Even the will of the Baby Doctor Mamas to breastfeed has been tested. Diana struggled with multiple milk blebs early in her breastfeeding journey with her second son. Listen to her painful story and learn how you may be able to prevent this breastfeeding complication. As always – these stories aren’t medical advice, but a chance for the Baby Doctor Mamas to share their experience, knowledge and views.

* How do you treat a milk blister? – KellyMom.com* Common Problems of Breastfeeding and Weaning – Uptodate.com* Recurrent Plugged Ducts – Journal of Human Lactation, 2006* Xanthogranulomatous Reaction to a Ruptured Galactocele – Journal of Cutaneous Pathology, 2010* Blocked Ducts and Mastitis – International Breastfeeding Centre

Joanna experienced an embarrassing and painful complication late in her pregnancy: a thrombosed hemorrhoid. She has decided to tell her story on the podcast, despite being squeamish about telling members of her family. As always – these stories aren’t medical advice, but a chance for the Baby Doctor Mamas to share their experience, knowledge and views.

* Hemorrhoids in Pregnancy – Canadian Family Physician* Conservative and Surgical Trreatment of Haemorrhoids – Nature Reviews* Hemorrhoids, A Review – Gastroenterology Clinics of North America

We are back! While that opening sentence was an exclamation, we are sad about it! It’s hard to go from 24/7 baby snuggles back to office chairs and hospital hallways. However, we are excited to still be taking care of babies and to begin our baby podcasting again. So listen in this year as we start at our deliveries, and go on to talk about all things baby and pregnancy! Remember, these stories aren’t medical advice, but a chance for the Baby Doctor Mamas to present their knowledge and views.

* Labor Induction: Resource Overview – ACOG.org* Labor Induction versus Expectant Management in Low-Risk Nulliparous Women – NEJM* Choices in Managing Full-Term Pregnancy – NEJM* Management of Intrahepatic Cholestasis of Pregnancy – Expert Review of Gastroenterology and Hepatology* Review of Hemorrhoid Disease: Presentation and Management – Clinics in Colon and Rectal Surgery

The Baby Doctor Mamas are celebrating 1 year of podcasting… by having babies!! It’s our last episode of 2019, rounding out a full year of audio advice to expecting and new parents. We are thankful to be ending this year with newborn babies and so many thoughtful dedicated listeners. We will miss being in your ears, but our ears are still open for new topic ideas! Our newborns should give us so much more material for our January 2020 return but we hope you can too! Keep following us on social media (IG/Twitter @babydoctormamas and FB Baby Doctor Mamas) and we will let you know how our postpartum lives are going. As always – these stories aren’t medical advice, but a chance for the Baby Doctor Mamas to share their experience, knowledge and views.

We are pediatricians, we support vaccines. We know from extensive research and use that they are safe, effective and essential. Listen, nothing we do is without risks – but the bacteria and viruses these vaccines protect you EXTREMELY risky for infants. So take a shot if you are a skeptic and listen to us discuss two important vaccines: pertussis and the flu. Remember, these stories aren’t medical advice, but a chance for the Baby Doctor Mamas to present their knowledge and views.

* Cocooning Protects Babies – Immunization Action Coalition * Cocooning Through Tdap Vaccination – American Academy of Pediatrics (AAP)* Cocooning: A Concept To Protect Young Children From Infectious Diseases – Current Opinion in Pediatrics, 2012* Effectiveness of Parental Cocooning as a Vaccination Strategy To Prevent Pertussis Infection in Infants: A Case-Control Study – Vaccine, 2018* Neonatal Pertussis, Cocooning and Maternal Immunization – Expert Review of Vaccines, 2014* Infants and the Seasonal Influenza Vaccine – Human Vaccines & Immunotherapeutics, 2014* An Assessment of the Cocooning Strategy for Preventing Infant Pertussis-United States, 2011 – Clinical Infectious Diseases, 2016* Pertussis: History of the Disease and Current Prevention Failure – Pulmonary Dysfunction and Disease, 2016* Vaccine Education Center at Children’s Hospital of Philadelphia * Immunology and Vaccine-Preventable Diseases – Pertussis – Centers for Disease Control and Prevention (CDC)* Immunology and Vaccine-Preventable Diseases – Influenza – Centers for Disease Control and Prevention (CDC)

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Want to know how we would do it? Just look at our list! (we love lists…). It’s everything we mention on the show, and a little extra. Would be happy if you registered this as one of your favorite episodes. Remember, these stories aren’t medical advice, but a chance for the Baby Doctor Mamas to present their knowledge and views.

For Baby:

* Breathing* sound and video monitor* We don’t recommend heart rate, breathing or oxygen level tracking at this point in time* Supervised docking stations that are flat: ie. a boppy pillow* Sleeping* A bassinet* Pack n’ play with infant attachment* Swaddles*  Crib* Crib Mattress* Waterproof mattress cover* Crib Sheets* Pooping/Peeing/Staying Clean* Diapers: cloth v. disposable – get a 2 week newborn supply* Wipes* Wipe dispenser* Diaper cream* Changing station: mattress with sheets or keekaroo* Zippered onsies* Magnetic onsies* Bath with a sling* Preservative free, tear free soap/shampoo* Baby sensitive laundry detergent* Baby towels* Baby washclothes* Uncolored, unscented baby lotion or vaseline/aquaphor* Eating* Formula in ready made bottles* Nipple cream for mom* Haakaa* Breast pads for leakage* Breast gel pads for pain* Breastfeeding pillow* Breast pump* Bottles* Bottle nipples* Bottle brush* Bottle warmer* Drying rack for bottle supplies* Bottle supply sterilizer* Freezer bags for breastmilk storage* A breastmilk freezer* Vitamin D* Other: First Aid* Thermometer* Nail file* Nail cutters (with a light if possible)* Bulb suction* Nose sucker (ie. nose frida)* Saline drops* Humidifier

For Mom:

* Postpartum supplies* Mesh underwear* Pads* Stool softener* Pain control: motrin* Witch hazel* Pain relieving spray* Postpartum belt* Breastfeeding wardrobe* Clothes with easy boob access* Nursing cover

For Travel:

* Car seat* Stroller* Baby Carrier* Think seasonally for different climates – do you need a warm weather bunting? A rain cover?* Diaper bag* Portable changing pad

Watching a labor and delivery nurse swaddle your baby with a tiny square of cloth is like watching a master chef roll fancy sushi. Swaddling done by professionals is an art, swaddling at home is an experiment. Luckily there are many swaddles to choose from with zippers and velcro that make it easier on parents. That said – should you swaddle your baby? What is the data on swaddling safety? Review with us on this episode. As always – these stories aren’t medical advice, but a chance for the Baby Doctor Mamas to share their experience, knowledge and views.

* Swaddling: Is it Safe? – HealthyChildren.org* Swaddling: A Systematic Review – Pediatrics, 2007* Swaddling and the Risk of Sudden Infant Death Syndrome: A Meta-analysis – Pediatrics, 2016* Influence of Swaddling on Sleep and Arousal Characteristics of Healthy Infants – Pediatrics, 2005* Born In The USA? This Blanket Might Look Familiar – NPR.org* How to Swaddle a Baby / Swaddle a Newborn Baby 3 Easy Ways – YouTube.com

If you can’t breastfeed all the time, or at all, or if a different form of nutrition for your baby is required baby formula is a good (though not identical) substitute to breast milk. With so many types of formula filling supermarket shelves, what are your options? The Baby Doctor Mamas talk about the types and forms of infant formula out there. Remember, these stories aren’t medical advice, but a chance for the Baby Doctor Mamas to present their knowledge and views.

* Infant Formula: Evaluating the Safety of New Ingredients – Comparing Infant Formulas with Human Milk* Challenges of Infant Nutrition Research: A Commentary – Nutrition Journal, 2016* Choosing an Infant Formula – HealthyChildren.org* Forms of Baby Formula: Powder, Concentrate & Ready-to-Feed – HealthyChildren.org* Choosing an Infant Formula – Centers for Disease Control and Prevention (CDC)* Infant Formula Preparation and Storage – Centers for Disease Control and Prevention (CDC)

Infants have different breathing patterns when compared to adults. This can be a source of stress, and at time can signal the need to have the baby evaluated by a physician. The Baby Doctor Mamas talk about transitioning from life in amniotic fluid to breathing air. As always – these stories aren’t medical advice, but a chance for the Baby Doctor Mamas to share their experience, knowledge and views. 

* Transient Tachypnea of the Newborn – Neoreviews, 2017* Neonatal Respiratory Morbidity and Mode of Delivery at Term: Influence of Timing of Elective Caesarean Section – British Journal of Obstetrics and Gynaecology, 1995* Physiology of Transition from Intrauterine to Extrauterine Life – Clinics in Perinatology, 2012* WHO Statement on Caesarean Section Rates: Frequently Asked Questions* Apnea and Periodic Breathing in Normal Full‐Term Infants During the First Twelve Months – Pediatric Pulmonology, 1985

“Sharenting” is parents’ use of social media to share photos and details of their children online. The Baby Doctor Mamas sit down to discuss the ins and outs and pros and cons of this modern-day practice. Are parents doing their children harm by blurring the boundaries between public and private life? For the new generation of parents raising children in a digital culture, what are important safety guidelines and precautions to keep in mind? Remember, these stories aren’t medical advice, but a chance for the Baby Doctor Mamas to present their knowledge and views.

* Sharenting: Children’s Privacy in the Age of Social Media – University of Florida Levin College of Law Research Paper, 2017* Are Parents Exploiting Their Kids on Social Media? – The Atlantic, YouTube* 18 year Old is Suing Her Parents for Posting Baby Pictures on Facebook – Reddit* Sharenting: 5 Questions to Ask Before You Post – HealthyChildren.org* Sharenting: Parental Adoration or Public Humiliation? A Focus Group Study on Adolescents’ Experiences with Sharenting Against the Background of their Own Impression Management – Children and Youth Services Review, 2019* Intimate Surveillance: Normalizing Parental Monitoring and Mediation of Infants Online – Social Media and Society, 2017