PeaPod Pediatrics Blog

Open Enrollment Tips

Mon, 05 Oct 2026 19:30:00 GMT

Save on healthcare by choosing the right insurance and a DPC pediatrician.

Open enrollment is a great time to take a fresh look at how your family wants to approach healthcare in the coming year. For many families, looking only for the lowest monthly premium isn’t necessarily the best choice. They often find that with the right combination of health plan and DPC membership, they can save both money and time while having easier access to their pediatrician.

One option worth considering is pairing a high-deductible health plan with a direct primary care (DPC) membership. The insurance plan can provide protection for the big, unexpected expenses such as surgeries or emergencies, while your DPC membership covers much of your family’s everyday care. Many families are also able to use HSA funds toward their DPC membership, so it’s worth asking your plan administrator about your specific plan.

Health shares are another option I encourage families to explore. For some families, a health share paired with DPC can be a more affordable way to plan for larger medical expenses while paying a simple monthly membership for everyday care. Health shares aren’t insurance, so they work differently from traditional health plans, but they can be an appealing option for families who understand how the sharing model works and what expenses are eligible.

Every family is different, and insurance and health share options can vary. If you’re shopping during open enrollment, don’t be afraid to look beyond the traditional choices. Take a little time to compare the overall costs and coverage and not just the monthly premium. And if you want to keep your DPC pediatrician, pay close attention to network and referral requirements. Plans that require you to obtain referrals through an in-network doctor may not pair well with a DPC membership.

Dr. Sarah Wiersma is the owner of PeaPod Pediatrics and a board certified pediatrician and breastfeeding medicine specialist. Schedule a Meet & Greet to meet Dr. Wiersma and find out how direct pediatric care can support your family.

Is My Baby on Track?

Mon, 21 Sep 2026 19:30:00 GMT

How to understand developmental milestones without stressing over the checklist.

One of the most common questions parents ask is, "Is my baby meeting their milestones?" It makes sense, especially when milestone charts and social media can make it feel like every baby should reach each skill at the same time. The reality is that children are born wired to learn and develop, and there is a wide range of normal for when new skills appear. Milestones are meant to help us monitor development, not create unnecessary worry.

As pediatricians, we look at development across several areas, including big and small movements, communication and language, and social development. We are also looking at whether your child is continuing to make steady progress over time. Milestone checklists are helpful tools, but they are not pass-or-fail tests. Even healthy children reach new skills at different ages. For babies born more than a month early, we use their adjusted age when looking at milestones until about 2 years old, giving them time to follow their own developmental timeline. Rather than comparing your child to others, it is much more helpful to focus on the progress they are making over time.

Parents play an important role in supporting development, but it is not your job to "teach" skills. Babies learn through everyday experiences like talking, reading, singing, tummy time, floor play, and opportunities to move and explore. Sometimes the best thing we can do is step back and give children the time and space to practice new skills on their own. You also do not have to memorize every milestone. One of the reasons routine well visits are so valuable is that your pediatrician is tracking your child's development over time, so you do not have to figure it out alone.

If your child loses skills they previously had, seems to stop making progress, or you simply have a concern about their development, it is always worth bringing it up with your pediatrician. Parents know their children best, and your observations are an important part of understanding your child's development. Many concerns turn out to be variations of normal development, but when a child does need extra support, identifying it early allows us to connect families with helpful resources and give children the best opportunity to thrive.

The Daycare Sick Season

Mon, 07 Sep 2026 21:00:06 GMT

What parents should expect when their child starts childcare and when illness needs a pediatrician’s attention.

Starting daycare is a big transition for the whole family. Along with new friends, new routines, and exciting learning opportunities, many parents are surprised by how many illnesses come home during the first year of childcare. The frequent runny noses, coughs, and fevers can feel overwhelming, but they are a very normal part of early childhood.

Most children in childcare get at least one infection a month, with even higher rates of illness during the first year after starting daycare. Young children are exposed to many new viruses while their immune systems are still learning how to recognize and respond to them. This does not mean your child has a weak immune system. It means their immune system is building experience.

One of the most frustrating parts for parents is feeling like their child is constantly sick. It is very common for congestion and cough to improve and then worsen again as children pick up one virus right after another. Sometimes it can seem like the same illness is lingering, when it is actually multiple viruses back-to-back. Keeping up with vaccines, encouraging hand hygiene, prioritizing sleep and nutrition, and having a plan for sick days can all help make this season a little easier.

While frequent illnesses are expected with daycare, there are times when it is a good idea to check in with your pediatrician. Reach out if your child is not showing some improvement after 1 to 2 weeks, has difficulty breathing or wheezing, develops ear pain, has ear or eye discharge, or develops a new fever that does not fit with the first few days of new symptoms. When in doubt, your pediatrician can help you decide what needs evaluation and what can be managed at home.

Starting daycare is a big step, and the first year may come with more sick days than many parents expect. With time, your child will build experience with common childhood viruses, and your family will become more confident navigating this new season.

Build Your Village

Mon, 24 Aug 2026 20:30:01 GMT

How to create a support system before your baby arrives so you can focus on healing, bonding, and adjusting to life with a newborn.

When you're preparing for a baby, it's easy to spend hours researching strollers, decorating the nursery, and building the perfect baby registry. While those things can be fun, one of the most valuable things you can do before delivery is build your support system. The first two weeks after bringing your baby home are often the most challenging, and the first few months are a big adjustment for the whole family. Having a plan for who can help can make all the difference.

Before your baby arrives, think about who you can count on and how they can support you. Set the expectation that visitors are there to help, not just to hold the baby. A friend can bring a meal, a grandparent can fold laundry, or a neighbor can walk the dog while you rest. These small acts of kindness can take a tremendous amount of pressure off new parents. You don't have to do everything yourself, and the people who care about you are often grateful to have specific ways to help.

If you have a partner, talk before delivery about how you'll share the overnight responsibilities. Even if one parent is breastfeeding, there may be ways to divide the workload so everyone gets a little more rest. If family or friends are available, consider whether someone could help with a morning shift, an afternoon break, or a few hours overnight. Some families also choose to hire a newborn care specialist or postpartum doula for extra support during those early weeks. There isn't one right way to build your village. What matters is having a plan before you're running on very little sleep.

Before your baby arrives, one of the most important things you can prepare is not a nursery or a registry, but a support system. Accepting help is part of caring for yourself so you can care for your baby. When you have people around you who can share the load, you can spend less time worrying about how you'll manage and more time adjusting to life with your newborn.

Well Visits Matter

Mon, 10 Aug 2026 21:00:01 GMT

Why routine pediatric checkups support your child’s health, development, and your confidence as a parent.

Many parents think of the pediatrician as the place to go when their child is sick, but routine well visits are where some of the most important parts of pediatric care happen. These visits provide an opportunity to celebrate milestones, ask questions, discuss concerns, and make sure your child is growing and developing as expected. Even when everything seems to be going well, there is always something valuable to learn.

Well visits are designed to look at the whole child. Your pediatrician will track growth, monitor development, review nutrition and sleep, discuss behavior and safety, and make sure your child is receiving recommended preventive care. These visits also create a chance to notice small concerns early, when guidance and support can make the biggest difference.

One of the most valuable parts of routine checkups is the relationship that develops over time. Parenting comes with endless questions, from feeding and sleep to tantrums, toilet training, and everything in between. Having a pediatrician who knows your child and your family can make it easier to ask questions, share concerns, and feel supported through each stage.

Well visits are not just about measurements and milestones. They are about building a partnership between your family and your pediatrician. Regular checkups help create a foundation of trust, so you have a familiar resource to turn to when questions come up along the way.

Getting Out with Your Newborn

Mon, 27 Jul 2026 21:39:27 GMT

How to keep your newborn healthy while staying connected.

A common question new parents ask is, "When can I take my newborn out?" The good news is that you don't have to stay home for the first two months, but it is important to be thoughtful about where you go. During those early weeks, babies have developing immune systems, so it's best to avoid crowded indoor places and keep them away from anyone who is sick. A fever in the first two months often means a trip to the emergency room for testing and evaluation. However, protecting your baby doesn't have to mean isolating yourself.

Getting outside is one of the best things you can do for both you and your baby. Fresh air, a walk around the neighborhood, or even sitting outside can be a wonderful way to break up the day and support your mental health. If you're ready for a meal out, consider choosing a restaurant with patio seating. When planning activities, look for outdoor options whenever possible, where there is more space and fresh air. These small outings can help you feel more like yourself while keeping your newborn's exposure to germs lower.

The newborn stage is also a time when parents need extra support. Instead of trying to see everyone, I recommend keeping a small circle of healthy family members and friends who can visit, bring a meal, or simply keep you company. It can be helpful to schedule a few visits ahead of time so you don't have to coordinate plans when you're exhausted, but leave plenty of room for rest and flexibility. As your baby gets a little older and you're feeling ready, consider joining a parent-infant group. Meeting other parents who are navigating the same stage can provide encouragement, friendship, and a reminder that you're not doing this alone.

Finding the right balance between protecting your newborn and caring for yourself is one of the many adjustments of early parenthood. A few thoughtful precautions can go a long way, while fresh air, connection, and community can make those first weeks feel a little less overwhelming. Remember, taking care of yourself is one of the best ways to take care of your baby.

Summer Sleep Struggles

Tue, 30 Jun 2026 20:07:13 GMT

How to reduce early morning wakings and get sleep back on track.

If your child has suddenly started greeting the sun before 6 am, you're not alone. Early morning wakings are incredibly common during the summer months. Longer daylight hours, later bedtimes, travel, and changes to daily routines can all shift your child's internal clock. While it's tempting to assume they'll "sleep in" after an active day, overtired kids often do the opposite and wake even earlier.

The good news is that a few small changes can make a big difference. Start by keeping bedtime as consistent as possible, even on weekends. Blackout curtains can help block the early morning sunlight that cues the brain that it's time to wake up. A white noise machine can minimize the sounds of birds, neighbors, or early household activity. If your child uses an "okay to wake" clock, continue using it throughout the summer to reinforce when it's time to get out of bed.

It's also worth taking a look at your child's schedule. If bedtime has crept later because of summer activities, consider moving it earlier by 15 to 30 minutes for several nights. An overtired child is often more likely to wake earlier than one who is well rested. Make sure your child is getting plenty of active play during the day while avoiding stimulating screens right before bedtime.

Remember, occasional early morning wakings are a normal part of childhood, especially during the summer when daylight hours are longer and routines are less predictable. With a little consistency, many children settle back into a more typical wake-up time as summer routines become more predictable. In the meantime, patience and a little flexibility can go a long way toward helping the whole family get the rest they need.

How to Choose a Pediatrician

Tue, 09 Jun 2026 23:17:19 GMT

What to look for when searching for the best pediatrician for your family.

A common question expectant parents ask is, "How do I choose a pediatrician?"

It's a great question. You’ll spend a lot of time communicating with your pediatrician during your child's first few years of life. There will be checkups, fevers at inconvenient times, developmental questions, sleep struggles, feeding concerns, and countless moments when you just need reassurance that what you're seeing is normal.

When families start looking for a pediatrician, they often focus on things like location, what the office looks like, or online reviews. While those factors can certainly matter, there are a few less obvious things that tend to have a much bigger impact on finding the right fit for your family.

Access to Your Pediatrician

There will inevitably be moments when your child gets sick at an inconvenient time, such as a fever at bedtime, a strange rash on a weekend morning, or an injury right before dinner. In those moments, what matters most is how easily you can get medical guidance.

Being able to quickly reach someone who knows your child can make those situations feel far less stressful. It often prevents unnecessary urgent care visits and saves parents from spending hours searching for answers online.

Continuity of Care

A pediatrician who sees your child over time is able to notice subtle changes, recognize patterns, and provide care that reflects the full picture of your child’s health and development. Just as importantly, your child builds familiarity and trust with their doctor.

This ongoing relationship becomes even more valuable as children grow older and begin navigating more complex topics like emotions, friendships, school challenges, and mental health. Over time, care becomes less about isolated visits and more about a shared understanding of your child and family.

Time and Space for Your Questions

Most parenting concerns don’t fit neatly into a short appointment. Parents often come in with a mental list of questions that has been building over time.

A good pediatric visit allows space for those conversations. You should feel like there is time to talk through what matters most to you without feeling rushed.

Getting Care When Your Child Is Sick

When a child is sick, timing matters. It can be frustrating to be told that the next available appointment with your doctor is several days away when you’re worried and need guidance now.

It can be helpful to understand how a practice handles urgent needs. Many families find it valuable to have availability for same- or next-day visits, accessibility to address some concerns virtually, and a clear plan for after-hours questions or weekend illness.

Comfort and Communication

One of the most important parts of choosing a pediatrician is how comfortable you feel in conversation with them. Parents should feel able to ask questions openly and bring up concerns without hesitation.

The right pediatrician listens without judgment and responds with clear, evidence-based guidance. Topics like sleep, feeding, behavior, and development should feel like a normal part of the conversation, not sensitive or uncomfortable subjects.

Trusting Your Instincts

Parents often spend hours researching pediatricians online, comparing credentials, reading reviews, and asking friends for recommendations. Those steps can be helpful, but they are only part of the picture.

Equally important is how the relationship feels. You should feel heard, and know that your concerns will be taken seriously.

The right pediatrician is more than a medical provider – they become a partner in your parenting journey. Finding someone who is accessible, thoughtful, and genuinely invested in your child’s well-being can help you feel more supported and confident as your child grows.

Helping Kids Handle Change

Fri, 15 May 2026 22:31:37 GMT

Why even happy changes can feel hard for kids.

As adults, we tend to think of transitions as milestones to celebrate. Starting preschool, welcoming a new sibling, moving to a new classroom, ending a sports season, or wrapping up the school year are all exciting signs that our kids are growing. But for children, even happy changes can feel overwhelming.

Kids thrive on predictability and routine. When routines shift, emotions often show up in ways we don’t expect. Some kids become clingier, more emotional, more defiant, or have more trouble sleeping. Others may suddenly have more tantrums, regress with potty training, or seem unusually sensitive. Often, these behaviors are less about “bad behavior” and more about a child trying to adjust to something new.

One of the biggest things I remind parents is that transitions take time. Even when a child seems excited about a change, it can still feel emotionally and physically exhausting for them.

Preparation Helps

Whenever possible, kids do best when they know what to expect ahead of time. Talking about changes in simple, positive language can help make new situations feel less intimidating.

For younger kids, it often helps to walk through exactly what will happen. Young children especially benefit from repetition. Don’t be surprised if they want to hear the same explanations over and over again.

Keep Routines Where You Can

During times of change, keeping familiar routines can help kids feel grounded. Even small routines matter. Bedtime rituals, family dinners, favorite songs, or weekend traditions provide predictability when other parts of life feel uncertain.

This doesn’t mean everything has to stay perfectly structured. Life changes, and flexibility is important too. But maintaining a few consistent anchors during transitions can make a huge difference for children.

Expect Some Big Feelings

Transitions often bring out emotions before kids have the words to explain them. You may notice more meltdowns, more tears, or more testing boundaries. That doesn’t mean you’re doing anything wrong.

Sometimes kids simply need extra reassurance and connection while they adjust. A little extra patience, snuggles, one-on-one time, or slowing down where possible can go a long way.

It’s also helpful to remember that behavior may worsen before it improves. Often kids hold things together during the day and release those emotions at home where they feel safest.

Give It Time

Most kids adjust better than we expect with consistency and support. The first few days of a new routine are often the hardest. Then little by little, the new situation becomes familiar.

If your child is struggling with a transition right now, you’re not alone. Change is hard for many kids, even when it’s positive. With patience, predictable support, and time to adapt, most children settle into their new normal beautifully.

Potty Training Without Pressure

Tue, 21 Apr 2026 22:09:04 GMT

Signs your child is ready for potty training and how to make the process smoother.

Potty training is one of those milestones that can feel both exciting and overwhelming for families. It’s a big step toward independence, but it’s also a process that works best when approached with patience, flexibility, and a good sense of humor.

Most children begin potty training somewhere between 1 ½ and 3 years old, with the average age landing around 2½ years. That said, there’s a wide range of normal. Rather than focusing on a specific timeline, the most helpful approach is to follow your child’s lead.

Starting the Process

A great way to begin is simply by introducing the idea of the potty in a low-pressure way. This might look like bringing a potty chair or seat into your home and adding a few potty-themed books into your regular reading routine. The goal at this stage isn’t performance but familiarity.

If it feels comfortable for your family, you can also bring your child into the bathroom with you. Narrate what you’re doing in simple terms. This helps normalize the process and gives them a chance to observe without expectation.

As your child becomes more curious, you can invite them to sit on the potty, at first fully clothed, then without clothes as they become more comfortable. Keep the tone light and encouraging. There’s no rush.

Let Interest Lead the Way

One of the most important pieces of potty training is timing. When children feel pressured, it often leads to resistance. Some of the more rigid “quick training” methods can backfire, resulting in power struggles or even stool withholding, which can contribute to constipation.

Instead, think of potty training as a gradual learning process. If your child shows interest, lean in. If they resist, it’s okay to pause and revisit it later. Taking a break is not a setback.

Learning Body Signals

A big part of potty training is helping children recognize what their bodies are telling them. Talk with your child about the sensations that come before they need to pee or poop. Over time, they’ll begin to connect those feelings with the need to use the potty.

It’s very common for children to notice the sensation but still not make it to the potty in time. This is actually progress. Recognizing the feeling is a critical step, even if the timing isn’t quite there yet.

Common Challenges

It’s not unusual for a child who seemed potty trained to start having accidents again. If this happens, it’s reasonable to check in with your pediatrician to rule out any medical concerns. More often than not, though, these “regressions” happen because kids are busy playing and don’t want to stop. Gentle reminders can help. Some families find success using a timer or a potty watch for a short period to build the habit of regular bathroom breaks.

Another common scenario is a child who will pee on the potty but refuses to poop there. The first step is to make sure constipation isn’t playing a role. Constipation can lead to stool withholding, which becomes a cycle that makes things more difficult and sometimes painful. We want pooping to be comfortable before asking a child to change where they do it.

For children who feel more secure using a diaper, you can meet them where they are. Try having them help flush their poop from the diaper into the toilet, saying something like “bye-bye poop.” You can also encourage them to sit on the potty while wearing their diaper as they poop, gradually working toward sitting without the diaper over time.

The Big Picture

Potty training is not a race, and there’s no prize for finishing first. The goal is to create a positive, low-pressure experience that builds your child’s confidence and body awareness.

Every child’s path will look a little different, but all typically developing children will eventually learn to use the potty. Staying patient, responsive, and encouraging goes a long way in making the process smoother for everyone involved. And when in doubt, follow your child’s cues and trust that they’ll get there.

Sun & Bug Protection for Kids

Mon, 23 Mar 2026 22:14:43 GMT

Pediatrician approved sunscreen and bug spray tips for happy outdoor play.

The warm weather is here in full force, which means more time outside enjoying sunshine and fresh air. It also means it’s time to think about protecting your child’s skin from two common concerns: sun exposure and bug bites.

As a pediatrician, I get a lot of questions this time of year about what products are actually safe and effective for kids. The good news is that you don’t need a complicated routine, and just a few smart choices can go a long way.

Sun Protection
When it comes to sunscreen, I recommend sticking with mineral-based options, also called physical sunscreens. These use ingredients like zinc oxide or titanium dioxide to sit on top of the skin and reflect UV rays, rather than absorbing them like chemical sunscreens do. They’re generally better tolerated by sensitive skin and are a great choice for babies and children starting at 6 months of age.

One detail that often gets overlooked is water resistance. Sunscreens are labeled as either water resistant (40 minutes) or very water resistant (80 minutes). This doesn’t mean your child is fully protected for that entire time, it just means the sunscreen maintains its SPF level while in water or sweating for that duration.

Look for:

Broad-spectrum
SPF 30 or higher
Zinc oxide or titanium dioxide
Water resistant if sweating or swimming

And don’t forget the commonly missed spots: ears, back of the neck, tops of feet, and along the hairline.

When should you reapply?

Every 2 hours during regular outdoor play
After swimming or heavy sweating
Immediately after towel drying

You can also add an extra layer of protection with sun-protective clothing. Lightweight long sleeves, wide-brim hats, and clothing with built-in UPF (ultraviolet protection factor) can significantly reduce sun exposure. Consider sun protective clothing especially for kids who are in and out of the water or may not keep sunscreen on consistently.

Bug Protection

Warm weather also brings out the bugs, and protecting your child from bites is about more than comfort as it can help prevent insect-borne illnesses. The two ingredients I recommend for children are DEET or Picaridin . These are the most well-studied and proven to be both safe and effective when used as directed.

A few practical tips:

Apply to exposed skin and clothing, avoiding hands, eyes, and mouth
Wash it off once your child is back indoors
Avoid repellents in babies under 2 months
Avoid combination products and apply sunscreen first

With a little preparation, your family can spend more time outside safely and comfortably. If you ever have questions about what products are right for your child, don’t hesitate to reach out to your pediatrician.

Seasonal Allergies in Kids

Sun, 01 Mar 2026 16:00:24 GMT

What parents should watch for and how to help.

Spring brings warmer weather, blooming flowers, and for many families, seasonal allergies. If your child seems sniffly, itchy, or more uncomfortable this time of year, you are not alone. Seasonal allergies are common in children and can usually be managed with a few simple steps.

Allergies or a Cold?

Seasonal allergies occur when the immune system reacts to allergens in the air such as pollen from trees, grass, and weeds. These allergens are most common in the spring and fall, which is why symptoms often appear around the same time each year.

Seasonal allergies can look similar to a cold, which can make them confusing for parents. Symptoms often include a runny or stuffy nose, sneezing, itchy or watery eyes, and sometimes frequent throat clearing. Unlike a cold, allergies usually do not cause a fever and tend to last for weeks rather than days. If your child seems to have symptoms that linger or return every year, allergies may be the cause.

Helping Your Child Feel Better

There are several ways to reduce allergy symptoms and help your child feel more comfortable. Limiting pollen exposure can make a big difference. Keeping windows closed on high pollen days, having your child wash their hands and face after outdoor play and bathe before bed, and changing clothes when they come inside can all help.

Saline nasal sprays or rinses can be useful for clearing pollen from the nose, especially before bedtime. Some children may benefit from allergy medications, but it is important to talk with your pediatrician before starting any treatment to be sure it is safe and appropriate for your child’s age and symptoms.

 When to Reach Out to Your Pediatrician

It is a good idea to contact your pediatrician if your child’s symptoms are severe, interfere with sleep or daily activities, or do not improve with simple measures. We can help determine whether symptoms are due to allergies or something else and create a plan that works best for your child. Although seasonal allergies can be frustrating, with the right approach most children can get through spring feeling much better.

New Baby Essentials

Sat, 07 Feb 2026 04:17:23 GMT

A pediatrician mom’s guide on preparing for life with a newborn.

I’m often asked by new parents for my recommendations on the best baby products. With so many options and advertisements out there, it can be hard to know which swaddle, pacifier, or gadget is actually worth purchasing. When I was pregnant with my first, I was right there too, deep in research mode and carefully building our baby registry so we’d feel prepared to bring a tiny human home.

However, after having my own children, I’ve learned that having the right gear matters far less than having a plan for support. The first few months are hard, and you aren’t meant to do this alone. Talk through plans with your partner, if you have one, and reach out to your network of family and friends ahead of time to line up help.

When visitors come to see the baby, their role should be to support you by bringing food, helping with household tasks, or running errands, not just holding the newborn. It’s also important to plan ahead so that each parent gets at least 4 to 5 hours of uninterrupted sleep at night. Many families do this by taking shifts between partners or by bringing in outside support.

As for the gear you truly need to bring your baby home, the list is actually quite short: a safe sleep space labeled “crib” or “bassinet,” a car seat, diapers and wipes, and a few onesies. Other items, like a baby carrier, stroller, swing, or diaper bag, can be very helpful for many families but aren’t essential right away. Also, most parents find specific gadgets like wipe warmers and bottle sterilizers unnecessary, so I’d recommend leaving them off your list.

Proper Helmet Use

Wed, 07 Jan 2026 20:16:10 GMT

How to know if your kid is wearing it properly to prevent serious head injuries.

I love to see kids wearing helmets when riding bikes, scooters, or anything with wheels. However, I cringe thinking about how many of those helmets might not protect the wearer properly in a crash.

The most important part of riding safety is putting a helmet on every time . If your kids are already doing that, then we just need a little tweaking to keep their heads safe!

The main issues I see with helmet use are improper fit, placement, or strap tightness.

Fit:

A bike or skateboard helmet should be the right size so it doesn't slip out of place easily. Measure your kid's head to buy an appropriately sized helmet, then adjust the fit by either adding pads or tightening dials to make sure it’s comfortably snug.

Placement:

Most kids wear their helmets pushed too far back on their heads. This leaves their foreheads exposed in a crash, which could cause a serious injury. Proper placement is achieved by tipping the helmet forward until there is only space for two finger-widths between the top of the eyebrows and the front of the helmet.

Straps:

Kids hate having a tight strap under their chins, and they hate getting pinched by buckles even more. That’s why having the straps loose under the chin is probably the most common helmet-wearing error I see. To keep the helmet in the right place during a crash, use your two fingers again and tighten the chin strap until only your fingers will fit between the strap and your child's skin.

Transitioning to a Toddler Bed

Sun, 28 Dec 2025 20:57:56 GMT

Advice from a pediatrician on when to transition and how to keep your little one safe.

Kids are most ready to transition from a crib to a toddler bed between two and three years old. However, for safety reasons, some children need to make the transition sooner if they’re climbing out of the crib. You can try to keep them in the crib a bit longer by using sleep sacks, which may help prevent climbing.

Many parents worry about how to keep kids in their new bed. Some older toddlers can understand stoplight-style red–yellow–green alarm clocks that help them learn when it’s time to stay in bed and when it’s okay to get up. If your child is too young or can’t follow directions yet, your goal should be to keep them safely in their room. As long as the room is childproofed, you may need to consider latching the door so they aren’t wandering the house at night. If they fall asleep on the floor instead of their bed, that’s okay. As long as everyone is getting sleep and your child is safe, that’s a win!

When making the transition to a bed, there are a few main safety tips to keep in mind. It’s important to be sure the room is safe for your child to be in unsupervised. Think of childproofing the room as turning it into one big crib. Consider electrical cords, window blinds, and anything they may climb on or pull down onto themselves.

Once kids transition to a toddler bed, it’s considered safe to introduce a small, lightweight blanket and a small, firm pillow. Try to avoid additional loose bedding or stuffies, which can still pose an entrapment or suffocation risk for toddlers. It’s also important to position the bed so the sides are away from the wall, or eliminate any gaps between the mattress and the wall, to prevent your child from getting trapped during the night.

As with any transition, try to maintain consistency, and everyone will settle into the new routine.

Cutting Baby's Nails

Wed, 17 Dec 2025 20:05:05 GMT

Tips to keep your infant from scratching themself.

One of the most common questions I get from new parents is how to cut their baby’s nails. I usually joke that I may not be the best person to ask, since I’m now two for two on accidentally cutting my own kids’ fingers. That said, with that experience has come some helpful lessons on how to keep those tiny razor blades from scratching everything!

While in the womb, a baby’s skin tends to attach to the tip of very soft, flexible nails, which makes trimming them especially tricky at first. Most babies are born with fairly long, sharp nails and can easily scratch their faces. Thankfully, newborn skin heals pretty quickly.

Because the skin at the nail tip is often still attached early on, it’s easy to accidentally cut skin when using clippers or scissors for the first time. If you’re not feeling ready to tackle nail trimming just yet, the fold-over mitts found on many newborn outfits can help protect them from scratching.

When you’re ready to try that first trim, I recommend starting with filing. A glass nail file often works better for thin, bendable nails than other options. Most babies’ nails grow surprisingly fast, so touch-ups are often needed every couple of days. At that point, you can try safety nail clippers, nail scissors, or continue with the glass file. If you do use clippers or scissors, having a second adult help with holding can make things much easier. No matter which method you choose, try to avoid cutting too close to the fingertip.

Cold & Flu Prevention for Kids

Sat, 06 Dec 2025 19:49:37 GMT

Your family’s easy guide to staying healthy this winter.

Cold and flu season is here, so I’m sharing some simple habits that can help keep your kids healthy. The best part is that these strategies are easy to work into everyday life!

Handwashing Really Works

Hand hygiene is one of the simplest and most effective ways to prevent illness. Wash with soap and water for 20 seconds (sing “Happy Birthday” twice) or use alcohol-based sanitizer when soap and water aren’t available. Wash before eating, after the bathroom, after nose wiping, and when arriving home.

Sleep Strengthens the Immune System

A good night’s sleep helps kids fight off germs. Children who don’t get enough sleep are more likely to catch respiratory infections. Tips that help: stick to a bedtime routine, limit screens before bed, keep bedrooms cool and calm, and avoid caffeine for teens.

Flu Shots: Still the Best Protection

All children 6 months and older should get a yearly flu vaccine. It’s the most effective way to prevent the flu and protect those around you.

What About Supplements?

There isn’t strong evidence that probiotics or other supplements prevent or treat cold symptoms in young children. Prevention through vaccination, sleep, and good hygiene remains the most reliable approach.

When Kids Get Sick

Even with excellent prevention, colds are part of childhood. Most don’t need special treatment, and over-the-counter cold medicines are not recommended for young children. For the flu, antiviral medications can help when started early, especially for children who are hospitalized, have underlying conditions, or have severe symptoms. Check in with your pediatrician within 48 hours of symptom onset if you think your child has the flu.

The Bottom Line

Three habits that make a real difference:

Practice good handwashing.
Make sleep a priority.
Get the annual flu vaccine.

We’re here to help your family stay healthy and thriving all season long. Stay well!

Holidays Away from Home

Sat, 22 Nov 2025 20:46:01 GMT

Tips from a pediatrician on how to manage the change in routines with kids.

The holidays can be fun yet stressful as a parent. Leaving the house with kids can be complicated, whether it’s overnight or just for the day. There are often different routines, new foods, lots of stimulation, and missed naps that can throw kids off and lead to meltdowns. No matter what happens, expect that everyone may be a bit out of sorts, but things will get better!

Sleep Routines

Holidays can be tricky to maintain routines, and most kids thrive on routines around sleep. Try to keep routines as normal as possible, but when it’s not possible due to travel or gatherings, know that it’ll take some consistency to get everyone sleeping well again. It may take a few days to a week back to your consistent regular routine to get your kid back on track. If you know that bedtime might be delayed or your kid will miss a nap, try to maximize sleep when you can with an early bedtime or an additional nap if possible.

Unfamiliar Foods

Traditional holiday dishes are often foods kids don’t eat regularly. As with any unfamiliar food, I recommend offering some on their plate but to not expect your kid to eat. If you know your kid is particular and likely won’t consume much of the meal, try offering a “safe” food from home alongside the unfamiliar foods. Often getting them some protein through a cheese stick, yogurt, or a nut butter pouch can be easy and provide some lasting energy to help prevent hangry meltdowns.

Family Expectations

If you’ll be visiting with friends or family who your kids don’t normally see, expect that it may take them some time to warm up. Also, most people’s expectations for kids are not realistic, especially if they don’t currently have young children. Most kids can’t sit for extended periods of time without wiggling and may not be interested in grown-up activities. Try to prepare your kids and any family members ahead of time about what to expect can help. Try not to take well-intentioned suggestions from family and friends to heart if they don’t work for you.

The key take-away for traveling with kids is to do what you can to keep routines on track while away from home. Remember that things may get a bit rough while away, but they should improve once you’re back to your regular schedule. Once you’ve returned home, keep as much consistency as possible, and most families find everyone’s back to normal within a week.

Swaddle to Sleep Sack

Tue, 18 Nov 2025 05:13:38 GMT

Helping your baby learn to sleep without the swaddle.

If your household had a rough night recently, you’re not alone. One of the most common sleep questions I get is, “How do I transition my baby out of the swaddle without total chaos?” The good news is that with some practice, most babies handle it better than we expect.

When to Start

If your baby is getting close to rolling or almost two months of age, this is the perfect time to start moving away from the swaddle. Otherwise, you may end up with a day where they roll unexpectedly and you have to stop the swaddle cold turkey, which is hard on everyone. Starting now gives you some wiggle room and makes everything feel more gradual.

Helpful Transitional Options

There are a few ways to give your baby a softer step down from the full swaddle. Some families like arms up swaddles, some do one arm out at a time, and others use something like the Zipadee Zip. These can soften the shift from that snug, womb-like feeling into the freedom of a sleep sack.

What if baby is already out for naps?

If your baby is doing naps in a sleep sack, then keep going! Even if naps are short, which is totally normal at this age, they’re practice sessions for learning to sleep without the swaddle. You can try starting the night in the sleep sack as well, with the option to revert to the swaddle and try again the next night if it’s not going well. It just takes babies a little time to get used to having their arms free. If your little one is already tolerating it during naps, they’re well on their way.

A Note on Night Wakings

If your baby has been giving you long stretches of sleep in the swaddle, that’s wonderful. Just keep in mind that most two-month-olds still wake at least two to three times overnight to feed. If you see a few extra wakings during the transition, it’s not a failure of the sleep sack. It may simply be a growth spurt or a perfectly normal developmental shift.

You’ve Got This!

The swaddle transition can feel like a big step, but most babies adjust faster than we expect. You’re doing all the right things by starting this now and giving your baby time to practice. Hang in there, and I’m hoping tonight goes a little smoother at your house.

Protein for Picky Toddlers

Sun, 09 Nov 2025 18:06:09 GMT

How to help your picky kid get the protein they need for optimal energy and growth.

I often hear from parents that it's hard to get their toddlers to eat enough protein. Protein is super important for growth and keeping energy levels up throughout the day.

However, many parents overestimate how much protein their child really needs. Usually getting protein in two meals a day gets your kids to their required intake.

Many parents also underestimate how much protein their kids are already getting. Protein doesn’t have to come from meat. Other good sources of kid friendly proteins include eggs, dairy, nut butters, or chickpeas. And for a toddler, a serving is smaller than you might expect. A serving of protein would be equivalent to an egg, a slice of deli meat, a cheese stick, a tablespoon of nut butter, or ½ cup of Greek yogurt or chickpeas.

When getting protein from non-meat or egg sources, we do want to be mindful that kids are getting enough iron to keep their energy levels up. For most kids, eating iron rich foods at least once a day gets them what they need. Good sources of iron include meat, chicken, fish, eggs, beans and lentils, fortified cereals and breads, tofu, and dark leafy greens. If you have a particularly picky toddler, you can consider cooking in cast iron or using an iron fish to add iron to the foods you’re already making. If you’re still not sure your kid is getting what they need, talk with your doctor!

Safety Tips for Trick-or-Treating

Mon, 20 Oct 2025 20:42:46 GMT

How to keep your family safe while having fun this Halloween.

Halloween can be so exciting for kids. The costumes, the candy, and the community fun all make it a night to remember. With a little planning and some simple precautions, your family can enjoy all the spooky fun while staying safe. Here are some top safety tips to ensure your Halloween is more treat than trick!

1. Costume Safety

Costumes are at the heart of Halloween fun, but they should also be safe and practical.

Go Bright : Choose bright colors or add reflective tape or glow sticks to costumes and treat bags.
Proper Fit : Make sure costumes aren’t too long to avoid tripping hazards.
Visibility : Masks can limit vision, so opt for face paint or makeup if possible.

2. Watch for Cars!

Pedestrian accidents are the biggest safety risk on Halloween often due to poor visibility at night.

Rules of the Road: Walk on sidewalks whenever possible and cross at crosswalks.
Bring Light: Bring a flashlight, glow sticks, or clip-on LED lights for you and your child.
Eye Contact: Make eye contact with drivers before crossing the street even if you have the right of way.

3. Inspect Candy

Tempting as it is to dig into the candy bag right away, teach your child to wait until you’ve checked it. Offer a snack or dinner before heading out to prevent too much candy sampling on the go.

Wait for Home: It's safer and more fun to wait until you’re home and can go through the candy together.
Check Wrappers: Look for sealed, factory-wrapped treats. Discard any open, homemade, or suspicious-looking candy.
Food Allergies: Be extra cautious if your child has food allergies. Avoid treats without clear ingredient labels.

Remember that Halloween isn’t just about the candy, it’s about creating memories. If your child gets tired or overwhelmed, it’s okay to head home early and finish the night with a Halloween movie or a candy swap.

Dr. Wiersma's Letter to Parents

Thu, 18 Sep 2025 05:14:48 GMT

Dr. Wiersma Launches PeaPod Pediatrics!

Dear Parents,

I am excited to announce the launch of my new practice, PeaPod Pediatrics , opening October 1st !

I have loved caring for my patients and their families, and I’ve heard your frustrations with the system – large corporate practices and insurance hassles. I’m starting PeaPod Pediatrics as an alternative to the “system,” to provide convenience for your family and direct access to me.

As a member of the practice, you’ll be able to text or call me with your questions and hear back directly from me – not a nurse, not a scheduler. No phone trees, no lost messages.

PeaPod Pediatrics is a pediatric direct primary care practice. A membership-based model that feels concierge-like but without the high price tag. Your monthly fee includes all office visits, direct access to contact me through calls and texts, and most in-office procedures and testing with no co-pays or deductibles to worry about.

You’ll spend less time waiting on hold, sitting in the office, or traveling to appointments for things that can be handled over the phone or via text. At PeaPod Pediatrics, your appointments won’t feel rushed, so you’ll have the time you need to get your questions answered. And if something comes up after the visit, I’m only a text or call away!

We are now pre-enrolling for memberships starting October 1st. As a founding member, I’d like to offer you a waived enrollment fee and access to our lowest launch rates .

If you’d like to learn more, you can schedule a free, no-obligation meet and greet to see how PeaPod Pediatrics might work for your family.

And if you’re thinking, “Where do I sign up already?!” just send an email to hello@peapodpediatrics.com with your name, your child(ren)’s name(s) and date(s) of birth, and we’ll send you information on how to get pre-enrolled!

I hope to see you soon to continue caring for your family, watching your kids grow, and partnering with you to keep them healthy. With a smaller patient panel, I’ll have the time to dedicate to your family when you need it.

Take care,
Dr. Wiersma

Start Breastfeeding Right

Wed, 17 Sep 2025 00:34:50 GMT

What to Know and Expect Before Baby Arrives

Choosing to breastfeed your baby is a great way to provide optimal nutrition and immune benefits right from the start. The American Academy of Pediatrics recommends exclusive breastfeeding for the first six months and continued breastfeeding until at least age two – but any amount of breast milk you provide is amazing! Set your own breastfeeding goals that feel right for your family, and plan to reassess as things go.

If you plan to nurse your baby, preparation with knowledge is your best way to set yourself up for success. You’ll feel more confident in knowing when things are going well, but you’ll also know when to seek help if you meet challenges along the way. Although nursing is natural , it doesn’t always feel natural or come easily to many parents.

As soon as possible, get your support team on board. This includes anyone who will support you in your breastfeeding goals and can include your partner, friends, family, and professionals like your pediatrician and lactation consultant. If this is your first time nursing a baby, take a breastfeeding class or meet with a lactation consultant to review expectations for the first days and months. If you weren’t able to reach your breastfeeding goals with a prior baby or have medical conditions that may affect nursing, schedule a prenatal appointment with a breastfeeding medicine physician.

As long as delivery goes as planned, your baby should be able to latch on right after birth and will often feed at the breast for a while. Take all the time that you need during this first hour or two while baby’s awake and alert. Most term infants and their parents will then take some time to sleep following this first feed. Try to wake baby to feed every few hours this first day, but don’t be discouraged if baby seems sleepy. However, after the first 24 hours, try to wake baby to feed at least every three hours, and if baby wakes up sooner then feed them!

If there are complications and you are separated from baby, advocate for yourself to hand express or pump within an hour of delivery and then every three hours until baby can return to the breast.

Babies have very small tummies and only take drops of milk with each feed the first day. The first milk is extra concentrated and nutritious, so it is the perfect nutrition for your baby during this time. We expect babies to lose some water weight initially after transitioning from a wet environment inside mom. Your team will keep an eye on baby’s weight, but often weight loss of up to around 10% of birth weight is normal within the first few days.

It can be tricky to get a sleepy baby to feed, so don’t give up! If you’re struggling with getting baby to latch to the breast, request lactation support. Nursing may feel new and may be a bit uncomfortable, but shouldn’t be painful. If you’re experiencing pain, get help with ensuring baby has a deep latch. A proper latch should provide relief to you, and will also help your baby to more effectively drink milk.

Remember, every nursing experience is new for both you and your baby. You’ve got this, and your team is here to help!

Do Kids Need Milk?

Thu, 11 Sep 2025 20:51:12 GMT

What you need to know about milk and milk alternatives.

The transition from formula to regular milk usually occurs right after a baby’s first birthday. At that point, they should be getting much of their nutrition from the foods they eat and are no longer needing the extra vitamins and minerals added to formulas. Babies this age don’t actually “need” milk any longer, but milk is still a good source for calcium, vitamin D, protein, and fats. Babies who are nursing or drink pumped breast milk can continue taking breast milk as long as is mutually desired to both mom and baby. Breast milk contains the calcium, protein, and fats babies still need, but often is lacking in vitamin D. Since cow’s milk and many milk substitutes are fortified with vitamin D, it is recommended to supplement babies who are breast feeding or their moms with vitamin D as well.

Many parents ask about alternative options to switching to cow’s milk at a year of age. Cow’s milk is fine for most babies, but some babies have allergies or intolerances or the family has a preference to avoid cow’s milk for other reasons. Soy and nut milks have been the typical go-to dairy alternatives for most families. However, there are many other options available all with different nutritional profiles. Some popular cow’s milk alternatives include soy, nut (almond and cashew), rice, oat, hemp, goat, and yellow pea milks, so with so many options the choice can be confusing! Protein in soy and yellow pea (ie, Ripple brand) milks tends to be similar to cow’s milk while there isn’t much protein in nut and rice milks. Most milks are fortified with a similar amount of calcium and vitamin D, but make sure that the milk you are giving your kids is indeed fortified. Also, try to choose options that don’t have added sugars, which are often found in flavored milks.