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    Requiredfor Life.

    1 E cacy and tolerabili ty of low-dose supplements during pregna ncy: a randomized trial (2003) , 78 Am J Clin Nutr: 145-153.2 Evaluation of the Iron Study, Phase 1: Examination of the eectiveness of Floradix-Kruterblut-S-Saft (liquid) in women with a low ferritin level a prospective, random, open

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    28

    18

    38

    22

    blushmom.com|3

    14surprise! youre pregnantWhe yu weret epeti tbe epeti.

    18caeine conundrumI ee ae t rik wheyure preat?

    20Wheres my hair at?Tip a trik t ehaethii ptpartum hair.

    22summer ashionBeat the heat i ur lmaterity ahi.

    30sign them upI yur prehler reay rrereatial prt a ativitie?

    34to the rescueBe prepare r ummer with uraety a rt ai i.

    38kids With doWn syndrome

    The u i abilitie, tiabilitie.

    42rashesLear t pt eriu healthiti.

    46season in the sunHave u while keepi yur kiae rm UV ray.

    {you }

    {your little one }

    contentsIue 5

    14

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    {your life }

    52running or tWoUe ur tip t the itae.

    54Water babiesMake a plah with yur little eat yur lal pl.

    55lets play!Eplre the reat utr withyur tler.

    58camping With the kiddiesRuh itwhile keepi halet a miimum.

    62happy campersFu-ree t hare aruthe ampre.

    66Jamie sal

    Preial kater a l-meal mm.

    in this issue9 eitr letter

    11 ak Karlee

    26taki are yu ayur little e

    50 bk we lve56 what were i ver

    contents

    62

    56

    54 58

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    PublisherRyan Benn

    Associate Publisher Rick Kretsch

    editorial & designExecutive Editor Start HarriesManaging Editor Gail Jhnsn

    Senior Editor Sandi GavinEditor and Creative Services Liaison Ellen Niemer

    Editor and Marketing Liaison Amanda LeeEditorial Intern Amy Wd

    Graphic Designers Keri Piechnik, Maja WlnikContributing Photographer Sctt Yavis

    productionOperations Manager Elaine MavritsakisDigital Content Coordinator Vince Yim

    Print Distribution Coordinator Victria ChanShipping and Receiving Jagdeep Biring

    sales & mark etingDirector o Business Development Jessica Malach et 647

    Advertising Account Managers Ellen Wheeler et 619,Karla Grsche et 621, Nrani Ramji et 622,

    Aleandra Garasci et 624Sales Irene Wng, Cindy TranMarketing Specialist Brnwyn Lgan

    blush is pblished qarterly by

    contact inormationt m g

    100-12751 Vlcan Way, Richmnd, BC V6V 3C8

    Phone: 604-295-9333 Toll Free: [email protected]

    editorial noteThe inrmatin prvided in this magazine is r edcatinal and

    inrmatinal prpses nly. It shld nt be sed as a sbstitte r theadvice a qalied and licensed practitiner r health care prvider. Thepinins epressed here are nt necessarily thse Teldn Media r its

    aliates. Dierent views may appear in tre articles r pblicatins.Articles in blush are cpyrighted and mst nt be reprinted, dplicated,

    r transmitted witht permissin.

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    CbukathY buCkworth i aawar-wii writer whe latetbk Shut Up and Eat: Tales oChicken, Children and Chardonnay(Key Prter, 2010) i fyi helve a it the ha mm weri what t maker ier aai. Kathy haur hilre/ure material.kathybuckworth.comrtwitter.com/kathybuckworth

    raChel SanderS i a writer,braater, phtrapher, awrk-at-hme mther tw. shelve reearhi a writi abuteverythi rm pareti t ppulture, tributi reularly tthe cBc Rai prram DefnitelyNot the Opera a the caaiamui maazie Exclaim. she livei Vauver with her amily.

    joSie Padro i a rmer urewh trae i her tethpet tay at hme ull-time withher tw by. Her al a aparet i t ll her hilrelive with lve a happymemrie. Jie write abuthealth, lie, a .

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    Right around press timeor this issue, I spent days in a proneposition in my sweatpants on mycouch. I ate a little, slept, watchedTV, and cuddled with my littlest one.It almost sounds like a holiday, butinstead o laughter there was lethargy.

    I wasnt sick, but my second son was.

    Just as some men have sympathy painswhen their wie is in labour, I was rightthere with the poor little guy in all his

    watery-eyed misery, i not physicallythen most denitely psychologically.

    Id never seen my two-year-oldso ill. It was just a cold, though Inever cease to be amazed at how thiscommon virus can knock even thestrongest characters down. He didnt

    want to do anything other than lieon his tummy. He barely ate. He was

    too exhausted to cry. I adopted hisdemeanour as i by osmosis. I didnt

    want to leave the living room, nevermind the house. And thats how wespent several long days.

    The experience reminded me ojust how in tune with our children wemoms are.

    Babies and toddlers are very good atmaking it clear when their needs arentbeing met. Yet even when there isnt an

    yr

    illness or an owie involved,mothers unailingly,instinctively know whensomething isnt quite right

    with one o their kids. Maybe itsa look in the childs eyes, a subtleshit in his step, or a mood thats ever-so-slightly o.

    Although mothers intuitionthatsense o knowing something is wrong

    without knowing exactly what it ishaslong been dismissed by some as meremyth, even experts are now sayingotherwise. Recent research publishedin theLancet, a British medical journal,advises doctors that i a parent believessomething is wrong with their child,shes probably right.

    What an amazing git. AlthoughI dread the day I ever have to see

    my boys hurt or heartbroken, I eelincredibly ortunate to have such aunique, unshakeable connection withthese two beings.

    Even i all moms possess that innerinsight, however, its not surprisingthat we dont always pay attention to it.

    At home alone with a newborn or therst time, we oten eel overwhelmed,unprepared, or even incompetent.Theres so much inormation out there

    that it doesnt take much or sel-doubt

    to rear its intrusive head. When I wasdesperate or inormation on sleep(or, more accurately, the lack thereo),I was surprised to nd more than 0books on the subjectall written byexperts and all claiming to have themost reliable, accurate, up-to-dateadvice. Ack!

    All too oten we orget that we, inact, are the experts on our kids. Hey,i were not celebrating our mummytummies, then lets at least honour that

    gut eeling.Its always there, even i we

    sometimes need to strain to hear itabove all the screaming and squealing.

    From all o us at blush, heres a nod toyou and yoursand your instincts. b

    Gail johnSonMAnAgIng EdIToR

    TRuST

    Hur that ut eeli

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    My tler li t me wherever

    we a eem eeively hy.Ay ueti helpi herverme thi?

    Q:Im well it my etrimeter, but Im tillaueate. I thuht mriike wa uppe tpa ater the rt trimeter.What a I ?

    kkarlene

    karlene karSt, rd, ia authr, peaker, amm t , Lua, a

    e the way.

    Q:A child who displaysshyness is actually expressinga resistance to intimacy withothers whom the child is notattached to. Thereore, shyness is amaniestation o attachment. A shychild may eel immense stress when

    in the presence o a stranger, so itis important that we handle childshyness with care and sensitivity.

    As children develop their ownpersonalities, they oten grow out otheir shyness. Until this happens,respect the attachment your childhas or you while encouraginginteractive behaviours.

    Instead o scolding orapologizing to others or your

    Pregnancy-induced nausea happens in0 percent o pregnancies and usually goes

    away by weeks. However, research showsthat maternal age, raceethnicity, and thenumber o times a woman has been pregnantcontribute to symptoms that may continueinto the second trimester.

    What can you do? Consume small, requentsnacks rather than large meals. Keep saltinecrackers on hand to snack on. Choose dry,bland, and cold oods instead o hot oods,

    which generally have stronger odours. Stayhydrated by drinking iced water with lemonand ginger tea.

    Another option to try is an acupressurewristbandoriginally designed to ighto seasickness. This remedy has provento eectively relieve nausea in manypregnant women.

    I youve tried everything and still cant ndrelie, talk to your health care practitioner.

    You may be one out o a hundred womenwho suers rom hyperemesis gravidarum,a condition characterized by excessive

    vomiting during pregnancy. b

    childs shy behaviour, allow it. Itis a very natural and instinctivereaction to resist coming inclose contact with strangers. Besympathetic, and praise yourchilds eorts to join in with theother kids, no matter how long

    it takes. To improve your childscondence, arrange one-on-oneplay dates or a more controlledsocial experience.

    Over time your child willlikely become more comortable

    with people. Continue withyour positive approach andencouragement, and in no time

    you will be able to show o yourchilds beautiul personality.

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    {you }

    40-50% wme eperiee a extreme sheddinghair withiseveral months ater ivi birth,ue t changes in hormonal levels.A etre levelstabilize, mm a epettheir hair to return t it pre-preay tate.

    SuRPRISE PREGNANCY 14 CAEINE 18 HAIR CARE 20 SuMMER ASHIoN 22

    F c ps, pg 20.

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    urprise!

    {you }

    You're pregnantWhe yu reallyee t wrry?

    Rachel Sanders

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    From hot tubs to ham sandwiches,things that were innocuous last weekbecome a source o anxiety. But whendo you really need to worry?

    ACCIDENTAL ALCoHoLCheryl Tucker* had no idea she waspregnant when she went to a riendshousewarming party in October o 00.

    Im not a regular drinker, says theToronto mother o three, but that

    was a night o ull-on wine, ports aterdinner, smokingyou name it. It wasthe craziest night Ive had in years.

    When Tucker ound out shortlythereater that she was eight weekspregnant with twins, she was horried.

    It was a devastating eeling, shesays. I thought, What have I done?There must be some kind o sideeect rom that night. I was totallyreaked out.

    When pregnancy paranoia strikes,

    the rst thing to remember is between9 and 9 percent o babies in Canadaare born healthy. O the small numbero abnormalities that do occur, only 0to percent are known to have purelyenvironmental causes.

    Dr. Shirley Schipper, a amilyphysician who practises prenatal careat the Grey Nuns Family MedicineCentre in Edmonton, says that Tuckersexperience is very common.

    I aperect world, we all viit ur tr, take li ai, a lay the liqurbere tryi t et preat. smetime, hwever, things just happen. Jut

    whe yu weret expecting to be expecting, a plu i that little white tika e yu itserious pregnancy paranoia.

    There are studies that show thatup to 0 percent o women havetaken something during part o theirpregnancy, she tells blush. But0 percent o children arent walkingaround with something seriously

    wrong with them.Dr. Schipper reassures women in

    Tuckers situation that everything isprobably ne. Health Canada advisestotal abstention rom alcohol or

    pregnant women because there is noknown sae amount during pregnancy.

    While Dr. Schipper ully supports thisrecommendation, she says a couple oaccidental drinks beore you know yourepregnant are unlikely to cause damage.

    Usually alcohol is only in yoursystem or a couple o hours, says Dr.Schipper, whereas organ ormationand etal development is happening hours a day, seven days a week orseveral weeks. So unless youre actually

    consuming something hours aday, seven days a week, its not likelyto have a big impact. Especially i itsbeore anything has really happened,beore implantation.

    WEB INTENSIIES WoRRIESTucker says the inormation she oundonline about alcohol and pregnancy

    just made her paranoia worse. Dr.Schipper agrees Internet research is

    not the best way to dispel worries.Every womans situation will be

    dierent, so they wont be able tond accurate inormation online.Everything they nd will be potentiallyscary. She advises women, instead,to share their concerns with a trustedhealth care practitioner.

    Tucker agrees that reassurance romher doctor and normal ultrasoundsput her mind at rest about her night

    o drinking. In 00 she gave birth tohealthy twin girls.

    Its not just accidental drinking that canbe cause or concern. Vancouver lawyer

    Andrea Kim* was unaware that she wasseveral weeks pregnant when she tookGravol ater a long ight last year.

    When I ound out, I started topanic, she says. So I did someresearch online. Some sites said itsnot recommended but never gave areason why.

    Dr. Schipper says while certainover-the-counter drugs such as Gravoland ibuproen can cause problems inpregnancy, occasional accidental use isunlikely to have much eect.

    Theres more concern i you takeit throughout your pregnancy, or

    when organs are being ormed, orlater in pregnancy, she says. Takenperiodically by accident, theres noevidence that theyre harmul.

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    {you }

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    She does, however, advise women toconsult their doctors i theyve beentaking large amounts o any medicationbeore realizing they were pregnantincluding herbals.

    Herbal doesnt mean sae, she says.Its just a natural orm o drug.

    SHARE WITH RIENDSAlthough Kim wasnt able to see herobstetrician or several weeks ater herpositive pregnancy test, talking with ariend helped relieve her ears.

    My riend said shed accidentallytaken it too, and her babies are neand healthy, she says.

    Dr. Schipper agrees talking withriends or joining a support group ornewly pregnant women can be helpul.Recent studies have ound women who

    WHAT ABouT?Hot tubsHt tub ue i iurae uripreay. I yuve alreay bee ie, dr. shipper ay yu prbablywul have elt umrtably ht iyur by temperature ha reahea aeru level.

    Deli meat, unpasteurizedcheese, raw meat and shThee a be tamiate

    with Listeria, whih a auemiarriae. I yuve eatemethi tamiate with thimirbe, yu likely wul haveevelpe ymptm pii aterwar.

    Retin-AAutae (itretii), a vitamiA erivative take rally revere ae, a harm etalevelpmet. Reti-A (tretii),i ather vitami A erivative

    mmly ue a a tpial wriklereme. Eve thuh very little iabrbe thruh the ki, trremme that yu tp ui thereme i yu are preat.

    AccidentsThe uteru i prtetive that itwul take a lt t hurt yur baby.Eve i ar aiet where awma mule a be arejlte, babie are well prtete,ay dr. shipper.

    deal with stress by seeking supportrom riends have better overall health.Since a etus can be negatively aectedby maternal stress, learning to relaxshould be a priority.

    Focus on the things you can do tomake the rest o your pregnancy ashealthy and peaceul as possible.Eat well. Take your vitamins. Find a

    prenatal exercise class. Brush and ossregularly, as good dental health canhelp prevent preterm labour. Finally,dont orget to give yoursel credit orall the good things you do every day or

    your developing baby. b

    *names have been changed

    raChel SanderS i a Vauver writer amther tw.

    When pregnancy paranoia strikes,remember between 97 and98 percent o babies in Canadaare born healthy.

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    {you }

    18|blushSuMMER 2010

    Cut back gradually:go hal-ca to start.

    conundrumCeThe truth abut ee i preayKimberley Foster

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    bvg Sz (z) Cff (m)

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    dEsIgnER coFFEE To go

    But coee? Thats a dierent story. Alot o us depend on our morning latteto get through the day. Most physiciansadvise their pregnant patients to cutback on caeine or consider cutting itout altogether. But when acing ninelong months o steady weight gain,insomnia, swollen ankles, and theother delights o pregnancy, its naturalor a mortal woman to ask: coee,really? Do I really have to give up my

    one little morning pleasure?

    ExAMINE THE EVIDENCEThe question is: what does the evidenceshow, exactly? There is no easy answer,even ater reading the latest research.Its known that caeine readily crossesthe placenta, but the exact nature oharm is uncertain. Despite years oresearch, ndings remain conicting.Even so, there have been some decentstudies published recently.

    In March 00 theAmerican Journalo Obstetrics and Gynecologypublisheda study that showed an increasedrisk o miscarriage with caeineconsumption. They ound that thegreater a womans daily consumption,the higher the risk. Women whoconsumed more than 00 mg ocaeine a day were ound to have twicethe risk o miscarriage as women whoconsumed no caeine.

    Moreover, a 00 study in theBritishMedical Journal linked caeine intakewith etal growth restriction and low

    birth weight. The ndings o this studysuggested an even lower threshold ocaeine consumption, perhaps as lowas 00 mg per day. This will clearly needto be studied more in the years to come.

    REMAIN WITHINRECoMMENDATIoNSFor now the ocial recommendationrom Health Canada and the US Foodand Drug Administration is to limit

    intake to 00 mg per day. The ocialUK recommendations cite 00 mg perday as the limit.

    While there doesnt appear to beenough evidence rom the existingresearch to recommend a totalelimination o caeine, it does seem

    wise to cut back and to keep below therecommended thresholds.

    Okay, so how do you know how muchyoure getting? See the sidebar or thecaeine content o various drinks. But

    keep in mind that much depends onthe size o your drink and how stronglyits brewed. Dont orget that tea hascaeine, too. And take note: green tea,

    with all its apparent health benets, isnot caeine-ree.

    CuT BACK THE CAIn practical terms, how do you goabout cutting back? Interestingly,many women develop a naturalaversion to the taste o coee early in

    pregnancy. But i you dont all intothis category, how do you curtail yourintake? Whatever you do, dont go coldturkey. The withdrawal eects can beunpleasant: headaches and eelings oatigue and depression. Instead, cutback gradually. Go hal-ca to start.

    Be careul about substitutions:energy drinks can contain as much, inot more, caeine as a cup o coee.

    And a word o warning about herbal

    tea: be mindul o ingredients, as someherbs are not a great idea in pregnancy.Red raspberry lea, or example, maycause uterine contractions.

    So i youre nixing the caeine, howto get through your day? Lets ace it,pregnancy is a time when you coulduse every little extra bit o energy. Hereare some ideas. A simple, but oten-ignored piece o advice: get moresleep. No, you dont need to watch yetanother episode oAmerican Idolturno the TV and get to bed earlier. Tryadding a little exercise to your routine.There are many benets to this, ocourse, and boosted energy is one.

    Also, bump up your uid intake.A womans need or uids increasesin pregnancy, and mild levels odehydration can really sap your energy.

    As or me, I eel reassured that I canenjoy my one small morning coee,guilt ree. The guilt o motherhood willcome later, I have no doubt b

    kiMberleY FoSter i a amily phyiia awriter i Vitria, a i epeti her ehil i July.

    The lit orbidden itemsr expectant mothers

    i l a eem t belethei all the time.Wine. Brie. Sushi. still, withme arie, a per canlive without thee treatr ie mth; it a rarewoman wh umepiy tua rll a dailybasis, ater all.

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    {you }

    20|blushSuMMER 2010

    Now that babys here things are looking a little thinner in thehair department, and sometimes postpartum hair loss canbe rightening. What is happening, and what can you do?Heres a guide to help you through.

    WHY IS THIS HAPPENING?The ancy term or the general shedding o hair is telogenefuvium, a condition that is caused by a traumatic eventthat interrupts the normal cycle o hair growth. In the case o

    postpartum hair loss, that event is childbirth.Eighty-ve to 9 percent o the hairs on your head are

    in the anagen phase (when the hair is growing), and theremaining to percent are either in the catagen phase(when the hair has stopped growing) or the telogen phase(when the hair starts to become loose in the shat until italls out). On average, a woman loses about 00 strands ohair each day.

    During pregnancy a larger number o hairs are in theanagen stage because o an increase in estrogenhencethe thick and luscious mommy-to-be locks. Ater birth,

    Remember the thick and luscious locks

    yu ha uri preay? The kiyu ee ishampoo commercials?

    estrogen levels plummet and so does hair production. Thevast amount o new hair youve acquired during pregnancy

    now enters the telogen stage all at once and can start allingout in heart-stopping clumps. This can begin to happenbetween one and ve months postpartum.

    While the amount o hair loss new mothers experiencecan vary rom woman to woman, this condition is generallyunavoidable. But dont worry, you wont eel like yourebalding orever! You should see the rate o your hair lossreturn to normal between and months ater givingbirth. Meanwhile, there are some things you can do to help.

    WHAT CAN You Do?c v. They will helpkeep your hair, skin, and nails healthy. Also look or omegaacids in your oods (in sh, oils, and nuts) and dietarysupplementsthey help with hair growth.g . Nows a great time to experiment with a shorteror more styled hairdo. Shorter cuts or styles with morelayers oten give the illusion o uller hair. Bangs that ramethe ace might be a un option to experiment with. Plus, i

    your hairs shorter, theres less or your new baby to tug on!b w . Treat the new hair thats comingin with great care by using gentle shampoos (baby shampoos

    work well) and moisturizing conditioners (look or

    my wheresat?

    A ew mmmy uiet ptpartum hair l

    Christina Dennis

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    ingredients such as olive or jojoba oil). Avoid putting yourhair up in a tight ponytail and using a lot o heat styling.t w .Highlights or a brighter new haircolour can also give the illusion o ullness. Be diligent,though, to use dyes that are gentle on hair.

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    Cc yu eWHY IT WoRKS:With thi lk, thebuy-e i etrate i e zelythe bttm hal. A m-lurtp let the weet mti thi brihtly-hue kirt hie thruh t bet eet.

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    pe i upWHY IT WoRKS: Fret yurear tripe maki yu lkatthe reh ailr tyle aavy-a-white ure ha atimele appeal that ever ail tlk plihe yet aual.

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    15SIGN-uP SPoRTS 30 IRST AID 34 DoWN SYNDRoME 38 SuNSCREEN 46

    miute unprotected i the u i euh t sunburnyou ryour baby, ari t Health caaa.

    Tprotect yur little e, be ure t prtet herskinprperly withsun-protective clothing bere taki herutie, a use sunscreen i he i i mth r ler.

    {your little one }

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    {your little one }

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    ignthem upFr u!

    Although they all sound great, howcan you tell which ones are suitableor your child? How do you know

    whether your child is mature enough toparticipate and is going to have un?

    Pretty much the minute my daughter,Perdida, turned two, I signed her up orgymnastics classeswhich were really

    just an opportunity or her to play ongym equipment with other kids.

    My normally condent kid was totallyreaked out, reused to participate, andhad no interest in using the equipment.

    We attended two out o 0 classesit wasa complete waste o money.

    LooK oR SIGNS oREADINESSWhether your child is readydepends on the physical activity andpersonality o your child, as well asthe type o programs available in

    your community, says Dr. MerrileeFullerton, a amily physician in Kanata,Ontario (and mom to three children

    who are all involved in sports).Fullerton advises trying out dierent

    activities early on to discover what yourchild enjoys and what is best suited toher abilities.

    Veronique MacKenzie has beenteaching three- and our-year-olds atHaliax Dance or 0 years. She says

    Lola Augustine Brown

    Flickingthruh the pae yur lal recreation centre brhure, yure likely t

    ee a wide range lae a ativitiegeared twar yur prehl-ae hil.there are denite signs your child mightbe ready to participate in a dance class.

    Every child is dierent, but i theyare already airly independent anddancing to music at home, they could

    well be ready, she says. I they arehaving separation issues or are veryshy, though, it might require sittingand watching lessons or a while. Thereis no point in pushing i your child

    isnt ready to participate.

    CHooSE AN ACTIVITYTHEYLL LoVE

    Vancouver mom Bridget Robertssigned her daughter Hanako up ordance lessons at age two. Danceseemed like an obvious rst choice orHanako: shed always loved putting ona show and was coordinated rom anearly age.

    She loved it and was one o the best

    listeners in the class, says Roberts. Shestarted gymnastics at three, and still doesboth classes now that she is six.

    LooK oR CoMPANYPairing up with another amily to doan activity may help your child stayinterested. Shemim Manj signed uptwo-year-old Neena or dance classesat the local community centre and saysthat as long as her little riend Malcolm

    was there too, Neena had a blast.When it was just Neena, all she wantedto do was run around without reallyparticipating.

    But Id still sign her up or moreclasses, because it gets us out o thehouse and lets us meet other people,says Manj. Id suggest parents testthe waters: see i they could taketheir child to one class or ree,

    without having to sign up, to seewhether they like it.

    BE PATIENTI your child doesnt nd her grooveimmediately, dont pull her out o theactivity too soon. MacKenzie says shealways asks parents to give it three tosix weeks beore letting their childdrop out.

    In my class Ive had the mostreticent o children, who are slow to

    warm up, settle in ater a while andhave a ball. In my career Ive hadmaybe three or our who couldnthandle it, she says.

    REAP THE BENEITSGetting your kids into organizedactivities at an early age has numerousbenets, one o which is your childshealth, especially given the continuingrise in childhood obesity.

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    Get a tax break, toocaaia paret wh reitertheir hil i a prram phyial ativity are eliible ra aual ta reitalle the

    chilre Fite Ta creitup t $500 per hil, be uret ave the reeipt.

    Try out dierent activitiesearly on to discover what yourchild enjoys and what is best

    suited to her abilities.

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    Prevention o childhood obesityrequires encouraging and providing

    opportunities or physical activities,which can be ormal and inormal,says Fullerton. But this must becoupled with good eating habits,including portion control.

    According to Fullerton, it isnt onlyyour childs body that benets romorganized activities; they+ encourage mastery of ones body

    + provide a feeling of accomplishment

    + offer social engagement

    + promote an improved sense of

    well-being

    + provide a social link beyond theirimmediate neighbourhood or school

    ARE THERE RISKS?Any activity or your preschoolerneeds to be age appropriate,be adequately supervised, anddemonstrate attention to your childssaety (protective gear, appropriatelysized or your toddler or preschooler,should be used when necessary).

    How active shouldyour preschooler be?Tm Warhawki, Md, i hair thechilh obeity Fuati ahea peiatri at Kelwa geeralHpital. He avie that tler beative r at leat 90 miute a ay athat they maitai that level ativityriht thruh t aulth.

    oraize prt a ativitie area way t ahieve thi, withthe hrt-term al bei u a

    a itruti t prt. The l-term al i a liel lve beiphyially ative. There i treviee that bei phyially ativeprmte a ler a healthier lie,methi all paret wat r theirhilre, ay Warhawki.

    Hwever, Warhawki avie thatmpetitive prt r hihly ueativitie be ly a part the eeriethat yur hil et, a they may tire them ver time. Fr thi reahilre hul be eurae t ejyther type phyial ativity, uh ahiki, kii, a ai, he ay.

    The activity should be un, sae,and respect the needs o the child.

    I usually tell parents to trust theirinstincts; i something concernsthem about the activity, they need toaddress it, says Fullerton.

    Theres a world o opportunities oryour preschooler; just open up thatbrochure and dive in. b

    lola auGuStine brown artile haveappeare i Redbook, Canadian Family, Flare,a Fashion. she i mm t Peria, ae 3,wh will be tarti ballet lae i the all.

    It's advised that toddlers be active or at least 0 minutes a day, andthat they maintain that level o activity right through to adulthood.

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    rescueTo the

    summer rt ai baiSerenity Aberdour, ND

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    1.Heat exhaustionThe long hot days o summer canmean too much heat, or too long,

    with too little rehydration. This can

    put babies and young children atparticular risk or heat exhaustionand heat stroke, as their bodiesare less well equipped to regulatetemperature, and they can become

    very ill very quickly.

    In heat exhaustion, the body has lostuid and salt as a result o excessivesweating. Children require particularlyclose attention because heatexhaustion can rapidly progress to heat

    stroke, a lie-threatening condition.

    SYMPToMS prse sweating nrmal (98 /37 C) r elevatedtemperatre

    pale skin ast and weak plse rapid breathing headache nasea atige

    ta Mve child t a cler lcatinimmediately.

    Remve ecess clthing. Redce bdy temperatre with clcmpresses and ans i pssible.

    Administer cl fids i the child isnt naseated.

    I symptms d nt imprve within thehr, seek medical attentin.

    Althuh ummer will be lle with un and adventure r mt hilre, me will bepei time at the doctors ofce r at the hospital a a reult a aiet, ille,r ijury. Yu a help reduce your childs risk by equippi yurel with me basicsummer saetya rt ai irmati.

    Pv Limit tdr activities whentemperatre, and especially hmidity,are very high.

    Take reqent rests in the shade andair-cnditined indrs.

    Drink plenty fids thrght theday and every 20 mintes dringactive play, regardless thirst. Tprevent dehydratin, encrageyr child t take reglar sips clwater r a dilted ral rehydratinsltin, sch as Pedialyte. A diltedsprts drink may als d the trick, btbeware high sgar cntent.

    Never leave a child alne in a car.

    Wear hats, snscreen, and light-clred clthing.

    Avid salt tablets, as they can prvidet mch sdim.

    2. Heat strokeHeat stroke is a serious medicalcondition that can be atal. Parentsshould call 9 or their localemergency number i their child isshowing these symptoms:

    ht and dry skin high ever lss cnscisness seizres vmiting

    3. Food poisoningSummer picnics, barbecues, andoutdoor parties can increase the risk

    o ood poisoning, as ood is oten letoutdoors in the heat.

    SYMPToMS nasea vmiting diarrhea symptms develp within hrs eating

    thers wh ate the same d areals ill

    dehydratin: dry mth and tnge,irritability, lss energy, ewer wetdiapers r very cncentrated rine

    ta

    Most cases o ood poisoning resolveon their own, though severe casesrequire medical intervention. Prvide sips an electrlyte-replacement sltin. I tlerated,prgress gradally t larger qantities.

    Cntine nrsing r rmla eedingi tlerated.

    Cnslt with yr health carepractitiner abt the benet aprbitic spplement.

    Seek medical help r severe

    diarrhea, r i vmiting cntines rver r hrs.

    Pv Wash hands thrghly and reqentlywhen handling r preparing d.

    Thrghly ck meats, sh, eggs,and pltry.

    Keep meats separate rm ritsand vegetables dring strageand preparatin.

    It summertime e aai, a the warm weather meamre time outside r the whle amily.

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    Never place cked and raw meat nthe same srace.

    Clean all cking sraces, tensils, andctting bards thrghly and reglarly.

    Rerigerate neaten d as snas pssible.

    D nt leave d t in the heat rmre than tw hrs.

    When eating tdrs, keep dcvered, in clers, and in the shade.

    4. ChokingEach year in Canada, dozens ochildren are taken to hospital due tochoking. Problem oods include hotdogs, grapes, nuts, seeds, raw carrots,apples, pears, celery, gummies, andpopcorn kernels. Also o concern arehard, rubbery oods that require a loto chewing, especially or childrenunder the age o three.

    Knowing about choking hazards and

    taking precautions can help you toreduce your childs risk.

    Keep a clse eye n yng children atall times. Althgh chking can ccr atany age, thse tw years and yngerare at highest riskand the mst likelyt pt everything in their mths.

    Dnt give hard candies and gm tchildren ntil they are at least veyears ld.

    Stre small hsehld items t

    reach, inclding cins, small batteries,and hardware.

    Avid giving rbber ballns t smallchildren, as they are a cmmn case chking.

    Keep tys with small remvable piecesaway rm children ynger than three.

    Carelly remve bnes rm sh andpltry bere serving them t children.

    Teach children the imprtance prperly chewing d, speaking nly

    when there is n d in their mths,and sitting dwn t eat.

    5.DrowningPools, lakes, and other places or waterun are popular in the summer. Sadly,drowning is the second most commoncause o injury-related death orCanadian children.

    Take the ollowing precautionsto help keep children sae romaccidental drowning:

    Never leave children nattended nearpls, bathtbs, lakes, r ther bdies water.

    Enrll children in swimming lessns atan early age. Many pls er parent-and-tt swimming lessns.

    Teach children pl saety tips sch asaviding pls nless spervised by

    an adlt; walking, nt rnning, n thepl deck; jmping rather than divingin; and checking water depth bereplnging in.

    I y have ne, ensre yr backyardpl is enced in and lcked whennt in se. ences shld be at leastr eet high and srrnd thepl entirely. Children shld ntbe able t crawl nder r ver theence. Apprimately 50 percent drwnings ccr in backyard pls;

    rghly 70 percent these cld havebeen prevented by prper encing.

    Pt lie jackets n weak swimmers andchildren nder ve years age whenthey are playing in r near water.

    6.FireworksCelebrating with reworks can beexciting or children, but it can alsobe dangerous. Fireworks can cause

    serious injuries and burns, particularlyto the head, eyes, and hands.

    To keep un but sae, ollow this advicerom the Canada Saety Council:

    Attend large, pressinally rganizedrewrks events instead havingbackyard displays.

    Never allw children t play withrewrks.

    Read instrctins carellyand thenread them again.

    Wear prtective gggles and glves. Never hld rewrks in yr handdring r ater lighting.

    Designate ne adlt t light rewrks

    r the grp. Have water, sand, and a wrking reetingisher at the ready.

    Never relight a dud. Spectatrs shld stand back at least25 eet (8 m), in an area where thewind is nt blwing tward them.

    Light rewrks n a hard, fat sracein an pen area away rm bildingsand strctres.

    Light rewrks at arms length.b

    inAnt And childcArdioPulmonAryresuscitAtion (cPr)I the evet ille r aiet,every paret hul have the abilityt perrm cPR a bai rt ai.Paret hul eure babyittera ther areiver have thee killa well. I a emerey, havieve bai rt ai a cPR kill aeable yu t et treatmet tartea yu wait r preial help tarrive, a cPR may have a pitiveimpat the utme. chek lalmmuity etre a raizatiuh a st. Jh Ambulae (sja.ca)r hil a iat cPR a rt aiure i yur mmuity.

    Knowing about choking hazards and takingprecautions can help you to reduce your childs risk.

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    KIDS withDown syndromeThe ky the limit

    She reassures parents who nd outtheir child has Down syndrome. Itell them that it is really scary and itspainul, but I promise them that in justa ew months they wont remember howtheyre eeling right now, says Taggart.

    Once you realize that you are the

    leader o this childs team and that youneed to provide them with the bestlie possible, as you would any child o

    yoursthen its all just ne, she says.Everyone just alls in behind you; theyreally do.

    Like Beckett, Charles Levatte is two-and-a-hal. He loves to tussle withhis three siblings; he loves to swim;and he loves gymnastics. He ollowsalong to Head and Shoulders Knees

    Josie Padro

    Tamara Taart, mther Bekett a Z, i a well-kw cTV Britih clumbia weatherater iVauver. I 2009 he w a pt a a uet -ht the ppular televii hw, Live! With Regisand Kelly. What le well-kw i that her Bekett, tw-a-a-hal, ha dw yrme.

    and Toes in French. Charles also hasDown syndrome.

    CHANGING SoCIETAL BELIESNot long ago societal belies aboutDown syndrome may have keptchildren such as Charles and Beckett

    rom doing the things they love.Luckily, times have changed, andkids (as well as adults) with Downsyndrome are showing us exactly whatthey can doand the sky is the limit.

    Bottom line, most o the timetheyre like children without Downsyndrome; they just need a little extratime to reach certain milestones,says Charless mother, Lynn Levatte oSydney, Nova Scotia.

    Like Taggart, Levatte also speaksto new parents o babies with Downsyndrome. The rst thing she doesis congratulate them. Theyre stillbabies, Down syndrome or no Downsyndrome. They still need theirparents, and theyre still going to

    walk and talk and reach all o thosetraditional steps; its just going to takethem a little bit longer, she says.

    A EW ACTSApproximately one in every 00children is born with an extrachromosome number , which resultsin Down syndrome.

    The cause o this alteration isunclear, and while some evidence

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    W w dw a pv,p a. iaa b a b a a aba aa a a.

    MYTH: a bab w dw ab dr. Albert catr, eurietit a paret a tee with dwyrme, pit ut that althuh the rik ivi birth t a hilwith dw yrme i hiher am ler mther, the hae i tilletremely mall.

    The reality [i], ay dr. catr, a 41-year-l wma ha a lihtlyle tha 1 peret hae havi a hil with dw yrme, a80 peret all ki wh are br with dw yrme are rm wmewh are yuer tha 35 year ae.

    MYTH:pp w dw a a aA reetly a 1979 the belie am preial wa that hilre withdw yrme ul t be tauht t rea, a that belie aiallytill perit, eve am me euati preial. What may umay t kw i that hilre with dw yrme lear t rea the ameway all hilre lear.

    UK prt raizati, dw syrme Euati Iteratial,remme teahi hilre with dw yrme t rea, tarti atprehl ae. They pit ut that reai help hilre evelp theirpeeh, vabulary, a memry, a i a eetial kill r everyay livi.

    MYTH:pp w dw a awa appReet reearh ha hw that peple with dw yrme reprt level happie imilar t the the ret the ppulati. While beihappy i t a ba thi, me paret eel the teretype ter theimprei that their hilre are e-imeial.

    My hil i happy beaue he live i a happy hme a he hwere withlve 24 hur a ay, a that why my auhter happy t. she et

    have a etra hrmme, a he jut a happy a Bekett, ay Taart.

    Sounding out stereotypessuggests a link to environmental

    actors, urther research is needed.What is established is that mothersover the age o have a higher risko giving birth to a baby with Downsyndrome, and the risk o giving birthto a second child with the syndrome isabout percent.

    According to The Journal oPediatric Health Care, babies withDown syndrome are oten born withaccompanying health conditions

    including heart deects, eye problems,hearing loss, sleep apnea, thyroiddisease, and digestive disorders.They may be born with one or more othese conditions in varying degrees oseverity, or none at all.

    Down syndrome is considered aneurodevelopmental disorder, whichmeans children may reach milestoneslater and may experience mild tomoderate learning hurdles. As agroup, however, they have a range o

    abilitiesrom very high unctioningto airly low, with the majoritysomewhere in between.

    THE uTuRE LooKS BRIGHTThankully, the days oinstitutionalization are gone, and todayliving with Down syndrome is a mattero ocusing on abilities rather thandisabilities. Improvements in therapyand medical science have made adramatic dierence in both quantity and

    quality o lie. In 9 lie expectancy ora person with Down syndrome was

    years; today its twice that.

    riGht: charle Levatte; TamaraTaart a , Bekett; charleLevatte a hi ibli.

    oPPoSite: Tamara Taart a herhilre Bekett a Z.

    photos o Tamara Taggart by

    KA Davidson Photography

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    inding suPPortc w pp a a abdw :

    caaa dw ss (cdss.ca)

    chek ut their reure pae t the hapter i yur prvie.It a put yu i tuh with therparet wh hare their eperieea er may helpul reure.

    dw s raa (dsr) (dsr.org)Bae i Buraby, Bc, dsRF i aleaer i dw yrme reearha euati. The ar caaawh at viit i per a eplrethi webite r urret irmati ial, phyial, a emtial health.

    dw s eaiaa (downsed.org)Thi Britih ite i a eellet ure

    urret irmati a avie may tpi, ilui healtha euati.

    la l la iaa(llli.org)Here yull upprtiveirmati breateei a babywith dw yrme al withme mpelli peral trie.

    ownsyndrome.com

    Thi rart ite et paretall ver the wrl. The ite tailik t irmati abut dwyrme a paret bl, eaturebk, a vie.

    acebook.com

    sial etwrki i a reat wayt meet ther paret a hareirmati. Taart reprt havietablihe may upprtiveeti thi way. Type dwyrme it the earh bar.

    EARLY INTERVENTIoNOne actor thats making a dierencein the lives o children with Downsyndrome is early intervention, a team

    approach tailored to the developmentalneeds o each child.According to speech-language

    pathologist Susan Fawcett, o the DownSyndrome Research Foundation earlyintervention starts at birth, teachingparents how to help their baby athome. It progresses to one-on-onetherapy, ocusing on gross motormovement, language, social skills, anddaily living skills.

    Susan Robins, an Edmonton mother

    o Aaron, a seven-year-old with Downsyndrome, believes this approachstarts kids on the right oot. Nowadayskids are exceeding expectations allover the placeand a lot o it has to do

    with early intervention, she says.

    ADVANCES IN MEDICINEAt one time babies born with heartdeects, Down syndrome or not,aced poor odds o survival. Thanks tomodern cardiac surgery, today children

    are survivingand thriving.Thanks also to early screening or

    thyroid unction, as well as hearingand vision testing, kids with Downsyndrome can get down to thebusiness o growing and developing,

    without having to deal withundiagnosed health problems.

    Many with Down syndrome havememory impairments. Researchersare looking at new ways to improve this

    unction, which will have a positiveeect on learning. Dr. Alberto Costais researching the eect o medication

    on memory, and his ndings have thepotential not only to help childrenlearn, but also to maintain healthybrain unction later in lie.

    GoING THE ExTRA MILETheres no doubt children with Downsyndrome are extremely capable,but theres also no doubt they have to

    work hard.Our kids have an amazing amount o

    barriers to overcome just to be successul

    in society, and they still do it. For Aaronssiblings thats a great example: youtry your best no matter what. Aaronsgot ne motor problems and speechproblems too, and he still motors on andgives it his heart, says Robins.

    Parents say their children teachthem valuable lessons in lie. One othem, says Robins, is [to] slow down.Relationships are important. You needto stop and smell the owers and take

    joy in the little things in lie. Thats

    how Aaron actually lives his lie.While its true that these children

    will ace extra challenges, we needto keep in mind the birth o a child

    with Down syndrome is something tocelebrate. Just like other babies, theyneed love to thrive, and just like otherbabies, they will bring much joy totheir parents. b

    joSie Padro i a Vauver health writer.

    Kids are exceeding expectations allover the placeand a lot o it has todo with early intervention.

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    RKeep yur baby ki healthy

    Cathy Carlson-Rink

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    Rahe are common i the rt ew year lie. A a paretyou may worryabut every little spot, but mt rahe require little or no treatment. Hwever, rare ai eriu iti a reult.

    Rashes run the gamut rom benignskin irritations to inectious rashesaccompanied by ever that cansignal diseases such as measles orchicken pox. Being able to identiythe symptoms o your childs rashes

    will help you decide whether you aredealing with a medical emergency.

    INECTIouS RASHESWITH EVERThese include rubeola (measles),rubella (German measles), chickenpox, Fith disease, and roseola.

    h fy mMost viral rashes (other than chickenpox) are non-itchy, at, red spots

    that may join up to orm red blotches.All are transmitted via respiratorydroplets and are highly inectious.They are associated with a ever,

    muscle aches, coughing, runny nose,and sore throat.

    Chicken pox starts as red or pinkpimples that become very itchy, small,uid-lled blisters or three to ourdays and then crust over.

    Usually children recover rom thesediseases without treatment, but severecomplications can develop such aspneumonia, brain inammation, andheart and kidney damage.w s mc rah i ampaie by a hih ever rah lk like tiy bruie that t

    ae with preure (a i eriubl ieti)

    ithie i aiate with a wllethrat a iulty breathi

    ki ha beu t break w, weep,a ze

    yur hil i etremely irritable; yureuable t prvie mrt

    yur hil eem lethari, weak,limp, apatheti, r iult t awake

    yur hil ha a hih ever; re rah;wlle limb; a re, rake muth;wlle la i the ek (ymptm Kawaaki ieae)

    rAshes thAt dont require treAtmentThee bei ki rahe require treatmet a are harmle t the iat.

    TYPE oF RAsH sYMPToMs cAUsE dURATIon

    m (m s) piprik yellw r white pt

    ur a ewbr baby ae believe t ur i

    uevelpe ebaeu la appear a lear up i the rt

    ew week lie

    s s (g sss) pik r re birthmark the

    ae a ek a ewbr tiy ilate bl veel uer

    the ki iappear by 4 year ae;

    uually iappear rm the aeby 18 mth

    ym cmm

    fat, re, ueve pathe a ewbr ae, truk, le,a arm

    ukw but ur i up t50% ewbr

    appear rm 3 ay l t 2 week

    uually lear withi 2 week butmay take up t 4 mth

    c imilar t ault ae, it appear

    baby ae ifuee by mther

    hrme a verativity the ebaeu la

    birth t 6 mth

    Rashes are an inevitable part ochildhood. Whenever in doubt, alwayscontact your health care practitioneror an accurate diagnosis.

    Benign skinrashes require notreatment andare harmless tothe inant.

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    TYPE oF RAsH sYMPToMs cAUsE TREATMEnT dURATIon

    p s(cc)

    ery re, mit, aly kie t baby iaperarea; rah may ulerate

    prle epure ta irritati ubtaeuh a ee, urie,ap, r hemial

    leave iaper a muh a pible hae iaper requetly apply a thi aleula ream

    uually urbetwee 4 a 24mth ae

    peak betwee 7a 12 mth

    p s(Cssys fc)

    ki i briht re withmall atellite lei aivlvemet iuiall (reae betweelwer abme a le)

    atibiti ue caia rw well

    i mit, warm plaeuh a iaper

    ee iaper rah (tat) miimize uar i mther iet while

    breateei a i baby iet baby a be ive prbiti ue a atiual

    tpial ream

    ee iaper rah(tat)

    diAPer rAshThe mt mm iat ki irritati, iaper rah ha everal aue.

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    rAshes thAt require treAtmentsme rahe are mre eriu a ee t be treate by yur health are pratitier.

    TYPE oF RAsH sYMPToMs cAUsE TREATMEnT dURATIon

    czm (pcms)

    ithie

    ry re pathe ae a il ki le a arm

    bliter with zi a ruti

    hypereitivereati ilui allerie

    amily hitry alleri iti

    allery teti r allerie

    prbiti

    atihitamie

    lubriati lti r ream

    avi irritat uh a wl, trap, r eteret

    mt mmi iat

    mt hilreutrw it byearly aulth

    c cp(scms)

    yellw t brw, reay, -ithy

    ale the alp

    a prea t ae a behi ear

    i the iaper area, it ha a rebae with e yellwih ale

    hyperativity the

    ebaeu la

    apply 10 rp laveer eetial

    il t 1 z (30 mL) jjba il;apply t alp bere be

    i the mri etly remverut with mil baby hamp a wahlth

    eek meial atteti i it preat ther part the by

    appear i the

    rt mth lie a a latutil 2 t 3 year ae

    mt hilreutrw it

    CathY CarlSon-rinki a liee aturpathi phyiia a reitere miwie pratii at the Family Health clii i Laley, Bc, with a u preay, iertility, a wme a hilre health.

    Heat rash

    y a b v v

    a. W-a pa v a a w az ab w vp wa a bb a a. a, aa a a aa p w a w a.

    o prikly heat miliaria rubra

    W mall, lear bliter with a re hal

    aru them lk uer lthi a iie l

    ki, uh a ek, armpit, ri,uer hat

    c verree r t-ht hilre may

    beme ht a weat, blkiweat ut

    weat ut beme re a ifame

    may aue tii r eel priklya ithy

    hw v re yur hil i weather-

    apprpriate a le-tti lthit avi verheati

    avi very ht a humi itiwherever pible

    avi ui tpial itmet,miturizer, r il-bae prutthat a blk weat ut

    hw mve yur hil t a lerevirmet uh a a airitie buili r ar

    remve warm le-tti lthi ue l-water mpree t bri

    heat w treat rah with alamie lti atibiti may be require i rah

    beme iete b

    Identiy the

    symptoms oyour childs

    rashes to helpyou decide

    whether you

    are dealingwith a medicalemergency.

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    Se

    Prtet yur amilyrm ummer ray

    Lisa Bendall

    We wat ur ki t enjoy the

    outdoors while the weathere. A ewsimple precautionswill make it eay r yur amily

    t have un i the u.

    in theu

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    Sun protection doesn't haveto mean inconvenience. Itseasy, once its routine. Melanie Bertrand

    {your little one }

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    neck enough. Look or sunglasseslabelled UV 00, meaning theyll blockboth UVA and UVB rays.

    Clothing will protect best i youchoose loose and lightweight cottonpieces with a tight weave. Thinkingabout shelling out or speciallydesigned sun-protective outts? Theydo work. But check the label or a high

    rating o ultraviolet protective actor(UPF), which measures the amounto UVA and UVB that makes its waythrough the abric. Shirts must have arating o to 0 beore they qualiy assun-protective.

    Ater Anna Caverleys baby, Olivia,was born last summer, the Torontomom used a sun shield or her stroller

    whenever she and her daughter wereoutside. She was covered up all the

    time, Caverley says. Babys skin is somuch more sensitive.

    This season, Olivia is using a hatand sunglasses all the time. Shes stillbald, Mom notes. I dont want toburn that little noggin!

    When youre thinking sun protection,dont orget all the body parts. Lips,ears, and tops o eet can get badly

    battered by the sun. The atter thesurace and the more that surace acesup toward the sky, the more likely it is toburn, says Landells.

    STAY ouT o THE SuNYou can avoid the worst the sun canthrow at you just by staying indoorsbetween am and pm. When youdo go out, teach your children toseek shade.

    uV indexThe UV Ie (UVI) i a rati theiteity the u raiati. The

    hiher the UVI value, the ater theu raiati a amae ki aeye. I caaa it uually raebetwee 0 a 10 epei thetime year, weather iti, aze layer thike.

    We hul take preauti evewhe the UVI i lw. But whe itabve 8, pull ut all the tp withheavy-uty uree, prtetiveear, a hae.

    Lear mre at Evirmet caaa

    webite ec.gc.ca. see UV Ie asu Prteti.

    Choose where you play, says Ward.Sometimes theres an option to playin a shady location. But rememberthat shade only lters out about 0percent o UV rays, so it doesnteliminate the need or sunscreen andprotective clothing.

    Bertrand says she and her son usuallyvisit the beach either in morning or in

    late aternoon. In the heat o midday,they may choose a hike in the woods ora picnic in a shady park.

    We go out and have our adventuresand play, Bertrand says. Sun protectiondoesnt have to mean inconvenience. Itseasy once its routine.b

    liSa bendall i the authr Raising a Kid withSpecial Needs (Key Prter, 2008) a a tributrt Between Interruptions: 30 Women Tell the Truthabout Motherhood(Key Prter, 2007).

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    Go Greenie board book and

    ColourinG PlaCeMatSRya sia, trybar artit the mvieRobots, make eati veie a ruit au eperiee r ki, a hi bk 36luri plaemat eae hilre t play

    with their i a way!

    By Ryan Sias, 8 pae a 36 plaemat,$9.99 a $12.50

    b app bs, 2010,ISBN: 978-1-60905-018-4 (Bard Bk)

    extraordinarY PetSThi beautiully illutrate fap-bk ak yurlittle e what ki pet they likeariary e r a etrariary e? sureyur amily a tik yur i a raiat,

    but a r i waterpr!

    By Barroux, 72 pae, $18.99b app bs, 2010,

    ISBN: 978-1609050115

    on the niGht You were bornIt wer thi peti hilre bkbeame a New York Times beteller. Thelyrial weete the try will w bthhilre a paret alike, a the etaile

    illutrati are truly methi beauty.

    By Nancy Tillman, 32 pae, $9.99F Fs, 2006,

    ISBN: 978-0-312-60155-3

    StorieS in Motion board bookSThee lurul bar bk ue ivativeaimati tehly t reate a mviimae early every pae. Bee & Me, ZooBabies, a Trucks are ure t etertai a

    eae yur uriu hil.

    By Various Authors and Illustrators,

    12 pae eah, $12.50 eahb app bs, 2009,

    ISBN: 978-0-7407-9201-4 (Zoo Babies)

    babYS FirSt FoodS and babYS

    FirSt journalKeep trak baby reati t ieret with Baby Firt F. caterize byieret rup, thi bk eure thatall baby allere a preereeare rere. Baby Firt Jural allwmm t rer baby eei, leepi, a

    hai heule.

    By Glow Baby, $22.00 a $15.99G by, ISBN: 978-0-9812572-3-5 (ds),

    978-0-9812572-2-8 (Jrnal)

    FinGer PuPPet board bookSWhat i it abut a little bear e r a littlewl tree that make it zy? The ie-utpae thi tury bar bk will help yurhil realize that what make a hme zy

    i the lvi amily that i it.

    By Sara Gillingham and Lorena Siminovich,12 pae eah, $10.99 eah

    Cc bs, 2009,ISBN: 978-0-8118-7053-5 (In My Den)

    Bok w lvVisit

    blushmom.comt win thesegreat bks!

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    41

    ITNESS: PREGNANCY, BABY, ToDDLER 52 CAMPING 58 ooD 62 JAMIE SAL 66

    national parks a park reerve are prea acrossCanada jut waiti t be explored thi ummer,al with hure provincial parks.

    Private ampru are al a reat pti ramilie withsmaller children r babies, a they tehave amenities uh a tre, pl, a playru.

    {your life }

    t p p y fmys cmpg v, s pgs 58 62.

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    1.Running or twoFr eperiee ruer ly

    Preay a change may yurplans, epeially whe it me t te.I yuve bee

    running or a whilea hpe t

    continuerui uri yur

    preay, there are plety rea why yu hul tiuea a ew reawhy yu hul stop.

    According to the Society oObstetricians and Gynaecologistso Canada (SOGC), running is saeas long as you were a runner beore

    you became pregnant, and youre ingood physical health. You may have tomodiy your routine to accommodate

    your changing body; with added bulk

    in your abdomen also comes a shitin your centre o gravity, which canalter the way you move and balanceduring running.

    As well, due to thebiomechanical changes o pregnancy,

    women may be at a higher risk orinjury, says Carl Petersen, LowerMainland physiotherapist and co-author oFit to Deliver(RaincoastBooks, 00).

    LoWER INTENSITYThere are also some guidelines youshould ollow, says certied exercisephysiologist and mother o two,Catherine Decelles. You will need tolower your intensity; you should beable to carry on a conversation easily.

    Also, listen to your body. I youre

    overly sore or atigued ater running,then you should nd a new activity.

    MAINTAIN ITNESS LEVELAnother thing youll have to rethinkis why youre running. I you areused to running to gain endurancebeneits or win races, those desires

    will need to be temporarily set aside.The SOGC encourages women toexercise in order to maintain good

    itness levels rather than to reachpeak itness.

    HEED CoNTRAINDICATIoNSFor those with contraindications suchas bleeding, preterm labour, or cervical

    weakness, running and any other typeo exercise can be resumed ater your

    baby is born.Starting any type o new exercise can

    be a challenge at the best o times, letalone while your body is changing andnurturing a new lie. Decelles does notrecommend starting a running program

    while pregnant. She says that withthe exception o low-impact exercisesuch as walking, swimming, or prenatalexercise training, you dont want to startanything new during a pregnancy.

    ITNESS:Nicole Palacios, ACE

    This isse we lk at activities r pregnant wmen,new mms, and thse wh are chasing atertddlers (as i that isnt eercise engh!).

    1.Running when pregnanti it a iea? We er epertavie r ruer with a baby bump.

    2.Teaching baby to swimit a reat way t b with babywhile etti yur little e mrtable i the water.

    3.Getting outsideame yu a play with yur tler thatwill bri ut the ki i yu, t.

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    When to resume runningoe yuve ha yur baby a are

    reay t et bak it yur ruiprram, yu may be weriwhe it ae t tart bak up. Iyu were rui thruhut yurpreay, yu may t have twait l.

    af vg vyYu a tart bak up aterptpartum bleei (lhia)i ihe.

    af Cs Yu a tart rui i weekptpartum, with yur health arepratitier apprval.

    Running is sae as long as youwere a runner beore you became

    pregnant, and youre in goodphysical health.

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    2.Water babiesA hea tart at wimmi

    With summer just around the corner,you may be thinking about enrollingyour inant in a baby swimmingclass, and with programs abundantlyavailable across our country, this is a

    viable option or you to try.

    oPTIMAL AGEGetting your baby in the water at an

    early age can help her get comortablewith immersing her body and ace, askill that will come in handy when shemoves on to the next stages o swimminglessons. So i your inant enjoyssplashing at home and you want to try aclass, at what age should baby start?

    Parents who begin parenttotswim classes around age six monthsusually eel that it was a good time tostart. The baby has little perception

    Water + babies = happiness, imple a that. Thesplashing, the spraying, a the heerjoythat me with water play are a integral part lie.

    Tips or happywater babies Make the eperiee a

    pitive e.

    Prepare yur hilre apyh them up.

    Reaure them te.

    Mel behaviur yuwat them t llw.

    Reat apprpriately (ithey wallw water, treak ut!).

    o water other than the usually warmand positive experiences o the womband o the bath. The inant has a verygood chance to develop a good, healthyrelationship with the water, says Lana

    Whitehead, ounder o SWIMkids USA.Mark Godard, head lieguard and

    swim instructor at Harry JeromeCommunity Recreation Centre in

    North Vancouver, agrees. Six monthsis the minimum age we start kids here;[i theyre] younger than that you cando activities with them in the bathtub.

    Mother and tness proessional,Catherine Decelles o Red Deer,

    Alberta, started her kids evenyounger, at our months, and neverlooked back. She was looking or achange o pace rom home and a littlesanity break (we can all relate!).

    BENEITS BEYoND SWIMMINGDecelles has seen the positive resultso their early plunge; both o herchildren love the water, know theirboundaries, and are good listeners atthe pool. She credits her modellingskills in the water as well as the earlyinstruction at the pool.

    Benets abound when it comes to

    parent-and-tot swimming programs.Some o the benets o kidsswimming rom a young age are: thebonding between parent and child,the experience o doing a new activitytogether, and the introduction to ahealthy activity, Godard says.

    Get involved, have un, and trysomething new with your baby today.

    Your local pool is waiting.

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    Move it!i av a a av w , a p p ,a :

    o f Ejy imple utr play

    ivlvi a yar a a ball.

    Make up ame that yu playtether with yur hil.

    Have a rae i the playru.

    set up a u btale ure thatyu a with yur hil.

    g a ature walk a lk ritem iteret uh a bir,plat, r te.

    Hit the park every ay a ejythe equipmet a pae.

    i f

    seek ut lal ym withree pae r tler aprehler; kik ball, ruaru, a play me ame.

    g t the mall a walk aruwhile wiw-hppi.

    create a u maze with uriturea prp i yur hue.

    Fi a ir jule yma pe a ew hur buri eery.

    3.Lets play!get utr with yur tler

    The National Association or Sport andPhysical Education activity guidelinessuggest that toddlers should have0 minutes o daily structured activity,

    while preschoolers should get up to0 minutes per day. Both groups shouldalso get an hour o unstructured activity.Your child should not be inactive ormore than an hour at a time, except

    when sleeping, states the report.

    NATuRE WALKEasily ullling these guidelines,Brenda Ryujin o North Vancouver,mom to an active toddler and a gradeschooler, makes sure her kids getoutside into nature regularly. Livingnear a heavily orested area makes iteasier or her to get her kids outdoors.

    Weve always hiked with our kidssince they were small. I like to call ouroutings adventures in the orest and

    we oten meet up with other riends,says Ryujin. She loves being able toexpose her kids to the orest and reshair as oten as possible.

    RAINY DAY uNWhen it rains, she gets her toddlerinvolved in indoor activities suchas yoga. She makes sure to keep theactivities short so he doesnt loseinterest, but hes happy to be involved

    in activities that the rest o the amilyis doing.

    Summertime in Canada has itsdenite perks; with plenty o walkingtrails, playgrounds, and elds to runaround in, theres always an opportunityor some outdoor amily un. b

    niCole PalaCioS, AcE, ha bee part thete iutry r 15 year. Her pai ilueher amily, te writi, a pumpi ir.perectft.ws

    Barney! Dora! Blue! I yur hil i pei mre timewith hi TV harater tha bei phyial utr aejyi ature, it may be time t take a step back aae hw muh ativity he really etti every ay.

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    l g b sThe tet baby blaket yu will ever eel!Little girae blaket et i mae with zy,luuriu abri a a atiy trim. Thi ieream-lure et me mplete withe iat blaket a e mii blaky.

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    Wz J. sfThee huable tue ty me witha peial e that ki ue t britheir Webkiz rie t lie lie i theiterative virtual wrl. A reat ty rhelpi little e lear a rw.

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    t k bxThi rat et ilue all the uppliet make ur keepake be r ltteeth, ilui ml, plater, a pait.They eve me with a ertiate tmmemrate eah tth lt.

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    t t& t cThi tury we het i the peretpae r tri ty a bk. Hapaite a eay t aemble, thi ty heti the peret aiti t ay hil rm.

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    Yur little e will ejythe utr with thirealiti lki rill et,mplete with barbeueaerie a ty ht! sleek retr lk retruk with a real water-quirti he will helpkeep them l htummer ay.

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    Preparati i key

    Thankully, weve done most o theplanning or you and have come up

    with this guidepacked ull o tips andchecklists that will help you meet theScout motto o be prepared.

    STAKE YouR TERRIToRY!Choosing the right campground or

    your amilys needs is an importantdecision youll have to make. Whatreally makes a campground kid-

    riendly? It depends on the age o yourkids and what you consider to be bareessentials or being comortable with

    your children.National and provincial parks are

    well maintained; however, they may lackthe basic amenities many parents eelare necessary such as showers, toilets,and electrical plug-insthough this isnot always the case. I youre thinkingo a more comortable camping

    Kathy Buckworth

    Fr me, roughing it i whe the ampite eletrial utlet it i the mt ptimallati t hare the laptp. Fr ther, itpitching a tent in the middle o a piece oCanadian wilderness. Either way, the aiti yu hilre make ay ampieperiee e that require extra planning.

    experience, you might considerchoosing a private campground.

    Barb Fine, whose children aretwo and ive, had a terriic amilycamping experience in a publiccampground. The place we wenthad a great playground area, oodconcessions, beaches, and evenkids programming. Tick o yournecessary amenities in the sidebaron page 56 to determine what kind o

    camping experience you want.Also, ask around once youve

    got a ew places in mind. Somecampgrounds are notoriousor hosting rowdy, barely-legalpartiersnot exactly good companyor your youngsters.

    CANT LIVE WITHouT IT!Kathryn Howell, oamilypaddlingadventures.com, has

    Camping THE KIDDIESwith

    camped with her kids since they werethree months old and knows thechallenges involved in keeping littlehands and eet clean, sae, and busy.

    She advises, When camping witha young child it's important to makesure that you have a nice and cozy tentsetup, with lots o blankets, oam padsto sleep on or wrestle on, and makesure that they have lots o extra clothesand stu to change into.

    Thinking about what each child willneed to eel comortable (blankets,toys, ood, et cetera) is a good placeto startkeeping in mind spacerestrictions in your backpacks or car. I

    you can manage, take along a portableplaypenhelpul or both naptime andbedtime as well as keeping baby cleanand sae while you set up camp.

    For a checklist o other essentialitems, check the sidebar on page 55.

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    dont leAVe home Withoutthese essentiAls

    etra lthe

    rai ear

    rt ai kit

    fahliht

    batterie

    plati arbae ba

    ut tape

    uree

    u hat

    baby wipe

    atural bu repellet

    ame

    little bakpak tkeep raize

    rat, bea, luripae, a ray

    trie r ampretrytime

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    {your life }

    WhAt do you need in A cAmPground?

    tilet

    hwer

    rew r ale

    eletrial plu-i

    laury ailitie

    playru

    biyle retal

    ame rm

    pl

    ei

    able hk-up

    wirele Iteret

    ki' ativitie

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    PrePAre or PreciPitAtion che a fat, hih pt t pith yur tet.

    Lay w a waterpr tarp bere yu etup yur tet, a make ure the ee arele uer t prevet water rm pli.

    Keep yur tu away rm the iie tet wall.

    Tie up a waterpr tarp a lpe ver

    yur tet. Tie up a iat waterpr tarp ver yur

    ki area a pii table.

    KEEP IT CLEAN!Part o the un o camping is getting abit dirty, but babies and toddlers aresensitive to germs so keeping theirbelongings clean is important. It is easy

    to sterilize bottles, says Howell, justboil up a pot o water and place cleanedbottles into it. For washing regulardishes, dont use the lake as a big sink.Bring along a washing bin or a large potthat can double or cooking and cleaning.

    I youve got a babe still in diapers,you might opt to leave the reusablesback at home or conveniencesake, unless you have the kind withdisposable liners. Dont orget to packswim diapers so even your tiniest little

    one can enjoy the water.

    SAETY IRST!It only takes a minute or a child to

    wander down to an unsupervisedbeach, overgrown pathway, or openre pit, so knowing which adult is incharge o which child at all times isextremely important.

    Even with careul monitoring, when achild injures themselves at a campsite,

    you need to be prepared, because theclosest hospital or drugstore can bemiles away. There are basics that shouldbe kept on hand, according to theseexperienced campers.

    Howell has learned which rst aiditems are essential when camping with

    young kids. She suggests keeping yourrst aid kit in a separate, waterproonylon bag, and making sure the kit ishandy at all times (see page 37 or acomplete list or putting together yourrst aid kit).

    Alison Kramer, o Burlington, Ontario,agrees on the importance o a rst aidkit, but also advises that many parkshave medical services or emergencies.

    (You can inquire about these when youregister or your site.) I used to do a loto back country camping when I didnthave kids, but now that I do, I preer to becloser to the modern world, just in case,she says.

    ITS RAINING!Despite your best eorts, somethings just cant be planned. The

    weather is one o those things. Dont

    just hope or sunshine; prepareor the possibility o nasty weatherand ensure that no matter whatthe orecast, your amily has a uncamping trip. See the sidebar or tips

    on keeping dryeven in a tent!A little rain is manageable, but a

    thunderstorm can be scary to smallchildren, not to mention dangerous. I

    you encounter a mean storm, considertaking the amily to the nearest mall,theatre, or amily restaurant. Atera ew hours the storm should pass,and you and your little onesdry andhappycan pick up where they leto, chasing squirrels and collectingrocks.

    Camping with small children isbound to be a memorable experience.By planning ahead and being prepared,

    you can ensure those memories arepleasant ones. b

    kathY buCkworth latet bk Shut Up andEat: Tales o Chicken, Children and Chardonnay(Key Prter Bk, 2010) i available atbktre everywhere. Viit kathybuckworth.comr rea her bl at blackberrydiaries.net.

    Dont just hope or sunshine,prepare or the possibility o

    nasty weather.

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    Happy campersFamily ii bey yur w bakyarJulie Van Rosendaal / Photography Scott Yavis

    duri thesummermth, it ie t iealresco. But that et alway mea the

    pati with easy access t kithe a rillyumay wat t take it urther a try campingwith yur little e. g bey traitialweeie a bea with thi tastyamilyampi are.

    Try thee delicious recipes r eay, u-ree t r the w.

    t o ppaa a a ap, a a v awa paa. a, ap, a ppaa a.

    Try t t he that are raile, y eaily, r eet be kept l. drie uh a ruit (try apple, pear,blueberrie, herrie, a mae) a bee jerky are eailytraprte a keep well withut the ee r rerierati.

    graiy rala a trail mie travel well, take up le paetha hip, a are ar mre utriet-ee. Mi yur w uiireiet yu like, r lk r uique b