Developmental Post #15 - Who Are These People?

It can be difficult for preemies to have people visit them - even family and friends. People are often excited, loud, or they get close to your little one too fast and that can be frightening or over stimulating. This is especially true if your preemie hasn't seen them before or doesn't see them very often. Showing your preemie pictures of relatives and close friends is a great way to get him/her to feel comfortable with them before you see them.

Fun Projects:
Photo Album - Make a photo album with pictures of relatives and close friends. Create something simple and easy - a 4x6 album with slots for each picture is perfect. Make the album part of your daily reading. As you flip through each picture, point to the people and tell your preemie their name. Sound excited. Add in details - See this is Auntie Mary. She has brown curly hair just like you!

Photo Refrigerator - If your preemie is anything like my son, he/she may be fascinated with magnets. Take pictures of relatives and friends and put a magnet on the back. Put each picture on the refrigerator and allow your preemie to touch them. As she/he plays with them, tell her who the people are. Once he/she recognizes the people, make it a game. Can you bring me the picture of Uncle Steve? What about Cousin Matt?

Favorite Products #18 - 3 Favorite Blocks

This post is devoted to blocks - specifically three of my favorite sets. I absolutely love blocks because they can be so open ended when it comes to play time. You can stack them up, knock them down, build things or put them into something else. Here are three of my favorite sets along with some tips to use them to encourage development with your preemie.

Set #1: The Alphabet Peek A Boo Blocks from Fisher Price.

These are great blocks for preemies who have learned how to grab smaller objects. I like these blocks because they have fun little surprises in each one. My son loved to check each one out. They also have a nice texture on the top and bottom. They come in a variety of sets with different themes and colors.

Set #2 - Parents Counting Pal Soft Blocks

Our daughter received these as a gift and she LOVES them. They are nice and soft. These are a great size for preemies who like to hold large objects. Our daughter likes to bang two of them together. These are great blocks for stacking and knocking down.

Set #3 - ABC Building and Nesting Blocks

We have a similar set of nesting blocks - these are great fun. Our son got them as a gift and we kept them for our daughter too. Not only are they good for stacking but they also are great for preemies who like to put smaller objects into larger objects. Since they are made of cardboard, kids can easily grab onto them and they aren't heavy so stacking is easy as well.

Developmental Tips:

Banging - Blocks make great objects for preemies to practice banging together. Blocks with a slight edge (or ones that are hollow) are particularly good for this skill because little hands can grab onto them easily. As your preemie masters this skill, try giving him/her smaller blocks to play with.

Knocking Over - Before your preemie figures out how to stack blocks, he/she will love to knock them over. Start with just 3-4 blocks and encourage your preemie to knock them over. You can work on language skills as well by using one phrase (uh-oh, oh no) when they do get knocked over. You can also practice "ready, set, go" by saying it each time and knocking the blocks over after you say go.

Stacking Up - Blocks make the best toys for stacking. Once your preemie seems to understand this skill, try and have him/her practice with large blocks. If you have blocks in varying sizes, start with the larger ones and give your preemie the smaller ones to stack with (that way it's an easier base for him/her to put the small one on top). As your preemie masters this skill, you can use smaller blocks. This is also a great way to practice turn taking.

Have fun!

Reminder - Summer Colds

Just a reminder for preemies and parents a like, just because it's summer and the weather is warm doesn't mean that you won't get a cold. Unfortunately I speak from current, first hand experience. After spending the entire RSV/winter season cold free, my son and I have come down with a nasty cold. It made me realize that I have been much more lax about hand washing after trips to the store and getting other people to use hand sanitizer when they come in. I've gotten myself back into "winter" mode in terms of germs so hopefully we can stay cold-free for the rest of summer.

If you're looking for ways to stay healthy, check out the Going Out and Great Soap Showdown posts for suggestions about keeping germ free.

Enjoy a warm and hopefully cold free summer!!

Developmental Post #14

One of the biggest "milestones" that doctors and parents like to look for is the ability for a preemie to hold his/her head up while on his/her tummy. Once they can hold up their head than preemies should be holding themselves up with their elbows and then extended arms. A lot of preemies (and babies in general) don't particularly like tummy time so getting to these milestones can be difficult. It can be even harder if your preemie has low muscle tone.

I have found that for both of my preemies, propping up their chest helped them figure how to pick up their head. You can use a medium-sized towel, blanket, swim noodle (cut in half) or mini-boppy. Anything that will help lift your preemie's chest without causing his/her arms to be too extended.

Once you put the prop under your preemie's chest, bring his/her arms forward so that they are in front of the towel (or whatever item you have chosen). Based on your preemie's abilities, he/she may be supporting his/herself on elbows or extended arms. If your preemie needs more help, try placing your hand on your preemie's bottom and gently pushing downward. This can help anchor your preemie so that he/she can lift up his/her head and push upwards with his/her arms.

Place a mirror or favorite toy(s) in front of your preemie so that he/she can stay interested in being on his/her tummy. Talk about the toys and help your preemie reach out to feel or play with the toy. Get down on the floor too so that you are directly in front of your preemie - up close face time with mommy or daddy is always an enticing time for your preemie.

Insurance Tip - Double Coverage

If you are able to have insurance coverage for your preemie from both parents than make sure you take advantage of it! Here are some things to do so that you can maximize the benefit of dual coverage for your preemie:

1) Provide insurance information to all providers - make sure that the hospital, doctor's offices, medical equipment providers, etc. all have information for both insurance policies. If they don't have it than they won't be able to bill properly.

2) Co-pays - if you have dual coverage than you shouldn't have to pay any co-pays at the doctor's office. Let them know that you have double coverage and then they can bill your secondary insurance for the amount. I didn't know that so we paid a lot of money that we shouldn't have.

3) Non-covered amounts - if your primary insurance only covers a percentage of an equipment rental or doctor visit, make sure that your secondary insurance is billed for the difference.

Make sure you always ask if the secondary insurance has been billed or will cover any additional money owed - most of the time they will so you won't have a lot of out of pocket expenses.

Coming Up This Week

Many apologies for the lack of posts last week - we had a very busy week and weekend. This week will have extra posts to make up for it including developmental information, favorite products, insurance tips, and more!

I hope everyone had a great 4th of July weekend!!

Toy? What toy?

Raise your hand if any of these situations have happened to you:

1) After days/weeks/months of being stuck inside, you finally decide to brave a restaurant. Like the prepared mom that you are, you have dutifully packed the diaper bag full of your preemie's favorite toys. The ones that he/she could play with for hours at home. Five minutes after being seated, all of those toys are on the ground and your preemie is getting close to a meltdown.

2) You're running late so you grab the diaper bag without looking inside and head to the car. When you arrive at the doctor's/friend's house/store you realize that there are no toys in the diaper bag. None. And your preemie is not happy about it.

If any of those situations (or something similar) has happened to you, never fear. I am the mom of a preemie who sometimes prefers anything but a toy to play with (or has become bored of her toys quickly) so I have created a list of things you can use as toys/entertainment when needed.

Paper - all kids seem to love paper. Give your preemie a piece of unimportant paper and let him/her crinkle it, rip it, shred it, whatever keeps him/her happy.

Sugar packets - these are great because they make noise when you shake them. They also come in different colors and can be stacked, put in a container, moved around, etc. If you have older kids, ask them to count how many of each color there is, stack them to compare the size, create a pattern, etc.

Water bottle - for my daughter a water bottle can be like magic. Especially one that is only 1/3 full. You can swish the water back and forth. Shake it to see bubbles. Roll it back and forth, etc. Arrowhead has a new bottle that is much easier to squeeze (and it makes noise).

Watch - My daughter loves to play with my husband's watch. You can put your watch on your preemie's wrist to see what he/she does.

Remote for your car - If you know that you have parked far enough away that your little one won't set off the alarm, give your preemie the remote for your car. Let him/her press the buttons.

Crackers - Give your preemie a packet of saltines to play with. The package makes noise and they can squash the crackers inside.

Sunglasses (especially if they are cheap or their own) - my daughter loves to play with her sunglasses. They have elastic on the back so she can bite it, chew on them or just play with them. Since they are hers, it's okay if she gets drool on them or drops them on the ground.

Diapers/Wipes - hand your preemie a clean diaper and/or wipe. Getting the chance to open/close the diaper or feel the wipe can be enough to calm your preemie down (at least for a few minutes).

"Look at that" - if you are in a new environment, start pointing out various things. Sound as excited as possible about each thing.

Just remember: If you are giving your preemie something that isn't a toy, keep an even closer eye on him/her to make sure they aren't chewing/swallowing/touching something they shouldn't.