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Tiffany Sesma

First Born: Early Childhood Program

Building Confident Parents and Community Relationships Through the Española First Born Program

Teen mom Tiffany Sesma at Ohkay Owingeh Pueblo and First Born home visitor Nancy built a close relationship that’s similar to and “auntie” and niece. Clow, a home visitor with Española Presbyterian Hospital’s First Born program, finds her work a blessing and sees the relationship as “friendly and motherly.” Tiffany, who has no family of her own nearby, finds the home visitor and First Born’s nurse have all the advice she needs to be a good mom to her daughter, Miliana.

Miliana’s eyes are already tracking her dad, Daniel Baca, as he moves through their modern apartment. The couple met as students at Española High School and are determined to earn their GEDs and make a better life for their family.

First Born will advise the family until Miliana is three years old, based on the concept that the first three years of a child’s development are the most critical.

“Tiffany so impresses me,” says Clow, “because she has a clear picture of what she wants for her baby.”

“I wasn’t ever surprised during my pregnancy,” says Tiffany, “because First Born taught me everything I needed to know and made me more confident. First Born has helped me know what to do and what not to do with my baby because every week I see my home visitor.”

Photo: Tiffany Sesma, left, and First Born home visitor Nancy Clow discuss the development of baby Miliana during a home visit