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Archive for March 2011

Mystery boobs

By Goddess in Progress · Comments (15)·   March 30th, 2011

Oh, pumping. You have such an amazing way of messing with my head.

Why yes. I’m still exclusively pumping. It’s been over a month, and here I sit. Half an hour at a time, eight times a day (down from ten, look at how reasonable I’m being!). Every bottle carefully sealed and labeled with the date and time, refrigerated until it can be delivered to the hospital.  It’s a glamorous thing, believe me.

I’m keeping up (just barely, for now, until she grows and they change the quantity again) with what she’s taking. I believe she has had 100% breastmilk for the last three weeks, and there may be a few spare ounces of buffer in the freezer at the hospital. I’m proud of that, and I don’t mean to belittle it. But despite the herbs and supplements and medication and tricks with the pump, I feel like I’m hanging on by my fingernails, just to keep up.

I was feeling particularly panicky the other day, wondering if my supply was dropping, or if I was actually keeping up, so I decided to start tracking. Oh yes, I made a spreadsheet. And while I absolutely see the crazy-making potential, I was already informally watching the quantities every time, anyways. At least now I have real data.

On the positive side, I was able to see several days worth of keeping up with her intake, with a little bit extra. That was helpful and a little calming. But I was also hoping to see some kind of pattern – maybe one time of day when I seemed to get more or less – so that I could anticipate it and feel a little less defeated when the inevitable “bad pump” happens.  Sadly, no dice. I cannot, for the life of me, discern any rhyme or reason as to why some times I get a lot more, and some times I get a lot less (and by “a lot,” know that we’re only talking a range of maybe 20-30mL, and yes I can still easily measure my output in mL).

If I was breastfeeding on demand, of course, I’d never know any of this. It would fluctuate day to day, the baby would eat more or less often, and that would be that. Not so with the pump. This way, lucky me, I get to evaluate myself every three hours, and see if I make the grade or come up short. And if you think this doesn’t have a major impact on my mood when I see the results, you’ve got another thing coming.

But, for now, I keep going. As I said before, it’s one of the few concrete things I can actually do and provide for Eleanor while she’s in the hospital. And while I do not think formula is evil (I have two healthy, brilliant, amazing kids who were almost 100% formula-fed), I do think that there is something particularly good about breastmilk, and I want to give her as much of it as I can.

But after more than 30 days of this routine, it’s still a big mystery to me.

Comments (15)
Categories : Feeding, Hospital, Newborns
Tags : Breastfeeding, pumping

The Power of Positive Thinking

By Goddess in Progress · Comments (38)·   March 24th, 2011

At Eleanor’s last swallow study, two weeks ago, she aspirated both thin and thick liquids, which took her off of all oral feeds until the study could be repeated.  That was, as they say, NOT GOOD.

Today was the repeat test.

She swallowed thick liquids, no problem. Still a little aspiration on the thin, but did great with the thick. She had a nice, strong suck and was able to get a decent volume out of the bottle on her own.

As of today, they started her on bottle-feeds, breastmilk with a thickener. Every three hours, they’ll let her take whatever she likes by mouth, and then give her the remainder of the volume by NG tube.  For her first one, she took almost half. Downright impressive when you realize she hasn’t done ANY for two weeks.

momentarily tube-free

This is progress. SUCH progress, I can hardly tell you. To know that she is making these developmental strides, that even if progress isn’t lightning fast, progress is being made…

Sometimes you don’t realize the extent to which you’re holding your breath until you actually exhale a little bit, or how heavy the load on your shoulders is until it gets lifted.

There are still many steps to go. There may be steps backward, and the ones that go forward won’t be as big or as quick as I wish. She still isn’t home. We still don’t have a diagnosis for what underlying Thing is going on.

But this was a good day, and a very very welcome one.  Thank you for all of the thoughts, prayers, energy, and strength that you sent our way.  I was so proud of my littlest girl today.

Comments (38)
Categories : Feeding, Hospital, Newborns
Tags : barium swallow, feeding study, NICU

Wearing down

By Goddess in Progress · Comments (17)·   March 24th, 2011

First of all, to say thank you for all of your wonderful comments and wishes and good thoughts for Eleanor seems woefully inadequate. I am overwhelmed by your support. Thank you, a hundred times over. Her study is early this afternoon, and whatever it shows, I am hopeful that it will bring us a plan of action that will get her home.

Nearly one month in, the stress of everything is really wearing me down. Some of the time, I feel like I’m maintaining a decent amount of patience and perspective. But in the last few days, less so. I’m crying more. M and I are snapping at each other and yelling at the kids. Poor Daniel gets the brunt of it. Rebecca reads our stress and instinctively knows to back off. Daniel picks up on the stress, too, but his reaction is to become stressed, himself. More whiny, more sensitive, more crazed.  It’s not his fault, really. But it’s not pretty.

crazy shower hair

M and I have different primary stressors when it comes to Eleanor.  My main source of stress is simply the fact that she is not home. That I have to drive 10+ miles just to see her. That I only get to hold her for, maybe, an hour a day.  That there are so many hours that she’s just lying in her bed, with no one talking to her. We visit as much as we can. My sister-in-law is a resident at a neighboring hospital and tries to get over to hold her, too. The nurses are kind, and I know she doesn’t cry while everyone ignores her.  But still. I want her home. Period. I’ll deal with the rest as it comes.

awake and thoughtful

M’s worry is more long-term. Sure, he wants her home, too. We both want to stop the insanity of the hospital commute.  But what keeps him up into the wee hours of the night is worrying about what the diagnosis will be, what it will mean for her long-term abilities and quality of life.  And, as I mentioned, he’s a worst-case-scenario worrier.  His strategy for coping is to play World of Warcraft until he is so exhausted that he can collapse into bed and fall asleep immediately, instead of lying in the dark and wondering.

listening to music with grandma

And, in the meantime, it’s still not easy for either of us to have the constant presence of other adults in our house.  Which is not to say we aren’t grateful – oh, we are. So grateful, and so much of this would have been infinitely harder or darn near impossible without his parents and, now, my mom.  But it’s hard. And it’s hard on the grandparents, too. While we do need them, there’s a lot of down time. A lot of sitting around someone else’s house without much to do. Once again, this is when it would be nice if family was local – they could come over when there was a need, and then retreat to their own homes and their own lives when there’s not much going on over here.

My stress is really coming to a peak right now.  I’m worried about the feeding study and what it will mean. I’m constantly thinking about pumping and my adequate-but-not-improving milk supply.  And I’m in disbelief that, tomorrow, she will be a month old. A whole month in the hospital. A whole month, in a sense, missed.

I hope today will be a turning point, and a good one. If not progress, exactly, then action.  It’s time for her to come home.

I am throwing a hell of a party when she does.

Comments (17)
Categories : Hospital, Newborns
Tags : NICU

We’ll take whatever we can get

By Goddess in Progress · Comments (61)·   March 21st, 2011

This isn’t normally my style, but I have decided that every little bit is worth a shot. If you’re the praying/meditating/energy-focusing type and have some spiritual energy to spare, we’d love every good thought we can get.

We still don’t know what Eleanor’s “Thing” is. We probably won’t for a little while, still.  But what I do know is that the main issue keeping her at the hospital instead of home is the fact that she is currently not taking feeds by mouth (which is probably a symptom of the larger Thing, but we don’t know the complete roots yet). She did a swallow study on her first day at the Big Hospital, and it showed she was aspirating both thin and thick liquids. She was not able to protect her airway when she swallowed.  Since then, she has been fed only by tube to keep her breathing safe, and they’re basically giving her a few weeks to see if it improves with a little more time to grow and mature.

damn yellow tube

This Thursday is her repeat study.  It is by no means the final word on how she will ultimately take in nutrition in the long-term. But it’s a big one to see if she is making any improvement, whether she can start taking some of her feeds by mouth, and whether we are one step closer to coming home.  If there’s no improvement, we may start talking about alternatives to getting her able to take nutrition at home, but I’d rather not go there. No, I want that stinkin’ yellow tube out of her nose, I want her to be able to fill her own belly, and I want her to come home. Period.

So.  If you have a moment, any spare thoughts, prayers, or general requests to the universe for her to wow everyone on the feeding team with her dramatic improvement on Thursday, that would be awesome.  It’s a bit of a long shot, but it’s not impossible.

Fingers and toes are crossed.

Comments (61)
Categories : Hospital, Newborns
Tags : ng tube, NICU, nj tube, swallow study

Passive Parenting

By Goddess in Progress · Comments (15)·   March 19th, 2011

One of the (many) things I find especially frustrating about having Eleanor in the hospital is how passive it makes me feel as a parent.  While we wait to figure out what her condition may or may not be, there is so little I can do for her. I want to be her voice, to advocate for her. But, at this point in time, there isn’t much to advocate.  The tests and consults have been ordered and run, she’s already getting the finest medical care around. Questions we have asked have been answered by the doctors and nurses as thoroughly as they are able.  We’re just sitting here, waiting.

it's hard to be a baby

Oh, sure. I can go to the hospital any time I would like, I can hold her as much as I want when I’m there. I can change diapers, give her a little sponge bath, take her temperature.  And that’s all well and good, I’m glad she’s so stable that I don’t have any restrictions (other than the length of the wires and feeding tube) as to how I can handle her.  But changing diapers is not the thing I’m missing.  I miss having some real say on what her/our day is like. I want to take her for walks, I want to put her down for naps, I want to feed her when she’s hungry.  I want her home, in my world.  But, for the moment, that’s just not in the cards.

me & Ellie

For right now, we wait and wait and wait. M and I are passengers on this train, with zero control over where it’s going and when it stops.  We are Ellie’s visitors at the hospital, instead of the ones running the show at home. The nurses are wonderful and all, but I can’t wait until I never, ever see them again.

Unfortunately, I don’t feel totally in control when I’m home, either. My in-laws were here for the last three weeks, and by necessity have been in charge of a lot of the things at the house for much of that time.  They flew home this afternoon, and my mom comes up tomorrow with a one-way ticket. Without the grandparents, getting downtown for our hospital visits would be about 100 times more complicated. With them around, the kids get some extra attention while we can take a little bit of time with our visits. Not to mention the fact that my laundry is always folded and the dishes are always clean (a clear indication that M and I are NOT the ones in charge right now).

Outside, finally

But even when we’re home, it’s like I’m barely here. I’m always going upstairs to pump, or trying to rest, or coming from or going to the hospital. My time with Daniel & Becca is limited, and much of the daily grind of meals and naps and rules is left to someone else.  It’s a big adjustment for someone who has been in charge of ALL of it for the last 3.5 years. On the one hand, my inner control freak is screaming, “ugh, just move over and let me do it!”  But, then, I can’t be rude to the people who are loving my kids and keeping my family afloat. And, truth be told, I literally do not have the time and energy to do half of the things I would normally take care of. So I step back, I withdraw a little, to avoid conflict. And then, there I am again, in the back seat instead of driving.

Outside, finally

It’s all temporary, I know. The time will soon come that I am completely overwhelmed by being on my own with three kids, I will wish for the days of constant grandparents. In the meantime, so much of this really is out of my control for now, and I need to just accept it. But it’s so counter to my natural state of being, it’s a daily struggle. I don’t like not being in charge, I don’t like not knowing what’s coming. It’s a little too scary and chaotic for me. I want to grab hold again.

Comments (15)
Categories : Family, Hospital, Newborns
Tags : NICU

If I May Brag for a Moment

By Goddess in Progress · Comments (11)·   March 14th, 2011

In one of those “oh my god we’re somebody’s parents” moments, M and I went to our first parent-teacher conferences last week.  I hope I always look forward to and enjoy them this much.

Of course, we did not have any particular concerns about how Daniel and Rebecca were doing in school.  They get out of the car every day with huge grins on their faces, and all of the teachers seem genuinely happy to see them.  There were no surprises at the conferences, but it was still both fun and gratifying to have some of our own observations and suspicions confirmed.

Rebecca’s conference was first, and her teachers immediately beamed and pronounced her “the perfect Montessori student.” She should practically be on a brochure or something. She’s constantly busy, very independent and self-directed. She’s friendly with the other kids and teachers, but works very well on her own. The teachers were surprised to hear that we hadn’t taught her any letter sounds/phonics before starting school, so quickly has she picked them all up.

silly kiddos

It was especially fun to hear the things I wouldn’t necessarily know – which number-related works are her favorites (if it doesn’t result in a paper that comes home in her bag, I wouldn’t know about it), and the fact that she and Daniel seek each other out on the playground and give each other a big hug most days. She likes to raise her hand to talk at circle time, but seems to like being called on just for its own sake – it then takes her a while to decide what, exactly, to say, and often ends with something like “look, I have flowers on my dress!”  When we asked if there was anything we should work on with her, the teachers just smiled and shrugged. She’s doing exactly what she should be doing and is a delight to have in class.

Then we went off to Daniel’s classroom. While the teachers acknowledged his Daniel-ness, his tendency to be a little flaky and distractable, they also said that he amazes them with how much he really is paying attention. He seems to be looking everywhere but at the person who’s speaking, but when you try to snap his attention back and ask what you just told him, he will repeat it, verbatim.  His recall is unbelievable, and he will often cause the entire class to stop and look in wonder as the littlest kid in the class spouts out the craziest little facts and stories.

silly kiddos

Daniel is two or three steps ahead of himself. He only wants to do what the big kids are doing. He practically begged to sit in on a lesson the teacher was doing with the 5- and 6-year-olds about addition in the 1000′s and doing carrying in your head.  He loves math-related works, especially subtraction and geometric shapes. He also spends a lot of time on letters and sounds. His teacher confirmed our suspicion that he is showing every sign of being an early reader, and thinks if he isn’t reading by the end of this school year, it will be early next year.*

If there is any “problem” (and she emphasized that it is not actually a problem, but fairly typical for a boy his age), it’s that his fine motor strength and control is well behind his desire and need to write. Most of the 3-year-olds spend a lot of time in the “practical life” area of the classroom, which includes things like pouring, sorting, coloring, snaps and buttons, and the like. Some of them are, indeed, very practical discrete skills. But the larger point of most of them is developing hand strength, so that the kids will be ready to hold a pencil and write as they get older.  Rebecca spends a lot of time in that space, and (whether the chicken or the egg) has nice fine motor control.  Daniel? No interest, whatsoever.  He’d much rather do the math. It’s just that he’ll soon come to a point where his mind wants to do works that his hand can’t keep up with. Thankfully, his teachers had a list of fun activities we could do to work on that hand strength, if we were so inclined.

silly kiddos

Not to read too much into it, but M and I each seem to have found our academic doppelgängers. Rebecca, like me, is all about the rules of the classroom. She focuses on works that she knows she can do well, and does the same ones over and over again. Bright, certainly, and a bit of a goody-two-shoes.  Daniel not only has some of the same interests and skills as M, but could care less about the rest and will not work on the skill unless he feels an actual need to do so. He’ll probably have M’s horrible handwriting, too.  I’m fascinated to see how this continues to play out as they get older.

All told, it was a lovely morning to hear just how brilliant and wonderful our kids were. I was more than happy to spend the hour getting those extra boosts of good news.

*Just for kicks, on Sunday I busted out the Bob Books, which I picked up after reading LauraC’s recommendation. Daniel read the first one to me like it was nothing. That night at dinner, he read every short word I could write down on his placemat. No kidding, he blew through them all and nearly got “lobster.” It was downright freaky.  The kid can seriously do it. Plus, we were at a restaurant with some interesting light fixtures. Daniel pointed to them excitedly and said, “Mommy, look! Cubes and rectangular prisms!” God, I love Montessori.

Comments (11)
Categories : Child Development, Preschoolers, School
Tags : cognitive development, montessori, parent-teacher conference, reading

A longer stay

By Goddess in Progress · Comments (45)·   March 12th, 2011

Eleanor has been at the Big Hospital for about three days, now. A handful of tests have been run, a couple more are probably coming up.  I have bits and pieces of new information, initial test results, preliminary findings.  But not much. Not enough for a diagnosis. Just enough information to be a danger to myself.  I am staying away from Dr. Google, but it’s hard.

The two pieces I will share today are these:

1. She is not being discharged any time soon. On her feeding alone, she’s going to be there for a minimum of, I’d say, 2-3 weeks. Could be longer.  I have no way of knowing right now, except that this will not be a brief stay.

2. Some test results, while still very vague, are starting to point towards there being a Thing. Not just preemie-style grow-out-of-it stuff, but a Thing, a Diagnosis, a Name to whatever it is she’s got going on. I don’t know what it will be, I don’t know its relative severity or prognosis or anything.  But I believe there is a Thing in my future.

You will have to forgive me for being so vague.  In part, it’s because what information I currently have is, itself, pretty vague. I truly don’t know much, except to say that it seems like there’s something brewing. Also, for once, I’m choosing to show a little restraint in how much I share here.  I have every intention of talking about whatever the Thing is, once I know anything about it.  But I’m going to hold off on sharing every little puzzle piece as it trickles in, since I’m not a doctor and so far have no idea what any of it means. And neither, so it seems, do the doctors. They’re still trying to put it all together.

We are, as you might imagine, stressed right the hell out. M and I handle it differently, but there’s no shortage of stress.  The not-knowing, the partial-facts, the waiting, are all brutal.

But I feel a little better when I’m there. A little.  I feel better when I get to hold her, see her chubby face, change her stinky newborn diapers. I’m glad she is so stable. I’m glad she isn’t fragile right now, she isn’t touch-and-go, she doesn’t seem particularly, in a sense, “sick.”  She’s cute, she’s sweet. She’s generally pretty calm, except when she gets pissed off, at which point she reminds me of newborn Rebecca, screaming and bright red all over. But thankfully the rage passes pretty quickly. She sleeps a ton, of course, but has some lovely periods of quiet wakefulness.  She makes funny little sounds and faces and smiles in her sleep.  Every time I have to leave the hospital, I say goodbye and give her a kiss on her head at least six or seven times before I can peel myself away.

It’s possible the other shoe is about to drop. It’s possible a whole shit-ton of shoes are about to drop.  It’s still, maybe, possible this will be much ado about very little, though I’m sorry to say that I rather doubt it.

But I don’t know.

Comments (45)
Categories : Hospital, Newborns
Tags : NICU

Not in Kansas, Anymore

By Goddess in Progress · Comments (41)·   March 10th, 2011

Eleanor and I got to go for a ride this morning. Unfortunately, it was not in my minivan and we weren’t heading home.

Going for a ride

Over the last several days, her progress had really stalled.  She did manage to kick her oxygen habit, for which we are grateful.  But her feeding has not gotten better, and in fact was getting worse, especially as the volume and caloric density of her feeds went up.  Given that she is nearly two weeks old, nearly at her due date, the doctors think the time of wait-and-see is about done and it’s time to really get to the bottom of why she isn’t taking her bottles at all well. Additionally, there are a handful of other curious symptoms and characteristics that warrant investigation.

A number of tests have already been done at our very capable community hospital, and every test has come back beautifully within normal limits. Which is great, but doesn’t seem to get us much closer to an answer, nor closer to bringing her home.

So, today, we rode in an ambulance (no sirens or lights, she is totally stable and was in no rush) to one of the big teaching hospitals downtown where she can get more detailed evaluations by more specialized doctors. A feeding team. Genetics. Neurology. Who knows what else.

I am simultaneously glad and terrified.

I agree with the doctor that “wait-and-see” time is done, and I’m glad that we’re taking some action. I’m glad to live in Massachusetts, only a short drive away from some of the best doctors and hospitals in the country.

But I’m hugely stressed out to have her farther than five minutes from my house, both on an emotional and logistical level. I’m nervous about the tests. While I want answers, no parent wants to think there’s anything wrong with their child that is any more serious than a cold.  I hate that I have no idea how long she’ll be there. Could just be an overnight while they do tests, come up with a plan, and send her back to our hospital.  Or they could order more tests, want to watch her, keep her for longer. I have no idea.

I alternate several times a day between calm acceptance and complete freak-out. My gut reaction is that, whatever “this” is, it will be something we can come up with a plan and manage at home. That, whatever it is, she’ll be alright. But sometimes the dark side of my imagination spirals out of control and I end up sobbing in the shower.  The fact that I’m married to Mr. Worst-Case Scenario isn’t too helpful, either. Thankfully, he keeps most of his scenarios to himself, but it’s not as though he’s a shining light of optimism.

Today, I have been in straight logistics mode. Hugs for the nurses as we left our “home” hospital, but otherwise just stayed with Eleanor while she got packed up, rode in the ambulance, and settled in her new digs. No room for being emotional or scared. It helps that, despite her feeding issues, my girl is quite stable. No one runs around like chickens with their heads cut off, the nurses work quickly and efficiently but without a major sense of urgency, so it’s easier to stay calm.

New digs

It was a major adjustment for me and M, too, to get used to this new place. New people, new procedures. Enormous building with wing after wing, floor after floor, huge amounts of foot traffic, and a main lobby that reminded me forcibly of checking in at a Disney World hotel.  While I’m not unfamiliar with the medical area in Boston (a neighborhood with at least four or five world-class hospitals), the contrast with our local hospital made me feel like a country mouse.

So, there we are. Eleanor is settled and fine, consults will likely happen tonight or tomorrow morning. Being that her condition is so stable, she is more likely to be bumped for someone else who is a greater emergency, but hopefully there won’t be major delays. Hopefully by tomorrow night we’ll start to have some feedback and the beginnings of a plan.

We’ll see.

Comments (41)
Categories : Hospital, Newborns
Tags : NICU

The Big Kids

By Goddess in Progress · Comments (14)·   March 8th, 2011

I think most parents of 3.5-year-olds would never imagine themselves saying this, but my preschoolers are keeping me sane.

They have done so well over the last week and a half.  And sure, baby sister is still (STILL) not home and is only barely more than an abstract concept in some ways, that doesn’t mean that our house has exactly been 100% normal.

For one thing, when my water broke in the middle of the night, that meant they woke up to a familiar-yet-unexpected face that Friday morning, and a surprise absence of Mom & Dad.  My wonderfully adaptable kids reacted pretty much how I expected them to – by insisting that my friend come see the stickers in their room and fawn over their pajamas.  No screams, no tears.  Simply accepted the explanation given and rolled with it.  It got a little bit crazier as the day went on – their aunt arrived and relieved our friend, Daddy came home from the hospital and promptly passed out for a few hours, and Grandma & Grandpa arrived from Florida.  By the time they came to see me in the hospital that evening, they were a little frayed, but generally held together quite well.

The Big Kids

I think the most disruptive thing was my hospital stay.  But even then, they had the full attention of their grandparents, and Daddy was pretty much home the whole time.  Now that I’m home?  I think they’re mostly just enjoying the extra adults around.  Sometimes I think they’re picking up on our stress a little bit, but mostly they seem to be doing well. Behavior has been good, separation anxiety has been minimal. Thank goodness.

For me? Seeing them play and hearing them laugh is like a balm. For as much as they can drive me bonkers, right now I am reveling in them. It pains me how little time I can give them at the moment, between the constant pumping and the hospital visits and the general exhaustion.  But then I see how well they’re doing, how much they are smiling and laughing, and I feel the load lighten just a little bit.  I am so profoundly happy that they have each other. I have always been grateful for their twin-ness, and the fact that everyone’s favorite saying (“they’ll always have each other!”) seems to actually hold true.  They are so happy, so much of the time, to play with each other. Whether it’s Wii Fit games on the TV or pretend play that roams all over the house, they seem somewhat protected from all of this by the fact that they still, always, have each other.

The Big Kids

I am trying to embrace it. I am trying to give them whatever pieces of attention I can find, whatever energy I can muster. I am trying to say “yes” when they ask me to play a game with them. I am trying to dish out extra hugs and kisses. I am trying to answer their non-stop questions with patience (even when they get all up in my business while I’m pumping – hey, might as well explain it). I am trying to still enforce consistent rules and expectations so they know their world isn’t totally out of whack.  It’s as much for me as it is for them. It helps.  Having them in my life means that wallowing in stress or self-pity, and having my whole world stop and revolve around the hospital, is simply not an option. They keep me firmly planted in the present, they keep my feet moving steadily forward.

The Big Kids

They think about their baby sister. They ask about her, ask if she can come home yet, ask if they can go visit her.  When they go to the hospital, they are so proud of giving her little hugs and kisses and so excited when her tiny hand grabs their not-as-tiny fingers.  After a visit a few days ago, I think Daniel seemed a little stressed, a little sad, a little fragile. Worried, maybe. Whether his worry is his own or he’s picking up on it from us, he does seem to really care about Eleanor, even if he often seems like he’s unfazed or otherwise doesn’t spend much thought on it.  They both do, and neither kid is completely unaffected.

The Big Kids

But I’m so proud of my big kids. And so glad to have them.  I made sure to go in and give them each an extra hug and a kiss when I got home from the hospital tonight, and was glad they weren’t asleep yet.  Sometimes those late-night kisses are just for me, but sometimes I’m glad they know I’m there.

Comments (14)
Categories : Hospital, Newborns, Preschoolers
Tags : NICU

Pumping sucks

By Goddess in Progress · Comments (33)·   March 6th, 2011

Lame half-pun aside, I can’t really sugar-coat my feelings about exclusive pumping. I hate it. It is, in my opinion, the worst of all possible worlds.  I know my friends out there who have made it work, and I salute you and all of that, but I hate it.

But I’m doing it. For now. I obviously want to give my baby what breastmilk I can while she’s in the hospital. And I’m holding out hope that this is a tool, a bridge, a means to help us move to actual breastfeeding when she comes home.

I am trying to apply some lessons learned from last time.  I have been much more religious about my pumping regimen from my first hours in the hospital. Since before I could get out of that bed under my own power, I have been pumping every 2 hours during the day, and every 3 at night. 10 times a day. While I know I wouldn’t be sleeping any more if I actually had a newborn in the house, there is something particularly brutal about the pumping.

Pumping sucks

And yet, my sad little output continues to come in drips and dribbles. Improving a little, day-by-day, but not as much as it should (think 1-1.5oz total per session, even at 8 days out). Still not enough to provide the amount that she takes on a daily basis in the hospital.  On the recommendation of a lactation-consutant-friend, I’ve ordered some medicine to help increase my supply (online! from New Zealand! it feels so illicit!), and will see if that helps matters.

Pumping sucks

In the meantime, I’ve got quite the little pumping area going.  I have my hospital-grade rental pump (a Medela Symphony) set up in Eleanor’s room, where I can sit on the glider.  The glider has an extra pillow that helps me sit up straighter and even lean a little forward, since the last thing I want is a single precious drop running out the wrong end of the pump.

Pumping sucks

I have an excellent hands-free pumping bra, which is a life-changer in so many ways. Not only were my arms and shoulders getting tired from holding the darn things to my boobs for 20 minutes at a time, and not only do I worry about dozing off and dropping the parts onto the floor, but being hands-free lets me multitask.  My iPhone is my constant companion. I set the timer when I turn on the pump so I don’t have to watch the clock. I set the timer when I go to bed so I won’t sleep through the next pumping session.  I check Facebook and Twitter, email and blogs. I play Cut The Rope. I listen to music. Anything but sit and stare at each drop the pump coaxes out.  I even brought up my old laptop. As it is, it takes me 2-3 days to finish a blog post right now, might as well use this 20 minutes of sitting on my butt to get something done.

Pumping sucks

Pumping this often leaves very little time for, well, anything at all. I spend fully 25% of my waking hours on it, between the actual pumping, storing, and cleaning (yes, I know I don’t have to wash the parts every time, but it’s fast and works with my current routine).  I’m usually left with barely 60-90 minutes to eat, sleep, play with my kids, nap, or maybe leave the house. I can get away with a little longer visit at the hospital, simply because they’ve got a pump there I can use (oh, the glamour).  And yes, if I had her at home, I’d arguably be spending even more time nursing her, since it’s unlikely a newborn would finish the job in a scant 20 minutes. But at least a baby is more portable than a hospital-grade pump.

Ultimately, this is not a routine that is sustainable for me in the long-term. It’s already kicking my ass, barely more than a week into it, and that’s while I have three additional adults in the house for the majority of the day and don’t have to cook dinner. I can only imagine what it will be like when the help goes home and life goes back to (the new) normal.

No, if my efforts at breastfeeding are ultimately unsuccessful, I will not exclusively pump for months on end. With three kids, I simply can’t.  But, for right now, it’s something of a necessary evil. It is what I have to do, for now, to give myself every chance at being able to breastfeed. I have to stack the deck in my own favor as much as I can.

Not to overstate the issue, it is also one of the few things I am actually able to do for Eleanor right now. I can’t spend all day at the hospital with her, and even if I could, it’s not like I could do something particularly proactive to move her progress along.  But I can try to make some milk for her. I do my best, and twice a day, I will bring it to the hospital so they can put it into her bottles. Talk about a bonding experience…

And so, here I sit. I keep it up as best I can. I keep as much humor and perspective as I am able (does anyone have an iPhone ringtone that sounds like a cow moo-ing?).  Some days it gets me down more than others, some days I just kind of shrug and roll with it.

It sucks. But for now, it is what it is. Now, if you’ll excuse me, I have a whopping 30 25 minutes left to hit publish, grab some breakfast, and hook up again.

MOO.

Comments (33)
Categories : Feeding, Hospital
Tags : Breastfeeding, exclusive pumping, medela symphony, milk supply, NICU
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