Postpartum Mood Disorder (PPMD) or Postpartum Depression

Postpartum Mood Disorder (PPMD) affects one in five new mothers. PPMD is a serious medical condition and is the number one complication after birth. It can start at anytime between pregnancy up until the baby is one year old.

Researchers are unsure of the cause but believe it could be related to the following risk factors: hormonal changes, history of depression, history of PPMD with previous pregnancies, past or present physical, sexual and/or emotional abuse.

**Men can suffer from PPMD too. Up to 10 per cent of new fathers develop depression after a baby is born.

Resources:

Online Support Group

  • Mother Matters – Women College Hospital – Free online support group for new mothers in Ontario struggling with their mood and adjustment to being a new parent.

Crisis Lines

  • Four County Crisis Community Mental Health Crisis response Program (24 Hour)
    • 705-745-6484 or 1-866-9933
  • Telehealth Ontario (24 Hour)
    • 1-866-797-0000

Web Sites

Local Resources

  • Healthy Babies Healthy Children Program – HKPR District Health Unit – Home visiting support program to help you transition to life with a baby.
  • Lakeshore Counselling (Cobourg)
    • Call: 905-377-9891
  • Northumberland Community Counselling Centre
    • Call: 905-372-6318 or 905-372-6425
  • Point in Time Centre for Children, Youth and Parents
    • Call: Haliburton 705-457-5345 or Minden 705-286-2191
  • Ross Memorial Community Counselling (CMHA) Lindsay and surrounding area
    • Call: 705-878-8900
  • Haliburton Highlands Mental Health Services
    • Call: 705-286-4575
  • Women’s Health Centre (Peterborough regional Health Centre)
    • Call: 1-800-419-3111

Prenatal Program eClass

Pregnant or planning for a baby?

Our free online Prenatal Program is for you!

Get access to reliable, accurate information on pregnancy, labour and birth, and caring for your newborn – all in a web-based, mobile-friendly format. We use InJoy eClasses* to provide you access to: resources, videos, fun quizzes, learning activities, helpful web links (including local support services), downloadable information sheets and a parents’ toolbox loaded with interactive features.

Get access to reliable, accurate information on pregnancy, labour and birth, and caring for your newborn – all in a web-based, mobile-friendly format. We use InJoy eClasses* to provide you access to: resources, videos, fun quizzes, learning activities, helpful web links (including local support services), downloadable information sheets and a parents’ toolbox loaded with interactive features.

It’s trusted education… your way!

How to Access the Site:

  1. Visit InJoy Online.
  2. Click on Create Account.
  3. Fill out your Name, Email and Password.
  4. Enter redemption code: hkprbaby
  5. Click Validate.
  6. Accept the Terms and Conditions.
  7. Click Complete.
  8. Log in to your Dashboard to view the eClass content.

Let’s stay in-touch! Via email, we’ll confirm your registration and send reminders about the online course.

Need more help? Email us (healthyfamilies@hkpr.on.ca) or call 1-866-888-4577, ext. 5003.

**InJoy eClasses are hosted by a third-party vendor in the United States of America that collects and maintains your first/last name, email and password for 13 months. InJoy’s privacy policy is available in the Terms and Conditions on the registration website.

Prenatal Program eClass

Pregnant or planning for a baby?

Our free online Prenatal Program is for you!

Get access to reliable, accurate information on pregnancy, labour and birth, and caring for your newborn – all in a web-based, mobile-friendly format. We use InJoy eClasses* to provide you access to: resources, videos, fun quizzes, learning activities, helpful web links (including local support services), downloadable information sheets and a parents’ toolbox loaded with interactive features.

Get access to reliable, accurate information on pregnancy, labour and birth, and caring for your newborn – all in a web-based, mobile-friendly format. We use InJoy eClasses* to provide you access to: resources, videos, fun quizzes, learning activities, helpful web links (including local support services), downloadable information sheets and a parents’ toolbox loaded with interactive features.

It’s trusted education… your way!

How to Access the Site:

  1. Visit InJoy Online.
  2. Click on Create Account.
  3. Fill out your Name, Email and Password.
  4. Enter redemption code: hkprbaby
  5. Click Validate.
  6. Accept the Terms and Conditions.
  7. Click Complete.
  8. Log in to your Dashboard to view the eClass content.

Let’s stay in-touch! Via email, we’ll confirm your registration and send reminders about the online course.

Need more help? Email us (healthyfamilies@hkpr.on.ca) or call 1-866-888-4577, ext. 5003.

**InJoy eClasses are hosted by a third-party vendor in the United States of America that collects and maintains your first/last name, email and password for 13 months. InJoy’s privacy policy is available in the Terms and Conditions on the registration website.

Immunization Requirements for Daycare

Within a daycare environment, infectious diseases can spread easily from child to child, or between children and staff. Immunization is an extremely effective way to prevent children and staff from become ill from diseases and suffering further complications that could arise.

Parents and/or guardians are required to provide their child’s immunization record or valid exemption to the daycare during registration.

The local Medical Officer of Health requires children attending daycare to be immunized against measles, mumps, rubella, Haemophilus influeunza b (Hib), diphtheria, tetanus, pertussis, polio, meningococcal disease and varicella (Chickenpox), according to the Ontario schedule.

The Health Unit works in partnership with day nursery operators to ensure all children and staff in their facilities are protected from vaccine preventable diseases. Effective assessment of immunization status and management of outbreaks requires ongoing monitoring.

To learn more about immunization requirements, contact the Health Unit at 1-866-888-4577, ext. 1507.

Supporting the Breastfeeding Family

The Baby-Friendly Initiative (BFI)

The HKPR District Health Unit supports the World Health Organization’s Baby-Friendly Initiative (BFI) and the International Code of Marketing of Breast Milk Substitutes and Subsequent Resolutions. This is the Health Unit’s promise to protect, promote and support breastfeeding.

BFI is a global strategy to protect, promote and support breastfeeding all around the world. The Health Unit provides a comfortable environment for breastfeeding and provides support to parents to make informed decisions about feeding their children. We are working towards making our communities Baby-Friendly. For more information on BFI, call the Health Unit toll-free at 1-866-888-4577 or visit The Breastfeeding Committee for Canada website.

Additional Resources:

BFI (video) – HKPR District Health Unit

Healthy Babies Healthy Children Program

The Healthy Babies Healthy Children (HBHC) Program is a free, confidential and voluntary program for pregnant women and families with children up to age six.

The Healthy Babies Healthy Children Program provides you with advice and support at various stages to help you give your children the best start in life.

When your baby arrives

A Public Health Nurse will phone within a few days after your hospital discharge to see how you are doing. Home visits are provided if you need support to make a healthy adjustment in the first few weeks after having your baby.

You can receive information and support about:

  • Feeding your baby
  • Staying physically and emotionally healthy
  • Dealing with occasional feelings of sadness
  • Being a parent
  • Encouraging your baby’s growth and development
  • Keeping your baby safe
  • Finding community resources you may need

A Public Health Nurse and a Family Home Visitor will provide home visiting to those families that would benefit from learning more about growth and development, positive parenting and community resources.

To learn more about the Healthy Babies Healthy Children program, call the Health Unit at 1-866-888-4577

Additional Resources:

Healthy Babies Healthy Children – Ministry of Children, Community and Social Services

Getting Off to a Good Start with Breastfeeding

Breastfeeding is a learning experience for both baby and mother. It takes patience and practice, but it’s worth it!

Helping Your Baby to Breastfeed

Additional Resources:

Ten Valuable Tips for Successful Breastfeeding – Health Canada

To learn more about breastfeeding, call the Health Unit toll-free at 1-866-888-4577 and speak with a Family Health Nurse.

Making an Informed Decision: How to Feed Your Baby

This is one of the most important decisions you will make as a parent. The information on this website will help you make an informed decision. It is important to start breastfeeding shortly after birth as it may be challenging if you decide to start later. Also, if you stop breastfeeding at any time, it may be difficult to restart.

Importance of Breastfeeding

Breast milk, or human milk, is naturally made for babies. It is all that a baby needs for the first six months and continues to be important for up to two years and beyond. Babies can start foods at approximately six months of age.

Birth Control and Breastfeeding

Resources:

10 Great Reasons to Breastfeed Your Baby – Public Health Agency of Canada

For more information about feeding your baby, contact a Family Health Nurse at the Health Unit toll-free at 1-866-888-4577.

Nutrition

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Injury Prevention

Preventing Injuries

Injuries are one of the leading causes of hospitalization and death of young children. In many cases, these injuries could have been prevented.

To learn more about keeping children safe, call the Health Unit at 1-866-888-4577 or visit one of the websites listed below.

Resources:

Immunization

Immunization (Vaccination)

Immunizing babies and young children protects them from diseases such as measles, mumps and rubella.

Students in schools are required to be immunized against tetanus, diphtheria, polio, measles, mumps and rubella. In 1990, the Ontario government passed a law called the “Immunization of School Pupils Act” (ISPA). This Act requires health units to collect and maintain the immunization records of all students attending schools. Health units maintain records of the immunization status of all children.

In the event of an outbreak of one of the designated diseases, unvaccinated children are excluded from school until the Medical Officer of Health is satisfied the outbreak has ended. With appropriate legal documentation, exemptions based on medical, religious, or philosophical reasons are allowed.

If students do not provide an immunization record or legal exemption, they may face suspension from school until documentation of immunization or until the health unit receives the exemption.

Similarly, children attending Child Care Centres/Daycares are required to have their childhood immunizations up to date.

For more information about vaccine-preventable diseases and immunization in Ontario, call the Health Unit at 1-866-888-4577, ext. 1507.

Feeding your Baby

Your Health Unit is here to support you!

Family Health staff can answer any questions you have about feeding your baby. Watch this video to learn about one-on-one Breastfeeding Support available for breastfeeding women.

Call the Health Unit toll-free at 1-866-888-4577 for more details.

Skin-to-Skin

Skin-to-Skin… Important for ALL Babies

The first hours of snuggling skin-to-skin help you and your baby bond and get to know each other. Hold your baby belly-down on your chest or tummy immediately after birth. Keep cuddling skin-to-skin as often as possible in the months after birth. The benefits for bonding and breastfeeding continue long after that. Safe skin-to-skin is also better for babies born prematurely or by Caesarean birth.

Safe skin-to-skin is easy. Here’s how:

  • Take off your baby’s blankets and clothing. Leave diaper on
  • Move clothing away from your chest and tummy
  • Choose a safe sleeping or resting area where you can sit in a semi reclined position
  • Hold your baby, facing you, against your chest and/or tummy
  • Make sure your baby can easily breathe by nose and mouth and can easily lift their head and turn from side to side
  • Make sure baby’s arms are not curled under his/her body
  • You can put a blanket over you and your baby
  • Enjoy the closeness and bonding with your baby

If you haven’t held your baby skin-to-skin yet, start now! It’s not too late.

Benefits of Holding your Baby Skin-to-Skin

Babies:

  • Breastfeed better
  • Cry less and are calmer
  • Stay warmer
  • Enjoy more comfort from you
  • Have better blood sugar levels
  • Are protected by some of your good bacteria

Mothers:

  • Breastfeed more easily
  • Learn when your baby is getting hungry
  • Bond more with your baby
  • Gain confidence and satisfaction caring for your baby

Breastfeeding:

  • Your baby is more likely to have a successful first breastfeed
  • Your baby may breastfeed sooner and longer
  • You will make more breast milk
  • Helps your baby breastfeed when sleepy

Families and Skin-to-skin: Your family members can also spend skin-to-skin time with your baby. If you have a partner, plan safe skin-to-skin time together with your baby. It’s a great way for you and your partner to spend time together and bond with your baby.

To learn more, call the Health Unit at 1-866-888-4577 and speak with a Healthy Families nurse.

Managing Your Child’s Pain During Immunization

Immunizations protect your child from serious disease, but they can also cause discomfort. This can cause stress and anxiety for some children and their parents, who may then delay or avoid vaccinations. This then means that those children are not protected from serious diseases.

Parents play an important role in supporting their children during immunizations. Below are some tips you can use to help reduce the stress, anxiety and pain when it comes to immunizations in children under the age of three years.

What you can do:

Breastfeed your child

  • If you are breastfeeding your baby, start to breastfeed your baby before vaccination. Make sure you have a good latch. Then continue breastfeeding during and after the vaccination.
  • Breastfeeding during vaccination is safe for babies, even newborns. There is no evidence that babies will choke or associate their mother with pain.

Hold your child

  • Position your child upright and hold your child close before, during and after the needle. This helps your child to feel secure and to stay still.
What you can give

Topical anesthetic

  • In Canada, you can buy topical anesthetics to reduce the pain from vaccination without a prescription: EMLATM (lidocaine-prilocaine), AmetopTM (tetracaine), or MaxileneTM (lidocaine).
  • They are safe for babies, even newborns.
  • Apply them at home or at the clinic before vaccination. For more information about numbing creams and patches for immunizations. Click Here for More Information

For more tips on reducing the pain of immunization for children, call the Health Unit at 1-866-888-4577, ext. 5003 and speak with one of our Healthy Families nurses.

Suspension of Students Under ISPA

Why First Notices of Suspension are Sent

  • Students are considered ‘overdue’ for a vaccine due to a timing issue (E.g. the interval between immunization doses is incorrect; a child received a vaccine prior to the age of eligibility).
  • Students may have received all the required vaccines from their health care provider, but these records have not been provided to the Health Unit.
  • Students are missing one of the required vaccines and need to be immunized (NOTE: Students may be exempted from vaccination for medical reasons, or by giving a sworn affidavit that it is against their conscience or religious belief. Contact the Health Unit for details).

What to Do

  • Immunization protects students from many serious diseases that can easily be spread. Be sure your student is protected. Vaccines are proven to be safe and effective.
  • Check your student’s immunization record to be sure it is up-to-date.
  • If uncertain, contact your health care provider or the Health Unit to ensure your student has all the vaccines needed to attend school. If your student has followed recommendations in Ontario’s Routine Immunization Schedule, no further vaccines will be required at this time.
  • If a vaccine is missing, you will need to make arrangements with your health care provider or the Health Unit to have your student receive the required vaccines. It is the responsibility of parents/caregivers to provide proof of immunization (or a valid exemption) for students to the local Health Unit.

To learn more, contact the Health Unit at 1-866-888-4577, ext. 1507

School-Based Immunization Program

School Immunization Clinics

The Health Unit offers immunization clinics at your child’s school for the following free vaccines:

  • Hepatitis B – Grade 7 students
  • Meningococcal vaccine – Grade 7 students
  • HPV vaccine – Grade 7 students and Grade 8 girls

Did your child missed the school immunization clinic? You have two options:

  • Any vaccine that was missed by your child can now be offered the next time Health Unit nurses visit your child’s school to provide immunizations.
  • Call the Health Unit toll-free at 1-866-888-4577, ext. 1507 to book an appointment at an upcoming catch-up immunization clinic organized at a Health Unit office near you.

To learn more about school immunization clinics, call us at 1-866-888-4577, ext. 1507.

Helmet Safety

Use your head!

Wear an age-appropriate, proper-fitting helmet when cycling, rollerblading, skateboarding, sledding, skating, skiing or snowboarding.

Did You Know? According to Parachute Canada, the human skull is just 1 cm thick. The correct, properly-fitted helmet helps protect your brain by absorbing the force from a crash or a fall, dramatically decreasing the risk of serious injury like a concussion.

In Ontario, it’s the law that children and youth under age 18 must wear a helmet when cycling. Parents and adults should also wear a helmet and be good role models.

Choosing the Right Helmet

  • Follow the 2V1 Rule to ensure a helmet fits right
    • The helmet should cover the top of the forehead and should rest about two fingers’ width above the eyebrows.
    • Side straps should fit snugly around each ear in a “V” shape.
    • Buckles on the side strap should fit right under the ear. Buckle the chin strap. Tighten it until you can fit only one finger between the strap and your chin.
    • Check the helmet fit every time
  • Look for helmets that carry a sticker from a recognized safety standard group like Canadian Standards Association (CSA), American National Standards Institute (ANSI) or Snell Memorial Foundation (SNELL).
  • Replace a helmet if it’s older than five years, has cracks/dents/damage, or has been in a fall or crash.
  • Only Use helmets designed for your sport/activity.
Additional Resources

Daycares

Day nursery operators and staff play a key role in the health of children in their care. The HKPR District Health Unit works with staff and parents to help keep children healthy.

For more information, contact the Health Unit toll-free at 1-866-888-4577.

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