Milk Machine, Again

Checking in from somewhere deep in the Land of Sleep Deprivation…

And the real question is: How is breastfeeding going with child #2?

The answer: Better, worse, the same.

I will say this: we got off to a much, much better start with Sophie.  This, in large part, is due to my doula, Gracie.

I had been in recovery only a couple minutes when she said, “I think we should try breastfeeding now.”  This was after the forty hours of labor and a rather hellish c-section.  I was relieved to finally be lying down in peace, as close to resting as I had been in two days.  The idea of breastfeeding at that moment, honestly, did not thrill me. 

My husband expressed doubts, too.  “But she’s still hooked up to so many things (me, not Sophie), and there are all these tubes.  I don’t know if she’s in any shape…”

Gracie would not be deterred and pressed in her oh-so-gentle way.  “Sophie’s about an hour old and now is the perfect time.  We’ll help place her and get her comfortable.” 

With some rearranging and maneuvering of tubes and gown, Sophie was placed on my chest, where she quickly latched on and began to eat.  I could barely move to hold her, but Gracie helped to keep her in place.  I was amazed and thrilled, moved to tears that this was happening and so very grateful that I had someone there helping to make it happen.

Compared to our early days with Eli this was a fairy tale beginning.

Sophie continued to and has been exclusively breastfed so far.  This makes me very, very happy.

This is not to say all has gone without a hitch. 

I am, again, a constant food trough.  My nipples have taken a beating.  There have been blisters, there has been cracking, there has been blood. 

Our last day at the hospital Sophie spit up blood.  I was in an immediate panic: why was blood coming out of our baby?  To see it spattered on her shirt made my blood pressure spike and I felt lightheaded.  Vinny was off doing release paperwork and I could barely make the flustered phone call to get him back to the room.  

After much hoopla by the nurses and attending pediatricians, not to mention a half-day delay in our release, it was decided, “Oh, your nipple was bleeding when she ate and she spit it up.  Totally normal.” 

Good times, friends.

All the old ailments and challenges returned: engorgement, spontaneous leaking (and no, not just when my milk lets down, just whenever … it soaks through my nursing pads and my shirt), her pulling back while latched on, clicking, total agony when water and/or a towel brushed anywhere in the vicinity of my nipple.

It’s hard in these early weeks, as we are adjusting to each other, to truly enjoy the process.  I am thankful to know this time around that we will arrive at the day where we are both comfortable, where things will proceed without a hitch, where the process will feel natural. 

We’re not there, yet.  And it gets frustrating.  One feeding goes well.  The next does not.  One feeding she eats calmly, the next is a frantic feeding frenzy that ends in me near tears and her with a gassy belly, screaming in pain. 

We are still in the “learning” period. 

You’d think there would be more patience this time around.  But the combination of sleep deprivation and knowing things should and will be better in the future sometimes sends me into a tailspin of frustration.  Did I mention we are also moving across the country in just over three weeks?

Add to that our 18-month old who is also adjusting to all this change, vying for my attention, wanting to be picked up by me (this breaks my heart, and was one of the reasons I so adamantly did not want a c-section), etc., and I often feel myself being pulled in too many different directions.

Thankfully, my husband has been home with me since the day we brought Sophie home.  He keeps me centered when everything feels overwhelming, keeps Eli happy when I cannot give him attention, and is my true partner in keeping our household functioning.

And so the days unfold, often in a haze, often spent entirely in my pajamas.  I know one of these days soon I will realize with a start that breastfeeding is going smoothly… that the haze is lifting and there is once again some semblance of a “normal” life.

Until then, it’s one feeding at a time.

 Sophie and I with my doula, Gracie, at our post-partum visit, 

where we talked at length about breastfeeding.

And She's Here...

I wish I could say otherwise, but I had another c-section. 

It was a possibility, of course.  One I had hoped wouldn’t come to fruition.  However, at the end of the ordeal we met our daughter, Sophie.  And she’s beautiful and healthy, and I’m doing pretty well, too.

So what happened?

On Monday, April 4^th, I had contractions off and on all day.  Nothing steady, but I knew we were getting close.  Then on Tuesday I was woken at 4am by a contraction.  I fell back to sleep and eight minutes later was woken up by another contraction.  This continued until 7am.  I had hoped for more sleep, but part of me was already giddy with excitement.  I was sure this was the day we were going to meet our daughter.

We attacked the day, rushing around the apartment doing last minute tasks, all the while my contractions were getting closer and closer together.  At 10am I spoke with our doula, Gracie Davis, and it was decided the time had come for her to join us.  We made the arrangements to have Eli picked up, and I was happy for the distraction of the contractions; it kept me from thinking about the fact that Eli would be leaving soon, the first time I would be separated from him overnight.

Gracie joined us, Eli left, and the day rolled on.  Gracie did a lot with acupressure to ease me through contractions as I was having a lot of back pain.  We also took a couple walks around the neighborhood, probably frightening our neighbors with my contractions on the sidewalk.  Regardless, it felt nice to be at home, relaxed, not panicked about whether or not we should be leaving for the hospital yet.  Gracie kept careful track of the contractions and would let us know when we should leave.

Around 3:30 that afternoon we decided to head to the hospital.  My contractions were 3-4 minutes apart, lasting 60-80 seconds, and the intensity had been building all afternoon.  L.A. traffic any afternoon is not my idea of a good time and I started to worry that we’d be stuck somewhere, hence the decision to make the move.

After getting settled into my triage room, taking some time to get back into a steady rhythm of contractions, I let the nurse check me.  I was dilated to a one.  Let me say that again:  a one.  After thirteen hours of steady contractions I felt like I had been slapped in the face.  Really, no progress?  I was frustrated and could feel my confidence buckling.

Gracie stepped in and reiterated the positive:  I was 70% effaced.  That was progress.  The work was not for nothing.

I cannot adequately express my gratitude for what Gracie did during my 40 hours of labor.  This scenario was repeated over and over.  I would get checked, things would be progressing slowly or not at all, and Gracie would be at my side, reassuring me, pointing out the good things that were happening, the important work that was being done.

I’m not going to lie: had she not been there I would have caved early on and said “screw this, give me the c-section.”  Of course, had I done that I would be sitting here full of guilt, wondering if I had sold myself short, not having done all I could to bring Sophie into the world without surgery.

After twenty hours I decided I needed an epidural.  This was a critical moment for me.  I was convinced having the epidural would slow down progress and this was something I absolutely did not want.  Yet, I was in so much pain and things were progressing so slowly that I wasn’t sure I had another twenty hours in me without caving to surgery.  I decided the epidural was the way to go, and had much reassurance from my OB and the nursing staff that epidurals do not slow labor when you are in the active stage. 

They were right.  After the epidural things continued to crank along, albeit at my regular slow pace.  I rested a bit here and there and was thankful for the reprieve from pain. 

Now I was trying to grapple with the increasing pressure I felt in my stomach.  I inquired about having my water broken.  The concern was that Sophie was still so high that breaking my water could result in the cord coming down, or her hand flying out, or some other sort of nightmare situation that would necessitate an emergency c-section.  So at this point my OB told us, “it’s not safe to do that.”

Four hours later he came into the room, checked me and said, “Okay, let’s break your water.”  I was nervous but excited.  I was convinced this was the step needed to get things moving along to the pushing stage. 

Well, let me just say all my various healthcare providers had been right about the “large quantity of amniotic fluid.”  It sounded like a waterfall coming out of my body.  The way I was sitting I couldn’t see what was happening, I could only hear and feel it, but to me it was sweet relief.  I immediately felt less pressure and pain in my stomach.  Unfortunately, I soaked my OB and traumatized my husband. 

More importantly, I felt a renewed sense of energy and optimism.  It was time to do this!  Two hours later my OB came back to check me and I was dilated to a ten.  Mind you, at this point we were nearing 35 hours of labor and I was antsy to get this over with.  Although I was dilated to a ten he wanted to wait two more hours before I started pushing to see if the baby would drop further, meaning less pushing for me.  This sounded reasonable, so I agreed.

Two hours later it was time to push.  I was already beyond exhausted, but the thought of meeting our daughter propelled me forward.  If they wanted me to push, then dammit, that’s what I’d do. 

And I did.  I pushed and pushed and pushed.  She would drop down, progress would be made, the contraction would end and then whoosh!  She would get sucked back up the birth canal.  The frustration on my OB’s face couldn’t be hidden and at first I thought he was annoyed with me, that somehow I wasn’t pushing enough or the right way or…  So I asked him and he said, “No, I just really want this to happen for you.”

Part of me knew right then that it wasn’t going to happen.  And so I asked him to be straight with me.  He told me that if there wasn’t progress after three hours we’d need to talk.  So I pushed awhile longer, hoping I could get her out, thinking that after all of this how could I not get her out?  Was I really going to get this close, feel her trying to descend out of my body and then not get the satisfaction of giving birth to her?  I could feel my grip slipping away, knew I was inching closer to having a meltdown.  Gracie kept encouraging me, Vinny tried to crack jokes, get me to smile or laugh in an attempt to distract me.  I appreciated everyone’s efforts, but the look on my OB’s face said it all.

After three hours of pushing he told me we should “go in and get her.”  He didn’t want me to continue straining my body or get to the point where the baby was in distress.  I agreed, it was logical, but my heart broke.  I couldn’t hold it together and didn’t try to.  I was a mess and told him to give me five minutes to be devastated and that then I would pull it together.  And I mostly did.  I knew I had given it my best shot.  I wanted to meet our daughter.  Now.

I won’t go into detail about how awful the c-section surgery was after that much labor.  I’ll say this much:  uncontrollable shaking, radiating pain into my neck/shoulders, and vomiting.  Still, when I felt them pull her out of my stomach I experienced a relief I had been waiting over forty hours for.  When I heard her cry, I cried too.

It’s been a little over a week and I feel okay both mentally and physically.  And let me say, I am more than happy with okay.  I expected the experience to follow me home the way it did with Eli, to feel the depression descend in on me.  But it hasn’t.  It helps immensely that breastfeeding is off to a fairly good start.  And it helps that I knew a c-section was a possibility this time around, despite my best efforts or intentions. 

My constant goal throughout this experience was to know that I had done everything in my ability to get her here without surgery.  And I feel I did that.  So there is no reason to sit here and mentally beat myself up, or wonder what it is about my body that is so inadequate when it comes to birthing my children.  I’m not playing that game this time, and for that I am grateful. 

No, what I’ve been thinking about instead is the fact that I almost did give birth to my daughter.  I could feel her, so close, and yes, I am disappointed things didn’t work out.  But somehow I take joy in the fact that I went through most of the process anyways, that I let my body try to do what it was made to do.  I could sit here and say my body failed me.  But all I have to do is look at Sophie and I couldn’t imagine saying such a thing.  My body made another beautiful baby. 

To Doula or Not To Doula?

If you’re like most people, your first thought is probably: what is a doula?  A doula (pronounced doo-luh) is, in the most basic sense, a labor assistant (read more here).  I had never heard the term until a friend of mine used a doula nearly six years ago for her first labor and delivery.  I thought it a strange word at a time, and the concept itself seemed rather foreign as well.

When I was pregnant with Eli it didn’t occur to me to hire a doula.  A couple friends recommended it, but I figured, “well, my body is going to do this the way it’s going to do this, how would having someone I barely know there with me be of any help?”  Again, a naïve sentiment, but only in hindsight.  And only because my labor and delivery with Eli didn’t go well.  Had it gone well I probably wouldn’t have considered the idea this time around, either.

But here we are.

Initially I had an interest in hiring a doula because I knew I was going to be delivering at a hospital that is: 1) not very labor friendly in general, and 2) was not going to be supportive in the least of my attempt at having a VBAC.  I felt like having a doula on my side, helping to coach me along, would help to offset some of the anxiety I was feeling about my less-than-ideal birth location.

Why didn’t I just switch care providers/hospitals?  Long story short my husband, son and I had temporarily re-located to Michigan for seven months as my husband had work there.  I knew we’d be returning late in my pregnancy (34 weeks) and I love my OB in L.A., who had said from the get-go he would be supportive of my VBAC attempt.

Well, we’d barely been back in L.A. two weeks when our well-laid plans began to crumble.  My OB started telling me that I couldn’t say VBAC at the hospital and that we were at least going to have to schedule my c-section to make it look like we were “playing by the rules” (the hospital, for reasons I do not understand, had deemed me a mandatory repeat c-section). 

Then the avalanche of negative feedback kicked in.  How reviled is this hospital?  The first doula we interviewed refuses to attend births there because they are so labor unfriendly, but was willing to make an exception as a favor to a good friend of mine.  Then, three days later, at my first chiropractic appointment here in L.A., the chiropractor asked me why I decided to deliver at that hospital. 

“I really like my OB, and it’s where our insurance covers us,” was my reply.

“Well, your insurance also covers you delivering at X, Y, and Z hospitals,” he responded.  “How badly do you want a VBAC?”

I didn’t have to think long.  “Very badly.”

“I hate to tell you this, but you’re at the worst hospital in L.A. for what you’re trying to do.”

I couldn’t ignore the growing pit of anxiety in my stomach.  It felt so late in the game to make a switch this major.

Two days later I switched OBs and hospitals.  The following day I learned that my original OB threw out his hip and was going to require surgery and would be out for 6-8 weeks, minimum.  In other words, I would have had to switch OBs anyways.

The decision felt right.

The hospital I am now delivering at has midwives on staff 24-hours a day.  I decided this would suffice as support, that I would simply call a midwife in if I was struggling, or if this baby happened to be asynclitic as well. 

The reassurance that the hospital was now behind my decision to attempt a VBAC meant my anxiety levels came down, a lot.

I decided I didn’t need a doula anymore.

Well, for about a week.  Then I began to realize that while yes, my anxiety levels had dropped and I felt better about the environment I would be delivering in, I still was having some serious self-doubt about my ability to deliver this baby without medication (not an absolute requirement, but strongly recommended when attempting a VBAC). 

I wanted someone there with me that had been through this before, that could suggest techniques, reassure me in my moments of waning confidence, and generally offer guidance.

Doulas are a varied bunch.  There is a wide range of experience.  Some doulas specialize in massage or hypnobirthing or acupressure or… 

After speaking with a couple doulas, I found one close to my age, Gracie Davis.  She isn’t the most experienced doula I spoke with, but she had a c-section with her first and a VBAC with her second.  She immediately understood where my self-doubts were coming from, and having someone that “got it” suddenly became the most crucial form of “experience” in my book.  Her demeanor is so calming.  She has already worked hard to familiarize herself with my previous birth experience, my concerns, and my hopes for this upcoming birth.  We’ve talked about how she’ll communicate with me, what she’ll suggest, and how she should interpret my responses to her. 

I never imagined I would “need” so much extra assistance to get through this process.  Sometimes I feel like I should be able to buck up and just do the damn thing.  But knowing that had I been better educated AND had a doula last time that my labor and delivery experience may have gone differently … well, I want to know I did everything this time around, for the baby and for myself.

Giving Pregnancy Weight the Middle Finger

I have to say that this second pregnancy has been much less kind on my body. 

There are many, many more stretch marks this go-round, mainly on my bursting belly. 

My ass?  It’s always been big.  But now?  There should be moons orbiting it.

I have pork chop arms.  NO!

Again, for the second time, I am at the point in my pregnancy where most of my maternity clothes DO NOT FIT.  This is insulting at the highest level.

And yet, my general attitude is “oh well.”

It feels good not to care about my appearance right now. 

Let me re-phrase that:  It feels good that my appearance right now is not sending me down a deep, dark hole of self-pity. 

I am grateful for the lessons I learned the first time around, as I watched in horror at my quickly morphing body, doing things I never thought possible.  Then I had Eli and wondered if things would ever get back to “normal.” 

Well, they very nearly did.  I was on the road to getting my body back.  I know it can be done. 

So this time around I have found that I am much more forgiving of the process, because really, there’s nothing I can do about it anyways.  This is how my body makes babies.  I gain a lot of weight, everywhere, things stretch and expand to unthinkable proportions, and at some point, soon, there will be a baby as a result of all this shifting and inflating.

It will take awhile, but eventually I’ll come up for air and then it will be back on the road to getting my body back, again. 

I find it amusing what I can overlook the second time around.  This pregnancy I throw on whatever clothes will keep me cool and comfortable and don’t give a shit about whether I even “match.”  Will people give me looks?  Who cares?

Trust me, it’s no joy to look at myself in the mirror without clothes.  I still cringe, still rush for cover in my PJ’s or whatever semi-clean attire I can manage during the day (having a toddler also contributes to my “I don’t have time to worry about my appearance” attitude).  But I also know my body isn’t going to look like this forever.

This is one instance where the previous pregnancy experience has been a blessing.  So, in the spirit of the Cee Lo Green song that keeps getting stuck in my head: F*ck you, pregnancy weight.  You’re there now, but you won’t be for long.

Hello, Fear and Anxiety

There are a lot of topics I’ve been thinking about lately, wanting to write about.  But when I sit down and try to compose my thoughts, they come out incomplete, disorganized, at times incoherent.

Sure, I had the flu, am still getting over this damn flu (I’ve never had a cough quite like this…), and am now 36 ½ weeks pregnant, which let’s be honest, disqualifies me from putting together a coherent thought, let alone several strung together.

This was frustrating me, greatly, until I realized the underlying issue: What I am really thinking about, almost constantly these days, is my upcoming labor and delivery.  I hate to admit that I am more nervous this go-round. 

Here I thought that after having my first child I would feel like a “pro” of sorts when it came time for the show, but instead, in my wavering confidence over “should I or should I not attempt a VBAC?” and “What if I end up having another emergency c-section?” or “What if there are complications?”  or… I find myself steeped in uncertainty. 

I want my baby girl here, in my arms, without going through the unknown adventure that lies ahead.  It’s hard to believe now, but before I had Eli I was all confidence about the process, looked forward to it, even.  Sure, I was nervous, didn’t know how gracefully I would/would not handle pain, didn’t know what exactly to expect.  But I never doubted that things wouldn’t go smoothly, that I wouldn’t be able to birth my son naturally.  My pregnancy had been uneventful, save for the typical ailments, and so there was no reason in my mind that things would change once we got in the delivery room.

Naïve?  Yes.  But looking back I long to be that person again, so sure about the process, so certain that my body would do what I wanted it to.  I have no true reason to think that things won’t go well this time.  Again, my pregnancy has been uneventful, complication free.  My heartburn/indigestion is starting to drive me bonkers, the sleepless nights are chipping away at me, but I know these things are temporary and so they are (mostly) easily dismissed.

I have been seeing a chiropractor in the hopes of keeping this baby in a good position, and so far all is well.  Nothing indicates a problem at this point.

And yet…

There is a part of me that can’t let go of the first experience, that is petrified that things will take a wrong turn somewhere and that I will end up in the operating room, again.  That I won’t get to see my baby being born, won’t get to hold her, see her for several hours after her birth.  These are the thoughts that eat at me the most.

The fear is irrational, but isn’t being pregnant a sure and sometimes constant path to irrationality? 

Then there’s the thought of leaving Eli while I am at the hospital.  The truth is, I have not been separated from him for more than five hours, ever.  It’s not my preference that this has been the case, it’s just the way it’s worked given our distance from family and my determination to breastfeed the first year.  So my anxiety not only involves giving birth, it also includes being apart from my firstborn for an extended time.

I am quite sure that in a few weeks I will look back on this time and think to myself, “Well, that was a waste of time and energy, letting yourself get worked up over nothing.”  But in the moment I cannot help it.  I sit here and watch baby girl drag her foot along my increasingly scary-looking stomach (holy stretch marks, veins, and bruised looking belly button this time around, yikes).  I make pacts with her:  “Be nice to Mom, okay?  Let’s just get through this together,” or, “Please don’t get stuck in there.  I promise you’ll like it out here.  Really.” 

I wonder if she senses my anxiety.  Unlike Eli, who was quite mellow even in the womb, she is active and I often feel like she is trying to beat her way out of my stomach already.

We are on the cusp of our next chapter together.  Part of me can’t believe this pregnancy is nearly over.  It has passed so quickly I often feel as though I haven’t slowed down enough to marvel at the process.  Then my brain takes over and wishes her here, now, so I can sit assured, knowing all will be okay. 

I’ve realized that the impending labor and delivery process probably never gets any easier, no matter how many children you’ve had, or how well the process has gone previously. 

I just get disappointed when I let my previous experience cloud my confidence, rattle my nerves.  I know my body is capable of doing this the way it is meant to, and I hope to report very soon that we have welcomed our newest addition: a healthy baby girl.

Sick day...

Dear readers,
Please excuse the delay, but I must take a sick day.  I have been down with the flu for the past week, and at nine months pregnant, this illness is taking its sweet time leaving my body. 

Please join me next Monday for a new post.  Wishing you and yours a wonderful week AND good health.

Best,
Milk Machine Mom

Annoyingly True

Before having a child I often heard these types of comments tossed about:

“You’ve never known unconditional love until you have a child.”

“Once you have kids, time will fly by faster than you could ever imagine.”

“Holding your child in your arms is like no other experience in the world.”

“You’ll never see a news story again concerning a child without crying.”

“Every milestone your child reaches will feel worthy of multiple phone calls, e-mails, and photos.”

“You will think your child is the most amazing person in the world (or a plural version of that sentiment).”

The annoying thing is that all these comments are true, and then some. 

When Eli was born, in a way I cannot fully describe, I felt my world expand and shrink at the same time.  Suddenly, so many previously “important” things, people, events, to-dos, etc., seemed trivial, at best.  What had I done with my time before him?  Suddenly, it felt as though I had been caring about so many things that truly were not important.  So in that sense my world shrunk.  I stopped paying attention, sometimes too much, to what was happening in the world around me.  I lived and breathed my child.  And I loved it.

It was in this way that my world expanded.  Eli opened a floodgate of love from my heart.  I know, I know, it’s Valentine’s Day today and that just sounds cheesy as hell.  But I won’t apologize for it.  I’ve never loved anyone as purely and simply as I love Eli.  It was and sometimes still is frightening to me, the fierceness with which I love this little guy.  By opening myself up this way, I’ve learned to appreciate the love I feel for other people, too, and the relationships that have true significance to me.   

It’s unsettling sometimes, how differently you look at life once you have a child.  It’s a new lens through which to view the world, and you realize very quickly how your habits and attitudes will color the outlook your child will have towards the world, too. 

What made me think about all this?  Eli started walking last week.  Just typing that sentence makes me shake my head in wonder.  Where does time go?  Here’s a snippet from my journal entry that day…

*  *  *  *  *

2.10.11

Today was a momentous day.  Eli has been taking a few steps here and there the last week or two.  At most I had seen him take three steps in a row.  Well, today I come out of the bedroom to check on him and watched him walk ½ way across the living room.  Less than an hour later he walked from one side of the room to the other, at first in forward steps, then he got shaky and proceeded with some sideways steps.

It’s hard to describe how it felt to watch him do this.  I didn’t expect it to be such an overwhelming moment.  Mostly, I felt joy.  The determination and subsequent pride on his face made me so happy.  I was also very excited to see him reach this milestone.  He’s been close to it for what has felt to be a very long time, so I knew the time was near.  There was also awe mixed in there.  The fact that he grows and changes so quickly, has turned into less and less of a baby with each passing day, well, it’s an amazing transformation to witness.  Although, it does bring sadness, too.  Independence is a necessary step as we grow up, but to see him take steps away reminds me to hug and squeeze him every chance I get now, before he’s running away for good.

As someone who is just about 33 weeks pregnant, it also brings some relief.  This kid is heavy and I am struggling to carry him around.  Despite the opinion that, “you don’t want him to walk for as long as possible, because then it’s all over,” well, I cannot subscribe to that philosophy.  As soon as Eli became mobile and could open and get into cupboards, the trash, and anything else he knows he’s not supposed to have, that’s when I considered things to be “all over.”  Sure, he may be harder to catch now, and I suspect we are going to be moving back into the land of nasty spills for awhile (and it felt so good to get away from that for a bit), but I would still rather have him getting from Point A to Point B on his own.

*  *  *  *  *

And so it goes.  Now I find myself spewing out annoying comments and observations about what life is like with a child (yes, I am truly sorry if I annoy you).  I always thought I could relate to the sentiments expressed by others prior to having my own children, and in a way I could, but nothing could have prepared me for the whirlwind of emotions and experiences that comes with raising a child, or how it would affect me to the core.

And now, whenever I hear someone else making a declaration of sorts about how children change your life, I smile a little smile and nod my head in agreement.