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Special Pages in The Addison Independent July 22, 2013 THE PARENT/TOT SWIM class is taught part on land, part in the shallow “kiddie” pool, and part in the large pool. With a family that frequents lakes, pools and the ocean, 2-year-old Morgan McNulty is already at ease playing in the water but the class is also helping to build her safety skills and breath control in the water. Independent photo/Trent Campbell Parent/tot swim lessons offer fun, peace of mind (See Swimming, Page 18) By CHRISTY LYNN In an ideal world, swimming for kids should be fun, easy and natural. Fear of the water shouldn’t be a major obstacle to overcome. In reality, however, kids who start swim lessons later in life have to first learn to conquer those fears before they can learn how to be comfortable in the water, then learn the skills to swim well enough to be safe in pools, rivers, lakes and other bodies of water. For parents, it’s the twin desire of wanting their children to enjoy the water mixed with the fear of their child drowning — it’s the leading cause of injury-related death to children between one and four years old — that motivates them to start their children in swim lessons as early as possible. Classes start for children as young as 6 months old, working on water awareness and building confidence. Such classes are supported by the American Academy of Pediatrics and the American Red Cross as well as many local programs. According to Mychaella Devaney, lead instructor of the Parent & Child swim course at the Middlebury Town Pool, early exposure to the water can make learning to swim easier and more natural for kids. “A lot of people don’t realize that we are born with a natural reaction to hold our breath when under water,” Devaney says. “As we get older we have to re-train that natural reaction, but if you start a child in the water before they really realize they’re being taught, it comes more naturally.” The structure of the parent/tot class (as it is commonly known at the Middlebury pool) is relaxed and flexible depending on the age and ability of the kids. Children range from six months to 3 years old, which is a wide range developmentally and can alter the instruction required by the guards. “With the really little ones we spend a lot more time in the kiddie pool

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Page 1: Baby and expectant parents 2013

Special Pages in The Addison Independent • July 22, 2013

THE PARENT/TOT SWIM class is taught part on land, part in the shallow “kiddie” pool, and part in the large pool. With a family that frequents lakes, pools and the ocean, 2-year-old Morgan McNulty is already at ease playing in the water but the class is also helping to build her safety skills and breath control in the water.

Independent photo/Trent Campbell

Parent/tot swim lessonsoffer fun, peace of mind

(See Swimming, Page 18)

By CHRISTY LYNNIn an ideal world, swimming for kids should be fun, easy and natural.

Fear of the water shouldn’t be a major obstacle to overcome.In reality, however, kids who start swim lessons later in life have to first

learn to conquer those fears before they can learn how to be comfortable in the water, then learn the skills to swim well enough to be safe in pools, rivers, lakes and other bodies of water.

For parents, it’s the twin desire of wanting their children to enjoy the water mixed with the fear of their child drowning — it’s the leading cause of injury-related death to children between one and four years old — that motivates them to start their children in swim lessons as early as possible.

Classes start for children as young as 6 months old, working on water awareness and building confidence. Such classes are supported by the American Academy of Pediatrics and the American Red Cross as well as many local programs.

According to Mychaella Devaney, lead instructor of the Parent & Child swim course at the Middlebury Town Pool, early exposure to the water can make learning to swim easier and more natural for kids.

“A lot of people don’t realize that we are born with a natural reaction to hold our breath when under water,” Devaney says. “As we get older we have to re-train that natural reaction, but if you start a child in the water before they really realize they’re being taught, it comes more naturally.”

The structure of the parent/tot class (as it is commonly known at the Middlebury pool) is relaxed and flexible depending on the age and ability of the kids. Children range from six months to 3 years old, which is a wide range developmentally and can alter the instruction required by the guards.

“With the really little ones we spend a lot more time in the kiddie pool

Page 2: Baby and expectant parents 2013

PAGE 18 — Addison Independent, Monday, July 22, 2013

LINCOLN MCGRATH, 3, practices his strokes on the pool deck with Parent/Tot head swim instructor Mychaella Devaney at the Middlebury Town Pool.

Independent photo/Trent Campbell

splashing around and getting comfortable in the water,” Devaney explains, “but with the slightly older and more independent kids we move more into the shallow end of the big pool and work on breath control and motion in the water.”

Formal stroke training is too advanced for most of the tots and is therefore mostly reserved for higher levels of swim training. This early class is simply to play in the water, slowly developing a comfort and independence that sets the foundation for learning to swim. Progression is slow, Devaney says, staying within the kids’ comfort zones and not pushing them too quickly.

“We work through their fears and nervous beginnings,” she says, whether they are scared of getting water in their eyes, nose or ears, worried about fish or other critters, or simply uncomfortable walking through the door.

“Talking to the fishies through blowing bubbles, using toys and props in the water, and having lots of smiling guards around to help it stay fun and safe are some of the ways that we help build confidence, but really it’s just the consistent exposure to the water that works.”

The parent/tot class is the only swim class offered that engages parents in the lesson; for all other levels parents are asked to stay off of the swim deck and let their children work directly with the instructors and the other kids in the class.

“Swimming can really help kids learn independence,” Devaney says. “Even from

a very young age it’s amazing to watch the transformation in confidence from the first to the last day of the class,” she says.

In the case of the parent/tot class, Devaney says it teaches both the child and the parent a lesson about independence and trust.

“Some parents don’t understand what it is their child is capable of or comfortable with,” she says. “Sometimes they are surprised by how relaxed and able their child is in the water — and that’s always fun to see.”

For a local mother in the parent/tot class, having her three kids enrolled in the class gives her a sense of security with them around water.

“I want them to know how to swim safely,

so I don’t have to worry that they will drown,” she says. As a family that spends a lot of time at lake beaches as well as in the pool, she says it was a high priority of hers to get them comfortable in the water at a young age.

“We started my first son in swimming lessons as an infant — just put him in the water and started the process of being comfortable breathing and moving. Now being in the water is automatic and easy for him. With our second son we waited a little longer and you can tell. He’s definitely more cautious and thinks twice before jumping in. With our daughter we went back to early exposure in the water and at two and a half she just loves it!”

Parent/tot classes are commonly taught by many swim facilities, including the Middlebury Town Pool, the Vergennes pool and Vermont Sun Fitness Center.

Swimming (Continued from Page 17)

“We work through their fears and nervous beginnings.”

— Mychaella Devaney

Prenatalhealthincludesbody, mind

(See Prenatal, Page 21)

By CHRISTY LYNNA woman’s whole world gets flipped

upside down when she finds she is pregnant. Aside from the obvious physiological changes in her body, she also faces mood changes following a swing in hormones, plus new stresses and concerns about what is to come.

Even with a strong partner and other support systems, women can often feel alone in the process and uneasy about how to cope.

According to Tapestry Midwifery’s co-founder and Certified Nurse Midwife (CNM) Martha Redpath, that is all quite normal. The experiences are all new and that means in a lot of cases they are scary, Redpath says.

“One important goal during pregnancy is to take away the fear. It is important to communicate that the process is both unique and incredibly universal. If you can learn to trust it, it is incredibly powerful.”

Redpath, who helped to open Tapestry Midwifery (a division of Porter hospital) in 2007, says that finding a health practice that is natural and comfortable for the patient is an important early step

Page 3: Baby and expectant parents 2013

Addison Independent, Monday, July 22, 2013 — PAGE 19

At Middlebury Pediatric & Adolescent Medicine our entire staff works to provide your child with the highest quality healthcare

in a caring, nurturing environment

&Middlebury Pediatric Adolescent Medicine

1330 Exchange St., Suite 201Middlebury, VT

388-7959

Accepting New Patients

Morris Earle, Jr., M.D., F.A.A.P.Dedra Flynn, M.D., F.A.A.P.

Lynn Luginbuhl, M.D., F.A.A.P.Laura Murphy, M.D., F.A.A.P.

Mayumi Otsuka, M.D., F.A.A.P.

Left to right, back row: Laura Panto, M.D.; Mike Seaton, M.D.;Morris Earle Jr., M.D.; Front Row: Lynn Luginbuhl, M.D. ; Dedra Flynn, M.D.

Is proud to announce the addition of Laura Panto, M.D. to our practice!

At Middlebury Pediatric & Adolescent Medicine our entire staff works to provide your child with the highest quality healthcare

in a caring, nurturing environment

&Middlebury Pediatric Adolescent Medicine

1330 Exchange St., Suite 201Middlebury, VT

388-7959

Accepting New Patients

Morris Earle, Jr., M.D., F.A.A.P.Dedra Flynn, M.D., F.A.A.P.

Lynn Luginbuhl, M.D., F.A.A.P.Laura Murphy, M.D., F.A.A.P.

Mayumi Otsuka, M.D., F.A.A.P.

1330 Exchange St., Suite 201Middlebury, VT

388-7959

Middlebury Pediatrics & Adolescent Medicine is accepting new patients.

PROPS AND FLOATING toys help make the Parent/Tot swim class fun for kids just learning to feel comfortable in the water. Two-year-old Morgan McNulty relaxes in a water “noodle” and practices “talking to the fishes” through blowing bubbles.

Independent photo/Trent

Campbell

Local woman beats theodds, becomes pregnant

(See Hunt, Page 20)

By CHRISTY LYNNMIDDLEBURY — Nine months ago

Jacqueline Hunt’s life was looking much different than it does today.

Settling into a new life and new jobs in Vermont with her boyfriend (after finishing college in Maine) was her primary objective. Starting a family was not something she was planning on.

But then, life changed. Hunt started experiencing

extreme nausea in the mornings and feeling uncharacteristically sensitive. Following a suggestion from her boyfriend’s mother, Hunt took a pregnancy test, which came back positive.

She was shocked.Just a few months prior, Hunt

had found herself in excruciating abdominal pain. Thinking she had appendicitis, she went to the hospital. Doctors discovered that she had polycystic ovary syndrome (PCOS), a health condition that affects between 10 to 20 percent of women of childbearing age in the United States. The cysts that form in women with PCOS create blockages that can be very painful as they interrupt or block ovulation.

According to the U.S. Department of Women’s Health, PCOS is the most common cause of female infertility. Hunt left the hospital that day with the assumption that she would not be able to conceive without medical

intervention. “I admit I got to feeling pretty cavalier about

getting pregnant — I just didn’t think it could happen,” she says.

Having spent her early life expecting someday to have a family and looking

forward to parenthood, Hunt was pretty down from the diagnosis. She decided that she would stop taking preventative measures for pregnancy and figured that if it happened — regardless of whether or not she was in a stable relationship — she could make it work.

“At that time I wasn’t expecting to be a single mom,” Hunt says, “but I think I at least thought about it enough to know that I could do it.”

Hunt says that the process of accepting and embracing pregnancy was challenging.

“The way everything fell into place, I don’t feel like I went through the expected steps — you

fall in love, you get married, and you decide to have a baby a couple years later — which means that the mental transition has been challenging.”

For the first two trimesters of her pregnancy, Hunt says she routinely forgot that she was pregnant.

“Before I really saw the ultrasounds, could

“Before I really saw the ultrasounds, could feel her moving — knew it was a ‘her’ — I just don’t think it really sunk in.”

— Jacqueline Hunt

Offering individual care for women of all ages including:• Pregnancy, childbirth, and postpartum care• Annual Exams and Pap tests• Birth control and family planning• Breastfeeding support• Menopause management• Preventative screenings• Nutritional advice

20 Armory Lane, Vergennes, VT 05491(802) 877-0022 • www.tapestrymidwifery.com

A department of Porter Hospital

Martha Redpath,C.N.M.

Heather Brown Kidde,C.N.M.

Anita Onofrio,C.N.M.

Eve HadleyC.N.M.

Tapestry Midwifery would like to thank

Anita Onofrio for her years of support.

Please welcome Eve Hadley

to our practice.

Page 4: Baby and expectant parents 2013

PAGE 20 — Addison Independent, Monday, July 22, 2013

Evening hours available • We accept new patients • We accept most insurances44 Collins Drive, Middlebury • Next to Porter Hospital • 388-1338

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We realize that no one knows your child better than you – the parents. Our goal is to partner with you to develop a plan to care for your child both in wellness and illness.

Kate McIntosh, MD

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Coming Soon!Secure Patient Portal

at: www.rainbowvt.com

feel her moving — knew it was a ‘her’ — I just don’t think it really sunk in,” Hunt says.

“I would crash down on the couch or the bed and land in a way that she would bump up against my pelvic bone or something and it would surprise me — I just literally forgot that I needed to be careful and aware of this baby.”

When seeing the doctor for the first four or five months of pregnancy, Hunt says she was overwhelmed and distracted.

“I found myself just nodding and saying ‘Yep, yep, yep, can I go now? It was so nerve-wracking and scary at first that I was forgetting the questions I needed to ask. I would leave the office and all those questions would come flooding back to me.”

Thankfully, Hunt found some great online resources and did a lot of her own research. With a week-by-week online pregnancy guide from pregnancy.com, Hunt could watch the process and learn about each phase of her pregnancy and some of the common questions that come up along the way.

“It’s been really helpful because I could relax and watch these little movies,” she says. “When I was confused I could go back and watch it again, or pause and look something up.”

Slowly, the pregnancy became more of a reality and Hunt began to prepare herself for life with her baby.

One of the first steps was thinking about the name.

“I wanted something original, but also that was similar to our family names. I liked the idea of my name and her name being similar, so I decided to work with the ‘lyn’ sound at the end. I loved the name Ava, so ‘Avalyn’ just kind of popped out.”

Avalyn’s middle name will be Jean, a family name that Hunt says will tie her back to both sides of her family. “I’ve already started calling her ‘Miss Ava Jean’ — a name I have fallen in love with.”

At 28, Hunt will be the oldest mom in her family. “I didn’t really feel like my family was putting pressure on me, but I certainly did think about it,” she says.

“I knew I had options when I became pregnant unexpectedly, but in the end I knew this was the right thing to do for me.”

Hunt’s boyfriend left in the second trimester without warning. “I think he was overwhelmed and clearly not interested in this commitment with me,” Hunt says.

“Not having a partner to go through this with and lean on and talk to changes your whole perspective on pregnancy, and I wouldn’t wish that on anybody,” Hunt says, “but in the end I had to make my choice and he had to make his. This is my choice and my life and I’m not going to let anyone take this away from me.”

One silver lining as a single parent, Hunt says, is that you don’t have to compromise as much and you get to make a lot of the decisions about how you want to be as a parent, what your child will be named, will wear, and will do — at least at the beginning.

Hunt’s outlook is optimistic as she works to channel her positive moods.

“My feeling is that if I can get through this whole process and through a natural birth on my own, my sense of empowerment will be wonderful. After that, no matter how low I feel I’ll be able to look back at this and return to that sense of empowerment.”

As a music teacher, Hunt has created herself a “birthing playlist” made up of several hours’ worth of music that can help center her and refocus her mind.

“I didn’t know exactly what to put on there, so I have everything from Indian ragas to Celtic music to jazz, classical, and then some. I did put on a couple of pieces that I have studied intensely as a musician. I think if I can put on a familiar concerto and slip back into that focus from when I was a music student, it will help draw me away from the pain of a contraction or cramp and help me funnel my energy.”

Hunt is excited about the upcoming chapter and getting to know her new baby. After a couple months at home, her plan is to return to her after-school teaching position at Mary Johnson. However, she will be temporarily stepping back from her other part-time jobs that she has kept as a substitute teacher and a

Hunt (Continued from Page 19)

(See Time, Page 22)

JACQUELINE HUNT

Page 5: Baby and expectant parents 2013

Addison Independent, Monday, July 22, 2013 — PAGE 21

388-3171www.addisoncountypcc.org

• Community Playgroups

• Parent Education Classes

• Home Visits

• Developmental and Behavioral Screenings

• Parent Training & Child Care

Helping Young Families Get the Right Start

Welcome baby girl,

Cori LisaBorn on Tuesday evening, October 25, 2011

21” Long, 7lbs. 12 oz., & Perfect.

Kelly O’Keefe and John St. Germain

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in guiding a new mother through pregnancy. It can be challenging to find a practice that

feels encouraging and supportive, she says, but establishing a relationship of trust with the practitioner is something that can make a huge difference in a woman’s sense of calmness and respect for her pregnancy.

“I say if you don’t feel encouraged, supported, happy and confident, you should listen to that and keep looking,” said Redpath.

As a midwifery clinic, Tapestry is focused on low-intervention care that works with the psycho-social components of pregnancy along with the physiological.

Pregnancy can be a highly motivating time for women, Redpath explains, and helping to channel that energy and encourage women to make healthy life changes — not just for pregnancy — is part of what a good practitioner can do.

“In this practice we work on creating a safe space where patients can expose their truths and be accepted.”

Questions are common and natural throughout the process, even for women who have given birth before, she says. As a standard of care at Tapestry, the shortest visit is 30 minutes, which helps to build in time for the inevitable questions.

The American Congress of Obstetricians and Gynecologists (ACOG) has a current standard of prenatal care, which includes visits every four weeks through the first 28 weeks of pregnancy, every two weeks through week 36 and weekly for the rest of the term.

“A lot of what we do throughout those visits is education,” Redpath said. “Women tend to naturally be hungry for reinforcement and knowledge. Most tend to appreciate the frequency of care.”

While the primary focus of prenatal education is on physical health and helping women identify warning signs or milestones along the way, it is also an important time to pay attention to general lifestyle habits such as diet, exercise and stress.

Certain foods (especially those high in fats and heavy sauces) increase the risk of nausea, for example, whereas other foods can help specifically replace nutrients lost or those that are easily depleted in pregnancy. There are some foods, herbs and tinctures that doctors recommend eliminating throughout pregnancy, such as lunch meat, sprouts, unpasteurized dairy and some fish.

Weight gain is natural and important during pregnancy, but many women do not know how much and when they should be gaining weight. It is easy to overestimate, which makes it much harder to lose that weight once the baby is born.

Many women know that they are more susceptible to disease during pregnancy. Certain bacteria, such as listeria, that normally may not make a person ill can be dangerous for pregnant women as well as their unborn baby due to hormonal changes that affect the mother’s immune system.

However, to avoid undue stress or panic, it is important to review each patient’s specific risk factors and outline how to avoid contact at the beginning of pregnancy.

Questions also arise around what medicines or drugs are safe during pregnancy. Some drugs are listed on the “X” list, such as hormonal medications as well as alcohol and illegal drugs such as cocaine.

Others are listed on cautionary lists with recommendations for doses if or when they are required. Still others are listed as fine to continue with throughout the pregnancy.

Nicotine and other addictive drugs are explained as detrimental to a baby’s health as well as the mother’s, and the practice provides tips and resources for quitting.

Redpath says that with the Internet many patients have easier access to information, but can also become unnecessarily alarmed by something that is actually quite normal.

That’s another reason why is it important for each mother-to-be to have resources at hand so that she can answer quickly whether something new she is experiencing is normal.

Prenatal(Continued from Page 18)

TAPESTRY MIDWIFERY IS a division of Porter Medical Center and is based in Ver-gennes. There are three certified nurse midwives in the practice: left to right, Martha Red-path, CNM, Heather Kidde, CNM, and the newest addition to their team, Eve Hadley, CNM.

(See Techniques, Page 23)

“What they want more than a cure for that discomfort is an affirmation that nothing is going wrong with them or their baby.”

— Martha Redpath, CNM

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Page 6: Baby and expectant parents 2013

PAGE 22 — Addison Independent, Monday, July 22, 2013

Please call(802) 388-9688 for more information

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A High Quality Early Care and Education Experiencefor children 6 weeks-6 years

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TIPS FOR TODDLERS – First, parents should be sure that their teeth are clean and healthy. The bacteria that cause cavities are usually passed from parent to child between 1 to 4 years of age. Don’t put your baby to bed with a bottle. Milk, juice, or formula coating the teeth while

asleep promotes rapid cavity formation. With toddlers using a sippy cup, have milk and juice only at meal time or snack time, between these times only have water in the sippy cup. Begin cleaning your baby’s mouth before teeth start coming in by using a moist wash

cloth over your finger tips. Once teeth are coming in, use a soft bristled child’s tooth-brush just with water before bed. Don’t drink milk or juice at bedtime after brushing. Have an infant oral exam by age one to discuss care and healthy diet patterns.

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Always Welcoming New Patients!private music teacher.

“I’m really excited to have a little time off. I’m fortunate to be in a situation where I can afford the time, which is great because I know that this is the time in her life when she is absolutely dependent on me.”

Past the first six months or a year, Hunt says she really doesn’t know what to expect. “A lot can change still. I don’t really know how I’m going to feel and what I’m going to want or need to do for myself and Avalyn — not to mention anyone else that may come into the picture.”

Prior to becoming pregnant Hunt had wanted to return to college for a master’s degree in music therapy, which is something that she still may return to. This winter, Hunt is also planning to write several grants for pre-kindergarten music instruction in area schools, which she says is very exciting

for her and could give her the flexibility she would need to be a single mom and still do what she loves.

Whatever the case, Hunt says she is trying to give herself room and time to decide what is going to be best for her and her baby.

“For me the hardest part is that I really can’t plan for this. I’m a planner and an organizer and I like to have things my way. I can try and try to plan for this all day, but in the end it’s not possible — that’s been hard to handle.”

That said, Hunt says she is reasonably confident that she’ll be a good parent.

“As a teacher, an older sister and someone that has spent a lot of time with children, I think I have a strong maternal instinct that will kick in naturally. I also think I’m in touch with how

smart kids are and what kind of information they can handle. Hopefully, that will help me be a more realistic mom.”

Time(Continued from Page 20) “It’s been

really helpful because I could relax and watch these little movies. When I was confused I could go back and watch it again, or pause and look something up.”

— Jacqueline Hunt

JACQUELINE HUNT, A 28-year-old Middlebury native, is preparing for a new chapter after her first child is born. Her due date was Monday, July 15, which means her baby will likely be born by the time this issue goes to print.

Page 7: Baby and expectant parents 2013

Addison Independent, Monday, July 22, 2013 — PAGE 23

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Learn more about Brodie’s treatment, her story and watch the videos at www.middleburyspa.com.

Middleburyspa.com 802.388.0311MIDDLEBURY TOWN POOL instructor Harriett Milligan helps guide 3-year-old Lin-coln McGrath into the water during a Parent/Tot swim class. With one guard for each child in the class, instructors can ensure personalized instruction at whatever level feels right for the kids.

Independent photo/Trent Campbell

“Most women are put at ease if they can look on the list of common discomforts and find their problem,” she says. “What they want more than a cure for that discomfort is an affirmation that nothing is going wrong with them or their baby.”

In the end, giving birth is a miracle that has been repeating itself over and over and over, Redpath says, and most women just need to find their way of accepting that truth.

More than any special technique or trick,

the silver bullet is building a mind-body acceptance and trust in the natural process and refining the mind and body to a relaxed and organic state.

“There is a practice called hypno-birthing,” Redpath says, “which is getting as close as you might come to a ‘magic trick.’”

But in the end, whether trained through hypno-birthing or other relaxation and visualization tactics, Redpath says, the key to a relaxed and comfortable pregnancy and labor is to learn how to be relaxed and comfortable.

Techniques(Continued from Page 21)

SERVICESMidwifery, doula services, lactation counseling,

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OFFICES IN BURLINGTON & MIDDLEBURYChenoa Hamilton, CPM, LM, CLC, EMT

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wellness midwifery acupuncture

Page 8: Baby and expectant parents 2013

PAGE 24 — Addison Independent, Monday, July 22, 2013

Preparing for Birth and Your Baby• Expectant Parents Class: 6+1 This six-week series covers pregnancy, labor, birth, breathing/relaxation skills, care of the newborn, and family changes. Includes a 7th class, after babies are born, for parents and new babies together. Meets weekday evenings, 6:30-8:30 p.m.

• Condensed Weekend Expectant Parents’ ClassA weekend version of our 6 week course which meets two mornings in one weekend. Highlights pregnancy, labor, birth, breathing/relaxation skills. Meets 9:00 a.m.-1:00 p.m. Saturday and Sunday of one weekend. See on-line schedule for dates.

• Breastfeeding ClassA two-hour evening class for new or expectant mothers to discuss the benefits of breastfeeding to mother and baby, deciding whether or not to breastfeed, returningto work, and more. Meets 6:30-8:30 p.m.

Pre-registration required.You can register on-line or by calling:

Promoting a safe, healthy and family-centered pregnancy and birth.

Call 382-3413

* Fees for these classes are paid in full by Dr. Dynasaur or Vermont Medicaid.

For a complete schedule and to register on-line, please visit: www.portermedical.org/outreachparents.html

From Left to Right: James Malcolm, MD; Anne Corcoran, Reception; Lauren Bierman, RN; Lauren Peterson, Reception; Lisa Roberts, RN; Donna Audet, Office Manager; Kathy Brande, RN; David Turner, MD; Alan Ayer, MD; Anna Benvenuto, MD; Katherine Wagner, MD. Not pictured: JoAnn Madison, RN; Lana Gingras, Reception.

We’re proud of our legacy of providing complete, flexible, specialty OB/GYN care. Our team of providers specializes in: Office Gynecology and Obstetrical Care, Family Planning, Gynecological Surgery including Laparoscopic, Meno-pause, Infertility and In-Office Ultrasounds.

ADDISON ASSOCIATES INOBSTETRICS AND GYNECOLOGYJAMES A. MALCOLM, III, M.D. • ALAN D. AYER, M.D.

DAVID TURNER, M.D. • KATHERINE J. WAGNER, M.D.ANNA BENVENUTO, M.D.

Physician’s Building, Porter Medical Center116 Porter Drive, Middlebury VT

388-6326 or 388-6347

After Dr. Malcolm… …Anne Corcoran, reception, Lauren Bierman, R.N.,,after Lauren Peterson.. Lisa Roberts, R.N.. You did identify Kathy Brande correctly. Missing from the photo: Lana Gingras, reception and JoAnn Madison, R.N.

A 30-Year Tradition of CaringCollege Street Children’s Center

Early Care & Education for Infants & Toddlers

* Creative, stimulating, nurturing environment* Emphasis on nature, community and interpersonal skills* Individualized curriculum which addresses the emerging interests and skills of the child

* Low ratios to foster one on one attention* NAEYC accredited* Dedicated staff committed to continuing their professional development

College Street Children’s CenterMiddlebury, VT 388-2401 • [email protected]

* Rated 5 STARS, Vermont Quality Rating System

Pregnant and in pain?Physical therapy can help reduce thesymptoms of pain associated withjoint laxity, postural changes, and back stress during pregnancy.

This time is a special time to be enjoyed by all of you!

Middlebury Physical Therapy ... for what really matters.

Middlebury Physical Therapy295 Colonial Drive • 398-2700

Judy Holmes, MS, PT • Julia Child, PT, CLT

Pregnant and in pain?Physical therapy can help reduce thesymptoms of pain associated withjoint laxity, postural changes, and back stress during pregnancy.

This time is a special time to be enjoyed by all of you!

Middlebury Physical Therapy ... for what really matters.

Middlebury Physical Therapy295 Colonial Drive • 398-2700

Judy Holmes, MS, PT • Julia Child, PT, CLT

Pregnant and in pain?Physical therapy can help reduce thesymptoms of pain associated withjoint laxity, postural changes, and back stress during pregnancy.

This time is a special time to be enjoyed by all of you!

Middlebury Physical Therapy ... for what really matters.

Middlebury Physical Therapy295 Colonial Drive • 398-2700

Judy Holmes, MS, PT • Julia Child, PT, CLT

Middlebury Physical Therapy295 Colonial Drive • 398-2700

Judy Holmes, MS, PT • Julia Child, PT, CLT Brie Pike-Sprenger, DPT