Wednesday, February 27, 2013

A Frankie Story: Part One

My very last appointment with my midwife before Frank was born took place bright and early on Tuesday, November 6, 2012. I was exactly 39 weeks pregnant, three centimeters dilated, and more than ready for Frank to kindly vacate my womb. I was already not sleeping, and thought I might as well be up with the baby instead of by myself watching reruns of COPS because that's what's on television in the wee hours of the morning.

The week prior, I'd done everything I could to induce my own labor. I'd had weeks of off and on contractions, and one 2:00AM false alarm trip to the hospital. At 38 weeks pregnant, Mountain Man and I met up with some of our besties at Buffalo Wild Wings for a late dinner, and to catch the Mavs season opener. I thought surely I could spicy-food myself into labor. Nope. Surely I can get-overly-excited-at-basketball myself into labor. Double nope. The Monday before my appointment, I decided to try and put-up-the-Christmas-tree myself into labor. I busted out all of our holiday decorations and went to town. It took all day, I had to take several breaks for contractions. I even lost my mucus plug! But did I go into labor? Triple nope.

Kathy, my wonderful midwife, asks me, "How long do we want to wait?"

I dreamed about a natural childbirth from the start. I wondered when it would happen. Where would I be when my water broke? I'm not going to mess around with an induction. I'm going to let this baby tell me when he or she is ready to come. Epidural, shmepidural. I mean, women have been birthing babies for ages before modern medicine. And what about these crazy people making all of that noise during labor? That is so embarrassing. I am so not going to be like that. I'm gonna pop this baby out with a smile. I bet I crack jokes the whole time. 

Okay, so maybe I wasn't quite that delusional, but you get the picture. I planned on strong-arming my labor, but I did know on some level that things could go however they wanted to and that I was insane for thinking I had any sort of control over it. A girl can dream.
 
When the option of induction came up, I knew I was ready. We weighed the options, and decided it was probably best to get him out sooner rather than later. Complications due to my hate-hate relationship with gestational diabetes only became more likely the longer we waited. Kathy quickly produced a chart and told us we could go in Thursday evening and have a baby on Friday, or Sunday with a baby on Monday. Maybe all Frank needed was a deadline, and he'd come on his own (yeah right, not if he has any of our personalities in him). At any rate, Mountain Man and I were going to be parents by the end of the week.

Baby Frank's going home outfit.
The rest of Tuesday and Wednesday were a blur. I had packed my hospital bag several weeks before. Mountain Man installed the car seat. The morning of my induction, I rearranged drawers, tied up loose ends, snuggled with Monty, and took the longest bubble bath of my life while Mountain Man worked a half day. Not long before we were due to head to the hospital, Kathy called. The beds were all full, and we'd be waiting a while. My heart sank. I was ready to go. Instead, Mountain Man and I sat on the couch, waiting for a call. Waiting, waiting, waiting. At 11:30, my phone finally rang. A bed had opened up and my name was all over it. We could go in at midnight, or wait until morning. We, of course, chose midnight (as if Mountain Man had any say). We grabbed phone chargers and the camera, said goodbye to the dogs, and I snapped one last quick photo of my about-to-pop pregnant belly before hopping (as much as a very pregnant lady can hop) into the car.

Tuesday, February 26, 2013

+

On March 3, 2012, Mountain Man and I were nose-bleeding it up at a basketball game. By that, I mean we were pretty much in the last row, but we were enjoying ourselves. Around halftime, I could feel the exhaustion setting in. Nine-o-clock, and I was ready to call it a night. Geez, when did I become such a square?! It was then, too, that the guy sharing elbow room with Mountain Man returned to his seat with a hotdog piled high with the most fragrant who-knows-what, and started chowing down. I could deal with tired. I do tired all the time. Besides, I had been dying to go to that game. But tired plus some guy's super smelly snacks? No thanks. It didn't take long before we were back in the car and on the highway headed home. Later, as I went about my usual nighttime routine, I had a suspicion, so I took a pregnancy test. 

June 2, 2012. 16 weeks, 4 days.
How I wish my pinteresting habits were what they are now back then, but alas, they were not even close. Due to the aforementioned, instead of coming up with some painstakingly clever way of announcing to him that we were expecting, I unceremoniously grabbed Mountain Man, and pointed at the incredibly faint vertical line that may or may not have been completing the plus sign. It almost wasn't there, but there it was. Holy. Crap.

I tried to keep our new news to myself, but it was practically spewing out of me. I wanted this baby so bad, and it was all finally happening! My mother got the call moments after we got the positive test, at midnight. I tried to call a few others, but like the (relatively) normal people they are, they were all asleep. I blurted it out to strangers when we ran errands. I especially targeted any employee who helped us anywhere and everywhere, all the while attempting not to plaster it all over Facebook. That lasted all of three days (or two, if you don't count March 3rd), and on March 6th, barely four weeks pregnant, I unleashed our not-so-secret secret. 

38 weeks pregnant
I had roughly two more weeks of newly-pregnant, overwhelming elation. I felt bloated, and could not stop burping to save my life, but otherwise, I felt amazing. Mountain Man and I played  host to a few friends in town for a mutual friend's wedding that took place Saturday, March 16th. We had been talking about Taco Cabana breakfast tacos all week, and finally made it to the drive-thru the next morning (I must add that I ate so many breakfast tacos throughout this pregnancy, we are all lucky that Frank came out a baby, and not a taco. Don't even get me started on their salsa ranch, YUM). I seriously could not wait to get my hands on one of those tacos. The excitement welled up inside of me before we even got out of the parking lot. But to my surprise, it wasn't excitement doing all of that welling. I all but flew out of the car, and threw up in a ditch. This would ultimately set the tone for the rest of my first trimester. I became personally acquainted with several more parking lots, and besides meeting my midwife and a few other little details, it was an all day, all night puke fest. Cute, I know. 

My second trimester was a long, hot, Texas summer. The third was installing new flooring in our house, painting the nursery, baby showers, blood glucose meters, contractions, and waiting. I will spare you a detailed account of my entire pregnancy. It was eventful, to say the least. I intend to be far more patient and creative about spilling the beans whenever baby number two is baking, and have a few ideas in mind already. 

Baby Frank's birth story coming up next.

Thursday, February 21, 2013

Battle of the Boobs



My sweet post-delivery 'do, and sweet, sweet baby boy.
As a new mom coming off of a recent pregnancy, I know “emotional” and “hormonal” all too well. With baby number one in the womb, it was the diet dr. pepper my wonderful husband (we’ll call him Mountain Man) so lovingly went out and retrieved for me in lieu of the diet coke I was craving (because I changed my mind and forgot to notify him) that elicited my tears. Or my ever-shrinking closet (or my growing uterus, though I prefer to think of it as the former). Or the never-ending battle between my toothbrush and my gag reflex. Or more seriously, failing my glucose tests and having to deal with gestational diabetes (an entirely different post all together). Post-partum, it was my jeans that to this day will not fit over my new momma-hips, or the overwhelming sense of “now what?” The day we carried Frank into our home, we had several guests come to see him. I took an “I’m-overwhelmed!”-shower, and cried. However, the tears I shed over these things are just a drop in the bucket compared to the way attempting to breastfeed violently rocked my world. 

Breastfeeding has been the culprit in almost every breakdown I have had since becoming a mother. We’ll start from the very beginning. I always knew I would breastfeed my children. Okay, okay. Not always, but definitely from the day I began seriously thinking about procreating.  I read all of the literature, and frequented the La Leche League website obsessively. I skipped over the “Bottle Feeding” section of my pregnancy book. Once little Frank was born and they placed him on my chest, I was beyond exhausted from umpteen hours of labor and three of straight pushing. However, he latched on like a champ. My very first breastfeeding experience was wonderful. It was not painful. It was so easy and came naturally to both of us. Overnight, Frank was very sleepy. I struggled with holding him properly, achieving a good latch. Once I got him on, he would fall asleep, or eat for maybe two minutes before breaking the latch. “Oh, that’s normal. He will eat better tomorrow,” the nurses told me. Well, not really. We had off and on success. At one point, I remember wishing for an excuse to quit, but stuck it out. Just after lunchtime two days later, we were on our way home.

Mountain Man and Baby Frank moments after birth.
Frank spent the first several hours in his bassinet, snoozing away. I was worried and nervous because I couldn’t get him to wake up to eat, and of course, hormonal from the sudden lack of hormones pumping through my system. It took the entire first week (navigating around a crazy number of pediatrician appointments) to get my pillow-stacking technique down so that he was propped up just right. At our first appointment, our pediatrician was concerned about Frank’s weight. On day three? How would we know? After a few days, my milk had still not forcefully come in as I had expected it to, no engorgement to speak of. I reluctantly started to supplement formula at the doctor’s suggestion.

Supplementing was a struggle. I wanted my sweet baby to get everything he needed. I desperately wanted to be able to provide everything he needed from my body. After all, formula was the devil’s milk, wasn’t it? The guilt I felt giving him formula was immense. I hadn’t even given him a pacifier yet, and now I have to give him a bottle? Will he still latch after using an artificial nipple? Turns out, he did just fine. He would only take up to an ounce of formula after each feeding, and he was finally gaining weight the way the pediatrician thought he should have been. So I thought, “let’s build up momma’s milk supply!” I bought a breast pump. We holed up in the house and breastfed and pumped around the clock. Every two hours. Every hour. Cluster feeds. Breastfeeding all night. All day. Pumping after every feeding. This went on for almost two weeks. I slowly got rid of the formula. I felt so good knowing that I was exclusively breastfeeding. I had accomplished the thing I wanted most from being a mom! I was invincible. I was doing what was best for my baby. Frank started outgrowing his newborn clothes. He had the cutest, chunky, little thighs. And I was supermom.

This is the part of the story where reality hits me square between the eyes something fierce.

Things took a turn for the worse. Frank’s clothes got a little loose. His arms started to look thin. I scoured the internet for a sign that this was normal. I would show Mountain Man, “Look, this random forum mom’s baby’s arms look just like Frank’s. She is exclusively breastfeeding too. Look at this article about baby milestones.” He was having plenty of wet diapers. He had several dirty ones. He ate for a normal amount of time. His latch was fantastic. He burped. He spit up. His nails were growing like crazy. He was growing in length. But he was shrinking everywhere else.

I’m not sure if it was the messed up circumcision, or the letter saying she was moving away to California, but we chose to end our relationship with our first pick for Frank’s doctor. We ended up in a pediatrician’s office almost an hour away where I found out Frank was not just not gaining weight, he was losing weight. My mother-in-law, who had driven us to the appointment, and I were sent off to Children’s Medical Center in Dallas for the second time (the first time due to the circumcision issue). Let me add here that flu season was in full swing, and there was a line of families out the door and through the halls waiting for the ER. We were finally called back and they started running tests. Mountain Man made it to the hospital.

I retold our story to every nurse, resident, specialist, doctor etc… that came our way. They watched me nurse Frank. Maybe he wasn’t absorbing nutrients properly. Maybe he has a hyper-metabolism. Could be gastrointestinal. Maybe something else is going on. Some count of something is elevated and it shouldn’t be. We are admitting you.

It was almost midnight when we got to our room. I would like to take this opportunity to express my deep gratitude toward my mother-in-law for sticking it out with me. They had me pump straight away, and only bottle feed Frank for an “accurate” measure (even though no pump is as efficient as a baby) of how much milk he is getting. Then, they brought in bottles of formula that I fed to my baby and put him back in his enormous hospital crib to sleep. He’d had a hard day. I stayed up late to pump, and pumped a beautiful 2 ounces. The nurse told me that she would return with labels for my liquid gold, I mean milk, and she would take it to a refrigerator. Having been told this, I felt it safe to fall asleep. WRONG. When I woke up, I see my pumped milk sitting where I left it. No labels in sight. What a four-letter-word, son of a five-letter-word! The day-nurse explains to me that she has to throw it away as it had been sitting out for three hours. This was hospital policy. I cried. From then on out, I only pumped up to an ounce at a time. I’m sure stress, and anger, played a part in my low supply while we were there. It didn’t get any better.
 
We went through several formulas before finding one that didn’t come spewing back out of baby Frank. On the third day, they finally allowed me to breastfeed. He wouldn’t latch. We tried with every feeding. I would put him to my breast, and he would scream. My heart was broken, and broke a little bit more each time he didn’t latch. I cried again. I felt I had ultimately failed my baby. Did I try to do too much in those first few weeks? Maybe I should have let the laundry go. I should have breastfed more often, and then maybe my supply would be that of a normal person. I beat myself up.

The end-of-the-world feeling slowly started to loosen its reins. Baby Frank was gaining weight. He had just started smiling. He was looking healthier by the hour. Besides a diagnosis of acid reflux and a prescription for prevacid, nothing serious was wrong with him. My milk supply was simply too low. He was burning more calories than he was taking in. Frank is a mover, and breastfeeding itself burns calories.  Formula was no longer the enemy. However, I wasn’t giving up. Maybe I could pump enough for Frank to only have breast milk someday. I was hopeful. I stayed with Frank in the hospital for four days. Mountain Man had to work, but came to see us every night. He spent the night with us that Friday, and we finally received the okay to go home early Saturday. We almost spent Christmas in the hospital (phew!).

For a month, I pumped all day, and with every night-feeding. I left family holiday festivities to hide in a back bedroom and pump. My life revolved around pumping. The most I ever got was two ounces. My supply never increased. It decreased. Frank latched once, but never again. After battling for almost the first three months of his life, I surrendered. I had lost. I packed up my pump and hid it deep in the closet.

I look back at photographs and cannot believe how scrawny my poor baby looked. How I had not noticed sooner is beyond me. I was so embarrassed to have let this happen. Maybe I was blinded by my own overwhelming desire to successfully breastfeed. Maybe I stared at him too often to notice it before it had gone too far. I couldn’t understand how I could squirt Frank in the face and leak all over my clothes and not have enough milk to nourish him. Today, he is outgrowing his three month sized clothes and wearing size two diapers. He will be four months old in just a few weeks. He laughs, coos, and holds his head up. He is my little chunky monkey, and the happiest baby I have ever seen, with the cutest dimples.

I still find myself staring longingly and very enviously at mothers who are breastfeeding their babies when our little family ventures out. I still periodically leak through my clothes, which, let me tell you, is so irritating. There will always be that nagging, little part of my brain thinking maybe we didn’t try hard enough. But, the rational part of me (that’s still inside there somewhere..) knows that landing us in the hospital probably means we tried a little too hard. The guilt I felt from failing at breastfeeding, coupled with the guilt I felt from my baby not getting enough almost landed me into some hard post-partum depression. I don’t know if I will attempt to breastfeed again with our future children. Not that I want to waste everything we have learned in the first round. I suppose we will just cross that bridge when we get to it.


Tummy Time, featuring Baby Frank.