Medicare and SoonerCare Medicaid The Developmental Disabilities Ad- 918.949.4673 (For pregnant women
Oklahoma Mothers’ Milk Bank for immunizations. Fee for clients vocacy Network is a place to find in- looking into adoption for their baby)
405.297.5683 with private insurance (other than formation about disabilities, learn adoptioninfo@cceok.org
info@okmilkbank.org those listed) to be immunized at about available programs and serv- https://cceok.org/adoption
okmilkbank.org THD clinics to cover cost of vaccine. ices, and connect with others.
918.582.9355 2516 E. 71st St., Suite A Crisis Pregnancy Outreach
Save Babies Through Screening www.tulsa-health.org/vaccines 918.582.TARC (8272) Outreach ministry of Christian
Foundation, Inc. tarc@ddadvocacy.net Chapel in Tulsa.
A parent-run, nonprofit foundation DISABILITIES www.ddadvocacy.net 7807 E. 76th St.
dedicated to making sure every Ability Connection Oklahoma 918.296.3377 (Call or text)
newborn baby in the U.S. under- Provides programs and services for Total Source for Hearing-loss and www.crisispregnancyoutreach.org.
goes comprehensive and effective Oklahomans with physical disabili- Access (TSHA)
screening for a variety of diseases ties and their families. Information, referrals, support and Gladney Center for Adoption
that are usually hidden at birth. Find 918.794.4655 help for individuals or families deal- Support, socialization, and informa-
out about screening in Oklahoma. www.okabletech.org ing with hearing loss. tion for adoptive parents and their
1.888.454.3383 8740 E. 11th St. children. 800.452.3639
email@savebabies.org AutismTulsa 918.832.8742 www.adoptionsbygladney.com
www.savebabies.org AutismTulsa is a parent-led support 888.211.3523
group where families and commu- www.tsha.cc CHILD CARE HELP
Text4baby nity members can gain valuable re- Community Service Council Child
Women who text BABY (or BEBE for sources and support. ADOPTION & SUPPORT Care Resource Center
Spanish) to 511411 receive free text https://autismoklahoma.org/ DHS (Oklahoma Department of Resources and referrals for parents
messages three times per week, Human Services) seeking licensed childcare options in
timed to their due date or their CHADD Find foster care and adoption infor- the Tulsa area. Resource center for
baby’s birth date, through preg- Organization for children and adults mation and resources, including early childhood educators and
nancy and up until the baby’s first with attention-deficit hyperactivity post-adoption resources. home care providers.
birthday. Text4baby sends personal- disorder 6128 E. 38th St., Ste. 300, Tulsa 918-834-2273
ized messages directly to you. There 1.800.233.4050 918.794.7575 For child care referrals:
is also an app that provides addi- chadd.org http://www.okdhs.org/services/fos- 1.800.438.0008
tional information about baby’s de- ter/Pages/FosterCareHome.aspx info@csctulsa.org
velopment, pregnancy, childcare Oklahoma Fosters Resource Center www.csctulsa.org/ccrc/
26 SEPTEMBER 2020 W W W .T U L S A K I D S . C O M
TULSAKIDS 2020 BABY GUIDE
ChildCare Aware of America, Inc. Peggy V. Helmerich Women’s
703.341.4100 Health Center – two Tulsa loca-
For help finding childcare: tions
800.424.2246 Women’s Center @ Hillcrest
usa.childcareaware.org 1120 S. Utica Ave. 918.579.8000
Women’s Center @ Hillcrest South
E-Nanny 8801 S. 101st E. Ave. 918.294.4000
E-Nanny can provide long-term and www.helmerichwomenscenter.com
short-term placements, and addi-
tional services such as potty training Education Classes are available on
assistance and personal chef serv- both campuses. For a current
ices. listing, visit www.helmerichwomen-
918.973.3885 scenter.com/portfolio/childbirth-ed-
enannyok.com ucation.
Orientation & Tour of Helmerich
National Association of Early Women’s Center is a free one-hour
Childhood Programs (NAEYC) session with an introduction to the
800.424.2460 BirthCare Services on each campus.
www.naeyc.org Please call the campus you are inter-
ested in touring to schedule.
Seeking Sitters Classes include prepared childbirth
Offers professional, prescreened classes for first-time parents and re-
babysitters for part-time, fulltime or fresher classes, Breastfeeding Ba-
last minute care. sics, Baby Care Basics, Infant &
918.749.3588 Child CPR, sibling classes, baby
www.seekingsitters.com touch infant massage classes and Dr.
www.seekingsitterstulsa.com Harvey Karp’s “Happiest Baby on
the Block” class.
HOSPITAL CLASSES
Saint Francis Health System The Helmerich Women’s Center also
6161 South Yale Ave. offers the Labor of Love program.
918.494.BABY (2229) Labor of Love benefits include assis-
https://www.saintfrancis.com/ser- tance finding a health care provider
vices/womens-health/maternity- and insurance; gifts for your baby;
care/preparing-for-birth/childbirth-a breastfeeding and parenting sup-
nd-parenting-classes to enroll online port groups; evening snack cart;
South Campus: prenatal & parent education classes.
Hwy 169 & 91st Street To sign up, call 918.579.8085.
10501 E. 91st St., Tulsa
Saint Francis Childbirth Classes in- St. John Center for Women’s
clude a Childbirth Series, Grandpar- Health - Tulsa and Owasso
enting, a Sibling class and Weekend 1923 S. Utica Ave., Tulsa
Childbirth. Labor and Delivery tours 12451 E. 100th St. North, Owasso
are on the second Monday of the At the St. John Center for Women’s
month, one tour per month from Health, we want to make sure you
6:30-7:30 p.m. For more information have a positive childbirth experi-
about classes at Saint Francis, visit ence. Education is the first step, so
https://www.saintfrancis.com/ser- we offer classes in Tulsa and Owasso
vices/womens-health/maternity- for all members of the expecting
care/preparing-for-birth/childbirth-a family. Classes included Childbirth
nd-parenting-classes Education, Breast Feeding Basics,
or call 918.494.BABY. Newborn 101, Connecting Fathers,
Sibling Class, and Secrets of Labor
Oklahoma State University Med- Support. For more information and
ical Center a complete, current list of classes,
744 W. 9th St. call the St. John PulseLine at
918.599.1000 918.744.0123 or visit
www.osumc.com www.stjohnhealthsystem.com/wom-
www.tulsalifesavers.com/ ens-center/classes-events
W W W.T U L S A K I D S . C O M SEPTEMBER 2020 27
TULSAKIDS 2020 BABY GUIDE
Sleep Safety Tips from
Safe Kids Worldwide
a child’s head, hand or foot could standards, don’t use it. baby bumpers and accessories can
U
nintentional suffocation is the
leading cause of injury-related get stuck. ■ If you are getting a used crib, block a baby’s airway during sleep.
death among children under 1 ■ If the sides go down, don’t use check to see if it has been recalled A firm mattress covered with a
year of age. Nearly three-quarters the crib. at www.recalls.gov. tight-fitting crib sheet is all you
of suffocation deaths among infants ■ Don’t use stuffed animals, need to make your baby sleep like a
are from accidental suffocation or bumpers or accessories in a baby’s Help Your Baby Sleep Safely baby.
strangulation in bed. crib. A firm mattress covered with a ■ Lay your baby on his or her back ■ Learn CPR.
tight-fitting crib sheet is all you to reduce the risk of Sudden Infant
Make Sure Your Crib Is Up-to- need. Death Syndrome (SIDS). For more information like this, visit
Date ■ Corner posts of the crib should ■ If you’re worried about keeping www.safekids.org
■ Check that your crib meets safety not stick up more than one-six- your baby warm, try using a sleep-
standards of the Consumer Product teenth of an inch. It doesn’t seem sack (wearable blanket).
Safety Commission (CPSC) and the like much, but anything more can ■ Babies should not sleep on beds,
Juvenile Products Manufacturers As- be risky. sofas, recliners, chairs, soft surfaces,
sociation (JPMA), and make sure it ■ Make sure there are no design bouncy chairs or baby swings. If this
has all the right pieces. cutouts in the headboard or foot- happens, make sure to return your
■ If you can fit a can of soda be- board. baby to a safe sleep environment.
tween the slats of a crib, that means ■ If your crib doesn’t meet CPSC ■ Soft bedding, stuffed animals,
28 SEPTEMBER 2020 W W W .T U L S A K I D S . C O M
OSU PEDIATRICS
CS
TULSAKIDS 2020 BABY GUIDE
Feeding
Your Baby Where
W here Ma
Matter
tter Mor
More.
ore.
Feeding Tips for
the First Year
By Staff
Y
our baby will let you know • Meat or beans (1 to 2 table-
when he or she is hungry. spoons).
Breast-fed infants should eat
eight to 12 times in a 24-hour pe- 8 to 12 months Call ttoday
oday tto
o make
makke your
your appointment,
appointment, 918-
918-382-4600.
382-4600
4600.
riod, and formula-fed infants should • Breast milk or infant formula (6 to
be fed six to 10 times in a 24-hour 8 ounces); Feedings per day: three
period. Don’t be tempted to add to four.
cereal to your baby’s bottle. It will
not help them sleep through the
• Cheese (1/2 ounce) or yogurt (1/2
cup).
osumedicine.com
os u m e d i c i n e . co m MEDICINE
M EDICINE
night and may even be a choking • Infant cereal (2-4 tablespoons);
hazard. When your baby starts eat- bread (1/2 slice); crackers (2); or
ing solid foods, offer it in a spoon, pasta (3 to 4 tablespoons).
not in a bottle. • Juice or water (3 ounces).
• Fruit or vegetable (3 to 4 table-
TYPICAL PORTION SIZES FOR AN spoons).
INFANT • Meat or beans (3 to 4 table-
0 to 4 months spoons).
Breast milk or infant formula (2 to 4 When you start feeding solid foods,
ounces); Feedings per day: eight to start slowly with a small amount of
12. food – just a teaspoon at first – until
NOTE: Do not warm your baby’s you are feeding the equivalent of a
bottle in the microwave because it small 4-oz. jar or cup of baby food
can burn the baby’s mouth and per meal. Talk to your baby’s pedia-
throat. Warm in a pan of warm trician about which foods to start
water. Shake the bottle for even with. Usually, begin with cereal. In-
heat distribution and test by putting troduce one food at a time and
a drop on your skin to make sure it’s note possible allergic reactions.
not too hot.
Hold your baby during feeding. Do The American Academy of Pedi-
not let your baby fall asleep with a atrics recommends not giving fruit
bottle. It can cause tooth decay and juices to infants younger than 1 year
choking. old.
4 to 6 months Feed your baby healthy foods such
• Breast milk or infant formula (6 to as meat, poultry, fish, vegetables
8 ounces); Feedings per day: four to and fruits. Avoid added salt and
six. sugars.
• Infant cereal (1 to 2 tablespoons). While babies do not need addi-
tional water or juice for hydration,
6 to 8 months you may provide water or diluted
• Breast milk or infant formula (6 to juice in a cup to help with transition
8 ounces); Feedings per day: three off the bottle, which is recom-
to five. mended at 12 months. If you have
• Infant cereal (2 to 4 tablespoons). any questions about your baby’s
• Crackers (2); bread (1/2 slice). diet and nutrition, talk to your pedi-
• Juice or water (0 to 3 ounces). atrician or a dietitian.
• Fruit or vegetable (2 to 3 table- Sources: American Academy of Pe-
spoons). diatrics and the Cleveland Clinic
W W W.T U L S A K I D S . C O M SEPTEMBER 2020 29
TULSAKIDS 2020 BABY GUIDE
Baby’s Health
Know when to go: Expert advice on when
to take your sick baby to the doctor
By Malia Jacobson
and decreased appetite. As the ill- • If your baby has symptoms for treme difficulty.
D
oes your little one have the
sniffles, or something more ness progresses, children may more than a month. • Your baby can’t speak or cry be-
serious? Now more than ever, breathe rapidly or have trouble • If you develop fifth disease during cause he can’t get enough air.
you may be wondering when to breathing, wheeze or make a pregnancy. Rarely, fifth disease can • Your baby is very upset, very
take your fussy, under-the-weather whistling sound when breathing, or be dangerous for an unborn baby. sleepy or doesn’t seem to respond
baby to the doctor. Per the Ameri- have a severe cough. HAND, FOOT AND MOUTH to you.
can Academy of Pediatrics, babies WHEN TO GO: Many children with DISEASE: Call your baby’s pediatrician if:
catch up to 10 colds per year, more RSV or bronchiolitis do not need to Hand, Foot, and Mouth Disease • Your baby’s cough won’t go away.
if they have older siblings or attend see a doctor. But parents should (HFM) is a common babyhood ill- • Your baby starts to drool or can’t
daycare. Since each illness may re- watch for some important symp- ness that causes painful sores to swallow.
sult in two to three weeks of symp- toms, says Pena. Call your health- form in the mouth and on the • Your baby makes a noisy, high-
toms, a baby may be sick up to 140 care provider if: hands, feet, buttocks and some- pitched sound when breathing,
days out of the first year of life. • You can see indentations between times genitals. The condition is un- even while just sitting or resting.
Because babies are still building or below your baby’s ribs when they comfortable but usually You see indentations between or
critical immune-supporting antibod- breathe. short-lived—symptoms fade within under your baby’s ribs when breath-
ies, they lack protection against • Your baby’s nostrils flare (get big- a week or so. ing.
viruses and bacterial illnesses that ger) when they breathe. WHEN TO GO: It’s best to keep • Your baby younger than 3 months
circulate during cold and flu season. • Your baby younger than 3 months kids with HFM at home to avoid has a fever (temperature greater
But not every sniffle or sneeze war- has a fever (temperature greater spreading this highly contagious ill- than 100.4 F or 38 C).
rants a doctor visit—and going in than 100.4ºF or 38ºC). ness, says Pena. Call your pediatri- “All these diseases can be pre-
for unneeded office visits may ex- • Your baby older than 3 months cian if: vented by washing your hands and
pose your baby to more harmful has a fever (temperature greater • Your baby is drinking less that your baby’s hands often with soap
germs or spread them to others. than 100.4ºF or 38ºC) for more than usual and hasn’t had a wet diaper and water, or using alcohol-based
When you’re considering a doctor 3 days for 4-6 hours. hand sanitizers for older children,
visit for your baby, here’s how to • Your baby has fewer wet diapers • The condition isn’t improving after staying away from adults and chil-
know when to go. than normal. several days or symptoms seem to dren who are sick, and making sure
VIRAL ILLNESSES FIFTH DISEASE (ERYTHEMA be getting worse. your baby gets all the recom-
Viral illnesses like influenza (a.k.a. INFECTIOSUM): mended vaccines, including the flu
CROUP:
the flu) are more common during Erythema infectiosum, or fifth dis- shot,” Pena says. While you’re at it,
Croup is a term for a group of infec-
the winter and spring months but ease, is a common, contagious ill- get a flu shot yourself.
tions that affect the trachea (main
can happen at any time. “For viral ness with mild symptoms that airway through which we breathe), BACTERIAL INFECTIONS
infections, we treat symptoms, but include fever, headache, sore causing a distinctive cough that Many common babyhood illnesses,
because the illness is viral and not throat, cough, diarrhea, vomiting, sounds like a seal barking. Croup in- from strep throat to whooping
bacterial, antibiotics are not and muscle aches that last for 2-5 fections are most common between cough, are caused by bacteria. “For
needed,” says Frida Pena, MD, a days. After these symptoms fade, 6 months and 3 years of age and bacterial infections, recommenda-
family medicine physician at Over- children may develop a lacy, bright less common after age 6. tions in terms of how to prevent
lake Medical Center in Bellevue, pink “slapped cheek” across the WHEN TO GO: In most children, them are the same as for viral infec-
Washington. face, arms, and upper back along croup goes away on its own. In tions,” Pena says. The main differ-
RSV AND BRONCHIOLITIS: with joint pain. some cases, croup warrants a doc- ence between these illnesses and
Respiratory syncytial virus (or RSV) is WHEN TO GO: Most children feel tor visit or even immediate medical viral infections: Bacterial illnesses re-
a common respiratory illness that better within a week and don’t re- attention in an emergency depart- quire either oral or topical treat-
can progress into a lung infection quire a doctor visit. See your pedia- ment. ment, and an office visit is usually
called bronchiolitis. RSV usually be- trician or healthcare provider in the Call 911 if: required.
gins like a regular cold, with a stuffy following situations: • Your baby starts to turn blue or STREP THROAT:
or runny nose, mild cough, fever • If your baby has an immune or pale. About three in 10 sore throats are
(temperature higher than 100.4), blood disorder and has symptoms • Your baby is breathing with ex- strep throat, caused by streptococ-
of fifth disease.
30 SEPTEMBER 2020 W W W .T U L S A K I D S . C O M
TULSAKIDS 2020 BABY GUIDE
cal bacteria. Strep throat causes se- • If your baby doesn’t want to eat or age 6. 24 hours.
vere throat pain, fever, and swollen drink anything. WHEN TO GO: Whooping cough If you still have questions about
glands in the neck. Strep throat is • Call 911 if your baby has trouble requires treatment with antibiotics when to go, pick up the phone.
less common in babies than in older breathing or swallowing, is drooling for the person with the illness as Caregivers should always call their
children; babies with strep throat much more than usual or has a still well as family members, even if baby’s healthcare provider any time
may be extra fussy or disinterested or swollen neck. they’re not sick. After your baby be- they have questions or concerns
in eating. IMPETIGO: gins antibiotic treatment, watch for about their baby’s health, says Pena.
WHEN TO GO: If you suspect strep When bacteria get into cuts and the following signs that may require Here’s to a healthier first year with
throat, contact your baby’s health- scrapes, a skin infection called im- another doctor visit: fewer sick days—for the entire fam-
care provider, since this bacterial in- petigo can cause red, painful • Your baby develops a fever. ily.
fection requires treatment. bumps on the skin, usually on the • Your baby vomits repeatedly from Malia Jacobson is a health and fam-
Additionally, contact your baby’s face, arms, or legs. These bumps coughing. ily journalist, author of Ready, Set,
doctor if: go on to form blisters before scab- • Your baby loses interest in eating Sleep: 50 Ways to Help Your Baby
• Your baby has a fever of at least bing over; scabs are often yellow, or drinking. Sleep So You Can Sleep Too and
101 F or 38.5 C. gold, or brown. • Your baby appears dehydrated host of the Sleep Well Stay Well
• Your baby doesn’t want to eat or WHEN TO GO: Call your baby’s with fewer than 4-6 wet diapers in podcast.
drink anything. doctor if you suspect impetigo; the
• Call 911 if your baby has trouble condition requires treatment with
breathing or swallowing, is drooling antibiotics to avoid spreading the
much more than usual or has a stiff illness to others. More reasons to
or swollen neck. call your baby’s doctor:
SCARLET FEVER: • If sores continue to spread after
The same bacteria that cause strep beginning antibiotic treatment.
throat can also cause scarlet fever, a • If sores don’t begin to improve 24
condition that causes a red rash. hours after beginning treatment.
Children with scarlet fever usually WHOOPING COUGH:
have a sore throat along with a Also called pertussis, whooping
spotty, red, sandpaper-like rash on cough is an infection that causes a
the head and neck that spreads to severe cough that can last for weeks
the body, arms and legs. Your and months. The distinctive
baby’s tongue may appear bright “whoop” sound occurs when some-
red with white spots. one tries to breathe after a cough-
WHEN TO GO: Scarlet fever is ing attack, but not everyone with
treated with antibiotics, so it’s im- whooping cough will make the
portant to call your baby’s health- sound, says Pena. Symptoms in-
care provider if your baby has a sore clude sneezing, runny nose, and a
throat accompanied by a rash. As cough that lingers and gets worse
with strep throat, seek medical at- after other symptoms resolve. This
tention: illness is preventable through vacci-
• If your baby has a fever of at least nation; children should get 5 doses
101 F or 38.5 C. of the whooping cough vaccine by
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W W W.T U L S A K I D S . C O M SEPTEMBER 2020 31
TULSAKIDS 2020 BABY GUIDE
Pregnancy and the Pandemic
By Betty Casey
isolated from the other babies until
P
regnant with her third child,
Brandi Moore is taking the pre- they have negative test results
cautions that she’s supposed to twice.”
take during the coronavirus pan- Some early research indicates that
demic — checking her temperature, moms who test positive may safely
wearing a mask, washing her hands continue to breastfeed.
and social distancing – but she’s not “There was a small study of breast-
stressing about it. feeding moms with COVID just
“I know I have to be aware of my published in Lancet (a medical jour-
body,” Brandi says. “I’m heeding all nal), and none of the babies got it.”
of the advice. And I have to be The COVID-19 positive mothers
aware of another person.” were able to breastfeed their babies
According to her OBGYN, Dr. Lau- while taking the usual precautions
ralee Ribaudo, Brandi is doing of mask-wearing, hand-washing and
everything right. letting other people do the rest of
“For the most part, assuming the the care for the babies.
mom is healthy and has no underly- “I’m not worried about myself or my
baby,” Brandi says. “I’m in fear of
not having the usual experience [at
the hospital]. I want the normalcy of
people being able to visit, but I also
know that I’m in the hospital, and I
want it to be safe.”
She also worries that it will be the
first time away from her children,
and they may not be able to come
BRANDI, MONROE, TYLER AND MATT MOORE. to the hospital to see the baby.
ing conditions [that put her at risk],” allow him to come to the two ultra- “They don’t understand it,” Brandi
Dr. Ribaudo says, “the precautions sound appointments.” says. “You feel guilty.”
are the same as for everyone else.” Dr. Ribaudo says office procedures Dr. Ribaudo says that while visitors
Dr. Ribaudo assures women that may vary, but her practice only al- are being limited at this time,
there is nothing different that they lowing one person in at a time is a women should not be worried
need to do. precautionary measure to make about having their spouse or signifi-
“It’s kind of scary out there, and both the staff and the patient feel cant other with them during labor
there are a lot of unknowns, but secure. She also has patients fill out and delivery.
even those pregnant women who information in advance to decrease “We’ve never had a situation where
have tested positive have mostly time spent in the office. they can’t go in,” she says. “They’re
been light cases,” Dr. Ribaudo says. Communication with pregnant limited to one visitor or support per-
“Severe cases are few and far be- women and their partners is also son during labor and delivery. A
tween.” key to tamping down any anxiety doula would be considered a visi-
Brandi says the pandemic has they may feel. If a mom has COVID- tor.”
changed appointment protocol, but 19, it is possible that the infant Ultimately, Dr. Ribauldo says that
she is glad that the office is taking could contract it, but Dr. Ribaudo moms shouldn’t be overly anxious
extra precautions to limit the num- says hospitals are doing a good job about being pregnant or delivering
ber of people she and the office of distancing moms and babies, if during the pandemic. They should
staff are exposed to. She waits in that is the case. She talks to her pa- get regular prenatal care and follow
her car until the office calls her in, tients about rooming-in and other their doctor’s advice.
everyone wears masks and she is concerns they may have. “Don’t have this hanging over your
never exposed to other patients. “Remember, the primary mode of pregnancy,” she says. “The preg-
“In the past, my husband could infection is still respiratory nancies are doing very well. Enjoy
come to every appointment,” droplets,” she says. “A baby born your pregnancy!”
Brandi says, “but now they only to a mom who is positive is kept
32 SEPTEMBER 2020 W W W .T U L S A K I D S . C O MTULSAKIDS 2020 BABY
Start Saving for
College Now
with a 529 Plan
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T
he earlier parents save for col-
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penses. The Oklahoma 529 College For information or to open an Okla-
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tages are outlined on the website. 2020 can enter to win
And the money can be used for any $5,529 toward an
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Best of all, the savings can be rela- ing.org/newborn.
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So what are qualified education ex-
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W W W.T U L S A K I D S . C O M SEPTEMBER 2020 33You can also read
