All About Kick Counting – PediaCast 111

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Interview Edition

Dr Diep Nguyen joins us today to talk about Kick Counting.
No, it's not a new fitness program… Kick Counting is a simple
non-invasive way to monitor the health of your unborn baby.

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Transcription

Announcer 1: Bandwidth for PediaCast is provided by Nationwide Children's Hospital, for every child for every reason.

[Music]

Announcer 2: Welcome to PediaCast, a pediatric broadcast for parents. And now, direct from Birdhouse Studios, here's your host, Dr. Mike.

Dr. Mike Patrick: Hello, everyone and welcome to PediaCast, a pediatric podcast for moms and dads. This is Dr. Mike coming to you from Birdhouse Studios. I'd like to welcome everyone to the program. I'm really excited about this one. I mentioned at the end of our last show that Dr. Diep Nguyen is going to stop by. She's an obstetrician gynecologist that's based in Los Angeles and she is the founder of the Baby Kick Foundation. And she's going to stop by to talk about how you can count kicks to monitor the health of your baby during the third trimester of pregnancy.

0:01:18

Now I'm really excited about this one. I think you probably figured that out. So why, why am I so excited about a pregnancy topic on a pediatric podcast? Well, the reason is because this can really – what we're going to talk about make a big difference for babies.

Let me put it to you this way. SIDS, or sudden infant death syndrome, has always been a big concern and a big problem. But there was definitely a dramatic decrease in the number of babies who died from SIDS after the back-to-sleep campaign of the late 80s and early 90s.

So once we figured out that babies who slept on their bellies had a much higher risk of dying from SIDS and we encourage moms to put babies to bed on their backs.

0:02:08

Really, within a couple of year's time, there was just this dramatic decrease in which still exists today in a number of babies who died from sudden infant death syndrome. And I think the same thing can really apply to what we're going to talk about today when Dr. Nguyen comes by. And the reason for that is because there are a lot of babies who die in utero or inside mom and then are a stillbirth who did give some warning signs that there was a problem before they passed away. And if we can figure out a way for moms to be able to monitor the health and well-being of their babies during the third trimester that if there are some early warning signs that hey, there's a problem and you can get that baby delivered before they die because of the problem, obviously, that's going to be a good thing and it's going to end up saving the babies lives who otherwise would have been stillborn.

0:03:06

So this is something that's important and Dr. Nguyen is going to come by and talk to us about you go about counting kicks, when you do it, how you do it, what number of kicks over what period of time. We're going to go through all of that coming up here in a little while.

I also want to mention right here at the beginning of the program, in case you get busy, you listen to part of it. There is a reason to stick with it through the entire interview. And that's because Dr.& Nguyen does have access to this cool little device that helps parents count kicks.

So this basically, this little electronic device, it's really cool. You pushed a button when the baby kicks. You do it at the same time every day. And once you get to the right number of kicks over the right period of time, it lets you know hey, you're good for today. So just a way to help you sort of keep track of things especially when your lives are busy enough and it's hard to remember to do things. So this makes it kind of fun to do.

0:04:04

It also helps count down the pregnancy and also times — the amount of time between contractions once labor gets going. So it's a cool little device.

Now don't get me wrong this is not an infomercial. We're not trying to sell as many of these devices as we can in the next half hour. Now if you call now, you know, none of that. It's just if you want some help doing this, this is one way to do it. Another way is to download a kick counting chart. And we're going to put a link to that in the Show Notes as well. So it's not about selling the product but if you are interested in buying this product, Dr. Nguyen is going to let you know in the course of the program how you can go about getting a 15% discount on her website.

Alright, so don't forget the information presented in PediaCast is for general education purposes only. We do not diagnose medical conditions or formulate treatment plans for a specific individual. So if you have a concern about your child's health, call you doctor and arrange a face-to-face interview and hands-on physical examination.

0:05:06

Also your use of this audio program is subject to PediaCast Terms of Use agreement which you can find at pediacast.org. And with that in mind, we will be back with Dr. Nguyen to talk about counting kicks right after this.

[Music]

Once every 20 minutes, a baby is lost in the US to stillbirth, the least talked pregnancy complication. In an effort to reduce the frequency of stillbirth, the American College of Obstetricians and Gynecologists recommends expectant moms to note the time it takes their baby to complete 10 movements at approximately the same time each day when the baby is typically active.

0:06:08

Los Angeles-based obstetrician Diep Nguyen is on a mission to create awareness and drastically reduce stillbirth by teaching expectant moms how to monitor their baby's movement. For Dr. Nguyen, this is a labor of love having lost one sister to stillbirth and seeing another sister narrowly avoiding a similar tragedy of her own. Dr. Nguyen established the Baby Kick foundation to promote healthy pregnancies and to prevent stillbirth through awareness, education and advocacy of kick counting. Today, she joins us to talk more about counting kicks and preventing stillbirths. So please join me in extending a warm welcome to our guest, Dr. Diep Nguyen. Welcome to PediaCast!

Dr. Diep Nguyen: Good afternoon, Dr. Mike. How are you?

Dr. Mike Patrick: I am doing great. Thanks for stopping by and talking to us. The first thing that occurred to me when I started to look into this was that was the statistics, stillbirths occur every 20 minutes in the US. That number surprised me.

0:07:04

Dr. Diep Nguyen: Yes. Stillbirth is one of the least talked about complication of pregnancy and is actually a case for 70 babies lives a day in the United States compared to 10 for the Asians and a year of 26,000 women going home empty-handed and there about 4 million in the world who share the same fate. And it is quite a significant number that we have not been talking about and thank you so much for bringing it up to the public attention, Dr. Mike.

Dr. Mike Patrick: Oh, oh my pleasure. I mean it's one of those things where if you can prevent it, obviously that's what you want to do. And so through the really paying attention to the fetal movements, that is an important part of preventing stillbirth, right?

Dr. Diep Nguyen: That's correct. And that is a big movement now in the United States and it is coming and it's supported by a national organization such as the First Candle as well as the Heinz Foundation.

0:08:09

And we are working on a nationwide public health awareness for stillbirth called CountTheKicks.org. And it's coming across United States and there will be a public service announcement made by football players and others public officials that's going to help our cause to bring attention of stillbirth to the American population without causing fear, anxiety. And actually we'll be able to start awareness; we'll be able to decrease the stillbirth rate in the United States to at least half in the next — within the next decade. And so similar thing what we did with the SIDS back 15 years ago.

Dr. Mike Patrick: Great, great. Now that's just a great initiative to really draw up awareness for this. So how does this work really? Like how often are babies suppose to kick? How do parents go about sort of monitoring fetal movements? How does that happen?

0:09:06

Dr. Diep Nguyen: Yes, the fetal movement is one of the best indicators of the baby's health before birth especially during the time, the 2 to 4 weeks that the mom is not seeing the doctor. This is a great way to monitor the baby.

And the baby should move at least 10 times in two hours during the time of the day when the baby is most active because the baby have sleep lifecycle during the day. We recommend that you shouldn't be counting the baby's movement except when the baby is usually most active. They'll be usually seen active during the evening, the afternoon or the morning. It depends on the mom and the baby.

And most babies actually do not take two hours to do 10 movement. Most of them will only do take only about 5 to 10, 15 minutes to do so. So once you established the pattern of your baby from day to day, you keep doing the same thing, and your baby usually takes five minutes a day to do 10 movements. It should be like that from 24 weeks when the — if you have a high-risk pregnancy. And starting at 28 weeks when you have a normal pregnancy all the way until the delivery of the baby. That time should not change and if it should change or taking longer than two hours to do 10 movements, you should alert your doctor.

0:10:21

And one of the most important things we could say is actually do not wait. If you know the baby's baseline and you know their sleep cycle and you do just the same thing everyday if it doesn't change. You are the best person to know, not the doctor, not the machine at the hospital. It is mom or dad who's been doing this every day. And that's the most important key that we want moms to understand.

Dr. Mike Patrick: Sure, sure.

Dr. Diep Nguyen: Because we can see movement are associated with pregnancy complications such as undetected baby growth problems or if it is a fluid problem, there's not enough fluid. Or in some cases, preterm contractions mom will be able to detect using simple method called kick counting.

Dr. Mike Patrick: Okay. So let me just make sure I have this straight. So basically once a mom gets to be, what did we say, how far along in the pregnancy?

0:11:14

Dr. Diep Nguyen: 24 weeks if you're a high risk pregnancy and 28 weeks if you have regular, normal pregnancy.

Dr. Mike Patrick: Okay. So 24 to 28 weeks, moms start to really pay attention to what time of the day the baby's the most active. And then just starts counting how long it takes to make 10 movements that same time each day?

Dr. Diep Nguyen: Correct.

Dr. Mike Patrick: And you want that to be within two hours, but most babies are going to do it much quicker than that. And I guess the other important thing to them is you sort of get a feel for what's normal for your baby. So any change from that would also cause a little concern even if it's still within the parameters?

Dr. Diep Nguyen: That's correct. For example, if your baby usually takes five minutes to do 10 movements, all of a sudden now today, it's taking 35 minutes to do that 10 movements. What you can do is you can repeat it. For example, takes some fluid, some juices or walk around for a few minutes and redo it again, do the 10 counting. Most of the time, the baby moves well again.

0:12:16

But if the baby is not the doing that like the way it usually is, you should take notice of that and notify the labor delivery ward or the doctors. And when you have a record of how the baby is doing by writing it down everyday, the doctors and the nurses will take a look at that record and say, you know, you're not just panicking. You actually are tracking this baby and actually gives you the credibility that you've been following this baby and you're just not anxious about it or just be scared and also it gives you the confidence that you know everyday the baby is doing the same thing. You know that the baby's doing okay without being fearful everyday is my baby okay or not. So it works both ways.

Dr. Mike Patrick: Right, right. Now this is going to sound like a silly question. But it's because I'm a guy. I've never been pregnant. [Laughs] And I imagine that moms to be who – it's their first time pregnancy; they're going to have this same question as well. And the moms out there who have been pregnant and have babies are going to kind of roll their eyes.

0:13:19

But how do you go about doing this? I mean how do you tell what's a kick or what's not a kick? What's the best way to go about counting kicks?

Dr. Diep Nguyen: And that's a good question. When we say kick, we don't really mean kick counting. We really mean fetal movement counting. What we really want to say is you count all movement including kicks, jabs, moves, twists, turns. But we do not count hiccups. So any of those movements, when you put your hand. So let's say if you sit in a comfortable position or lying position at the time usually when the baby is most active. Just take your hand or your partner's hand; put it on the belly and you actually, you can feel the baby's movement. And then you start timing at the first movement that you feel. And then do 10 movements and look at the clock and see how long did it take.

0:14:11

And the ability for you to feel the baby depends very much on the thickness of your abdominal wall, as well as the location of your placenta. If your placenta's in front, it's a little bit harder to feel than if the placenta's in the back. And also your sensitivity to the movement. First-time mom may not feel as much as a mom who had several kids, for example, or vice versa. And then you can just jot down the time from the baby's first movement and the time of the 10th movement. And that's what you would do everyday.

Dr. Mike Patrick: Now why do, why don't hiccups count?

Dr. Diep Nguyen: Because it's – you want to know that it's the baby's voluntary movement meaning the baby actually make that movement rather than hiccup is just a reaction, just a reflex. You don't want to do that. You want to see how the baby is actually extend an arm or a leg or push up from the body rather than just a stomach going up and down because the hiccup, just like when we do it, we don't really control that. When if you make a movement, the baby actually is doing that movement. So it's more so sensitive to the baby's health.

0:15:16

Dr. Mike Patrick: And then something else I found interesting. Dad can get involved, right?

Dr. Diep Nguyen: Yes, dads, sometimes – a lot of times, we see that in the office and they feel pretty helpless. Moms, they're asking questions and dad kind of feel left out. This is the time when dad actually tell mom saying, you know honey, it is time for us to do that. And so both can put their hands on the abdomen and they can feel the movement together.

And this is a great time when mom and dad together can say this is the time when we dedicate it to this baby, whatever it will be, 5, 10, 15 minutes. And that tradition can continue after the baby is born. So it's got to into a good tradition and some of the kids around the house for example can do the same thing and it become almost family activity and say this is our family time.

0:16:04

And some of the family have used this to do that and so dad feels much more involved and just feels like he's contributed to the health of the baby and both of them or the whole family is actually being proactive in providing a safe and a healthy baby. And that it's just not a topic of pregnancy, not a passive event but it is an event that they do everything possible, eat the right food, drink the right juices. And now you can do, make sure everybody, make sure that they do move the same everyday. And this become a whole family activity and that it become a very positive experience for our patient.

Dr. Mike Patrick: Right. Now you also talked about trying to make the public aware about this but without causing anxiety. You know, you can certainly see this causing more anxiety for some moms. Now I've got to count the number of kicks, you know what I mean and then if I forget then the anxiety of that I forgot, then – that sort of thing.

0:17:04

Dr. Diep Nguyen: Yes, like I said sometimes, a little [XX_0:17:06] good, but also there've been study, studies have been done to say wow, this is a big fear that if we did this, mom's going to come in, everybody's come in and that will be an increased amount of love coming in and labor delivery for this. And in Norway actually, they have done this study in the last two years and they have made great strides for public awareness of the importance of increased fetal movement and then actually have decreased the stillbirth rate by half. And as a matter of fact, they anticipated that the labor delivery would be full of mom coming in complaining of decreased fetal movement and actually is not. And the reason is we think it's not is because the education goes along with the campaign meaning that there's nothing worse than mom hearing somebody said something about kick counting and they start counting the incorrect way meaning counting when the baby's sleeping, panicking and going to the hospital. Or counting for two hours which is like a hundreds of count. That's not what we mean.

0:18:06

Once the mom understands how to do it correctly, and we usually advice to use the American College OB/GYN way of doing it which is do it once a day when the baby is most active, just count 10 movements, that's all. And I tell the patient, you know the baby has 10 fingers, 10 toes, 10 movements that's all you can remember, that's all you need to remember. And with that and you know how to do it every day, actually it gives you confidence and actually lessens the anxiety because you know when then that baby does that 10 movements that same amount of time every day, you know you've done your work and that you know that once you have that on the record, you showed your doctor, your doctors also know that the baby's been doing okay.

Because of the studies that have at stillbirth and explain stillbirth which means we don't understand why the baby had died. They find that half of those, more than half of these patients actually they have undetected growth restriction, meaning the baby has not been growing well. And the only way that the baby could have been detected most likely would be the way the baby had somewhat changed its movement pattern because it's less than before.

0:19:17

At the recent standard – sorry, a recent study at Harvard Medical School, they take 500 mothers who complain just coming, complain of decreased movement. And of those mom, they had fourfold increase of stillbirth in those moms, just walking in the street complaining of that. And so the recommendation from the Harvard Medical School from Dr. Ruth Fretts, a group in the fetal movement assessment trial, had determined that the moms need to be educated about the importance of decreased fetal movement. The doctors and the providers needs to be educated by the importance of decreased fetal movement and actually pass that information on to the mothers and as well as to do sometimes a growth assessment of the baby by either ultrasound of the mother, a way to make sure that the baby is growing well when mom come in with a well-documented complain of decreased fetal movement.

0:20:18

Dr. Mike Patrick: Right. If this had been well-publicized when my wife was pregnant with our two kids, she would have counted more than once a day. [Laughter] I don't mean that in a mean way, but I can certainly see some people becoming sort of obsessive-compulsive about doing it.

Dr. Diep Nguyen: Yes, and you know – and the thing is because we say do it when baby is most active, some mom will say that I think my baby is actually most active twice a day. And we say it's okay, it's okay to do that too. But it's not okay to do it every moment of the day then you'll be scared. But once moms get used to past the time and usually and they can get to that pattern. But some moms will count many times and we just try do as much education as we can. But some moms actually say I do feel the baby move twice a day when it's really, really active. And we say it's okay to do that to if you'd like to, but as long as you know the baseline so that you compare from day to day, that I think is the most important thing.

0:21:22

Dr. Mike Patrick: Great, right. And then so you'll be able to tell – I mean the guidelines are you want 10 movements within two hours, but really even more important than that is knowing what you are baby's normal pattern is. And if there's a deviation from that pattern, making sure you let someone know right away.

Dr. Diep Nguyen: That's correct. And another important that came out from this Harvard study also is that let's say if the baby is usually taking 3 minutes to do the 10 movements and gradually in the next couple of days, it's taking longer and longer. And then you come to the labor delivery, get it check out, the machine looks good, the doctor say you're doing great, go home. You go home and if you feel the same way, the baby doesn't feel as usual for you, you need to come back.

0:22:08

And what we have found that 10% of those testings that we do on the machine are actually wrong. So negative, we send the patient home, the patient comes back with a very bad events. So then what we advice patients to do is even if we sent you home, two things you need to do: one is that keep close follow-up with your provider. And number two that if you continue to feel decreased movement, don't ignore it. And say look, I know what you told me. I came home, but this is how I feel.

And if you'd be a term, there's no reason to keep that baby in there, for example, or if you are like postdate, meaning past the due date, discuss with your doctor. Look at the fluid, look at everything and you'd be fine along with your doctor what the timing of the delivery is and look at your risk factors. Some of the risk factors that when we look at the patient when they come into labor delivery, a person who has no risk factors at all is different from somebody who, for example, some of the risk factors for stillbirth include obesity, smoking, history of complications with pregnancies before like stillbirth, medical complications, postdate, history of coming in before for decreased fetal movement.

0:23:21

African American heritage, probably that will be twofold increase in stillbirth risk. We still don't know exactly what's causing all that and we need more research in this country in order to determine exactly what all this risk factors mean or history of infertility, for example. So we like at a patient as a whole and rather than just decreasing one is one of those risk that we take a look together.

Dr. Mike Patrick: Right. Now there's really neat device called the Kick Track that can help moms keep track of baby movements. Can you talk a little bit about that?

Dr. Diep Nguyen: Yes. I am – many years ago, my mom had the stillbirth and my sister after 10 years infertility had a near miss with stillbirth. It could have ended up in a stillbirth at about 36 or so weeks. And after that near miss with my sister, I determined to look into the literature and I find out what are some of the things that patients can do and why a patient not doing it. We have the kick count available for the last 40 years and why are they not doing that.

0:24:29

And just talking to my last patient in the last five years or so, one of the things they said is that I was supposed to do the kick chart but sometimes I don't know where I put my paper, I forget or things like that. And so what we did take you to do this consistently every day, and the answer is that if you have something that kind of the digital or something like that I can do it for me, I probably would be more compliant with it. So there came the Kick Track.

We develop the kick track which is a non-invasive handheld device which basically digitalized the kick count chart. So basically moms just have to push a button and it will store and we call – and recall the most recent kick counting session so that way, the mom can see how long does it take without having to write stick figures on the and looking at the clock for the time.

0:25:14

And also then they'll have a record that they can show to the doctor or their providers and take a look at that and for themselves to the see how the baby's been doing for themselves. And also, it countdown which patients like from the very beginning of the pregnancy at 6 to 8 weeks once they entered that date, their pregnancy date. They continue to count up the pregnancy weeks and days and that the end of the pregnancy countdown, how many days is left as well as at the end of the pregnancy, they can view that for counting or timing of the contractions and it's bilingual. And so that's some of the features that you just basically, you don't really need it but if you're not the type that can write everything down and can't remember, then that serve an option that some patients use to have so that they can make it easier.

And that becomes a thing to do with the whole family and some of the kids actually liked it because you count up to 10 it will just sound and say you're done and it sings this song and then the baby – the kids n the house say there you go. I want to hear that today and that becomes a fun thing for the family. So that what has been happening.

0:26:16

Dr. Mike Patrick: And excellent baby shower gift.

Dr. Diep Nguyen: Well, you know moms tend to like it because they can early – use very early on at about 6 to 8 weeks and during the second trimester past, when they start – second and third trimester, they start counting the fetal movement and at the end, do the job of all trimester pregnancy.

Dr. Mike Patrick: So it will keep track of baby movements. So when you feel the baby move, you push the button and then it'll keep track of how many and then what period of time. And then you also said it also sets the progress of the pregnancy. And then also, you can time the intervals between contractions when labor begins.

Dr. Nguyen That's correct. You can look at the clock because it's a timer. It can do that for you too. And that's how it is for patients how you can use that if you want. But the most important feature is the kick counting feature that a mom can use. And it's an electronic record for the mom and for the providers.

0:27:19

Dr. Mike Patrick: And then it's in English and Spanish as well?

Dr. Diep Nguyen: Correct. That is in English and Spanish. And it can be passed on to friends and after you finish using that so it's important to a life potentially decrease the risk of pregnancy and we actually have programs so we're handing out to high school students and some inner-city groups and stuff like that so patients can use and reuse as a library and some hospitals are doing that too so that whatever we can do to decrease the risk of stillbirth and some can use the kick count track fine but others want something different. So this is something just an option.

Dr. Mike Patrick: You know who needs to know about this is Cat Schwartz. She's like the mommy-type guru and she goes around to like the Today's show and she brings gadgets and things on. She's been on our show before and I think it's Hightechmommy.com. And I think she would love this. This is right up her alley. [Laughs]

0:28:22

Dr. Diep Nguyen: What's her name again, Dr. Mike?

Dr. Mike Patrick: It's Cat, Cat, as Cat Schwartz.

Dr. Diep Nguyen: Oh, wow. Okay.

Dr. Mike Patrick: She would love this, she would. So if people are interested in purchasing a Kick Track, where can they go to get that?

Dr. Diep Nguyen: They could go to our website at www.babykick.com to purchase and the price is $39.95. But just put Dr. Mike on there and you get a coupon for 15%. I think that's a good thing. Help people to do that and I just want to mention that part of our proceeds go to our Baby Kick foundation as well, firstcandle.org as well as the mythsfoundation.org and these organizations are working towards increased awareness in stillbirth, as well as looking nationwide and internationally to decrease stillbirth around the world.

0:29:20

Great, great. Well that's always great when a portion of it goes to a good cause. So in the Show Notes, we'll have links babykicks.com and the babykickalliance.org. And then also, we have some other resources for parents too. If you're not into the electronic gadgets and you just want a kick counting chart, you have one of those available as well, right?

Dr. Diep Nguyen: Correct. If you just go to the www.babykickalliance.org, there will be kick count chart downloadable for you. You can do it for all the weeks and this is a chart that many hospitals around the world have adopted and use it for that one hospitals. So it is a very easy to use chart and you can just go ahead and download it and it's in Spanish and English as well.

0:30:10

Dr. Mike Patrick: Excellent. Well, great. Well, we really appreciate you stopping by and talking to us. And as we have, maybe you can become our pregnancy guru.

Dr. Diep Nguyen: Absolutely, yes.

Dr. Mike Patrick: We'd love to have to you back in the show if we have some pregnancy questions.

Dr. Diep Nguyen: Well, anytime. And as a matter of fact, I just want to mention also that we have a www.babykick.blogspot.com which is our Blogspot. And in there, we have important information about healthy pregnancy. For example, infection prevention and a recommendation from the CDC, the Center for Disease Control and different organizations about group B strep and other important information. If you just log on to our Blogspot, you can get information about that, to keep that pregnancy safe and healthy.

Dr. Mike Patrick: Great, great. For any of you out there who are expecting another great podcast, another good resource is the Pregtastic podcast. Have you heard of that, Dr. Nguyen?

Dr. Diep Nguyen: Which one is that Dr. Mike?

Dr. Mike Patrick: It's called Pregtastic.

0:31:13

Dr. Diep Nguyen: No, no, no.

Dr. Mike Patrick: It's a roundtable discussion with women who are in various stages of pregnancy. And they just get together once a week and they talk about – they oftentimes will have guests on. I've actually been on that show before. And they'll have guests on, OB/GYN specialists, nutritionists, breast-feeding people. And just basically a roundtable discussion and each of the women that are on the roundtable are in a different stage of pregnancy. It's called Pregtastic. It's a really good show.

Dr. Diep Nguyen: Oh, thank you so much. I learned so much from you today from all these resources.

Dr. Mike Patrick: And we're learning from you too.

Dr. Diep Nguyen: That is so great.

Dr. Mike Patrick: Alright. Well, thanks again. We really appreciate you stopping by.

Dr. Diep Nguyen: Thank you, Dr. Mike.

[Music]

0:32:36

Dr. Mike Patrick: Alright. I'd like to thank Nationwide Children's Hospital for providing the bandwidth for our program today. Also, thanks go out to Dr. Diep Nguyen for stopping by and talking to us about counting kicks. Always appreciated. Also Vlad over vladstudio.com for providing the artwork for the website and the feed and of course, a big huge thanks to all of you for taking some time out of your day to join us and to be a part of the program.

Don't forget, if there's a topic that you would like us to discuss, it's really easy to get a hold of us. Just go to PediaCast.org and click on the Contact link. You can get a hold of me that way. Or you can email PediaCast@gmail.com, that's another way. Or call the voice line at 347-404-KIDS. It's beginning to look a lot like Christmas. Okay, I know, I know.
0:33:26

Valentine's Day has come and gone and spring and Easter are around the corner. But we have snow, finally here in Central Ohio. And as it turns out, our Christmas Tree, it's still standing. [Laughter] Look, it'd be down if I didn't have a full-time job and family duties and the kids are both in place and productions and life hectic and there's this little podcast to contend with. So I'm embarrassed to say that our Christmas tree is still standing. And my wife even turns it on at night. I don't know, it's a little embarrassing. There's more on the blog with pictures of the snow and our Christmas tree which is still standing even though it's almost March. So check that out on the blog at pediascribe.com. You'll also find a link in the Show Notes to that.

0:34:18

Don't forget the Kick Track is available at Babykick.com for $39.99 regularly, but you do get a 15% discount if you put Dr. Mike in as the coupon code. I've never been a coupon code before but that's kind of cool. If you are not expecting, don't forget, this makes a great gift, I think, at a baby shower. And the whole idea here is to save a baby's life. I mean really, that's the reason for this. And remember, part of the proceeds even go to charity. So no one's making millions off this Baby Kick thing. It's really all about monitoring the babies at home and hopefully, preventing stillbirths. So make sure you visit Babykick.com. Support them. And again, if you're not expecting, still, it's a great gift idea. So think about that.

0:35:05

Alright. I hope everybody has a great weekend and we'll meet again on the other side. Until then, this is Dr. Mike saying, "Stay safe, stay healthy and stay involved with your kids. So long everybody.

[Music]

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