"Making a decision to have a child is momentous.
It is to decide forever to have your heart go walking around
outside your body."
Elizabeth Stone

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N E W B O R N    C A R E          S P E C I A L I S T         A N D          B A B Y   N U R S  E              

INFORMATION AND CREDENTIALS      

                                    


Certified Newborn Care Specialist (NCSA)

  

Certified Postpartum Doula (DONA) 

Certified Infant Massage Therapist

Certified Sleep Consultant


Certified Lactation Consultant


CPR Certified - Infant/Child/Adult


TrustLine Registered


     Christina Esposito was raised in Budapest, Hungary and lives in Los Angeles California, Christina  is a professional Newborn Care Specialist with 8 years of experience providing newborn and postpartum care to families throughout the Los Angeles area.She is specialized in caring for twins,premature babies. Christina also support early learning in infant development.She has a sensitivity to the needs of infants,children and adults and brings added value to each Baby Nurse experience she takes on. Christina enjoys educating parents by sharing her knowledge and skill with them so they are comfortable and capable when she leaves.Even after she has left a family, she is willing to be available for phone  consultation to assist her families in getting over some of the stress inducing experiences that can happen as a parent so that their experiences with their child(ren) are rewarding and fulfilling.  Christina strives to provide all the resources you might need by supplying reading literature, articles,activities, and developmental references. Her love of photography has enabled her to record these early moments of the family in digital format to be enjoyed for years to come by her employers and their families.


Note from Christina


I am truly blessed to have a growing love for what I do.  I love variety and challenges, so I have taken many different types of opportunities and thus gained varied job and educational experiences!  In fact that is what lead me to this wonderful specialization!  Throughout the years I have had education in Social, Human, and Psychology ,Family Theory, Child, Adolescent and Human Development, and experience with contrasting child rearing philosophies, leading to a continually adjusting  balanced approach  I see life as a learning experience and I learn and improve myself with each family I have the blessing of working with.

Ever since I was a little girl I have been captivated by those younger than me.  For over 8 years  I’ve continued in-home childcare serving more than 50 families. I am grateful to the many families who have become a wonderful part of my life and contributed to who I am today!

A few years ago I was introduced to the RIE method. I have loved many of the principles of this philosophy and continue to use it in my work and personal life.  After working with preemie  babies my heart lead me to further my education into newborn care.  

"I believe that tolerance and acceptance of all people and their respective beliefs is the true test, and continue to develop and discover my own. "


Her Elementary Education  Degree and Certification in Early Childhood Development gives her a comprehensive understanding of growth and development. Through her Certification as a Newborn Care Specialist she has added additional education that specializes in newborn care.  She has over 10,000 hours of experience working with singletons, twins as a Newborn Care Specialist and over 8 years experience working with newborn.  She enjoys teaching families, "Everything that their baby wants them to know".  Her calm and gentle spirit is an asset to the many families that have utilized her services.

Christina highly trained, CPR certified and professional baby nurse, sleep training specialist how is willing to travel nationally to any location who assists you in the first few weeks or months with your newborn as you adjust to your new role as a parent. She typically works night hours as a Certified Newborn Care Specialist and she can accept 24/7 positions and is willing to travel.

Having a Newborn Care Specialist  will allow you to not only take extra time to rest and recover from your pregnancy as you prepare for your new role as a parent, but serves as a parental resource for all of your questions while providing experienced and attentive care to your newborn baby. A professional Newborn Care Specialist provides the postpartum support you need and maintains care for your baby, including round-the-clock care, day care, or night time care.Having a Newborn Care Specialist is like having an ultimate newborn text book, except the Newborn Care Specialist can give you advice and answer your numerous questions.  She can walk you through some of the challenges of having a baby. Common issues such as reflux, colic, sleep issues, and scheduling a daily routine will all be addressed 

Christina believes that most babies have the ability to sleep through the night (10-12 hours) by the age of 12 to 14 weeks.  She believes that newborns have the ability to "self-soothe" and will gradually stretch the amount of time in between feedings at night, if their environment allows them this opportunity. Christina has successfully completed sleep training using this technique for many babies. She is also help parents with multiple children, for older children in your family or giving newborn care support to families with multiple babies, such as twins or triplets. Having a professional in these situations can help reduce stress and assist your family into settling into a comfortable routine.

Importance of sleep

Written by Prof. Avi Sadeh

Body Maturation

Sleep is a basic physiological need required for physical recovery, reinvigoration, body growth, brain maturation, learning and memory. Chronic and sustained sleep deprivation can lead to exhaustion, physical damage to body tissues, dysfunction of the immune system, severe stress and even death.

The growth hormone, the one responsible for a baby's physical growth, is secreted mostly during the deep stages of a baby's sleep. A severe sleep disorder could, therefore, lead to insufficient secretion of this hormone and to compromised body maturation.

Brain Growth

When a baby suddenly becomes active during sleep -- her breathing becomes uneven, her eyes dart from side to side, and she smiles and grimaces – it means she is in a unique stage of sleep -- Rapid Eye Movement (REM) sleep. This stage is associated with dreaming. Babies spend as much as 50 percent of their sleep in REM sleep, which is very important for brain maturation, learning and development. A baby is born with about 30 percent of her full brain size, and during the first 3 years, the brain grows very rapidly -- to almost its full adult size. It is believed that REM sleep is an essential stage that facilitates brain growth, which is why babies spend so much time of their infancy in this unique sleep stage. We also know that during REM sleep, the brain “digests” and stores all the information that bombards a baby during the wakeful hours. Disruptions to their REM sleep could lead to the compromised learning of all the smart things we teach our babies when they are awake and alert.


Time to Sleep

When babies don't get enough sleep, or if their sleep is disrupted, they tend to be very agitated, nervous, hyperactive, and difficult to manage or soothe. Most parents experience these situations when their baby reaches the time she needs to go to sleep. These signs present important information for parents, telling them when their baby is ready for sleep. Many parents know that when they miss their baby's sleep time, it could become much harder for her to calm down and fall asleep. This is because their baby, like an adult, has an internal biological clock that makes it easy to fall asleep at certain times, and difficult to fall asleep at others. Keeping to a regular schedule and a relatively constant bedtime helps the baby (and her parents) to regulate the biological clock and develop healthy sleep patterns.

Sleep

Written by Dr. Luis Rivera,  Diplomat of Philippine Pediatric Society

“Good sleep is essential to a baby's growth and development. It is expected that on their first year of life, babies should sleep between 11 and 18 hours a day, and during this time have growth hormones actively working on their physiological and emotional development at three times the normal rate.

A baby who doesn't get enough good sleep will exhibit very real developmental problems that may include hyperactivity, aggression and learning difficulties. His physical and mental growth may also be impeded, and he may experience more behavioral problems and a reduced ability to pay attention and concentrate.

According to Dr. Luis Rivera, a Diplomat of the Philippine Pediatric Society, Fellow of the Philippine Society of Sleep Medicine and a Pediatric Consultant for Makati Medical Center and Asian Hospital, “Sleep for babies is not just rest for the body. It assists in brain development, proper learning and, to a certain extent, social adjustment. And since our growth hormones are released during sleep, the child is given developmental and growth values as well. Poor sleep can impact growth—they become stunted, or thinner, or smaller, crankier, and they develop slower.”

Dr. Rivera further explains, “What a baby really needs is good sleep, which is really nighttime sleep.”

Quality and duration of a baby's nighttime sleep has a greater impact on overall growth and development than daytime sleep according to studies. At night, a baby's brain development kicks in at full speed, as neurons grow and develop at an accelerated pace. This allows the child to develop cognitive and organized thoughts that allow him to learn and unlearn all the sensory input he encountered during his waking hours.

One of the best treatments for sleep problems in children is to adapt a regular bedtime routine that will signal the transition from wake to sleep for the child. 


 You are giving your baby a gift, when you teach them how to sleep

Sleep training recommended up 3 month of age:
Important to teach your child to fall a sleep on his own.Now he is doing it easily but later on you have to teach him to fall a sleep on his own.

The  "cry it out" approach assumes that falling asleep on their own is a skill like any other and baby can master this skill if given the opportunity.
The idea is that if baby gets used to being rocked to sleep or always falling asleep while nursing they will not learn to fall asleep on their own.When baby wakes up during the night as all children and adult do as part of the natural sleep cycle baby will become alarmed and cry for Mom instead if being able to go back to sleep.By contrast if baby learns to soothe themselves at bedtime they can use the same skill when they wake up at night or during a nap.Crying isn't the goal of this sleep training method, but advocates say it's often an inevitable side effect as baby adjusts to sleep on his own.They say the short-term pain of a few tears far outweighs the long-term advantages: a child who goes to sleep easily and happily on his own.

Sleep is so important to the development of a baby. During sleep is only time baby grows.
The amount of sleep a baby gets determines their general outlook on life.
The sleeping habits a baby learns now will carry through to adulthood.
If you want your baby to be able to go to sleep on their own and stay asleep....you need to teach them this habit.

What's next


At 6 to 8 weeks of age, most babies begin to sleep for shorter periods during the day and longer periods at night, though most continue to wake up to feed during the night. They also have shorter periods of REM sleep, and longer periods of deep, non-REM sleep.

Somewhere between 4 and 6 months, experts say, most babies are capable of sleeping for a stretch of 8 to 12 hours through the night. Some infants sleep for a long stretch at night as early as 6 weeks, but many babies don't reach that milestone until they're 5 or 6 months old and some continue to wake up at night into toddlerhood. You can help your baby get there sooner, if that's your goal, by teaching him good sleep habits from the start.
How to establish good baby sleep habits.

Here are some tips for helping your baby settle down to sleep:

Learn the signs that mean he's tired.For the first six to eight weeks, most babies aren't able to stay up much longer than two hours at a time. If you wait longer than that to put your baby down, he may be overtired and have trouble falling asleep.

Watch your baby for signs that he's tired. Is he rubbing his eyes, pulling on his ear, or being more fussy than normal? If you spot these or any other signs of sleepiness, try putting him down to sleep. You'll soon develop a sixth sense about your baby's daily rhythms and patterns, and you'll know instinctively when he's ready for a nap.

Begin to teach him the difference between day and night.
Some infants are night owls (something you may have gotten a hint of during pregnancy) and will be wide awake just when you want to hit the hay. For the first few days you won't be able to do much about this. But once your baby is about 2 weeks old, you can start teaching him to distinguish night from day.
 


When he's alert and awake during the day, interact with him as much as you can, keep the house and his room light and bright, and don't worry about minimizing regular daytime noises like the phone, music, or dishwasher. If he tends to sleep through feedings, wake him up.

At night, don't play with him when he wakes up. Keep the lights and noise level low, and don't spend too much time talking to him. Before long he should begin to figure out that nighttime is for sleeping.


Give him a chance to fall asleep on his own.
By the time he's 6 to 8 weeks old, you can start giving your baby a chance to fall asleep on his own. How? Put him down when he's sleepy but still awake, suggests Jodi Mindell, associate director of the Sleep Disorders Center at Children's Hospital of Philadelphia and author of
 Sleeping Through the Night
.

Mindell advises against rocking or nursing your baby to sleep, even at this young age. "Parents think that what they do this early doesn't have an effect," she says, "but it does. Babies are learning their sleep habits. If you rock your child to sleep every night for the first eight weeks, why would he expect anything different later on?"

Not everyone agrees with this strategy, however. Some parents choose to rock or nurse their babies to sleep because they believe it's normal and natural, because they enjoy it and their baby is thriving and sleeping well, or simply because nothing else seems to work. These parents expect to get up with their baby several times during the night to help him get back to sleep.

  

What are the sleep patterns of a newborn?

The average newborn sleeps much of the day and night,waking only for feedings every few hours. It is often hard for new parents to know how long and how often a newborn should sleep.Unfortunately , there is no set schedule at first and many newborns have their days and nights confused -they think they are supposed to be awake at night and sleep in the daytime.
Generally, newborns sleep about eight to nine hours in the daytime and about eight hours at night. Most babies do not begin sleeping through the night (six to eight hours) without waking until about three months of age, or until they weigh 12 to 13 pounds. Newborns and young infants have a small stomach and must wake every few hours to eat. In most cases, your baby will awaken and be ready to eat about every three to four hours. It is not necessary to wake a baby for feedings unless you have been advised to do so by your baby's physician. However, do not let a newborn sleep longer than five hours at a time in the first five to six weeks. Some premature babies need more frequent feedings and must be awakened to eat. 

Watch for changes in your baby's sleep pattern. If your baby has been sleeping consistently, and suddenly is waking, there may be a problem such as an ear infection. Some sleep disturbances are simply due to changes in development or because of over stimulation.


Never put a baby to bed with a bottle propped for feeding. This is a dangerous practice that can lead to ear infections and choking.



What are the sleep states of a newborn?

Babies, like adults, have various stages and depths of sleep. Depending on the stage, the baby may actively move or lie very still. Infant sleep patterns begin forming during the last months of pregnancy - active sleep first, then quiet sleep by about the eighth month. There are two types of sleep:


  • REM (rapid eye movement sleep)
    This is a light sleep when dreams occur and the eyes move rapidly back and forth. Although babies spend about 16 hours each day sleeping, about half of this is in REM sleep. Older children 
    and adults sleep fewer hours and spend much less time in REM sleep.
  • Non-REM sleep:
    Non-REM has 4 stages:
    • Stage 1 - drowsiness - eyes droop, may open and close, dozing
    • Stage 2 - light sleep - the baby moves and may startle or jump with sounds
    • Stage 3 - deep sleep - the baby is quiet and does not move
    • Stage 4 - very deep sleep - the baby is quiet and does not move

A baby enters stage 1 at the beginning of the sleep cycle, then moves into stage 2, then 3, then 4, then back to 3, then 2, then to REM. These cycles may occur several times during sleep. Babies may awaken as they pass from deep sleep to light sleep and may have difficulty going back to sleep in the first few months.

What are the different alert phases of a newborn?

Babies also have differences in how alert they are during the time they are awake. When a newborn awakens at the end of the sleep cycles, there is typically a quiet alert phase. This is a time when the baby is very still, but awake and taking in the environment. During the quiet alert time, babies may look or stare at objects, and respond to sounds and motion. This phase usually progresses to the active alert phase in which the baby is attentive to sounds and sights, but moves actively. After this phase is a crying phase. The baby's body moves erratically, and he/she may cry loudly. Babies can easily be overstimulated during the crying phase. It is usually best to find a way of calming the baby and the environment. Holding a baby close or swaddling (wrapping snugly in a blanket) may help calm a crying baby.

It is usually best to feed babies before they reach the crying phase. During the crying phase, they can be so upset that they may refuse the breast or bottle. In newborns, crying is a late sign of hunger.



Helping your baby sleep:

Babies may not be able to establish their own sleeping and waking patterns, especially in going to sleep. You can help your baby sleep by recognizing signs of sleep readiness, teaching him/her to fall asleep on his/her own, and providing the right environment for comfortable and safe sleep.

How can you help your baby fall asleep?

Although it is surprising, not all babies know how to put themselves to sleep. When it is time for bed, many parents want to rock or breastfeed a baby to help him/her fall asleep. Establishing a routine like this at bedtime is a good idea. However, be sure that the baby does not fall asleep in your arms. This may become a pattern and the baby may begin to expect to be in your arms in order to fall asleep. When the baby briefly awakens during a sleep cycle, he/she may not be able to go back to sleep on his own.

Most experts recommend allowing a baby to become sleepy in your arms, then placing him/her in the bed while still awake. This way the baby learns how to go to sleep on his own. Playing soft music while your baby is getting sleepy is also a good way to help establish a bedtime routine.



What sleeping positions are best for a newborn?

Research has found a link between sudden infant death syndrome (SIDS) and babies who sleep on their stomachs (in the prone position).

Experts now agree
 that putting a baby to sleep on his/her back is the safest position. Side-sleeping has a higher risk for SIDS than back sleeping. Other reports have found soft surfaces, loose bedding, and overheating with too many blankets also increase the risk for SIDS. When infants are put to sleep on their stomachs and they also sleep on soft bedding, the risk for SIDS is even higher. Smoking by the mother is also a major risk for SIDS, as are poor prenatal care and prematurity. Since the American Academy of Pediatrics (AAP) made the "back-to-sleep" recommendation in 1992, the SIDS rate has dropped more than 50 percent.

Back sleeping also appears to be safer for other reasons. There is no evidence that babies are more likely to vomit or spit up while sleeping on their back. In fact, choking may be more likely in the prone position.


A task force of The US Consumer Product Safety Commission (CPSC), the American Academy of Pediatrics (AAP), and the National Institute of Child Health and Human Development (NICHD), offer the following recommendations for infant bedding:



  • Place your baby on his/her back on a firm, tight-fitting mattress in a crib that meets current safety standards.
  • Remove pillows, quilts, comforters, sheepskins, stuffed toys, and other soft products from the crib. Also remove any soft, pillow like crib bumpers.
  • If using a blanket, put your baby with his/her feet at the foot of the crib. Tuck a thin blanket around the crib mattress, only as far as the baby's chest.
  • Make sure your baby's head remains uncovered during sleep.
  • Do not place your baby on a waterbed, sofa, soft mattress, pillow, or other soft surface to sleep.
  • Offer your baby a clean, dry pacifier at sleep times, but don't force the baby to take it. Some studies have shown a lower rate of SIDS among babies who use pacifiers. (Breastfeeding mothers should wait until the baby is 1 month old or is used to breastfeeding before offering a pacifier.)

According to the task force report, bed sharing or co-sleeping may be hazardous for babies in certain conditions. The report advises the following:

Parents should consider placing the infant's crib near their bed for more convenient breastfeeding and parent contact for the first six months.
Infants can be brought into the parents' bed for feedings and comforting, but should be returned to their own crib for sleep.
Other adults, children, or other siblings should not share a bed with an infant.
Parents who choose to bed share with their infant should not smoke or use substances such as drugs or alcohol that may impair their ability to awaken.

To prevent overheating, the report recommends that the infant should be lightly clothed for sleep and the room temperature kept comfortable for a lightly clothed adult. Avoid over bundling and check the baby's skin to make sure it is not hot to the touch.

Additional research has found that infants should not be put to sleep on a sofa, alone or with another person, as this practice increases the risk for SIDS.

While babies should sleep on their backs, other positions can be used during the time babies are awake. Babies can be placed on their stomachs while awake to help develop muscles and eyes and to help prevent flattened areas on the back of the head.

 

The information on this Web page is provided for educational purposes. You understand and agree that this information is not intended to be, and should not be used as, a substitute for medical treatment by a health care professional. You agree that Lucile Salter Packard Children's Hospital is not making a diagnosis of your condition or a recommendation about the course of treatment for your particular circumstances through the use of this Web page. You agree to be solely responsible for your use of this Web page and the information contained on this page. Lucile Salter Packard Children's Hospital, its officers, directors, employees, agents, and information providers shall not be liable for any damages you may suffer or cause through your use of this page even if advised of the possibility of such damages.

 


The Benefits Of Educational Toys Last A Lifetime

 



Jean Piaget was a 20th century educational theorist and researcher who has had a significant impact on the way we understand children. He once said that “play is the work of childhood.” He developed the idea that children pass through four distinct stages as they grow from infants into adults. We will discuss these stages and the overall benefits of educational toys in this article.

Sensorimotor: Newborn To 24 Months

The sensorimotor stage occurs from birth through the age of two years. The child progresses from the simple reflexes of a newborn, such as rooting and sucking, to the ability to think symbolically and object permanence. Toys offered during this time should be appropriate to the substage that the child is in.

Newborns and young babies need toys that they can explore safely with their mouths. Throughout the sensorimotor stage, the primary means of learning takes place through the child’s senses. As babies get older toys that yield predictable results, such as a rattle, are important. Eventually, the young toddler will do experiments with the toys to see what kinds of results he or she can get with them. Stacking toys, toys that show causes and effect, toys that children can manipulate are all suitable for children of this stage.

The Preoperational Stage

The age of magical thinking and imagination. Children in this stage cannot yet think logically, but they have wonderful imaginations and enjoy role play, dress up and other educational toys that stimulate creativity and introduce basic academic concepts, such as number sense, reading and social skills, such as turn-taking.

The Concrete Operational Stage

Children in this stage can thinking logically in a limited way. Thinking is very concrete during this period. Any toys that encourage the development of critical thinking skills (puzzles), academic skills and imagination are all appropriate at this time of the child’s life.

Formal Operational: Age Twelve And Up

Throughout the teen years and into adulthood, the child’s ability to think abstractly develops. Less time is spent on playing with toys and more time is devoted to specific hobbies and interests, as well as socializing and friends. Hobbies and other interests should be encouraged by providing the child with experiential activities and opportunities to include his or her friends, when possible.

Short- And Long-Term Effects

Children who have been provided with educational toys continue to reap the benefits of them well into their twenties. IQ test scores are also higher (by as much as 50 points) in children who have been provided educational toys. There are many benefits of educational toys. The child learns interpersonal skills, academic, motor and thinking skills all while having a good time. Every child deserves the advantages of playing with educational toys.

 

 


 


  She can be contacted for her resume and reference letters at newborncares@yahoo.com or (818) 299.7444.


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