Morrisania Diagnostic & Treatment Center

Welcome to the Morrisania WIC Program!

Income Eligibility Guidelines

Check the chart below and see how your family can qualify/continue to receive WIC benefits with the New Income Limits. A family of four can earn up to $46,435 and still qualify for WIC!

 

Diane Barrett, MS, RDN, IBCLC – WIC Nutrition Coordinator

Diane is a professional chef turned Registered Dietitian. As the Nutrition Coordinator at the Morrisania WIC Program, Diane works with families and young children towards the goal of preventing nutrition-related diseases and helping others achieve their dreams of health and wellness.

Prior to becoming a dietitian and lactation consultant, Diane spent over 30 years as a professional chef in the U.S., U.K. and Mexico and a National Institute of Health (NIH) biomedical research fellow in the Dominican Republic. She is fluent in English and Spanish and speaks a little French and Italian.

A suburban farmer, Diane is focused on increasing opportunities for growing food in small spaces, expanding growing seasons, seed-saving/sharing and is passionate about protecting water, composting and reducing waste.

Albania Martinez, WIC Community Associate (lovingly known as Alby)

Hi, my name is Albania Martinez. I am a Morrisania WIC Program Community Associate. I have been a part of the Morrisania WIC Program for the past 27 years and out of those years I have had the pleasure of making a difference in the lives of many families. I’m excited to welcome you to our WIC community. I am grateful for the opportunity to show you how much the Morrisania WIC team cares about our families. We are in a partnership with you through your journey of raising a healthy family. WELCOME TO OUR HOME!

Judy Fram, IBCLC – Breastfeeding Peer Counselor Coordinator

Judy is the Peer Counselor Coordinator for the Morrisania WIC Program. She moved to NYC to attend SUNY Downstate Medical Center in Brooklyn. After 38 years, she is still living happily in Brooklyn where she raised her two children. She holds degrees in Physical Therapy and Motor Learning. Judy was a peer support person with La Leche League International for 25 years, and has been a Board-Certified Lactation Consultant for 22 years. Judy loves being part of the Morrisania WIC Team serving the community for the past 4 years. Reading, swimming, singing, listening to and making music, and watching movies are her favorite past times. Judy speaks English, and un poco de Español.

Karla Lewis, IBCLC, RLC - Breastfeeding Coordinator

My name is Karla Lewis. I am the Breastfeeding Coordinator and one of the Board Certified Lactation Consultants at Morrisania WIC. My three children (now 23, 21 and 15 years old) were breastfed, each well past 1 year old. They are now all weaned and sleeping through the night 

WIC provided me with helpful information and amazing support as a WIC participant with my 3 children. This encouraged me to join the WIC Program as a Breastfeeding Peer Counselor. Now as the Breastfeeding Coordinator, it is my pleasure to help you meet your breastfeeding goals and provide you with excellent support. WIC was helpful for me. I want you to experience all of the wonderful breastfeeding care that we have to offer. If you ever have any questions or concerns about any of our breastfeeding support, please call me 718-960-2792.

Read-a-Loud at Morrisania WIC waiting room

Morrisania Baby Cafe

EVERY Thursday at 10:30am

CADA Jueves a las 10:30am

CHAQUE Jeudi à 10:30am

Details in Englishen Espanolen Francais

Get Out of Town Ideas from our friends at Greenmarket/Grow NYC

From September 8 to October 28, EscapeMaker offers tours that include transportation by bus or train to some of the most beautiful farms, orchards, and wineries in the Hudson Valley.

Pick apples and pumpkins, sip cider, feed farm animals, and explore the quaint towns of the Hudson Valley.

Here’s everything you need to know.

Community Gardens

There are 2 community gardens in Morrisania near the Morrisania WIC Program:

  • Jacqueline Denise Davis (JDD) Garden at 1024 Boston Road is bordered by a wide variety of trees, shrubs, bushes, and beautiful flowers. Half of the garden is used by the neighborhood; step through the trellis and you see 25 colorfully decorated flower beds. In the midst of them is a wishing well that contains a mini herb garden. There’s also an open deck and a stage/gazebo. The other half of the garden is used by GrowNYC’s Learn It, Grow It, Eat It program, which teaches Bronx high school students about growing food and empowers them to conduct nutrition education outreach in their neighborhood  Students also sell the food that they grow at the Learn It, Grow It, Eat It Youthmarket. The 13,000 square foot garden hosts parties, workshops, and celebrations of all kinds. The garden opened in 1999 with support from the GrowNYC’s Plant-A-Lot project and the Trust for Public Land.
  • Wishing Well Community Garden at 864 Reverend James A. Polite Avenue is a 15,000 square foot Bronx community garden inspired the next generation of local young people and invigorated garden membership. The once neglected space was reborn as large scale vegetable garden and thriving outdoor classroom for P.S. 60/333. The garden had over 300 feet of fencing installed, in addition to new soil and vegetable gardens beds made from recycled plastic lumber, which occupy 2/3 of the site and provide food for over 40 families. A shed, outdoor furniture including all-ability picnic tables, a notice board, composting area, gazebo and pathways complete this site. In honor of its name and as a nod to a community desire fulfilled, a wishing well is being constructed using stones excavated during the construction phase. A portion of the garden is used by GrowNYC’s Learn it Grow It Eat It program. LGE students helped construct the rainwater harvesting system in the garden, which collects rainwater from the garden shed and stores it in a 500-gallon tank.

 

New Yorkers can find out more information about the GrowNYC community gardens and GrowNYC Community events at https://www.grownyc.org/gardens/bronx

Bronx Green-Up has helped Bronx residents transform vacant, abandoned lots into vibrant green spaces https://www.nybg.org/gardens/bronx-green-up/urban-farming-community-gardening/

Anyone can join a garden. Find a garden near you http://www.greenthumbnyc.org/gardensearch.html

Bring clean, reusable, portable items such as clothing, housewares, games, books, and toys that you no longer need, and take home something new-to-you, free! You don’t have to bring something to take something.

Community Gardens

 

English for Speakers of Other Languages

Highbridge Community Life Center
Highbridge Community Life Center offers free English as a Second Language (ESL) and civics classes.

979 Ogden Ave
Bronx, NY 10452
646.393.9533

ASPIRA of New York, Inc.
Offers free English as a Second Language (ESL) and general English classes for people age 21 and over.

Middle School 343
345 Brook Ave
Bronx, NY 10454
718.585.3353

New York Public Library – English language classes at various New York Public Library Locations. For the most current information available regarding these classes, please email esol@nypl.org.

174 East 110th Street (between Lexington & Third Avenue)
New York, NY 10029
212.534.2930

A Guide to Snacking

Toddler and Young Children

  • Can’t eat large amount of food at one time (small tummies!)
  • Need snacks to meet nutritional needs

Adolescents/Adults:

  • Higher snacking frequency associated with higher risks of overweight
  • Choose snacks wisely!

Snacking Tips

  • Hunger cues: Does “I’m hungry” mean “I’m bored/tired?”
  • Create a snack schedule – don’t snack close to mealtime
  • Don’t graze (snack) constantly throughout the day
  • Control the snack environment (stress-free, no TV!)
  • Serve small portion sizes, allow child to ask for more
  • Reward with LOVE (not food!)
  • Make healthy options accessible (easy to choose)
  • Limit sugary & salty options (especially sweetened drinks)

Healthy Snack Ideas

Make fruits and veggies fun!

Helps kids get missing nutrients, such as key vitamins for healthy growth!

  • Celery sticks filled with nut butter and sprinkled with dried cranberries
  • Veggie sticks with low-fat ranch dip or hummus
  • Pear slices with low-fat cheese
  • Low-fat yogurt, fruit and nuts

Choose whole grain options!

Added fiber helps kids stay full for longer, and keeps their guts healthy!

  • Air-popped popcorn
  • Baked whole wheat tortilla chips dipped in salsa
  • Whole wheat crackers with low-fat cheese or nut butter

Add in protein and healthy fats!

Important for growth of muscles, heart and brain!

  • Reduced-sodium sliced turkey breast wrapped around apple slices
  • Hard-boiled eggs
  • Trail mix – make your own! Nuts, dried fruit without added sugars, whole-grain pretzels and low-sugar dry cereal

 

Stay in Shape

By Valerie Corvino, Wellness Workday Dietetic Intern Class of 2019

Shape Up NYC offers FREE fitness classes that are open to public in the Bronx. Families are welcome including kids of all ages. Some examples of classes are listed below with links to sign up. Please bring locks to each site to secure personal belonging.

Baby and Me Aerobics

Parents and caregivers can join in for a morning of fun and fitness with their children.

St. James Recreation Center

 

Zumba

Latin inspired dance moves to a fusion of Latin American and pop music, that will be fun and aerobically challenging.

St. James Recreation Center

Jacobi Medical Center

St. Jerome H.A.N.D.S. Community Center

Lincoln Hospital: Zumba

 

Cardio Dance/Aerobics

Easy to follow dance steps to upbeat, fun, and energetic music that will increase your heartbeat and improve cardiovascular ability. 

West Bronx Recreation Center

Bronxworks: Betances Community Center

 

BronxWorks: Melrose Classic Community Center

 

 

 

 

Health Benefits of Honey

By Valerie Corvino, Wellness Workdays, Dietetic Intern Class of 2019

What is Honey?

Honey is a sweet, thickened nectar produced by honey bees.

Studies suggest that honey might be the better option when compared to other traditional sweeteners, like table sugar.

Nutrition Facts/Chemical composition

1 TBSP honey = ~ 64-68 calories and contains ~ 16 to 17 grams of sugar

  • Honey contains over 100 different components
  • Table sugar contains only sucrose.
    • Sucrose is made up of fructose and glucose bound together. (disaccharide)

Major components in honey:

  • Fructose and glucose
  • Small amount of other sugars including disaccharides and oligosaccharides. (~ 10%)

Other components in honey:

  • Trace amounts of vitamins/minerals (vitamin C, iron)
  • Bioactive plant compounds (flavonoids, phenolic acids, etc.)
  • Enzymes (glucose oxidase, invertase, α-amylase, etc.), which aid with digestion of honey.

Is all honey the same?

The composition of honey differs dependent on the plant source (nectar) bees use to make the honey.

Darker, richer pigmented honeys tend to have a higher antioxidant content as opposed to clearer, or more thoroughly processed honeys.

Raw honey is simply extracted from the honeycomb, and then strained ONLY to remove sediment and debris before it is bottle.

  • Raw honey has a higher microbial content than processed honey and it also has higher enzyme concentration.

Processed honey goes through additional steps like pasteurization, which applies heat to destroy microbial yeast, which also destroys many of the natural beneficial enzymes.

  • In some cases, processed honey will go through an additional step, ultrafiltration, which destroys nearly all enzymes.

How is honey different from other sweeteners?

Honey is lower on the glycemic index (GI) scale.

  • The Glycemic Index (GI) is a relative ranking of carbohydrate in foods according to how they affect blood glucose levels.
  • Carbohydrates with a low GI value (55 or less) are more slowly digested, absorbed and metabolized and cause a lower and slower rise in blood glucose and, therefore insulin levels.
    • GI (honey) = 55 ± 5
    • GI (table sugar) = 68 ± 5

Honey does not increase blood sugar levels as sharply as other traditional sweeteners, like table sugar. Furthermore, studies suggest that honey has little no tendency to cause obesity.

What are the protective effects of honey?

Studies demonstrate that consumption of honey has protective effects against a range of diseases:

  • Obesity
  • Type II diabetes (T2DM)
  • Dyslipidemia
  • Hypertension

Studies have demonstrated the following:

  • Human studies show weight loss may occur with supplemental honey.
    • T2DM patients given supplemental honey had significantly reduced body weight (p=0.00) compared to control, or no supplemental honey (Bahrami et al.).
  • Honey may have blood sugar lowering effects in humans and is protective against type II diabetes (Bahrami et al.) and (Al-Wali er al.).
  • Honey may be protective against hyperlipidemia.
  • Honey significantly reduced serum triglycerides, total cholesterol, LDL, and significantly increased HDL compared to baseline levels (Yaghoobi et al. and Bahrami et al.).
  • Honey supplementation may have both short and long-term blood pressure (BP) lowering effects in both hypertensive and healthy subjects (Al-Waili et al., Aluko et al).

Bottom Line

Honey may be the better sweetener to choose when compared to other sweeteners, but honey is still a simple sugar so it should not be consumes in excessive amounts (> 1-2 TBSP/meal).

  • When buying honey, look for products where the only ingredient on the label is honey!

Instead of simply adding honey to your current diet, aim to replace other sweeteners that you already use with honey:

  • Try adding honey instead of table sugar to tea, or spread honey instead of jam on toast.
  • Try adding honey to unsweetened cereal or oatmeal, instead of choosing sweetened varieties

References and Resources:
http://www.glycemicindex.com/
https://www.webmd.com/vitamins/ai/ingredientmono-738/honey
https://www.healthline.com/nutrition/raw-honey-vs-regular#section1
http://www.chm.bris.ac.uk/webprojects2001/loveridge/index-page3.html

Why honeys taste different and how you can learn to appreciate them


http://www.sbai.org.uk/sbai_forum/archive/index.php/t-1595.html
https://www.ncbi.nlm.nih.gov/pubmed/26338891 (Consumption of Honey, Sucrose, and High-Fructose Corn Syrup Produces Similar Metabolic Effects in Glucose-Tolerant and -Intolerant Individuals by Raatz et a. (2015)
https://www.tandfonline.com/doi/full/10.1080/10942910600981708?scroll=top&needAccess=true (Processing of Honey: A Review by Subramanian et al. (2006). International Journal of Food Properties)
http://www.mdpi.com/2072-6643/10/8/1009/htm
https://www.ncbi.nlm.nih.gov/pubmed/30072671
https://www.healthline.com/nutrition/raw-honey-vs-regular#section1
https://www.healthline.com/nutrition/10-benefits-of-honey#section4
https://www-tandfonline-com.ezproxy.med.nyu.edu/doi/abs/10.1080/07315724.2010.10719885
https://cals.arizona.edu/backyards/sites/cals.arizona.edu.backyards/files/b13fall_pp11-13.pdf

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Non-nutritive Sweetener (NNS)

Yinfeng Li, Nutrition Ink Dietetic Intern, 2018

Why do we like sweets? 

 

  • Natural tendency → born liking the sensation of sweetness
  • Naturally sweet food → containing nutrients supporting growth
  • Sensory cue → fuels metabolic needs and physical activity
  • Mask unpleasant taste → healthcare products and medicine
  • Sweet pleasure → satisfactory 1

Daily recommendation for sugar:

American Heart Association recommends no more than 6 teaspoons (25 grams) of added sugar per day for children aged 2-18 and women and 9 teaspoons (38 grams) for men. For children under two, it is recommended to avoid added sugar. 2

Factors affect the preferred level of sweetness

  • Age
  • Taste genetics
  • Exposure during childhood
  • Obesity
  • Being fed or fasted
  • Diabetes
  • Addiction

What is NNS?

Per USDA:

  • Zero-, or very low calorie
  • High-insensitive sweetness
  • Artificial sweetener, natural extract, or sugar alcohol

Why do we use NNS?

  • Diabetes
  • Weight loss
  • Hyperglycemia
  • Dental care
  • Lower Cost

FDA approved NNS:

 

 

 

 

 

 

 

What effects does NNS have on human body?

  • NNS interferes with learned responses that contribute to glucose control and energy homeostasis
  • NNS interferes with gut microbiota and induces glucose intolerance
  • NNS interacts with sweet-taste receptors expressed throughout the digestive system that play a role in glucose absorption and triggers insulin secretion. 3

Is NNS really safe to use? Maybe not!

  • Side effects of NNS includes:
    • Increasing sugar craving
    • Link to diabetes
    • Harmful for pregnancy
  • Chronic exposure of NNS may lead to
    • Higher BMI, heavier weight, larger waist circumference, and higher risk of obesity
    • Reduced insulin sensitivity
    • Decreased good bacteria in the body 4,5,6,7

 

References and Resources:

  1. American Dietetic Association. Position of the American dietetic association: Use of nutritive and nonnutritive sweeteners. Journal of American Dietetic Association. 2004;104:255–75.
  2. Children should eat less than 25 grams of added sugars daily. Children should eat less than 25 grams of added sugars daily | American Heart Association. http://newsroom.heart.org/news/children-should-eat-less-than-25-grams-of-added-sugars-daily. Accessed October 16, 2018.
  3. Pepino MY. Metabolic effects of non-nutritive sweeteners. Physiology & behavior. 2015;152(0 0):450-455.
  4. Chia CW, Shardell M, Tanaka T, et al. Chronic Low-Calorie Sweetener Use and Risk of Abdominal Obesity among Older Adults: A Cohort Study. Plos One. 2016;11(11).
  5. Lertrit A, Srimachai S, Saetung S, et al. Effects of sucralose on insulin and glucagon-like peptide-1 secretion in healthy subjects: a randomized, double-blind, placebo-controlled trial. Nutrition. 2018;55-56:125-130.
  6. Kuk JL, Brown RE. Aspartame intake is associated with greater glucose intolerance in individuals with obesity. Applied Physiology, Nutrition, and Metabolism. 2016;41(7):795-798.
  7. Plocková M, Stiles J, Chumchalová J, Halfarová R. Control of mould growth by Lactobacillus rhamnosus VT1 and Lactobacillus reuteri CCM 3625 on milk agar plates. Czech Journal of Food Sciences. 2013;19(No. 2):46-50.

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Psychobiotics: Healthy diet for a healthy mind!

By Katherine Kelly, JJPVA Dietetic Intern Class of 2019

Did you know that your gut health affects your mental health?

The current research states that there are good kinds of bacteria found in the gut that may help to improve our mood and brain function. A healthy gut starts at birth and is built from breast milk.

Breast milk is the perfect food for babies and it supplies the base for a healthy gut which may then improve brain formation and emotional wellbeing.

Unfortunately, many of us have too much of the bad bacteria and not enough of the good. Consuming a diet high in processed foods, added sugars, and fat may reduce brain growth, function, and subject us to a number of mental health illnesses, including; depression, anxiety, and Alzheimer’s. Our quality of sleep, weight status, and digestive system are all affected by our mental health.

Eating a diet high in a variety of vegetables, especially leafy greens, will increase the number of good bacteria and our overall health. A healthy diet is good for everyone and especially infants and teenagers! These are important years of growth and they need the additional nutrients more than ever. Fit these foods into your diet on a daily basis.

Foods that feed and build psychobiotics:

  • Yogurt, sauerkraut, and pickles
  • Leafy greens
  • Whole grains
  • And most importantly, breast milk!

Eating a healthy diet and increasing the good kinds of gut bacteria can:

  • Improve mood
  • Increase brain function
  • Increase brain development
  • Decrease risk of mental health conditions

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WIC DADS: A Recipe for Successful Breastfeeding

Jason M. Mertz JJPVAMC Dietetic Intern Class of 2019

Why it’s Best to Include Dad 

  • Inclusion of fathers in breastfeeding education is shown to increase likelihood for exclusive breastfeeding at six months. (Mahesh et al., 2018)
  • Father’s thoughts on breastfeeding matter.
    • Positive opinion linked to higher success rates.
    • Having Dad at home within first year increases breast feeding rates and duration.
  • Educated dads can make the difference
    • Many father’s accept advice from experience over education.
      • Other parents hold stronger importance than Health Care Providers.

Supporting Mothers

  • Mothers identify father’s as primary supporters however many men feel they are secondary.
  • Dad’s offer many types of support to new moms – physical, emotional, financial.
  • Dad’s provide support for mom’s decisions (validation).

Bonding With Baby

  • Father’s may feel they don’t get to bond like moms do, However they can:
    • Enjoy bath time
    • Do diaper changes
    • Get up with baby at night
    • Walk with or carry baby
    • Hold baby skin to skin
    • Enjoy singing and story time

Dads are welcome at individual appointments and groups meetings at the Morrisania WIC Program.

Supporting Your Partner:

  • Learn the Basics
  • Be Involved
  • Make a Plan

Family Breast Feeding Group Meetings:

  • Monday 1:30 PM
  • Tuesday 1:30 PM, 5:30 PM
  • Wednesday 10:30 AM

For Dads Group Information Please Contact:

Karla and Willie Lewis: 718-960-2792

 

References and Resources:

  • Alini, E. (2017). Why is this baby carrier designed for dad stirring controversy on facebook? – national | globalnews.ca. Retrieved from https://globalnews.ca/news/3437648/why-is-this-baby-carrier-designed-for-dad-stirring-controversy-on-facebook/
  • Anderson, K. E., Nicklas, J. C., Spence, M., & Kavanagh, K. (2010). Roles, perceptions and control of infant feeding among low-income fathers. Public Health Nutrition, 13(4), 522-530. doi:10.1017/S1368980009991972
  • Dads | WIC Breastfeeding. (2018). Retrieved from https://wicbreastfeeding.fns.usda.gov/dads
  • Mahesh, P. K. B., Gunathunga, M. W., Arnold, S. M., Jayasinghe, C., Pathirana, S., Makarim, M. F., . . . Senanayake, S. J. (2018). Effectiveness of targeting fathers for breastfeeding promotion: Systematic review and meta-analysis. BMC Public Health, 18(1), 1-14. doi:10.1186/s12889-018-6037-x
  • Mitchell‐Box, K., & Braun, K. L. (2012). Fathers’ thoughts on breastfeeding and implications for a Theory‐Based intervention. Journal of Obstetric, Gynecologic & Neonatal Nursing, 41(6), E50. doi:10.1111/j.1552-6909.2012.01399.x
  • Sherriff, N., Hall, V., & Panton, C. (2014). Engaging and supporting fathers to promote breast feeding: A concept analysis. Midwifery, 30(6), 667-677. doi:10.1016/j.midw.2013.07.014

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Cow’s Milk Protein

by Lindsay Allen, JJPVA Dietetic Intern Class of 2018

Cow’s milk and dairy products are a major food source for young children and infants, and milk is usually advertised as a health food. Human milk is designed for a human baby and cow’s milk is designed for a baby calf, so it has been linked to several health concerns like anemia, allergy and obesity.

Iron-deficiency anemia

The iron present in breastmilk is highly bioavailable, meaning that the iron is better absorbed by the body. About 50% of the iron in breast milk is absorbed compared with about 10% of the iron in whole cow’s milk. Too much calcium can block iron absorption.

Cow’s milk allergy

Cow’s milk protein allergy is the most common such allergy in the first year of life. Cow’s milk protein allergy may affect up to 15% of infants. Early exposure to cow’s milk proteins also increases the risk of developing allergy to milk proteins. As milk proteins are found in a variety of foods (not just milk and dairy products), this could also be a problem for the child later in life. Milk protein allergies can progress in several ways and may mimic other conditions include the following:

  • Wheezing, coughing, skin rashes
  • Diarrhea, constipation, loose stools, vomiting
  • Acid reflux
  • Refusal to eat or excessive crying

Sources of cow’s milk protein include:

  • Milk, skim and low-fat milk, buttermilk
  • Cream, evaporated or condensed milk
  • Butter, margarine, milk solids, curds
  • Whey
  • Lactose, casein
  • Cheese, yogurt, sour cream

Foods that might contain cow’s milk proteins include the following items below. It is important to read all labels on these items to identify any milk proteins.

  • Commercially prepared meats
  • Creamed vegetables
  • Canned or dehydrated soups
  • Gravies
  • Breads, hamburger buns
  • Beverages
  • Cakes, cookies, other desserts
  • Salad dressings
  • Foods cooked or sautéed in butter, margarine, other sauces

Milk proteins are associated with negative health effects even if the infant or child does not necessarily have an allergy to milk. This is because milk proteins are difficult to digest, especially in infants and toddlers. It is important to speak with your doctor to assess your child for a cow’s milk allergy.

Risk for Obesity

The high protein content and growth factors present in milk may add to the risk for obesity later in life. Studies have linked a greater weight and higher fat mass in children who drink cow’s milk. The protein content in human milk is much lower, so infants who are breastfed tend to have a healthier weight and have less risk for obesity in life. Breastfeeding is well known to reduce the risk for obesity.

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NAUSEA AND VOMITING OF PREGNANCY

By Ximena Diz, JJPVA Dietetic Intern, 2018

 

What is nausea and vomiting (N/V) of pregnancy?

N/V of pregnancy refers to mild and moderate nausea with possible occasional vomiting that occurs during pregnancy. It is often called “morning sickness” but can happen at any time of day.

How common is it?

N/V of pregnancy is quite common. 50-90% of pregnant women experience some nausea during their pregnancy. Typically, it most often occurs between weeks 5-18 of pregnancy. The worst of the symptoms often occur around week 9, but the symptoms will typically improve by week 16-18. However, 15-20% of women continue to experience nausea and vomiting during their third trimester.

Risk factors:

  • N/V during a previous pregnancy
  • History of N/V while taking estrogen pills (birth control)
  • History of menstrual migraines
  • Motion sickness
  • Other family members experienced N/V
  • History of GI symptoms
  • Multiple gestations (twins, triplets, etc.)

What causes N/V of pregnancy?

The clear cause is not completely understood. However, there are some possible factors linked to N/V of pregnancy.

  • Human chorionic gonadotropin (hCG) hormone: the body produces this hormone once you become pregnant. Its peak production occurs during weeks 12-14 of pregnancy, typically around the same time that nausea peaks.
  • Elevated progesterone and estrogen levels: the levels of these hormones rise during pregnancy. Progesterone decreases the ability of the muscles in the digestive system to contract. This may affect how quickly of food moves through your system, which could lead to increased nausea and vomiting.
  • Diet: foods high in fat can delay the rate of emptying of food and lead to nausea. Overeating or skipping meals can also lead to increased nausea and vomiting.
  • Stress and fatigue: often caused by hormonal, physical and emotional changes you’re experiencing.

What can I do to treat N/V of pregnancy?

Your DIET is important!

It’s important that you eat and drink enough during your pregnancy to make sure you and your baby are healthy!

  • Suggestions for maintaining an adequate diet:
    • Eat small, frequent meals. Instead of having 3 larger meals per day, try having 5-6 smaller meals.
    • Avoid foods that are too fatty or spicy.
    • Drink fluids in between meals rather than drinking too much during meals.
    • Try bland foods such as toast, crackers, white rice, and apple sauce.
    • Suck on sour candies.
    • Try having colder foods.
    • Try foods in liquid rather than solid form (think soups and smoothies!). This way you’ll get some important nutrients you need to stay healthy while avoiding adding too much bulk.
    • Try ginger containing foods (ginger ale, ginger tea, ginger candies, etc.).

Other techniques to treat N/V of pregnancy:

  • Avoid potential triggers: stuffy rooms, strong odors, heat and humidity, excessive tiredness, or lying down immediately after eating.
  • Brush your teeth after eating.
  • Take your supplements in the evening rather than in the morning.

Possible medications and supplements:

Before taking anything, make sure you speak to your health care provider.

  • Over the counter:
    • Vitamin B6 for nausea
    • Doxylamine for vomiting (available over-the-counter as Unisom, or as a prescription antihistamine as Aldex AN)
  • Prescribed medications:
    • Diclegis: a combination of vitamin B6 and doxylamine
    • Other stronger antihistamines or anti-emetics

Is N/V of pregnancy dangerous?

  • No! However, it may be uncomfortable and impact your quality of life.
  • N/V of pregnancy is a healthy response from your body. It is your body’s way of protecting your baby from foods that might affect your baby’s health.
  • Women with mild to moderate nausea and vomiting during pregnancy experience fewer miscarriages, lower rates of preterm delivery, fetal death, and growth complications.
  • These symptoms could make your baby smarter! Research shows that children of mothers who suffered from N/V of pregnancy had higher IQ tests.
  • It will not impact your ability to breastfeed your baby later since your body will provide your baby with everything s/he needs!

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How to Help Your Infant with Colic

By Marissa Meshulam, JJPVA Dietetic Intern 2018

What is colic? Colic crying is inconsolable and seems to comes out of nowhere.

Remember the 3, 3, 3 Rule! Colic is defined as a healthy infant who cries for more than:

-3 hours a day

-3 days a week

-3 weeks

Symptoms of colic:

-irritable in the late afternoon/evening

-clenched fists

-pulling knees up to their chest

Why is my infant colic? First, it is always important to remember this has nothing to do with you!

Colic is not caused by:

-breast or bottle feeding

-mother’s age

-socioeconomic status

-hunger

Some possible causes:

-overstimulation

-food allergies/sensitivities

-digestive discomfort

-overall immaturity

-exposure to tobacco

How long is this going to last? The good news about colic behavior is that it eventually goes away on its own!

-Colic behavior starts at about 2 weeks

-Usually gone by 3-4 months

It is important to know that colicky behavior as an infant does not mean you will have a difficult child! Colic behavior in infancy is not predictive of future behavior.

As the parent, how can I help my child?

While there is no one specific treatment for colic behavior, there are certain things that research has found to be helpful.

-Ensure a smoke-free environment

-Comfort your child

-Keep the environment calm (avoid loud noises or excess light)

-Frequent skin-to-skin contact

-Infant massage

Help your infant by helping yourself!

Are you stressed out because of your baby’s crying? You are not alone! Inconsolable crying is the #1 cause of pediatric visits during the first 3 months of an infant’s life.

Dealing with a colicky new born can be draining on parents. It is important to find support in getting through this.

-Do not be afraid to ask for help

-Find ways to manage your stress through exercise or meditation

-Look for colic support groups (both online or in your neighborhood)

Remember: you cannot take care of your baby without taking care of yourself first!

Things to ask your healthcare provider about:

As there is no “colic treatment” there are some new remedies that are being reviewed!  Ask your doctor, dietitian, or lactation consultant if any of these new treatments could be right for you and your baby:

-Probiotics for breastfeeding mom and/or baby

-Fennel tea for breastfeeding moms

-Potential changes to mom’s diet

Sources:

Harb T, Matsuyama M, David M, Hill RJ. Infant Colic—What works. Journal of Pediatric Gastroenterology and Nutrition. 2016;62(5):668-686.

Hill DJ, Roy N, Heine RG, et al. Effect of a low-allergen maternal diet on colic among breastfed infants: a randomized, controlled trial. Pediatrics 2005; 116:E709–E715.

Milidou I, Søndergaard C, Jensen MS, Olsen J, Henriksen TB. Gestational Age, Small for Gestational Age, and Infantile Colic. Paediatric and Perinatal Epidemiology. 2013;28(2):138-145. doi:10.1111/ppe.12095.

Savino F, Cordisco L, Tarasco V, et al. Lactobacillus reuteri DSM 17938 in infantile colic: a randomized, double-blind, placebo-controlled trial. Pediatrics 2010; 126:e526–e533.

Savino F, Pelle E, Palumeri E, Oggero R, Miniero R. Lactobacillus reuteri (American Type Culture Collection Strain 55730) Versus Simethicone in the Treatment of Infantile Colic: A Prospective Randomized Study. Pediatrics. 2007;119(1). doi:10.1542/peds.2006-1222.

Shenassa ED, Brown MJ. Maternal smoking and infantile gastrointestinal dysregulation: the case of colic. Pediatrics2004; 114:e497–505.

St James-Roberts I, Conroy S, Wilsher K. Links between maternal care and persistent infant crying in the early months. Child Care Health Dev 1998; 24:353–376.

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Snacking and Heart Health

Did you know that heart disease is the number one cause of death for both men and women in the U.S.?[1] There are many ways to make small changes to help keep your heart healthy: talk to your doctor about heart health, quit smoking, add exercise, get plenty of sleep… and increase healthy eating!

Healthy eating is hard, especially when we’re busy and on-the-go. But healthy eating can be made easier by planning ahead for meals and snacks! Snacks are often a nasty culprit for bad habits – for ease (and taste!) we often choose snacks that are energy-dense (high calorie) without providing nutritional benefits. Snacking is one area where we can make small steps that will have a big impact on improving heart health – both for children and adults.

Tips for heart healthy snacking:

  1. Eat the rainbow! Include a variety of fruits and vegetables as snacks. Fruits and vegetables are filled with heart-healthy vitamins, minerals and phytonutrients (nutrients with special properties that provide extra healthy benefits). Research shows that the risk of heart disease decreases as you eat more fruits and vegetables – aim for 5 servings per day![2]

Pro tip: Keep a bowl of fruit in the kitchen so it’s easy to access. Place pre-sliced veggies (carrots, celery, broccoli florets) at kids-eye level in the fridge.

  1. Choose whole grains. Whole grains (e.g. whole wheat bread or crackers, whole wheat pasta, brown rice, low-sugar whole grain cereal, oatmeal) are excellent sources of fiber, which help keep you full longer AND help to lower cholesterol (win-win for heart health). Studies have shown that increasing whole grains is associated with reduced risk of heart disease.[3]
  2. Choose heart-healthy fats: Saturated and trans fats are bad for your heart – they can cause a build-up of plaque in your blood vessels. Limit foods high in these fats (butter, coconut oil, palm oil, fried foods). Instead, choose fats that promote heart health. Omega-3 fatty acids have been shown to reduce inflammation, which has many benefits for your heart! Examples include nuts, seeds, avocados, and fish.[4]
  3. Choose low-fat protein sources: Protein is needed to maintain muscle and bone health, and also helps keep you feeling full! Choose low-fat options for better heart health, such as low-fat dairy products, eggs, fatty fish (salmon, tuna), poultry without skin, beans, and lean meats.4
  4. Reduce the sodium: When purchasing packaged foods, look for “low-sodium” on the label. When preparing snacks, don’t add salt – flavor the food with herbs and spices![5]
  5. Limit processed food – plan ahead with snack prep!: While pre-packaged food is easy to grab on-the-go, it is often high in unhealthy fats, sugar and sodium. It may be calorie-controlled (like the 100-calorie packs), but it is not protecting your heart! Plan for the week ahead and pre-prepare baggies or Tupperware filled with healthier options, to make on-the-go snacking easy AND healthy.

Ready to start snacking? Here are some yummy snack idea combos that are optimized for heart health, containing fruits or vegetables, fiber and whole grains, and protein and healthy fats.[6] 

  • Pear slices and low-fat cheese
  • Reduced-sodium sliced turkey breast wrapped around apple slices
  • Low-fat yogurt, fruit and nuts
  • Celery sticks filled with nut butter and sprinkled with dried cranberries and chopped nuts
  • Baked whole wheat tortilla chips dipped in salsa
  • Roasted chickpeas
  • Veggie sticks with hummus or low-fat ranch dip
  • Air-popped popcorn
  • Hard-boiled eggs
  • Trail mix – make your own! Nuts, dried fruit with no added sugars, low-sugar dry cereal, whole-grain pretzels

Happy snacking!

Melissa Goldman, Bronx VA Dietetic Intern Class of 2018

[1] CDC. NCHS. Deaths, percent of total deaths, and death rates for the 15 leading causes of death in 10-year age groups, by race and sex: United States, 1999-2013 .

[2] Bhupathiraju, Shilpa N., et al. “Quantity and variety in fruit and vegetable intake and risk of coronary heart disease–.” The American journal of clinical nutrition 98.6 (2013): 1514-1523.

[3] Aune, Dagfinn, et al. “Whole grain consumption and risk of cardiovascular disease, cancer, and all cause and cause specific mortality: systematic review and dose-response meta-analysis of prospective studies.” bmj 353 (2016): i2716.

[4] Willett, W. C. “Dietary fats and coronary heart disease.” Journal of internal medicine 272.1 (2012): 13-24.

[5] Aburto, Nancy J., et al. “Effect of lower sodium intake on health: systematic review and meta-analyses.” Bmj 346 (2013): f1326.

[6] “Smart Snacking.” KidsHealth. https://kidshealth.org/en/parents/snacking.html?WT.ac=ctg#. Accessed January 24, 2018.

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Dream Big 2018

What would happen if we started 2018 with a plan to dream big? What would you need to make that dream happen?

Each January we make resolutions that often do not include a plan for success. At the Morrisania WIC program we can help you define your goals and help you developing a solid plan to realize success.

You may need help planning big changes that are challenging. Whether you are expecting your first baby and dealing with nausea and vomiting of pregnancy or deciding how to talk to your employer about returning to work and caring for your baby, we are here to support you.

Dealing with a picky eater, trying to wean from the bottle or simply planning to make lifestyle changes so your family can enjoy better health and wellness, know that we are available to assist you to make your ideas realistic and show you how to divide big goals into smaller, more specific steps.

Our dietitians, nutritionists and lactation specialists are available to assist you with up to date, reliable information that can help you plan and achieve your dreams and provide support along the way.

Let’s plan to dream big together in 2018.

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Cold and Dry

Did you know you are more likely to be dehydrated in the winter time?

Dehydration occurs when we take in less fluids than the amount that leaves our body. Obviously we lose fluids when we pee and poop but less noticeably we lose fluids when we breathe and sweat.

In the wintertime blood vessels narrow to keep more blood and heat in our core body which helps us stay warm. We are fooled into thinking we are not thirsty and are less likely to drink.

We wear layers of heavy clothes outside on frigid cold days and then we sweat while wearing those same warm clothes in the subway and when climbing stairs and hills. Extra weight from heavy clothing also makes us work harder which adds to fluid loss.

Did you know that when you breathe out and can see your own breath that it is actually water vapor? As it gets colder and we work harder, we lose even more fluids when we exhale.

Water needs change from day to day and every persons needs are a little different however if you drink water frequently throughout the day and your urine is clear or light yellow when you pee, you’re well hydrated. You also get lots of fluids when eating vegetables and fruit and enjoying a warm bowl of soup.

We don’t often think of dehydration as a winter problem but we are definitely at risk and dehydration can lead to serious health problems. Don’t wait for thirsty dry lips and mouth, headache and fatigue to take a drink. Prevention and good health is just a sip away.

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eWIC Guide:

English

For more information about New York State eWIC, click the button below:

More Information

American Academy of Pediatrics

The American Academy of Pediatrics is dedicated to improving the health, safety and well being of infants, children, adolescents and young adults. Their website (healthychildren.org) has practical and proven information to help families grow healthy together from preconception through young adulthood.

Healthychildren.org

Academy of Nutrition and Dietetics

The Academy of Nutrition and Dietetics is the world’s largest organization of food and nutrition professionals. The Academy is committed to improving health and advancing the profession of dietetics through research, education and advocacy. Their website (eatright.org) provides expert advise on various nutritional topics spanning the life cycle.

For ParentsFor Infants & ChildrenFor Women

USDA Center for Nutrition Policy & Promotion

This website gives you access to the latest nutrition education and physical activity recommendations to help you make lasting lifestyle changes. Use SuperTracker to create a customized food and activity plan for yourself.  Custom plans and recommendations can be made for pregnant moms, breastfeeding moms, children, teens and adults. Visit their Pinterest page to find a variety of recipes as well.

MyPlate WebsiteSuperTracker ToolMyPlate Pinterest Page

Breastfeeding Resources

While breastfeeding may not seem the right choice for every parent, it is the best choice for every baby.   ~Amy Spangler

Click on the buttons below to view breastfeeding resources in your preferred language:

EnglishEspanolFrancais

Literacy Inc. Presents Fundamentals of Early Literacy

Join Literacy Inc. and Morrisania W.I.C. for a parent workshop to talk about the four stages of early literacy and to share activities you can do at home to form healthy relationships and to prepare your children to be good readers.

A light breakfast will be provided. Each person will leave with a book and useful tips to help you get your children excited about reading at an early age.

DATE: WEDNESDAY, OCTOBER 24
TIME: 9:30 AM to 10:30 AM

LINC South Bronx Community
LiteracyINC
LOCATION: Morrisania W.I.C.
First Floor Conference Room (Blue Room)
1225 Gerard Avenue—Bronx, NY 10452

 

More Information

Ramadan and Breastfeeding

Ramadan Mubarak, Ramadan Kareem! Are the common greetings during the month of Ramadan. Ramadan is not a holiday. It is the ninth month of the Islamic calendar, the month of fasting, when Muslims do not eat or drink from dawn to sunset in order to receive spiritual rewards (thawab) that are also believed to be multiplied within the month of Ramadan. Besides fasting, they refrain from smoking, and engaging in sexual relations and all sinful behaviors. This is a special time to read the Quran, offer prayers and do charity. Pre-fast meals before dawn are referred to as Suhoor, while the post-fast breaking feasts after sunset are called Iftar. At the end of Ramadan, Muslims celebrate a one-day feast, called Eid-al-Fitr, which means “The Feast of Breaking the Fast”.

At the Morrisania WIC’s “Breastfeeding During Ramadan” event, our peer counselors discussed fasting and the recommendations of the Quran that Muslim mothers breastfeed for two years.

The good news is that the Quran provides relief for our mothers!  They must refrain from fasting during the lactating years as well as during pregnancy.  Will they lose the rewards of Ramadan? No! In fact, preserving their milk supply, feeding their baby and staying healthy are all acts of obedience and reverence to the laws of Allah. Mothers have the option to make up the fast at a later date when it is safe to do so, charitable giving (alms) or feeding a needy person.

Paid Family Leave Event - October 2

Know Your Rights: Pregnancy, Parenting, and Paid Family Leave Seminar

More Information (English and Spanish)

Morrisania Healthy Lifestyles Fair

Save the date!!!

This year’s fun and famous MORRISANIA HEALTHY LIFESTYLES FAIR will be held on Wednesday, August 29, 2018 from 11:00AM -3:30PM on GERARD AVENUE between 167th and 168th Streets.

Join us for another fabulous day focused on healthy lifestyles and enjoy games, pony rides, raffles, FitWIC, food samples, face painting, dancing, Zumba and more…

Details in EnglishEn Espanol

National Breastfeeding Month

Printable Calendar

Office Locations

Morrisania Diagnostic & Treatment Center WIC Program
1225 Gerard Ave.
Bronx, NY 10452
ph: (718) 960-2805
fx: (718) 960-2830
Monday - Thursday: 7:30am - 8:00pm
Friday: 7:30am - 5:00pm
Saturday*: 8:30am - 4:00pm

*Every 2nd and 4th Saturday of the month. 5th Saturday by appointment only.

The Morrisania WIC Program is CLOSED on the THIRD WEDNESDAY of each month.
Morrisania – South Bronx WIC Program
856 Longwood Ave.
Bronx, NY 10459
ph: (718) 991-2148
fx: (718) 991-2348
Monday, Tuesday and Thursday: 9:00am - 5:00pm
Wednesday and Friday: 8:30am - 4:30pm
Saturday*: 8:30am - 4:00pm

*Every 1st and 3rd Saturday of the month. 5th Saturday of the month by appointment only.

The Morrisania WIC Program is CLOSED on the THIRD WEDNESDAY of each month.
Morrisania Family Preservation Center WIC Program
1125 Grand Concourse
entrance on McClellan
Bronx, NY 10452
ph: (718) 588-2214
fx: (718) 538-9121
Wednesday: 8:30am - 4:30pm
Thursday: 9:00am - 5:00pm

The Morrisania WIC Program is CLOSED on the THIRD WEDNESDAY of each month.