Friday, February 3, 2012

A side note

This is a non-baby-related post. In fact, this post is on the opposite end of the spectrum from my drooly, adorable son.

A former professor of mine posted a link to this story on facebook: 83-Year-Old Activist Priest Held in Solitary Confinement, which, through the comments, led me to this piece in The New Yorker about the US as a carceral state. Which led me to renew my subscription to that publication - something DH and I had been waffling about.

Though the Occupy protests by the 99% have been heartening, they don't seem to have touched very much on our enormous, expensive, embarrassing prison system - and I haven't heard much about how states like Florida disenfranchise felons for life, which, the way felony convictions get handed out, can effect the electorate fairly drastically.

And frankly... maybe this isn't that unrelated to my kid. Every one of those incarcerated people has a mother.

Thursday, January 26, 2012

The Birthening, part 2: Tuesday, or, Things eventually start to happen

DH and I dozed in the hospital room through Monday night. Every hour or so someone would come in to check my blood pressure, so I kept waking up, but I was generally able to get back to sleep. Around 7:00am someone brought a tray of breakfast - the food was actually pretty good at the hospital - and then at 8:00 the shift changed and the new midwives came in and talked with me.

I was starting to have mild contractions, but I couldn't even feel most of them. I had a second monitor strapped to my belly that indicated when a contraction was happening, but I generally wouldn't even know unless I was looking at the monitor right when the contraction started.

Once we were up, DH and I were relaxing and killing time before the real work began. We had brought a bunch of movies on VHS because the rooms only had VCRs, so we watched "The Empire Strikes Back". We had to pause it a few times for interruptions, including the arrival of my parents.

When Mom and Dad arrived, they seriously expected something to be happening. One of us told them it would be "at least twelve more hours, maybe longer", and they expressed surprise. I'm still not sure where they picked up the idea of an instantaneous induction... especially because my sister had gone through virtually the same scenario 18 months before. We told them they should go find some lunch while the midwife checks me out. (I know plenty of women who want their mother with them every step of the way during labor and delivery, but that's just not the relationship I have with my mom.)

At 11:00am the first Cervadil was removed, and the midwife checked me: no noticeable progress. No one was very surprised.

Since I was briefly unmedicated, I could take off the fetal heart rate monitor. I took a shower, which felt lovely, and then I put on my street clothes and DH and I took a brisk walk... down the hall. We weren't allowed to leave the labor and delivery area, so we walked laps back and forth, back and forth. I had a few contractions during the walk, but they were mild enough that I could walk through them. I hoped the contractions without meds were a sign that my body was starting to do some real laboring.

Labor is so weird: I was looking forward to pain as a sign of progress. When else do you want to be hurting?

My parents return from lunch while we were still briskly walking. We told them to just hang around my room and we'd catch up with them in a moment - I didn't want to lose that last chance to move the baby down before I was stuck in the room again.

Around 1:00pm, I got a second dose of Cervadil. Ouch again. While that was happening, my folks checked in to a hotel about 15 minutes away from the hospital.

My parents returned that afternoon... with my sister, who flew in as a surprise. I stayed in the hospital bed for most of the time they were visiting, because I had an open-backed gown and I didn't want to moon my whole family. Otherwise, though, I changed positions pretty regularly in the hopes that it would help move things along.

A few hours later, the contractions finally started to pick up. They were what I would call textbook contractions: I feel a tightening low in my abdomen that then moved up my belly, stayed tight for a time, and then dissipated. DH started timing them and he saw that they were lasting for about a minute. They were becoming uncomfortable, and I found myself starting to use belly breathing and relaxation techniques from my birthing class to get through them. By around 8:30pm I was lying on my side on the body pillow I brought from home (my trusty Snoogle!), trying to catch some sleep before things got really serious. When nurses came in to check my blood pressure, I just stuck my arm up - apparently the nurses were impressed with how relaxed and prepared we were, and commented about this to other staff in the midwife office.

Shortly after 8:30pm, we turned off all the lights and tried to make an early night of it, anticipating that we'd need to rest up for the day ahead. I kept dozing off, but waking up for contractions, breathing through them and relaxing different parts of my body. DH was fast asleep on the dad-cot about 10 feet away from me, and I let him sleep... I could handle these on my own, and (though I didn't know just how much yet) I knew he'd need the rest.

A bit after 10pm, I was awakened by a contraction. It was like the others: rolling up my midsection, tightening uncomfortably... and then something felt weird. I momentarily thought the baby was kicking, really hard, in the middle of the contraction. Maybe he was, but then I felt a definitive POP!... and a second later, a warm gush between my legs.

Oh, my God. My water just broke.

I yelled for DH, who was in a deep sleep at that point, so I had to shout his name while simultaneously fumbling for the nurse call button. Mere seconds after I told the nurses "my water just broke!", a crew of women swept in, all the lights came on, and there was a flurry of activity. I was somewhat stunned at just how much amniotic fluid there was: It just kept pouring out. Of me. Weird. It was also messy, and I kept apologizing to the nurses who were trying to clean me up. My hospital gown was soaked, as were the sheets on my bed, so the bed and I both got stripped down and changed. I couldn't really walk around anywhere without making a puddle, so I just stood awkwardly in one place while the gushing continued.

Academically, I knew I wasn't peeing all over myself, but it's hard to explain that to your emotional self when warm fluid is pouring down your legs.

The midwives came in shortly thereafter and checked the scene out. One of the nurses thought she saw meconium - baby poop - in the fluid. The midwife wasn't so sure, she thought it looked clear enough, which made me feel a better, but they were all keeping an eye on the heart monitor and my temperature to make sure things weren't getting sketchy.

My water breaking on its own was a good sign, all around - labor was finally taking off, it seemed. And sure enough, the contractions that came afterward were markedly different without the cushion of amniotic fluid. It would be days later that I would admit out loud to DH that what I experienced after my water broke was what is called "back labor": every contraction, for the next 22 hours or so, was located squarely in my lower back. And they weren't periods of tightness or mild discomfort any more. They were painful.

Tuesday, January 24, 2012

Boob Juice: I love it/ I hate it edition

So it's been three months of exclusively breastfeeding the little guy, and now I'm back at work 4 days a week (I work from home on Wednesdays).The situation has changed, once again, so I thought I'd record the recent changes - both in circumstances and in my attitude - in list form.

Stuff I love about breastfeeding:

- Nursing is a really snuggly time. I have a super-tall baby, so he wraps himself almost all the way around me when he's nursing, which keeps us both warm on these chilly days. When I burp him after he nurses, he likes to snuggle and chat, too - it's great quality time.

- As the kiddo's personality is coming out more, he gets really cute mid-nursing session: sometimes when he's no longer starving but he's not finished with his meal, he'll take a quick break to look up and me and smile. Sometimes he does this three or four times in a row: it's like early peek-a-boo. When he sees I'm still there, he looks SO HAPPY. Bonus cute points are earned when some milk runs down his cheek while he's making faces at me.

- This is selfish, but holy crap, this is the best weight-loss plan ever. I'm within 5 pounds of my pre-pregnancy weight, all my pre-pregnancy pants fit, and the only exercise I've done since giving birth is walking around. All this despite the fact that I'm hungry all the time and eating like it's going out of style. This is a very nice side effect of being a nursing mom.

- So far, I haven't had an issue with supply. I built up a stash of freezer milk before I headed back for work, which has helped while I've figured out how much I need to pump in the office. Now that I've been doing it for a couple of weeks, I think things are starting to regulate, and I'm grateful we haven't really had a panic about what the kid will eat.

- Dude is growing in leaps and bounds, and everything he's eating comes from me. It seems arrogant to be proud about that, but... whatever. I'm proud of it.

- I'm a D-cup. Va va va voom.


Stuff I don't love about breastfeeding:

- I'm a D-cup. Yeah, that's hawt and all, but the need to wear industrial-grade underwire bras all day makes it a little less awesome.

- All those nice things about nursing? Yeah, that doesn't happen during pumping, which I do 3-4 times a day on office days and once or twice on days I'm home. Being attached to a milking machine feels very bovine, and a little sad because I know what I'm missing (see snuggle description above).

- If I go more than about 4 hours without either nursing or pumping, I get uncomfortable. If I go more than 6 hours, I start to feel like my chest will explode. This is a bummer, because on the occasional night when the kiddo sleeps 8+ hours, I don't get to sleep that long: I have to get up at some point and pump. And it's not like, "oh, maybe I should pump", it's painful. So some days I feel like I will never ever sleep more than 7 hours straight ever again. I know this isn't true, but it will be several months, at least, before I'll have that chance.

- My kid is great about taking a bottle, but he prefers nursing... which means he likes to make up for lost time on days I'm away at the office. Lost time gets made up at 2am. Bleh. At least I don't have to wake up at 6 to pump?

- I am concerned that one of these days I'll forget the bottles or pump parts I have to tote back and forth from home to the office... and then I'll have to take the 30-minute train ride back to pick them up. Hasn't happened yet, but I've only been doing this for a couple of weeks so far.

I will say that, on balance, things have smoothed out, and I can see continuing this nursing relationship as long as the little dude would like (or until he's 2 - that's my limit). My advice to new moms who are considering it remains that it's worth a try and it's best to ask for help BEFORE you're crying about it. Because you'll get to the point when you look forward to nursing the tot, and you kind of feel like a superhero for being the source of his food and a major source of comfort, and contented post-nursing snuggles are really the tops for both parties.

Monday, January 23, 2012

2011 in Review

I'm always slow with New Year's stuff, but this is the Lunar New Year, so... happy year of the Dragon!

I'm fairly certain 2011 was the most life-changing year I've experienced thus far. It was also possibly the most difficult. It was definitely one of the most tiring. At the start of 2011 year I was a childless grad student, living in the city with my husband (also a grad student) and a cat. Now I have a master's degree, and a baby, and no cat, and I live in the suburbs. I still, fortunately, have the husband (who's now a doctor... of philosophy), but now we're parents, too. Those are some big changes in one year. When 2011 started, we didn't know the life and death stuff would happen - I had no inkling I'd get pregnant this year, and of course we thought our cat would live for many more years - which makes it all a little crazier.

Overall, I'm happy to bid adieu to 2011. With everything that happened in the year, I would like to think I've grown up a little. I still consider myself kind of a kid, though, and I wonder if I will still feel that way when I turn 30 this year.

1. What did you do in 2011 that you’d never done before?

Completed and defended a master's thesis.

Gestated a human being, experienced labor, then sustained said human with milk from my own body.

Moved to the suburbs (something I said I would never do).

2. Did you keep your new year’s resolutions, and will you make more for next year?

Eh, maybe I'll actually make some for 2012. Can I make a resolution to make resolutions?

3. Did anyone close to you give birth?

Haha! Me. Also: one of my coworkers, a close friend of mine, and one of my cousins. Lotsa babies.

4. Did anyone close to you die?

Dear sweet Corina the wonder kitty. I still miss her daily.

5. What countries did you visit?

We stayed right here in the US. Again.

6. What would you like to have in 2012 that you lacked in 2011?

Actual open dialogue with difficult members of my family.

More money*.

7. What dates from 2011 will remain etched upon your memory, and why?

January 6: the day we decided we'd think about having a kid.

February 10: the day I found out I was pregnant (yeeeah, that was fast!).


The second week of June: the week from hell (found out our baby's gender, put our cat to sleep, defended my master's thesis and celebrated DH's grad school graduation).

July 8: paid off the last of my student loan debt.

July 14: Our fifth anniversary - we took a much needed, very relaxing 4-night trip to Wisconsin to celebrate.

August 1: moved to our swanky new 2-bedroom apartment in the 'burbs.

October 20: birth of our firstborn son

8. What was your biggest achievement of the year?

Finishing grad school and paying off the last of our debt were both pretty big, but I think welcoming our son in to the world kind of trumps all other achievements this year.

9. What was your biggest failure?

I still wonder sometimes: did I fail to realize Corina was getting really sick? Was I not aggressive enough about taking care of her before it was too late? I don't know.

Also, I didn't manage to birth my kid without major surgical intervention. It's dumb, but I do occasionally feel kind of like a failure for that.

10. Did you suffer illness or injury?

I'm not sure if abdominal surgery counts... with the long recovery involved, I think it should, though, so there was that.

11. What was the best thing you bought?

The swing/rocker we found at a consignment shop for $3. The kiddo loves that thing.

12. Where did most of your money go?

Rent, moving costs, baby supplies, paying off the last of our debt.

13. What did you get really excited about?

Being knocked up, and telling people about it.

Learning the Speaker is pregnant (she's already in to the third trimester - I'm so excited!).

Getting out of debt (have I mentioned that enough?)

14. What song will always remind you of 2011?

Probably the "Women of the World, Take Over" song DH played for me while I was in labor. Or Paul Simon's "Get Ready for Christmas Day"

15. Compared to this time last year, are you:

– happier or sadder? Yes, both. I cried more in 2011 than I have ever cried before, but I've also been so happy at times, thanks largely to the kid, that my heart hurts.

– thinner or fatter? Slightly fatter, but I've lost most of the baby weight at this point. This is a major benefit of breastfeeding!

– richer or poorer? On paper, verry slightly richer. In reality I feel pretty broke.

16. What do you wish you’d done more of?

Laughed, slept.

17. Wish you’d done less of?

Cried, worried.

18. How did you spend Christmas?

This was the first year in my life that I didn't spend any part of Christmas day in a car, and it was really nice.

The weekend before Christmas, DH, the kiddo and I went up to my brother's apartment and had a brunch and gift exchange with my brother and sister-in-law. It was Sunday afternoon, and we ended up hanging around until 7pm or so, watching football and just relaxing with them. Super nice.

On the 21st, DH and I loaded up an entire carload of baby equipment, gifts, laundry and of course the baby and drove the 2.5 hours to my in-laws' house. We stayed there until the 27th, and it was a pretty great week: the kiddo slept really well at night and my mother-in-law basically insisted we get out most afternoons without the baby so she could babysit. On Christmas eve we went to Mass and left the kiddo in the care of a rotating cast of family members back at the house. He seemed to like that. After church, we had chili for dinner and then opened our stockings and had Christmas cookies and egg nog. Then on Christmas morning we opened our big presents. Not surprisingly, there were about four times more baby gifts under the tree than gifts for anyone else. Our big present from the in-laws was a high chair, which we clearly aren't using yet, but I'm glad we have one.

I Skyped with my immediate family on Christmas day - we were in 4 different states. This made for a very low-drama Christmas on my side of the family, which is a Good Thing.

19. What was your favorite TV program?

Arrested Development and Cheers streaming on Netflix. Oh, and Pawn Stars - we watched all of it while packing and unpacking from the move.

20. What were your favorite books of the year?

Since we've moved and I was on maternity leave, I had access to a good library and a bit of time to read while nursing. Of course, I haven't read anything published this year except the excellent Life with Mr. Dangerous. I'd pick The Year of Living Biblically by A.J. Jacobs as one of my favorite reads of the year.

21. What was your favorite music from this year?

Possibly the new Paul Simon album? That makes me sound like such an old person, but it's a good album!

22. What were your favorite films of the year?

Cowboys and Aliens was one of the only movies I watched in a theater this year... but it was pretty awesome.

23. What did you do on your birthday, and how old were you?

I turned 29. Did the usual stuff at Silver Lake. I need to come up with something awesome for 30 this year, I think.

24. What one thing would have made your year immeasurably more satisfying?

My cat not dying, shit not getting weird with my parents. OK, that's two things.

25. How would you describe your personal fashion concept in 2011?

Maternity wear! Fun while it lasted, but I'm looking forward to a new look in 2012.

26. What kept you sane?

Long walks with DH, before and after the birth.

27. Tell us a valuable life lesson you learned in 2011.

Even if - or especially if - you just had a baby, people aren't going to give you what you need, especially if your real need is for time and space to adjust to the way life has just drastically changed for you. You have to claim it or you just won't get it.

On the other hand, sometimes you will be blown away by the generosity and thoughtfulness of people with whom you're merely acquainted. The neighbor with no kids of her own may turn out to be your dinner-and-diapers-delivering postpartum angel. Never discount folks like her.

Here's to 2012!


*Since big mommyblogger dooce and personal finance blogger JD Roth both just announced they're splitting with their spouses, I would like to note that I'd rather stay relatively broke and happy in my marriage than filthy rich and alone. Seems like it should be obvious, but it also seems like those people could afford marital counseling...

Friday, December 30, 2011

The Birthening, Part 1: Induction

It's taken about two months to write this. Babies are a bit more work when they're out of the womb... and they're distractingly cute even when they're not being work. So I don't apologize for the delay. :-)

I had had my usual appointment with the midwives on Thursday, October 13. At that appointment they had told me I should come in over the weekend to do a quick blood pressure check. I had initially agreed to Sunday, but the prospect of one last weekend at home, just me and DH, without a 2-hour round trip drive to the hospital, was much more appealing... so I called on Friday and said I would come in on Monday, the 17th.

I went to work on Monday and had difficulty concentrating. I think, in the back of my mind, I knew I wasn't coming back in for a long time. Rather than spur me to productivity, though, the thought just made me listless. Since I'd already trained the part-time temp who was going to cover much of my job, I was mostly tying up small loose ends, anyway. I left a little early so I could take the el train to the hospital and be there by 4:00.

When I got to the midwives' office, there was some confusion: apparently someone had written me down for a noon check-in, when I had explicitly told the person on the phone that I would be there at 4:00. So I ended up twiddling my thumbs in the waiting room for some extra time, telling myself to be calm.

That was the whole problem with the blood pressure stuff: it got more tense each time I got checked, because I knew they would want to induce me, and I didn't want to be induced for a million reasons (including my sister's terrible failed induction/ c-section nightmare), so I had to stay calm. But telling yourself, "STAY CALM!" doesn't really, uh, work.

Finally, I was called back to an exam room and a nurse checked my blood pressure. I tried so hard to take deep, slow breaths while she was doing it, but my heart was racing.

150/80. Way too high.

In the past, they'd let me sit for five minutes and check it again. I naively thought they would do this at this appointment, too. They were also planning a cervical check and everything, so I de-pantsed myself and sat in the room with that big paper sheet over my lap for a moment and then Midwife Amy came in. She did a cervical check and declared me completely closed.

Here's where I was clearly just in denial: in my mind, what she told me ("completely closed") was that my body just isn't ready to have the baby yet, so they're going to send me home, tell me to relax, and they'll see me Thursday at my regular appointment.

Amy didn't see it that way, and the tone of resolution in her voice made me break out in to a sweat. She was giving me two options: be admitted to the hospital right now, or go home and pack a bag and return with DH tonight. Being completely closed just meant they'd have to do more work to get me ripened up.

I felt a little thick-headed: both options sounded like an induction would be starting within hours. But she just said my cervix is closed. After months of focusing on medication-free childbirth and hoping to let labor happen naturally - the whole reason I was working with midwives - this just puzzled me. At one point Amy said, "were we not clear that this was probably going to happen?" And I had to admit that, yes, they'd been talking induction for weeks. I just hadn't been listening.

Of course, I was also alone. This was the only appointment throughout the course of my pregnancy when DH hadn't accompanied me. Amy let me get dressed and call him before I had to make a decision.

My hands were shaking when I dialed home.

I explained what the situation was, and we agreed that I would come home, we'd eat a little dinner and pack up, and we'd come in to the hospital that night.

When Amy returned, I told her the situation, and she said she'd let Labor and Delivery know I was coming in. I explained how far we lived from the hospital and that it would likely be late - after 9:00pm - and she said that was fine.

With that, I left. As I walked toward the train, looking down at my big pregnant belly, I told myself that this was a lucky thing - I was getting one last chance to be on my own before I have this baby. A little time to myself to think.

In reality, I was scared and upset. This was all going wrong. I'd managed to carry a baby for 39+ weeks, but I was doing something wrong and now they're forcing the kid out when he's not ready. My hands were still shaking. I wanted a hug. (To be fair, Amy could see that: she gave me a big hug before I left and told me everything would be fine).

So I called my parents.

Parents of adult children: if your daughter calls you and says, with a nervous voice, that she's about to be induced, the first response you give should be "Are you OK? How are you feeling? Everything is going to be fine."

Despite your overwhelming excitement about the impending birth of a new grandchild, your response should not be: "GREAT! We're getting in the car RIGHT AWAY!" Which is precisely what my mother said.

My mother's enthusiasm didn't help. I was fighting a lump in my throat, and now I had to tell her to cool her jets, I'm completely closed, this is going to take a long time, et cetera. I had expected that she would remember how long my sister was in the hospital during her induction before they finally pulled my niece out via c-section, but apparently all that stuff about forgetting labor extends to grandmothers, too.

I don't blame her for being excited, of course. I just wouldn't have minded some reassurance. But she'd never been induced, anyway, and the one time she was threatened with it she was 42 weeks pregnant and it was a very hot August and she was SO DONE with being pregnant. I had not yet reached that point.

My parents insisted they would be leaving after dinner to drive halfway to Chicago (this panicked me. In hindsight, I shouldn't have called them until at least 24 hours later, or maybe even until after the kid was born).

My next call was to my brother, who had told me weeks earlier that he was keeping his phone by his side 24/7 in case I needed anything in the last days of pregnancy. His response was pretty much exactly what I needed to hear. He started with "Is everything OK? How do you feel about this? Is there anything you need?"

As my sister has said, our brother is rare among men. He absolutely loves being an uncle and was very excited about meeting his nephew, but he didn't let that get in the way of taking care of his lil' sister.

By the time I finished talking with my brother, I was on the el train, and I didn't want to be discussing the state of my cervix within the hearing of train strangers, so I moved to texting people: first my sister, then a few close friends and one co-worker. The slow process of sending text messages on my clunky phone helped distract me from the sweat that was developing in my armpits. As encouraging/excited responses trickled in, they helped me feel a little better.

I was on the train over an hour: first the brown line, then the green line. It felt like a year. I felt alone, detached from all the people around me in a completely different way than the usual commute. I wondered if they could tell what was about to happen to me.

When I called DH and told him I was almost home, he suggested he'd order a pizza for delivery, and then he would come meet me at my train stop. That sounded good to me.

When I finally got off the train and saw him walking toward me, I kind of started to lose it - I realized I'd been mostly keeping my cool in public but was really, truly freaked out. As he came closer, I started to cry. He gave me a hug and we walked through the dark together to our home, our last time doing something like this without worrying about the kid.

Once I was at home, my sister called. She, also, was very reassuring, and told me that her induction had been earlier in her pregnancy and it was really unusual, and that mine would go much more smoothly, and a million other kind things. I was gathering up things to pack while she talked to me, and then DH started badgering me about cash for the pizza delivery while I was still on the phone with my sister, and then my sister started asking about when she could visit in January, and I felt myself starting to crack: "You know, we still have to get packed up for the hospital, it's a little crazy here right now..." I was starting to cry again.

I got off the phone with my sister, and I - proud moment here - screamed at DH. But seriously, I felt like I was about to cede all control of my body and our baby to a bunch of doctors, and he can't get eighteen f***ing dollars together? And he didn't so much as wash a dish while I was trapped on the train, even though he knew we'd be in the hospital for days? I was pissed. Then it turned out I didn't have enough cash, and I really lost it. The stupid pizza was supposed to simplify things, and now I could feel my blood pressure going through the roof, and it was clear that I had to fix the situation even though my brain couldn't handle anything additional at that point. I told DH to call the pizza place and give them our debit card number, which for some reason he thought wasn't possible.

He called. It worked. We got our pizza. Things went a little better once we ate something.

We packed up the bag, and headed out in to the October evening, late enough that traffic wasn't bad.

We got to the hospital around 9:30pm - after hours, so we had to press a special button to be admitted to the main doors by some remote security person who buzzed us in. We carried all our stuff up to Labor and Delivery, and between the two of us we looked like we had planned to spend a month: we had bags of snacks and drinks, my body pillow, a laptop, and a million other things.

When we got to the secure L&D doors, I picked up the phone on the wall and said, "we're here for an induction", and they let us right in, no questions asked.

We schlepped up to the nurse's station with all our bags. The nurse at the desk did not inspire confidence: she acted like she had no clue who the hell we were. I had to repeat my name several times, and repeat that I was with the midwives, and it was an induction, over and over again. I was so ready to bolt back out the door at that point. Had I known what the next few days would be like, I probably would have. Finally, the nurse (who still kind of looked like she was just making things up) admitted us to L&D room 311.

I thought to myself, "this is where it's all going to happen. I'm going to meet my son in this room."

I changed in to a hospital gown and climbed on to the hospital bed. Another nurse came in and gave me an IV hep-lock and a hospital bracelet, and hooked me up to the continuous fetal heart rate monitor. The kiddo's heartbeat was nice and steady. Since I was going to be on medication, I had to have the monitor on all the time. Fortunately, I could still walk around: if I had to wander further than a few feet from the bed, I could just unhook the monitors, toss the cords behind my neck, and walk over to the bathroom or whatever. I was pretty happy about that.

Then Midwife Kim came in and talked with me for a while about the next steps: I'd have a dose of Cervadil that would stay in for 12 hours, then they would assess me. If I wasn't quite ripe yet, they'd give me another 12-hour dose of Cervadil. After that, Pitocin. She told me that sometimes, Cervadil is enough to just get things rolling on their own. I hoped for that outcome, because I'd heard some bad things about Pitocin.

She then gave me the first dose of Cervadil, which is a suppository-type thing that gets inserted in to the cervix. Oh lordy, was that unpleasant. I knew Kim to be pretty skilled when she has to deal with the nether-regions, so I think Cervadil just kind of hurts. Once it was in, though, I couldn't really feel it.

Around 11:00pm, we settled in for the night. DH pulled out the chair-bed thing in the room and put on some pajamas, and I reclined my hospital bed. We turned down the volume on the fetal heart rate monitor, turned down the lights, and waited for things to get started.

Tuesday, December 13, 2011

Boob Juice: the situation so far

One of the reasons I haven't finished the birth story is that my hands have been full, in a very real sense, with feeding this baby. With the exception of three days, my 8-week-old son has been fed only breast milk, and he's thriving: he's over 12 pounds now, and is big and strong (95th percentile for length! And he can already roll over! And... I'll stop. But I'm very proud of him). After the first five days of his life, my milk supply has kept up with his demand pretty well; the "girls" are producing plenty to keep him fed.

Easy peasy, then, right?

Not exactly.

About two weeks ago, as I was struggling through yet another excruciatingly painful nursing session, I was composing a blog post in my head entitled, "Breastfeeding is An Enormous Pain in the Ass". I felt duped, and I felt like there was no getting out of the hell I'd gotten myself in to: my child was thriving on my plentiful milk, but I was crying at the end of (and sometimes the start of) each nursing session. This was clearly great for him and awful for me. Everyone had told me that the first two to three weeks would be difficult, but things shifted from challenging (i.e., figuring out the mechanics of nursing a new baby) to painful after those three weeks. I kept thinking I needed to tough it out, or maybe I was just more tender because I had a big, strong baby who liked to eat in gulps, or maybe I was doing something wrong... it all boiled down to something being flawed with me, or with my approach. I just had to figure out what it was.

Thanksgiving week was when it finally hit the fan; when I was sobbing in bed while my son was contentedly nursing. I was sobbing for two reasons:

A) The unending, burning, stabbing pain while my son nursed, and

B) The need to stock up on milk so I could go shopping with my mother that Saturday.

Item B is probably the topic for a separate post about difficulties with my family and their growing tendency to ignore my needs, but it did mean that I was pumping milk after each nursing session, trying to glean enough extra so I could spend precious hours away from my month-old son, shlepping around in a crowded shopping mall during Black Friday weekend. This was creating additional stress for me, which wasn't helped by item A: pain.

DH made the suggestion, while I was weeping, that I just start pumping until I could figure out what was going on. We had both given up on what we thought were La Leche League lies ("breastfeeding should never hurt!"), but he offered that perhaps it shouldn't actually hurt this much. And pumping was less painful.

The Sunday after Turkey Day I began exclusively pumping, and our baby started getting all his milk from bottles. (Side note: He is so easygoing. As long as there's milk, he doesn't care where it's coming from. I love this kid.) While I pumped, I Googled things like "agonizing pain while breastfeeding". And I learned a few things:

First, I learned that, while "breastfeeding should never hurt", it often does, especially in the early weeks. I found a message board of women describing the pain when their babies initially latch on as being equal to or worse than labor pains - and I nodded in agreement. And while I was told to expect "discomfort" for 2-3 weeks, several of these women said it took two to three MONTHS before that latch-on pain dissipated.

And by "latch-on pain", I mean take-your-breath-away, toe-curling, 9 on a scale of 1 to 10 pain.

Second, I learned that, though it can (and often does) hurt to start with, what should never happen while breastfeeding is a burning feeling, like the intense burn I would have for about 30 minutes after each feeding. That's a sign of a problem. Other chest-area problem signs I had: urgent itching during a nursing session, occasional shooting pains at any time, and, yes, pain intense enough that I cried while feeding my son.

Dr. Google told me I might have thrush, which hadn't occurred to me. OK, it had, but I kept checking my baby's mouth and he had none of the fuzzy white spots I knew to look for, and he never acted irritated when he nursed. If he didn't have thrush, how could I have it?

That Monday, I relayed my concerns to our pediatrician at the kiddo's one-month appointment. The doctor checked him carefully and told me she saw no signs of thrush in him, but it was possible - especially if I'd been given antibiotics and he hadn't - that I had thrush but hadn't transmitted it to the baby. She suggested I use Lotrimin (yes, the athlete's foot medicine) 3 or 4 times a day and see if that helped.

She also did what all the health professionals do, and complimented me on my milk supply. Thanks, but I would enjoy being able to give the milk to my child without the delivery of said liquid being such an issue.

After a couple of days of only pumping and using Lotrimin, I didn't feel like things had improved markedly - I was crying less, but only because I wasn't nursing. And I was sad about not nursing.

Also, all the dealing with bottles and the pump actually created a lot of friction between me and DH: when I exclusively nursed, I just took charge of the kid for an hour at a time, no fuss, no muss. I was forced to put my feet up and DH had some time to do what he wanted. With the exclusive bottle feeding, DH would feed him while I pumped, or else I would feed and burp the baby and then hand him over to DH so I could then pump... and then one of us would have to wash all the pump parts and bottle apparatus every day or so. It was a huge hassle, and felt like way more work for both of us.

So on that Wednesday I did what I should have done probably two weeks earlier: I called the midwife's office. The triage nurse who talked with me was awesome - she immediately made it clear that I shouldn't be in this kind of pain, and she made me feel, for the first time in a long time, that I wasn't inherently flawed or doing anything wrong. After a couple of conversations with her, I had a prescription waiting for me at a local pharmacy: two doses of Diflucan and a tub of All-Purpose Nipple Ointment. I'd heard of APNO several times, and it kind of sounded like a wonder treatment. Diflucan was referred to in a lot of the search results I found when I Googled around about thrush.

The nurse also told me that as soon as things stopped hurting terribly, I should get back to nursing the kiddo - there wasn't a big concern about giving him the thrush.

So a third thing I learned is something plenty of people have told me: ASK FOR HELP. If something hurts? Ask for help. If you feel like something's just not right? Ask for help! If you're crying while you're feeding your kid? Ask. For. Help. Or clarification, at least. I got really invested in toughing it out when what I needed was a prescription.

And a fourth thing: if you're sore (and if you're nursing, you will be, especially if you give birth to a mini-Hoover like my son), use these Soft Shells. They were recommended to me by a new-mom friend of mine and they work beautifully. Between these and my prescription ointment I started healing noticeably in a couple of days.

We're up to the point now that I'm nursing the kiddo about half-time, and the other half of his feedings he's getting bottles of pumped milk. In the last couple of days, I've had several nursing sessions when latch-on pain was minimal, and the rest of the feeding was essentially pain-free. It's amazing, and I think I can see where this is going: I'm back to hoping I'll be able to breastfeed this kid for a solid year, whereas a few weeks ago 12 months sounded like a lifetime of pain and suffering.

When it doesn't hurt, I have to say that nursing a baby is pretty awesome, in the true sense of the word. I gestated this baby, and now I'm still sustaining him with my body. I love the snuggle time that is guaranteed during a nursing session, and generally extends for a while afterward when I'm burping him and he dozes off on my chest, content with a full tummy. Nursing can certainly feel like the best kind of tender loving care a mother can give to her child.

But while I already stated for the record that I would be completely fine with some formula supplementation - which is exactly what we ended up doing in the first few days of his life, when he had jaundice, my milk hadn't yet come in, and he needed to poop out that bilirubin - I will now say, after two months, that I certainly don't blame women who don't stick with breastfeeding. If I hadn't had two solid months off work and a spouse who was home with me full-time and a health care professional who was extremely supportive, I don't think I could have weathered the learning curve. Of course now I know I had some issues that were unaddressed for too long (ASK! FOR! HELP!), so my case was probably not typical.

So, yes, so far we're exclusively breastfeeding, and as we come to the 2-month point I anticipate that will continue to be the case. But just because it's "natural" does NOT mean it's easy, not in the first two months, at least. I'm becoming convinced that anyone who says it is must be trying to sell you something.

Wednesday, November 23, 2011

Thanksgiving

Yes, I'm still writing out the birth story, and it's three parts so far, and maybe I'll finish it or maybe it will stay an unfinished tale like that triathlon I never wrote about (the short story on that: it was fun. And now that I've given birth, it's no longer the toughest physical thing I've done).

But it's hard to fit in any writing - or anything - with a baby around. Yes, even though he sleeps approximately 16 hours a day, according to the books. And yes, even though DH and I are both home full-time together during leave. And, yeah, even though right now the kid only needs about three things in rotation: milk, diaper change, sleep. You'd think a couple of people with graduate degrees could manage that AND getting the dishes washed in the same day, but you'd mostly be wrong. So creative pursuits are not getting the attention they may have otherwise.

I'm not complaining, though. Despite fatigue and occasional frustration (it's a weird frustration, too - I'm frustrated for... getting frustrated. Like I should be able to handle it when the kid has a full tummy, a dry diaper and a comfy place to sleep and is screaming his head off at me for no apparent reason. DH reminded me that it might be normal to find that frustrating).

Last Thanksgiving I honestly wasn't even thinking about having a kid. When I realize just how quickly we shifted from "not yet" to "why not?" with the baby question, it's a little stunning. This time last year I was not only not pregnant, I didn't think I'd be having a baby any time soon. Certainly not while still in my 20s, anyway.

But our minds changed, and then we got ridiculously, stupidly lucky and I was pregnant much sooner than I dared to hope I would be, and here it is, Thanksgiving, and we have a one-month-old son. And holy crap, people, he is cute. He's starting to smile sometimes, and use his voice - he likes to say "ow", very cheerfully, sometimes very loudly in the middle of the night when I'm burping him and DH is trying to sleep - and he reacts to different voices in the room, and he's starting to see things like the shapes of the mobile that hangs over his changing table. He's also growing like crazy, and we're pretty sure he'll weigh over 12 pounds at his one-month pediatrician appointment.

So, clearly, there's a lot to be thankful for here:

We have a beautiful, healthy son, and somehow we've picked up the basics of this parenting gig without freaking out so far. (The very short list of needs he has is helpful). Also, let me repeat: he's beautiful. The whole time I was pregnant I was prepared for a weird-looking kid, because we're a little weird looking, ourselves. And then he was born, and... wow. He's objectively cute. I spend a lot of time staring at him and feeling amazed.

I'm healing up and feeling more like a human (OK, most of me... my "girls" are still feeling a bit battered - the kid's massive weight gain is all due to mother's milk. This kiddo inherited the appetite enjoyed by both his parents. This is great for his sleep, but tough on my mammaries). I can do things like take long walks outside now, so I don't feel like an invalid like I did the first couple of weeks. I'm looking forward to being cleared to do things like jogging and lifting things that are bigger than the baby (though, hey, he's big enough that I'm less limited all the time!).

We're surrounded by supportive family, friends and neighbors who have been fantastic about stopping by with meals, calling and e-mailing to see if we need anything, and appropriately fawning over our beautiful baby.

With the extra leave due to my c-section and the timing of winter break at my work, my maternity leave is basically 11 weeks long, which is awesome.

We have health insurance. I seriously don't know what we would have done without it, because according to the statements I've gotten in the mail so far, our week in the hospital cost $35,000. Do what?

We live in a friendly neighborhood, full of folks who will strike up a conversation with a couple walking around with a baby. We're still not used to it, but I like the surprise each time.

And... well, I'm sure there are things I'm missing. But that's sleep deprivation for you. I hope all three of you readers out there have a beautiful holiday. We'll get to see a whole lot of both of our families, with a minimum of travel on our behalf, which is wonderful.

Happy Thanksgiving!