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Free Your Baby & You 2011-12 Your Baby & You 2011-12 All About Cesareans OB/GYNs, Midwives and More Where to Find Your Parenting ‘Village’ Choosing Your ‘Pregnancy Partner’ Your Baby & You 2011-12

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Page 1: Your Baby & You 2011-128 Metro Parent • metro-parent.com Your BaBY & You 2011–12 and she ended up having a c-section. Knowing things might not work out as she had hoped, she says,

FreeYour Baby & You 2011-12

Your Baby & You 2011-12

All About Cesareans

OB/GYNs, Midwives and

More

Where to Find Your Parenting ‘Village’

Choosing Your ‘Pregnancy Partner’

Your Baby & You

2011-12

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2 Metro Parent • metro-parent.com • Your BaBY & You 2011–12

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4 Metro Parent • metro-parent.com • Your BaBY & You 2011–12

contents

Metro Parent P.O. Box 13660 Portland, OR 97213-0660 Phone: 503-460-2774; Fax: 503-331-3445

Publisher Martin Griffy, 503-460-2774 [email protected]

Editor Marie Sherlock, 503-460-2774 [email protected]

Managing Editor Emily Puro [email protected]

Contributing Writers Sue Campbell, Julia Silverman

Advertising Account Executives

Westside/National/Outside Metro Area Debbie Dille, 503-997-4044; fax: 503-352-4373 [email protected]

Eastside/Vancouver/Washington Ali King, 503-331-8184; 360-695-0455 fax: 503-331-3445; [email protected]

Design & Production Susan Bard

For distribution issues, e-mail us at [email protected]

For calendar submissions, e-mail us at [email protected]

Metro Parent is published monthly by Metro Parent Publishing, Inc. and is copyright 2011 Metro Parent Publishing, Inc. All rights reserved. Reproduction in whole or in part without written permission is prohibited. Metro Parent is dis-tributed free of charge throughout the Portland, Oregon metropolitan area.

Metro Parent reserves the right to refuse advertising for any reason. Distribution of this publication does not constitute an endorsement of the products or services advertised herein.

Metro Parent does not discriminate on the basis of race, color, national origin, religion, sex or sexual orientation.

Although every effort is taken to ensure the ac-curacy of published material, Metro Parent Pub-lishing Inc. and its agents and employees cannot be held responsible for the use or misuse of any information contained herein. The contents of Metro Parent and its Web site are for informa-tional purposes only and are not intended to be a substitute for professional advice or treatment.

Serving the Families of the Portland Metropolitan Area

Choosing a Partner in Pregnancy .......... 6From OB-GYNs to Midwives to Group Prenatal Care, Which is Right for You? Selecting a prenatal health care provider is a big

decision, especially for first-time parents. We’ll help you weigh the options and examine your own needs to find the type of provider best suited for you and your growing family.

All About Cesareans...............................12Why C-Sections Have Become So Common – and What Can Be Done About It Over the past 15 years, the cesarean rate in the

United States has doubled to an all time high of 34 percent in 2009. (From 2007 to 2009, the rate was 29.82 percent in Oregon and 30.19 percent in Washington – almost one birth in three!) Why the increase, and what can be done to reverse the trend?

Gone Shoppin’ ......................................... 20The Best New Gear for Babies and New Parents With so many products for babies and new par-

ents, how do you know which ones are truly going to make life with baby easier? We asked a few of our favorite local shop owners to help us compile our annual guide to new products you and your baby are going to love.

It Takes a Village .....................................24Where to Find Parenting Support From new parent groups to play groups to parent-

ing classes and beyond, there’s a wealth of infor-mation, assistance, support and friendship awaiting you. Check our listings of local resources, then get out and find your parenting community.

Your Baby & You Listings ........................27Our annual listing of pregnancy, baby and family resources – from Acupuncture to Waterbirth.

Index of Advertisers .................................31

2011-12 Your Baby & You

The information contained in this issue of Your Baby & You is intended as general information only and should not be construed as medical advice for any specific situation or individual. Readers should contact a health care profes-sional for all medical concerns.

Our adorable cover image (of Alayna of north Portland) was graciously provided by Rebecca Davis of Catchlights NW: www.catchlightsNW.com; [email protected]

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Your BaBY & You 2011–12 • metro-parent.com • Metro Parent 5

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Mother Nature’s Child

orth Portland mother Janèt Pittsenbarger had a clear and cherished image of what the birth of her first child would be like. She envisioned a home birth, alongside her husband, with a midwife present to guide the couple and their new baby into their brand new world together.

Turns out, her body had other ideas.Pittsenbarger’s first prenatal visit showed she was pregnant with

naturally conceived identical triplets. (What are the odds? Roughly 1 in 100,000!)

Along with every other recalibrated expectation, Pittsenbarger knew she was no longer a candidate for a home birth. Instead, given the potential complications of a pregnancy in which her three boys – born at 34 weeks and now, just a year later, all thriving – were sharing the same placenta, she had to find a good perinatolo-gist, and fast.

Even without the mingled joy and terror of a triplets pregnancy like Pittsenbarger’s, finding the right prenatal care provider is a big decision, especially for first-time parents. In the Portland metro area, your choices are varied, so how can you be sure you choose the provider who’s best for you and your family?

What are my choices?Generally, most women opt for one of the following:

Obstetrician-Gynecologist (OB-GYN): A doctor who specializes in

pregnancy, birth and postnatal care, as well as gynecological care. Most often, OB-GYNs attend births in hospitals, though a few are affiliated with birthing centers.

Family Practitioner: A doctor who cares for entire families at all life stages. In case of a surgical outcome for a birth, they may partner with an OB-GYN.

Nurse-Midwife: A practitioner who’s educated in both nursing and midwifery. They’re generally affiliated with a hospital and mainly work with low- to moderate-risk pregnancies.

Midwife: A midwife generally practices either at a birthing cen-ter or in patient homes. They’re most likely to work with low-risk pregnancies, including singleton births to women who have had few pregnancy-related complications.

Naturopathic Doctor (ND): An ND emphasizes a holistic approach to patient care and often uses natural remedies instead of conven-tional drugs. Those who attend births generally also are trained as midwives.

What’s the difference?Whatever type of care provider you chose, prepare to spend a

lot of time together. Typically, prenatal visits are scheduled once a month from about eight weeks to 28 weeks, then twice a month

Green Options for Pregnancy and Birth

By Julia Silverman

Choosing Your ‘Pregnancy Partner’

From OB-GYNs to Midwives to Group Prenatal Care, Which is Right for You?

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By Julia Silverman

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Choosing Your ‘Pregnancy Partner’ continues on page 8

North Portland mother Janèt Pittsenbarger had to give up on the idea of a home birth attended by a midwife when she found out she was having triplets. A year later, with three healthy boys, she doesn’t regret a thing!

for the next six weeks. After that, it’s usually once a week until the baby is born.

There are some common denominators across providers. Expect regular checks of your blood pressure and weight, for example, as well as checks of the baby’s heart rate and measurements of your abdomen as an estimate of the baby’s growth. Depending on your provider and your own decisions, you will be tested for some rela-tively common pregnancy-related complications, including anemia and gestational diabetes.

There also are some key differences.“I wanted someone who would be with me the whole time, rather

than (dealing with) a change of shifts,” says northeast Portland mother Elizabeth Busetto of her decision to chose a naturopathic doctor to deliver her son, Calvin, who will be 3 in November. “I felt lucky to have the ability to have a birth at home, with a practitioner of my choosing in my own setting with hardly any intervention, but two miles from a hospital in case I needed to transfer.”

(The flip side, though, is that an ND and/or midwife may be more likely to have to reschedule prenatal appoint-ments when called away to attend a birth.)

Busetto, who is herself a naturo-pathic physician, says she feels certain that had she been seeing an OB/GYN, Calvin would have been born more than three weeks early, since she was having contractions between five to seven minutes apart by the end of October and exams showed she was four centimeters dilated and 80 per-cent effaced.

That would have likely meant a hospital birth, because under Oregon law women must be at least at the 37-week point to give birth at home. But her naturopath encouraged her to have faith in her body and the baby, and her contractions eventually slowed down to about 10 to 15 minutes apart. Calvin wound up being born four days after his due date, at home.

While most OB-GYNs will make every effort to be there when a patient gives birth, many practices are moving away from a 24/7 “on call” model, says Dr. Lara Williams, an OB-GYN with Everywoman’s Health in north Portland. “You want a provider who is well rested,” she says, “who has family and friendship support.”

Williams advises women who are looking for a prenatal care provider to come in not only with a plan for how they’d like their pregnancy and birth to go, but a back-up plan for those, like Pittsenbarger, who find things aren’t unfolding as they had expect-ed. Williams herself had planned to have her now 3-month-old son without intervention, but instead the baby arrived six weeks early

“ It comes down to where you feel the safest. It’s a gut feeling.”

– Dana Shibley, Andaluz Waterbirth

Center

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and she ended up having a c-section. Knowing things might not work out as she had hoped, she says, she took care to choose an OB-GYN she trusted to perform surgery, if necessary.

The group prenatal care optionIf you’re looking for a chance to have some in-

depth conversations with your provider and con-nect with other expectant mothers throughout your pregnancy, you might consider group prenatal care, which is now offered through both Oregon Health and Sciences University (OHSU) and Legacy Health System. While the model is relatively new to the Portland metro area, it’s existed for centu-ries in one form or another.

Under the group prenatal care model, women who are due within roughly the same six to eight week cycle are matched up in groups of about eight to 10. Participants begin their prenatal care by seeing a nurse-midwife, says Terri Cohen, a cer-tified nurse-midwife and clinical director of Legacy Health System midwifery services, but subsequent appointments are held in a group setting. During

the two-hour sessions – which are scheduled once a month until 28 weeks and every two weeks after that – women are examined by a midwife in semi-privacy before participating in group discussions about the stage of pregnancy they’re currently experiencing. There’s also time built in for social-izing with the other expectant moms.

Many of the women in Legacy’s program, which has been offered for about a year, have formed lasting friendships, according to Cohen.

“So many of the experiences that women have in pregnancy are the same from one woman to another,” she says. “We can learn so much from one another.”

Making the callUltimately, choosing your prenatal care pro-

vider comes down to trusting your instincts, says Dana Shibley, a midwife at Andaluz Waterbirth Center, with locations in southwest Portland and Tualatin.

“It comes down to where you feel the safest,” she says. “It’s a gut feeling.” Women who come

Midwife Dana Shibley (left) helps expectant parents Allison Wilimek and Jamal Cooke listen to their baby’s heart tones at a prenatal appointment at Andaluz Waterbirth Center.

“ I’d tell women to do their homework, and be as informed as possible before appointments, so they can get the right prenatal care that they need.” – Janèt Pittsenbarger, north Portland

Choosing Your ‘Pregnancy Partner’ continued from page 7

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Choosing Your ‘Pregnancy Partner’ continues on page 10

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10 Metro Parent • metro-parent.com • Your BaBY & You 2011–12

to Andaluz often ask about safety, because it’s a birth center rather than a hospital, so the midwives there talk them through all the possibilities to help them make the best choice.

Women who chose Andaluz get “no surprises,” Shibley adds. They know the midwives and appren-tices who will be present at their labor. They’ve talked with them frequently throughout the prenatal period, not only about the routine measurements and nutritional questions, but also about more emotional topics, like what they’ve been dreaming about, or their own mother’s birth story.

Dr. Jenna Murray, an OB-GYN at Bridgeview Women’s Health in north-west Portland, encourages her patients to write up a birth plan, which is essentially a road map to how they’d like their pregnancies to unfold. “All I really want to do is maximize what a woman’s birth experi-ence is going to be,” she says. “Your birth experience should be right up there as one of the best things that ever happens to you.”

Pittsenbarger’s birth was nothing like she had pictured it, yet with her three boys safe and healthy, everything turned out exactly right. Given her unusual circumstances, she went for regular checkups with her perinatologist at OHSU. When she needed to talk to her doctor between appointments, she says, she was always able to reach her via phone and email. What she recalls now is her doctor’s calm in the post-deliv-ery blur.

“She was so reasonable,” she says gratefully. “She never expected any more of me than I could give.”

Whatever your birth circumstances, Pittsenbarger advises expectant parents to be their own advocates. “I’d tell women to do their homework and be as informed as possible before appointments, so they can get the right prenatal care that they need,” she says.

Julia Silverman is a Portland freelance writer and the mother of twins.

Choosing Your ‘Pregnancy Partner’ continued from page 8

“ So many of the experiences that women have in pregnancy are the same from one woman to another. We can learn so much from one another.”

– Terri Cohen, CNM, Legacy Health System

Choosing a Provider

When it comes to selecting the health care provider who will see you through your pregnancy, labor and delivery, it’s important to make sure you’ve found a good match. Consider interviewing several providers before you make your final decision. Here are some questions you might want to ask:

• What is your cesarean section rate? What about your rate of – and philoso-phy about – other interventions, from pitocin to increase contractions to the use of forceps to aid in delivery?

• What circumstances might make a medical transfer necessary, whether to a neonatal intensive care unit, or, for midwives, from homes or birth centers to hospitals?

• How much time do you spend during a typical prenatal appointment? Do you allow for time to talk about my concerns and questions in addition to routine measurements and tests?

• Will you be at my birth? Who will be in charge if you’re not there?

• What kind of communication is available if I have questions between scheduled visits?

The decision is so important, and there are so many factors to consider, some experts suggest selecting and developing a relationship with your care pro-vider before you even become pregnant. It’s one less thing to worry about with the baby on the way, and it can be helpful in figuring out when to stop using birth control, what type of supplements (if any) to begin taking, how to ensure your diet is a healthful one, and other pre-prenatal questions.

Experts recommend interviewing several health care professionals before selecting the one who will provide your

prenatal care. And some experts suggest that you select your provider before you become pregnant.

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Gresham mom Amanda Kamish went into labor with her first child on her due date. She went to the hospital, was given a drug cocktail of morphine and Ambien (a sleeping pill), and sent home. Shortly afterward, her water broke. Back at the hos-pital, she labored for 28 hours and pushed for three, vomiting between pushes, with little progress. Though her baby, now 12 months old, showed no signs of distress, the exhausted Kamish was given the option of pushing for an additional hour or having a cesarean section. She opted for the c-section.

“I made the decision and I started crying because I felt like I had failed,” Kamish recalls. Her partner, Jeff Donovan, was there to reassure her. After the procedure, Kamish says, “I was just relieved. I finally got to meet her and it was all done and over with and she was healthy.”

Kamish’s story is a common one these days: a three-hour active labor with little progress ends in cesarean deliver. In fact, more than one-third of all deliveries in the U.S. are by cesarean section, accord-ing to a report released this year by the independent health care rating organization Health Grades. That study concluded that the national c-section rate went from 4.5 percent in 1965 to 34 percent currently. The Pacific Northwest fared a little better – but not much – with Oregon’s percentage at 29.82 and Washington’s at 30.19.

Why the increase in c-sections?Dr. Aaron Caughey, MD, PhD, director of the Center for Women’s

Health at Oregon Health & Science University (OHSU), paints a complicated picture of the causes for this dramatic increase in the cesarean rate. While it’s tempting to point to changing demograph-ics – older mothers, heavier mothers, more twins, mothers requesting scheduled c-sections – Caughey notes that cesarean rates are going up within each of these groups, so it’s not a single category of births responsible for the rise.

“There’s really a cultural and medical-legal issue,” Caughey says. The obstetrical community has become extremely risk averse, largely owing to some lawsuits with big settlements in the mid- to late-1990s stemming from vaginal births after cesarean (VBACs) gone wrong. Malpractice insurance rates for VBAC are considerably higher than those for cesareans. The pay-ments doctors receive for long labors typically are less than those for speedy c-sections, too.

“It’s an economic issue. It’s a cul-tural issue. It’s very challenging,” Caughey says.

Why is this a problem?We all know mothers who have

delivered safely by c-section, so why the concern over the rising rate?

Delivery by cesarean section is major surgery, and any surgery carries the risk of complications from anesthesia, bleeding and wound infection. Additionally, each c-section increases the mother’s

“ I think that most practitioners are invested in reduc-ing the c-section rate and one way to do that is to make sure that that first c-section doesn’t happen if it doesn’t have to.”

– Regis McDonald, certified nurse midwife,

Legacy Health System

All About Cesareans

By Sue Campbell

Why C-Sections Have Become

So Common – and What Can

Be Done About It

“ Follow the advice of the doctors and nurses and let other people help as much as possible,” advises Gresham mom Amanda Kamish, who had a cesarean delivery in October 2010.

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Your BaBY & You 2011–12 • metro-parent.com • Metro Parent 13

risk in future pregnancies of developing placenta previa, a condition where the placenta covers the opening to the cervix, and placenta accreta, where the placenta is attached too deeply to the uterus. Both conditions present significant danger to mother and baby, as the mother can suffer severe hemorrhage and even death.

As women who have had a c-section for their first preg-nancy continue to have children, the incidents of complica-tions associated with c-sections likely will rise. The World Health Organization recommends a cesarean rate of 15 percent or lower to protect women and babies and reduce health care costs.

When is a c-section medically necessary?The biggest indication that a cesarean delivery is warranted

is fetal intolerance to labor. This means the baby is not getting enough oxygen, perhaps due to a compressed umbilical cord or a problem with the placenta. A fetal monitor or even a blood test of the fetus is used to detect this condition.

Medical opinions begin to differ for other situations. Most hospitals also consider a breech presentation as an indication that delivery by c-section is necessary. Some hospitals refuse to allow VBAC, or may have limitations on when a trial labor – attempting a vaginal delivery – is permissible after a c-section, such as for women with a classical (vertical) uterine scar, which is more susceptible to hemorrhage.

There’s also disagreement about how long to allow a wom-an’s labor to go before it’s considered stalled. Most physicians follow a standard established in the 1950s called the Friedman Curve, which indicates that active labor should progress from four centimeters to full dilation in about three hours. But more research is needed, experts say, to determine whether the Friedman Curve is accurate – or if more time should be allowed for labor to advance.

Avoiding unnecessary c-sectionsWith the data telling a sobering tale about the current approach

to c-sections, local hospitals are looking at what can be done to reduce the rate of cesarean birth.

“I think that most practitioners are invested in reducing the c-section rate,” says Regis McDonald, a certified nurse midwife with Legacy Health System, “and one way to do that is to make sure that that first c-section doesn’t happen if it doesn’t have to.”

These days, a c-section in a first pregnancy all but guarantees a subsequent surgical birth, given that the VBAC rate has fallen from a high of around 28 percent in the mid-1990s to the current rate of around 4 percent.

Other efforts focus on increasing the VBAC rate, turning breech babies before labor begins or even delivering breech babies vagi-nally. Until last fall, the only option locally for a woman wishing to

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All About Cesareans continues on page 14

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14 Metro Parent • metro-parent.com • Your BaBY & You 2011–12

have a vaginal breech delivery was a home birth. OHSU now offers a trial labor for vaginal breech deliveries. Though this isn’t likely to make a huge difference in the number of c-sections performed – in the first 12 months of the program five women attempted a vaginal breech delivery and four were suc-cessful – Caughey hopes it will play a role in chang-ing a culture that too often turns to surgical birth.

Midwives play a crucial role in lowering the c-sec-tion rate, too. According to a fact sheet published by the nonprofit Citizens for Midwifery, midwives attend-ing out-of-hospital births where the pregnancies are classified as low risk have a cesarean rate of less than 5 percent nationwide. In hospitals, women in the low-risk category who do not have a midwife have a cesarean rate of about 19 percent.

In many cases, women choosing in-hospital birth can opt to work with a certified nurse-mid-wife (CNM). A review of studies from 1990-2008 recently released by Nursing Economics concluded, “When comparing CNM and MD care, there is a high level of evidence CNM groups have lower rates of cesarean sections.”

“The biggest tool that midwives have in their repertoire is patience,” says McDonald. Caughey agrees and says midwives do a good job of estab-lishing expectations about labor early in pregnan-

cy, offering such counsel as, “Your labor could take a long time and that’s okay. I’ll be there for you. I’ll support you.”

It’s not only the obstet-rical approach to c-sec-tions that has to change, say the experts. Women’s expectations are part of the problem. Most women aren’t prepared for a long, painful birth. Media can play a big role in changing the perception of women regarding the need for cesarean birth. The film The Business of Being Born (2008), produced by actress Ricki Lake,

attempts to inform and inspire women to explore their options and advocate for themselves during the birth experience.

“That [movie] really made a big impact in New York where home birth was [once] illegal and now it’s becoming a part of the culture,” says Sarah Wylie, a naturopathic doctor and midwife at Kwan-Yin Healing Arts Center in northwest Portland.

All About Cesareans continued from page 13

Niall Connell, pictured with sister, Ruby, 5, surprised his parents and midwives when they discovered he was breech during labor. Delivered without surgery, Niall suffered a broken clavicle but no long-term complications.

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“ If I was a woman who was pregnant in the Portland metro area, the conversa-tions I would have early on with the clinicians...would be around what their philos-ophy is regarding cesarean delivery and how impor-tant it is to stick to a strict schedule during labor and delivery.”

– Dr. Aaron Caughey, OHSU

All About Cesareans continues on page 16

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Your BaBY & You 2011–12 • metro-parent.com • Metro Parent 15

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Wylie knows first-hand the unpredict-able nature of birth and the complicated decisions that come along with it. In July 2011, she gave birth in her southeast Portland home attended by two experienced mid-wives and her partner, Edward Connell. At one point during her third trimester, the baby was breech but by 37 weeks was pre-senting head down. She was therefore surprised when she discovered during labor that her baby was coming out bottom first. Wylie’s midwives had witnessed about 20 vaginal breech births between them and felt comfortable proceeding.

“The last contraction was where everything became very dif-ficult. His body came out but he got stuck because both of his arms were over his head,” Wylie says. Working quickly, her mid-wife freed the baby’s arms and called for a last push from Wylie. The baby, Niall Fergus Connell, suffered a broken clavicle during delivery.

“He did get injured,” Wylie says. “I can’t run around saying I had a breech birth and everything was completely fine.” Though

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All About Cesareans continued from page 14

“The biggest tool that midwives have in their repertoire is patience,” says Regis McDonald, a

certified nurse-midwife with Legacy Health System.

All About Cesareans continues on page 18

PHOTO COURTESY OF LEGACY HEALTH SYSTEM

Cesarean Delivery on Maternal Request

Some women who have not had a previous cesarean may choose to deliver by a scheduled cesarean when there is no medi-cal indication. This is known as “cesarean delivery on maternal request” or CDMR. Though CDMR has become more common in recent years, new data show they are not a significant factor in the increase in c-sections.

“We simply do not find that demand,” says Dr. Aaron Caughey, director of OHSU’s Center for Women’s Health. “Maybe that’s a couple of percentage points. Maybe that’s one in a hundred women.”

One reason a woman might request a scheduled surgical birth is the desire to have a family member present who is traveling or on leave from military service. Speak with your doctor or midwife about the risks involved before pursuing this. Many hospitals will not perform a CDMR before 39 weeks gestation as research shows that the last few weeks of pregnancy are crucial for optimal devel-opment of the brain, liver, lungs and kidneys, and that carrying a baby to full term maximizes his chances of survival.

It’s also advisable to check with your insurance provider, as some carriers choose not to cover a surgery that isn’t medically necessary.

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Recovering from a Cesarean

The physical and emotional impacts of cesarean birth vary from woman to woman. Some women may recover quickly from the surgery itself, but grieve for the vaginal birth they didn’t have. Some women may be fine emotionally, but have complications while healing or difficulty breastfeeding. Whatever the situation, a good support system is the key to recovery, so Mom can get down to the important work of car-ing for and bonding with her baby.

“Follow the advice of the doctors and nurses and let other people help as much as possible,” advises Gresham mom Amanda Kamish, who had a cesarean delivery in October 2010. She recovered quickly, but found she had to have others remind her of the need to rest.

Many women turn to a postpartum doula to help during the weeks and months following a c-section. Doulas assist with infant and mother care and act as a support for the whole fam-ily. Some are lactation specialists who can assist with any breast-feeding problems, which are more common after c-section, too. Many even cook and do light housekeeping.

To aid in physical recovery, it’s necessary to manage pain and follow orders to take it easy. (Stairs and lifting are often pro-hibited.) Helpful equipment includes a heating pad to assist in wound healing, and a bed rail and a large pillow with arms that allows for sitting up in bed. A gentle walking program also has been shown to speed recovery. Avoid becoming constipated and be on the lookout for signs of infection such as fever or redness and swelling at the incision site.

Recovering from emotional distress can be even more chal-lenging than physical recovery. Sarah Wylie, ND, has worked with many women recovering from surgical birth and feels “there are all these invisible wounds from a c-section birth that we don’t talk about in this culture.” Some women turn to ther-apy, a support group or even medication if postpartum depres-sion becomes an issue. (See “Cesarean Support and Resources” on page 18 for information on support groups.)

Alternative therapies such as acupuncture and massage can promote physical healing and as well emotional wellness. Certain exercise programs that focus on the pelvic floor, such as Pilates, can be helpful for long-term recovery, too, but check with your health care provider before starting any type of exer-cise regimen after surgery.

— Sue Campbell

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she acknowledges her decision may have been different had she known in advance that her baby was breech, she was thankful she didn’t have to recover from major surgery and could instead focus on caring for Niall and her older daughter, Ruby, age 5.

The way forward

“If I was a woman who was pregnant in the Portland metro area,” says Caughey, “the conversations I would have early on with the clinicians ... would be around what their philosophy is regarding cesarean delivery and how important it is to stick to a strict schedule during labor and delivery.”

Caughey emphasizes the need for a physician and a hospi-tal staff that can be patient yet able to move quickly should the need arise. For those women who’ve had a previous c-section, it’s important to ask about the hospital or birthing center policy on VBAC. Most Portland area hospitals have a VBAC program, although some have restrictions.

The best way to reverse the increase in surgical births may lie in finding a way to get women the information they need to make the decision that’s right for them – and calling for change one birth at a time.

Sue Campbell is a Portland freelance writer and mom.

Cesarean Support and Resources

Support Groups:International Cesarean Awareness Network (ICAN) – ican-online.org. ICAN’s mission is to improve maternal-child health by pre-venting unnecessary Cesareans through education and support. ICAN of Portland meets the third Monday of each month at 7 pm at varying locations. Call 503-245-1678 or 503-539-9158 (Christa) or visit facebook.com/ICANofPortland.

Resources:HealthGrades: An independent health care rating organization that published the report Health Grades 2011 Obstetrics and Gynecology in American Hospitals, including a list of c-section rates by state. Go to the Press Room at healthgrades.com to read the full report.

Birth Matters: A Midwife’s Manifesta by Ina May Gaskin (Seven Stories Press, 2011)

The Essential C-Section Guide: Pain Control, Healing at Home, Getting Your Body Back, and Everything Else You Need to Know About a Cesarean Birth by Maureen Connelly and Dana Sullivan (Broadway, 2004)

The Business of Being Born (2008): A documentary film about the current state of maternity care in the United States. thebusi-nessofbeingborn.com

All About Cesareans continued from page 14

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For most new parents, figuring out what gear to buy – and what to pass over – can be a daunting task. Your options are overwhelm-ing with more products hitting the shelves every day, and it’s dif-ficult to know what you’ll need, or even want, until you’re knee deep into parenthood. To help guide you in your shopping and baby regis-try adventures, we asked a few trusted local shopkeepers to recom-mend their own favorite new products for babies and new parents.

A big thanks to our reviewers, who are noted after each review: Laurel Ackerman of bella stella (LA), Tara Chatterton of MamaBaby Boutique (TC), the crew at Eco Baby Gear (EG), Jennifer Fuentes of Milagros Boutique (JF), and Judi Martin of Mother Nature’s (JM). (MP denotes Metro Parent staff.) Prices have been provided by reviewers.

(Between compiling our reviews and press time, Judi Martin made the decision to close Mother Nature’s because, as she put it, “I have other dreams to fulfill.” We wish her the best of luck, and we’d like to take this opportunity to remind you that while we’ve included company websites for all the products below, you’ll find them at a number of wonderful local shops, so please shop locally whenever you can!)

For Baby: Kool Kid Legs. They’re called Kool Kid Legs, but they can be worn on arms, too! Great as an extra layer, a fashion state-ment, or to keep little legs warm during potty learning, they’re functional and hip! Available in many fun designs. $12. etsy.com/shop/mamarunswithscissors. (JF)

Earharts. Hand-made in the USA, these adorable hats tie under the chin and protect little ears from the cold. They’re available in a variety of materials,including organic cotton, bamboo and fleece made from recycled milk jugs! $13.50. jojocohatmakers.com. (JF)

Rileyroos Shoes. The perfect“first walker”shoe, Rileyroos are extremely flexible with enough grip to help your little one get where he’s trying to go. The leather-rubber soles are

waterproof for outdoor activity and sturdy enough for a toddler. They’re made from recycled leath-er, when possible, and they use recycled materials in their packag-ing. $36. rileyroos.com. (TC)

Knitting from Nature Hand-knit Baby Booties. Nothing says “new baby” quite like a pair of hand-knit booties. These darling booties are made right here in Oregon, and at this price, they make it easy to support the local economy while keeping babies feet snuggly and warm. $14. (No website; avail-able locally at Tidee Didee, 6011 SE 92nd.) (JM)

Knicker Nappies Baltic Amber Teething Necklaces. These beautiful necklaces are made of Baltic amber, said to provide gentle, drug-free relief from teething discomfort by secreting small amounts of siccinic acid that’s absorbed by the skin and acts as a pain reliever. The necklaces are CPSIA-compli-ant and rated safe for wearing by children, although adult supervision is recommended. $22. knickernappies.com. (JM)

Sweet Dreams Bubble Bath & Sunny Sunscreen SPF35. These all-natural, affordable products contain no phthalates or BPA. Sweet Dreams Bubble Bath is so gentle it can be used as a shampoo, body wash and bubble bath, and Sunny Sunscreen SPF35 is so gentle and natural it can be used even on newborns. Bubble Bath: $10; Sunscreen: $15. epsencial.com. (TC)

Earnest Efforts Wood Baby Rattles. Handmade from wood sustainably harvested in southern Oregon – in a number of beautiful woods from cherry to myrtle – these rattles are not only perfect for teething, they can last for years as baby moves from teething and rattling into more serious music making. $15. etsy.com/shop/earnestefforts. (JF)

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The BesT New Gear for Babies

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Knitting From Nature Hand-knit Baby Booties

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PHOTO BY STACEY CLOVER, ICREATIVEMEDIA

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campbellsalgado.com

Photography that makes your heart go pitter pat.

(503) 736-3040

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Yellow Label Kids Bird Rattles. Made from organic yarn, these sweet little birdies are certified Fair Trade. Ethically crafted, environmental-ly responsible and extremely cute, they’re the perfect first toy! $9.95 each. yellowlabelkids.com. (JF)

For Mama:

Hygeia Enjoye Breast Pump. This breast pump is a favorite for many reasons! To name just a few, you can record and play back baby sounds to enhance milk production, it offers single and double pump-ing, and it’s eco-friendly because it can be reused by other moms. (Simply purchase extra tubing and attachments with the Personal Accessory Set.) $319.99 with internal power supply; $229.99 with external power supply. hygeiababy.com. (EG)

ChewBeads. Made of food-grade silicone, these chic, modern teething neck-laces are a boon to Mom’s wardrobe and a relief for little one’s gums. They also pass the safety test with a breakaway clasp, no BPA, PVC, phthalates, cadmium or lead. From $28. chewbeads.com. (LA)

Boobie Blankies. This lo-cally made product offers everything you need in a waterproof breast pad. Organic cotton flannel and organic bamboo offer soft absorbent protection; a thin, waterproof interior layer ensures leak-free comfort; and they’re machine wash-able and dryable! $18/set of three pairs. etsy.com/shop/welcometoatsupatsu. (JM)

For Moms and Dads: SwaddleKeeper. Hood River nurse and mom Kim Stolte created the Swaddle-Keeper to allow moms and dads a sim-pler way to swaddle. The SwaddleKeeper is an infant blanket sleeper that’s safe, easy to use, and comes in a variety of colors and patterns. The Baby Sleep Kit includes a swaddling blanket, 30 minute video and “Quiet Baby Sleeping” sign and costs $29.95. swaddlekeeper.com. (MP)

Boba Baby Carrier. Made in the USA using 100 percent organic cotton, this carrier is ergonomically designed for both parent and child. It also offers full leg support for developing toddlers, and foot straps orient the legs at a natural 90-degree angle, aligning the hips and pelvis to support the spine. $124.95. bobababycarrier.com. (EG)

Second Skin Sling Wrap. Doulas across the area recommend this made-in-the-USA sling for skin-to-skin “kangaroo care.” Moms love it for the ease of use (no tying!) and arms-free breastfeeding, pumping and cuddling. $35. pre-ciousimagecreations.com. (LA)

Gro-via Hybrid AI2 Diapering System. This cloth diapering system is versatile, economical and easy to use, consisting of a shell, an organic cotton soaker pad that snaps in and out, and several add-on options including the Stay Dry Booster for overnight cover-age and Bioliners for quick, easy cleanup. It accommodates babies from 8 to over 30 pounds and offers the option of using cloth or disposable inserts. Shell: $16.95; Organic Cotton Soaker: $16.95/2-pack. gro-via.com. (EG)

Wheel of Responsibility. What better way to diffuse new parent tension and make sure everyone does his or her fair share than to spin for it? This simple, fun tool will help you decide who’s turn it is for baby duty while giving you a much needed laugh. No cheating! $12. wry-baby.com. (TC)

Said What? This colorful book lets parents record all the adorable quotes, from first words to the deep, meaningful insights our toddlers have to share. Personalize it by adding your child’s name on the cover. $24. coocooconcepts.com. (TC)

Gone Shoppin’ continued from page 20

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Hospital New Parents’ Groups

Area hospitals provide free or low-cost support groups for new parents (and their babies) who have delivered at their facilities. Most welcome parents who have delivered elsewhere (a fee typi-cally is charged to these partici-pants).

Adventist Medical Center: 503-256-4000. adventisthealthnw.com/Classes.

Kaiser Permanente: 503-813-2000 (Oregon), 800-813-2000 (Wash.). kaiserpermanente.org.

Legacy Health Systems: 503-415-5498, 360-487-5498. lega-cyhealth.org/prenataled.

Oregon Health & Science Uni-versity: 503-418-4500. ohsuwo-menshealth.com.

PeaceHealth Southwest Wash-ington Medical Center: 360-514-BABY (2229). swmedical-center.org/classes-support.

Providence Health System: 503-574-659

Tuality Health Education Cen-ter: 503-681-1700. tuality.org.

County Healthy Start Programs

Healthy Start programs offer resources and support to first-time parents, including informa-tion about community services, parenting classes, playgroups and home visits. (Not all services offered by all counties.) Services are voluntary and free regardless of income.

Visit this link for information about all Healthy Start Pro-grams in Oregon: www.oregon.gov/OCCF/hso.

Clackamas County: 503-655- 8601; clackamas.us/ocf/healthystart.jsp.

Clark County: SELF (Support for Early Learning and Families): 360-213-3486; selfwa.org.

Multnomah County: 503-988-3674; web.multco.us/health/early-childhood-services.

Washington County: 503-846-2114; co.washington.or.us/HHS/PublicHealth/HealthyStart/index.cfm.

Parenting & Support Groups

Call for details before attending as meeting dates and times are subject to change; some groups may ask for a small fee to cover costs.

Adoptive Familes – adoptive-families.com/support_group. This national website lists local support groups for families in the adoption community.

Attachment Parenting Interna-tional – 971-404-1884. The local chapter of this international or-ganization, which helps families practicing positive parenting/at-tachment parenting connect and support each other. Find them on Facebook: API of Portland Oregon.

Baby Blues Connection – 866-616-3752; babybluesconnec-tion.org. This volunteer group provides mom-to-mom support for mothers struggling with pregnancy and postpartum mood disorders. Support groups in Portland, Gresham, Newberg and Vancouver, Wash., meet regularly.

Breastfeeding and New Parent Support Groups – see locations and phone numbers below; classes.newseasonsmarket.com. Weekly groups led by Renais-sance Childbirth and Postpartum Professionals at New Seasons Markets. FREE. Tuesdays,10 to 11:30 am, Seven Corners, 1954 SE Division St., 503-445-2888; Wednesdays, 10 to 11:30 am, Concordia, NE 33rd Ave. & Killingsworth St., 503-288-3838; Thursdays, 10 to 11:30 am, Happy Valley, 15861 SE Happy Valley Town Center, 503-558-9214.

Breastfeeding Support Group – Tuality Health Education Center, 334 SE 8th Ave., Hillsboro; 503-681-1700; tuality.org. Weekly group facilitated by a lactation consultant. FREE. Tuesdays, 10 am-1 pm. (New moms from 10-11 am, everyone welcome from 11-noon, 12 months and older noon-1 pm).

Café au Play Parent Support Group – Cafe au Play, 5633 SE Division St. 503-894-8506;

By Metro Parent Staff

Everyone needs a strong support network, especially when we first become parents. There’s so much to do, so much to learn, and so little time to sleep! Fortunately, the Portland metro area is rich with resources and support.

From sharing your daily challenges and successes with other new parents to gaining valuable insight and advice from local experts, there’s nothing quite as nourishing during those first few days, weeks and months of parenthood as connecting with other people who understand what you, your partner and your baby are experiencing. To help you find the support you need as your baby grows, we’ve compiled this list of parenting groups and resources. (You can find additional resources on our website, metro-parent.com.)

So take a deep breath, then take that first step toward connecting with the local parenting community. You’ll be very glad you did!

It Takes a Village

New moms’ groups, like this one at Providence St Vincent’s Medical Center, are a great way to get support and advice, share the joys and challenges of new parenthood, and develop lasting bonds with other families in the area.

Where to Find Support and Connect With Other Parents

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cafeauplay.org. Share your experience of being a parent, trade stories, find support. Each week focuses on a parenting discussion topic, with open discussion afterward. Children of all ages are welcome. Thurs-days, 10 to 11 am.

Columbia Mothers of Twins Club – St. John Lutheran Church, 11005 NE Highway 99, Vancouver, Wash; 360-573-3318; columbiamothersoftwin-sclub.webs.com. Serves SW Washington and meets the first Thursday of the month, 7 pm.

The Dad’s Group – Q Cen-ter, 4115 N Mississippi Ave.; thedadsgroup.com. This support group for gay, bisexual, trans-gendered, or questioning dads meets on the fourth Thursday each month, 7-9 pm.

Diaper-Free Baby Meetings – Milagros Boutique, 5433 NE 30th Ave.; 503-493-4141; milagrosboutique.com. Monthly meetings for families practic-ing “elimination communica-tion.” Third Wednesday of each month, 2-3 pm.

Full House MOMS (Mothers of Multiples) & Dads – 503-610-8598; fullhousemoms.com. Nonprofit support group de-signed to educate and support those with multiple birth chil-dren. Offers new and expect-ant parent brunches, monthly meetings, social events and more.

International Cesarean Aware-ness Network (ICAN) – ican-online.org. ICAN’s mission is to improve maternal-child health by preventing unnecessary Cesareans through education and support. ICAN of Portland meets the third Monday of each month at 7 pm at varying locations. Call 503-245-1678 or 503-539-9158 (Christa) or visit facebook.com/ICANofPortland.

Impact Northwest’s Com-munity Dads’ Group – Brent-wood-Darlington Community Center, 7211 SE 62nd Ave.; 503-988-6127 x243; impactnw.org/community-dads-group. An informal group for dads and their children 3 years and younger. English and Spanish speaking facilitators are present at every group. FREE. Every Tuesday, 6-7:30 pm.

La Leche League – see meet-ing locations and times below; lllusa.org. Information and mother-to-mother support for breastfeeding mothers. N/NE Portland meets the second Thursday of each month, 10 am, Rose City Park United Methodist Church, 5830 NE Alameda St. SE Portland meets the third Tuesday, 10 am, Epworth United Method-ist Church, 1333 SE 28th Ave. (Check website for leaders’ phone numbers.) Vancouver, Wash., group meets the third Wednesday, 10 am, and first

It Takes a Village continues on page 26

PHOTO COURTESY OF KIMBERLY BEPLER

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Wednesday, 7 pm (call for loca-tions), 360-514-6773.

Lake Oswego Mother’s Club – lomoms.com. Social interac-tions, resources and fun activi-ties for moms and kids in the Lake Oswego area. Find them on Facebook: Lake Oswego Mother’s Club.

MOMS Clubs – momsclub.org. Nonprofit support group for stay-at-home or part-time working mothers. There are hundreds of MOMS chapters across the country. Visit the website to find a chapter near you.

Moms of Gresham – 503-666-2581. Weekly playgroups, monthly meetings with guest speakers, field trips, moms’ nights out, a book club and more. Find them on Facebook: Moms of Gresham Club.

MOPS (Mothers of Preschool-ers) – mops.org. MOPS is an international, Christian-based nonprofit support system with local groups in Portland, Beaverton, Lake Oswego, and Vancouver, Wash.

Mothers and More – mother-sandmore.org. This international group is dedicated to support-ing mothers and promoting the value of the work mothers do. Local groups meet in downtown Portland and Beaverton.

New and Expectant Parents Happy Hour – Cafe au Play, 5633 SE Division St. 503-894-8506. cafeauplay.org. Time for new and soon-to-be parents you to relax, make new friends, and chat about the parenting adventure. Free (food and drink for sale). Babies are welcome. Wednesdays, 3:30 to 4:30 pm.

New Fathers’ Workshop – Cafe au Play, 5633 SE Division St. 503-894-8506. cafeauplay.org.

Meet other new and soon-to-be dads in a casual environment where you can grab coffee and ask questions – and get answers. Facilitated by Sam Stevens, LMFT. Free (food and drink for sale). First Sunday of every month, 12:30 to 2 pm.

New Moms’ Group – Alma Education and Movement Space, 1233 SE Stark. 503-233-3001. almamidwifery.com/calendar.html. Ongoing, drop-in group for new moms, Thursdays from 10 am to noon. Free. Pre-walking babies only.

New Parent Support Group at Milagros – Milagros Boutique, 5433 NE 30th Ave.; 503-493-4141; milagrosboutique.com. Meets every Thursday, 2:30-4 pm.

New Parent & Breastfeeding Support Group – Milagros Bou-tique, 5433 NE 30th Ave. 503-493-4141. milagrosboutique.com. Weekly support group hosted by Karla Nussbaum, IBCLC, and Lea Lipscomb, lactation educator. Free. Every Thursday, 2:30 to 4 pm.

Nursing Mothers Counsel Breastfeeding Class – Mila-gros Boutique, 5433 NE 30th Ave. 503-493-4141. mila-grosboutique.com. Get sup-port and questions answered. Free. Fourth Thursday of the month, 6 pm. (For a schedule of other Nursing Mothers Coun-sel breastfeeding classes, visit nursingmotherscounsel.org/breastfeeding-help/breastfeed-ing-classes/class-schedule/.)

Northwest Babywearers – nwbabywearers.org. A nonprofit babywearing advocacy and sup-port organization with groups in the Portland, Newberg and Vancouver, Wash., areas. They hold educational meetings, playgroups and online support

groups as well as offering on-line information and resources.

Outdoor Dads – outdoordads.org. Monthly hikes from April through November for dads and kids primarily 5 and under, although moms and older kids are welcome. Outings are on the fourth Saturday of each month at 11 am.

Parents Anonymous of Oregon – 503-258-4568; morrisonkids.org/programs.aspx (choose “Prevention & Education”). Delivers family strengthening and child abuse prevention ser-vices to parents who have had involvement with both the child welfare and criminal justice systems. Services include a sup-port line, weekly support groups and peer-to-peer mentoring through Morrison Child & Fam-ily Services.

Portland Green Parenting – portlandgreenparenting.com. An environmentally focused parenting community offering a wide range of resources and support, including a café, con-signment shop and more.

Precious Beginnings: Parents Supporting Parents of Criti-cally Ill Newborns – 503-244-3350. precious-beginnings.org. Parent buddies, support, family dinners and other resources for families of critically ill new-borns.

Portland Dads at Home – portlanddad.com. Connecting at-home dads and kids with other families.

Portland Metro Mocha Moms – portlandmochamoms.yolasite.com. The local chapter of this nationwide support group for at-home mothers of color welcomes everyone who sup-ports their mission. Find them on Facebook: Portland Metro Mocha Moms.

TV-Free Parenting Support Group – 503-267-1852; currey-wilson.com. For parents raising kids with little or no television or video games. Meets on a casual, as-needed basis.

Urban Moms Support Group – Eco Baby Gear, 2122 SE Division St.; 503-233-4167; ecobabygear.com. An ongoing discussion group for moth-ers with babies. Topics include breastfeeding, babywearing, and the emotional journey of moth-erhood. Weds., 11:30 am-12:30 pm. Call to sign up.

Washington County Breast-feeding Circles – Washing-ton County’s Department of Health and Human Services Public Health Division hosts Breastfeeding Circles for both English and Spanish speakers in Beaverton and Hillsboro. Both lactation consultants and peer counselors are available. All moms, dads and family mem-bers are welcome. FREE. Hill-sboro WIC Clinic, 155 N First Ave., Hillsboro: English, first and third Tuesday of the month, 11 am-noon; Spanish, first and third Tuesday of the month, 10-11 am. Beaverton Resource Center, 12500 SW Allen Blvd., Beaverton: English, second and fourth Tuesday of the month, 11 am-noon; Spanish, second and fourth Tuesday of the month, 10-11 am. 503-846-8610.

Zenana Spa and Wellness Cen-ter Lactation Services – 2024 SE Clinton St.; 503-238-MAMA (6262); zenana-spa.com/lacta-tionservices/. Support groups facilitated by a lactation con-sultant are offered on Mondays from noon-1:30 pm. $5 per session; first session free.

You can find more parent sup-port and education resources online at Metro-Parent.com.

It Takes a Village continued from page 25

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Resources for Your Baby & YouAcupuncture/

chinese MedicineNorth Portland Wellness Center

4922 N Vancouver Ave. Portland, OR 97217

503-493-9398 northportlandwellness.com

Specializing in fertility, support through pregnancy, delivery and transition to parent-hood, The North Portland Wellness Center offers acupuncture, Maya Abdominal Therapy, nutritional counseling and massage. We provide relief from nausea/vomiting, fatigue, stress, anxiety, depression, shoulder, back and hip pain, headaches, heartburn, swelling, breech presentation, delayed labor and more. Women owned.

Adoption

Associated Services for International Adoption (ASIA)

215 SW Hooker St., Suite 100 Portland, OR 97201

503-224-1860 asiadopt.org

[email protected] is a Hague-accredited, international adoption agency that places children from China, Haiti and Taiwan. Since it’s beginning in 1995, ASIA has found families for more than 700 children. ASIA is known for its integrity, professionalism and dedication to service for its families and their newly adopted children.

Catholic Charities Pregnancy Support & Adoption Services

2740 SE Powell Blvd. #7 Portland, OR 97202

503-238-5196CatholicCharitiesOregon.org

[email protected] primary goal of Catholic Charities Pregnancy Support & Adoption Services is to provide the best pregnancy support to all women. Our approach allows you to slow down and think through your options clearly so you can make decisions that are best for you and your baby.

BABy sign LAnguAge

Tiny Talkers Portland/Vancouver

503-754-8776 TinyTalkersPortland.com

[email protected] Sign Language workshops and Kinder-musik Sign and Sing classes. Learn how to communicate with baby, reducing tears and tantrums, increase baby’s IQ and boost bond-ing. Signing children learn to speak earlier than non-signers! Learn invaluable tips and techniques based on how baby’s brain works, activities, games and more.

BABy sLeep coAch

Ruby Sky Baby Sleep Coaching 503-720-5652

BabySleepCoaching.com [email protected]

Mom, are you exhausted and irritable? Chronic sleep deprivation does not have to be an unavoidable sacrifice of motherhood. There is hope. There is support. There is a solution for your family. Baby Sleep Coaching is an extremely unique service that offers personal guidance with a customized plan and ongoing support.

BreAst Feeding

Luna Lactation 1626 NE Alberta St. Portland OR 97211

360-830-6455 lunalactation.com

[email protected] Lactation provides personalized, nurturing support in the comfort of your own home or in our cozy office setting. We offer lactation education, consultations , supplies and in-depth clinical support for breastfeeding families at all stages; prenatal, postpartum and beyond in the Portland Metro and Clark County areas. Serving the Portland/Vancouver metro area.

milkmakers 415-496-6455

milkmakers.com [email protected]

milkmakers lactation cookies boost your milk supply and are seriously delicious and nutritious. Baked fresh with oats, brewer’s yeast and flax seed - traditional remedies used to increase breastmilk production. Low milk supply can be stressful. Hopefully, our cookies will make your life easier. Order today at milkmakers.com.

chiLdcAre/preschooL

Auntiez House Family Child Care Bethany Crest neighborhood

Portland OR 97229 503-617-1821

auntiezhouse.net [email protected]

Bethany family child care, small group. As-sessment: High/Scope for Infants & Toddlers; High/Scope for Preschoolers. Environment: Creative Curriculum. Provider: Bachelor of Science, Sociology with Developmental-Psy-chology emphasis; State-licensed w/required certifications. Lots of fun!

Cedarwood School 3030 SW 2nd Ave.

Portland, OR 97201 503-245-1477

cedarwoodschool.orgProviding Waldorf Education, preschool through 8th grade. This approach supports

each stage of development with academic, artistic, physical education and social ac-tivities that draw forth each child’s unique capabilities.

Creative Children’s Center 2515 SW 185th

Beaverton, Oregon 97006 503-591-0604

creativechildrenscenter.com [email protected]

Creative Children’s Center is a progressive private school founded in 1990. We specialize in experiential learning, offering full and half day programs for toddlers through third grade. We see all children as gifted and capable, guiding them forward through class projects and individualized work. The CCC curriculum integrates academics with the arts and sciences, in fun and innovative ways. Our teacher’s have extensive experience in the Reggio Approach and cooperative educa-tion. Our environments invite children to explore their world both indoors and out, with gardens, room to run, and studio arts! More @ creativechildrenscenter.com.

Dove Christian Preschool 7555 SW 45th Ave. Portland, OR 97219

503-246-5459 dovepreschool.com

Experienced teachers lead small classrooms, focusing on academics, as well as physical and social development. The dove is a well-known symbol of peace, love and devotion. Dove Christian Preschool strives to nurture children in that same spirit.

Oregon Child Care Resource & Referral Network

Child care referrals for parents and training for child care providers

Clackamas County: 503-675-4100 Multnomah County: 503-548-4400 Washington & Columbia Counties:

971-223-6100 or 800-624-9516Helping families with referrals and resources on how to choose quality child care. Sup-porting child care providers with training and technical assistance. Providing employers with resources to help their employees with child care.

Savvy Nannies Placement Agency 4784 N Lombard St., Suite B

Portland, OR 97203 503-260-6815

savvy-nannies.com [email protected]

Savvy Nannies provides Portland area families with experienced, pre-screened professional nannies. Full time, part time or On Call Nanny Services available. We are dedicated to ac-commodating to your families’ specific needs and we pride ourselves on building successful relationships between families and nannies.

Small Friends School 7475 SW Oleson Rd. Portland, OR 97223

503-388-2266 smallfriendsschool.com

[email protected] Friends School has been part of the Southwest Portland community for over 20 years, providing developmentally appropri-ate preschool and kindergarten programs to children, ages 3 - 6. We believe children are active, capable, and willing participants in their education for life. Our classrooms provide ample opportunities for children to play, problem solve, observe, predict, explore and create to construct their own understand-ing of the world around them.

Valley Catholic Early Learning School 4450 SW St. Mary’s Drive

Beaverton, OR 97007 503-520-0214

valleycatholic.org/early-learning [email protected]

Valley Catholic Early Learning School provides loving care and exciting learning experiences for infants, toddlers and preschoolers, as well as after-school and summer care for children up through 5th grade. We accept children as young as eight weeks old. Please inquire about openings. Established in 1991.

YMCA of Columbia-Willamette Various throughout the

Portland/Vancouver area. 503-327-0007

ymca-portland.orgThe YMCA of Columbia-Willamette currently operates 16 Child Development Centers and 45 school age programs throughout the greater Portland/Vancouver area providing high quality, developmentally appropriate child care for infant through school age children. Please contact us for more informa-tion on program locations and rates. Financial assistance available.

chiLdren’s Art décor

Inspired by Caden judithraye.com 503-784-9638

Whether you are preparing for the birth of a new child, finding the perfect baby shower gift or decorating your child’s room, the ”Inspired by Caden” collection is the perfect place to start. My art is waiting to be adopted by a special family, yours.

cLAsses - MoM & BABy

All Roads Learning Community 3230 SW Vermont St. Portland OR 97219

503-939-8235 allroads.org

[email protected] Roads Learning Community, a Montessori

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community of infants, toddlers, children and adults is now offering Parent Child classes. All Roads offers full and part day programs in a beautiful in home setting. Founded in the spirit of conservation, All Roads uses cloth diapers, earth friendly cleaners, filtered water and organic snacks and home cooked meals.

The Little Gym of Lake Oswego/Tualatin 17890 SW McEwan Rd.

Lake Oswego, OR 97035 503-595-9702

tlglakeoswegoor.com [email protected]

For over 30 years The Little Gym has provided premier motor skill development programs for children 4 months to 12 years. Offering Par-ent/Child classes, Gymnastics, Sports Skills, Dance, Karate, Birthday Parties, and Camps. Watch your child grow in skill and confidence in fun non-competitive programs! Free intro-ductory classes are available.

Music Together of Portland 503-236-4304

musictogether-pdx.comMusic Together of Portland offers music classes for infants and the adults who love them. Each family receives an illustrated song book and 2 CD’s of songs learned in class. Music Together is an internationally recognized early childhood music program for infants, toddlers, preschoolers, kindergartners and their families.

Stroller Strides Several indoor and outdoor locations

in Portland and surrounding areas. See website for classes near you.

503-830-6018 strollerstrides.com

Stroller Strides is a 60 minute cardio and strength training class that you can take with your little one(s) in the stroller. It’s a great way to bond with other like minded moms and get in the best shape of your life without having to check your baby into a gym daycare!

cLothing/resALe

Beezoo Exchange 2390 NW Thurman St. Portland, OR 97210

503-241-2800 beezooexchange.com

[email protected] Exchange is the Metro Portland area’s Largest Children’s Resale Shop. Specializing in European brands, recycled, alternative, vintage and stylish clothes and accessories for your growing kids from Newborn to size 14y. Beezoo Exchange buys your outgrown kids’ clothes and shoes outright. You can choose to receive: cash (30%) or store credit (40%) to use within a year. Accessories, toys and gears are accepted on a consignment basis: you will receive 60% of the sale.

Peri Ponchos 503-235-5313

periponchos.com [email protected]

Whimsical fleece ponchos for children - “Give it a Twirl”

diApers And diAper services

gDiapers Happy baby. Happy planet.

503-546-4666 [email protected] www.gdiapers.com

No landfill necessary. 50 million disposable diapers enter the landfill every day. Each one will take up to 500 years to break down. gDiapers offers you an adorable, reusable outer pant and two landfill-free diapering inserts—100% biodegradable gRefills or reusable gCloth. So many options. o little garbage.

Tidee Didee Diaper Service 6011 SE 92nd Ave

Portland, OR 97266 503-777-3856

tideedidee.com [email protected]

Tidee Didee has all of your diapering needs with the convenience of home delivery. 100% cotton, no soaking or rinsing! Better for the environment, best choice for your baby. Look for our free coupon in this issue! We pamper your little one…top to bottom!

douLAs & Midwives

ABC Doula Service PO Box 2732

Wilsonville, OR 97070 503-752-1691 abcdoula.com

Offering day and overnight service to families with newborns, ABC Doula Service has pro-vided care to over 700 families in 11 years of serving the Portland Metro area. Specializing in breastfeeding support, twins/triplets, and new parent adjustment, ABC Doulas have the training, experience and skills to equip new parents with confidence.

Beaverton Natural Medicine and Wellness Center

12750 SW 2nd Street, Suite 203 Beaverton, Oregon 97005

503-643-0892 BeavertonWellnessCenter.com

[email protected]

Birthingway College of Midwifery 12113 SE Foster Road Portland, OR 97266

503-760-3131 birthingway.edu

[email protected] Services at our center: Breastfeeding Consultations, In-Home Visits, Weekly Sup-port Groups, Breastfeeding Classes, Phone

Support 503-762-1632. Contact us at: [email protected] www.birthingway.edu Also, find us on Facebook

Mother Tree Birth Services 503-343-9911

mothertreebirth.comProfessional pregnancy, birth and postpar-tum doula care, childbirth classes and doula training for the childbearing year. Specializing in natural pain coping techniques, VBAC support, premature birth, bedrest, multiples, breastfeeding, overnight care, baby care and sibling support.

Renaissance Childbirth and Postpartum Professionals

4311 NE Alberta Street Portland, OR

503-493-7390; 360-542-9534 renchildbirth.com

[email protected] supporting families. Renaissance offers trained, certified and highly experi-enced doulas to assist you in your transition to parenthood – whether it is your first of fifth. We specialize in multiples, infant sleep issues, education, lactation, birth processing and tailor our support to each, unique family. Initial interview is free.

Sara Ohgushi ND 2207 NE Broadway, Suite 200

Portland OR 97232 503-703-7825

sarasfamilycare.com [email protected]

As part of my general Naturopathic family practice, I attend a limited number of home-births, often waterbirths, and I do not share call. I delight in supporting parents through this amazing transition, welcoming each newborn, and watching those babies grow (as I do pediatric care as well).

FAMiLy resouces/

other pArent resources

Jay L. Monteblanco Insurance 1-877-232-9816 (toll free)

JLMinsurance.com [email protected]

Health insurance made easy! Coverage for children, families, small business, and large groups. No broker fees. No premium loads.

Nit Nanny 503-933-0655 antilouse.com

[email protected], effective, non toxic, in home lice treatment. Trained and certified in “The Shep-herd Method” of lice and nit removal.

FertiLity/egg donor

Northwest Surrogacy Center 2722 NE 33rd Ave. Portland, OR 97212

503-233-2818 nwsurrogacycenter.com

[email protected] Surrogacy Center, LLC has been

building families through surrogacy for over fifteen years. We are committed to providing compassionate and professional services to families and surrogates throughout their journey. We have a high level expertise and are associated with highly qualified medical, psychological and legal professionals.

Fitness/AthLetics

Baby Boot Camp Portland/Beaverton/Hillsboro

babybootcamp.comThe premier stroller fitness program. Jump start weight loss, combat the baby blues, make new friends, and be with your child. Taught by nationally certified instructors with pre and postnatal certifications. Play dates, running, training, and mom’s night out are part of the fun. First class is free. Be fit. Be strong. Be together. ™

mamalates Greater Portland Area

503-459-8936 Mamalates.com

[email protected] offers prenatal, postpartum and mom+baby Pilates based classes, workshops, videos + privates. Including: monthly birth recovery workshop, resources + classes in the PilateSculpt method. Workshops include: ce-sarean, pelvic floor and diastasis recti recovery and mamaFIT. Birth recovery DVD’s + workout KITS for home use. Childcare available.

giFts For new pArents

SwaddleKeeper Blanket 1767 12th St.

Hood River, OR 97031 541-380-1389

SwaddleKeeper.com [email protected]

“The one-size fits all swaddling blanket! Simple swaddling-no complicated tucks and folds of a standard swaddle. The Swaddle Keeper blanket is packaged with a video with tips, tricks and tools on taking care of your newborn and yourselves....Swaddling made simple, parenting made easier.” Kim Stolte RN, Mom inventor. Sewn in Oregon!

housecLeAning services

EcoMaids 10824 SE Oak St #363 Milwaukie, OR 97222

503-908-0950 ecomaids.com/portland

[email protected] is committed to creating a healthy environment for your family, and pets while reducing harmful toxins in our ecosystem. We use Green Seal Certified cleaning solutions, 4-stage HEPA-filtered vacuums, and micro-fiber tools and cloths. We are bonded and insured. Customizable schedules and services, no contracts required.

Resources for Your Baby & You

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MeAL/personAL cheF services

Dinner At Your Door 1200 NW Marshall Street, Ste 502

Portland, OR 97209 503-701-4531

dinneratyourdoor.com [email protected]

We are a lifestyle service providing home-made, healthy meals conveniently delivered to your door. Our service provides fresh and healthy meals, so you don’t have to cook. Enjoy dinner without the hassle of grocery shopping, cooking and cleaning up.

MedicAL

Bloom Natural Healthcare 125 NE Killingsworth St, #101

Portland, OR 97211 503-223-3741

bloomnaturalhealthcare.comBloom Natural Healthcare offers state of the art integrative medicine with an approach that melds conventional, Eastern and naturopathic medical principals and modalities. We offer naturopathic and Chinese medicine, chiroprac-tic care, massage therapy and hypnotherapy. One of our main areas of interest at Bloom is fertility and pre- and postpartum care.

Oregon Health and Science University Department of Dermatology Clinical

Research Mail Code CH16D 3303 SW Bond Ave.

Portland, OR 97239 503-228-7350

ohsu.edu/dermatology [email protected]

Dr. Eric Simpson is studying eczema preven-tion in newborns. We are enrolling babies younger than 3 weeks old with at least one family member affected by hayfever, eczema or asthma. All study participants will receive compensation for their time and travel as well as one year of free skin care.

nAnnies

A Brilliant Nanny 7739 SW Capitol Hwy, Suite 200

Portland, OR 97219 503-459-4055

abnanny.com [email protected]

Portland’s boutique nanny agency just celebrated five years of working with Port-land families! We specialize in on-call and permanent nanny placement. We work with newborns through teenagers! The service is convenient and safty is our priority. Our nan-nies are bright, engaging, fun, and absolutely love working with children!

Care Givers Placement Agency, Inc. 10211 SW Barbur Blvd., Suite 110A

Portland, OR 97219 503-244-6370

cgpa.com [email protected]

Portland’s #1 local nanny agency. Specializing in permanent full and part-time placements, on-call babysitters and temporary nannies. Care Givers personally meets and screens all candidates so we can match them to your family’s needs. Our goal is your peace of mind.

Karoline’s Nannies PO Box 230

St. Helens, OR 97051 503-366-2837

karolinesnannies.com [email protected]

Karoline’s Nannies offers professional Perma-nent, Temporary and Emergency Nanny Care at affordable rates. We believe in thorough screening and integrity for our caregivers that we provide. Karoline’s Nannies strives for helping hearts to lend helping hands. We put your children first. Proud members of The Better Business Bureau and The International Nanny Association.

nAturopAthic physiciAns

Naturopathic Health ConneXion, PLLC 2402 Broadway Street STE#7

Vancouver, WA 98663 360-213-1226

drkatewiggin.com [email protected]

Dr. Katherine Wiggin, a graduate of the Na-tional College of Naturopathic Medicine who also has 10 years of experience as a holistic Natural Therapeutic Specialist, conducts her practice with compassion and care for the

Resources for Your Baby & You

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whole health of each patient. Her philosophy is to educate both the patient and the parent, and to provide natural alternative health solutions for common illnesses experienced in children (eg, ear infections, eczema, ADD/ADHD, asthma, allergies). Her family practice treats adults as well as teenagers, toddlers and infants.

oB/gyn

Bridgeview Women’s Health, LLC 1130 NW 22nd Ave., Suite 520

Portland, Oregon 97210 503-274-4800

bridgeviewwomenshealth.comOur Board Certified Physicians specialize in the care of women throughout all phases of their lives, treating issues from preconception to fertility counseling to pregnancy, symptoms of peri-menopause to menopause, abnormal bleeding, and surgery. Our highly skilled sur-geons perform minimally invasive procedures, robotic and traditional surgeries, and are now offering in-office procedures for permanent sterilization, as well as procedures to control heavy or irregular periods.

Oregon Health & Science University

3303 SW Bond Ave Portland, OR 97239-4501

503 228 7350 ohsu.edu/eczemaresearch

[email protected]. Eric Simpson is studying eczema preven-tion in newborns. We are enrolling babies younger than 3 weeks old with at least one family member affected by hayfever, eczema or asthma. All participants will receive com-pensation for their time and travel as well as one year of free skin care.

The Vancouver Clinic 700 NE 87th Ave.

Vancouver, WA 98664 360-882-2778

Tvc.org [email protected]

Prenatal Care for Low and High Risk Pregnan-cies; Family Planning/Birth Control; Screening for Early Detection of Breast and Gynecologic Cancers; Management of Menstrual Prob-lems, Menopause, Pelvic Pain; Diagnosis and Treatment of Infertility; Gynecologic Surgery including minimally invasive techniques; Lapa-roscopic and Robotic Surgeries; Diagnosis and Treatment of Urinary Incontinence

pArent coAch/educAtion

Everything Baby, LLC 503-617-4685

everythingbabyllc.com [email protected]

Everything Baby, LLC provides Parent Coach-ing and supportive services to families in order to obtain parenting goals, ranging from the basics like potty training, to complex like medication free treatment for ADD/ADHD symptoms, all while staying within your com-fort zone and family values. Helping families strengthen family bonding.

Parenting Partners, LLC 22331 Skyview Dr.

West Linn, OR 97068 971-732-7653

asthetwigisbent.org [email protected]

Guidance for new parents re sleeping, healthy eating, management, potty training, and education for brilliance, baby - age 6. Energy balance and healing massage for all babies children - especially good for kids with chal-lenges.

pediAtric dentistry

Dentistry for Kids (Dustin James DMD PC)

Board Certified Specialist in Pediatric Dentistry

29615 SW Park Place, Suite A Wilsonville, OR 97070

503-582-8200 dentistryforkidsonline.com

This is a children’s dental office that was de-signed from the ground up to be a happy and comfortable place. From our waiting room to our treatment rooms you will see it was designed with children in mind. Most major insurance plans accepted

World of Smiles, Pediatric Dentistry Dr. Michelle Stafford,

DDS Board Certified Pediatric Dentist 11790 SW Barnes Road, Suite 280

Portland , OR 97225 503-626-9700

visitworldofsmiles.comDr. Stafford is a Board Certified Pediatric Dentist. Her team focuses on making your child’s visit to the dentist a positive, unique experience while treating their dental needs. Bringing your child in for a first “happy” visit around age one will start them on the path to a cavity-free life. Education and prevention lead to healthy smiles and happy kids.

pediAtrics

Beaverton Natural Medicine and Wellness Center

12750 SW 2nd Street, Suite 203 Beaverton, Oregon 97005

503-643-0892 BeavertonWellnessCenter.com

[email protected]

The Children’s Clinic Peterkort Centre: 503-297-3371 9555 SW Barnes Rd. Ste. #301

Portland, OR 97225 Tualatin Meridian Park Medical Plaza:

503-691-9777 19260 SW 65th Ave. Ste. #340

Tualatin, OR 97062 childrens-clinic.com

Twenty-four pediatricians. No Charge pre-birth and “to meet” appointments. Weekend and evening hours. 24/7 Advice Nurse. Lab and x-ray on site. Electronic medical records. Lactation consultation services available.

Hillsboro Pediatric Clinic LLC 445 E Main St Hillsboro, OR 97123

503-640-2757 HPC.yourmd.com

Our mission is to provide consistent, timely, compassionate and innovative high-quality medical care to: the children and adolescents of our community. Board Certified Pediatri-cians, Certified Pediatric Nurse Practitioners, Speech Therapy, Mental Health through LifeWorks, Breastfeeding Consultation. See our ad for more information.

Metropolitan Pediatrics, LLC Westside Office: 503-531-3434 1960 NW 167th Pl. Ste. #100

Beaverton, OR 97006NW Office: 503-295-2546 1130 NW 22nd, Ste. #320

Portland, OR 97210Clackamas Office: 503-261-1171

9300 SE 91st Ave, Ste. #200 Happy Valley, OR 97086

Gresham Office: 503-667-8878 24988 SE Stark Ste. #200

Portland, OR 97030 metropediatrics.com

Metropolitan Pediatrics is solely devoted to caring for children and their families. Our ded-icated staff offers high quality, personalized care for our children from newborn through adolescence. We offer four convenient office locations to better serve you. Please see our ad for more information.

Northwest Primary Care SE Portland - Clackamas - Milwaukie

503-659-4988 nwpc.com

Northwest Primary Care provides care for every stage of life, including prenatal, birthing and pediatric care for you and all of your children. Owner operated since 1976. Serving SE Portland, Clackamas, and Milwaukie.

Pediatric Associates Portland office: 503-227-0671 2701 NW Vaughn, Suite 360

Portland, OR 97210 Lake Oswego office: 503-636-4508

4103 SW Mercantile Drive Lake Oswego, OR 97035 portlandpediatric.com

Pediatric Associates of the Northwest, P.C. was established in 1957. The practice first started in Northwest Portland, and in 1962 our doctors were the first pediatricians in Lake Oswego. We have grown over the years to include 13 pediatricians, a nurse practitioner and two psychologists. Throughout our histo-ry we have been dedicated to maintaining the physical and emotional well being of children from infancy through early adulthood.

Pediatric Associates of Gresham, PC 2150 NE Division St. Ste 103

Gresham, OR 97030 503-666-7309

Greshampediatrics.com [email protected]

Providing exceptional pediatric healthcare with compassion and respect has been our priority at Pediatric Associates of Gresham for over 25 years. We proudly continue to serve our community today. Let us make a differ-ence in your child’s life.

The Portland Clinic Beaverton Office: 15950 SW Millikan

Beaverton, OR 97006 Portland South Office:

6640 SW Redwood Lane Portland, OR 97224

Tigard Medical Office: 9250 SW Hall Blvd. Tigard, OR 97223

503-223-3113 ThePortlandClinic.com

Our pediatric team is committed to making a healthy difference in your child’s life. We un-derstand how busy your lives are. That’s why we’re open evenings and Saturdays - even for well-child checkups. Plus, all of our staff, from the nutritionists to the x-ray technicians are accustomed to working with children.

photogrAphy

Campbell Salgado Studio 503-736-3040

campbellsalgado.comPhotographers Kim Campbell and Francisco Salgado have a niche in documenting each major step in a family’s life. Natural smiles, giggles and togetherness are all part of the photo experience. You can be sure that Campbell Salgado Studio never ceases to delight and amaze parents with their unique and beautiful images.

Catchlights NW Studio in downtown Hillsboro and on-

location for outdoor photography catchlightsNW.com

[email protected] photographer Rebecca Davis takes children’s portraiture to a new level. Special-izing in creating unique and timeless art of your family during the precious and frequently changing first year, Rebecca works most often with newborns in their first week of life, and also captures those beautiful belly bumps and family interactions.

products & services

Pregnancy Memory Sculpture 30101 NE Coyote Dr.

Yacolt, WA 98675 360-666-2728

pregnancysculpture.com [email protected]

PMS while you’re expecting? Of course, if it’s Pregnancy Memory Sculpture!! Capture and preserve the uniqueness of your beauti-ful image with the art that celebrates life. Document the passage into motherhood as you immortalize this fleeting moment in time. www.pregnancysculpture.com

Resources for Your Baby & You

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Sante Mama 113 NE 92nd Ave.

Vancouver, WA 98664 360-253-2229

santemama.com [email protected]

Sante Mama is a Mother-Baby Boutique and Wellness Center specializing in the needs of expecting and new parents. The boutique has an extensive selection of nursing bras and breastfeeding products. Our Wellness Center includes Lactation Consultation, Homebirth Midwifery, Pregnancy-safe Massage, Acu-puncture, Chiropractic and Physical Therapy.

Silpada Designs Jewelry Independent Representative

360-606-9595 mysilpada.com/carol.parkerwalsh

With Silpada Designs you have can purchase our handcrafted .925 sterling silver jewelry, earn free jewelry by getting together with friends for fun and a little shopping in an environment that will do much more than lift your spirits and update your look; and enjoy a life changing business opportunity.

privAte schooL

Portland Jewish Academy Preschool 6651 SW Capitol Hwy.

Portland, OR 97219 503-535-3536 pjaproud.org

[email protected] PJA’s Preschool and Infant Toddler Develop-ment programs serve children 6 wks-5 yrs. The Infant Toddler Development program serves children 6 wks-3 yrs and our preschool serves children 2-5 yrs. Both programs pro-vide nurturing environments where dedicated teachers create warm, loving and joyful class-rooms. Our inquiry-based program supports creative exploration and physical and spiritual development.

retAiL & consignMent

Child’s Play 2305 NW Kearney St Portland, OR 97210

503-224-5586 childsplayportland.com

[email protected]’s Play is bursting with the most imagina-tive, educational, and fun toys because we believe that play is an important part of your child’s development. We have been helping Portland families choose the best toys for over 30 years! Free gift wrapping and off-street parking. Open Mon-Sat 10-7, Sun 11-5.

Eco Baby Gear™ 2122 SE Division St. Portland, OR 97202

503-233-4167 EcoBabyGear.com

[email protected] Baby Gear™ specializes in “Safe, Natural,

Organic, Eco-Friendly Baby Products.” We offer a large range of cloth diapers, baby car-riers & wraps, glass bottles, nursery furniture, organic crib mattresses, baby music, wooden toys, books, and more.... Visit us in store or online to create your ecobaby registry!

Finnegan’s Toys & Gifts New Location! 820 SW Washington

Portland, OR 97205 503-221-0306

finneganstoys.comEstablished in 1977, Finnegan’s features all your favorite childhood toys from yesterday and the latest innovative toys for today. From activity cubes and bath toys to books, rattles, musical instruments and fuzzy critters. A-Z, we have everything for your newborn infant to child. Come on in to play...and remember we always have free wrapping.

Finnegan’s Village Toys 7439 SW Bridgeport Rd.

Tigard OR 97224 503-747-4387

finnegansvillagetoys.com [email protected]

Finnegan’s Village Toys “a truly Portland icon.” Established in 1977 Finnegan’s features all your favorite childhood toys from yesterday and the latest innovative toys for today. Their newest location is conveniently located in Bridgeport Village across the street from Peet’s Coffee. Come on in to play...and remember we always have free wrapping.

Pitter Patter Productions Where the Music of Life Begins!

Tualatin, OR 503-598-9861

pitterpatterproductions.com Catherine@pitterpatterproductions.

comBringing our unique brand of original award-winning children’s melodies to families since 1992! We specialize in lullabies and music for young children. CD’s available online at our website. Living Green? Download the Dream Faerie, Sleepy Time Lullabies and Topsy Tod-dler Time albums or songs on CDBaby.com, Amazon.com or iTunes today!

Posh Baby Portland: 809 NW 11th Ave.

Portland, OR 97209Beaverton: 12345 Horizon Ave. Suite 53

Beaverton, OR 97007 503-478-7674 poshbaby.com

[email protected] Baby is a lifestyle boutique offering modern, eco-friendly and stylish products for child and home. We offer the best baby and children’s clothing, toys, modern furniture, strollers, carseats gear & gifts for the modern family including maternity essentials + ac-cessories.

spA/MAssAge services

Beaverton Natural Medicine and Wellness Center

12750 SW 2nd Street, Suite 203 Beaverton, Oregon 97005

503-643-0892 BeavertonWellnessCenter.com

[email protected]

speciAL needs

Multnomah Early Childhood Program 14030 NE Sacramento St.

Portland, OR 97230 503-262-4100

w3.mesd.k12.or.us/se/sped/EC/EIECSE.shtml

Multnomah Early Childhood Program (MECP) is the Early Intervention/Early Childhood Special Education program in Multnomah County. We provide no-cost screenings and evaluations for young children who may have developmental delays or disabilities. We pro-vide no-cost services for children who qualify. MECP also offers a low-cost peer pre-school program at various sites.

surrogAcy

Thorsen’s Surrogate Agency, LLC PO Box 394, Woodburn, OR 97071

503-982-4557 thorsen.addr.com

[email protected]’s has been assisting parents and surrogates through the entire process of sur-rogate parenting since 1983. We help match surrogate and parent, customize contracts, and support both surrogate and parent through the birth of the miracle created by this wonderful union. Please call or visit our website for more information.

swiM instruction

Children of the Sea Swim School 10170 SW Nimbus Ave., Suite H7

Portland, OR 97223 503-620-5970

childrenofthesea.comProfessional swimming lessons in comfortable 91 degree air and water. Small class sizes, babies through adults, open year round, day, afternoon & evening classes. Swim team techniques and age appropriate safety incor-porated. Friendly & nurturing environment. Visitors welcome. Family night swim, Baby open swim for children ages 4 mos. and up, Birthday Parties.

DolFUN SWIM Academy Beaverton (indoor year around): Turquoise Learning Tree Daycare

School 15135 SW Beard Rd.

Beaverton, OR 97007Portland (indoor year around):

Airport Learning Tree Daycare School 12029 NE Ainsworth Circle

Portland, OR 97220

Vancouver (indoor year around): Cascade Athletic Clubs

at Fisher’s Landing 16096 SW 15th St.

Vancouver, WA 98683 Tualatin (outdoor covered-

June thru September): 20553 SW 94th Ave. Tualatin, OR 97062

503-343-3004 dolFUNSWIMacademy.com

[email protected], Semi-Private and small groups. 88-92 degree water learning pools. Professionally Trained Aquatic Educators. Creating a safe, fun and joyful water education from Birth and Beyond since 1994.

wAterBirth

Andaluz Waterbirth Center Birth Centers in Portland & Tualatin Call to schedule a free consultation

with a licensed midwife. 503-885-0228 waterbirth.net

New Portland birth center! Beautiful birth suites and pools. Prenatal, birth and postpartum care with licensed midwives. We provide continuity of care in a warm and safe environment and have collectively attended over 3,000 births. Two midwives will serve you during your pregnancy and birth. We accept OHP and most insurances.

Resources for Your Baby & You

Advertisers index

ABC Doula ................................. 5

All Roads Montessori ................. 5

Andaluz Birthing Center .......... 32

Auntiez House ......................... 21

Baby Boot Camp ....................... 7

Beezoo Exchange .................... 21

Birthingway Breastfeeding Center ..................................... 13

Bloom Natural Healthcare ........ 17

Bridgeview Women’s Health .... 15

Campbell Salgado ................... 21

Catchlights Photography ............ 9

Catholic Charities .................... 17

Cedarwood School .................. 11

Children of the Sea .................. 23

The Children’s Clinic................. 13

Children’s Room Art ................. 19

Creative Children’s Center ........ 4

Dentistry for Kids ....................... 3

Dinner at Your Door ................. 14

DolFun Swim Academy ............ 15

Dove Christian Preschool ......... 15

EcoBaby Gear .......................... 21

EcoMaids ................................... 2

Everything Baby ......................... 7

Finnegan’s Toys ........................ 21

gDiapers .................................. 29

Healthy Fun Choices ................ 19

Healthy Starts Children’s Center at OHSU ...................................... 15

Hillsboro Pediatric Clinic........... 19

JLM Insurance .......................... 29

The Little Gym.......................... 18

Luna Lactation ......................... 11

Mamalates ................................ 4

Metropolitan Pediatrics ............ 11

Milkmakers .............................. 14

Mother PAC ............................. 29

Mother Tree Birth Services ........ 25

Multnomah Early Childhood Program .................................... 5

Naturopathic Health ConneXion .............................. 13

North Portland Wellness Center . 7

Northwest Primary Care ............. 5

NW Surrogacy Center ................ 2

OHSU Dermatological Studies .. 16

Oregon Child Care Resource & Referral .................................... 18

Pediatric Associates of Gresham 4

Pediatric Associates of the NW 23

Peri Ponchos ............................ 21

The Portland Clinic .................... 2

Posh Boutique and Baby .......... 21

Ruby Sky Coaching .................. 11

Sara Ohgushi ........................... 11

Savvy Nannies ......................... 14

Silpada Designs Jewelry ........... 25

Small Friends ........................... 29

Swaddlekeepers ....................... 19

Tidee Didee.............................. 16

Valley Catholic Early Learning .. 25

The Vancouver Clinic .................. 7

World of Smiles ....................... 17

Page 32: Your Baby & You 2011-128 Metro Parent • metro-parent.com Your BaBY & You 2011–12 and she ended up having a c-section. Knowing things might not work out as she had hoped, she says,