The Surprising Risk of Sepsis for Pregnant Women, New Moms and Newborns – What You Need to Know

The Surprising Risk of Sepsis for Pregnant Women, New Moms and Newborns – What You Need to Know

As an infectious disease pharmacist and member of Bryan’s Sepsis Committee, I have seen many cases of infections and sepsis in many different patients. I specialize in getting the right antibiotics to patients with severe infections like sepsis, and work mostly with adult patients.

Now that I’m a father and we are expecting again very soon, I started looking deeper into the risk of sepsis for pregnant women and newborns. And, I was surprised at what I found.

Infections are a Serious Risk for Pregnant Women and Newborns

Thanks to improved prenatal care, most pregnancies and deliveries happen without complications. However, infections are still a serious risk for pregnant women, new moms and newborns. In fact, recent data shows an increase in sepsis-related deaths for pregnant women in the United States.

Newborn sepsis remains a leading cause of death among infants. There are two times sepsis can occur in infants:

  • Before a baby is 72 hours old, called early-onset sepsis. This is usually the result of viruses or microorganisms passed from the mom to the baby in-utero or during delivery. The incidence of this type of sepsis has decreased considerably since the 1990s due to new health screenings for pregnant women
  • After a baby is 72 hours old, called late-onset sepsis. This is usually the result of viruses or microorganisms acquired in the environment or through invasive procedures

What Exactly is Sepsis?

Sepsis is a potentially life-threatening condition caused by the body’s response to an infection. Basically, it’s when your body “over-reacts” to an infection. This can cause your organs (i.e. heart, kidney, liver, lungs, etc.) to fail, and can lead to death. Sepsis can be thought of as the sickest a person can get from an infection. Lots of people get infections, but not everyone develops sepsis. Some people are at a higher risk of developing sepsis than others.

What Can Increase Your Risk of Pregnancy-Related Sepsis?

Many of the risks are associated with the individual person and the type of pregnancy, such as:

  • Have never delivered a baby before (called nulliparity)
  • Currently pregnant with or recently delivered twins, triplets, etc. (called multiple gestations)
  • African American race

Others are associated with the type of delivery or medical therapies, such as:

  • Cesarean-section delivery (i.e., C-section)
  • Assisted reproductive technologies (i.e., artificial insemination, in-vitro fertilization, etc.)

What Can Increase the Risk of Sepsis in Newborns?

Some are associated with mom:

  • A common bacteria called Group B Streptococcus (GBS), most of the time this is not harmful but it can cause a severe infection in some newborns
  • Inflammation of membranes surrounding the baby due to bacterial infection (this is called chorioamnionitis)
  • Currently pregnant with or recently delivered twins, triplets, etc. (called multiple gestations)

Some are associated with the birth:

  • Prelabor rupture of membranes (occurs when the amniotic sac breaks before labor begins)
  • Prolonged rupture of membranes (over 18 hours)
  • Preterm birth (defined as a birth before 37 weeks)
  • Low birth weight

Some are associated with procedures after birth:

  • Invasive procedures such as a cervical stitch
  • Prolonged use of antibiotics
  • Prolonged use of a catheter inside the baby’s body
  • Ventilator associated pneumonia

What are the Warning Signs of Sepsis?

The signs and symptoms are different for moms and babies. It’s important to know the warning signs and seek care immediately. The sooner you or your loved one receives care, the better the chance for a full recovery.

Sepsis symptoms in pregnant women or new moms:

  • Shivering, fevers, shakes or very cold
  • Extreme pain or discomfort (feel the “worst you have ever felt”)
  • Pale or discolored, or clammy/sweaty skin
  • Sleepy, difficulty waking up, confused
  • “I feel like I might die”
  • Shortness of breath
  • Decreased urination

Sepsis symptoms in newborns:

  • “Just not looking right”
  • Unusually sleepy, lethargic or difficult to wake up
  • Unusually irritable, inconsolable
  • Not feeding or eating normally, vomiting
  • Less than three wet diapers or stools in a day
  • Fever or hypothermia (low temperature)
  • Shivering, shaking or poor muscle tone
  • Respiratory distress (not breathing right)
  • Abdominal distention or bloating
  • Bulging fontanel (soft spot on a baby’s head)
  • Unexplained jaundice (yellow skin)
  • Blood in stools

Take Action

If you see a combination of the above symptoms and suspect sepsis, or just feel like something isn’t right, call your doctor or go to the emergency room IMMEDIATELY. It’s important to say “I’m concerned about sepsis”. The sooner treatment is started, the better chance you or your loved one has of surviving and making a full recovery.

When caught early, immediate administration of IV antibiotics and fluids can be all you need to make a full recovery. The longer someone delays getting treatment for sepsis, the greater the likelihood that the person will have severe complications such as kidney failure requiring dialysis or problems taking care of themselves (such as walking by yourself, bathing, brushing your teeth, etc.). It can even lead to death.

Be Informed, Tell Others – Let’s Raise Awareness and Save Lives

As an infectious disease pharmacist, treating sepsis and letting others know how to recognize the signs and symptoms of sepsis is my job. As a new father and husband, it’s my passion.

Sepsis is always a serious condition. The sooner signs and symptoms are recognized and treatment is sought, the better chance to save a life. Every patient is somebody’s loved one, and now that I’ve got two little ones depending on me, I feel even more responsibility to make sure people understand how serious and common sepsis actually is.

Prevention of pregnancy-related and newborn sepsis starts with good prenatal care, good hygiene and frequent handwashing. Bacteria and viruses are naturally found on surfaces and easily spread by unwashed hands.

I urge you to tell everyone you know about the signs and symptoms of sepsis as well as the ways to prevent it. With your help, we can increase awareness of sepsis so people will seek treatment sooner, and lives will be saved.

Learn More About Sepsis

To learn more about sepsis, listen to our Bryan Health podcast. Bill Johnson, MD, Nebraska Pulmonary Specialties, tells you how to spot sepsis, and how early diagnosis and treatment can be lifesaving.

Kevin Sponsel

Kevin Sponsel

Infectious Disease Pharmacist

Kevin Sponsel is an infectious disease pharmacist and a member of Bryan Health’s Sepsis Committee.

The Senior Year To-Do List

The Senior Year To-Do List

Some combination of the following statement is often said over and over, “Don’t blink. Your children grow up way too fast, before you know it they will be a _______ (fill in the blank.)”

Here we are with a senior daughter. She did grow up way too fast. I realized I need to fasten my seatbelt because this year is flying by faster than any other year. While my husband and I are trying to be still and soak up every minute at every activity of hers, the days left until graduation keep diminishing quicker and quicker.

Preparing for Graduation Starts Now

I know we still have eight months until graduation and life beyond high school, but we will need to start checking things off of our to-do list, as I like to be prepared and our daughter takes her time in making decisions. And while our daughter is enjoying her senior year and stressing out about her dual credit classes, I pretty much need a few lessons from the book “First Time Senior Parents: How to Survive.”

I quickly remind myself of all of those rule-following, first-time parent things I messed up on the first time around, such as when to introduce fruits and vegetables or even when to allow her to jump in mud puddles. I have decided to stay away from all of those first-time senior parent books, websites and articles. We are creating our own family “graduation to-do” list with the help of our high school senior daughter.

The Graduation To-Do List

For those first-time senior parents out there, if you have no idea when this or that need to be completed, I am sharing our to-do list with you. The items listed include both to-dos for us as parents and our daughter to complete. This list is continually being added to, however, it is a great start for those of us who are graduating our first born.

In October

  • File the Free Application for Federal Student Aid (FAFSA) form

By November

  • Visit final colleges one last time
  • Set a budget for the graduation celebration
  • Make senior picture final decisions
  • Finalize graduation invite list
  • Create and have graduation invites printed
  • Start filling out scholarships

By January

  • Plan decorations and table centerpieces
  • Purchase all paper products
  • Continue filling out scholarships

By February

  • Determine foods that will be served
  • Continue filling out scholarships
  • Create graduation video

During March

  • Order desserts
  • Mail out invites
  • Print out pictures that will be displayed at the graduation celebration
  • Plan out help for the day
  • Finish applying for scholarships

During April

  • Finalize foods to be served
  • Prepare grocery list
  • Finalize college choice (if our daughter has not made her decision)
  • Create picture timeline display and keep it simple
  • Determine how guests will sign in and leave an encouraging message

May

  • Thoroughly clean our house and manicure our landscape
  • With the help of Grandma Jo and others, set up for the graduation celebration
  • Celebrate our daughter’s graduation from high school

Two months into the school year, here I am with the to-do list on my devices and my seatbelt fastened. Yet, the most important to-do list that I make sure I check off daily is the written note: be still and enjoy.

Shelly Mowinkel

Shelly Mowinkel

K-12 & Teens

My husband and I have three kids. Our oldest is a freshman in high school, and our youngest is in second grade. Most days, I feel like we are a “tag-team chauffeuring” service, yet I wouldn’t have our life any other way. Not only I am a business/technology teacher at Milford, I am also the district technology integration specialist. I love teaching because I get the opportunity to make those around me better. My hope is that, through my blogging, I am able to inspire, encourage, and share with you my adventures of being a wife, mother, and professional.

Becoming a Soccer Mom

Becoming a Soccer Mom

I never thought I would be a soccer mom. Growing up I hated the sport. I tried it once and it wasn’t for me. But in August of 2017, I officially became a soccer mom and joined in on all the endless practices, games, and tournaments of the soccer mom world. Gone were the carefree weekends of sleeping in, making plans, and traveling. Without realizing, we’ve slowly began to live and breathe soccer, especially now. Recently, Cohen decided to try spirit soccer instead of recreational soccer through the YMCA.

Cohen felt that he was ready for a more competitive league. And boy, if we didn’t live and breathe soccer before we do now. As a soccer mom, you sign them up, take them to practice, bring orange slices, and cheer them on at games. That’s it, right? If the job was that easy, anyone would do it. Being a soccer mom in today’s world is a lot of work.

Kids Sports Aren’t How They Used to Be

Before the league even started, there was the expensive uniform I needed to buy. The uniforms had to be a certain kind, from a certain vender, and hundreds of dollars later Cohen received a pair of black shorts, black socks, and two jerseys that we could have bought a lot cheaper at Wal-Mart.

Practice started two weeks before the first game. Cohen’s team was made up of 8 and 9-year old’s, whom he’d never met. But he was excited and happy to play for the Redhawks. There he was two days a week practicing a sport that he loved, and it showed during the games.

Increasing the Intensity of Parents

The games started and you could instantly tell which of the boys really wanted to play and which boys played because it was their parents dream. The first game Cohen’s team got crushed. The boys had little chemistry and you could tell it was their first game that they have ever played together. But Cohen continued to have a smile on his face and you could tell he loved the game. The second game showed promise and the team was building momentum—that game ended in a tie. Finally, by the third game the team started to click. But these spirit games had a different feel. They were intense, not only from the coaching and players, but from the parents as well.

Parents of athletes can be wildly passionate about their children’s performance on the field, particularly as it relates to how much field/play time they get. Like any sport, people get emotionally charged during a soccer game. Parents, especially dads, sometimes feel they know more than the referee and/or coach. It gets frustrating watching your child play with a hollering dad sitting in the grass on the sidelines. You have the coach giving instruction on one end and the dad giving opposite instruction on the other. I will never claim to be knowledgeable in all the various aspects of this sport, and I do sometimes tell my son to be more aggressive, but as far as play calls I leave that to the coach and not these know-it-all dads.

Passion & Sportsmanship Go Hand-in-Hand

I personally think it’s admirable to be passionate about something. However, there is a distinct difference in being passionate and being unsportsmanlike. I constantly hear parents talking about how their child was treated unfairly on the field, demanding rematches and more field time, or for another child to be benched because they are not as good as this parent’s child. You wouldn’t believe the amount of drama that goes on both on and off the field. It’s enough to create a Soccer Mom-themed Bravo reality show. I can’t imagine how club soccer or any higher level of soccer will be. It’s quite a jungle out there already!

Pressures from the coach and the expectations of an unreasonably high level of commitment from me, Cohen, and my entire family, but also the pressures from the daily academic stresses of juggling practices and studies. Beyond all this pressure, there is the ultimate demand of playing the perfect game. Cohen has yet to play the perfect game, which unless he’s a U.S. Olympian, he won’t. And that’s okay—let’s remember he’s eight! But seeing Cohen’s determination at practice and during the games makes it all worth it. I know my son won’t be the next David Beckham but as long as he’s having fun, I’ll continue with this new title of soccer mom, which I am proud to have.

Mallory Connelly

Mallory Connelly

Babies & Toddlers

In addition to the time I devote to being a mom, I also work full-time outside the home, which means my day is hardly ever as simple as nine to five. With an all-too-established schedule, as soon as I walk through the door, my day doesn’t end, but rather just begins. It’s a balancing act, especially with two children, but being a mom is one full-time job that I never want to quit!

Simple Solutions for Dealing with Stress

Simple Solutions for Dealing with Stress

The start of the school year is a hectic time, as getting back into a routine is tough and tiredness sets in. Anxiety and stress also become more prevalent as busy schedules, homework and less time at home takes a toll on our household.

On top of all of this, we have a senior making decisions regarding her career choice, colleges and taking dual credit classes, which adds another layer of stress. And we also have two other children who have realized this is the last year their older sister will be home every night, which has added another unforeseen layer of stress.

It’s those evenings before big projects or quizzes are due that seem to be the most stressful. My husband often tells me, “You are dealing with our stressed out daughter because she is exactly like you!”

Focusing on Where Stress Stems From

I am a firm believer in parents being a positive role model in their children’s lives. Yet, I am wired as an, “always on the go, something has to be done, worry about it until I get sick” person. I love to travel, but I have a panic attack at every airport until I am through TSA.

These are qualities I definitely don’t want my children to be like at any stage of life. All of this changed when my father had a heart attack this past summer and ended up in a 6.5-hour quadruple bypass surgery. The doctors talked about how diet and stress played a huge part in his episode. I made a conscious effort from that point on to really focus on triggers that cause stress in my life.

Ways to Help Kids Handle Stress

As I continue to grow in this area, these are techniques I am sharing with not only our senior daughter, but our other two children as well:

  1. Get and use a planner. Our kids are very good about purchasing a planner, but about half way through the year the planner becomes nonexistent. We need to keep discussing with our kids the importance of writing down due dates and activities.
  2. Do not procrastinate and prioritize tasks. That’s it. Make time for things when you can and don’t leave them until the last minute.
  3. Encourage more time to relax. I need to encourage them to put down homework and set aside activities so they can just hang out and relax.
  4. Get sleep. The average hours of sleep for our teenage daughter last school year was 5-6 hours per night. A stressed out mind and body will lead to sleep deprivation. Encouraging her to go to bed earlier and getting a better night’s rest will allow her to approach stressful situations more calmly.

Ways to Help Yourself Handle Stress

As a parent, strategies I am working on are:

  1. Avoid the constant reminders or nagging. If I am constantly on their case about getting homework done or prioritizing tasks, I am diminishing their responsibilities. Plus, I’m sure they get frustrated with the constant reminders. I can encourage them to set small goals, which will ultimately help them develop better time management skills and learn not to procrastinate.
  2. Set limits on technology. This will allow our children to understand that they don’t have to be connected to social media all of the time and to learn to be present in the moment.

Even though the start of the year is an adjustment for us and stress seems to escalate, there are strategies that our entire family can do to combat stress. Modeling and practicing these positive strategies towards stress will hopefully teach my children to handle their stress in various circumstances, especially when it comes to school and busy schedules.

Shelly Mowinkel

Shelly Mowinkel

K-12 & Teens

My husband and I have three kids. Our oldest is a freshman in high school, and our youngest is in second grade. Most days, I feel like we are a “tag-team chauffeuring” service, yet I wouldn’t have our life any other way. Not only I am a business/technology teacher at Milford, I am also the district technology integration specialist. I love teaching because I get the opportunity to make those around me better. My hope is that, through my blogging, I am able to inspire, encourage, and share with you my adventures of being a wife, mother, and professional.

Hugh Jackman, #WearSunscreen & Your Family: What Do You Need to Know?

Hugh Jackman, #WearSunscreen & Your Family: What Do You Need to Know?

My husband and I have four children, all ages six and younger (that’s what happens when you go to medical school). Right now, their favorite movie is “The Greatest Showman” starring Hugh Jackman. He is famous in the entertainment industry for his singing, dancing and acting abilities, along with his devilishly handsome good looks.

However, he’s also famous in the dermatology world as he has publicly battled basal cell carcinoma not once, but five times in the past including a recurrent basal cell carcinoma on his nose. Hugh posted pictures on Instagram with the hashtag #wearsunscreen to help raise public awareness and encourage good sun protection behavior.

Most Common Type of Skin Cancer

Basal cell carcinoma is the most common form of skin cancer. In fact, it’s the most common cancer overall. It develops after repeated sun damage over time. You might notice it as a pink scaly patch. Or, it might be a raised pearly bump, almost pimple-like that never seems to go away. Sometimes basal cell carcinoma will bleed after minor trauma or for no reason at all.

Second Most Common Skin Cancer

Are there other types of skin cancer? You bet! The second most common form of skin cancer is squamous cell carcinoma. This type of skin cancer may appear as a growing lump, often with a rough surface. But, it also could be a flat, reddish patch that grows slowly and may be tender. Sometimes these grow quickly on the skin in a volcano-like fashion. Squamous cell carcinoma can be serious in some cases and spread beyond the skin to lymph nodes if not treated properly or within a reasonable amount of time.

Most Well-Known Skin Cancer

Finally, the skin cancer with which most people are familiar, is melanoma. Melanoma can be a life-threatening skin cancer, especially if not caught early. The warning signs for melanoma are summed up in the “ABCDE” algorithm.

  • A = asymmetry (one half doesn’t look like the other)
  • B = border (irregular, ill-defined or funny-looking shape)
  • C = color (one spot that has multiple colors within it, such as different shades of brown or black. Red, white or blue colors are occasionally seen in melanoma)
  • D = diameter (a majority of melanomas are greater than 6mm when diagnosed, which is the size of a pencil eraser; however this doesn’t mean that smaller spots aren’t worrisome)
  • E = evolving (a mole that is changing in size, shape or color)

Ways to Protect Yourself and Your Family

So, what can you do to reduce your risk for skin cancer? Protect yourself! Make sun protection a priority, not only for yourself but for your family. If you have children, make it your goal to not let them burn. Like never. Never ever.

Here are some tips I use with my own family:

  • Everyone needs sunscreen when outside. This includes just playing outside, going to the pool, going on walks, whatever it may be. The two types of sunscreen available are:
    • Chemical sunscreens: (the active ingredients are long words that are hard to pronounce, such as oxybenzone)
    • Physical sunscreens: (the active ingredients are zinc and/or titanium, easy to pronounce)

I prefer zinc/titanium-based sunscreens because they stay on better, cause less skin sensitivity issues and are better at preventing sunburn in my opinion. Examples of this type of sunscreen include Neutrogena Sheer Zinc SPF 50 or CeraVe Hydrating Sunscreen SPF 50. Overall, any sunscreen is better than none. And don’t forget, it needs to be reapplied every 2-3 hours.

  • Make hats your friend. Put them by the door you use most often to go outside. Put one in your car. I don’t know HOW many times a patient has told me, “I didn’t plan on being outside that long!” Never travel without a hat!
  • Buy rash guard swim shirts or other sun protective clothing for yourself and your family. Yep, I make my kids wear long-sleeve swim shirts to the pool. Sorry kids, but you’ll thank me later. SPF 50+ clothing is available for swimmers, golfers, fishermen, etc., at local stores such as Scheels but also on well-known websites such as www.coolibar.com. Trust me, it’s worth the money to invest in good sun-protective clothing.
  • Put on a layer of sunscreen to your face and neck every morning. Use it before applying makeup. There are some really nice, light sunscreens available over the counter. My most recent favorites for this purpose are Neutrogena Sensitive Skin Face Liquid Sunscreen SPF 50 or La Roche-Posay Anthelios Ultra-Light Tinted Mineral Sunscreen SPF 50.
  • Finally, come see me! If you are worried, questioning a spot on your skin or just want a once-over, you should visit me at South Lincoln Dermatology or see a board-certified dermatologist in your area.
Gina Weir, MD

Gina Weir, MD

Dr. Weir is a dermatologist with South Lincoln Dermatology.

2625 Stockwell
Lincoln, NE 68502

402-421-3335

Seeing a Father’s Love For His Daughter

Seeing a Father’s Love For His Daughter

As I was watching my husband take our daughter’s senior pictures, I realized I am at a crossroads of jealousy and admiration. Jealous of the bond between my husband and our oldest daughter. He witnessed every first in her life: the first time she rolled over, her first word, her first step, her first day in daycare, her first elementary field trip, her first homecoming dance.

Our daughter wants to travel with her dad. She looks for him to get a hug after every softball game. She chooses me when she needs to shop or has forgotten something. She doesn’t even like me going to physical therapy because I talk too much.

He’s Always There for Her

Yet I admire the bond because it’s nothing unique or extraordinary. He has just showed up. He showed up when I returned to work after maternity leave. He showed up when she was a terrible sleeper and would only sleep when he rocked her in her car seat for hours upon hours. He showed up when she wanted to refurbish an old piano bench. He showed up when she wanted to play softball and the team needed a coach. He showed up when she needed a shoulder to cry on after she did terrible on a test. He shows up when our daughter is approaching curfew to make sure she is home safe and sound.

Just by showing up he has taught her many life lessons. What I have noticed the most are the lessons to love, to be adventurous and to radiate confidence.

He’s an Incredible Model of Support

We all see how my husband has modeled love to his family and his profession. He does not miss any of our children’s events. Even when he cannot physically be there, he shows up virtually and sends text messages before and after to show his support. Our daughter sees the value and the importance of showing up, as she has commented: “I don’t want to miss anything of my kids’, just like you, Mom and Dad.”

“Go on the adventure. Try it. Let’s do this.” From $100 adventure days to trying new foods to traveling, my husband has instilled a sense of adventure in our daughter. It’s both of them that now drive our family’s traveling experiences. Even when my husband takes her up a 700-foot tower just to see the views or try Pickled Wrinkles, he is encouraging her to appreciate life beyond our little town. I pray no one ever takes away the sense of wonder, the sense of curiosity and the sense of adventure he has taught her.

He’s Helped Bolster Her Confidence

Even though our daughter does not have the confidence to decide where or what she wants to eat, that is completely overshadowed by the confidence she radiates in other circumstances. When our daughter wanted to learn how to play softball, my husband was there to play catch with her each day and to coach her. Now when she steps in the batter’s box or centerfield, you can see the confidence in her eyes. When she wanted to learn about photography, he spent hours helping her develop this skill. Now when she is behind the lens, you can see her smiles knowing she just took the perfect picture.

He is always there. Always. He is determined to not miss anything as she begins the last of all of her high school activities: the last softball game, the last One-Act performance, the last track meet and the last time she walks down the senior hall. As our daughter walks across the stage to receive her diploma, I am sure there will be a hug and a tear shed between dad and daughter. I am sure at that moment I will have a few tears. However, those tears will be of joy and admiration, as I have had a front row seat watching the bond of a father and daughter grow, just because her father showed up.

Shelly Mowinkel

Shelly Mowinkel

K-12 & Teens

My husband and I have three kids. Our oldest is a freshman in high school, and our youngest is in second grade. Most days, I feel like we are a “tag-team chauffeuring” service, yet I wouldn’t have our life any other way. Not only I am a business/technology teacher at Milford, I am also the district technology integration specialist. I love teaching because I get the opportunity to make those around me better. My hope is that, through my blogging, I am able to inspire, encourage, and share with you my adventures of being a wife, mother, and professional.

What Happened to Cuddling?

What Happened to Cuddling?

I know I can’t be the only mom out there that has zero sex drive. I recently reached out to other moms and this topic was one of the most discussed.

For me it’s not just my sex drive, it’s cuddle time that is also nonexistent. Anytime my husband rubs my back in bed he expects more. It’s like the line in a Brad Paisley song, “When you say a backrub means only a backrub, then you swat my hand when I try.” What happened to just cuddling or showing affection? This could be a main reason to my low sex drive—that and kids. Let’s face it, moms are tired!

However, I definitely think it has to do with your relationship with your partner. I never feel like having sex if my husband doesn’t show me affection and “creating moments” in the normal moments of life. Let me explain.

The Importance of Moments

Wrapping his arms around me while doing the dishes, grabbing me and randomly dancing, kissing me tenderly on the forehead – this is creating a moment. I want to feel desired just like the old days.

But telling him to be more affectionate never works. If anything that drives him farther away. Since I have to order him to be affectionate, it was evident that he didn’t want to. Begging for kisses and hugs feels lousy, even if he complies. Not only did I feel needy and undignified doing it, but it pushed him further away as well.

Turning Toward My Husband’s Needs

I considered that he may not be feeling loved either, even if you are being affectionate with him. Fortunately, rather than telling him what he should do, I tried to naturally restore the romance by being my best self again.

When I started acting like he is smart, capable and strong, that went a long way toward bringing back the make out sessions, snuggling, and yes, even sex.

I realized we became robotic when it came to sex—everything was the same every time. After some communication on how I was feeling, we decided to change things up. He was feeling the same way and was willing to try. After trying different things and having it more often than once a month, it increased my sex drive and helped us become more affectionate throughout the day.

Remembering to Let Myself Have Fun

Granted, it’s not always easy when the kids are sick, you’ve worked a 12-hour day and the mortgage is late. But if you can’t remember what you like to do and let yourself do it, you’re not showing much affection for yourself.

Fretting is not going to make him more affectionate. But dancing the Macarena at the grocery store? It definitely could. After all, you were all smiles and laughter when he first put the moves on you.

Let’s all yell this song loud and proud, “Girls just wanna have fun!” The more you appreciate yourself, the more he will see you for you, and give you what you really want: fun, cuddle time, and yes, even sex!

Mallory Connelly

Mallory Connelly

Babies & Toddlers

In addition to the time I devote to being a mom, I also work full-time outside the home, which means my day is hardly ever as simple as nine to five. With an all-too-established schedule, as soon as I walk through the door, my day doesn’t end, but rather just begins. It’s a balancing act, especially with two children, but being a mom is one full-time job that I never want to quit!

Healthy Teeth for Your Baby and Toddler: When to See the Dentist, How to Prevent Cavities, & Other Dental Issues

Healthy Teeth for Your Baby and Toddler: When to See the Dentist, How to Prevent Cavities, & Other Dental Issues

If you’re the parent of a baby or toddler, you may think you have plenty of time before making her a dental appointment. After all, if she doesn’t have any teeth coming in, what’s the point? But that’s not necessarily the case. In fact, it’s never too early to get a good start on healthy teeth.

How Soon Should My Baby or Toddler See the Dentist?

As a pediatric dentist, I recommend getting kids in for their first dental checkup before their first birthday. This way we can make sure we’re preventing cavities before they occur. And for the teeth that are already in, we get a chance to see what the enamel looks like. At this age we also can determine if there is a higher risk of your child getting cavities. If we see issues that could lead to cavities we will visit with you about your child’s diet and oral hygiene, because these are important for developing healthy teeth.

And once children begin going to the dentist, I urge parents to bring them in every six months. If we identify that a child has cavities starting to form, we can catch them early.

 

Ways You Can Help Prevent Cavities and Other Dental Issues for Your Infant or Toddler

Diet

  • Reduce or eliminate sugar from their diet. You might be surprised to learn that some things that seem healthy really aren’t, because they contain a lot of sugar. This is especially true with juice and chocolate milk. My recommendation is not to give kids juice. If I give my little three year-old a small glass of juice, she’ll drink it and want more before you know it! It’s too much sugar.
  • Get them started on water. It’s a healthy habit for all of us. Having your child drink water at an early age builds healthy habits for life, plus it helps their body function properly.
  • Mind the temptations. Once kids move to solid foods, temptations are everywhere. Whether it’s coming from grandparents or parents, we like to spoil our kids. So it’s tough to want to spoil them, but then also be mindful of the sugar they’re taking in. I urge parents to be mindful of candy, cookies and chips – all of the processed treats. That includes gummies and fruit roll ups! They sounds healthy, but I call them the ‘dreaded fruit snacks’ because they create a lot of cavities. As a parent, I get it. They’re easy. But please, try to avoid purchasing those fruit snacks!

Dental Hygiene

  • Brush those teeth twice a day as soon as they come through the gum tissue, using a soft toothbrush. Your child’s age doesn’t matter. Once they get teeth, we’ve got to take care of them.
  • When you brush your child’s teeth, just gently massage the teeth. At this point you’re getting rid of plaque and keeping everything clean and healthy.
  • Use a very small amount of fluoride toothpaste. For your infant, who is not able to spit out the toothpaste, just a tiny bit of fluoride toothpaste, the amount of a grain of rice, is plenty. This is enough to help prevent decay.
  • Use whichever flavor your child likes or will tolerate. My daughter says our mint toothpaste is too spicy! She likes the fruity flavored toothpastes and those are just fine.

 

A Word About Pacifiers and Thumb Sucking

Parents often ask me about these behaviors and how they affect dental development. The question I get most often from parents is: Will this cause their teeth to grow in out of line? Unfortunately, it can. When a thumb or pacifier is in your child’s mouth, it pushes on structures in the mouth, whether it’s the teeth or bone structures, and moves them. Timely intervention is really important here.

  • Pacifier – Try to wean your child from this early on. At around a year or 18 months old, I like children to be done with the pacifier. It could be molding the upper arch and changing the shape of your child’s palate.
  • Thumb Sucking – The longer your child sucks his thumb or fingers, the higher the risk of changing the shape of his arch or palate. I recommend parents work on this habit and get it conquered by age three.

Start Early for Your Child’s Good Dental Health and Habits

I hope these tips are helpful for you. Taking your kids to the dentist early on gives them a good start on great dental health and habits, and helps get them comfortable with the environment of a dentist’s office. This also helps them have great dental experiences when they come to their dental home.

Want more dental care tips for your infant or toddler?

Get even more information from our ten minute podcast!

Marty Killeen, DDS

Marty Killeen, DDS

Marty is a pediatric dentist with Wilderness Station Pediatric Dentistry.

A Favorite Educator’s Legacy Lives Beyond Retirement

A Favorite Educator’s Legacy Lives Beyond Retirement

As a high school student, I never really paid attention to the duties of the superintendent. I knew he lead our school and made important decisions, yet, I never fully comprehended what his daily duties included. However, I did make sure to pay attention when he would make the occasional “snow day” call.

What I did know was each day—whether it was before school started, during lunch or during passing periods—he would say, “Hi Shel…,” followed by some reference to how the day was going, and then the conversation would usually turn to softball. What I now realize is he valued relationships and making connections with students every day.

From a Happy Face at School to Family

Fast forward 22 years and I am part of this superintendent’s family. Being part of an educational family, I have learned a great deal of the actual duties of a superintendent through conversations at dinner, at the fair or visiting their place frequently. Through all the stories he does share, there is always one constant shared throughout: he cares.

At the end of this month, my father-in-law will retire after 40-plus years in education. And while I could make a never-ending list of him advocating for education or dedicating numerous hours to coaching, what I am forever grateful for is our children watched their Papa Mo dedicate a majority of his life to something he was passionate about. This was evident in his daily interactions with students and staff.

His Work Made an Impact on Many

His legacy will forever have an impact on our kids, especially our oldest, as her future educational goals include becoming a family and consumer science teacher. Our daughter shared an essay she wrote for class and below are highlighted points she eloquently states as to why her Papa Mo is her hero:

[His] dedication to education and helping make other people better in all he does…Awarding diplomas at graduation, his proudest moment every school year, showed his hard work and dedication to the school and students he served.

[He] always finds time to attend mine, along with my cousins and siblings, sporting and school events. Not a week goes by without seeing him in the crowd.

[He] puts in hours of time working on the farm to provide his grandchildren with the experiences of 4-H.

Continuing His Legacy into the Next Generation

Looking at my father-in-law through my daughter’s eyes ultimately displays he cares. She sees it and the rest of our family sees it. If there is anyone I want our daughter to model her educational career after, it is my father-in-law. We all know his career in education was lined with important decisions, stress and time-commitments. However, what he valued and displayed the most was that he cared, and this is what I want our daughter to know when she is a teacher—to carry on her hero’s legacy and to show her students and athletes that she cares.

Shelly Mowinkel

Shelly Mowinkel

K-12 & Teens

My husband and I have three kids. Our oldest is a freshman in high school, and our youngest is in second grade. Most days, I feel like we are a “tag-team chauffeuring” service, yet I wouldn’t have our life any other way. Not only I am a business/technology teacher at Milford, I am also the district technology integration specialist. I love teaching because I get the opportunity to make those around me better. My hope is that, through my blogging, I am able to inspire, encourage, and share with you my adventures of being a wife, mother, and professional.

Ways to Make Summer Reading Not Feel Like Homework

Ways to Make Summer Reading Not Feel Like Homework

Ah, summer—the sun is hot, school is out, energy is high, and let’s face it, for parents this can be a challenging time. Not only does your routine change, but it’s also difficult to keep your kids reading.

Does “summer school work” sound like a chore to your kids? It’s a constant struggle for me to convince my children to do anything other than watch TV or play outside. The question I faced was, “How can I make reading or any other school work be just as exciting as any other summer activity?”

How to Make Summer Reading Not Feel Like Homework

Before school was out for the summer, I made a plan. I wanted to continue helping Cohen read throughout the summer. I heard of the summer slide, which is a term teachers use to describe the learning loss between grades over the summer, and I didn’t want that for Cohen. He had made such great progress throughout the year and was nearing a third grade level that I didn’t want him to fall farther behind.

Find Programs that Have Worked Previously

I looked into several reading programs being offered during the summer months, but they were ridiculously expensive! Plus, the times the classes were offered were not convenient for working parents, so that was a little frustrating! I realized I would need to make it a priority.

Make a Plan

I made a plan to go to the library once a week and have my kids pick out books they wanted to read. I also signed Cohen up for the library summer reading program, which is free! Then, we went to Barnes and Noble and signed up for that summer reading program. Lastly, I wanted him to continue with his frequency folder and have him read the same passage every day. I thought I had a great plan in place.

But life gets in the way. My plans for him to read continues to be pushed aside for the different activities planned in the evenings that Cohen wants to do. My son didn’t view reading as a fun activity and I realized I needed to make it a priority and encourage summer reading. It was time to get creative!

Set Goals

It was time to set some summer reading goals. I had Cohen help me set our goals and create a chart together when he finished his frequency passage. Cohen and I made a “Reading Hall of Fame” bulletin board. After every book he finished, we take a picture and I post it to the board.

Make Reading a Family Event

My daughter starts kindergarten in the fall, so I am trying to make reading this summer a family affair. During the warm weather months, it can be hard for busy, on-the-move families to fit reading in. So we started to set aside some time to read before bedtime. Every family member grabs some books, we turn off all electrics, and read for 20 minutes. We’re also trying to listen to more audio books—while at the library, I found some fun family reads on CD.

Make it Fun

Lastly, his teacher gave me this idea before summer vacation—twice a month during the summer we have a “Cookie and Bookie” where we read a story or two together, he reads one page then I read the other, and when finished we discuss what we read. Then, of course, we bake cookies together!

Granted, these are no substitutes for cracking the books. And I don’t pretend to have any magical suggestions for preventing the summer slide, but I am trying to make reading a priority this summer so Cohen won’t be far behind when he enters 3rd grade this fall.

Mallory Connelly

Mallory Connelly

Babies & Toddlers

In addition to the time I devote to being a mom, I also work full-time outside the home, which means my day is hardly ever as simple as nine to five. With an all-too-established schedule, as soon as I walk through the door, my day doesn’t end, but rather just begins. It’s a balancing act, especially with two children, but being a mom is one full-time job that I never want to quit!

My Husband’s “Me” Time

My Husband’s “Me” Time

My husband’s job includes weird hours – some nights, weekends and overnight trips. Recently, he started a night class for graduate school. When he isn’t at work or school, he uses about 50% of that time for himself (i.e., playing sports). I know it’s important for him to keep himself sane and healthy, but I wish he wanted to spend more time with us. I am feeling pretty lonely.

I LOVE being home with the kids but I still want him to have a parenting role beyond a provider. I know it’s wrong for me to feel resentful, especially since I take time for myself, but recently we got into an argument about how he spends his time.

After nine years of marriage, I realize that no marriage is ever 50/50. There will always be one partner that does more on any given day. Forget about it being fair because that doesn’t exist.

“Me” Time or Family Time

My marriage benefits when we both have time for ourselves, either to pursue our own interests or just relax. Personal time allows us to maintain our individual identities, provides opportunities to do things we like to do, and allows us to feel like we have some control over our lives. Alone time can actually help to keep our relationship fresh and less stressful. However, this past weekend, I was angry that my husband wanted to spend his “me” time playing softball.

I spend several hours a week at the gym, so why was it so difficult for me to see that he needs time, too? It wasn’t the game that made me upset, it was the fact that he didn’t want to spend time with me and his family.

Getting on the Same Page

I came to the conclusion that personal time needs for each person varies from couple to couple. What’s most important is that we agree on how much time we want to spend together and apart. The problem that I had with softball was that my husband never communicated to me that he needed that time for himself. If it were handled correctly, we’d each feel like we are getting our fair share. I was feeling that work and school should be included in his “me” time because those times are when I’m home by myself with the kids. However, he thought that that time should not be included. It was a communication breakdown. We both needed to take a step back and realize how the other person was feeling.

During these times, perceptions are more important than the actual number of hours. Even if we spend very little time together or apart, the relationship is fine if that’s what we both want. If either of us has different perspectives, however, the amount of time together or apart can be a source of conflict. He was feeling suffocated, while I was feeling insecure and isolated.

Dedicating Time to Each Other

We often have different ideas as to how much time should be dedicated to each other and ourselves. I tend to want more couple time, usually because I regard it as important for bolstering my marriage and making sure there’s solidarity as a couple. My husband, on the other hand, tends to prefer more time on his own. Now that we know where each other stands and realize what we both need, and our communication is open and honest, my husband spending a couple hours a week at softball seems like an okay trade to me.

Mallory Connelly

Mallory Connelly

Babies & Toddlers

In addition to the time I devote to being a mom, I also work full-time outside the home, which means my day is hardly ever as simple as nine to five. With an all-too-established schedule, as soon as I walk through the door, my day doesn’t end, but rather just begins. It’s a balancing act, especially with two children, but being a mom is one full-time job that I never want to quit!

Adventure is Out There

Adventure is Out There

It was over 13 years ago when my husband and I wrote down a family goal of providing our children with the gift of travel. Our goal then, as it is today, is to provide as many opportunities as we can to see the wonders our great nation has to offer. While it may still seem like a far fetched goal, we plan and plot out our trips in hopes of traveling to as many of the continental states as possible before our children graduate high school.

When it comes to trips and vacations, spontaneous and unplanned are two words that hardly find their way into my vocabulary. For me, every vacation or getaway is planned – and planned meticulously. For my husband and eldest daughter, “adventure is out there” is more their style.

“Yes, let’s go.”

For the extended, activity-free, Easter weekend, we planned a college visit for our daughter in Western Nebraska and then a third trip back to the Black Hills. However, when my husband spontaneously suggested we drive to Yellowstone rather than go to Mount Rushmore, immediately our daughter said, “yes, let’s go.”

In an uncharacteristic fashion, I quickly agreed. I was actually excited for the spontaneous 1,700 mile detour from our original plan. Already 6 hours from home and another 10 hours from Yellowstone, we began our “quick trip” to one of our national treasures. Yet, I knew this would be an adventure our kids would not forget as nothing was planned, including where we would stay each night. We vowed to get as far as we could, find a hotel, explore the area quickly, and then continue the next day.

This spontaneous road trip provided many moments for our family to create memories. From waiting patiently for Old Faithful, to taking pictures in front of each new state sign, the memories we created will make for great conversations for years to come. Even picking out the state collectibles became an adventure.

Our two daughters collect one small item from each of the states we visit. One collects stickers, and the other collects keychains. Naturally, our son decided he wanted to start collecting something to remember our travels. In typical 10-year-old boy humor, he started with the ridiculous idea of collecting moose’s poop, but soon realized he would not be able to find that in every state. For the next 30 minutes, he browsed postcards, snow globes, patches, magnets, playing cards and finally decided upon lapel pins, which is perfect for him. For the next hour after his purchase, he figured out all of the states he has visited, and how many pins he would have to buy so he would be caught up on his states.

Our Family Adventure

When the weekend was all said and done, we traveled 2,100 miles in the course of 75 hours. Yes, sometimes the confines of the pickup truck felt quite cramped with all five of us having our earbuds in at various points in the journey. Yet ultimately, we all loved the trip! The spontaneity of changing our original plans allowed us to create new family memories. We added two more states to our visited state’s list, and it was a great reminder for all of us to enjoy the moment. For myself, someone who plans out virtually everything, it was an awesome opportunity for me to not worry about the next stop and to embrace the fact that “adventure is out there.”

Shelly Mowinkel

Shelly Mowinkel

K-12 & Teens

My husband and I have three kids. Our oldest is a freshman in high school, and our youngest is in second grade. Most days, I feel like we are a “tag-team chauffeuring” service, yet I wouldn’t have our life any other way. Not only I am a business/technology teacher at Milford, I am also the district technology integration specialist. I love teaching because I get the opportunity to make those around me better. My hope is that, through my blogging, I am able to inspire, encourage, and share with you my adventures of being a wife, mother, and professional.

Pin It on Pinterest