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The role of the Registered Nurse or Newborn Care Provider is to feed, soothe, bathe, change & provide all other gentle care to baby through the night.

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Pregnancy and Postpartum Resources during COVID19

Since this was first written, we’ve taken to calling it “COVID” instead of coronavirus and have updated as needed. The information remains the same however and Pregnancy and Postpartum Resources during COVID19 includes evidence-based information for expecting and new parents. We will continue to provide information from primary sources on our Facebook and Twitter feeds and we recommend these sites for continued updates:

Last updated Jan 25, 2022 / updated, July 21, 2021 / dated Dec 28, 2020

Pregnancy and Postpartum Resources during COVID19

  • CDC – up to date Pregnancy & Breastfeeding Resources during Covid19
  • American College of Obstetricians and Gynecologists – vaccine and general info
  • The Lancet – Clinical studies regarding Covid19 and Pregnancy 
  • The Mayo Clinic’s  Updates
  • Baystate’s COVID19 Vaccine Decision Aid for Pregnant & Breastfeeding Individuals – click infographic for the full decision aid
  • Contact your birthing center or hospital for specific protocols in those facilities.
  • Baystate’s COVID19 Vaccine Decision Aid 
  • ***

    A message from Denise Stern, CEO of Let Mommy Sleep:

    Hello Families and thank you as always for allowing us to help and be part of your postpartum community. I’m touching in today to share what Let Mommy Sleep does on a nightly basis to prioritize the health and safety of our families and staff and to share evidence-based coronavirus information for pregnant and postpartum parents.

    Safety Practices

    Below are the same practices our Nurses and Newborn Care Providers follow on a nightly basis when and I hope that brings everyone a sense of comfort during this uncertain time. 

    • Handwashing upon arrival to your home and throughout the night.
    • Caregivers work with only 1 family at a time.
    • We are quarantining (10 days minimum) between cases
    • Mask wearing
    • All staff has received yearly flu shots as well as: updated Tdap (Tetanus, Diptheria, Pertussis), MMR (Measles, Mumps Rubella) and Hepatitis B.  While these vaccinations do not directly protect against the coronavirus they help keep staff and families protected against other yearly illnesses that decrease immune responses.
    • Caregivers haven’t travelled to any affected areas within the last several months.
    • As always, if caregivers have even a suspicion of illness they will not go into your home. 

    All this being said, we want to be realistic about the chance that there may be service interruptions. Our main goal is always to keep staff, families and newborns safe.  At this time we have zero exposure and no reason to expect any interruption. However, as this is an unprecedented situation, we want to manage expectations as best we can.  We will do our very best to maintain continuity of care and keep in communication. You can contact us anytime with questions or comments.

    Update to the above message, July 2021– Now that our staff have all received both vaccines we are lifting quarantine restrictions between cases and newborn caregivers may work with more than one family at a time. 

    Pregnancy and Postpartum Resources during the Coronavirus Outbreak
    Pregnancy and Postpartum Resources during the Coronavirus Outbreak

    Newborn and Postpartum Care Credential Now Available!

    The Newborn & Postpartum Care Credential Now Available to CNA’s in Virginia.

    If you are a CNA and would like to stack the Newborn and Postpartum Care credential onto your license, you can do so by attending class on Jan 22 or March 12, 2022.

    Register here!

    Fairfax Co. Virginia is now offering Newborn & Postpartum Care as a licensed program for Certified Nursing Assistants!  

    For the first time, those wishing to work as postpartum doulas and newborn caregivers have a meaningful license through the state of Virginia. CNA’s are able to broaden their credentials to pursue a career track in pediatric care in addition to elder care and home health. Students that complete this program will be able to support brand new parents and their babies in daily care activities, safety, feeding and postpartum/general mental health. 

    If you’re not in Virginia, you can still take our class online and receive a printable Certificate of Completion.

    This license is also important because parents hiring care for their infants now have peace of mind that there’s accountability and governance in the field of newborn care.  As CNA’s are licensed and listed on the Virginia State Board of Nursing, their care history is visible and overseen by the Virginia Department of Health Professions (DPH). Additionally, the CNA license ensures that basic information such as background checks and vaccinations are completed before the license is issued.   

    The Newborn & Postpartum Care Program includes the following classes to become a Licensed Newborn Care Provider:

    • Pediatric CPR & First Aide: The CPR/First Aide program specifically for newborns, infants and children
    • Mental Health Certification Class: This innovative, national certification helps caregivers identify, understand and respond to signs of addictions and mental illnesses.
    • Newborn and Postpartum Care: Evidence-based newborn care, postnatal care and safety using Let Mommy Sleep’s approved training.
    • Strategies for Succeeding in Healthcare:  This class allows individuals to build their careers and move into a wide variety of healthcare positions.

    Learn more or Register here or by clicking below.  We are THRILLED to be part of this positive change for healthcare workers and parents in Virginia!  

    Newborn and Postpartum Care Credential Now Available!
    Newborn and Postpartum Care Certificate Class

    The NoClock Nursing Method

    There’s a LOT of advice about how long and how much a newborn should be breastfeeding so the No Clock Method might sound a little funny. But as Heidi Streufert, RN, BSN and former La Leche League Leader explains: “My best advice to postpartum parents is to throw away the clock at least for the first few weeks. While establishing milk supply, watch the baby’s natural eating and sleeping patterns to emerge.” Heidi explains the NoClock Nursing Method here.

    Why it Matters and How to Make Sure Baby is Feeding Enough

    The NoClock Method works because it focuses on your baby’s cues, not A Schedule. This supports milk supply, ensures adequate feeding frequency, and helps parents learn their baby’s hunger and satiety signals naturally. To assure baby is feeding often enough, rather than thinking in terms of “feeding every __ hours for ____ minutes,” simply make a check mark for each successful latch with sustained rhythmic sucking during a 24 hour period. You can use this chart.

    Additionally research from the American Academy of Pediatrics, La Leche League and many others supports on-demand feeding during the newborn period to help establish milk supply and ensure healthy weight gain.

    The NoClock Nursing Method
    NoClock Method of Breastfeeding

    Each attempt may *realistically* last anywhere from as long as 45 minutes to as short as 5 (yes five!) minutes for an active full term baby. A longer attempt of 45 minutes or so might occur in a dyad where there are repeated latch attempts, or when supply hasn’t yet met demand. This is common in the early days. Shorter attempts at feeding will happen with a good deep latch and adequate supply/fast let-down in mom.

    The key is to allow baby to spontaneously release the breast and burp. Then offer the second breast if baby still interested but there’s no need to worry about “how long” baby was on the breast.

    At a minimum, baby should have 8 such occurrences in a 24 hour period. Some babies will have 10-12 or more of these breastfeeding sessions on any given day. This is perfectly normal, especially when establishing supply or during growth spurts. Labor & Delivery RN Meghan Becker explains:

    NoClock Nursing Method in “Clock” Terms

    Here’s what we mean when we put this in “Clock Terms:”

    1. Babies -newborns especially – typically feed MORE often than every 3 hours throughout the day.
    2. They can often have a slightly longer stretch of sleep between feeds overnight.
    3. Either way, a pattern will emerge in the first two weeks that can be made into the ‘routine’ once supply is well-established.

    Baby’s urine and stool output will be the guide if you’re wondering if your newborn is eating enough. You can see a wet and soiled diaper chart and answer the question, how big is a newborn’s stomach here. This can again be a simple check mark at each diaper change. We have a NoClockLog above, but any piece of paper will do- too much focus on exact recording isn’t needed! 

    NoClock Nursing Method – Breastfeeding to Sleep

    When parents ask me if it’s okay to let their baby fall asleep at the breast, I usually respond, “I dare you to try to keep them awake!” says Heidi, RN.

    “But, seriously, I typically tell them that newborns will fall asleep while breastfeeding. Not only is this okay, but parents will soon discover that the breast is a wonderful tool. Nursing is so much more than a way to feed our babies!”  

    There are parents who are concerned that nursing to sleep will set the baby up with “bad habits.” Don’t worry- the only rule is just that nursing should not serve as the only tool for putting baby to sleep.  Just as the pacifier, rocking or sleeping in the car should not be the only ways baby knows to go to sleep.

    Shouldn’t We Have a Routine?

    Sometimes baby falls asleep at the breast, but sometimes baby nurses, plays a little while, then has a bath. Then they get a swaddle, or parents sing, rock, or walk baby to sleep.  Sometimes the baby falls asleep traveling in the car (no one EVER seems to suggest that THIS is a problem!). Sometimes your baby will slip off to sleep while you’re holding them and other times the crib.  The key is flexibility.  This sets baby up to be able to sleep in a variety of situations, rather than always relying on just one association for sleep. So no, parents don’t have to worry about breastfeeding to sleep.

    While establishing a good bedtime routine is important for babies during the first year, being too rigid can lead to its own set of problems. Babies who have a very strict sleep routine may have difficulty with sleep issues later when it’s time to transition to a new bed, sleep on vacation, or take a nap at grandma’s house. Of course they may not either, and we understand needing baby to nap. The point is to ensure your baby isn’t solely dependent on one specific way to go to sleep.

    Written and medically reviewed by Heidi Streufert, RN, BSN, former La Leche League Leader. Reviewed for accuracy by Meghan Becker, RN, Labor & Delivery Nurse.

    Postpartum and Baby Care in the Las Vegas Valley

    updated November 2, 2025 – Social media groups, places of worship and neighborhood message boards help connect parents, but when you need newborn and postpartum support, local expertise matters. That’s where Let Mommy Sleep Las Vegas night doulas come in. We’ve compiled area resources below.

    Las Vegas Night Doula Team headed by Karla, RN

    Postpartum Mental Health Support

    Mood disorders are the most common complication of pregnancy. While roughly 1 in 7 mothers experience postpartum depression or anxiety, fathers and partners can also face challenges. Early intervention is crucial for both parents to ensure recovery and healthy family bonding.

    Local and National Resources

    • Postpartum Support International (Las Vegas Chapter) – Immediate support, referrals, and virtual or in-person groups.
    • NV Statewide Maternal and Child Health Coalition – Offers treatment and support options for all families, using evidence-based practice.
    • National Maternal Mental Health Line (833-TLC-MAMA) – Professional counselors provide real-time support, information, and resources in multiple languages.

    Breastfeeding

    La Leche League International (LLL) is perhaps the most well-known and respected resource for help and support with nursing. Founded in 1956 and consistently updating and adding to their support resources, LLL is truly an excellent means of gaining breastfeeding help.

    La Leche League of Nevada offers weekly support groups and personal, email or phone support to nursing mothers. There is no charge for this support and  anyone can join. Additionally, the local NV chapters follow the national LLL mission of fostering “diversity among its Leaders so as to incorporate a wide variety of perspectives and responsible decision-making.”

    Dignity HealthDignity Health – St. Rose Dominican has breastfeeding support at 6 locations. Lactation staff provides expert guidance, education and personalized support. You can also rent breast pumps or schedule private appointments.

    Newborn Care Classes the Las Vegas Valley

    • Clark County Baby Care Class – Free, 6 session program teaches expectant and new parents care, safety, health and infant development and more, leading to confident prepared parents!
    • In-Home Baby Basics Class – We offer parents, grandparents and other caregivers personal newborn care and safety classes in your home. Taught by RN’s and Certified Newborn Care Providers (NCP) and therefore evidence-based.
    • Nevada211.org lists parenting classes and assistance for expecting and new parents, co-parents, those parenting a child with a disability and child development.
    • Tips for TwinsIn home or virtual planning and support for parents of newborn twins. Support is in 15 minute increments because we know you’re busy!

    Meet the Las Vegas Team

    Karla Pablo, RN, BSN – Owner, Let Mommy Sleep Las Vegas
    Karla and her team of Las Vegas night doulas and maternity nurses are local experts who provide in-home and virtual newborn care support. They help families navigate the first weeks with confidence, whether for overnight care, daytime guidance, or postpartum support.

    “We had an amazing experience with Karla and her team! We needed some extra help and they were there to help! All the providers were great and took such good care of our child. They provided detailed reports of each morning for my wife and I to review. I highly recommend Let Mommy Sleep if you need and extra hand!” – The Lang Family, Google Review

    Google
    Las Vegas Night Doula Team headed by Karla, RN

    How to Swaddle Like a Pro

    There’s a reason why every newborn in the hospital looks like a little burrito! Swaddling is one of the simplest and most effective ways to soothe a newborn and help them sleep better at night. Many parents tell us their baby “doesn’t like” to be swaddled, but in most cases, the wrap just isn’t snug enough. A properly fitted swaddle mimics the secure feeling of being in the womb and helps calm babies who haven’t yet developed control of their arms and legs.

    As Nurse Ashley demonstrates in our video, swaddling like a pro takes only a few tries to master, and the results are worth it. Babies sleep longer and more soundly when they feel snug and contained.

    How to Swaddle Like a Pro

    How to Swaddle Like a Pro by night nurse Ashley
    How to swaddle like a pro!

    Why Swaddling Works
    One reason swaddling is so effective is because it helps calm the Moro reflex, also known as the startle reflex. This is a completely normal, involuntary movement that all newborns have, where their bodies move as if startled. It’s a sign of a healthy nervous system and usually fades by 3 to 4 months of age. However, in the early weeks, the Moro reflex can cause babies to wake themselves up just as they’re falling asleep. A snug, safe swaddle helps limit those jerky movements so baby can stay asleep longer and feel secure, while still allowing the hips and legs to move naturally.

    Safe Swaddling Basics

    • Don’t swaddle the legs – It’s important to wrap only the torso and arms, never the newborn’s legs. Wrapping a baby’s legs down tightly can cause hip dysplasia, a condition where the hip joint doesn’t form properly. As the International Hip Dysplasia Institute states, Avoidance of forced or sustained passive hip extension and adduction in the first few months of life is essential for proper hip development. The American Academy of Pediatrics and also agrees that a safe swaddle allows the hips and legs to bend and move freely.
    • Stop Swaddling when Baby Begins Rolling Over – Stop swaddling when baby begins to show signs of rolling over, which often happens around 2 or 3 months. For some babies, this can happen as early as 8 weeNot too aHotks. Even if your baby still enjoys being wrapped, it becomes unsafe once rolling begins. If your baby frequently breaks out of the swaddle or resists being wrapped, it’s also time to stop.
    • No Weighted Products – Do not use weighted swaddles, weighted sleep sacs or weighted blankets. They can place too much pressure on a baby’s chest and lungs and go against AAP safe sleep guidelines.
    • Not too Hot – Remember a swaddle blanket is another layer of clothing. Keep your home at a comfortable temperature and monitor baby to make sure they’re not getting too hot.

    When to Swaddle and When Not To

    Giving your baby lots of time outside the swaddle is great for their development too! Tummy time, being held facing out or even flat on their back in a safe spot all help strengthen muscles and coordination. Swaddling is for sleep and soothing, not for all-day use.

    Transitioning Out of the Swaddle
    You can help your baby adjust gradually by first leaving one arm out for several nights. Once they’re comfortable, let both arms out while keeping the wrap snug around the torso. After a few nights, you can eliminate the swaddle blanket altogether and transition to a sleep sack or wearable blanket.

    Swaddling Troubleshooting

    If your baby keeps breaking out, the blanket may be too small or loosely wrapped. Try a larger muslin or receiving blanket, or double-wrap using the techniques shown in our video. If your baby seems warm or fussy, make sure the room temperature is between 68–72°F and use a lightweight fabric. Babies who resist the swaddle may be approaching the rolling stage, in which case it’s time to start transitioning.

    In our years of providing overnight newborn care, we’ve seen how proper swaddling helps reduce overstimulation and promote restful sleep. A snug, safe wrap helps babies calm more quickly and allows parents to get longer stretches of rest too. Always place your baby on their back to sleep and follow the 10 Steps to Safe Sleep for Baby.

    For more baby care videos, visit our YouTube channel and to answer other newborn care questions, visit Your First Week Home with Baby: Ultimate Q&A

    In addition to safe swaddling, your baby should always be placed on their back to sleep and following the 10 Steps to Safe Sleep for Baby.

    And for more tips, visit Your Newborn and Postpartum Questions Answered: Expert Advice from Let Mommy Sleep