A Well-Rounded Education

Syllabus:

• Tobias: Construction skills, shapes, numbers, taking turns, apologizing (Tobias apologizes to "baby Mow-ki" for scaring him with the noisy hammer).
• Malachi: how to smile without falling over

Spring Smiles

I employed a film-making technique known as the "flashback" in this movie...the first clip is of Tobias at a little over 2 months old, followed by Malachi at about the same age (now).

Then some toddler vehicle negotiation by Tobias and Jayna.

M: 2 months

• Quick to smile (especially in the morning, but I still haven't gotten very many good smile pictures)
• 12 lbs. 8 oz.
• Tries to be tough when attacked by Tobias but usually gives a big pout
• 25 inches long
• sucks his two middle fingers when he's sleepy
• growing out of clothes and diapers left and right
• thankfully doesn't burp and spit quite as much as he used to
• sits up with help and can hold his head up well
• longest stretch of sleep: 7 hrs.

Bedtime Routine

Most evenings in our house involve a little dancing before bed. It helps everyone get the wiggles out.

Zip Zip!

Tobias reading a Mercer Mayer book with Holly...

Tobias having fun at a friend's birthday party...

Malachi not giving the camera any smiles (we'll keep trying)...

Hammer & Thread

I'm guessing most of your Christmas 2011 shopping is done by now. But if you're looking ahead to Christmas 2012, birthdays coming up, or if you got money at Christmas that you "need" to spend on something nice, check out Hammer & Thread, my parents' new store on Etsy.

They have a variety of unique items for sale, including a Dutch shuffleboard set (Sjoelbak). Shuffleboard is a noisy, fun game that is good for all ages!

We were given one of the growth chart rulers for Christmas for our family and we plan on taking a picture of our kids on their birthdays by the ruler. Here is our 3 ft. tall 2 and a half year old!

We also own a Corian cutting board that we've used for years. It is still in great shape and is one of my favorite to use because it is large, nice-looking, and has a groove around the edge to catch juice.

Have fun looking around their shop! If you live in Northwest Iowa and would like to pick up an item instead of paying to have it shipped to you, they are more than happy to arrange that!

A Midwife Helped Me Out: Birth, Done Right at Home

Previously I wrote about a few of the ways prenatal care with my midwives has been pleasant, personalized, and has contributed to keeping my pregnancy healthy and low-risk. While aiming not to be too graphic, I would like to highlight a few things about giving birth with midwives at home that were healthier, more evidence-based, or more pleasant than my experience giving birth with a doctor in a hospital. Some of these things could be done in a hospital, but were not, and some are specific advantages to giving birth at home.

• No pressure to induce labor. I was "measuring small" again this pregnancy, but it seemed to be that Malachi was up far enough in my ribs that we just couldn't get an accurate measurement, a much more reasonable diagnosis than IUGR (which is what Tobias's records stated, although I didn't know that until I saw Tobias's records during this pregnancy).
• Less exposure to germs such as MRSA or various flu bugs and illnesses during birth and postpartum visits
• Water birth: provides significant pain relief, also lessens tearing and swelling. Laboring in water was encouraged at the Sunnyside Hospital, to their credit, and was beneficial to me, but I had to get out for delivery. And for the curious, babies don't breathe until they feel air on their face. It's pretty cool!

• In the hospital, delivering while laying in a reclined semi-laying position was the default, and I was in no condition to argue. This position contributes to tearing, and also oxygen shortage to the baby, both of which we experienced to some degree with Tobias. Malachi ended up coming out while I was kneeling in the water. I did most of the work, but it doesn't hurt to have gravity on your side too.
• Spontaneous pushing (pushing when/how you feel you need to) instead of directed pushing: again, less risk of tearing and oxygen shortage for the baby. Also, it felt a lot more comfortable and I think was a big factor in how great I felt afterwards (very minimal tearing and no swelling or soreness at all).
• Umbilical cord was allowed to finish pumping important blood and stem cells into the baby. Evidence supports this as the healthiest (reduces risk of anemia and respiratory distress among other things), but my doctor would not allow it even though I asked.
• Comfort/Personalization: we could have Tobias come home and meet Malachi when we were ready (no visiting hours), I got to enjoy hot cider, pumpkin oatmeal muffins, and chicken soup while in labor as opposed to little cans of juice and the food that we snuck into the hospital with us, no riding in the car while in labor, having all the baby clothes and equipment close by instead of having to decide what to pack.
• Home court advantage: being in familiar, safe surroundings and having less distractions (no filling out paperwork or drawing blood during labor) lowers the stress hormones that would otherwise slow labor and make it more painful. Overall, the day was very laid-back (and exciting at the same time!).
• Kristin was very "hands-off" during labor. She did check my blood pressure and listen to Malachi's heartbeat with the doppler, as well as ask me questions about what I was feeling and occasionally listen/watch how I was dealing with the contractions. She stayed in the dining room most of the time. No cervical checks either...it was obvious without them that labor was progressing.
• Choosing which procedures we wanted. For example, we declined the newborn eye ointment because we don't have STDs.
• Thousands of dollars cheaper

As far as disadvantages, some things were more "work": having various supplies, including food on hand for during and after the birth, preparing the birth tub, etc. And those table trays in the hospital that allow you to easily eat in bed...those are kind of nice. Other than that, I can't think of any big disadvantages.

Safety-wise, many large studies show that for low-risk women, home birth is equally safe as hospital birth when you compare the rates of death for mom and baby (one recent Canadian study even reported it to be safer). It is much safer in terms of the incidences of c-sections, infections, etc. that happen in hospitals. Most cases of needing to transfer from home to the hospital are not time-sensitive emergencies. Midwives are thoroughly trained and licensed and carry a lot of equipment/medication with them for more common needs as well as bigger emergencies. Hopefully you all know me well enough that you know I wouldn't do something that is unsafe!

Unfortunately, there are many entire states (including my home state of Iowa) where giving birth at home with a midwife is not even a legal option; CPMs are not allowed to be licensed and there are very few or no CNMs that offer home birth services. Currently about 1% of babies are born at home, but as the number of people choosing and supporting home birth grows, I hope that more states will make this choice available to families.

For those of you who are pregnant or will be in the future: wherever you give birth (home isn't for everyone!), find a caregiver that will listen to and respect you, and insist on evidence-based practices that keep you and your baby as safe as possible!

Please feel free to ask me questions about anything if you're curious or facing some of these same decisions yourself!

Birth Announcement

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Tobias introduces his brother

Little Guy Malachi!

Ooh, I'm behind. Malachi's great-grandma blogged his birthday before I got around to it!

Malachi Reese was born at 5:19 p.m. on Thanksgiving day, November 24. He weighed 7 lbs and 6 ounces and was 21 (and a half? I forget) inches long. We are so excited that he's here and very thankful that he and I are both doing well.

He was born at home and we really appreciated the care that Kristin provided before, during, and after the birth. Unfortunately Lorri could not be there as another family was also having a Thanksgiving baby! There's lots I could say about how it was different (and better for us) than our experience giving birth to Tobias in a hospital with a doctor, but that might be another post. Feel free to ask me about it though! I will say that although I felt fine after giving birth to Tobias, I feel great compared to how I felt 2 or 3 days after having Tobias, even without a single ibuprofen. Midwives really help keep the process as gentle as possible.

Tobias and Malachi were in their carseats next to each other in the car today on the way home from church and Tobias reached out and touched his hand and said "I like him. I like his little hands." So I think it is safe to say that Tobias is adjusting OK!

We know Tobias has already established quite a fan club for his videos, so we'll try to get a video up soon of Malachi so he can share the spotlight.

Thank you everyone for your prayers, congratulations, video chats, and support! Malachi is looking forward to meeting many of you soon!

They really look different!

our eggs are the ones on the top/right

Half a Dozen Eggs

Four and a half months after buying our chickens on Craigslist, we have started getting eggs. I was shopping in Spokane when I got a text message from Nate. We rarely text, and I was only vaguely aware that my Tracfone was capable of receiving a picture in a text message, but I was very excited when I saw the picture of the egg, and the caption "one of two". So far we have found 6 eggs in about 8 days. We suspect that Ginger is the one laying the eggs. I'm looking forward to having the other 3 chickens start laying too! The eggs are small, have very dark yolks (that means they're good for you!) and seem to be very tasty. Tobias talks about the chickens and the chicken coop a lot (even in his sleep), so the educational part of the chicken raising process seems to be working as well as the nutritional.

Our eggs aren't technically "pastured" eggs, but we do try to feed the chickens plenty of fruits, veggies, and green things. I found this chart that shows what "store eggs" are missing compared to eggs from chickens that eat a variety of healthy food. Not shown in the chart is the statistic that "pastured" eggs contain 4 to 6 times as much Vitamin D as regular store eggs. Recently, I heard the phrase "you are what your food eats", meaning that eggs, dairy, and meat from animals on a healthy diet have better nutrition in them. So, adopt a chicken, find a friend with chickens, invite yourself over to our house for an omelet, buy eggs from healthy chickens, or at least make sure you're getting lots of extra Vitamin D, E, and A, Omega 3's, etc. from other foods or your vitamins!

(click on the picture to make it bigger if you can't read the words here)

Uhwunano

We decided we had to get Tobias's unique pronunciation of the word "underwear" on video before we worked on getting him to say it correctly. We though you might enjoy hearing it too, as well as a few other moments.

P.S. "Gebbi sauce" = spaghetti sauce. We need to work on that one too.

Lazy Blender Apple Butter

I'm trying to make a dent in the medium-sized pile of apples I have in my kitchen. I have a peeler-corer-slicer which is great for some things like dried apple slices, but for this batch of apple butter I decided to try something even easier. All the vitamins are in the peels, right?

First I cut up the apples. My "lazy" way of doing this is to cut off one side, avoiding the core. Then cut off 3 more slices, leaving a rectangular core. I took a few bites off each core and then fed the rest to the chickens.

Next I blended up these chunks in the Vitamix blender. I had about 10 cups of the blended mixture.

I added 1/2 c. of sugar, 2 teaspoons of vanilla, 1 Tablespoon of cinnamon, and 1/4 teaspoon of ground cloves. Then I turned the crock pot on high and placed the lid on sideways so steam could escape.

My kitchen smells amazing and I've snooped a few spoonfuls that tasted great. I will update tomorrow with the finished results!

Finished product: I left the crock pot on high for about 4 hours, and then on low for about 4 hours, stirring occasionally. By this time it was about half the volume of when I started. I plan to freeze some and keep some in the fridge. Maybe next time I will try making a larger batch and canning it!

Now to keep at that pile of apples...we are about to eat German Apple Pancake for breakfast!

Turkey, Cake, Chicken, Peach

Here's a hodge podge video of G&G H and Aunt Holly's visit in July, plus some peach picking footage just because!

A Midwife Helped Me Out: Prenatal Care

It will hopefully be another 11 weeks or so until this baby is helped "out" out, but I wanted to write a post to all the things I have appreciated so far about my prenatal care with my midwives, especially compared to my experience last time going to a family doctor.

• Appointments are usually 45+ minutes long and cover a variety of topics including any questions I have. When I say "variety of topics", that includes things like chicken-raising advice, tasty ways to cook with coconut oil (fry your french toast in it!), the logistics of flying with a newborn at Christmas, what's going on in my life, etc. Mostly health or baby related, but not necessarily.
• Appointments start on time and I don't have to sit in a waiting room with annoying cartoons on, and with people who might be sick. Tobias comes along and plays in the toy room or "helps" measure my belly.
• They're directly available by phone or e-mail if needed. When I was pregnant with Tobias I had some unexplained abdominal pain (not during office hours, of course) and my choices were to go in to the ER (the ER or OB department understandably can't give any advice over the phone) or wait it out with some extra-strength Tylenol. I haven't had any medical reason to contact them, but Nate did e-mail Lorri asking for a reminder on which Chinese restaurant in Prosser she had recommended during childbirth class. It's the Golden Horse near exit 80, if you're curious! Nate's there right now meeting someone for lunch.
• Nutrition is really important to them. My blood work showed I was low in Vitamin D and probably iodine, so I'm taking supplements to correct those things as well as some other supplements and vitamins. They also give lots of specific advice on healthy eating and haven't stressed or lectured me about my weight at all. Who knows if these changes are why I haven't experienced any leg cramps, bleeding gums, etc. during this pregnancy!
• Kristin stopped by my house for a prenatal appointment when she was in my area, which was nice. If everything continues to go well they will both be here at my house for the birth too, and postpartum checkups. I'm looking forward to not taking a 1 week old baby in to the doctor's office for a checkup...I remember Tobias screaming with hunger while I tried to fill out a bunch of paperwork. But I'm getting ahead of myself there, this is supposed to be about prenatal!
• With many tests and procedures I am presented with the pros/cons and all the options, and then I can decide. For example, since I am at low risk for gestational diabetes, I chose to test my blood sugar with Holly's meter after a meal rather than spending time and money on an official glucose tolerance screening.
• Thousands of dollars cheaper. I'm guessing the prenatal care and birth will come to $3150. Even if for some reason the baby had to be born in the hospital, I think $3150 is a great deal for such excellent prenatal care.

Doctors' knowledge and experience can be crucial, which is why the Midwives Model of Care includes "identifying and referring women who require obstetrical attention". However, since I am currently very healthy and low risk, I can't imagine going back. Why pay more for less?

Easy Microwave Pink Lemonade

Earlier this summer I threw a few lemonade concentrates into my grocery cart to make popsicles. The popsicles were delicious, but I wondered if I could make my own with ingredients I already had on hand, and maybe a tad healthier (no corn syrup). I think it ends up being a little cheaper too.

Here is my recipe, which I adjusted from several recipes I looked at online:

Easy Microwave Pink Lemonade

Add 3/4 cup sugar to 1 cup water in a microwave-safe container.

Microwave approximately 3 minutes until the sugar is dissolved, stirring after 1 or 2 minutes.

Add 1 cup lemon juice.

Add 3-4 cups water. Use 3 cups if you are going to be making popsicles, serving with a lot of ice, or just like tangy lemonade; use 4 cups for a more standard lemonade.

Add 4 drops red food coloring if you would like your lemonade to be pink. I did this because I had used rapadura sugar, which is brownish, and it gave the lemonade a dark color.

Vitamin D: You Make Me Happy When Skies are Grey

Vitamin D: a fat-soluble vitamin that can be manufactured by the human body in the presence of sunlight, and that has many functions within the body.

With my prenatal bloodwork, my midwife had my Vitamin D levels tested, and it was 31. Levels of less than 30 are considered deficient, and many experts believe that 50 or above is much better, with 80 or above being great. I was surprised to be "low" since I was taking vitamins that included D (approximately 600 IUs, which is marked on the vitamin label as 150% of the recommended daily allowance) and do spend time outdoors without sunscreen.

She recommended a supplement of 5,000-10,000 IUs a day to help me catch up, as well as a smaller supplement for Tobias, since I was likely deficient during the last almost 3 years in which I have been pregnant and/or nursing. I am curious what a few months of this supplement will do for my Vitamin D levels, and I plan on getting them re-tested if it is not cost-prohibitive. (Update: after taking daily supplements of ~8,000 IUs, my Vitamin D blood levels rose to 50-something a few weeks before my due date)

Why is Vitamin D important?

• Important for bone health
• Good for the immune system. Low levels of Vitamin D during the winter due to less sunlight may be one of the reasons for "flu season".
• Babies born with low Vitamin D levels are six times more likely to get RSV. Taking a supplement while pregnant can reduce the risk of this happening.
• Babies born with low Vitamin D levels are more likely to experience childhood dental problems. Tobias has some tooth decay between his front teeth that will likely require some pricey fixing (at his age they would have to put him out to fill it); perhaps Vitamin D supplements during my pregnancy with him would have made this less likely to happen.
• Levels of higher than 40-60 ng/ml are likely to reduce the risk of breast cancer.
• Low levels of Vitamin D contribute to high cholesterol and cardiovascular problems

Supplement, Salmon, or Sun?

• The Canadian Cancer Society recommends that adults take 1,000 IUs per day during the winter.
• This article from Harvard Medical School states that if you live above the 37th parallel, you are not getting much Vitamin D from the sun, except in the summer months.
• Salmon, mackerel, and tuna provide 200-360 IUs of Vitamin D per serving
• Your body can generate 10,000 IUs of Vitamin D during a day at the beach. Vitamin D is an oil-soluble substance that is manufactured on the surface of your skin, and soap breaks up oils so they can wash away. Avoid soaping up your entire body after your beach adventure, or you might lose a lot of the benefits. Water will not wash away the Vitamin D.
• Older people's skin is not nearly as efficient at producing Vitamin D, and dark-skinned people also do not get as much from the sun.
• If you're not sure whether or not to supplement, you can always get your blood levels tested. All the published incidences of too much Vitamin D involved doses of over 40,000 IUs a day, so it is unlikely you'd get too much by taking a supplement.
• Vitamin D supplements are available in an inexpensive, almost tasteless drop form.

I wish I had found out more about Vitamin D sooner! I'm glad that it is such an easy and cheap thing to improve about our family's health. We don't like to think about it now, but the dark winter months always follow summer, so look into Vitamin D!

Vos Reunion 2011

We had a great time at Estes Park and Rocky Mountain National Park, at a Vos family reunion. At the last reunion, Nate and I were not engaged yet, so a lot has changed for us, and it was good to get to see others too and catch up with them. Tobias enjoyed being teased by his great-great-uncles and going hiking. We did have one trail injury; Tobias tripped on our very first stop and cut his forehead, and then the next day got it bleeding again by running into a rock. Thankfully it wasn't more severe and it seems to be healing well.

A highlight for me was our hike to Nymph Lake, Dream Lake, and Emerald Lake. I thought it was neat how each lake was different: Nymph Lake had lots of lily pads and baby ducks, Dream Lake was very clear and reminded me of the book Hatchet, and the highest, Emerald Lake, was secluded and surrounded by steep rocky sides. I was carrying 25 weeks worth of baby on me and felt tired by the end, but Nate had 25 pounds of Tobias on him for most of the hike.

Emerald Lake

Julie, Doug, Rebecca, Ryan, Lois, Nate, Tobias (in backpack, asleep), Hannah + baby

click here to see more of Doug's reunion pictures

Letter to Sioux County Board of Supervisors

On Tuesday, August 23, 2011, the Sioux County Board of Supervisors will meet to make a decision on whether or not to allow a gun range to be built at Sandy Hollow. This is my letter to them; I encourage you to write a letter or e-mail (board@siouxcounty.org) if you would also be affected by this decision, or to sign the petition if you have not already.

To: Sioux County Board of Supervisors: John Degan, Arlyn Kleinwolterink, Al Bloemendaal, Mark Sybesma, Denny Wright

I am writing concerning the NIOSC application and my correspondence is for the record. I lived in the vicinity of Sandy Hollow for many years and now visit my parents and family there a few times a year. I am concerned about how the proposed NIOSC shooting range would affect myself, my family, friends and former neighbors in the area.

The first thing thing that would affect me as a regular visitor is the level of noise. I have one toddler who loves spending time playing outdoors and another child on the way who doubtless will as well. My husband and I like to spend time playing games, gardening, grilling, sledding, doing photography, and enjoying the fresh air at my family's house.

The noise of the shooting, especially so close to the Sandy Hollow driveway, would make it unlikely that we could continue such activities at the level we currently enjoy. Walking down the Sandy Hollow driveway to get to the playground, campground, or bike trail would expose my children to levels of noise that would be frightening and could damage their hearing (an estimated 105 decibels, the level of a rock band). Even in the yard of my parents' residence and in their home, the noise would be enough to disrupt conversation and activity, and would likely even disrupt sleep. A decibel level of 45 is considered enough to make it difficult to sleep, and in my experience, kids can be very sensitive to unexpected noises while trying to fall asleep. Gunshots would be louder and much more surprising to a child than the "whoosh" of a car going by or muffled conversation through the walls. Of course, with two kids and possibly more in the future, I know that sleep is important for a child's health, and for their parents' well-being as well!

The noise from a shooting range is the reason the NRA strongly recommends a 1/2 mile buffer between the range and nearby residences; there are 70 residents within a 1/2 mile of Sandy Hollow, in addition to businesses and farms. Many of these are in areas zoned as "residential" and they deserve to have the residential character of their beautiful homes and yards protected. The level and frequency (2500 shots per day at half capacity, more during busier days or tournaments) of noise generated by a shooting range would not be tolerated in an area immediately bordering a city residential housing area, and Sandy Hollow area residents deserve the same respect. In addition to the 70 residents in the immediate 1/2 mile area, there are an unknown number of people within 1-2 miles that would certainly hear the shots while trying to enjoy their own yards, and there are many people who currently enjoy the fishing, biking, and camping opportunities at Sandy Hollow that would choose not to visit there if the shooting range were to be built. Many people would be negatively impacted.

I am convinced that a shooting range does not mix well with a family recreational area, for safety reasons. With the shooting stations so near to the edge of the proposed range, nearer than recommended by the NRA, I would avoid walking or taking my children along the Sandy Hollow driveways and trails during shooting hours even if it were not for the noise. Accidental shots do happen, and a buffer safety space around shooting stations is recommended for legitimate reasons. I think a site should be found that can accommodate those types of safety recommendations instead of trying to squeeze a shooting range into the Sandy Hollow site.

In addition, the airborne lead dust and lead shot deposited by the shooting range would pose a health and safety risk. The ideal level of lead in humans is zero; it serves no purpose to the human body. Lead poisoning, even at low levels, can cause symptoms such as fatigue, behavioral problems, raised blood pressure, headaches, reproductive problems, and anemia. It can be difficult to pinpoint the cause of such symptoms, meaning that children or adults with lead poisoning can suffer for an extended amount of time and incur permanent damage. As a mom and a teacher, I am glad that our society has taken steps to eliminate lead in fuel, paints, and toys. Allowing a shooting range so close to crops, water supply, residential and recreational areas is a step backwards that would be hard or impossible to undo.

Please make the sensible choice that benefits and protects the whole community: reject the NIOSC application.

Signed,

Hannah Vander Wilt

P.S. Read Heather's letter too, or browse them all.