Newborn Classes and Childbirth Education for New Parents

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There isn’t a handbook for pregnancy, birth, or parenthood and that can be overwhelming. If you’re finding yourself with notebooks or spreadsheets full of information to wade through, you’re not alone. We have access to an entire internet full of recommendations, be they current or outdated. Finding reasonable, science-backed answers can feel like an uphill battle and a lonely one at that. Are childbirth classes really necessary? Are newborn care classes worth it?Where can I find newborn classes and childbirth education in Baltimore?

That’s a call only you and your partner can make.

Childbirth Education

What is Childbirth Education?

Childbirth Education Classes are educational programs taught by experienced instructors well versed in the field of Pregnancy, Birth, and Postpartum. Childbirth Education curriculum varies and classes attended are generally chosen based on your preferences. Some focus heavily on a larger, trademarked curriculum such as Evidence Based Birth or Lamaze, while others are completely unique to the instructor such as Doulas of Baltimore’s signature Complete Childbirth Education Series.

Childbirth Education classes can be taught in person, online, in a group setting, or on an individual basis. There are many options and approaches, the bottom line is finding one that someone you trust teaches.

 

What should my class cover?

While there are many different types of curriculum, and the benefits of childbirth education still require more official study, it’s well known that access to education increases positive outcomes. When looking at classes, ensure yours covers these basic topics:

  • Decision making strategies to ensure you remain an active participant in your birth story
  • Tips for staying healthy and comfortable in late pregnancy
  • Physiology and the process of labor and birth
  • Common interventions and medication options
  • How to create and communicate your birth preferences
  • Hands-on coping, comfort and relaxation techniques 
  • Preparing for the postpartum experience

 

Whether you’re planning on going through childbirth without an epidural or are open to medication, understanding these key topics can help you create the birth and postpartum experience that will set you up for success.

 

Doulas of Baltimore is hosting our Spring session of our Complete Childbirth Series on Saturdays beginning April 6th, 2024 in Baltimore and our One Day Baby 101 workshop in Frederick. Our Complete Childbirth Series runs 4 weeks and covers 12 hours of science-backed education in an affirming and open environment. Our Baby 101 workshop is a one day intensive that gives new parents all the essential information they need. Learn more and register here!

Newborn Care Classes

What are Newborn Care Classes?

Newborn Care Classes are educational sessions for anyone who needs updated information on the care and keeping of newborn babies. Experienced teachers lead these classes who have taken professional training and work in the field. There are many different options for taking these classes including Hospital-based programs and more uniquely designed curriculum created by individuals. Ensure the source and how frequently the materials are updated are considered when searching for your classes. Safety standards for newborns and infants change regularly and ensuring you have the latest information ensures you’re able to keep your baby safe and those around your baby updated.

What should my class cover?

All Newborn Care classes should cover the basics of baby care such as feeding and diapering as well as:

  • Preparing your home and family for a newborn
  • Common baby gear and gadgets
  • Normal newborn characteristics
  • Hygiene including diapering, bathing, and dressing
  • Crying and newborn communication
  • Comfort and bonding techniques
  • Newborn sleep patterns and safe sleep
  • Feeding options and techniques
  • Hunger and satiation cues
  • Common feeding obstacles

 

Doulas of Baltimore has an opportunity for Newborn Care Education this Spring. Join us in Baltimore for our 4 Week Essential Newborn Care Series. This class runs 4 weeks and covers 12 hours of science-backed education in an affirming and open environment. Learn more and register here!

 

When considering the question, “What childbirth classes should I take?” consider who is teaching it, what the course covers, and if the curriculum is aligned with your birth wishes. If you’re searching for infant care classes for new parents we recommend ensuring that the course is based in science and has up-to-date information on safety and development for newborn babies. We recommend if you’re searching for Newborn classes and Childbirth Education in Baltimore or Frederick, consider Doulas of Baltimore!

 

We believe education is one of the most important things you can invest in. Above all when we educate ourselves we empower ourselves to make sound decisions, enter any situation with confidence, and create a great environment for a positive experience. Generally taking classes with your birth partner prior to giving birth can deeply connect you to one another creating a sense of safety and support.

Pinterest graphic about classes for new parents to take

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

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As if we haven’t spent enough time talking about viruses over the last couple of years, this winter flu/cough/cold season has gotten off to an early and rocky start. 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 is currently keeping lots of littles (and their parents!) awake at night and sometimes sending 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. It is the leading cause of pneumonia and bronchiolitis (inflammation of the small airways in the lungs) in children under one-years-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
  • Encourage family members (especially siblings!) to avoid kissing or touching baby’s face and hands
  • 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 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

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.
  • 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. 
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, eucalyptus, etc either applied to skin or defused

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 flooded with patients, so if you absolutely have to go to the hospital, pack plenty of patience. 

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!

 

The Witching Hour: The Scariest Time of Day for New Parents

Nearly every parent can recall a moment during those early weeks of their baby’s life, when their sweet, innocent little bundle of joy seemed more like a terrifying little monster. This scary time is often referred to as the “Witching Hour”, derived from folklore to mean the time of day when the ghosts, monsters, and demons were said to have appeared. 

Like the term ‘morning sickness’ (which frequently happens far more often than just the morning), the phrase ‘witching hour’ is also a misnomer. Your newborn may spend well more than 60 minutes in this seemingly inconsolable state. Particularly during this time of year, when the sun sets earlier, it is not uncommon for the witching hour to include the hours leading up to and immediately following sunset. 

So what then IS the witching hour?  

The witching hour is a period of excessive fussiness, crying, irritability, and/or sleeplessness, sometimes spanning several hours, often occurring during the late afternoon into evening. It is extremely common for newborns, particularly in weeks 2-4 of their lives, to exhibit this behavior but can (unfortunately) extend for weeks. 

What causes the witching hour in newborns?

Overstimulation

It’s the end of another long and grueling day; you’ve been bombarded by noises, lights, sounds, textures, smells, and other external stimuli for hours on end. It’s enough to make adults want to retreat to their happy place! Now, consider a newborn, only weeks into this journey that is life, experiencing all of these same stimuli. This is why the number one cause of the ‘witching hour’ can be attributed simply to overstimulation. As humans, when we are overwhelmed by external stimuli, it is difficult for our mind and body to rest – overstimulation leads to being overtired too.

Gastrointestinal Discomforts

Your baby’s GI system is also brand new, working hard to learn how to suck, swallow, and digest milk, absorb nutrients, and pass gas and stool. It can be expected that this immaturity can contribute to increased gas (and the ensuing fussiness and discomfort), particularly after a full day of feedings. It’s also not unusual for excess gas and discomfort to compound throughout the day. 

Hunger

A baby’s nutritional needs change throughout the course of the day. It is not uncommon for babies to appear more hungry during the late afternoon and evening hours. This is partially a biological response for breastfed babies in that breastmilk production and supply tends to be at the lowest during this time of day. Babies who are bottle fed may exhibit hunger cues even after finishing their usual portion of milk. 

Tricks & Treats: What can we do to help our baby through the witching hour?

Reduce stimulus 

If you have taken DOB’s Baby 101 workshop, you have likely learned about Dr. Harvey Karp and his 5 S’s; Swaddle, Sway, Side-lying, Suck, and Shhh (or Sound). Combining these five activities can help to reduce external stimuli and, hopefully, encourage baby to close their eyes. A favorite trick for our postpartum doulas is taking baby, swaddled and with a pacifier, into the bathroom, turning off the lights and turning on the exhaust fan! And baby-wearing can be a treat for the whole family. Putting baby in an inward-facing wrap or carrier is a great tool to get through this time, too.

Encourage burps and toots

Encouraging baby to burp and pass gas frequently throughout the day can help alleviate fussiness and bloating in the evenings. Whether breast or bottle feeding, burping baby mid-feeding is always a good idea. Giving baby time to lay and move their limbs can also aid in teaching them how to release gas as well. Ultimately, time and maturity are the only true ‘fix’. 

Feed frequently

While we can’t eliminate baby’s desire to feed frequently in the evenings, sometimes preemptively increasing afternoon feedings can help. This may mean waking more frequently for shorter durations between feedings (2-2.5 hours maximum would be our recommendation). Or increasing the amount or duration at the last feeding session prior to the anticipated witching hour time frame. Cluster feeding, especially in the evenings, is very normal for breastfed babies in anticipation of a growth spurt. Again, this is an instance where time may be the only solution.

Is there a way to eliminate the witching hour?

While it can be difficult to accommodate for every family, one of the benefits of this time of year is the earlier sunsets.  If their witching hour is around 5 pm, ensuring they have a quality late afternoon nap may help. Take advantage of the darkness to push baby’s bedtime back a bit. If baby seems cranky, irritable or inconsolable by 7:30 pm every night, aiming to have them settled and to sleep by 7 pm could help (and mean you might get a few minutes of peace!).

While we can not guarantee that these tips and tricks will work every time with every baby, we can assure you that you are not alone, and ultimately, this time will pass. 

Safe Sleep: The 2022 Update

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We, as a society, are obsessed with infants’ sleep. So many of the first questions people ask after you welcome a little one into your home are focused on sleep.

“So how is the baby sleeping?”

“Are you getting any sleep?”

And my personal favorite, “Are they sleeping through the night?” 

It’s almost as though how well (or not) an infant sleeps is the gauge to measure the caliber or quality of the baby. 

“She’s giving us 5 hour spans of sleep. She’s such a good baby.”

While your friends, family, colleagues and oftentimes perfect strangers, are all well-meaning, it can be difficult to filter through the opinions, misconceptions, and outdated information. As childbirth & parenting educators, postpartum doulas, and Newborn Care Specialists, we always strive to stay on top of the most up to date and relevant information pertaining to newborn sleep safety, developmentally appropriate sleep habits, and the latest sleep related gear and gadgets. 

A quick walk down the infant gadgets aisle at Target may also lead you to believe that it costs hundreds of dollars to get a baby to sleep- 400 variations of swaddles, white noise machines, cribs, bassinets, dozens of types of crib/bassinet mattresses, projection machines, motion sensing video monitors, respiration and heart rate sensors, and intuitive bassinets. 

The American Academy of Pediatrics (AAP) released an updated version of their safe sleep guidelines earlier this summer. This information can be helpful to pass along to anyone who may play a part in your baby’s care. Much of this bulletin is clarification or reiteration of previously released information along with some updated recommendations. Here’s our recap. 

1. The ABC’s of safe sleep: Alone, on their Back, in a Crib (or bassinet).

Babies should always sleep in their own dedicated sleep space (a crib or bassinet specifically), not bedsharing with any other family members (no shared couch or chair sleeping either). This applies to multiples sharing a sleep surface as well. Placing a baby to sleep on their back can help to maintain baby’s airway. Notice how your little one tends to turn their head to the side frequently – this is to ensure they can breathe properly, as dipping their chin to chest can close off their airway. 

The Consumer Product Safety Commission (CPSC) is responsible for testing and monitoring of infant sleep related products like cribs, bassinets, play yards and bedside sleepers. The CPSC also maintains an extensive recall listing, so you can check their website to ensure the baby gear you are using, particularly if it has been handed down to you by friends or family, is safe for your baby.

2. Avoid routine sleep on less safe surfaces.

Car seats, swings, loungers, etc are not recommended for routine sleep, and should never be utilized for unsupervised sleep. One of the guidelines that we teach in our Baby 101 workshop is that if your baby gadget has straps, USE them EVERY time. These straps help to hold baby’s bottom in the appropriate seating position so they don’t scoot and compromise their airway. 

Another consideration is whether baby will be able to sufficiently turn their head to the side; swings, bouncer seats and pillow like devices like the Doc-a-tot or Boppy lounger can restrict head movement causing baby to rebreathe or inhibit the dissipation of CO2. If you are not able to keep an eye on your sleeping baby, it’s always best to move them to a safe sleep surface.

3. Sleep related items to use (and some to avoid).

Pacifier usage is shown to reduce SIDS risk. Swaddles should be used if desired, but only until your baby shows signs of rolling.

One of the most recent recommendations is to avoid the use of weighted swaddles (like the Nested Bean) or additional weighted objects (rice sock, etc). 

Also updated in this summer’s recommendation is that for healthy, full-term babies, at-home cardiorespiratory monitors (like the Owlet, Snuza, Nanit Complete, etc) are not recommended. These products may actually increase new parents’ anxiety levels by alarming unnecessarily and creating a false sense of security. 

If you’re attending our Baby 101: The 4th Trimester workshop or planning for in-home postpartum support or overnight newborn care, safe and developmentally appropriate newborn sleep is a topic we’ll prioritize.

Ways to Help Your Older Child Adjust to the New Baby

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Welcoming a baby into your family is a joy, but a joy that can come with worry. If you’re expecting baby number two, you might be worried about how your older child will adjust to a new sibling. Jealousy is a natural emotion for kids, especially during the ages when they are particularly attached to their parents. They’ll notice you are taking time to care for baby and that people are excited about baby. But, there are still ways that you can help your older child adjust. 

How can I help my older child adjust to a new baby? 

One of the ways that parents can help older children adjust to a new baby is by involving siblings in newborn care, to the extent that they want to be involved. If they are a little older, they might want to help with feeding or bathing. If they’re younger, you can have them get a pacifier and put it in baby’s mouth (gently) or get a diaper. 

Especially for toddlers, it can be helpful for parents to acknowledge the difference between them and the baby. You might find yourself telling the older child to wait while you feed baby or change a diaper. On occasion, you can tell baby that they have to wait while you do something with your older child. You can also remind your older child that they are a big kid and doing something or have something that baby can’t. Emphasizing that they are special can help with feelings of jealousy. 

How do I keep my older child from feeling overwhelmed when baby comes?

 Having a baby can throw everyone’s schedules off, from sleep to meals. One tip to help your older child adjust to a new baby is by keeping their schedule as consistent as possible. If they go to daycare three days a week, keep them at daycare even if you or your partner are home with baby. 

Babies do need a lot of attention, which can create feelings of jealousy in your older child or that there is a certain level of unpredictability. When you feed your baby and do need to devote attention solely to baby, it can help to find something calm and special that the older child can do. While you are trying to have a calm moment for feeding, you can let your older child watch a special show or read a book. 

How can friends and relatives help my older child adjust to a new baby? 

One of the easiest things friends and relatives can do to help your older child or children adjust to baby is acknowledge the sibling first. When they come over to meet baby, have visitors prioritize the sibling. It is so easy for everyone to get excited about the new baby, and your other child can notice this excitement. Have friends and family ask the older sibling if they want to introduce baby or share something special about their new sibling. 

If you have someone who can help you during the postpartum period–whether it is a doula, a family member or friend–you have a great opportunity to prioritize each child on their own. They can take care of baby so that you have quality time with the older sibling. Or, they can take care of the older sibling so you can either rest or take care of baby.