Showing posts with label childbirth. Show all posts
Showing posts with label childbirth. Show all posts

Wednesday, April 3, 2013

From cheerfully childless to mindful mommy

I'd be lying if I said that the transition from being cheerfully childless to motherhood has been a smooth one. My life is so radically different that is almost as if I woke up in an alternate universe.

I really loved the life I had before. I loved being able to pick up and go somewhere on a moment's notice. Loved the freedom to take a course or sit and write or stay up all night hanging out with friends. I had a few lovers, each unique and wonderful, each aware of each other and my love of them all. Even with death and dying in my family, such heavy subjects, I felt a lightness of being. I felt free from all the constraints I'd placed on myself over the years. I'd finally grown up and become fully me. And then my female best friend goaded me into recognizing that I'd fallen in love with M and accepting his invitation to move in with him. He supported me after my grandfather's death. We traveled. I supported him through a grueling start-up. We bought a house. And then I got pregnant out of the blue.

Yes, I miss my old life. I'm giving myself permission to miss it, and to come to terms with the changes and the challenges.

The loss of my independence has been the most difficult to adapt to. It would probably be easier if M and I had family closer by, or if I had more friends in the area, because I could call on them to spot me for things like doctor appointments or haircuts or shopping. As it is, I have to pack the Little Man up and bring him everywhere I go. It can be an ordeal even if it's just to go weed outside.  I find it damned inconvenient that I can't just climb up onto a ladder to clear the gutters or empty the dishwasher or take a shower without having to make some sort of provision for my son, especially now that he is crawling around and has figured out how to open cabinets and drawers. And really, there's nothing relaxing about showering listening to a baby howl with displeasure because he's trapped in a walker or a bouncer or otherwise restricted in movement. At best, I get to shower every other day. Any longer than that and the smell of baby puke and sour milk and my own body gets to me.

I miss being able to focus on myself. Before I got pregnant, I was determined to get down to a normal weight range and I made good progress. In having a baby at my age I made a further commitment to being healthy and fit. I'm down 100 pounds in the past 2.5 years. I really want to drop another 30 pounds but I've hit a plateau and my visits to the gym are too infrequent. I try working out at home but the Little Man either wants to participate or wander off. It's rather difficult to monitor him while tying to make sure I don't pull a muscle or otherwise injure myself due to inattentiveness. My doctor says I've done amazingly well and I should focus on maintenance more than further weight loss. He says he's concerned that my focus on dropping more weight will become sabotaging if I get too discouraged. Meanwhile, I'm fighting this near-constant "I'm hungry" feeling that the doc says to feed with warm water. I'm almost chronically under-hydrated since I started breast-feeding, and even after my milk dried up I still struggle to drink enough water -- I'm just too busy playing mommy.

The changes that pregnancy and childbirth have wrought on my body have mostly been awful. My body still doesn't feel like it belongs to me. I often find myself walking funny because there is a cramp in my pelvic area, usually the hip-flexor muscle, I think. My ass aches when I get up after sitting for a while. My lower abdominal muscles, while never particularly strong, seem to resist my efforts to tone them up--from the waist down I feel gelatinous. I'm ok with the changes to my breasts and nipples. I actually like them more, with the weightloss and the changes from pregnancy and lactation -- they are less lumpy than they used to be, and I'm fortunate that I didn't experience mastitis or thrush. The acid reflux and the intestinal spasms have been agonizing.  Since I'm not lactating anymore I switched from Tagamet to Prilosec and it's made a world of difference. Now there is occasional discomfort rather than a constant mid-level discomfort that ramped up to must-go-vomit-stomach-acid-now a few times a week, often a few times a day.

But before I sound too much like some whiny, ungrateful, unfit mother, I should say that I love my new life, too. I love the home I've made for the three of us. I'm happy here, even if I do miss my friends. I've got my patch of dirt to dig in and grow things. I am grateful that M's brilliant mind, which is what initially attracted me to him, is also attractive to so many companies here in Silicon Valley. He makes a good living and we try to live modestly on his income so we can still put money aside. Yes, I'm itching to take some courses and get myself marketable again so I can feel less dependent, but that will have to wait another year or so. I really enjoy his company and he enjoys mine. We talk to each other often, we snuggle when the baby's needs allow, and we both agree that having a baby together has made our bond deeper.

And our son! Wow, what an amazing little guy. Yes, he's teething right now and I really want to run screaming from the house after his nth meltdown, but he's got this wonderful smile and even when he's crying he tries to smile for me sometimes. He's developing so fast and he's becoming his own little person and even as I struggle not to create habits in him I'll regret later, I can't help but scoop him up and love on him. He has so much joy in him and I'm loving experiencing the world from his perspective. I'm experiencing an aspect of life that I'd never thought I would (parenthood) and while it's definitely a mixed bag, I've no regrets. I'm trying to be mindful of what I feed him, trying to keep his chemical-load to a minimum. I'm thinking about what stories I read him and what television programs he sees so I'm aware of what social and cultural norms are being passed on to him. I'm trying to create a safe space for him to grow into the person he wants to be --whatever that looks like. And seeing what a fine job some of my friends have done with their own children, I've got some good role-models and sources of of moral support.






Saturday, June 9, 2012

Little Man's First Week

This first week with our newborn has been challenging. Little Man is jaundiced, but improving. At full-term birth he was 7lbs 1oz but within 3 days he lost 9oz -- about 8% of his original weight. It was tough to see him losing weight on the colostrum he was drawing from my breasts, and when I was told it could take 5 days for my milk to come in, I felt real fear for him. I started drinking Mother's Milk tea and visualizing breasts full of milk during my meditative moments. When my milk came in I was ecstatic, and the blissed-out expression on Little Man's face as he fell asleep with a full belly of milk is one I will always remember.

Our next challenge to face was bowel movements. After 5 days he stopped passing the meconium (which I call toxic waste) and stopped passing anything at all. After 24 hours I called the advice line. They recommended I stimulate his bottom with petroleum jelly and breastfeed him longer and more often, so I did. After 48 hours I was at the pediatric clinic, where they tested his bilirubin (up but not at danger level), took his temperature with a generously lubed anal thermometer, and observed me breastfeeding him to make sure he was drawing enough milk. He was a very aggressive latcher, and I'm producing lots of milk, but the lactation nurse recommended that we supplement the breastfeeding with an additional 2oz of expressed milk every 2.5 to 3 hours. Five feedings later we got what we were looking for, thankfully, but with an undesired side-effect: nipple confusion. He won't latch on anymore, I think because it's so much easier to get milk from a bottle's nipple. So, once we've got his weight up and his bilirubin down, I'll start the battle to get him back on the breast. Thankfully, Kaiser Permanente is strongly committed to breastfeeding because it makes for healthier, happier babies, so I'm getting lots of support from the lactation consultants on staff.

Speaking of Kaiser Permanente, I've got to say that I'm really impressed with this foundation as a health care provider and insurer. My prenatal care was excellent. There was no stinginess when it came to making sure that the baby and I were as healthy as possible, and with all the ultrasounds, fetal non-stress tests, dozens of doctor's appointments, specialist visits, lab tests, etc, I only made one (yes one!) $10 co-pay. My only expenses were my medications and nutritional supplements, and gasoline for all the to-and-fro. The birth experience was great, too. The Redwood City birthing center is staffed with midwives in addition to nurses and doctors, which is why I chose it. It was a very caring environment and the staff all did a great job of keeping me in the loop and educating me so I could make informed choices about how to progress with the laboring and delivery processes. I ended up with two hospital stay co-pays of $100 each. Knowing that I didn't have to worry about minimum deductibles and residual fees made the pregnancy much less stressful than it otherwise could have been.

What else? I'm retaining more water now than I did during my pregnancy. My feet and ankles look pillowy. The past couple of days I've been wrapping them in compression bandages and elevating them, and it does help -- they look better than they used to, but some of the swelling comes back within an hour or so of removing them. I'm still feeling bloated and flabby, and very sore/tender from the waist down, but that is to be expected. Even so, it appears I lost a dress size or two during the pregnancy. I had to dig deep into my closet to find a pair of pants to wear that don't hang off of me, and most of my skirts are way too loose. It will be interesting to see what my weight is now, and what my dress size is once I've firmed up.

Daddy M is being great. He never fails to step-up when I ask him for something. He's taking time out each day to do a skin-on-skin snuggle with his son, and helps with the supplemental feedings. We had a couple of emotional flare-ups the day after my parents went home, mainly because I was in pain and tired and feeling overwhelmed, but since then, my emotional state has been balanced and my body is handling the pain/discomfort better as I'm adjusting to the new sleep schedule and feeling less tired.

Almost time to wake Little Man for his next feeding! I think I'm going to hop into the shower while I can.

Wednesday, June 6, 2012

The Little Man is here!

Our little man arrived this past weekend. 

It seems I managed to avoid the C-section that the doctor thought I was going to need because my cervix was so slow to dilate. They put in an epidural before they started the pitocin, and thus before there was any real pain, because my history of long, difficult intubations (for anesthesia) could be problematic if an emergency C-section was needed and I was too far along for an epidural. However, the slow induction worked out in the end -- after 20 hours on pitocin I suddenly progressed from 4cm to 8cm in a 2 hour period and then there was no stopping his arrival -- I pushed 3 times (with a lot of yelling on my part as it seemed once he was in the birth canal the epidural wasn't as effective) and there he was! The midwife said that the birth was so fast he was in shock when he arrived. It took a minute or so for him to cry.

M and my step-mother were there for the birth. Just barely. They walked into the room as he was crowning. M really surprised me by how much he participated in the delivery (he'd expressed some squeamishness) and early care of the baby. He was going to cut the cord but as they handed him the scissors the doctor cut the cord -- apparently it was wrapped around the little man's neck. My mom was here for a couple of days but had to go home. Fortunately, M is on paid paternity leave so he helps me with Little Man. He's a bit overwhelmed right now, but I've never known him to fail to step-up.

He's a perfectly healthy baby boy, thankfully. We had our concerns, even after the genetic screening came back clear, because of my age and the fact that I was on some medications in the first trimester (including the contraceptive pill) that they steered me clear of once I was diagnosed as pregnant. Since I managed my pregnancy weight so well, he was 7 pounds at birth. It looks like he'll have brown hair and brown or hazel eyes. He's got long legs and big feet so it looks like he's going to get the height on my father's side of the family, just like M wanted. Unfortunately, it also looks like he got my nose, which I have courtesy of my father ;)
The Unintentional Mother's Little Man
The first days with Little Man have been pretty intense, especially when he was only getting colostrum from my breasts, but now that my milk has come in, he's sleeping longer and the quality of his hunger cries is far less heartbreaking for me.

Well, the little guy is awake. Time for breakfast!



Wednesday, May 30, 2012

Labor & Delivery Day (take two)

Tomorrow we try again with the labor induction. I don't doubt we'll be successful this time. I saw my obstetrician today and she said that I've dilated another centimeter and I'm 50% effaced, so I've made progress in the last four days. This is great news, because it means that this time around my body is more ready for labor.

I'm doing my best to envision a positive birthing experience, particularly one without the need for a C-section. I've spooked the anesthesiology department with my revelation that in all three of my experiences with general anesthesia, I was very difficult to intubate -- my most recent one took 30 minutes, even with a glide-scope. I'm "anterior" -- whatever that means -- the first anesthesiologist repeated it to me over and over again as I was being taken to recovery. I remember her urgency, saying I needed to remember that one word to give to a doctor if I ever had to go under again. So now the Labor and Delivery team are on notice that Anesthesia needs as much lead time as they can get if it looks like a C-section is needed. The mid-wife's response?  "We'll just have to make sure we won't need a C-section then."  I liked her immensely after that :)

I've had time to relax this week since I got the last of the preparation work done last week. I'm feeling much more rested and centered.

I'm kind of dreading breastfeeding. I've been having those nipple vasospasms two and three times a day, and instead of dragging myself into the shower in the middle of the night, I've been having an ounce of alcohol--which my OB says is ok, especially after she witnessed first-hand just how painful they are. The alcohol is a vasodilator that counteracts the vasoconstriction, usually within 5 minutes or so. It's blessed relief. On top of that, I've been having breathtakingly painful charlie-horse muscle spasms in the groin area the past few nights, so I'm eager to push the little guy out.

I'm looking forward to getting my bladder back, and my stomach, too. Solid food isn't sitting well with me, hasn't for weeks. Most of all, though, I'm looking forward to this next stage of my life.

In some ways I'm still in disbelief that I'm having a baby, even as the reality of it kicks me in the diaphragm and bounces on my bladder. But I'm just crazy about M and we've got a good life and a beautiful home and it seems natural for the baby to be the next thing. After that, who knows?


Monday, May 28, 2012

Back home, no baby -- yet

I had no idea that labor induction could fail, until it happened to me.

I went in on the evening of May 25th and they started me on Oral Cytotec to try to soften up my cervix and start contractions. Well, contractions started, but over the course of 36 hours there was no change in my cervix.  I was given the option of going home and seeing if nature would take it's course over the next few days (and coming back on the 31st if not) or changing up to Pitocin and using a balloon to widen the cervix.

At first I was leaning toward more intervention. I was already there at the hospital and I was tired of being pregnant. I'd also overheard three other women give birth in the room next door, and wanted to move on with labor so I wouldn't have more time to dwell on what it sounded like they were going through. But after talking with the mid-wife, nurse, and OB-on-duty, I chose to go home. I Do Not Want A C-Section, and putting me on Pitocin when I'm not even 2cm dilated means hours and hours of the baby's head slamming against my cervix until it dilates and we 1) have a vaginal birth, 2) have a baby in distress and they to do a C-section, or 3) wear me out and I need to do a C-Section. After thinking about it, the battering ram approach just didn't sound like a good way to start the labor and delivery process -- so I'm back home as of yesterday noon.

Today there is a little discomfort -- a big improvement over yesterday, as I was very sore in my lower abdominal area from all the induced contractions. I continued to have some contractions throughout the day and hoped they would continue into today, but I haven't noticed any, which is a big bummer. It looks like our hopes that the Cytotec would jump-start the laboring process even once the drug left my system isn't panning out. Ah well.

In the meantime, I'm being as active as I can. I may even get out there and do some gardening. The nurse midwife said to go home and have sex, and try some nipple stimulation. I've been having very painful nipple vasospasms lately so the thought of stimulation makes me cringe, and I'm tender enough in my nether parts after the contractions that the thought of sex also makes me cringe. We'll see what the next few days bring.

Naturally, I'm feeling disappointed, but I'm also pleased with my decision to go home and not force the labor. The OB on duty told me he thought it was the right decision. I don't want to increase the risk of a long, hard labor that ends in a C-section -- it's not the best thing for me or the baby. He'll be here soon enough. We just need to balance the benefits of letting him choose his time against the risks of placental and amniotic deterioration that are more common in women my age.

In the meantime, my step-mom will be around until the birth, and I'll get some more just-us snuggle time with M. Not a bad trade-off.


Monday, May 21, 2012

Final letter to my unborn son

Dear baby boy,

On Thursday May 24th we start week 40, you and me. If you don't show signs of making your way out into the world before then, I'll be at the hospital first thing Friday morning to start the process of inducing labor. Even though this pregnancy has gone remarkably well, my age and the fact that you are my first child puts us in the "high risk" category, which means the obstetrician doesn't want us going past 40 weeks.

We're mostly ready for you, dragon-baby. Your father had hoped you'd arrive Sunday May 20th for the solar eclipse, but alas, it wasn't meant to be. This gives me a few more days to finish up some things I am hoping to complete before you arrive.

There is a fair amount of anxiety floating around in the house these days. Your father and I are feeling nervous and afraid. We've completed the environmental preparations for your arrival -- clothes, diapers, a place to sleep, breastfeeding supplies, etc -- but mentally and emotionally we've both admitted we're afraid we're not ready for parenthood. We're set in our ways, I admit it, and we like the way our life together has been running the past few years. We're content together, our relationship works very well, and we have a lot of freedom. And that is changing soon -- as soon as you arrive.

But even more than the fear of lifestyle changes and the fears of possible parental inadequacy, there is a fear your father and I haven't talked about. The fear that something might happen during childbirth, to you, or to me.

So in some way the purposes of writing this letter is to address the possibility, however slim, that I might not be around to raise you. There. I said it. After my brush with my own mortality and the deaths of three other family members the past few years, I'm pretty ok with death and dying. Or at least I thought I was. But deciding to bring you into this world, choosing to become a parent -- well, that has changed quite a lot. It's not all about me anymore, whether I live or die. I've made the commitment to be a mother and that means my life isn't my own anymore. You are wholly dependent on me, both while in the womb and for months (years) after you're born. And I'm afraid, more than anything else, that I won't be there for you.

Your father had a really difficult time of it when I was so sick with septicemia -- witnessing the fact that I'd almost died scared him, affected him deeply. It changed our relationship significantly, brought things into sharp focus. It isn't until you face the prospect of losing someone that you realize how important they are to you. In the months that followed we chose each other, chose to take what lies between us more seriously, and that is a powerful thing.  Powerful enough to create the possibility of you. I worry about how your father will handle things if something happens to me as a result of childbirth. He's a good man, a deeply sensitive and caring man, and I worry about how devastated he'd be if I died. And how that devastation would impact his ability to care for you.

The odds are in our favor, of course, and it's unlikely this fear of mine will come to pass, but over the years I've learned to face my fears head-on rather than run and hide from them. My own mother is gone and all I have are memories, and I know that in the event that I die while you are still an infant, you won't even have memories of me.

Oh, there will be some photos, and some recordings of my voice, and a fairly significant body of writing both personal and professional -- so I think when you're older you'll have an idea of the person I am as of today. And hopefully the mother I would have been...

A week from now I hope I'll feel silly for writing this. I'll probably chalk it off to pregnancy hormones and a healthy dose of fear. Still, it's all worth saying, and better said than not.

If I didn't write this now, you wouldn't know about the hours I've spent rubbing you through my belly, or the time I've spent telling you silly little anecdotes about my sisters and my grandparents. You wouldn't know how much I've come to love you, love the feel of you moving inside me -- you -- the embodiment of the love and possibility that exists between your father and me.  You might not know that even though I didn't plan on having children, didn't really think I wanted children -- that I want you, and that I'm looking forward to building a new life around you with your father.

I would want you to know that your father makes me laugh like no one else can, and that he and I have had a deep emotional bond for 8 years now -- a good, solid basis to build a relationship as parents on. That I have freckles on my nose and a mole on my upper arm and a widow's peak inherited from my father's mother. If you like your nose it means you got your father's nose, or my mother's nose -- because I've got my dad's nose and I don't like it much :)  I want you to know that if your taste in music is different from your father's -- if you end up liking jazz and blues and tribal beats -- it's because I listened to it when you were in the womb. If you're good at math and piano you get it from your father, and if you can't pick up playing musical instruments no matter how many lessons you've had, you get that from me. (Sorry!)

I'd want you to know that I don't have a favorite color. When I was a little girl and the other kids were picking favorite colors it occurred to me to feel sorry for the colors that weren't chosen, so I never picked one. My color preferences are mostly dictated by my mood.  I don't have a favorite flower or food, either. I tend to live in the moment, and appreciate whatever is here in this moment -- something that having preferences or favorites can interfere with. Your father and I both learned to read very young, so you probably will, too. My favorite books from childhood are the stories of Winnie-the-Pooh, and The Warm Fuzzy Story, and the stories of Pippie Longstocking, Sinbad the Sailor, and Puff the Magic Dragon. Your father will probably start you on Tolkein. I hope you like his work, but if you don't, your father will blame me :) If the Disney movies terrified you when you were little, that's on me as well. I took things very literally when I was a child. If you don't like TV or movies much -- if you'd rather read or otherwise feed your brain you get that from me -- but be a good boy and try to sit through your father's shows with him. He will appreciate the effort.

Most of all, I'm a loving, affectionate person. I love hugging, snuggling, and massaging the people I care for. If something goes wrong, I just want you to know that I am so looking forward to splashing love and joy and affection all over you, and it makes me very sad to think we might miss out on that.

There are other things I'd want you to know, things I've learned over the years. For example: You don't get what you don't ask for. * Life can be tough at times, and we're all in this together, so don't forget to ask for help when you need it. * Be clever if you can, but never forget to be kind. * Don't let anyone tell you that there is something wrong with you--you're perfect and complete just the way you are, and everything you need to be happy is already inside you. * Love isn't something to be hoarded. Instead, love like you're trying to give all the love inside you away by the end of the day--you'll be full again in the morning, I promise, and you and the people in your life will be better off for it. * People are more alike than they are different, and if you remember that, you'll always have common ground. * Your only limitations are the ones you believe in. * It's ok to be afraid--everyone is afraid--but most fears are creations of your own mind, so don't let them get in your way. * The only regrets people tend to have in life are the things they didn't do. * It's ok to make mistakes. Mistakes are often acts of creation. Just remember to own up to them and make amends when you can. * Your thoughts and attitudes are creative and causal forces in your life--as you think, so you are and so your life is. * Own your present and your future: Be the change you want to see in the world and it will come to pass. * Be playful. * Be grateful. * And most of all, Be Happy. *

Love,
Mom


Tuesday, May 15, 2012

10 days and counting

May is a gorgeous month here in the San Francisco Bay Area. Or at least it is gorgeous south of the City.  This weekend it was nearly 80F at my house, but a jaunt into the City uncovered a dampy, foggy wind and temperatures in the 60s. Needless to say, I didn't stay there long.

The pregnancy is going remarkably well, I'm told. No signs of preeclampsia, no gestational diabetes, I've kept my weight down, and all my bloodwork looks good. The latest ultrasound shows the baby in the desired head-down position. But at 38 weeks, I'm getting worn out, and the baby isn't showing any signs of wanting to make an appearance. My feet have started to swell, so I'm wearing flip-flops most of the time -- not the most stable footwear for someone who can't see her toes anymore. I've got a permanent crick in my pelvis/low back that sometimes turns into a sharp knife-like pain when I'm out walking--so I'm sticking close to home these days. It is getting more and more difficult to find food that agrees with me, so I'm mostly eating frozen greek yogurt, trail-mix, and rice with a bit of milk. My nose sometimes bleeds for no apparent reason, and my ring and pinky fingers are getting numb and tingly. These are all things that are known to go with pregnancy so I'm not worried, just tired.

This weekend I put together the last of the baby-related furniture and got things organized so that changing and dressing him should be relatively easy. I hope. I've been going through closets and dressers and dropping things off at GoodWill. Cleaned the guest room and prepped it for my my parents' upcoming visit. My step-mother is a nurse and it will be good to have her with me for the delivery. Moved most of the cleaning supplies out from under the sinks to the garage (it's never too early to start developing new habits). We've still got some bins to go through from the move into the house a year ago, but some of that will have to wait.

Our friends and family have been so generous with regards to baby gifts that I've had to add things to the baby registry. I'm not big on accumulating things that we won't need or use until months down the road, so most of what has been on the registry list has been newborn through 3 month needs. Our living room is full of cardboard boxes from Amazon -- we've been breaking them down and recycling them for weeks but more keep coming.

I'm already working on my to-do list once the baby is born. There are a lot of things I just can't do right now. Or don't want to do because it might bother the baby inside me. Like using the circular saw :)  I want to finish building the side panels on the rolling bamboo gate that camouflages the garbage bins, but handling lengths of lumber and using power tools isn't a good idea right now. I've also got a burning desire to move the gorilla storage racks in the garage, and that will have to wait, too. And planting. I've got a 40 foot long planting bed along the back of the house but I don't have what it takes to plant and maintain it right now, so I've held off on the tomatoes and carrots and snap peas. Plus, I need to dig down and put some hardware cloth in place to keep the gophers/moles out of the garden.

Well, time to finish this up. I've got plumbers coming in to fix the leak in the master bath soon. And I need to go over the bids for the sewer lateral work we're having done. And take my neighbor to the doctor this afternoon (she just got out of the hospital a few days ago). And then I get to nap :)

Sunday, May 6, 2012

Two weeks until Delivery Day

We have a completely new HVAC system for the house as of Thursday. Boy does it raise and lower ambient temperatures quickly! And it's all high-efficiency so we'll see a difference in our gas and electric bills. We decided to get it done before the baby comes, instead of afterwards. Sometime in the next 9 months we'll have the floors insulated from the crawlspace -- before winter comes and the baby is crawling around on cold hardwood and stone tile floors. Of our 1900 sq foot house, only about 500 sq feet is carpeted.

I had someone come in to tackle cleaning the bathrooms and floors, and she did a beautiful job for a fair wage. I'll probably ask her back in a few weeks.

The Graco pack n'play bassinet has been put together and is situated by my bed. It's going to be a good height for handling middle of the night changes and breastfeeding. I've already got diaper-changing and feeding-related stuff in two canvas bins in the top half of the bassinet. God, I hope I'm ready for that!

All the baby clothes and linens that came in this week have been washed and stashed. Yesterday we stopped by Ikea to pick up a dresser and cloth bins to compartmentalize the drawers so those tiny little socks and whatnot don't get lost in the shuffle. M wanted to be a part of the baby furniture decision-making process, but he's only available on weekends, and our weekends have been full of classes and house-related projects and his usual techie puttering. Hopefully we'll get the dresser assembled today.

Speaking of classes, I had the breastfeeding class and the newborn care class yesterday. I'm not sure what I was thinking when I booked two 2.5-3 hour classes back to back. All that sitting in hard chairs made my feet and ankles swell. They're still swollen this morning. Grr.

I'm getting frustrated and tearful a lot more these days, mostly with M. I know it's not fair for me to expect him to read my mind and anticipate my needs, but there are times when I wish he was a better listener -- especially those times when I've had to repeat myself. He's also used to me being his reminder system, but I'm not very good at it these days -- not when my brain is mushy like it is now. Living with M is like living with an artist or musician or an absent-minded professor. He's always thinking and imagining--which I love about him. He's got a big, sexy brain. Before we lived together he'd forget to do things like make meals, do laundry, and feed the cat -- so I took all the domestic stuff on. And now I'm a bit overwhelmed. It's frustrating when he asks me about something as simple as how I make his bacon sandwiches -- which I make the way he told me he likes them -- but, I should be happy he's making the effort, right? Right. Right.

Sleeping is no longer the deep, restful sleep it once was. I'm constantly adjusting positions because something is tingling or I can't breathe right or the baby keeps pounding on the same spot like he needs more room. I'm resting/napping a lot more. I experience the burning-eye need to lay down two or three times a day now. The good news is that this phase is only for 2 more weeks.Once the baby is born I'll be sleeping less, I know, but I'll be experiencing a lot less physical discomfort (I hope) and much better mobility. Two improvements which should have a marked impact on my emotional state.

Still to do are the bag for the hospital, the installation of the car seat base, purchasing some newborn disposable diapers to get through the first few days of toxic waste, and finishing the re-organization of my bedroom so I'm not tripping over bins and boxes.

Saturday, April 21, 2012

Childbirth. Must I?


I had a high pain tolerance once. I could function well enough at level 10 that one of the paramedics didn't believe me when I told him it was that high. I offered to scream and projectile vomit for him (which I was trying very hard not to do) at which point his partner guided me onto the gurney. In the emergency room it took 3 doses of morphine to bring my pain-level down to a point that my body would lie still for an MRI of my internal organs. That's pain.

Nearly four years ago I was admitted to the hospital with a wound that had gone septic and beyond, to septic shock. I apparently came within hours of dying, had a couple of surgeries, weeks of hospital and home health care, and ended up with an 8-inch long & 4-inch deep open wound that had to heal up from the inside out. Endless bags of antibiotics until my veins were exhausted and I cried through IV pumps rather than admit it was time to change the IV site and invite even more agony (lesson learned: demand a PICC line if I'm going to be on an IV for more than a few days).

Talk about pain. The memory of the pain is still with me: it brings tears to my eyes. It cut through my dilaudid-on-demand; it made my whole body tremble and jerk, even in my sleep. I spent 10 days checked-out from my body, burrowed deep into some remote place in my mind. Those 10 days are lost to me, just pained haziness punctuated with moments of extreme agony. I vowed that I never, ever wanted to experience that kind of pain again.

Childbirth. On a scale of 1-10 it's just over 11, I've read.  I am assured that the memory of labor pain fades with time. And of course, it does. It must. It's the thought of that in-the-moment gut-wrenching pain that freaks me out. I just don't know if I can muster the courage to face that kind of pain again, even with the help of an epidural. Sometimes I think about scheduling a C-section just to avoid it. And I probably would if I didn't want to have to deal with recovering from major surgery.  I also know it is better for the baby to experience vaginal birth. Its like a full body massage--it gets the blood and lymph flowing, stimulates the muscles, etc. And that matters to me more than the memory of pain.

Childbirth. Never intended to go through it, feel completely unprepared to handle it. But it's how human life begins, so... meh. I'll keep trying to pysch myself into it. Perhaps the Labor & Delivery Tour at the hospital next weekend will help take the edge off some of the anxiety.

Wednesday, April 18, 2012

Letter #4 to my unborn son

So we're at 34 weeks today, you and me. I was pretty confident we'd make it all the way to the 39 week mark, but today, I'm not so sure. I had another breathless and lightheaded episode at the doctor's office when I was laying on my back for a few minutes for heartbeat monitoring. It took me 30 minutes to recover so I could drive home. I'm waking up at night with tingly arms and that breathless feeling, usually because I've rolled over onto my back in my sleep. You're getting on my nerves and my veins, apparently.

The monthly ultrasound looks normal (still no sign of your super-powers) and our obstetrician says that babies delivered by storks is a myth. I was wondering why it wasn't an option on the birth plan! My goal right now is to get through week 37, when you're considered full-term. So far I'm not experiencing any of the serious symptoms that women tend to experience in the last final trimester, and that's really good news for us both. I lost 3 pounds in the last 4 weeks, somehow. I'm not really trying to lose weight, just maintain. You're taking up so much room inside me I figured I'd gained another 5, but nope, I lost three, so we're at 9 pounds net gain, five of which is just you. 

We've been accumulating baby gear from family and friends, the baby registry, and Craig's List. Boy, babies are expensive endeavors! It helps that I'm naturally frugal and love second-hand and home-made gifts, but I know you're going to have a significant impact on our household budget. We really need to get a family car, since the two-seater won't fit the three of us, and my old GMC Jimmy is on it's last legs. Let's hope that promotion your father applied for comes through this month, since the increase in salary should more than cover your baby-related expenses.

You're going to be a fidgeter like your father, I think. You're wiggling all over the place. I'm doing those fetal NST's twice a week now, and sometimes you squirm off the monitor. Unless we were up all night, in which case all you want to do is sleep and the test takes an hour instead of 20 minutes because you won't move.

I'm reading all these birthing books and parenting books and what to expect books and, well, I'm saturated. Babies don't come with instruction manuals, so people try to help each other out with all sorts of advice, but I'm at the point now where I recognize that so much depends on you, and the kind of baby you're going to be. Are you going to be demanding and colicy, or quiet and beatific? As a newborn will you have a healthy constitution (like your father), or will you be sickly (like I was)? So many questions -- but they'll be answered soon enough.

I'm looking forward to you joining us next month. I should get around to packing the bag for the hospital soon. Just 5 more weeks, at most!

Saturday, April 7, 2012

Preliminary birth plan

I'm not sure what my birth plan is going to be yet, but I'm compiling notes about what I do and do not want happening over the course of the main event.

1-None of that fasting during childbirth crap. Bring on the clear liquids and light snacks. Athletes don't fast before and during endurance events, so why should laboring women?

2-If inducing labor, under no circumstances is Cytotec (misoprostol) to be used. It is not FDA approved for obstetric use and the obstetric effects can be horrific. Use Cervidil instead of PGE1 or PGE2 for better control of dosage and fewer side-effects. Avoid oxytocin if possible.

3-If labor is incredibly painful, administer epidural only once the baby is in the anterior position -and- dilation is 7cm or greater. Epidurals delay labor if administered too early.

4-If doing epidural, NO glucose IV -- use saline only -- and make sure they give at a max of 150ml/hr to prevent fluid overload, anemia, ketonuria, hyperbilirubinemia and blood-sugar issues, as well as site inflammation. Nutrition by mouth is better for mother and fetus.

5-Make sure someone attending the birth knows how to administer sterile water injections for back labor pain. Mid-wives are very familiar with this practice even if doctors aren't.

6-No forceps or other instruments are to be used for delivery.

7-No episiotomy unless it will prevent emergency use of instruments for delivery.

8-Absolutely no circumcision -- or there will be a madwoman administering castrations.


Anyone want to chime in with other recommendations?

Sunday, April 1, 2012

Letter #3 to my unborn son

Little One,

In 7 weeks you'll be joining us, and your father and I are getting ready for your arrival.

A friend loaned us a book regarding childbirth, called A Thinking Woman's Guide to a Better Birth.  I thought reading it would help alleviate my anxiety, but it hasn't -- in some ways it's made it worse. There are so many pros and cons with things like epidurals, inducing labor, episiotomies, obstetricians, midwives, etc. Everyone has an opinion. Some opinions are even based on facts. But the more I read about childbirth, the more I realize that modern medicine has interfered so deeply with women's reproductive matters that we've lost or come to distrust thousands of years of knowledge of something that is innate to us. Childbirth is a natural event that is treated more like a medical emergency waiting to happen, and I guess that is what has me so nervous about the birthing process. Honestly, I'd like to skip over that part and just have you delivered via stork, ok?

We've bought the infant car seat and the stroller for you -- we found a great, gently used Chicco Cortina travel system on Craig's List for 1/3 the cost of new. Your Grandpa Stan went with me to pick it up from a couple who are at Stanford University.

The gifts are coming in from the baby registry we set up on Amazon.com, and we've been getting wonderful items second-hand from friends, some with the tags still on them. Your Great Aunt Marsha sent a bib with a power-tie printed on the front, and a cute little sailor suit, and of course, a little golfer's outfit. My best friend from Junior High days sent a big box of toys and clothes, and two baby carriers. Your father's friend, David, and his partner, Lynn, brought over some of their favorites from their son's infancy, too. Their boy is 18 months and growing so fast! I know you'll be doing the same. I have some friends who are wonderful at knitting and crocheting, so we've got some beautiful little jackets and hats made with love just for you.

Meanwhile your, Grandfather has really been working hard with us to finish up the landscaping projects we've had going, especially the side-yard gravel-to-paver project. When you're walking around next summer I won't worry about you falling and getting hurt on that sharp-edged gravel anymore. The exterior of your home is shaping up very nicely, though the interior is in a minor state of disarray, thanks to a leak in the master bath. The good news is we've discovered a closet that was abandoned during a renovation. We've just got to figure out how we're going to make it useful and aesthetically pleasing once again.

You're going through your growth spurt right now, and for the first time in my life, I'm anemic. Your expanding circulatory system and red blood cells require lots of iron, so I'm having to supplement my prenatal vitamins with additional iron. I'll probably be doing that for several months, while you're nursing, too.

You're starting to crowd my lungs. I can't take deep breaths anymore, but I'm not feeling short of breath so far, so that is something to be thankful for. In addition to my lungs being crowded, so is my stomach. A lot of food just isn't agreeing with me these days, and vomiting hurts, so I'm eating a lot of yogurt and cottage cheese and blueberries and protein drinks and protein bars. My weight gain so far is at about 10 lbs, but I'm noticing that while my breasts and belly are growing, other areas are shrinking a bit. So far, there are no signs of gestational diabetes or pre-eclampsia, and my blood-pressure is very good. Sleeping for more than 3 hours at a time is nearly impossible now. I suppose it's one way for me to get ready for napping between feedings.

Jasper the kitten isn't very kittenish anymore. He's 8 months old now and weighs 9 lbs. We're hoping he outgrows his adolescent phase before you arrive, because he's a bit aggressively playful. He's fun and sweet and cuddly and he'll be a good companion animal for you when you're both older. I'm not sure how he's going to deal with competition for my breasts, though. They seem to be his favorite place to curl up for a nap.

Your father is being very good to me. I can't wait for the two of you to meet each other. He's such a wonderful, gentle-hearted man, and I think he's going to fall for you pretty hard. He's planning on taking all 7 weeks of his paternity leave so he can spend as much time with us as he can. As it is he's doing everything he can to help me with my physical discomfort right now, and he's great about joining me when I lay down for a nap so I can snuggle and rest. Snuggling up with him is like coming home. You'll understand what I mean some day soon, I'm sure.

Time for bed.

See you in 7 weeks, maybe sooner.

Mom