Sick, teething, sleep regressions, ugggg!!!

How does a child learn anything their first year between getting teeth, getting sick, and most of the time being sleep deprived?? 

Once the little cherubs finally learn how to put themselves to sleep and sleep through the night for 2 whole glorious nights - bam! a sleep regression, and now we are up again 2 times each night (though we have luckily kicked the bottle habit in the middle of the night).  You just get over a sleep

regression that the websites swore would only last a week, but you suffered for 2 weeks, and bam! the little cherub comes down with a cold and can't breathe through their nose, so therefore can't sleep.

How does any kid ever learn anything in their first year of life?  It's just amazing to me that through all this they learn how to move, how to start making sense of the world, how to be social, how to do so many other things.....  Thank goodness mine wake up every morning with a smile on their faces no matter how bad the night has been or else I would likely wake up in tears each morning...but how could I with these adorable faces to greet me!

Think of this:

• The average child has 6 colds their first year.  From what I have read they can last up to 10 days in babies normally = 60 sick days in the first year
• The most common sleep regressions are at 6 weeks, 3-4 months, 6 months, 8-10 months, 12 months, 18 months and 2 years old lasting around 2-6 weeks.  Luckily, it sounds like from reading, most babies only have major trouble at 1 or 2 of these, however in this house we have had some kind of regression at each of these so far.  If you take each of these lasting for 2 weeks in the first year = 70 days of troubled sleep in the first year
• Teeth usually start arriving between 4-7 months, with the next arriving between 8-10 = hopefully only a few days of bad sleep for the first year
• In total this equals around 130ish sick or bad sleep days in the first year!  This is 1/3 of the year!!!

With all of these things its amazing that any baby can function and that all parents are completely wackadoo all the time!

I have no great advice to help except take things as they come, try not to read too much on the internet (except this blog of course) or you will go crazy, and keep your chin up!  There is one blog that I really appreciate and the advice has worked for us that I would recommend: http://www.troublesometots.com/

Good luck!  And I hope you can catch some naps!!!

Is it ok to practice standing if your child isn't crawling yet?

In one word - yes - it's fine to practice standing if your child isn't crawling yet.  But how and how much are your keys to ensure you don't end up causing a problem later in development.

Babies have a reflex when they are born that allows them to stick their legs out straight and stand.  Parents are delighted by this and it's fun to play with, but it usually goes away and for most kids they go through a period where they don't automatically stand when you hold them upright.  Many will pull their legs up in a frog like position.  Standing then returns once the muscles of the legs get strong enough in the front and back so that they are actually using their strength to lock those little knees in a standing position.

Once babies are able to stand again when they are held in that position many babies love it so much they want to do it all the time (using "play and walk away" from Suppernanny can help so that your baby will engage in playing in other positions and by themselves - more on this later, but Google Suppernanny "play and walk away" if you want more information now).  Others could take or leave it.  Charlie loves it and could do it all day, Jemma could take it or leave it.  Parents usually love it though!

Crawling is important for many reasons besides just giving your little one a mode of transport all on their own.  It helps develop hand muscles, strengthens shoulders and hips, and even strengthens eye muscles.  So, even for babies that end up scooting on their bottoms or use an army crawl its still a good idea to practice with your baby on hands and knees even if they seem like they may skip crawling all together and go straight to walking.

Practicing standing is fun and a great developmental step to share with your baby.  Its a great idea to start practicing from the beginning by putting your baby at a couch or table so they can hold on themselves instead of you doing all the work for them.  Its also a great idea to start showing them from the beginning how to get down!

I have been reading lately about sleep regressions - it seems we may be suffering two of them here at my house (both twins at the same time).  Sleep regressions sound really common around 8-10 months because of the amount of movement that babies do in the middle of the night - asleep or awake.  Sometimes they accidentally roll over and can't get back or just can't calm their brains enough to get back to sleep.  Standing at the crib and not being able to get down also sounds like a big reason for sleep regressions - so show your baby how to get down!

The best way I have found to help your baby understand how to get down is by bending both of their legs at the same time at the knees and putting them on the ground in a tall kneeling position on the floor.  This takes some practice and it would be nice to have 3 hands when trying it, try it and keep practicing, it will get easier.  Then you can help them get to sitting.  Most babies will start sitting back down by plopping down on their bottoms from standing, but it's much less scary if they can get down to their knees.  Getting to their knees also helps the strength in their muscles so they can start bending those little knees in standing.

Its best NOT to practice standing only using a bouncer or exersaucer.  These items are great if you need to put your baby somewhere for 15-20 minutes to unload the dishwasher or vacuum, but not a great place for any baby to be for a longer period of time - unless you plan on sending them to kindergarten in their exersaucer - just get used to practicing standing in a more natural way.

Its easy to spend all day standing with your baby because it's so much fun!  But it should be balanced with practicing all the other development they are going through as well.  A couple minutes each time they are awake practicing standing is plenty.  You also need time to practice tummy time or hands and knees, holding toys and moving them back and forth between hands, discovering how to play and explore toys, etc.

Have fun with standing but don't overdo it!

A toy to covet

This is the offending object

I wrote in an earlier post about Jemma and her, "what's mine is mine and what's yours is mine" attitude.  She covets a silly toy that I got at Target for around $0.50.  I finally got up the nerve to bring the offending object, as this silly toy will now be known, out again at bathtime last night...  Since this object she hasn't had a huge problem sharing toys with Charlie, she actually seems to be getting a little better at it, probably because he is becoming better at keeping a tight grip on what he has and snatching things back from her once she takes them.

I gave the offending object to Charlie first, given he had never even got to hold it before I felt this was fair.  To  Jemma's credit, she let me distract her with a watering can, however kept a keen eye on the offending object the whole time I was 'watering' her hands.  She tried to make a grab for it a couple of times and each time I told her it was Charlie's turn to see it.  She whimpered a bit but let me distract her again with the watering can.

Then it was time to get out of the bathtub...  I took Jemma out first, took the offending object from Charlie and gave it to Jemma to play with while we got diapers and PJ's on.  She was happier than a lark!!  But then it was time to put it away and drink bedtime bottles, oh man!  did I ever have it coming!  She threw a royal fit!  I think she was still whimpering about it by the time she went to bed.

So, what's to do with this situation?  It's pretty normal for kids to become attached to objects.  This particular offending object I think hits just the right spot on her gums when she chews on it where she is cutting a new tooth.  But what do you do when the situation turns into a tantrum?

I asked my co-workers today, a team of therapists, what they would do.  There were a variety of answers:

1. Continue to give it to her and take it away when it's time to put it away so that she will learn that sometimes we have to put things away.
2. Take it away at intervals and give it back if she can control herself from throwing a tantrum.
3. Bring it out in a different setting and see what happens.
4. Work on 'object permanence' with Jemma by hiding the toy under a blanket and then uncovering it so that she will start to understand that just because the toy goes away it will come back again.

I'm not sure which of these we will try.  I do think it's important for kids to learn to clean up and put things away, but if we continue to work on this at bathtime I think she and I are both so tired by that time of day that we will likely just keep butting heads about this particular offending object.  Sometimes kids can get so focused on an object or toy that they could spend quite a lot of time just looking at it or turning it over in their hands, or in this case chewing on it.  I hesitate to bring it out at a different time of day because most of the rest of the day they are working on getting up on their hands and knees and scooting around on the floor and I don't want her to waste her whole day worrying about this toy. 

I guess the moral of this post is whichever method you would take in this situation - we are still the adults and have some control over these kinds of things in our kids lives.  Though most of the time I feel like I'm in charge of everything - but actually the boss of nothing, it's important that I ensure they are learning lessons appropriate for their age.  If this toy is too troublesome to learn lessons with I might just be a chicken and hide it again for another 3 weeks!  But we will still keep working on hands and knees and sharing, just with other toys!!

How can you be sick again!!

I have read that on average babies get 6 colds in their first year.  I think with twins this should be doubled!  I am pretty sure they have had at least 6 colds already at 8 months old, one stomach virus, and currently one bout of a random eye infection.

There are benefits in having twins at this age - they are starting to entertain each other and play with each other - but on the other hand there are two little germ balls that give colds and other crud to each other.  If one doesn't pick up a cold it seems the other one is and inevitably they both get it.  I only go to work two days a week right now so you can imagine that its kind of important that I actually get myself to work those two days.  Somehow my kids always seem to come down with stuff on the weekends!  So, every Sunday night I go to bed wondering what our state is going to be in the morning and if I can take the babies to daycare without a guilty feeling of knowing they are likely to get someone else's kid sick.

Having babies who are sick can really put a stall in their movement too!  With sick babies who just want to be held its hard to insist they play on their tummies or play by themselves.  Usually we use the "play and walk away" method here (more on that later) - for now Google "Suppernanny play and walk away" for a description.  It works really well normally, but when they are sick they don't want to entertain themselves.

The worst part of having sick babies is that even though I don't usually get a cold as bad as they do and thank goodness I never ended up with the stomach bug I still get a little sick too and don't have the energy to take care of and entertain sick babies very gracefully.

There are no great strategies for working with a sick baby on movement or tummy time, sadly.  Rest and recovery and then once they are well continue tummy time and other activities. 

Good luck staying well!

Is it ok to let you child W sit?

W sitting is a stage that a lot of kids go through, but is it ok?

W sitting is something that adults often strive to do in yoga class.  For most of us it is very difficult because of tight muscles and the way our hips are structured.

W sitting in children is concerning because they go through such large growth spurts often.  W sitting actually changes the way a child's hip bones grow.  For most kids they go through a stage of W sitting if they do it at all but they are able to move in and out of it and sit in different ways also.  For the majority of children W sitting doesn't end up being a problem, but for some it is the reason that many children get stuck with their milestones and can't progress to standing or walking.

When children are only able to W sit it poses a problem because along with changing the way the hip bones grow it also allows a child to sit without using their trunk muscles for balance.  So, a child doesn't learn how to balance in sitting which in turn makes it hard for them to balance in other positions as well.

When I get a new referral for a child who is having difficulty learning to walk and they W sit - their sitting position is the first thing we start to work on.  By changing their sitting position they strengthen their trunk muscles and hip muscles to be able to then work on standing and walking.

If your child W sits but moves in and out of it and can sit easily in other positions its a good idea to encourage them to sit in the other positions such as criss-cross or with their legs straight out.

If your child can only sit in a W position help them slowly learn new positions and become comfortable in them by:

1. Change their legs for them to criss-cross or straight legged.
   
2. Tell them to "change their legs" along with changing their legs so eventually they will be able to change their position by themselves.
3. Ask your doctor to check your child's hips at your next appointment to ensure their hips aren't dislocating at all and their joints seem to be forming well.
4. Call your local Early Intervention office to get support from a Physical Therapist.

W sitting is hard to change in the beginning, so you will feel that you are always changing your child's legs or telling them to "change their legs", but with time they will be able to sit in other positions and strengthen their muscles at the same time. 

Why are milestones so important in the first year?

Most kids end up walking - eventually.. So, why does the doctor even bother with a questionnaire to check on development?

We know that most kids will eventually walk.  I hear from parents all the time, "they will walk when they are ready." 

There are a few major shifts in behavior in kids in their first year of life.  The first comes along when you see that they are starting to get motivated to move by any means possible.  They are exerting their independence and showing a desire to move and explore, which is one of the ways babies learn.

The second shift comes along when babies learn how to move fast, by crawling (some by scooting).  They have just opened their world and can access a much broader range of the environment to learn from.  Their learning opportunities increase exponentially.

The third shift comes when they get upright and mobile - meaning walking!  Their world suddenly shifts from being 1 foot off the ground to a couple feet.  They can see whole rooms better than before, they can get to things faster than before and once again their learning opportunities increase exponentially.

When a child is delayed in walking (or crawling) it isn't often that we worry that the child will never walk, it's more that we worry about all of the learning opportunities the child is missing out on.  Learning is exponential in many ways as babies.  Once they learn one thing about the world they then learn 10 more things from that one thing, then they learn 10 more things from each of the prior 10 things, and on and on. 

When a child is stuck on the floor for too long they miss out on many of these learning opportunities.  Studies have shown that if a child is behind it's really hard for them to catch up in learning (not learning to move but learning about the environment, life, etc.).  I would give you links to research articles, but this blog isn't really about quoting research, its about life as a mom and my experience as a PT.

So, what should you do if your child isn't crawling or walking on time? 

1. The first thing is to call your Early Intervention office and get an evaluation scheduled (I know I sound like a broken record with this, but it is the easiest, best support you are going to get for FREE).
2. Secondly, make sure your child has access to as much of the world as possible.  Don't leave them sitting in one place all day - move them around the house so they can see different rooms, hallways, everywhere.  Make sure you aren't using too many "contraptions" or containers (pack and plays, chairs of any sort, bouncers, etc).  The best way for your child to learn is to get out there on the floor moving!  Not be stuck in some sort of contraption.
3. Third, talk, talk, talk.  Talk to them about everything and anything!  This is great to do even if they are on schedule with movement.
4. Talk to your doctor about resources to help you and your child and to ensure there is no medical reason your child isn't moving.

When should you get worried?  Try not to worry, all kids are so different but use these loose guidelines:

1. Not moving in circles or backwards on their stomach by 7 months
2. Not crawling (or sometimes scooting) by 11 months
3. Not walking by 15-18 months

Happy learning for you and your child!

The difference between a mom and a physical therapist for kids

As a  PT for kids you would assume that I know what to do with kids, I have built my career on it after all!  But being a mother I have found basically erases any and all knowledge of what I know I SHOULD do...

There is a sympathy factor that I lack as a PT, I am fine with kids whining and whining doesn't stop an activity, but tears do.  As a mother I give in to the whine way too much!  It just tugs at my heartstrings when my kids whine or cry!  I know that when Jemma takes a toy from Charlie for the 20th time I should probably take it from her and give it back to Charlie, but both Charlie and I have a soft spot and dread of Jemma crying - so I don't.  Charlie will usually let his sister take his toys, tug on his ears, pull his hair without even a whimper (unless I haven't cut her fingernails for awhile)!  In Jemma's world what's hers is hers and what's yours is hers!  As a PT I would likely counsel a mom on just what to do in this situation (likely the advice would have something to do with just ignoring the tantrum that just occurred because a toy was given back to Charlie) but as a mom I find myself coaching Charlie how to keep his toys instead.  I know I'm just trying to avoid a Jemma tantrum (I'm sure I will live through plenty of them but at 8 months it seems a little early for her and I to go to battle over anything).

As a PT I would be very bold and give Jemma's beloved bath toy (a sand sifter $0.50 at Target, I'll never understand why this became her beloved toy, but if I would let her she would take it to bed with her) to Charlie at least once to explore it and see what he's missing - but as a mom tonight I was totally chicken and just hid the bath toy and didn't even bring that one out!  Jemma throws herself into a tantrum every time I take it from her even when bath time is over and it's time for a bottle!!

It's the same with nighttime.  As a PT I wouldn't bat an eye at letting a baby of 8 months cry for at least 10 minutes in the middle of the night before going in to give them a bottle, but as a mother, of Charlie, I find myself in their room with a bottle before I can even fully open my eyes because I hear his cry.

There is another factor I have as a PT that I don't seem to have as a mom and that is creativity for new activities, games, and songs to get kids to do what I want and need them to do in PT to progress in their development.  At home as a mom I find all three of us are bored more than I care to mention and I am truly embarrassed by this fact! 

My babies are generally very happy and really don't cry very often unless they are hungry or tired, but who knows what the future will bring!  Every day that goes by they get easier and harder at the same time!  I never expected to have this shift with my own kids!  Just goes to show you - or show me!!!!

Flooring - Could this be why your child isn't walking or crawling yet?

I don't know about where you live but in Colorado there seems to be an ever increasing amount of tile floors.  Whether it's being put in because it's cheap or easy to clean in rental homes I'm not sure, it certainly isn't to keep the house cooler here in Colorado!

For ages babies have been learning to crawl and walk on all types of flooring - even dirt floors!  So the likely culprit behind a baby not crawling or walking on time isn't the floor itself.

It seems that parents are more reluctant to put a child down on a floor that is tile or wood.  On carpet parents seem fine putting a baby down on their stomachs, but on wood or tile they try to lay a blanket down or they put them on the bed or couch instead.  Tummy time is still important no matter what kind of floor you have, but it does seem more difficult or scary on tile.  Wood floors are surprisingly soft, heads will still "bonk" on it causing crying with crashes, but wood is a lot softer than tile.

So, if you have tile floors you can scour second hand stores and get rugs or foam play mats to cover them up or if you can afford them just go get a rug or foam play mat.  But a rug or mat will limit the amount of space your baby can explore.  You can also head to the dollar store and get a non-slip mat that usually goes under rugs but will provide a little bit of cushion itself or a roll of non-slip drawer liner for a couple dollars that you can lay down for a little bit of cushion. 

If you child is learning to walk on a tile floor it can be scary for parents.  By the time a child learns to walk they have hopefully learned how to protect their head but it is important to be near and avoid major crashes while they are learning.

If your child is having trouble learning to crawl it likely isn't the floor itself, but if they have any weakness in their muscles it will exacerbate the issue.  So, the first thing to do is ask yourself if they have been on the floor enough?  They should be on their tummies on the floor each time they are awake for at least a couple of minutes - as they near 6 months they will hopefully be playing on the floor on their tummies for 5-10 minutes at a time.  They should be pushing up high enough with their arms to get their tummies off the ground by 6-8 months or so, if they aren't pushing up high enough to get their tummies off the ground try giving them some more time to practice during the day on their tummies.  You may have to entertain them more than normal to keep them on their tummies longer than they are used to.


If your child is having trouble learning to walk it also isn't likely the floor itself.  Try having them play in standing at a couch or table longer by putting their toys up on the furniture.  You can stay close and guard them if you are worried they will fall and hit their head on a hard floor but try to let them play without holding onto them the whole time.  Sometimes just a little more time in standing will increase their balance and strength enough to have the confidence to try a first step.

As always - it's a great idea if you feel your child is delayed in any movements to call and get an evaluation for Early Intervention services and talk to your doctor.  Sometimes a little support is all you and your child need!  If nothing else from the evaluation you will like pick up some great tips to get your child moving better and faster!

Tummy Time - They hate it! Now what?

So, you've tried tummy time and your baby doesn't like it!  What next?

First, take a good look at tummy time.  Is your baby crying after 30-60 seconds of being there or are they starting to cry even as you start putting them down on their tummy or is your baby just fussing but not really crying?  Is your child consolable or distractible while they are on their tummy, can you play or sing with them to get them to stop crying?

If your child is just fussing but not really crying, persist, persist, persist!  They are telling you they don't really like it but will tolerate it.  Try to bring out a special toy only when they are on their tummy, when they are not on their tummy the special toy goes away.  This will make tummy time a little bit special and hopefully you will be able to build time when they are happy there and not fussing or crying.

If your child is starting to cry after a short time (30-60 seconds) congratulations!  You have a starting point to work from.  After you put your child on their tummy try to play or sing with them to extend the time by about 30 seconds every day.  Before you know it they will be spending 5 minutes or so on their tummy.

If your child is starting to cry right when you put them down and they are inconsolable until you pick them up try the following:

1. Call your Early Intervention provider and schedule an evaluation.  A little help from a physical therapist might be just the trick.  Even if your child doesn't quality for Early Intervention services at this time you will pick up some good hints and tricks to try from the therapists that do the evaluation.

In Colorado this is the link to contact Early Intervention:  http://www.eicolorado.org/

In other states if you Google the term "Early Intervention" and your state name the contact information should come up easily.

2. Call your doctor and see if you can schedule an appointment to talk about anything medical that might be making tummy time uncomfortable or difficult for your baby.

3. Pull out the bubbles!! 

I don't know why but bubbles are a magic and babies will tolerate positions when you are blowing bubbles that they won't otherwise.  Flashlights are another good, novel trick to get them to stay on their tummy longer.

4. Try changing locations to anther room to see if a different spot on the floor is more comfortable.

5. Pull out a special toy, possibly the babies favorite toy at the time, and use it only when your baby is on their tummy.  This will keep the toy special and exciting and may help distract your baby while they are on their tummy.

Whatever you do continue to persist! 

Early Intervention - Most of the time it's better not to "wait and see"

Early Intervention services are an amazing tool that is FREE to any child under the age of 3 that qualifies.  In order to qualify for Early Intervention services a child has to undergo an evaluation, usually by a team of therapists (Physical Therapist, Occupational Therapist, Speech and Language Pathologist, Early Childhood Special Educator), and show some kind of delay in their development.  The delays can be very minimal to qualify when children/babies are really young.  Early Intervention services are usually carried out in the child's home, which is a great benefit to parents in that the therapists come to you!

The whole idea behind Early Intervention is:
1. For children with disabilities that will be lifelong - to start making the most of the body they have at a young age so that they can keep up with their peers to the best of their ability.

2. For children who don't have disabilities but are showing delays at an early age - to address the delays early so they don't spiral into bigger issues for the child.

An example of a child referred to Early Intervention:
A 10 month old girl who throws a tantrum every time she is placed on her stomach.  The little girl can sit but won't reach for a toy that she drops and just cries until someone picks it up for her and gives it back.  The little girl is happy to lie on her back but also cries if she drops her toy and won't try to reach for it.

This little girl probably should have been referred to Early Intervention around 3 months old if she was crying when placed on her stomach.  At 3 months tummy time could have been addressed and the little girl would likely be much further along in her movement.

When should a child be referred to Early Intervention from a Physical Therapist's point of view?  Any time a child refuses or just cries when they are put on their tummy after they are a month or two old, any time a child is not pretty actively moving backwards or in circles on the floor on their tummy by the time they are 6 months old, any time a child is not sitting independently by about 8 months old, any time a child doesn't seem like they want to move from one position to another by the time they are 9 months old.

It seems doctors in Colorado are very much in the "wait and see" frame of mind instead of making early referrals to Early Intervention.  One of the best things about Early Intervention is that parents can make the referral for their own children!  And then at the evaluation usually the therapists will give the parent some hints and tips to start working on even if the child doesn't qualify for services.

In Colorado you can go to: http://www.eicolorado.org/ to find contact information.  If you Google the term Early Intervention for your state you should easily find contact information.

So, what kind of tips can you try yourself that therapists are likely to try?  With at home therapy with children PLAY is really the method of delivery.  Therapists mix in therapy techniques and trying to get children to participate through play.  So....

1. Play play play with your babies!
2. Try bubbles!  There is no other magic wand that I know of besides the wand in the bottle of bubbles and this wand is pretty magical!  Bubbles can get most kids to stop crying and do many things (such as being put on their tummy) that they won't tolerate otherwise.

3. If tummy time is the issue try rolling up a blanket and putting under the babies chest.  Also try building up from REALLY short tummy sessions (starting with around 5 seconds) to longer sessions very slowly.
4. Talk to your doctor!!  If a child is crying on their tummy - is their head all stuffy all the time?  Does there seem to be something odd about their eyes?  Have the doctor check over your baby for any and every possible reason the baby can't tolerate tummy time.

Tummy Time - It really is as important as the doctor says!

Let's talk tummy time!  Everyone says you should do it, my doctor even recommended more tummy time when Charlie had really bad gas, but when and how?

Tummy time is possibly the single most important thing to practice when your baby is awake!  Tummy time helps trunk muscles strengthen, hands strengthen and even is the first time a baby scans the environment with their eyes (the same way we read) without rotating their head side to side.  But many small babies don't like it, even older ones often don't like it, so what to do?

The first step in my book for successful tummy time is to find a good place on the floor (RIGHT NOW!  Go find a place on the floor) that is in a room where you are a lot but out of the way so you could leave a blanket on the floor all the time.  If you have to get out and put down a blanket every time you go to do tummy time you are likely to give up on it or forget, but if a blanket is already on the floor just waiting for a tummy to land on it you are likely to remember and follow through.  If you don't have a space you can designate for tummy time then try to leave a blanket somewhere close so that it's always there and accessible.

A lot of people will tell you with tiny babies you can do tummy time on your chest, but I would tell you instead of your chest or the couch or your bed the floor is the best place to get used to doing tummy time.  If you start doing it on the floor you will know that your baby is safe there, once they start rolling if they are on the floor they are safe from rolling off a bed or a couch.

The second step in my book for successful tummy time is to make a habit of putting your baby down on their tummy every time they are awake, even if it's for 30 seconds.  When they are really small you can lay down on the floor with them and sing or talk to them.  When they get a little bit older you can lay down and play and show them how to play with toys.  Once they are old enough you can "play and walk away" - meaning play for a couple of minutes and then walk away and let them play on their own. 

If after a couple of weeks your baby is really unhappy every time you put them on their tummy and just cries even if you are down talking, singing or playing I would advise you call your doctor and get a referral for Early Intervention services.  Having a PT support tummy time early on can save a lot of headaches and delayed development later.  

When a baby just cries during tummy time parents are likely to give up and then you end up with a baby with a.) a flat head in back b.) delayed  rolling and crawling and sometimes even walking c.) can have other difficulties further down the road with reading and writing.  Early Intervention is a great resource to help address issues early so that they don't compound into other issues.

The third step in my book for successful tummy time is to leave them on their tummies until they are ready to change positions.  You will know they are ready to change positions when they start fussing or getting cranky.  But until they do start fussing there is no reason to move them from their tummy (when they are awake) until they need a position change.  They will hopefully build up in time starting with 30 or so seconds when they are really little to by the time they are 6 months or so to 10-15 minutes at a time or more.

Happy Tummying!!!

Introduction - about me and my little ones

Greetings!  A little introduction about me.  I am a physical therapist working in pediatrics.  I have worked in Early Intervention going to families homes, schools, and hospitals.  My blog is geared towards parents (real parents - not the ones who post all the clever stuff on Pinterest, they don't need any help :)). 

I am also the mother of twins and most of the time I am a single mom, I would explain further about that, but that is a whole other blog in itself!  My twins have very different personalities and it wasn't until I had them that I REALLY understood how hard it is just to get through every day, let alone do all the things that are supposed to be so good for our kids.  My twins are almost 8 months old and I wonder every night how we did it, got through the day, without all three completely and utterly breaking down into tears.   A disclaimer - I am not a super mom, I am just normal like most other moms.  I am a fairly good PT I think, and I believe others would agree. 

Jemma and Charlie will likely be examples and stars of this blog, so I should introduce them.  Jemma is VERY stong willed and beautiful.  She takes care of her brother already (she is older by 1 minute).  Charlie is a ham, he loves to giggle and flirt (but doesn't seem to have a taste for dyed blondes).  He usually starts something new first before Jemma, getting up on his hands and knees, saying "dadadada" and "bobobobob", and then Jemma picks up what he's doing and tries it out herself.

I am back to work after taking 5 months off after the twins were born, I am lucky in that I only have to work two days a week, but at the same time - we are pretty tight on money, so none of the information or suggestions I post here will be based on having tons of money, who really has tons anyway!!  After being back to work I realized every day that with just a couple of tips and hints, changes of schedules, changes of habits most families could have avoided needing a PT for their kids.  Most of the kids I work with don't have any kind of disability they just need a little adjustment in their environment to thrive.

I hope you enjoy this blog!