Archive for February, 2012

February 26, 2012

Clipping Baby’s Nails

So, this isn’t exactly birth related, but it is one of those things that new parents find frustrating and I thought I could offer some help.  Parents are often scared of cutting skin and making their baby bleed, which can be a bit of a shock to a new parent.  Some parents resort to biting their baby’s nails, and, although this can be easy – it is also easy to bite too far down.  Additionally, when you’re putting baby’s fingers in your mouth, you’re adding moisture to the area, and the combination of moisture and getting the teeth underneath the free edge (that part of the nail that extends over the nail bed) can cause the nails to lift, which is not a good thing.

Many times, the baby grooming kits or the first aid kits come with emery boards and these are a big no no in my eyes.  An emery board is the cardboard-style nail file.  They tend to have a gritty sand-paper like feeling and if they get wet, they’re ruined.  The rough filing side is actually a little more corse than what I typically prefer, and it tends to rip at the nail rather than smooth the nail down.  Likewise, a baby’s nails are so thin and delicate, it is hard to even file them with a good grooming file (like a 100/80 grit).  Emery boards, contrary to what most believe, are a one-time use nail tool.  They cannot be washed, let alone sterilized, and should be thrown away with each use.  Nail fungus is not fun to mess with, so if you want to go the file route, grab a washable file.  They work better, and they last a really long time.  Just don’t go the metal route, because these rip at the nails, too.

I, personally, don’t go nuts about clipping nails.  They are there for protection and tend to wear down rather easily.  However, as a baby starts moving their hands they end up scratching themselves (or others), and this is no fun either.  You can keep socks over them for a little while, but they do tend to fall off, so getting the skill down is valuable.

OK, OK, so, enough of all that technical nonsense.  How do you easily clip a baby’s nails?  You need to hold their hands and feet firmly.  You CAN can do this without hurting them!  Maybe, as a nail tech, I’m used to this, so it doesn’t bother me, but you’ll be comfortable with it after the first few times.  Just like polishing someone’s nails, you have to make sure you’re in control of not getting polish anywhere, or clipping their skin and harming them.   I once painted Disney characters on a toddler… she was probably one of my easiest clients ever… but I also knew I had to hold her hand firmly, and I did so in the most gentle way and she loved it.

You can clip their nails while they’re sleeping, but sometimes this does wake baby up – and for a baby that may not sleep like you would prefer, you might not want to take the chance.  You can also clip their nails while you’re nursing, but this takes a little finesse to keep both hands free to clip, and the nipple comfortably inside their mouth.

First, you’re going to want to hold baby over your shoulder and bend their legs at the knee while holding their foot somewhere near their butt – you want to hold back away from the toes so that you’re not pulling the skin on their toes (which can cause you to clip too far back) then clip the toenails.  This makes them feel secure up against you, they might suck on your shoulder or arm while you’re doing this, staying content, but most importantly, it prevents them from kicking like crazy – thus, no worries on clipping their skin.  Of course, don’t pull on their limbs and only clip the free edge – the part that looks like a whitish color.  Having their feet still makes this much easier. 

Next, keep your baby over your shoulder, and gently put their hand behind their back – yes, this is similar to how someone would place someone in hand cuffs – but, just do this slowly and gently and you will not hurt them.  Again, hold back on the finger so their finger wraps a little around yours and you’re not pulling the skin.  Sometimes, we tend to want to hold really close to the end of the finger to pull the skin back so that we don’t cut their skin, but this can cause you to clip too much of the nail, and pull the nail bed away from the nail – which hurts them… and may hurt them worse than accidentally clipping a small bit of skin).  Now, you can clip the free edge of the finger nails without them grabbing and waving their arms.

If there are any sharp edges after the clipping, just gently file or let them wear on their own.

February 25, 2012

Best Perinatal Articles

I’m consistently referencing a list full of articles that I find to be the most fascinating and helpful during the perinatal stages (on top of my blog, of course, lol).  I wanted to start a list for myself, rather than just bookmarking, and decided a blog would be the best way to share this with others – and for future reference.  I haven’t added all that I love, but have added some that are fresh on my mind for now.  I will continuously update this as I find new, impressive, articles – and if there are any that you love, please message those to me and I will review and add as I see fit!  Enjoy and happy learning!

Pregnancy

Labor & Birth (And Immediate Postpartum)

Breastfeeding

Postpartum & Parenting

Christianity as it Relates to Perinatal Events

Websites that I Love & Have Too Many Great Articles To List Separately

February 6, 2012

Episiotomies… Tear Here —>

Although the studies show that an episiotomy isn’t the better option than your perineum tearing, many providers are still performing the procedure. 

So, let me break it down for you…

Your perineum is designed to stretch… you can read a great blog post on instinctual perineal care during birth here.   Granted, tears sometimes do happen – and they create a beautiful setting of forcing mom to relax after birth like she should be doing anyway, but they are much less likely to happen with an instinctual birth and no cutting… or nicking… of the perineum.

Ok, so, let’s do a little activity…

Grab a plastic bag – a bag of frozen veggies is perfect… or a piece of plastic “Saran” food wrap…  You want a bag with a “Cut Here” Symbol like this:

Now, try to tear it.  What happens?  It STRETCHES.  It might tear – but often that depends on positioning and the speed in which you tried tearing the plastic.  If it did tear, it probably wasn’t until after it stretched a little and got so far beyond its stretching point that it needed to tear to go a little further.

OK, let’s do another activity…

Grab another bag with a “Tear Here” symbol… ahhh… it is starting to make sense now, huh?  This coincides with a tiny nick in the plastic like this:

 

Now, try to tear it.  What happens?  It TEARS… a lot… really fast.  It probably tears a whole lot more than what that little nick is, huh?  Yea, that’s the point.  The nick HELPS you tear the bag.  Those nice manufacturers put those handy little nicks on there to reduce your time cooking and make it easier to open that bag – no scissors necessary…

The idea behind the episiotomy is to prevent tearing and ”help” the baby through the birth canal… but, back to basics here, people.  You don’t need help – oh no!  In only a very rare instance would an episiotomy be necessary – and then you’re increasing your risks of tearing much further… as in a 3rd or 4th degree tear that can be quite difficult to heal from.  Likely, a little movement, upright/forward positioning (like hands and knees), and, of course those beautiful instincts that allow mom to hold back during the “ring of fire,” is all that mama needs to prevent unnecessary perineal damage…. but, well, that would be too hard and take too long, right?  Or, are we forgetting that “easy” in the moment isn’t always better for the long run?  Think about healing from an episiotomy… the tissue doesn’t blend as easily together as it does from a tear which can cause a more difficult healing process.

So, ladies, remember that you do not have a “cut here” tattoo on your lady parts… your perineum is a “No Scissor Zone.”

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