Thursday, May 29, 2014

Things Saving My Sanity With a Newborn


Overall, I lucked out with Jack. He really isn't that fussy of a baby. He usually only cries when something is wrong, like he needs to be fed or is tired. But, he has his moments. And let me tell you, this kid has a set of lungs on him. There is nothing more taxing on your soul than hearing your baby scream when you are already exhausted. By 3 weeks old we figured out a few things that will calm Jack quickly and keep him happy pretty. So here is a list of the things saving my sanity:

  • Swaddle Sacks: The first night at the hospital Jack was either nursing or screaming because he wanted to nurse. Michael and I were trying everything to get him to sleep more than 10 minutes. Then a nurse came in to take him for his hearing test around midnight. When she brought him back, he was all swaddled and happy. He slept for an hour until he was hungry again.  I unswaddled him, feed him, and he got all fussy again. Then the nurse came in to check his vitals and swaddled him. He slept for 2 hours. Then another feeding followed by fussiness. Then another check and nurse reswaddling, followed by 2 more hours of sleep. Thus, we quickly caught on he liked to be swaddled. But as best as we tried, we couldn't get him tight enough and he kept breaking free (which just made him madder). The first night at home, we just couldn't keep him asleep for more than 30 minutes and were exhausted. Then I remembered there was a swaddle sack in the bag of hand-me-downs my friend gave us. I put him in it, rocked him until he fell asleep. And to my delight he slept for 3 hours! The next day we ordered 2 Summer Infant SwaddleMe's from Amazon. We swaddle him every night for bed, most naps, and when he is insanely fussy. He sleeps in 3-5 hours stretches at night and takes 2 or 3 good naps every day. So worth the money. 
  • Boba Wrap: Several of my friends told me to wear my baby. After Jack's first few days at home and him constantly wanting to be in my arms, I decided it was worth a shot. I decided on the Boba Wrap because of the good reviews and the price. I watched the videos on Youtube on how to put it on and wear your newborn thought it looked easy enough, so I ordered one off of Amazon. When it came, I was kind of overwhelmed by the amount of fabric and by the stretchiness. I am petite and I was worried I would not be able to get it tight enough to support him properly. But I went for it anyways. I spent a good 15 minutes messing with it.  Once it  felt right, I put him in and he was so happy! We went on a walk and he loved being wrapped. Went right to sleep. Whenever he gets too fussy now, I just put him in it and go for a walk or walk around the house. All hands free! However, there are two issues I had with it. First, it can sag. You need to tie it at your actual waist not, where you wear your pants (or atleast I need to). And you need to pull it pretty tight. But once I got the hang of it there was no more issues. Second, it gets hot. Your baby is wrapped in three layers of pretty thick fabric right up against your body. You two may get a little toasty in the summer. I recommend you wear a light tank top and put the baby in just a diaper when its warm.
  • Soothie Pacifier: Jack is a sucker (and a cute one at that!). His favorite place is attached to my boobs. At first I didn't mind because I knew he was cluster feeding and growing. But when he wasn't in a growth spurt, he still loved my boobs and it began to hurt after awhile. I tried every pacifier we had but he would spit it out after a few minutes and cry. Then someone on the April 2014 Birth Club on Babycenter mentioned Soothies. They are the kind used in hospitals. They look and feel more like nipples. I ran out the Target one day when Michael got home from work and bought a two-pack. Jack took it instantly. They work great! He gets to suck and my nipples are spared. However, these only piss him off if he is actually hungry. So I need to make sure he is fully fed before I give him one. Then he will happily suck away---and sometimes even suck himself to sleep. 
  • Lavender Oil:  Lavender is known for it's calming qualities. Jack was not a fan of baths at first so I wanted to do something to make them more enjoyable. I didn't want to use the popular Johnson and Johnson Lavender products. So I got a bottle of organic lavender oil and added a few drops to his bath. The minute we set him in, he calmed down. Now he loves baths (even when he's screaming his head off prior). And during the day if he gets too fussy and won't go down for a nap, I dab a drop on the oil on his chest. He calms down most of the time, it's almost like magic! But I need to stress that lavender oil can be a powerful relaxant and you really only need a few drops. Too much can affect your baby's nervous system (see side effects here). Also, if your baby has sensitive skin, I would suggest not applying it directly to their skin. Instead add a few drops to a carrier oil (like coconut or olive oil) and apply that to their skin. 
  • Relaxation Melodies App: I've used this to help myself fall asleep for years. There's a wide variety of sounds you can use for white noise. I like the combination of ocean waves and rain. It reminds of my two favorite places, Oregon (the rain) and Hawaii (the ocean). Babies like white noise because they spent 9 months inside you listening to sound of your heartbeat and other bodily noises. I thought of using this app one day when Jack was 2 weeks old and having a hard time falling asleep. So I put the sounds on and he calmed down instantly. I put it on  almost every time I put him to sleep now or when he gets too fussy. He screams halfway through our morning walks on occasion. The second I put on "his music" he goes right to sleep. This app is free and totally worth the download.

Friday, May 23, 2014

Postpartum Recovery


It's been six weeks since I gave birth to my beautiful son. This so called "fourth trimester" is the most challenging so far. I not only have to take care of myself and recover from the trauma of giving birth, but I have to care of a tiny little person who is totally dependant on me as well. As hard as it's been, it's been so rewarding. Jack has honestly made me a better person in these 6 short weeks.

As far as my recovery, some  pregnancy symptoms vanished. Some lessened, And some new ones have appeared. So let's start from the beginning...

After Delivery:
Giving birth to an 8 lbs 9.6 oz baby will make anyone feel a million times better. My acid reflux vanished. My stomach settled and I was actually hungry for the first time in weeks. I also just felt a tremendous relief, all my internal organs were no longer squished! And thanks to the epidural, I felt no pain down there for the next two hours.

Selfie about an hours after giving birth, I
looked pretty good for being exhausted!

However, I was beyond exhausted. I rested a little bit after Michael with Jack to the nursery but nurses kept coming in the to check me so it wasn't that peaceful.  My right nipple really hurt, Jack badly bruised it on his first attempt at nurse. How is a girl supposed to relax with a throbbing nipple? My left knee was still numb too, making it hard move into a comfy position. I needed the nurse to pretty much hold me up when they wanted to move me to my postpartum room. The epidural also left me freezing cold. The nurse gave me a ton of warmed blankets, but it took forever for me to warm up.

Hospital Stay:
Shortly after I got to my room,  Michael came in with Jack. Jack wanted to nurse again so I tried the the other breast, and he bruised that one quickly too. Now both my boobs hurt like hell, but I still didn't mind because I knew it was best for him.

The nurse then helped me go to the bathroom. I was so sore, it hurt to stand. Plus, my knee was still numb so I really had to lean on her for support to walk. She sat me on the toilet and explained everything. I could not wipe myself for at least a week, or as long as I felt my stitches. So I had spray everything clean with a peri bottle This is when she pulled out the lovely mesh underwear and the huge pad. (look more like a puppy training pad than feminine hygiene product). Then, I was even more horrified to discovered I already had a pair of the mesh underwear on with a giant pad on! They must have put them on after they finished stitching me up and I didn't notice because I was mesmerized with Jack. Once I saw how much blood was on the pad, it all made sense though.

As the day went on, the bleeding was less and less. And the pain and soreness lessen too (with the help of some Motrin). And about 2 hours later the feeling came back to my knee. Once my IV was finished I got to take a shower. Let me tell you, that was the best shower of my life!!!! It felt good to just have a moment of peace to relax. And it felt soooo good to wash off all the sweat and blood. I brought some of my favorite products so I didn't have to use generic hospital stuff.
About 12 hours after giving birth, not too bad.
I examined my belly in the mirror once I got out of the shower. I looked about 5 months pregnant still, except my belly was all squish this time. Overall, the damage wasn't too bad. And right then I didn't care, I was just happy that squishy belly made my beautiful son.

Then there was the thing pregnant women are warned about and dread...going poop for the first time after delivery. I read some pretty dramatic accounts on other blogs. I will spare you the details and say it really wasn't that bad. Take the stool softeners they give you, drinks plenty of water, and take it easy. Don't stress over it.

I was happy to be discharged. I was sick of the nurses coming in every 2 hours to check Jack and I---especially at night. We would have just gotten him to sleep and someone would wake him up to check him. Then we had to start the whole feeding, changing, calming process again. Then another nurse would come in and we had to start all over again. How do they expect new mothers to recover properly if you wont leave them alone!?!?

Weeks 1-2:
I was very tired and very sore when we got home. I was still bleeding and my whole lower body hurt if I stood for too long. For the first week it was pretty much a cycle of feed Jack, change his diaper, put him back to sleep, nap, and wake up to fed him again. Jack only slept 1-3 hours at a time so it was hard to get good rest. My parents were here so my mom was cooking and cleaning for us. I really recommend for at least the first week having someone do this for you so you can rest.

I weighed myself for the first time since giving birth 4 days after. I had already lost 15 lbs! My belly was going down but still all squishy.

2 weeks postpartum, not that pretty.
At week 2 my stitches dissolved. My bleeding slowed down a lot, more like a light period. It would get worse again if I was too active though, which would cause the soreness to come back. I quickly learned I still needed to take it easy. My hormones ran totally wild during this week too. I cried about everything and snapped at people for no reason. My advice is to just not have visitors the first two weeks if you can help it. It's just too stressful, I really wish I would have know that beforehand. Next baby no one until week 3.

Weeks 3-4:
This is when I started to feel a lot better. My bleeding all but stopped by week 3. I was a lot less sore and actually wanted to start doing things. However, Jack had other plans. He had major growth spurt and wanted to cluster feed all the time. This resulted in major engorgement. I pretty much couldn't leave the house because I would start leaking. And the scabs on my bruised nipples turned into cracks. So you can imagine how much fun his constant feedings were...

The next week was a lot better. Jack started sleeping almost threw the night and stopped cluster feeding. I got to sleep and regain to sanity. And, my bleeding totally stopped and I was not sore at all. And I was happy to see I lose another 5 lbs, making me only 7 lbs away from my pregnancy weight!

4 weeks postpartum, everything going back into place.
These two weeks were the peak of night sweats. I've had them since about 25 weeks pregnant, but it these two weeks was like I was sleeping in the flames of hell week 3 and 4 postpartum. I would wake up drenched in sweat. It was awful.

Weeks 5-6:  No pain, no soreness, and no bleeding at all.But I felt kind of weak still. So I started going for walks with Jack 4-5 times a week too to get my strength back.

I lost another 2 lbs as well, but my stomach is still all stretched out. My non-maternity jeans do fit, but they are not comfortable around my waist. I am not that upset by it, I know I will get back in them in time. I mean really, even having them almost fit less than 2 months after giving birth it pretty freaking amazing!

6 weeks postpartum, I looked deflated.
My nipples are healed and it no longer hurts to nurse. I am still having some leaking issues, but I wear breast pads most of the time so it's not an issue when I go out anymore.

My hemorrhoids are still there, but getting better. To be honest, I slacked on caring for them because I was busy with Jack the first few weeks. If I stayed on top of them all along, I bet they would be gone by now.

So worth it, look at his big eyes!
Overall, I am very happy with my postpartum recovery. I probably should have focused a little bit more on myself at times (like getting more sleep and not trying to do too much), but when your baby is crying you drop everything to make them happy. But now that Jack and I have a routine established, I am able to do more stuff for me. It's surprising how just brushing your hair and putting clean yoga pants on makes you feel pretty again.
I love my boys so much.
Speaking of feeling pretty, something that really helped me emotionally recover from all the changes to my body was my husband. As much as appreciated him doing anything I asked him to do with Jack, what helped the most was him just telling me I was the little things he said. Like after I was done nursing Jack and I wanted to cry from the pain, he would kiss my forehead and say thank you for feeding him. Or when I showed him how my stomach is stretched out more on one side because that's were Jack attached, he put his arms around me and said I was beautiful. He was without a doubt the best thing to help me through these past 6 weeks.

Thursday, May 1, 2014

Cluster Feeding and Comfort Nursing: What New Moms Need To Know About Breastfeeding


The minute I found out I was pregnant, I knew that I wanted to breastfeed. It's "free", helps you lose weight, and provides the best nutrition. Plus it's great bonding time with your baby. Why wouldn't I do it? It seemed like a no brainer!

I took two breastfeeding classes, and some of the other child care classes went over it too. They talked about the various holding positions and how to get the baby to latch on properly. And how often to feed them so they gain weight. Seemed pretty basic and easy to follow. Boy was I wrong...

My mom told me that it is harder than you think. She said her mom helped her when she really struggled with it, so I knew it wasn't going to be a walk in the park. I knew your nipples will be sore and you may have painful blocked ducts. Also that your uterus contracts when you nurse and you may leak milk when it's close to feeding time. And that you need to be near your baby most of the time to feed on demand. But all that seemed reasonable, I wasn't too scared.

Then the time came. Jack was born and he started rooting for my nipple the minute they put him on my chest. The nurse sat me up and told me offer him my breast. Jack took it instantly---and OH MY GOD DID IT HURT!! But I looked at him happily sucking away and just tried to ignore it. Later when he came back from the nursery, I tried to feed him again and he wouldn't latch. I started to feel overwhelmed---not to mention that was I exhausted too. My mom helped me get him on but it still really hurt (he had already bruised my nipple).

My nurse called the lactation consultant and she really helped. Jack wasn't latching on wide enough and I needed to wake him up more so he eat enough before falling asleep. I thought it was all good after that. Wrong. That night he cried every hour to be fed and I didn't know what to do. The nurse came in and explain it was all normal, and showed me how to massage my boob while nursing to get more out. The feedings in the hospital went a lot better after that.

Then once I got him home he cried to be fed all the time, which once again totally overwhelmed me and I started to doubt myself. I am not making enough milk? Is there something wrong with my milk or my breasts? Is he still not latching right again? Maybe I should just give him formula, maybe it will make him happier?

Then I turned to the internet, I needed more information. If I was doing something wrong I needed to find out how to fix it. To my surprise, I was actually doing things right. Turns out breastfeeding is actually that hard in the beginning. But I found there were a few things I could do to make it easier.

So the following list is things I found out the hard way. But I wish they advertised these better to new moms so they don't get overwhelmed and give up breastfeeding.
  • It will hurt for the first few weeks. Seriously, it will hurt a lot. A combination of sore/burning/stinging/throbbing. If your baby bruises your nipples like Jack did to me, it will be even worse. And for the first few weeks your uterus will contract as you nurse, it's like mini labor all over again. Not mention you are exhausted and hormonal, making all the pain a hundred times worse. You may cry as you nurse. It's okay, let it out. 
  • But the pain does go away. I promise. I am 3.5 weeks postpartum now and it just barely stings when he latches and throbs a little bit after. It may piss you off when people tell you to just nurse through the pain, but it seriously works. The more you nurse, the more your nipples toughen up and begin to heal. As you are crying through the pain, look at your sweet angel's face and remember why it's worth it. 
  • Make sure the is latch correct. Jack bruised my nipples because I let him latch incorrectly the first time and he kept doing it. The lactation consultant showed me to open his mouth wide, put my nipple in bottom first, and gently push his head so his mouth takes in most of the areola. Once I had him on correctly, it was a million times better and I didn't dread feeding him. Check out this link for more info on the proper latch. 
  • Soothe your nipple in between feedings. Put a heating pad on before you nurse if possible. It opens up the ducts so the milk will flow easier and your baby won't have to suck as hard. After you nurse, put lanolin on your nipples. It's not vegan, but it's all natural and works very well. I tried coconut oil but it wasn't the same. This is one time I am fine with a non-vegan product because I know it is for the okay for my son. Also, if your nipples are still throbbing, put an ice pack on. 
  • You won't have much milk you at first. But you don't need that much at first.You've probably been told that your baby's stomach is small and so you don't need a lot of milk at first. So don't be concerned if when you try to express milk from your breast only a few drops comes out.  It's totally normal (Ameda)
  • But your supply will increase.  As your baby gets bigger, so will their little stomach. And your body will up your supply with the increasing demand. Keep nursing (despite the pain) and it will stimulate your body to make more (Ameda)
The next two are the most important things I wish someone told me beforehand. But first you need to understand growth spurts. Your baby will go growth major growth spurts several times during their first year of life. During this time they will need to eat more, probably want more snuggles, and sleep more. The first few will be around 3 days, the next around 7-10 days, then 2-3 weeks, and 4-6 weeks. These first few ones will be a major struggle since you still exhausted and recovering from birth.
  • Cluster feeding. I thought something was wrong with my milk supply at the hospital. However, when I pumped between feedings when I got home, I discovered I was making plenty. I didn't understand why Jack was eating all the time. Then I Googled it and cluster feeding came up instantly. When your baby is going through a growth spurt, your baby may need to eat more frequently, like every hour instead of every 2-3 hours. And they may want to nurse for a longer period of time. Then suddenly they will sleep for longer than normal, like 4-5 hours instead of 2-3 hours. Then wake up and want to start the cluster feeding/sleep cycle all over again. This is all normal---though it will drive you mad. You will feel like you are nursing back-to-back for hours. Your nipples will be throbbing and all you can think about is a nap. Then suddenly the baby is out in a milk coma and stays asleep for hours. As much as you enjoyed your much needed 4 hours nap, now you are all worried something is wrong. I kept thinking, "Why did he sleep so long? Is he okay?"  Then suddenly they are wide-awake and eating their hand because they are so hungry! Now you feel like a horrible mom for letting them sleep so long between feedings. Then the back-to-back feeding starts all over again, stressing you out more. Like I said, it all sucks, but it's normal. (Sources: Kelly Mom, La Leche)
  • Comfort nursing. I have no problem rocking Jack to sleep and comforting him whenever he wakes up. But I wanted him to get used to falling asleep on his own (trying to avoid co-sleeping because I have insomnia issues and it's not safe for him to be in our bed if I take a sleep aid on occasion). But sometimes he would be so insanely fussing when I tried to put him to sleep. The only way I could calm him was by nursing him until he fell asleep. Sometimes this can takes 30 minutes. He doesn't actively suck the whole time, maybe only 10-15 minutes. Then he just gently sucks as he dozes off to sleep. Then he would gently unlatch himself and be sound asleep on my chest. Only then I could transfer him to his bed without him waking up screaming. I was worried I was starting him on bad habit that would lead to him only sleeping in peoples arms or co-sleeping. So I Googled it again and discovered he was comfort nursing---and that it is normal. And it won't last forever. I like how they phrased it, do you honestly think your child will need to comfort nurse the rest of his life? That they will never outgrow it and be an independent person? That's ridiculous to believe, he just needs my nurturing and affection right now. So, if I nurse Jack to sleep right now I will not need to go with him to college to nurse him to sleep. (La Leche, Kelly Mom)
If you are truly struggling, ask for help. Contact a lactation consultant at the hospital where you delivered. Talk to  friend or family member who nursed before. Even your doctor or pediatrician can help. Breastfeeding is hard at first, but you don't have to suffer alone. And eventually you won't suffer at all, just keep going! 

Check out these links for my information and encouragement: