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Archive for Breastfeeding – Page 2

Just what I needed

By Goddess in Progress · Comments (6)·   August 22nd, 2007

Thanks to all for your comments, encouragement, and suggestions regarding my struggles with breastfeeding and the dreaded pump. Since then, I have obtained both a hands-free device for the pump and silicone nipple shields to help with latching. Both are a good thing. Sitting on my little couch and reading beats the heck out of holding onto those plastic parts for 15 minutes at a time, and the nipple shields helped Daniel to clue into what these boobs are for. Progress is slowly being made.

And then, about half an hour ago, my pump went belly up.

Yep, that’s right. The hospital-grade pump I’m renting from a medical supply place. Stopped sucking. (Well, I suppose you could argue it now sucks even more, but…)

I called the company from whom I’m renting it, and they asked if I called Medela. Uh, no, I’m renting it from you, not the manufacturer. Well, they suspect it’s the “accessory kit” (that I had to purchase separately) that’s malfuctioning, not the actual pump, so they seem to be wary of taking any responsibility. And I’ll be damned if I have to pay another $50 for the stupid “accessory kit.” Plus, just for kicks, this all happened at 4:30 in the afternoon, so I can’t even try to bring it in to be looked at or replaced until tomorrow. Awesome.

So, the next 18 hours or so may be breastfeeding-baptism-by-fire. Just going to plop anyone on the boob who’ll take it, whenever they want it. (No, dear, that doesn’t mean you. Thanks for the offer.) Schedule and alternating feeds be damned, let’s see who wants to take the real stuff, directly from the source.

In the meantime, I’m going to finish my mom-prescribed one-beer-a-day and see if it helps with anything at all. Whew.

P.S. If I do get my pump working again, does anyone have any suggestions for what to do about milk leaking out the bottom of the shield thing? I work so hard for what little I get, I don’t want to lose a drop.

Comments (6)
Categories : Feeding
Tags : Breastfeeding, pumping

Rage Against the Machine

By Goddess in Progress · Comments (10)·   August 20th, 2007

I hate my breast pump.

Well, let me rephrase. I resent the pump, and the chains that bind me to it. It would be fair to say that breastfeeding isn’t going quite as well as I had hoped. Thankfully, I had read enough info and talked to enough people ahead of time that I knew this was within the realm of possibilities. I can only imagine how demoralizing it would have been if I just figured it would all go smoothly. But even still, it has been enormously frustrating.

When the babies were in the Special Care Nursery, I wasn’t really able to establish breastfeeding as I ideally would have liked. In theory, I would have had the babies rooming in with me in the hospital, able to respond to their feeding cues and try latching them on from the get-go. That just wasn’t in the cards. And as supportive as the SCN folks are of breastfeeding, it is not their primary goal. They obviously want to make sure the babies are eating and gaining weight, so if there’s no breastmilk to be had, then formula it is.

In the meantime, I began dutifully pumping every three hours, getting no more than a drop for days. I was feeling defeated, but finally I got a few drops to accumulate, and then a few more. Upon release from the hospital, I was set up with a hospital-grade dual electric pump, which was thankfully covered by my insurance due to my preemie babies. By the time they came home, I was up to nearly an ounce and a half (a big improvement over nothing) every three hours, so I figured things were on the upswing, albeit slowly. It was really annoying to sit and pump every three hours, but at least it was finally getting me somewhere. And I was determined to transition to direct breastfeeding, so this was only a temporary situation.

Well, things have stalled a bit. I got up to about 1.5-2.5 ounces every three hours, and have not increased since then. Of course, the twins’ feeding needs have. As of yesterday, they are now consuming more than I can pump. I saw the Lactation Consultant last week, and am trying to practice more direct breastfeeding. Rebecca does well, but her tiny mouth can only open so wide, so her best latch still causes some degree of pain. Daniel goes from zero to frantic in about three seconds, so getting him to latch on at all as been incredibly difficult as he shakes his head wildly in frustration at the breast. I’m going to return for a follow-up sometime this week, but it’s difficult.

So pump I will, because I want to keep trying to establish breastfeeding for at least a month. But I resent my time spent as a cow for several reasons. For one, being a slave to the three-hour rotation means that after each feeding session, I have to almost immediately put down one or both babies and disappear to hook myself up. Between prepping, pumping, storing, and cleaning, it’s at least a half hour taken up. And that’s time I would so much rather spend either cuddling with my beloved babies, or at least napping. Additionally, I feel like I’m currently using both methods of feeding with the benefits of neither. If I was solely formula-feeding, then I wouldn’t have to deal with this pumping nonsense. If I was exclusively breastfeeding, I wouldn’t have to deal with storage or bottle preparation.

Every time I go to pump, I feel like I’m being tested, and the evaluation is done in milliliters. I don’t feel like I’m scoring very well at all. Even more frustrating is that I don’t believe the root of my problem is supply or production, but rather extraction. I honestly believe my body is creating more than the pump can get. And so I try again, each time trying to put one of the babies to breast. It’s maddening and painful, but I’ll keep trying. For now.

Note: I started this entry at least four days ago. It’s amazing how long it takes to do things these days. So forgive me if the posts are fewer and farther between. I’m thinking it might actually get a touch easier to write when my visitors leave town. We’ll see…

Comments (10)
Categories : Feeding
Tags : Breastfeeding, lactation consultant, pumping

Birth Story, Part 3: Postpartum

By Goddess in Progress · Comments (4)·   August 12th, 2007

Within one short minute early last Friday morning, I suddenly went from pregnant to not. It would seem like such a monumental change should take place over a longer period of time, but as my husband would say (quoting from an episode of West Wing), pregnancy is a binary state. You either are, or you aren’t. And now, I’m not. Whew.

So, after the c-section, I was groggy but happy for a while. Since I had felt some pain during the surgery, I had been given a little extra dose of happy juice while they put me back together. They also used something called duramorph. Instead of having a morphine pump for pain after the surgery, they injected a long-lasting dose/form of morphine with the spinal. For a solid 24 hours, I can honestly say I felt no pain, and I noticed no negative side effects. For that period of time, they also gave me pitocin to help contract my enormous uterus and IV fluids. I had inflatable cuffs around my calves, not unlike alternating blood pressure cuffs, to keep circulation going and avoid blood clots. It was a little odd at first, but not terribly uncomfortable.

At this point, I hadn’t slept in a good 24 hours. But as there were new babies and it had reached somewhat reasonable hour of the morning, there were phone calls to be made. Excited grandparents were weepy, aunts and uncles (real and honorary) were cheering us on. I was sleepy, but the adrenaline (and frequent checks by the nurses) would keep me up for a while.

The first day saw me confined to bed, but no shortage of visitors. My dad arrived directly from a business meeting several hundred miles away by 2pm. Our only local relatives (my aunt and my sister-in-law) came by as well. I smiled sleepily at them and assured them I was feeling no pain. They got to go with the new daddy to see the babies in the nursery. I was jealous.

By Saturday morning I was unhooked from my various tubes and wires and was able to slowly start moving around. I finally was able to go to the nursery to see the babies for myself. It was really the first time I’d seen Daniel at all. My first thought was how small he looked. I knew he was bigger than Rebecca, so I figured he’d be huge. But no, he was a little six-pound newborn. It’s only after spending time with or holding his sister that he suddenly looks like a linebacker.

Since I knew I wanted to breastfeed the twins, and they were not really in a position to be directly nursing, I was started on the pump. You can’t help but moo the first few times you get your boobs into the suction cups. Though I likely wouldn’t produce much of anything at first, I was instructed to pump for 15 minutes, every three hours, to help my milk come in. Fun times.

Sunday I was able to walk to the nursery on my own and not require a wheelchair or assistance from the nurse. I started going more frequently, realizing I was welcome there, and tried to make it to as many feedings as I could. I learned what it took to “stay on top of the pain.” Motrin and Percoset became good friends. The pain was quite manageable, but my elevated blood pressure and swollen extremities would not abate. I was instructed, yet again, to spend more time on my left side, and keep drinking plenty of water. And here I had been so excited to finally sleep on my back again. Ah well.

In the meantime, we had scrapped our original plans of hubby spending nights with me in the hospital. Since the babies weren’t rooming in, we decided we’d both have a better shot at a good night’s sleep if he went home and took care of the dog and kept his snoring to himself. I’d not only be able to sleep instead of yelling at him to roll over every 10 minutes, but he’d be able to rest up instead of being on an uncomfortable cot, waking up every time the nurses came in. We both liked this plan.

Sunday night, as he got ready to go home, I got my first case of what I refer to as “the weepies.” Hormones combined with a huge emotional life change are a really special cocktail. I assured my husband I was just fine and insisted he get home and get some rest, and then proceeded to cry for 30 minutes. No particular reason. Just the weepies.

By the time Monday came around, I was feeling a lot more human again. I was more comfortably mobile, able to shower and wear something other than the hospital gown and a robe. As much as I missed being home, I was also getting anxious about being discharged. Not that I was concerned for my health, but rather because I wanted to keep being down the hall from the babies. Not across town lines. I was additionally stressed because the pumping was coming to absolutely nothing. Three solid days of dutifully pumping every three hours, and I had nada to show for it. I don’t mean “not much.” I mean nothing. Every time I went in to feed the babies, someone asked if I wanted to put one to breast, or if I had any pumped milk I wanted to feed them. I tried one of them at breast at least once a day, just for the sake of practice, but there was nothing for them to get.

Monday night, the weepies came on with a vengeance. I cried at the thought of leaving the babies at the hospital. I cried out of the guilt of having someone else take care of them, even if it wasn’t a matter of choice. I cried at the feeling of not being able to take care of them myself. I literally woke up three times during the night, bawling. Tuesday morning was no better. I had finally gotten a hold of myself when the nurse came in to take my blood pressure. Unsatisfied with the results, she told me to lay down and rest and she’d recheck me in half an hour. I once again burst into uncontrollable tears. I wanted to get to the nursery to be with my kids, and I had to lie down again for my stupid blood pressure. I was a wreck.

Just before I left for home that afternoon, I finally got my first measurable amount of breastmilk from the pump. I kid you not, it was two milliliters. Total. Both breasts combined. And I brought it right over to the nursery so someone could eat it. The nurses were great, and proudly combined it with formula so the babies could have it. We came back to the hospital a few hours after leaving to feed the babies, but I was running on empty. I couldn’t stop crying, no matter what. The kind SCN nurse insisted that it would be a good idea for me to just go home and rest, and I could come back in the morning.

It was nice to be home, but again, very mixed. After being unsure how “connected” I would feel to them since they were in the nursery all the time, the prospect of being further separated positively broke my heart. I ached from missing them. I couldn’t even look at the polaroid of the three of us from two days earlier without sobbing.

Wednesday and Thursday, however, were improvements. We were at the hospital for four feedings a day, and all the pumping was FINALLY starting to produce something. The first time I got a full ounce, I nearly jumped for joy. It wasn’t enough, but it was finally progress. The babies were doing well, and it looked like they would come home. I was having minimal pain from my incision, and was able to keep it at bay with only ibuprofen, maybe a single percoset at night.

And here I am, the end of day two with babies at home. My in-laws were here the last two days and were more helpful than I worried they’d be. It was good to have the extra set of hands. I still burst into tears with minimal provocation, but it’s getting better. My belly is a big, stretch-marked bowl of jelly and my feet and legs are still determinedly retaining lots of fluid, but I’m trying not to worry about it. The pumping is yielding 1.5-2.5 ounces at a time, which is enough to keep up with their current needs (doctor sent them home alternating breastmilk with high-calorie formula to help gain weight).

I’m pretty tired, and I haven’t got the foggiest idea what I’ll do when my husband goes back to work in a couple of weeks, but I can’t possibly think that far ahead. Tomorrow is our first full day by ourselves, so we’ll see how that goes. I think we’ll make it.

So, that’s the story. This is now, officially, a “mom of twins” blog. Hard to believe, but it’s really true. I have two babies. Yipes!

Comments (4)
Categories : Feeding, Hospital, Postpartum
Tags : blood pressure, Breastfeeding, c-section, emotional, Formula, NICU, pumping

Birth Story, Part 2: Special Care

By Goddess in Progress · Comments (5)·   August 10th, 2007

After being born, Daniel was whisked directly off to the hospital’s Special Care Nursery. It’s technically a “level II” unit, which means they can care for all but the sickest and/or most premature infants. It’s got 16 beds, and is staffed ’round the clock by a neonatologist and 4-6 nurses.

So, there went Daniel, who was grunting quite a bit, indicating he was working somewhat hard to clear his lungs and breathe freely. Rebecca, though smaller, was breathing well and came back to recovery with us. On the way over to my postpartum room, they wheeled me in to see Daniel, though all I could really see were his feet. He was lying in a warming bed attached to monitors and an IV, but they were letting him try to work out his breathing issues on his own. No extra oxygen, no CPAP, just letting him work it out. And by later in the afternoon, he had.

Daniel with IV

Around lunchtime, Rebecca and I were hanging out in my room (as I managed to spill jello on both of us), when my nurse noticed her feet and hands were looking a little too blue. It’s not unusual for newborns to have poor circulation to their extremities, but hers were looking a little too dark. They took her off to the well-baby nursery to get watched, and a little while later they moved her to a warmer in Special Care so that someone would be able to keep a closer eye on her.

Rebecca in warmer

By Saturday morning I was unhooked from my various wires and tubes, and was wheeled over to see the babies. They were in separate warmers, but both looked good. Rebecca was taking some food by mouth and some through a tube in her nose, and Daniel would start doing the same shortly. I was even allowed to hold them for a few minutes. By Sunday morning, Rebecca’s tube was out as she proved to be a voracious eater. We even tried putting her to breast a few times, and for such a teeny thing, she has a pretty decent latch. Daniel would take about half of his feed and get tired. The rest would be pumped down the tube so he could get the calories without having to work too hard.

Sunday evening, Daniel was fussy in his warmer and they decided he didn’t need it anymore. He was off of the IV, as he was able to take his feeds and infection had been ruled out, so antibiotics were stopped. They swaddled him up and put him in an open crib, and he happily settled down. At the next feed, Rebecca joined him in the crib.

DSC_0002

Monday was spent improving on feeds, which were formula since all of my pumping was coming to naught. Tuesday was my discharge day, and a difficult one for me. Rebecca’s bilirubin levels were slightly elevated, so she had to leave the crib for an incubator with lights. Daniel was still not taking his feeds as well as we wanted. And I had to leave the hospital.

By Wednesday, though, things started to turn back around. Rebecca came off the lights and back to the crib, and Daniel pulled out his own feeding tube in protest and started taking his feeds better by mouth. They even had us bring in a carseat so they could do their carseat test that night (must be able to spend 90 min. in the carseat without respiratory or cardiac troubles).

DSC_0004_2

All tests came back good on Thursday, and they started to really seem confident that Friday would be discharge day. We were going to the hospital to do four of their feeds every day, and though the hospital is less than 10 minutes from home, the back and forth was really getting tiring. We learned how to give them a quick sponge bath, and got a lot of safety tips and instructions from the nurse. I didn’t want to get my hopes up too high, in case anything happened overnight, but Friday seemed like it would really be the day.

Indeed, all was well when we went for the 8AM feed this morning. No one had any feeding, breathing, or circulation trouble overnight, weights were good, bilirubin levels were down. We got some brief instruction in Infant CPR, and the nurse told us we could go disconnect them from the monitors and get them dressed to go home, one week exactly since they arrived.

Excuse me?

DSC_0006_2

That’s when we got a little nervous. You mean, there will be no screen we can look at to make sure they’re still breathing? No 24-hour RN keeping a watchful eye over us? Are you sure this is wise?

But we made it. We got them dressed and safely buckled into their carseats and secured into the van. We drove a little more cautiously than usual on the way home, but it didn’t take the 30 minutes we predicted to go the three miles to the house.

There was a small part of me that was even a little sad to leave the SCN. It was tiring to go back and forth, hard to grasp the reality of having babies when someone else is taking care of them and you only visit and do what they say. But the nurses and doctors were nothing short of wonderful. They were not just skilled and efficient, but also caring toward the whole family, happy to help the new parents take on additional tasks when possible. They were very supportive of efforts to breastfeed, and would be the first to call in the Lactation Consultant to come help. They were funny and personable. I’m looking forward to my first of the annual SCN reunions around Labor Day.

But nothing beats sitting at my computer and looking over at my two babies, sleeping snugly in the Pack n Play in our den. This is the best.

Comments (5)
Categories : Feeding, Hospital, Newborns, Postpartum
Tags : Breastfeeding, Formula, NICU, pumping

How fortunate

By Goddess in Progress · Comments (0)·   July 11th, 2007

My fortune cookie from last night:

“A great pleasure in life is doing what others say you can’t.”

Bring it on.

Comments (0)
Categories : Uncategorized
Tags : Breastfeeding, fortune cookie

My boobs, my choice

By Goddess in Progress · Comments (4)·   July 10th, 2007

Last week we took a class through the hospital on breastfeeding. I have a very actively pro-breastfeeding hospital, so not only do they really encourage it and have lactation consultants on staff in the maternity ward, but they have a full Outpatient Lactation Center. They run a weekly moms’ group, offer one-on-one LC appointments, and even have a small shop of accessories like pillows, pumps, and nursing bras.

The class was taught by a nurse who reminded me very much of my mother-in-law (who is also a nurse). Same age, very practical and matter-of-fact. She gave a great overview of how breastmilk production actually works, and what to expect in the first couple of days. She didn’t go into great detail about all of the complications that can arise, but the point she hammered home was that you should get lots of help in the hospital, and make sure to set up an LC appointment within a few days of discharge. I’m not sure if I got a ton of brand new information out of the two-hour class, but I definitely left feeling more confident. It was great to see holds and latching demonstrated (even if it was with a doll), and to have a somewhat concrete idea of what to expect.

But my favorite part of the class was the instructor’s reaction to me being the only one in the room expecting twins. Or, rather, her non-reaction. Periodically through the class, she’d turn to my husband and me and suggest some different approach we’d take. She demonstrated a tandem hold as if it was no more unusual than a yoga teacher giving a modification to someone with a bad knee. While the rest of the class was looking at us, mouths agape, with the “better you than me” face on, the nurse talked to us as though it was the most normal variation in the world. It was incredibly refreshing.

I get a somewhat surprising amount of flak when I say I intend to breastfeed the twins. Like almost anything twin-related, this news seems to be greeted with a combination of fascination and fear. All but the most devoted lactators seem to think I’m nuts. Certainly, people who already have reservations about breastfeeding regard the idea of double duty as truly crossing the line from possible to insanity. Even those who would support breastfeeding, at least in theory, don’t understand how I could possibly manage doing it for two. Certainly, I’ll have to supplement with formula, as having enough milk to feed two just can’t be possible. In the end, nearly everyone is flabbergasted, and at best suggest that I’m foolishly naive.

Though I don’t anticipate becoming a lactation consultant myself, I’m finding myself amazed at the lack of knowledge and abundance of misinformation people gather about breastfeeding. Most clearly is the whole idea of supply and demand. So many new moms seem to think that they “aren’t producing enough” at the beginning (which is unlikely), and therefore supplement with formula, and then wonder why their supply doesn’t ever increase. They figure they just weren’t made for breastfeeding and give up. But if you take one class or read one book, you’ll know that milk supply is largely about making as much as you demonstrate you need. If you nurse a lot, you’ll make a lot. Certainly good nutrition and adequate hydration are also key factors, but barring unlikely complications, there’s no reason someone “can’t make enough” to feed one baby, much less two or three. That’s just how it works.

I think a lot of people assume that, since breastfeeding is “natural,” then they’ll just be able to do it without much thought or effort. After all, it’s natural. So if it doesn’t work right away, then clearly there’s something wrong with your wiring and you just aren’t going to be able to do it. The number of people who give up after two days, who never get help from a nurse or lactation consultant, just makes me sad. I don’t think any of these women are bad people. I think they’re stressed out new moms who just want to do the best for their babies, and if they don’t think their babies are being fed enough, they’ll do what they need to do. I just feel like, if they had only had some education, training, and support… so many more women could be successful.

This is not to say I have any problem with any mom who elects to formula feed. I won’t insist or really even suggest that breastfeeding is the right choice for everyone. Whichever method someone chooses, I think every mom has the right to make the choice that is best for baby and for mom. But I just wish that these could be a: more often fully-informed choices, and b: choices that people have the tools to follow through on.

So yes, people think I’m nuts for wanting to breastfeed my twins. And maybe I’ll find it just doesn’t work out or end up being the right choice for us. But right now, it’s the choice I’m aiming for. And I already feel like I’ve set myself up for success more than lots of other singleton moms out there. I’ve taken a class and done my reading, and talked to moms who have done it. I know it will start out difficult, I know I will need to visit the lactation consultant at least once, and I know I will question my choice. But I’m going into it with the belief that I will succeed. And why not?

Comments (4)
Categories : Feeding, Infants, Learning/Classes, Pregnancy
Tags : Breastfeeding, lactation consultant, prenatal education
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