Family Team News

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Wednesday, July 3, 2013

Congratulations to our Maryland-National Capital Area Top 20 March for Babies Family Teams for 2013!

All of our March for Babies Family Teams worked hard to raise money for research and programs to prevent prematurity and birth defects.  Together, Family Teams in the March of Dimes Maryland-National Capital Area Chapter raised $700 thousand! We thank all of our Family Teams and volunteers for their dedication to the March of Dimes mission.

 

Team Name
Event Site Name
Total
Hank!
Washington D.C.
15,000
Skyler's Gift
Fairfax County
14,078
Awakening
Greater Baltimore
13,466
WMC's team
Fairfax County
10,610
UBC Pacers
Caroline County
9,201
Stouffer Family
Fairfax County
8,208
Team Kristina
Frederick County
8,070
Tough as Steele
Fairfax County
7,815
Mikey III
Harford County
7,095
MOMS Club of California,MD
Southern Maryland
7,025
What happens in the NICU stays in the NICU!
Fairfax County
6,817
Team Cro 2013
Greater Baltimore
6,600
Logie's Team 2013
Frederick County
6,500
Team Aidan DC
Washington, D.C.
6,500
Trenton's Trotters
Caroline County
6,478
Never Forgotten Angels
Southern Maryland
6,233
Super-baby NJ
Montgomery County
6,151
Faith, Hope and Grace
Greater Baltimore
6,060
Team Ragan
Fairfax County
6,042
Team HPB
Harford County
5,810

 

 

Monday, July 1, 2013

Stay safe during summer travel

It’s officially summer – YAY! If you’re from the Northeast, this summer is greatly welcomed after the winter we’ve had! Summer is a great time to travel and lots of people use this time to travel overseas. If you’re pregnant and healthy, chances are you can safely travel with your provider’s OK. But there are some things you should do to take extra care and be safe when traveling abroad.

Talk with your provider before taking any big trips. She can tell you if your pregnancy is healthy enough to travel and what steps you can take to stay healthy. Your provider may also talk to you about vaccinations during pregnancy to help keep you and your baby healthy.

Also, check out the Center’s for Disease Control and Prevention’s (CDC) website for any travel advisories. The CDC just issued an advisory for travel to Japan and Poland due to a Rubella outbreak. Rubella, also called German measles, is an infection that causes mild flu-like symptoms and a rash on the skin. It can cause serious problems for your baby during pregnancy.

Contact your health insurance carrier to be sure you’re covered for medical care if you’re overseas. Most insurance plans cover emergency medical care no matter where you are. But you need to know what your plan means by “emergency” to know exactly what it will pay for.

If you’re traveling by air, check with your airline to see if they have a cut-off time for traveling during pregnancy. You can fly on most airlines up to 36 weeks of pregnancy. But if you’re flying out of the country, the cut-off time may be earlier.
To learn more tips, read our web article on traveling during pregnancy.

Wednesday, June 26, 2013

Planning a family?


Are you pregnant or thinking about becoming pregnant? Do you have friends who are planning a family? Watch and share our Get Ready for Pregnancy video, with Dr. Siobhan Dolan, to learn some tips that you can follow before becoming pregnant. We want to help you have a healthy, full-term baby.


We are proud to be partners in the Show Your Love national campaign designed to improve the health of women and babies by promoting preconception health and healthcare.

Monday, June 24, 2013

Fun In The sun?

This weekend will you be where the weather’s warm, the sun is shining, the kids want to run around and play with the hose? (Doesn’t it feel great to get away from freezing winter?!) Don’t forget that most of us are pale from winter hibernation and are ripe for sizzling in the sun.

Here’s the pitch for today: don’t forget the sun block. I know, everybody’s talking about that right now, and they should ‘cause it’s important. We have written about the importance of using sun block before, about using one with SPF 30 and replacing it every couple of hours, etc. But this time I want to remind you while you slather on the goop to be sure to protect your children’s ears. We always get the cheeks, nose shoulders and arms, but sometimes the ears are bypassed. Wide brimmed hats are great but often get pulled off by tots, and caps will leave the ears exposed to the sun’s scorching rays. And, by the way, this goes for you, too.

If you’re pregnant, your sensitive skin might burn more easily. Read these tips and relax and enjoy the warmer weather… and don’t forget to protect your ears!


 

Wednesday, June 19, 2013

What is a maternal-fetal medicine specialist?


A maternal-fetal medicine specialist is an obstetrician who concentrates on the care of pregnant women and babies in high-risk situations. Another name for this doctor is a perinatologist.

A maternal-fetal medicine specialist treats women with a number of conditions. Complications with mom’s health, include:
• A history of multiple
miscarriages or premature birth
• Diabetes (
gestational or preexisting)
• Hypertension (
high blood pressure)
•
Preeclampsia
• Infectious disease (toxoplasmosis, parvovirus, HIV/AIDS, etc.) or chronic illness
•
Rh disease
• A
family history of heart, kidney, or other disease

A maternal-fetal medicine specialist often treat pregnant women who are carrying multiples (twins, triplets or more) as the risk for preterm birth is significantly increased.

This doctor also specializes in the care of women whose baby is known to have:
• Abnormal fetal growth
• A known birth defect or suspected genetic disorder, such as
Down syndrome, Trisomy 13 or Trisomy 18
• A baby with macrosomia (too large)
• A baby with fetal growth restriction (too small)

If you find yourself in a position where the risk of complications is higher than the average pregnancy, ask your current health care provider for a referral to a maternal-fetal medicine specialist. You may or may not need the extra care, but it will be good to get a second opinion.


This entry was posted on Friday, March 15th, 2013 at 11:43 am and is filed under Planning for Baby, Pregnancy, Uncategorized. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.

Monday, June 17, 2013

FDA approves drug to fight nausea and vomiting

On April 8, 2013, the U.S. Food and Drug Administration approved the drug Diclegis (doxylamine succinate and pyridoxine hydrochloride) to treat pregnant women experiencing nausea and vomiting.


More than half of all pregnant women have some nausea during the first trimester. For most women this nausea usually goes away by the second trimester. But for some women, nausea and vomiting may continue even past the first 12 weeks of pregnancy.

Diclegis is a delayed-release tablet intended for women who have not adequately responded to conservative management of nausea and vomiting during pregnancy, such as changes to their diet and lifestyle. These modifications include eating several small meals instead of three large meals, eating bland foods that are low in fat and easy to digest and avoiding smells that can trigger nausea.

“Diclegis is now the only FDA-approved treatment for nausea and vomiting due to pregnancy, providing a therapeutic option for pregnant women seeking relief from these symptoms,” said Dr. Hylton V. Joffe of the FDA’s Center for Drug Evaluation and Research. Observational studies have shown that the combination of active ingredients in Diclegis does not pose an increased risk of harm to a developing fetus.

For questions and answers about how drugs are approved by the FDA, click on this link.
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Wednesday, June 12, 2013

We’re born to appreciate parents!

The March of Dimes imbornto campaign is intended to engage with parents around Mother’s Day and Father’s Day since our quest for “stronger, healthier babies” truly begins with the most important people in babies’ lives – parents! Through our history, our support of parents has been an understated but crucial aspect of addressing the medical and public health problems that have been the focus of our mission. Only a parent can measure most profoundly the personal effects of illness and disability on a child. Our emphasis today on healthy pregnancy and healthy babies implicitly involves parents in our most important objectives. After all, this concern is at the basis of providing “News Moms Need.”

Mother’s Day and Father’s Day are special occasions to honor one’s parents. In the 1950s the March of Dimes recognized Mother’s Day by selecting an annual “Polio Mother of the Year.” But the hoopla surrounding such publicity skirts the momentous fact that the conquest of polio was achieved by millions of women (and men) who joined “Mothers March,” the most successful fund-raiser of those years. “Mothers March on Polio” soon became “Mothers March on Birth Defects,” and the volunteer moms and dads behind these efforts were as much responsible for improving children’s health as the creators of vaccines and the leaders in perinatal breakthroughs. This is but one reason why we laud the contributions of mothers and fathers today.

From Virginia Apgar’s 1972 book of advice to new parents, Is My Baby All Right?, to our decades-long involvement in supporting families undergoing the traumatic experience of a NICU hospitalization, the March of Dimes has appreciated the role of parents in children’s health. Our current push for creating transdisciplinary centers for research on premature birth runs parallel to our propensity for collaboration and team-building, and the role of parents in these endeavors is just as fundamental to the overarching social goals of improving children’s health.

In 1955, the National Father’s Day Committee selected March of Dimes President Basil O’Connor as “Father of the Year.” In the wake of the success of the polio vaccine created with March of Dimes funds by Dr. Jonas Salk, his selection may seem to us all-too-obvious in retrospect. His daughters, Sheelagh O’Connor and Bettyann Culver, attended a recognition luncheon, and the requisite photographs were taken. Among the many letters of congratulations that O’Connor received, one close business contact wrote, “You are a good father, and you are an exceptionally good citizen and good friend.” It is in this spirit of warm appreciation that the March of Dimes pays tribute to mothers and fathers. Hats off to all moms and dads!

Monday, June 10, 2013

MENTAL HEALTH MEDICATIONS AND PREGNANCY


WHAT ARE THE RISKS AND BENEFITS FOR MOM AND BABY?

Experts Discuss Long-Term Use of Prescriptions for Mental Health and
Their Implications During Pregnancy

NEW YORK, NY, JUNE 6, 2013 – No woman should stop taking her mental health medication if she gets pregnant without first talking to her doctor, experts said today at a luncheon for reporters hosted by March of Dimes National Communications Advisory Council.

Some young women have been on antidepressants, anti-anxiety drugs, or medication for attention deficit disorders since they were teenagers. Now as women of childbearing age or mothers-to-be, they should seek support and guidance from health care providers to determine if they should continue, stop or switch to a different drug.
More than half of pregnant women take at least one prescription medication at some time during pregnancy, the experts said.

Christina Chambers, PhD, MPH, the director of Clinical Research at Rady Children’s Hospital and the Department of Pediatrics at the University of California San Diego, and Kimberly A. Yonkers, MD, director of the PMS and Perinatal Psychiatric Research Program at Yale University School of Medicine, New Haven, Connecticut, discussed how widespread the use of these medications are and their relative risks.
“Pregnant women should talk to their doctor about which medications they are taking, and what are the best options for them while pregnant. It is important to balance the possible risks and benefits of all medications to the mother and the baby,” said Dr. Yonkers.

Women should not just quit taking their medications, Dr. Yonkers said. If a woman prefers to stop her medications and her physicians agree that it is a reasonable option, she can do so and be monitored.
"Women agonize over whether or not to continue their mental health medications while pregnant," said Dr. Chambers, who helps direct California's MotherToBaby pregnancy exposure counseling phone line that advises thousands of women every year. She pointed out that one out of every 33 babies has some type of birth defect regardless of medication use, so it can be difficult to tell what role the drug may have played in causing a birth defect.

When possible, women and their doctors should discuss the options before pregnancy so they can weigh the potential risk to the baby with the clear risks of stopping treatment, said Dr. Chambers.

For information about medication during pregnancy please visit: http://www.marchofdimes.com/pregnancy/drugs-herbs-and-dietary-supplements.aspx or the U.S. Centers for Disease Control and Prevention website http://www.cdc.gov/pregnancy/meds/index.html.

Wednesday, June 5, 2013

Due date calculator



Pregnancy usually lasts 280 days (40 weeks) from the first day of the woman’s last menstrual period. Here’s a link to our interactive Due Date Calculator that will help you estimate the date your baby will arrive.
Remember, though, that this calculator is a general guide: every pregnancy is unique, and sometimes babies arrive sooner or later than expected. Always talk to your health care provider about your due date. And be sure you know the signs of preterm labor and what to do, just in case.

Wednesday, May 29, 2013

Pregnant at 46

Most of us have heard that Halle Berry is pregnant at the age of 46. Wow, you go girl! And did you see the recent episode of Call the Midwife where a first-time pregnant woman (a twin) in her 40s gave birth to twins of her own? Some women are asking us “If they can, why can’t I?” Good question, complicated answer.

Women over age 35 may be less fertile than younger women because they tend to ovulate (release an egg from the ovaries) less frequently. Certain health conditions that are more common in this age group also may interfere with conception. These include endometriosis, blocked fallopian tubes and fibroids.

If you are over 35 and haven’t conceived after 6 months of trying, make an appointment to see your health care provider. Studies suggest that about one-third of women between 35 and 39 and about half of those over age 40 have fertility problems. At age 47, most babies are conceived with some form of fertility treatment. This can be time consuming and expensive and there is no guarantee the treatment will work.

Most miscarriages occur in the first trimester for women of all ages, but the risk of miscarriage increases with age. Studies suggest that about 10 percent of recognized pregnancies for women in their 20s end in miscarriage. The risk rises to about 35 percent at ages 40 to 44 and more than 50 percent by age 45. The age-related increased risk of miscarriage is caused, at least in part, by increases in chromosomal abnormalities.

The good news is that women in their late 30s and 40s are very likely to have a healthy baby. However, they may face more complications along the way than younger women. Some complications that are more common in women over 35 include: gestational diabetes, high blood pressure, placental problems, premature birth, stillbirth. About 47% of women over age 40 give birth via cesarean section. You can see why it’s so important to keep all appointments with your health care provider.

All these things taken into consideration, many women who do conceive in their late 40s, either on their own (unlikely but not impossible) or with some fertility treatment, do manage to have healthy babies. The important thing to remember is to have a preconception checkup and early and regular prenatal care. Know the signs of preterm labor, and give your doc or midwife a call whenever you have a question or concern.

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Friday, May 24, 2013

Keeping track of your child’s records

Whether your child has a medical condition, disability, receives services through the Early Intervention Program or Special Education, one of the best things you can do is to keep all of your child’s records well organized.

Why is this so important?
If your child is in the early intervention program for babies and toddlers or if he is receiving services through your local school system, you will find that you will amass an enormous amount of paperwork. Keeping it organized will help you tremendously when you need to find documents for IFSP or IEP meetings, visits with other doctors or specialists, and if you need to apply for other programs or services. It is very important that you keep all evaluations and test results so that future specialists can see the history of your child when he evaluates him. Having orderly records will also help you if you need to speak with an attorney in an attempt to try to obtain services you feel your child should rightfully receive.

How should you get organized?
My favorite way to do this is to get an old fashioned three ring binder and put each item in it in chronological order (date order). Put the oldest one on top and the newest one at the bottom (so it reads like a book). You are going to need more than one binder as your child grows, and each one can be labeled a different year (2013, 2014, etc.). This binder method will allow you or your child’s doctors to review your child’s history in a beginning-to-end format. It will also give you a “big picture” of your child, and help you put the details of all the different moving parts into one coherent whole.

What should you put in the binder?
Put everything that is related to your child’s health, disability and education in the binder. This would include:
• Medical records – beginning with your child’s birth (and even your pregnancy if it is applicable or if you have it)
• All evaluation reports
• Your child’s ISFPs and/or IEPs
• Report cards
• Educational test results (such as standardized tests)
• Your notes from meetings or phone calls with school personnel, doctors, or other individuals, with dates
• Notes from your child’s teacher
• Samples of your child’s work
• The business cards of all of your child’s doctors. You can either put them in plastic business card holders, or create a master list of all the doctors with their contact info.
• CDs or thumb drives of electronic information that is on your computer (always back up files!)
• A list of all the medications your child is taking, with the dosage, frequency and prescribing doctor.
Some experts say that it is also helpful to create a one page summary sheet, which is almost like a table of contents. It should list each document, the date the document was created or received, and a brief description of what it is (eg. “John’s neurological evaluation, 2009,” “IEP for 5th grade,” “notes from team meeting on January 12, 2011,” etc.). This will help you to locate valuable information when you need it quickly (such as right before a meeting or a visit to a new doctor). The more organized you are, the easier it will be to manage your child’s journey.
Some people don’t like the binder method. If you find this does not work for you, then you might find it easier to put all of the above items in a file cabinet (in file folders) in chronological order. Whichever method you choose, just be consistent and label your folders so that you can find things when you need them.

When should you stop keeping these files and records?
Besides needing these records for early intervention or school based services, you may need these records for the high school years and beyond graduation. For example, you may need these records in order for your child to qualify for accommodations for college based entrance exams, such as the SAT or ACT. You will also need these records to support a request for testing accommodations at college. Lastly, many of these records will be required to apply for government benefits, such as Supplemental Security Income (SSI). So, I suggest that you keep your file system going for as long as your child (or later as an adult) has special needs.

Where can you get more help with this?
I often recommend that parents go to the NICHCY website as they have a Sample Record-Keeping Worksheet as well as a description of all of the various kinds of info that you should include in your binder on page 15.
In addition to NICHCY, you can also go to Wrightslaw, an extensive website dedicated to helping parents navigate the maze of special education. They offer concrete advice on how to advocate for your child with special needs. They also have great articles on how to organize your child’s records.

Bottom line
If you begin your record keeping early, you will not be overwhelmed by the avalanche of papers that will undoubtedly come your way. But, if you did not have a method of record keeping before today, don’t worry. Simply start with today and you can go back and organize prior paperwork another time. Being organized will cut down on the stress that occurs when you feel like you are buried beneath a mountain of paper. You have enough to tend to with your child – it is helpful if the paperwork does not get in your way but rather helps you achieve your goals. Of course, the best part of all is that you will feel more confident and in control of your journey.

Let me know if this helps or if you have other suggestions. What has worked for you?
Have questions? Send them to AskUs@marchofdimes.com.

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Summer Programs for Kids with Special Needs

Summer is just around the corner. If your child has an IFSP or an IEP and is receiving services for a developmental delay or a qualifying disability, it may be possible for services to continue throughout the summer months. This is called Extended School Year services or ESY.
 
ESY may include continued special education services or related services. It is sometimes possible for a child who does not have an IEP but rather a 504 plan to receive ESY, which is based on your child’s individual needs and your state's/district's regulations.
 
Read more in our News Moms Need blog.

Wednesday, May 22, 2013

Monday, May 13, 2013

Drive for Charity

The 8th Annual Dulles Greenway Drive for Charity will take place Thursday, May 16, 2013. During this day, all proceeds from collected tolls will be donated to the March of Dimes NICU Family Support Project at Inova Fairfax Hospital for Children, the Dulles Greenway Scholarship program and four other local nonprofits.

Last year, the Dulles Greenway proudly contributed a record $260,000! In total, the Dulles Greenway has donated more than $1.5 million to nonprofits, including the March of Dimes, since the program began. So, tell others that driving the Greenway Thursday is worth the drive… for charity.

For more information, please visit www.dullesgreenway.com/drive-for-charity, watch the youtube video and follow them on Twitter @DriveforCharity

Wednesday, May 8, 2013

Imbornto

Every baby is born to do something great. Whether that’s dance, create or explore. But first they deserve to be born strong and healthy. That’s where the March of Dimes plays a vital role.

This year between Mother’s Day and Father’s Day, join the March of Dimes by participating in its Imbornto campaign by shopping, dining or making a donating where you see our logo. Information about the companies supporting the campaign can be found on the Partners' page. Check out our video about Imbornto. Additionally, donations can be made here. With your help, we can continue the developments and research that help all babies achieve what they were born to do.

And, don’t forget to treat mom to a special Mother’s day breakfast.  Visit Imbornto special feature page for delicious recipes from Martha Stewart Living.

Monday, May 6, 2013

A fellowship and a double helix



In 1952, James Watson was an unknown scientist who applied to the March of Dimes for a fellowship proposing research on X-ray diffraction patterns of proteins and nucleic acids. Knowing that the March of Dimes funded basic science as well as polio prevention, Watson hoped that the grant he would receive might enable him to conduct a year of research and cover his lab expenses. His modest grant award of $5,678, roughly equivalent to $50,000 today, led to one of the most momentous discoveries of the age. On April 25, 1953 Watson and his colleague Francis Crick published “A Structure for Deoxyribose Nucleic Acid” in the journal Nature. The field of molecular genetics was launched. They had discovered the double-helical structure of DNA.
Much has been written about Watson and Crick’s famous discovery, for which they received the Nobel Prize in 1962. Their path-breaking research vastly expanded the field of genetics, leading to knowledge unimaginable in their day. Their accomplishment also prefigured what the March of Dimes would do next. After funding the vaccines that brought the scourge of polio to a halt, the Foundation turned to the riddle of birth defects, knowing that the keys of genetics would open further doors to this intractable problem.

By the 1960s, the March of Dimes sponsored birth defects and clinical genetics conferences to keep medical professionals up-to-date with progress in the field. We helped to develop a universal standardized language (the karyotype) to describe human chromosomes. At a March of Dimes conference in 1969, Dr. Victor McKusick proposed that science might create a molecular map of all genes. His idea sparked the March of Dimes to organize a series of human gene mapping workshops that ultimately led to the Human Genome Project of the 1990s.

Our interest in genetics goes beyond science itself to assisting individuals and families. We have developed the field of genetic counseling to help parents and parents-to-be understand the risks of inherited disorders. We helped to establish the first master’s degree program in genetic counseling at a U.S. college. In the 1980s we sponsored an educational program on Genetic Decision Making and Pastoral Care, enabling clergy from different religions to understand the complexities of genetics in order to give appropriate counseling to concerned families. At the same time, our funding of scientific research has remained fundamental. Our grantees have identified the gene for Fragile X Syndrome and have created therapies for other life-threatening disorders.

As we note the 60th anniversary of Watson and Crick’s famous article on the double helix of DNA, we look forward to a time when birth defects and premature birth have receded into the past just as polio has done. Our steadfast commitment to “stronger, healthier babies” is grounded in the building blocks of genetics that help us identify the causes of disease.

Thursday, May 2, 2013

Did Somebody Say Yogurt?

This Saturday (5/4), Menchie's Frozen Yogurt in Rockville, MD is donating a portion of their sales to the March of Dimes. Just present the flyer below at checkout either by smartphone or a hard copy and enjoy your treat while helping babies. Why not splurge -- after all you walked a few miles at March for Babies!

Wednesday, May 1, 2013

Study shows we can reduce unnecessary early deliveries

A study published today in Obstetrics & Gynecology shows that hospital-based quality improvement programs across many states can be remarkably effective at reducing early elective deliveries of babies.

The rate of elective early term deliveries (i.e., inductions of labor and Cesarean sections without a medical reason) in a group of 25 participating hospitals fell significantly from 27.8 percent to 4.8 percent during the one-year project period, an 83 percent decline.
The March of Dimes, which partly funded the study, calls the findings good news, because babies delivered before full-term are at increased risk of serious health problems and death in their first year of life.
“This quality improvement program demonstrates that we can create a change in medical culture to prevent unneeded early deliveries and give many more babies a healthy start in life,” says Bryan T. Oshiro, MD, of Loma Linda University School of Medicine and lead author of the study.
“Reducing unnecessary early deliveries to less than five percent in these hospitals means that more babies stayed in the womb longer, which is so important for their growth and development,” says Edward R.B. McCabe, MD, medical director of the March of Dimes. “This project saw a decrease in the proportion of babies born at 37 and 38 weeks and a corresponding increase in the 39-41 week range during the one-year period studied. Additional studies, perhaps over a longer period of time, could clarify whether such quality improvement programs can also bring down a hospital’s overall preterm birth rate.”
This was the first project of a collaborative with perinatal quality improvement advocates from state health departments, academic health centers, public and private hospitals, and March of Dimes chapters from the five most populous states in the country: California, Florida, Illinois, New York, and Texas. These five states account for an estimated 38 percent of all births in the United States.
The March of Dimes urges hospitals, health care providers, and patients to follow the American College of Obstetricians and Gynecologists guidelines that if a pregnancy is healthy, to wait for labor to begin on its own. The final weeks of pregnancy are crucial to a baby’s health because many vital organs, including the brain and lungs, are still developing.
“A Multistate Quality Improvement Program to Decrease Elective Deliveries Before 39 Weeks,” by Dr. Oshiro and others, appears in the April 8 online edition of Obstetrics & Gynecology, Vol. 121, No. 5, May 2013.
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