Friday, December 31, 2010
Second week
I took my first excursion alone with Willow today. We went shopping at Target and the supermarket. Both the car and the shopping cart seemed soothing to her, I selected stores where I was likely to be able to find a place to sit down and nurse, and I nursed her at the end of the visit to each store. I was prepared for disaster, but it actually went OK. I don’t think I’m up to handling two while shopping yet, but I feel a little more freedom in realizing that as long as Willow is with me, and I’m able to nurse when she needs it, I have pretty free movement. It felt like a treat to be seated with her attached to my boob and seeing something different than my bedroom or living room.
We took our first excursion as a family to a holiday light show. It was an easy trip to make in that the lights could be viewed from the car. River enjoyed it and it was good for us to spend some time together. The next night we met some friends and their baby at a restaurant for dinner. We’re taking baby steps towards resuming a more normal life.
I am so very appreciative of the little things that people do to help out when a new baby arrives, whether it’s food, grocery shopping, a gift or flowers. When you spend much of the day alone with a baby attached to you, it’s nice to be reminded of your friends. I’ve found it hard to take people up on the offers to call them if I need anything. It feels too much like asking for a favor. But I have taken up those who call or write and insist that they want to bring something over or run an errand and it’s been a huge help. Lately I’ve been pretty good about bringing over some food or sending a gift to friends with a new arrival. I will try to continue that.
Breastfeeding continues to be painful, but I’m hopeful this won’t last for more than a few more days. Our two potential problems that could be causing the pain are thrush and/or a short frenulum. Willow and I will start diflucan together on Monday and on Tuesday, we are meeting with a pediatric ear, mouth and throat specialist about the possible short frenulum. Hopefully solving one or both of these issues will make things easier. And then I’ll appreciate the fact that breastfeeding is no longer painful. Since it wasn’t painful last time, I didn’t appreciate the relative ease.
I’m getting in a decent amount of movies, and a little bit of reading. But more intensive tasks, like finishing the exam I still have to complete, are more challenging. I might get between 15 minutes and an hour a day during which Willow is sleeping and I can recruit someone else to hold her while I work. Nevertheless, I appreciate these little chunks and know that each little bit of progress made adds up over time.
River’s adjustment continues to be difficult. It’s still a challenge to spend time with him, I’m sure he feels neglected, and his behavior reflects it. I’ve twice taken him on walks around the block with me. Even a mere 30 minutes together, just the two of us, was very rewarding. I need to be able to find more chunks of time that I can devote to him.
Wednesday, December 29, 2010
The calm after the storm
So I spent about 14 hours in bed, got quite a bit of sleep, and right now, she is resting quietly in someone else’s arms, while I was able to take a half hour walk with River and now have a little time to myself. Whew!
Tuesday, December 28, 2010
One of those 'holy crap' days
The other days are like today, in which I think, holy shit, how do I manage this. Today was the first day I started to feel a bit bummed, as though this is overwhelming. Even looking at email stresses me out because I can’t imagine how I’ll find time to respond to all the messages I should answer.
First River gets sent home from preschool with pink eye, just as he has recovered from a fever. We go from him never being sick at all to suddenly going from one malady to another.
Then we go to the doctor, the whole family, and Willow’s poop explodes through her diaper for the first time, staining her sleepsack and her Bundle Me. I felt like I was a better mom this time around, as I actually brought a spare diaper and some wipes (I often didn’t with River). But as soon as I placed the spare diaper under her bum, she peed. I didn’t have another spare. Nor did I have an extra outfit. We had to go back outside with her dressed only in a t-shirt and plopped into the Bundle Me.
We’re still dealing with the thrush and now the doctor says I should look into having her frenulum cut, as it may be short and this could be causing some of the breastfeeding pain, and perhaps could be an issue with speech later. So I had to make an appointment with a pediatric throat specialist.
The best part of my day was getting the medicines at the pharmacy because I got to walk home, spending a good 20 minutes alone, outside, in the sunshine.
From that point on, Willow has been on my boob for a solid five hours. It’s already like a knife going through me when she attaches, especially on the left side. Even better when I get to spend five hours with her going from one side to the next and back again. We had a sitter around all afternoon, but I couldn’t give her to the sitter and take a break because every time I did, she’d start rooting again.
At the same time, River was freaking out about the drops I had to put in his eyes and nose, and begging for mom to read him a nap-time story, give him his medicine, pay him some darn attention. With the exception of a single storytime and a 30-minute walk in the snow yesterday, I have spent no time with him in the last week. It’s painful to him and to me and is just one more thing stressing me out.
I was getting exhausted and frustrated and felt glued to the chair. My back is killing me from constantly bending over to breastfeed. Finally, I figured out that she couldn’t possibly be eating for five hours straight and that she was using me as a pacifier. I pulled out the pacifier we got from the hospital and voila, she sucked calmly. Why didn’t I think of that earlier?
I’m crossing my fingers that since she spent the whole day awake and sucking, that will result in some good sleep for both of us tonight. I need it. I can’t fathom how I’m going to finish my exam, or do anything else of substance, at this rate.
This too shall pass, I remind myself, and she will only be my 7.5 pound baby doll now. I am trying to treasure it.
Saturday, December 25, 2010
OK, it's getting hard now
Mom is dealing with:
-Lower parts that are still sore and swollen and results in her walking like an old lady
-Anti-fungal medications for thrush
-Breasts that are functioning, but sensitive due to overuse, milk flow and possible thrush
-An underarm abscess
-Lack of sleep
Then River wakes up with a 104 degree fever for the past two mornings – the first time he has ever been truly sick.
After virtually not seeing the pediatrician for about a year, we are probably their most frequent patients this week.
We are utilizing divide and conquer, with Mark taking charge of River and me in full charge of the baby. We were trying to keep the baby away from River, and now I have to keep her away from Mark as well.
It is horrible to watch River with this fever. I can’t imagine the effect of a one-week old getting it. So I spend most of my time in the bedroom, breastfeeding, drinking liquids, doing a little reading, sleeping when I can. It is so painful to hear my child sick for the first time and to not be there for him. Last night he screamed out “No more! No more!” as Mark and his mom applied cold cloths to him to reduce his fever. I cried at not being there to hold and to comfort him. Talk about abandonment. Not only is mom less available with the arrival of the new baby, but now she’s virtually disappeared, and just as he’s going through an experience where he really needs love and comfort.
The in-laws have been lifesavers and Mark’s mom was a soothing presence to him. They left this morning, so we are now on our own.
The good thing is that the baby is still easy. She doesn’t cry without cause. Silly as it sounds, I’m trying to acclimate her to sleep at night by using a tight swaddle only at night and letting her move freely the rest of the time. She slept from somewhere around 1 a.m. until I woke up from River’s screaming and woke her around 4:30. Then she slept again from 5:15 until after 8 a.m. I felt terrible going back to sleep while everyone else in the house was up helping River, but I knew I couldn’t go near him and figured I was of better use rested. Those two chunks of three-hours of sleep really made a difference. I’m crossing my fingers that she continues not having prolonged periods of wakefulness at night. It makes the whole newborn stage so much more manageable.
And I’m still enjoying watching her and being with her. Looking at the variety of facial expressions she can make can keep me occupied for hours. I marvel at the shape of her body and how she swims in her 0-9 month My First Christmas sleepsack. She has little smiles, which I know are probably just gas, but heartwarming nonetheless. And I feel like she is recognizing my touch and voice, which is comforting.
The one challenge is that, like River, Willow** wants to be in someone’s arms at all times. That makes it hard to leave both the kids with anyone. But I’m hoping when River gets better, I can leave Willow with someone and take River with me on my daily stroll around the block, getting in some one-on-one time with him.
**I wish I could share her name, because I really love it. But I change everyone's identity on my blog to protect their privacy. So I'll call her Willow here.
Thursday, December 23, 2010
Newborn day 4
1. Having family here to support us has been so very helpful. They have been able to provide River with fun and individualized attention at a time at which he would otherwise likely feel ignored. They have also been helping with housework, errands, and food, which reduces the burden on me to be able to focus on the baby. The first time around, that seemed pretty overwhelming. Now that seems fairly manageable.
2. It’s early and perhaps things will change, but so far, the indications are that we have hit the jackpot and got a second easy baby. The pediatrician commented that she is very calm, she sleeps most of the time, and so far, has not cried more than about 10 minutes or so per 24 hours. I’m able to get through the whole night without her crying more than a few minutes, which means that everyone in the house except me is able to get a good night’s sleep.
3. I’m enjoying the newborn period even more this time around. Last time I was anxious for interaction. This time, I better recognize how fleeting these days are. I know it won’t be long that my daughter will be only seven pounds, that her fingers are such tiny, precious little strands, that I can watch the beautiful expressions that fleet across her face as she sleeps. I trace the perfect curl of her earlobe, stroke her soft cheeks and marvel at how her thin little legs and tiny organs are able to function. I hold her against my shoulder to burp her and touch my cheek to hers. I try to save the moment forever.
Though overall, things are going well, there are definitely challenges with number two.
These include:
1. My new relationship with River. I’m glad the grandparents are here to allow us a little space to figure this out. He now appears gigantic to me, his hands and feet as though already fully formed. He makes up songs about caca (poop) and uses nonsense language, which no longer impresses me so much. But he also knows facts about squid, hippopatomuses and tyrannosaurus rexes. Hearing him discuss these things with his grandparents makes me marvel that he also came out of me as a tiny babe, not so very long ago.
Unfortunately, our first substantial interaction upon my returning home was disciplinary. He took his grandfather’s newspaper apart and scattered it across the floor. I gave him a time-out and asked him to apologize to his grandfather. He wouldn’t, so he received three subsequent time outs. The most we’ve ever done before is two in a row. Four was miserable. Even more miserable when he peed his pants during one. When I asked him to apologize to his grandfather, he looked at me with such defiance and contempt. It reminded me of how I looked at my mother during our battles of my teenage years. It was also such a contrast with the look of complete understanding we shared until just a few days ago.
I think he was overtired, because the fourth timeout turned into a long nap, with none of the usual preambles. Grandma helped with the baby so that I could be the one to get River up from his nap, to read him a story, and to spend some positive quality time with him.
He realizes things are going to be different and I understand this is rough on him. I also know things are going to be different and I find it stressful. As much as I want to be there for him, to go out and do fun things with him, as long as the baby is attached to my breast, I am limited. I know this will get better with time, but I am glad I took him on so many excursions in the final weeks of the pregnancy. I wish we’d had another week or so of mom and River time.
2. Breastfeeding has been more challenging this time around. Last time the challenge was a long delay (about a week) in the milk coming in, but it wasn’t painful at any time. This time it’s been painful from the beginning. I spoke with several lactation consultants at the hospital, who said her latch is fine and that her suck is like a vacuum extractor. When I look in the mirror, I see holes in my nipples, where scabs have formed and then come off. For the first several days, it was so painful that I panted with pain, as though back in labor again, every time she latched on.
It’s getting a bit better now – perhaps my nipples are toughening up. And my milk came in last night, which reassures me that I won’t repeat the low supply issues. But her tongue is white and I have an underlying fear that she has thrush and will transfer it to me, repeating the miserable process of infection and reinfection I went through with River. I got some Nystatin, which was not effective last time, and am crossing my fingers I’m wrong about this. This time, I’ll be quicker to head to the powerful antibiotics.
3. I seem to have an extra supply of adrenaline this time, or perhaps it’s the gift of her not being alert, except while feeding, during the night. I don’t think I’m getting a whole lot of sleep, and I don’t find I can sleep during the day. There are times at night when I feel exhausted. Too exhausted to read certainly. But I’m so grateful that I’m not dealing with a screaming or wakeful baby that I tell myself it’s not so bad.
4. I came home from the hospital full of rules. It’s great they do education there, at the time when people need it. But I’m just too tired, or too lazy, to implement some of them. Wake the baby every 2 to 3 hours to feed. When it’s 4 a.m. and she’s already been sleeping three hours, no I’m not waking her. Sorry. I worry that will have an adverse effect on my supply, but I’m just not willing to give up the sleep to do it. Nor I am willing to record and/or track feedings and/or wet diapers. It’s a small step, but anything extra at this point is cut. For the past two nights, I’ve taken on all the feedings and allowed Mark to sleep through the night, but that also means I haven’t changed her diaper during the night. I feel negligent, but I’m tired and just can’t bring myself to remove her from her swaddle and wake her when she is quiet and restful. Nor do I really want to get out of bed. Luckily, both nights, she had only a bit of pee each morning. Once she’s getting more milk and has more bowel movements, I imagine I won’t be able to slack off so much there.
5. I’m in better shape physically than last time around. I avoided an episiotomy. But I do have a second degree tear and several smaller lacerations. It still hurts. I took my first walk outside today, around the block, and felt like an old lady, barely moving one foot in front of the other when I normally stride at a rapid pace. The continued pain below, plus the pain in the boobs makes me feel like I’m in pretty poor shape.
6. The weight is not disappearing as fast this time around. Last time I seem to recall dropping about 25 pounds right after the birth. This time I’m only about 10 pounds lighter than I was the day before she was born. That’s almost 30 pounds above my starting weight. Granted, from two hours post-birth on, I’ve been eating like a fiend. I’m trying not to worry about it too much, figuring I need nourishment for breastfeeding. I’ll try to focus on slowly reincorporating physical activity into my routine and perhaps replacing my current midnight snacks of Christmas cookies with some healthier options. But for now, I’m trying to focus on getting sleep, taking in adequate fluids and nutrition, and generally doing whatever makes me feel good to get through this physically and mentally rough period.
Tuesday, December 21, 2010
Day 2
I was able to sooth her to sleep on my chest, where she remained until Mark returned at 7:30. It’s been better since then. I took my first shower, put on something other than a hospital gown for the first time, and ventured out of my room to attend a baby bathing class two doors down. That woman had just pushed out a 9 pound, 6 ounce boy last night. Despite being her fourth child, she described the process of getting him out as “horrible,” so I felt rather lucky in comparison.
I’m going to be discharged today, but I’ve asked to stay until the latest I can – 10 p.m. I know some people can’t wait to get home. I like the quiet of the hospital, the lack of responsibilities, the help available when needed, the room service food. They hold several classes that seem useful. I didn’t feel strong enough to venture out yesterday, especially in the hospital gown that opens in the back to bare my butt, my diaper and my bulging ice pack. But today I’m capable of putting on shorts and a t-shirts and waddling around a bit.
River met his sibling last night and it wasn’t the beautiful introduction I envisioned. Unfortunately, the exciting arrival of his grandparents shortly before his nap meant he didn’t go to sleep and was tired and edgy. He presented his sister with a couple of small toys selected by dad, and seemed enthusiastic about that. And he was excited about the toy she brought for him. But he didn’t show much subsequent interest in the baby, nor did he show a lot of affection towards me. I attribute a lot of that to his lack of a nap, and I’m sure part of it may be stress and anxiety about the changes. Our pediatrician suggested we maintain his normal routine as much as possible and modify the baby’s schedule to fit his. I think that should be feasible.
I’m having a surprisingly difficult time sleeping. The 5 mg Ambien they gave me the first night did nothing. Last night they gave me something equal to double that. When I still wasn’t asleep after 40 minutes, I added another two Tylenol p.m.and that did the trick. Mark however is able to sleep at the drop of a hat. Despite getting a full eight hours last night, he can nap within five minutes. I’m a bit jealous. Luckily, I don’t feel too exhausted yet though, especially during the first half of the day.
I think I’m liking and appreciating the newborn phase more this time around. She’s small and delicate compared to River. It amazes me that her hand was about the same size as the round Oreo 100 calorie cookies I ate a few hours after delivering her – somewhere between the size of a quarter and a silver dollar. Her head is not much larger than my breast. When she’s feeding, I love to see the tiny, perfectly shaped ear, the scrunched eyes, and her full heart-shaped lips, pursed and working hard, instinctively knowing what they need to do to get sustenance.
No one can really figure out who she looks like. When she first came out, I thought she looked like River, but that’s not so much the case upon closer examination. Perhaps she’ll grow into looking like someone in the family. River resembles men on both sides of the family. Who he resembles more can depend on his age or the particular day. Or perhaps she’ll just be her own little unique person. Either way, I’m in love with her already.
Monday, December 20, 2010
Day one
I got out of labor with one second degree tear and some minor lacerations. It’s still painful to move around, but as long as I’m in bed, I feel fine except for a slight headache and fatigue. Despite a sleeping pill, I didn’t get much sleep last night, partially due to racing thoughts, partially the annoying sound of the IV, and partially the frequent disruptions.
Overall though, I’m in much, much better shape than last time around. I’m not puffy, I’m in good spirits, I came in a good ten pounds lighter than when I delivered last, I avoided an episiotomy, it was shorter, it didn’t hurt as much, I had 11 ounces less baby to push out and the doctor seemed truly committed to doing what he could to minimize pain. I am grateful for all the above. Also, we had kind friends who came over and spent the night with River and Mark’s parents will be there soon. Mark has now gone back to greet them and to help River choose flowers and a gift for his new sister. This evening I’ll have the pleasure of seeing my two children meet for the very first time.
I called her an it the whole time she was inside me, but as soon as she emerged she became my daughter. Mark, on the other hand, keeps accidentally calling her a he. I am very grateful for her and feel very lucky. I never finished my statistics exam (I have the last few questions to look forward to in the coming days or weeks) and I never got around to my nesting projects. She came on a weekend, which is not ideal in terms of getting the best hospital care. But she came on the day the doctor I trusted most was on call, she gave me some helpful warning signs of her arrival, allowing me to get things in order, she probably saved me some pain by coming out before surpassing 8 or more pounds and so far, she’s easy enough to care for. I don’t recall making much use of reading material and Facebook last time I was in the hospital. This time I feel like I have hours of precious quiet time to myself. We are blessed with a wonderful holiday gift.