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Engorgement

Breast Engorgement

What is the best way to prevent engorgement while breastfeeding?  Frequent feedings!  Feeding your baby 10-12 times per 24 hours and making sure your breasts are emptied each feed should reduce your risk of experiencing engorgement.  However, if you are experiencing that painful fullness here are a few tips

Strategies to reduce engorgement

Before Breastfeeding

  1. Hand express or pump the breast for 1-3 minutes prior to feeding
  2. If you can get milk to flow use moist warm compresses to increase milk flowing
  3. If you cannot get milk to flow use cold pack on breasts
  4. Warm shower with back to water, taking a “breast bath” in warm water, and/or applying wash cloths that are moist and warm

While Nursing

  1. If the breasts or areola are too swollen for baby to latch pump or and express for 1-3 minutes to soften breast before feeding. 
  2. Apply light to moderate pressure (REVERSE PRESSURE SOFTENING) to move fluid around nipple and to make it more latchable.

Between Feedings

  1. Use cold compresses, over a protective layer of fabric, on your breasts, chest, and under arms to help decrease swelling.
  2. Wear bras that are not too loose and not too tight.

Engorged breasts can make your breastfeeding experience tough.  The best way to treat engorgement is to prevent it!  However, if you are experiencing persistent engorgement and would like additional help, schedule a free screening with one of our lactation counselors.

Written by Jessica Keenan, MA, CCC-SLP/L, CLC

Mom's breastfeeding

Benefits of Breastfeeding

What are the benefits of breastfeeding babies?  Many moms are faced with familial and societal pressure of deciding whether they want to breastfeed or formula feed.   Before making the decision based on others experiences or the latest baby marketing trends, read on to find out how breastfeeding benefits baby, mom and your community!

Benefits of Breastfeeding

Baby

  • Decreases risk of mortality 
  • Reduces risk for asthma, upper respiratory infections, allergies, ear infections
  • Less risk for colic, reflux, gas, diarrhea, constipation, GI pain
  • Decreases risk for obesity, type 1 diabetes, Autism, ADHD
  • Increases intelligence scores
  • Reduces risk for narrow facial development

Mom

  • decreases risk of unwanted shorter pregnancy intervals
  • Satisfies baby’s emotional needs and increases bonding between mother and baby
  • reduces risk of PPD
  • Helps mom to lose ‘baby weight’
  • reduces risk for high blood pressure
  • decreases risk for ovarian and breast cancers
  • increases work attendance due to healthier baby

Community

  • More bonding opportunities for parents/children
  • Higher IQ subgroups
  • Do not have to worry about dangers of manufacturing errors/formula recall
  • Reduced financial strain without costs of formula
  • decreased waste production to make formula
  • reduced health care costs
  • decreased work absenteeism of parents due to infant/toddler illness

When making the decision between breastfeeding and formula feeding, it’s important to consider how it will effect mom, partner, baby, and your community!  Research shows that breastfeeding comes with increased health benefits for both mom and baby, mentally and physically.  Exclusively breastfeeding reduces the workload and financial burden on your partner.  Finally, it reduces the carbon footprint in your community!  Want to learn more?  Join us at our Breastfeeding Basics class!  Already in the thick-of-it and needing some support?  Reach out and schedule a free screen with one of our certified lactation counselors and infant feeding specialists!

Written by: Jessica Keenan, MA, CCC-SLP/L, CLC

Wrapping Presents for all Abilities

“Rocking (and unwrapping) around the Christmas Tree” – with Glee

green present

You’ve been plotting, planning, shopping and ordering fabulous holiday gifts for your little one. Now, it’s time to wrap up that pile of goodies! Here are a few tips to make the unwrapping process by your child easier and more fun for everyone!

  1. Use a single piece of tape while wrapping:

    Little fingers have a hard time pinching and pulling long edges of perfectly secured wrapping paper, make the wrapping/unwrapping process easier on both you and your child by securing sides with a single small piece of tape. The easier to unwrap, the less you have to help and the greater independence you foster in your child!

  2. Use festive bags:

    Avoid the hassle and frustration of unwrapping challenges all together by placing your child’s gifts in holiday bags! The ease of reaching in and removing their special gifts makes the moment more magical!

  3. Skip the wrapping, use a blanket, bag or box:

    Instead of wrapping presents, allow for an “unveiling” of gifts done by the child or parent with a “cover and lift” method. Simple placement of a cover leads to easy removal, decreasing the frustration of small eager hands without spoiling the surprise!

  4. Have toys and objects ready for use:

    The morning of a holiday brings chaos. The anticipation of gifts can lead to high tensions in the home. Make the moment more enjoyable for both of you by setting up toys or gifts ahead of time for prompt use. This means ditching the cardboard boxes, cutting through the tough zip ties, and inserting batteries (when required) before wrapping. Your child will delight in being able to promptly play with their new items while you relax and soak up the smiles!

  5. Scraps saved for learning:

    When the gifts have been opened and the bags, wrapping paper and tissue paper have been strewn about the room, collect the remnants in a box for later use. These various textures, colors and papers provide an excellent opportunity to work on skill building such as digging/finding, texture exposure, cutting with scissors, ripping/tearing, sorting, color identification, and other fun play and learning activities!  

Really let yourselves enjoy the holiday season by removing the stress of present unwrapping with these helpful tips! If your child is having difficulty around the holidays with motor skills for unwrapping and/or management of emotions or expectations impacting sleep, behavior or play, BDI therapists are here to help, offering free consultations for families all year round. We are wishing you the happiest of holidays!

Written by: Maggie Lord, MS, OTR/L

 

Gift Guide

BDI Playhouse is thrilled to share its 2020 gift guide.  This list is compiled by BDI Playhouse’s therapists specifically for children of all abilities.  The toys are shown through an Amazon Idea List but shopping around and shopping second-hand is highly encouraged!  A variation of each one of these toys can be found at BDI Playhouse’s clinics and are used on a daily basis.  The first list contains items that can be bought at the store or sent straight to your house.  The second list contains experience based gifts.  Both are intended to help your child grow in many areas!

Gifts for Growing Minds and Bodies

Amazon Gift Guide

Gifts that Keep on Giving

  1. Season passes: zoo, museum, aquarium
  2. One-time passes: movies, bowling, swimming, theatre performance, Disney on ice, circus, ice skating, roller skating
  3. Subscriptions: KiwiCo, National Geographic Kids Magazine, Little Passports
  4. Class/Season of Lessons: swimming, sports, gymnastics, dance, karate, musical instrument, pottery class, art class, craft class, horseback riding lessons

Thanks for stopping by!  If you have any questions on the best way to use these toys, check out one of BDI Playhouse classes where we demonstrate how to use these materials or schedule a free screening to talk to one of our therapists!

 

TURKEY TIME TROUBLES?

Turkey Time (as referred to by many of our kiddos) is just around the corner and it is either met with happy or anxious anticipation by children and adults!  A family member announces every Thanksgiving that this is her least favorite holiday because of how overwhelmed she feels with all the food options.  She says the anxiety starts weeks before the big day.  She has the ability to identify, process and express her anxiety related around a holiday.  Imagine, now, a child with the same feelings.  What might his or her anxiety look like?

Anxiety signs in kids:

  • Crying
  • Fleeing the table
  • Poor Sleep
  • Upset/outbursts more frequently or higher intensity than is typical
  • Irritability
  • Grimacing
  • Sweating
  • Yelling
  • Wide eyes
  • Gagging or vomiting
  • Decreased appetite
  • Tense or jittery body
  • Frequent urination

So, what can you do to help make this time less anxious for your child?

How you can help:

  • Take the pressure off! No need to focus on or force the idea of sitting down for a large meal with relatives!  Keep it casual for your kid
  • Validate feelings of discomfort around the holiday
  • Brainstorm food avoidance strategies for use at the Thanksgiving table with your child
  • Interact with Thanksgiving foods without eating them
  • Talk about it- set expectations and boundaries for the holiday festivities
  • Take breaks from the commotion 
  • Turn the focus- make the focus of the holiday less about the food and more about family, crafting/decorations, gratitude, whatever is important to your family!
  • Engage in calming strategies throughout the month.  Examples of calming strategies include heavy work, deep pressure, auditory supports, movement strategies, deep breathing/relaxation strategies, tactile bins, lighting adjustments, and visual toys.  These strategies can be used around meal time and outside of meal time.

Turkey time can be a successful holiday for your entire family, especially if you identify and prepare for the day ahead of time!  If you’d like additional resources, please set up a free screening with one of our occupational therapists at BDI playhouse!

Written by Maggie Lord MS, OTR/L, and Jessica Keenan, MA, CCC-SLP/L, CLC

How Can I Get My Child to Talk?

Learning to talk is a complex task!  It’s no wonder some kids take awhile to get started.  Most of us think of talking as just saying words but it involves much more than that. 

Would you like to help your child say their first words? 

Try out some of these tips.

Play with your child

A child must possess certain cognitive abilities before they are able to communicate. Laura Mize, SLP and author of Teach Me to Talk, suggests building blocks to a child’s first words include the ability to understand cause and effect and comprehend object permanence. Does your child understand that their actions can cause something to happen? Playing with toys such as Jack in the Box, Busy boxes, and musical instruments will help teach these skills. Try playing games such as peek a boo, and hide and seek to build object permanence. Through these activities your child will learn that they can use words or actions to cause an adult to do something for them. 

Engage your child

In order for a child to imitate your words or actions, you must be able to get their attention. You can gauge your child’s ability to attend by answering the following questions: Does your child attend to your face? Will your child try to play with you? Does your little one enjoy being with people?

It is necessary to get your child engaged before you begin to model gestures or words for them.

Look for things they are interested in and follow their lead. Get down on their level, use exaggerated facial expressions, try a sing -songy voice, and exaggerate your actions so you are impossible to miss! 

Imitation

Copying movements and sounds is one of the most important steps for developing words.  Start with getting your child to imitate movements (i.e. waving, clapping, banging on objects, throwing a ball).  Pair a sound with an action; such as “boom boom while hitting a drum, or “whee” when going down a slide. These types of copying should eventually  lead to imitation of real words and phrases. 

Baby signs

Signs have been shown to help reduce a child’s frustrations, build bonds between parent and child, and bridge the communication gap before your child is able to talk .  Signing will not deter language development.  Choose baby signs that are functional and versatile such as “milk”, “eat”, “mom”  and “dad”.  Keep in mind that just as kids’ first words don’t always sound perfect, neither will their signs be perfect.  Reward their efforts!

Model appropriate language for your child

Children typically learn the meaning of words before they say the word.  Talk to your toddler throughout the day using simplified language to label objects, and to describe what’s  going on around them. Imitate their attempts to “talk”,  to teach them the back and forth nature of communication.

Read to your child

Reading to your child will help build key language skills.  Choose books with large, colorful pictures and actions.  Label each word while pointing to each one. Help your child to begin pointing  to them as you read.  Choose books that have predictable text such as Brown Bear Brown Bear. or 5 Little Monkeys Jumping on the Bed and omit predictable words, giving your child an opportunity to “fill in the blank”. 

If you continue to have concerns about whether your child’s language is progressing appropriately, BDI Playhouse Children’s Therapy,  offers free screenings by certified Speech-Language Pathologists.  Check out our website for Parent and Child Classes, which  provide a fun learning environment for you and your child to practice new language strategies.

 

Written by: Sheila Trout M.A.; CCC-Speech-Language Pathologist

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How Sign Helps Babies Learn Language

Babies are the best little learners. Finding new ways to play and explore the world around them. They often understand much more than they can show or say.  Speech develops later because babies have not yet developed the finite muscles to produce sounds. However, that doesn’t mean your baby can’t learn to communicate. It is a perfect time to teach them sign language known as “baby sign”. 

5 Ways Baby sign can help you and your baby:

  1. Fosters language development: Signing helps develop and encourages verbal language development. A child is thought to need to hear (or see!) a word +1000 times before they learn to use that word.
  2. Multisensory: Babies explore with their entire bodies. Signing provides a visual model, along with your verbal model, for even better learning.
  3. Decrease frustrations: Provides babies a way to show you what they want before they can say it and helps you meet your child’s needs.
  4. It’s fun: Your baby loves everything you do!! What a great way to show them how to communicate and play with them. Add silly faces and watch your baby’s enjoyment!!
  5. Increases interaction: Including sign into your daily communication with baby will aid in parent and child bonding as you learn together how a baby sign can add to your relationship.

If you are interested in learning more about baby signs and how it can help your baby learn language, please tune into our baby sign class online, or call for a free consultation!!

Madeline Connor, Speech-Language Pathologist

Be Your Child’s Best Valentine

Love is in the air, and Valentine’s day is the perfect opportunity to show your child just how much you love them! While February can be a busy time for families, building in a little extra love for your little one this Valentine’s day can be easy and fun, in addition to bringing you closer together while progressing development and growth!

 

  1. Gratitude Attitude:

    Experiencing gratitude is more than just saying “thank you” when handed something. It’s a strategy to reset even the youngest minds and focus on favorable aspects of life! Modeling appreciation for what you have will build your child’s ability to focus thoughts on thankfulness and positivity. You can do this for your child by pointing out your grateful outlook on items, people, actions, by having your children assist you in giving/donating, and asking your child to reflect on meaningful aspects of their day! In addition, you can thank your child for what they bring you sincerely and often.

  2. Be Present:

    In a world of distraction and instant-gratification, taking time to be “in the moment” with your child is irreplaceable. Put the technology away for a few minutes a day, take your child’s lead in a game, and bring yourself into the moment with intention! Teaching your child to be mindful and present during play is as easy as leading by example. Your child will find deeper connection with you as you are finding meaning in your time together.

  3. Giving Guidelines:

    Being your child’s best Valentine does not mean giving your child gifts or giving in to their every demand. Children thrive on clear expectations and rules, as they use consistent guidelines to determine how to best behave and make choices. Without these clear guidelines, your child will have to work extra hard to grow and learn. Allowing your child to guide their play, interactions and behaviors within the parameters you have set will let them truly shine in a confident manner!

  4. Perfecting your Praise:

    We can show our love for our kids by reminding them how fabulous they are, but the more specific we are the greater love they feel! Your child craves attention from you, and the best way to give it is highlighting specifics within their performance that you loved the most! Instead of saying “Good job”, you can comment that “I really liked how you brought your bowl to the sink after you were finished”, or “You worked hard on that project, I especially like the extra glitter you added!” These specific praise phrases, when offered appropriately and often, increase your child’s sense of accomplishment and foster a greater sense of self!

  5. Calming the System:

    Showing love for your child by being with them in their hardest moments can be challenging, but understanding what your child’s body needs is the first step! Some simple ways to help your child calm their body and their mind when things are escalating include letting them push/carry heavy objects, playing in various textures (play dough, rice and beans, water), bear hugs, turning down the lights, putting on some lovely smelling lotion, or putting on a quiet song. Valentine’s day will be especially positive with a relaxed and calm system.

  6. Taking Pause:

    True love leaves you feeling confident and supported, and sometimes that means letting your child find success in the little things. Before rushing to your child’s aid with stubborn socks or a collapsed block tower, take pause. Give your child a moment to problem solve, and allow them miniature failures within the safety of your love, because the love they will feel for themselves when they overcome a challenge will be magical!

  7. Building “Occupations”:

    For children, finding occupations (or things they want and have to do in their day) can require some assistance from you. Some children do not have enough of a role in the household management or responsibilities, and others have too little time for free play. Finding love through engagement with your child is a special way to be together. Learning to love something while working alongside your child will let your love grow! Who knows, maybe you’ll find a new occupation or hobby too!

So, while the candies and treats are tempting, allow your child to feel a more significant and unending love through their favorite Valentine–YOU!

Written by: Maggie Lord, MS, OTR/L

 

Drop-Off: My Child Cries and I Want to Too!

What should you do if your child cries at drop-off?  Dropping your child off at preschool, daycare or a babysitter can be a time of anxiety for both parent and child but it doesn’t have to be! Here are some do’s and don’ts of dropping off your teary-eyed child.

DO

Do Leave!

This is huge! If your child cries at drop-off, the longer you linger and extend that goodbye the harder it is for your child to adjust to drop off. This makes your child think they may not have to stay or you will stay with him or her. As a former preschool teacher, one of the most effective ways to leave is to have a short goodbye ritual, for example, “one hug, one kiss, I love you!  Then, mom, you’re out the door. “But my child is clinging to me for dear life or chasing after me, what should I do?” You can let your child’s teacher know you may need some help with separation. Preschool teachers are very creative and can usually find a way to redirect or help your child make a smooth transition.

Do Tell them they will get to do fun things in school and say it with a smile. 

Your child wants to feel safe in his/her preschool environment so your expression will help him/her realize it’s going to be GREAT and they will be safe and have fun!

Do Acknowledge your child’s tears. 

Tell your child you understand they are feeling sad but reassure them they are going to have fun, play with friends, make cool stuff and you will see them after school to hear all about it. Your child wants to know you think he/she is in a safe place and you care about his/her feelings and how he/she is feeling at that moment.

DO NOT

Do Not Show fear or sadness when you are dropping off your child. 

If you look scared or sad, your child will be scared and sad and will continue to have a difficult time adjusting. We want our kiddos to feel safe at school so slap that smile on your face and show your excitement for them!

Do Not Sneak out when they are not looking.

This can be scary for your child. Always make sure you tell your child, “I have to go now but I will be back to pick you up after school.”  Always say goodbye to your child and let them know who will be back to pick them up at the end of the day.

Do Not Become frustrated with your child’s crying.  

It can be scary leaving a parent. Your child’s fear of abandonment is real and he/she needs to know you understand his/her feelings. Acknowledge their feelings, reassure them, and leave.

 

 

Remember to give your child time to adjust to this new routine.  They may cry for a couple of days or a couple of weeks. Hang in there and stay consistent with the do’s and don’ts. It can be hard for a parent to walk away when their child is crying.  But, if you make those goodbyes short and sweet you will be picking up a child that is happy to see you and excited to tell you all about their day.  

If your child continues to have difficulty during drop off please contact BDI Playhouse Children’s Therapy for a free consultation. You are not alone and we can help!

Written by Jessica Frederick COTA/L

 

preschool circle time seating

Sit Smart, Not Still – Best Seating for Classrooms

Is it necessary for children to sit still to attend in circle time? Let’s talk about creative seating in the classroom. As adults, we make sure to “get comfortable” before focusing on things we want or have to do, whether it’s paying bills at the table or watching T.V. on the couch. We do it automatically – we shift our weight or add a pillow under our legs without even thinking about it! When your seating arrangement is comfortable, you are able to give your full attention to the task at hand without having to think twice about how your body is positioned. Like adults, kids need to be comfortable and “situated” in order to focus, especially in school. Sometimes, finding comfortable and focus-inducing seating for the classroom requires creativity and flexibility!

“Sitting Smart”- Benefits of flexible seating options: 

  • Movement Opportunities: Moving your body helps increase blood flow to the brain, which improves focus and attention & reduces stress. Movement options while sitting in the classroom can involve small, minor movements/wiggles or large bounces/shifts to facilitate organized engagement in those wiggles and promoting increased focus.
  • Something for Everyone: Providing a variety of seating options encourages kids to explore and figure out what helps them learn best – we are all different! Allow a child to select what helps them most provides a sense of ownership and self-awareness that will allow for increased engagement in their task, their way!
  • Motivation: Having fun seating options is a way to motivate kids to want to come to school and learn. Increasing the intrigue with novel seating arrangements improves a child’s willingness to approach a seated task that might otherwise be “boring” or “too hard”.

Here are some seating options to help kids improve focus and participation while seated in the classroom:

Cube Chair 

Low Table with Pillows

Floor Chair with Back Support -Postural stability is key!

Fidget Band for Chair -Gives kids an opportunity to move their legs and improve focus

Wiggle Seat – Movement and input while sitting are super motivating!

Exercise Balance BallProvides range of motion opportunities

Wedge Seat positions pelvis for upright posture

Beanbag Chair – Available at Walmart

Scoop Rocker Chair

Inflatable Chair  

Wobble Stool

If these seating options aren’t providing everything your kids need to be successful, BDI Playhouse Children’s Therapy offers free screenings to give your child the necessary tools to improve participation and function at home and in school.

By Jade Pellerito, OTR

Occupational Therapist