Family Archives | Doulas of Baltimore

Baby’s First Sniffles? How to know when it’s RSV in babies

RSV in babies is a topic that is regularly searched during this time of year. At the forefront of all safety-minded parents is the cold and flu season. This year, parents of young children (especially those under two) have likely seen much about the high levels of viral activity in the area.

We’re going to focus on RSV in babies and young children – this virus keeps lots of littles (and their parents!) awake at night and sometimes sends them to the pediatrician’s office or urgent care.

What is RSV anyway?

Respiratory Syncytial (sin-SISH-uhl) Virus (RSV) is a common, respiratory viral infection. For most, it typically causes relatively mild, cold-like symptoms, usually lasting a week or two. However for young children and the elderly, it can be much more severe. This means that if someone says, “Oh, we just have a little runny nose,” it could be a signal to you to adjust your plans to avoid RSV. It is the leading cause of pneumonia and bronchiolitis (inflammation of the small airways in the lungs) in children under one-year-old.

How to protect babies from RSV:

Wash your hands frequently and require anyone who comes into contact with baby to also wash their hands. Keep hand sanitizer with you as well as an easy way to quickly disinfect hands.
Make sure family members (especially siblings!) avoid kissing or touching your baby’s face and hands. Opt instead (if needed) for the back of the head – no kisses at all is preferable!
Remind everyone to keep their hands off their face/mouth
Cover coughs and sneeze (and promptly wash hands again)
Encourage visitors to your home to wear a mask and wear your mask in crowded public settings
Clean and disinfect high touch surfaces- door knobs, light switches, railings and toys that end up in baby’s mouth
Avoid close contact with sick people: this includes staying out of pediatrician’s office/urgent care unless absolutely necessary and opting out of family gatherings if you’re not sure attendees are well
Consider baby wearing during large gatherings and allowing family to meet them from a safe distance if you feel uncomfortable with passing the baby around. This is a great way to attend while also avoiding unwanted kisses or germs.

Common symptoms (older infants and toddlers):

Excess mucus or runny nose
Decreased appetite
Coughing/wheezing
Fever

In very young infants (under 6 months) you may only see:

Irritability or general fussiness
Decrease in activity
Poor feeding
Wheezing

How to treat RSV in babies at home:

Prevent dehydration – fluids and frequent smaller feedings, suction nose just before feeding.
Saline nose drops with gentle suctioning. We like the Nose Frida over a bulb syringe if you can stomach it!
Keep a cool mist humidifier running as much as possible.
Manage fever and discomfort with skin to skin, cool compresses and OTC meds – acetaminophen before 6 months of age, ibuprofen is ok after 6 months. Your pediatrician should have dosing recommendations.

Avoid the following for infants:

Over-the-counter cough/cold medicine (unless recommended by your doctor)
Aspirin or other pain relief medications
Vapor rubs/oils like Vicks or eucalyptus applied to skin
Any essential oils being applied to skin or diffused (especially eucalyptus!)

When to seek medical care:

Trouble breathing – fast breathing, blue tinged skin or lips, pulling hard to breathe (see the AAP’s video on Signs of RSV in Babies)
Fever over 100.4 for a newborn (under 4 months of age)
Dehydration – fewer than 1 wet diaper every 8 hours
Lethargy – significant decrease in activity or alertness. Trust your instincts here – you know your baby best.

Your pediatric care provider is able to treat the vast majority of infants and young children with RSV. In the event that your usual pediatrician is not available (after hours, booked, etc) or has recommended more immediate care, a pediatric specific urgent care is your next best option. Unless recommended by a pediatric provider, avoid the ER if possible. Our local pediatric emergency departments are often flooded with patients around this time of year, so if you absolutely have to go to the hospital, pack plenty of patience.

RSV/Cold/Flu season can be a stressful one for parents of a new baby. Balancing family relationships with keeping your baby safe can oftentimes leave you at odds with others. We want to encourage parents to be firm and kind in your decisions and always remember that your baby’s health and safety should come first. Follow your instincts when it comes to family outings or gatherings and do what feels right for you.

Also, you can always leave. If you happen to arrive at a family dinner full of symptomatic people that are making you nervous, you are always able to graciously leave. If you have a partner, now is the time to connect and discuss your game plan for handling family gatherings.

If this was helpful, be sure to check out our tips for keeping baby healthy or traveling while pregnant or with a baby during the holiday season!

Snoo Bassinet: Should You Buy One?

Baby registry, Baltimore, Family, Newborn care, Parenthood, Postpartum, Product Reviews

With promises of extra sleep, little need to sleep train, and an extra set of hands, the Snoo Bassinet by Happiest Baby is a product we often get questions about. As professional overnight newborn care providers, we have absolutely used this product when families request! Newborn sleep is a hot topic on most new parents’ minds so it makes sense that this is an often requested topic of discussion.

Let’s break down the purported benefits of the Snoo, the standard and optional features, the pros and cons, and what we think overall. Should you buy the Snoo?

Snoo Bassinet promises vs reality

On the sales page for the Snoo you’ll find quite a few benefits outlined. Let’s walk through these and share our experiences with each.

Please note, for this section, these are simply our experiences and not meant to dispute the legitimacy of these claims.

Added Sleep

This really depends on the temperament of your baby. It’s true for some families and less true for others. Some babies really love the movement of swings or bassinets and others hate them. There’s really no way for you to know this without testing it for yourself first.

“…in my experience not every baby takes to the Snoo. Some infants, especially those with different sleep needs or temperaments, have not found the motion and noise soothing, like at all” – Rae Braxton, DOB Doula

Sleep Trains Baby

Kind of. The bassinet does help soothe some babies back to sleep from the wakeful part of their sleep cycle. Adult sleep cycles last between 90-120 minutes while a baby’s is more like 40. They also wake during the night because their stomachs are smaller. During their more active part of their sleep cycle, it’s normal for them to make noise and move around sometimes resulting in them waking up. The Snoo detects this movement and soothes them back to sleep. Transitioning out of the Snoo can be simple or could be difficult, again depending on your baby’s unique needs.

Your 24/7 Helper

While it is true that your baby can go into the bassinet while you shower, as the website claims, they could also simply be put down to nap and you take a shower. So long as your baby is in a safe space, they can be put down anywhere. As Postpartum Doulas, we also know that extra hands to help with snack prep, light cleaning, and laundry are also invaluable. You don’t always want to put your baby down, sometimes you just need hands to do the tasks you can’t get to while you’re holding the baby.

Responsive

We can confidently say that the Snoo Bassinet is definitely responsive. When it senses that baby is fussing, it activates shushing and/or movement to soothe them back to sleep.

“While working overnights, I really appreciate having a Snoo because the Snoo helps to soothe the baby. Although I am awake when the baby is fussing, the Snoo is usually able to soothe the baby so that I don’t have to get up from a restful position.” – Amanda Dymond, DOB Doula

Mobile App

Yes, we can confirm there is a Snoo App and it has lots of interesting information. The main thing it does is compile information and in our experience is limited in functionality.

“…I think the app integration works well for more tech savvy parents and caregivers. (The app is not very intuitive but if they like compiling data, it would work well for their needs)” – Rae Braxton, DOB Doula

Added Safety

The claim is that because the swaddle is secure it prevents the baby from rolling into an unsafe position. This one is a tricky one to assess because most swaddles keep your baby in the position they’re in and once your baby is attempting rolling they shouldn’t be in a swaddle anyway. We can definitely confirm the Snoo will keep your baby in their spot while in the bassinet.

Calms Fussing

Much like the added sleep claim, this one is very subjective. If your baby finds the Snoo to be relaxing and soothing, yes! It will definitely calm the fussing. If, however, your baby finds it to be stimulating, it’s unlikely to calm the fussing.

“… it really depends on the temperament of the baby. Some find the automated motion calming, while it can stimulate other babies. “ – Lani Cohen, DOB Doula

Key Snoo Bassinet Features

This bassinet offers a host of features that parents may love to offer their new babies.

Directly from the Happiest Baby website:

“Breathable mesh walls for healthy air flow

5 levels of specially designed sound + motion to soothe babies and boost sleep

Premium motor for quiet and reliability

Advanced algorithm can tell baby cries from room noise

For babies 0-6 months old who cannot roll over consistently

(meaning they have rolled from stomach to back—multiple times—during sleep)”

Sleep Sack Sizing and Snoo Sheets

According to the website, the sizing for the swaddles looks like this:

Small: 5-12 lb

Medium: 12-18 lb

Large: 18-26 lb

X-Large: 26-33 lb

We can attest that these swaddles do run a little small as they’re intended to be snug. There are only 3 included with your purchase: one small, one medium, and one large. This means if your baby happens to have a blowout or spit up on their swaddle you’ll need to wash it quickly before their next nap or purchase additional swaddles in their size. One swaddle will run you $44.95 or you can purchase a set of three for $73.40.

This also goes for the Organic Cotton Snoo Sheets as your bassinet purchase only comes with one. The sheets can be purchased individually for $19.95 or a set of three for $38.50.

Snoo Weight Limit

The Snoo’s weight limit is 25 lbs. Beyond weight, parents should also be aware that babies should not be using the Snoo if they are rolling consistently and definitely not if they can get up on hands and knees.

Pros and Cons of the Snoo Bassinet

Pro: This smart bassinet may help your baby sleep better, getting parents additional sleep that may help aid in warding off things like Postpartum Depression, for which sleep disturbances are a risk factor, and delayed healing.

Con: There’s no way for you to know if your baby will actually like this device besides investing the money to try it.

Pro: This bassinet is great for babies who enjoy being swaddled up for sleep.

Con: That means you may end up retiring this bassinet as soon as 2 months when your baby begins to try rolling over. That’s a potentially very short period of time.

Pro: You get 9 months of premium access to the Snoo Subscription app that accompanies the bassinet when you purchase or subscribe to a Snoo Bassinet Rental through an authorized dealer or Happiest Baby themselves.

Con: If you use that app primarily as your tracker for baby you will have to pay after that 9 month period of time or spend time transferring data out of the app.

Pro: You can rent it at a lower rate than purchasing it.

Con: If you end up keeping it past a couple months it might end up being more expensive anyway with the added fees and taxes, plus you can’t keep it to use with any future babies if that is your plan.

So, should you purchase a Snoo Bassinet?

As with so many other parenting choices you’ll make that depends on your baby. A quick search of the message boards on a website like Reddit will yield many varied results and some insights that might help make the decision based on real-life reviews of the product.

Overall, we think this product can be very useful in some situations. Being that there is the possibility that you don’t use it past 2 months of age, the up front investment is very high, and it’s a case-by-case product, we highly recommend renting or borrowing one to see what you think before diving into purchasing it.

“My advice is to always try renting before making the full commitment! It really can be a fantastic tool and help parents get the sleep they need—but it’s definitely not one size fits all. “ – Rae Braxton, DOB Doula

Should you choose to move forward with the Snoo, we highly recommend purchasing additional swaddles and sheets to ensure you have at least one backup in case your little one soils them.

A useful tool for some, an expensive waste of money for others, the Snoo Bassinet is a purchase you won’t find a definitive answer on!

New Parents | Planning for Your New Normal

Baltimore, Doulas of Baltimore, Family, Frederick, Newborn care, Parenthood, Postpartum

New Parents, your life will never be normal again.

Ok, that’s not entirely true. You will settle into a new normal but when a baby is born, life as you know it comes to an end. That can sound daunting! How will you make sure your new baby is cared for, your home is tended to, your work keeps going? When new parents are settling into a new normal it will take work. With some skilled planning and a willingness to shift when needed, you’ll find yourself in a groove before too long.

End of New Parents Leave

Usually once a baby has arrived one or both parents will get some amount of leave from their job. Circumstances look different for each employer. Explore what options you and/or your partner have for parental leave once your baby has arrived. How long can you take? When preparing to return to work, consider what will make it easiest including a hybrid or virtual work schedule for a period of time or even permanently. Explore these options and what they will look like with your employer.

New Caregiver

New parents transitioning to a new caregiver will take some effort but with planning it can be as smooth as possible. Ensure your new caregiver has adequate bottles and pumped milk or formula available to feed the baby. Pack their bag well with extra diapers, wipes, outfits, and anything else they may need. Discuss any circumstances unique to your family that your new caregiver may need to understand (is your baby on medication? Do they need to be fed a certain way? etc.) Communication is key to make transitioning to a new caregiver as easy as possible.

Balancing Home/Work

A new baby will always change the dynamics in a house. Consider how to make the transition easier for yourself as new parents, your pets, big siblings, and extended family members. Identify how your household tasks are currently split. Who takes out the trash? What about cooking meals? Who does the dishes? Consider a chart or writing out a schedule for when these things occur and think about planning to prepare food ahead of time while you ease into your new routine.

Babies change your life in the blink of an eye and it can feel overwhelming going through all the changes that you will face. With an open mind, lots of communication, and a plan ready, going back to work will feel challenging but not impossible.

Need some extra help? Check out our Free Ultimate Postpartum Planning Guide!

Top 10: Summer Fun for Baltimore Families (updated for 2024)

Baltimore, Family

Looking for summer fun for Baltimore families?

We are so excited that summer is upon us! Baltimore is a hot spot for summer fun to do with your children.

See what we did there? ;-)

Doulas of Baltimore is here to share with you 5 great outdoor activities to do with the whole family. And we’ve got 5 great indoor suggestions to do on those days when you want to cool down. Here we go:

1. Summer Sounds at the Square

Baltimore families love this concert series at Belvedere Square in north Baltimore City. Food, music, and lots of kid-friendly activities! There are four Friday evening concerts this summer – Mambo Combo on June 21, July 19, August 23, and September 13.

2. Flicks from the Hill

American Visionary Art Museum hosts “Flicks from the Hill” every Thursday night this July. This summer features old classics and new ones too – Field of Dreams, The Princess and the Frog, Young Frankenstein, and Raiders of the Lost Ark! There are food trucks and pre-film activities. Plus the museum is open to enjoy for free from 5-9pm on flick nights!

3. WTMD First Thursday Concerts

If it’s more live music you’re craving, head downtown to WTMD’s First Thursday Concert series! WTMD hosts live family friendly concerts on the first Thursday of the month at Canton Waterfront Park, all summer long. Bring a picnic and enjoy!

4. Waterfront Parks around the Inner Harbor

Downtown features several waterfront parks around the Inner Harbor. West Shore Park features a great law and “splash pad” for the kids to enjoy. There are free waterfront wellness classes, too!

5. The Maryland Zoo

You can never go wrong with a visit to the zoo. The Maryland Zoo in Baltimore is a delight! There is much to learn about the animals, the park, and the many ways the zoo participates in conservations efforts. This summer the Zoo is hosting a Summer Solstice Twilight Stroll – bring the whole family for an evening walk or bring your little ones for Toddler Mornings!

And if you or the kids have had enough of the Baltimore heat…head inside to these great locations!

6. The Walters Art Museum

The Walters Art Museum is a fun and educational place for the little ones! Rooms full of armor, mummies and Egyptian artifacts, and much more. Don’t miss the Chamber of Wonders – hours could be spent there alone!

7. National Aquarium

The aquarium is the perfect way to cool down on a hot summer day! It’s a bigger investment than many of our favorites. And so worth it if you can make a day of it! Pop in for a showing of Shark: A 4D Experience to meet some of the world’s strangest sharks up close. From the reefs of Australia, up to the beautifully updated upland rainforest, and down the dark ramp with sharks – let’s just say everyone will sleep well at the end of the day!

8. Enoch Pratt Free Public Library

With locations across the city, in addition to the gorgeous downtown main branch, Baltimore’s free public libraries also offers special events including computer basics, chess, and parent/child reading groups. Join them for Summer Break Baltimore, a fun and free reading program to encourage literacy all summer long!

9. Maryland Science Center at Baltimore’s Inner Harbor

Great for a day trip (you can even head right over to the West Shore Park for some splashing when you’re done!). The Science Center also offers tons of fun summer programs!

10. B&O Railroad Museum

Last but certainly not least with the preschool set – A historic museum that includes kid zones and train rides! Fun for everyone!

What do you recommend for summer fun for Baltimore families??

For more suggestions, check out our Baltimore Summer Bucket List from a few years ago!

Professionals for Your Postpartum Recovery

Family, Postpartum

You are going to have a baby, and then you are going to have to heal from having a baby. The massive unknown in that equation is all the experiences you will smooch together in your brain and label it: My Birth Story. Your postpartum recovery is a unique and important part of that story.

The birth story of your child starts when every you want it to start, and it ends when you say it ends. Most stories include the moments you thought you were labor, and have a tiny baby being held – by someone – at the end.

But regardless of the events, feelings, and choices of your birth, you will need to recover.

In our experience, the postpartum body and mind are neglected and underserved in the US. There are exceptions, and we have hopes of change. But most families are responsible for making arrangements for their mental and physical needs, all the while also learning and caring for a new person whom they just met.

The following professionals are presented for consideration with full knowledge that seeing all of these professionals may in itself become a difficult task, and therefore may also be a type of harm. So please, know that we know taking it a day at a time is a perfectly reasonable approach to your new life with your new baby. Let this short list be available to you, if and when you are at a place where you are seeking options for extended care outside of the walls of your home.

Who to include in your postpartum recovery

1. Chiropractor, at a family-friendly office

You can start chiropractic care during pregnancy for aches and pains, and even for help if your baby is presenting breach (or head up). But chiropractic care after delivery may be viewed as a luxury. The baby is born – why keep going?

Once you spend hours and hours, sitting, swaying, rocking, feeding, and not sleeping, your body – while recovering internally from birth – is being used in many ways that are out of the ordinary. Having the care of a chiropractor can help ease your body back into the world where you aren’t carrying a small life inside you, but instead, have a car seat draped over your elbow.

And why a family-friendly office? Because you may have your child with you. And knowing you have the time to be tended to, without needing to worry if anyone has eyes on your babe can mean the world of difference. Ask them if they are prepared to help new moms make their appointments. We’ve seen strollers get pushed back and forth, pacifiers get placed back in a mouth that has just learned to pop it out, and quite a few chins dabbed when a bit of spit up slips out. Ask.

2. Massage Therapist

Your body holds onto events long after they have happened. Are your shoulders tense right now from work, or that conversation yesterday, or because you are thinking about all the things you said you would do?

Now imagine how it will remember the task of moving a child into the world? Your body will be tender, and once you feel comfortable laying on your belly, having care from a professional who can help your body to release the tension it holds will be a world of difference for your mind, as well as your muscles.

You may get weepy on the massage table and not know why. You may miss your baby while in your appointment, and both love it and hate it. Being worked on by your therapist, you might realize, will be the first time in weeks where you are being touched with restorative energy, instead of having to be the one giving stimulation, food, or peace. Massages are not just for birthdays and anniversaries. Your body deserves to have attention be paid to it after doing the critical work of birth.

3. House Cleaner

This last one might be a stretch for you, but we want you to think about hiring a cleaning service to help in your first weeks home with your baby. Your attention will be divided between learning about your new child, grieving the loss of your old life, and being wrecked with an onslaught of hormones and sleep deprivation.

A professional cleaner is not someone you will need to worry yourself over. She or he can reduce your stress if you are frustrated with keeping up with old and new responsibilities, help prevent your space from becoming an isolated cave, and offer peace of mind that you and your baby are not having your immune systems overwhelmed by housework.

If there is a time to invest in supporting your entire family, taking the cleaning stress off of everyone’s plate is a caring way to start your first weeks as new parents.

As always Doulas of Baltimore is honored so many families are choosing our in-home postpartum team to come and help in the postpartum period. If you would like to talk with us about care options for support inside your home day or night, we want to hear from you. And if you need referrals to some of our favorite local professionals, just let us know!