It's amazing how little time I have to blog these days! Maybe that's to be expected...
Michaela is amazing. She's such a sweet baby. She hardly ever cries (unless we let her get breaking point hungry) and she is a good sleeper for the most part. She does grunt a lot, but it seems to be tied to her digestive system. It's interesting, though, because it really feels like she's quiet during the day and her grunting picks up at night. Not sure what that's all about.
Tonight I put her in her bouncer thing, which has a vibrating seat and an activity bar that lights up and plays music. The activity bar has some figures on it that move, and tonight, she followed the movement with her eyes! I am so proud. Mike was outside, so I called him to tell him to come in and see it. He immediately came in and shared my appreciation for what a genius our child is. Not bad considering she's only 3 weeks old, and that she was a month early!
She has been a lot more active lately, opening her eyes more and just having more energy in general. The pediatrician said she looks a lot less jaundiced, and we no longer have to have her bilirubin levels tested. She eats like a champ-- she is drinking probably 4 ounces of milk at a time, which is a lot-- and seems to be going through a growth spurt! When we had her weighed at the pediatrician's office, she was up to 8 lbs, 10 ounces. I was so proud!
Breastfeeding is going a lot better, though I'm still pumping and we're feeding her mostly from the bottle. I had an appointment with a lactation consultant on the 28th and it was a godsend. The consultant suggested I try a nipple shield, and it made a world of difference. Michaela still gets tired or lazy (I'm not sure which) on the boob, but it she latches on easier, stays latched on longer, and it's good for keeping her interested in the breast given all the bottle feeding we're doing. At the consultation, we weighed her before and after I fed, and she drank 2.5 ounces, so I was proud to know she's getting what she needs from me. I am a little concerned about milk volume now, though. When my milk first came in, I had an oversupply. Then I cut back on the pumping and it went way down. Now I'm trying to increase it some so I can have some extra milk on hand, but it hasn't really increased. Or it hasn't seemed to, anyway. So I'm trying to drink more water and to pump regularly, using a technique the lactation consultant showed me, and hopefully my milk will increase a bit soon. Very important, given Michaela's velociraptor appetite!
Mike and I have been doig a good job switching off, so we're both relatively rested. I actually got 7 1/2 consecutive hours of sleep the other night, which is no small feat. A friend of mine told me that she has only gotten that much sleep twice in the 10 months since her son was born. I feel very lucky that Mike has taken on so much and that he's so good at being a parent.
I was feeling really down on myself a week or so ago, because it takes me a long time to do things and because some of this hasn't come as naturally as I expected/feel like it should. By the time you hit 30 years old, you really don't do much that you're not good at anymore. For example, geometry. I suck at geometry, but I don't have to bother with it these days. So I'm really used to being good (if not great) at everything I do, and it's been hard that I have had such a learning curve for so much of this stuff. But I'm trying hard to remind myself that it's only been a few weeks and that sometimes, it takes time to learn and to improve, and that I need to go a little bit easier on myself. Mike was concerned about post-partum depression, and honestly, the thought had crossed my mind, too (after the however many consecutive day of crying multiple times during the day), but I am feeling a lot better now. Thank goodness!
Showing posts with label jaundice. Show all posts
Showing posts with label jaundice. Show all posts
Saturday, January 2, 2010
Thursday, December 24, 2009
In the hospital
Following up on my post about induction, here's what happened to us after Michaela was born.
We spent several hours in our Labor & Delivery room, then were transported to a recovery room. Fortunately, we ended up with a room to ourselves. That had been one of my biggest worries about the process; I didn't want to have to share a tiny (tiny!) room with Mike, Michaela, another woman, her baby, and her partner. I can't imagine what it would be like to have to share, considering the constant flow of people in and out of our room. Nurses checking my vitals and my blood pressure (since I was on some heavy duty drugs), nurses checking the baby. Doctors checking me, doctors checking the baby. People to collect linens, people to drop off and pick up food trays. Multiply all of that by two and I would have died.
Anyway, so we were in the room, recovering. They'd run some tests on Michaela and eventually it came out that she was jaundiced, which is too high a level of a substance called bilirubin. Jaundice is common in kids, especially preemies, whose livers haven't developed sufficiently by the time they come out. After one night in our room with us, Michaela had to go to the nursery to be under "bili lights," which are lights that break down the bilirubin. The most important thing, the doctors and nurses said, is for the baby to be under the lights and to eat as much as possible, because the bilirubin binds to the protein and is passed in feces. Unfortunately, Michaela and I were having (and continue to have) trouble with breastfeeding. I was so upset and so stressed out, between those two things. I cried and cried and cried.
In the scheme of things, being jaundiced isn't a big deal. And considering all the problems preemies can have, it's really wonderful that was all she was dealing with. Further, we were in a hospital, surrounded by wonderful, caring nurses who really went out of their way to be good to me and to Michaela. Better that than to be at home and have something go wrote, or to have an uncaring staff.
The doctors were ready to release me after a couple of days, but Michaela needed to be under the lights for at least 24, more like 30 hours. Sunday night at about 11 p.m. she went under the bili lights (I think; it's all a blur). Monday night at 11 p.m. was 24 hours, but they left her under until about 6 a.m. on Tuesday. They took her blood every six hours to run tests; that was really hard to watch because she screamed when they pricked her and squeezed her little foot to get the blood out.
My doctors kept me admitted so I could tend to Michaela and every two-to-three hours, Mike and/or I would go down to the nursery to feed her, or bring her to the room to feed her. We'd gotten to a point where I was so stressed about he difficulty feeding that I decided to give her formula from a bottle in addition to breastfeeding, and that was a huge load off.
Tuesday morning, Michaela's bilirubin level was down enough that we could take her off the bili lights, with the knowledge that we'd have to go back to the doctor in a day and a half to have her tested again. We got to spend some time with her on Tuesday, which was the nicest thing in the world after her being so far away from us for so long. Mike went home and cleaned up a bit, brought me a change of clothes. Michaela and I took a nap together and hung out. The lactation consultant came by again and offered some more tips. It was a good day. That night, at about 9 p.m., we were released and got to bring our baby home. FINALLY!
We spent several hours in our Labor & Delivery room, then were transported to a recovery room. Fortunately, we ended up with a room to ourselves. That had been one of my biggest worries about the process; I didn't want to have to share a tiny (tiny!) room with Mike, Michaela, another woman, her baby, and her partner. I can't imagine what it would be like to have to share, considering the constant flow of people in and out of our room. Nurses checking my vitals and my blood pressure (since I was on some heavy duty drugs), nurses checking the baby. Doctors checking me, doctors checking the baby. People to collect linens, people to drop off and pick up food trays. Multiply all of that by two and I would have died.
Anyway, so we were in the room, recovering. They'd run some tests on Michaela and eventually it came out that she was jaundiced, which is too high a level of a substance called bilirubin. Jaundice is common in kids, especially preemies, whose livers haven't developed sufficiently by the time they come out. After one night in our room with us, Michaela had to go to the nursery to be under "bili lights," which are lights that break down the bilirubin. The most important thing, the doctors and nurses said, is for the baby to be under the lights and to eat as much as possible, because the bilirubin binds to the protein and is passed in feces. Unfortunately, Michaela and I were having (and continue to have) trouble with breastfeeding. I was so upset and so stressed out, between those two things. I cried and cried and cried.
In the scheme of things, being jaundiced isn't a big deal. And considering all the problems preemies can have, it's really wonderful that was all she was dealing with. Further, we were in a hospital, surrounded by wonderful, caring nurses who really went out of their way to be good to me and to Michaela. Better that than to be at home and have something go wrote, or to have an uncaring staff.
The doctors were ready to release me after a couple of days, but Michaela needed to be under the lights for at least 24, more like 30 hours. Sunday night at about 11 p.m. she went under the bili lights (I think; it's all a blur). Monday night at 11 p.m. was 24 hours, but they left her under until about 6 a.m. on Tuesday. They took her blood every six hours to run tests; that was really hard to watch because she screamed when they pricked her and squeezed her little foot to get the blood out.
My doctors kept me admitted so I could tend to Michaela and every two-to-three hours, Mike and/or I would go down to the nursery to feed her, or bring her to the room to feed her. We'd gotten to a point where I was so stressed about he difficulty feeding that I decided to give her formula from a bottle in addition to breastfeeding, and that was a huge load off.
Tuesday morning, Michaela's bilirubin level was down enough that we could take her off the bili lights, with the knowledge that we'd have to go back to the doctor in a day and a half to have her tested again. We got to spend some time with her on Tuesday, which was the nicest thing in the world after her being so far away from us for so long. Mike went home and cleaned up a bit, brought me a change of clothes. Michaela and I took a nap together and hung out. The lactation consultant came by again and offered some more tips. It was a good day. That night, at about 9 p.m., we were released and got to bring our baby home. FINALLY!
Friday, December 18, 2009
Stream of Consciousness
A lot has happened since I last wrote. I was induced and had the baby-- a great story I'll come back to tell in another post. In the meantime, I wanted to jot down a few thoughts so they wouldn't get lost in a fog of sleep deprivation.
--My new job. The benefits situation is all fucked up. Cobra through my old job is nearly $850/month for me and the baby. That doesn't include Mike, who is another couple of hundred bucks through his Cobra. Oy. Also, the 30-day maternity leave (since I'm not eligible for FMLA) is 30 days, not 30 work days, and so far, I've been told that it starts the day I had the baby. Given that this is December, and between this month and January, there are a lot of holidays I would normally have off anyway, I'm not thrilled about "losing" those days. My boss is pressing for an answer, though, and I am trying to be hopeful.
--Similarly, the thought of having to go back to work after only 30 days is killing me. I'm trying to remind myself, though, that even though I would have had more time off at my old job, eventually I would have had to go back and do the long commute and that would be excruciating as well.
--I'm soooooo tired. But sort of not tired. I don't think this is sustainable and I'll crash at some point, but right now, I'm tired but manage to keep it up throughout the day and then to get up multiple times at night.
--The baby is adorable. I'm in love with her like I've never loved anything or anyone else before. The love I have for her is totally different than my love for Mike. She has had some issues with jaundice, since she's technically a preemie (born at 36 weeks, not 37 or 40), and seeing her under the bili lights and having to get her heel stuck for blood tests every day is killing me. I know she will be okay, and it's good to get this taken care of, but it's so hard!
--Speaking of hard: breastfeeding. My goodness. The frustration was incredible. I cried and cried and cried the first several days, due to the breastfeeding situation and the jaundice situation. One night in the beginning, when I was in the newborn nursery-- I had to go there every 2-3 hours to take her off the bili light machine so I could feed Michaela-- I just said, "fuck it" and gave her a bottle with formula in it rather than continue to struggle to breastfeed her. It was a watershed moment. I felt so relieved, like all of the pressure was off me. I could give my baby what she needed, even if it didn't come from my boobs, and that's what was most important. The next day a really great lactation consultant came to my room and worked with me and I had more success, though it's still slow going. Michaela (that's how we ended up spelling it, which is another funny story) latches on but gets really tired and doesn't like to suck for very long. Not good when you need a lot of protein to bind to the bilirubin to make your jaundice go away. So we were supplementing her with formula, first out of a tube and syringe (so painful) and later (now) breast milk out of a bottle.
--I always sort of wondered how I'd know things like, how will I know when/how to push and how will I know if my milk came in. The labor front was amazing, my body did what it was meant to do. I got to a certain point where I felt all this pressure and said to Mike and the nurse, "I have to start pushing." And I did. On the milk front, it's very clear my milk is in because I'm like a Holstein cow! I have so much milk! My plan is that if breastfeeding doesn't work out (I have an appointment in 2 weeks with another lactation consultant, but am going to try to move that up to be sooner), I will just continue to pump and feed the baby out of a bottle. That's also nice because then Mike can do some of the middle-of-the-night feedings. :)
--Mike is, as I expected, an amazing father. He has a great touch with Michaela. When we were at the hospital, nurses would constantly tell me how impressed they were with him and how good he is with the baby. I told everyone he's the primary and I'm the secondary caregiver.
--I'm a pretty good mom, I think. I'm still a little hesitant on some things and unskilled on others (like putting the baby's clothes on, or getting her in/out of the car seat), but I will get better. And I'm not sure that anyone loves her more than I do, and that counts for something, right?
--I was in the hospital for six days. Six days. Now I'm totally confused about what date it is. I know Christmas is right around the corner, but we've decided to skip it this year. No time or energy to drag out the decorations and no interest in lugging the baby to the crowded malls to buy gifts for people which they probably won't get in time for the holidays, anyway, since so much family lives far away.
--My friends and family are awesome. They have all been so supportive, calling and texting and emailing and sending messages of love and congratulations and encouragement through Facebook. I have a core group of girl friends who have kids and they have been especially great, but it's not just other moms. Everyone has been wonderful!
--Mike and I went to lunch today at a restaurant where I went with his mom, when she was in town, about 10 days ago. I couldn't get over how crazy it is that 10 days ago, I was still pregnant, still a month away from having the baby, and his mom was here. Now, 10 days later, his mom is back in Colorado and I'm a mom. Wow.
Lots of other emotions and random tidbits to share, but I'm happy to have gotten these things out.
--My new job. The benefits situation is all fucked up. Cobra through my old job is nearly $850/month for me and the baby. That doesn't include Mike, who is another couple of hundred bucks through his Cobra. Oy. Also, the 30-day maternity leave (since I'm not eligible for FMLA) is 30 days, not 30 work days, and so far, I've been told that it starts the day I had the baby. Given that this is December, and between this month and January, there are a lot of holidays I would normally have off anyway, I'm not thrilled about "losing" those days. My boss is pressing for an answer, though, and I am trying to be hopeful.
--Similarly, the thought of having to go back to work after only 30 days is killing me. I'm trying to remind myself, though, that even though I would have had more time off at my old job, eventually I would have had to go back and do the long commute and that would be excruciating as well.
--I'm soooooo tired. But sort of not tired. I don't think this is sustainable and I'll crash at some point, but right now, I'm tired but manage to keep it up throughout the day and then to get up multiple times at night.
--The baby is adorable. I'm in love with her like I've never loved anything or anyone else before. The love I have for her is totally different than my love for Mike. She has had some issues with jaundice, since she's technically a preemie (born at 36 weeks, not 37 or 40), and seeing her under the bili lights and having to get her heel stuck for blood tests every day is killing me. I know she will be okay, and it's good to get this taken care of, but it's so hard!
--Speaking of hard: breastfeeding. My goodness. The frustration was incredible. I cried and cried and cried the first several days, due to the breastfeeding situation and the jaundice situation. One night in the beginning, when I was in the newborn nursery-- I had to go there every 2-3 hours to take her off the bili light machine so I could feed Michaela-- I just said, "fuck it" and gave her a bottle with formula in it rather than continue to struggle to breastfeed her. It was a watershed moment. I felt so relieved, like all of the pressure was off me. I could give my baby what she needed, even if it didn't come from my boobs, and that's what was most important. The next day a really great lactation consultant came to my room and worked with me and I had more success, though it's still slow going. Michaela (that's how we ended up spelling it, which is another funny story) latches on but gets really tired and doesn't like to suck for very long. Not good when you need a lot of protein to bind to the bilirubin to make your jaundice go away. So we were supplementing her with formula, first out of a tube and syringe (so painful) and later (now) breast milk out of a bottle.
--I always sort of wondered how I'd know things like, how will I know when/how to push and how will I know if my milk came in. The labor front was amazing, my body did what it was meant to do. I got to a certain point where I felt all this pressure and said to Mike and the nurse, "I have to start pushing." And I did. On the milk front, it's very clear my milk is in because I'm like a Holstein cow! I have so much milk! My plan is that if breastfeeding doesn't work out (I have an appointment in 2 weeks with another lactation consultant, but am going to try to move that up to be sooner), I will just continue to pump and feed the baby out of a bottle. That's also nice because then Mike can do some of the middle-of-the-night feedings. :)
--Mike is, as I expected, an amazing father. He has a great touch with Michaela. When we were at the hospital, nurses would constantly tell me how impressed they were with him and how good he is with the baby. I told everyone he's the primary and I'm the secondary caregiver.
--I'm a pretty good mom, I think. I'm still a little hesitant on some things and unskilled on others (like putting the baby's clothes on, or getting her in/out of the car seat), but I will get better. And I'm not sure that anyone loves her more than I do, and that counts for something, right?
--I was in the hospital for six days. Six days. Now I'm totally confused about what date it is. I know Christmas is right around the corner, but we've decided to skip it this year. No time or energy to drag out the decorations and no interest in lugging the baby to the crowded malls to buy gifts for people which they probably won't get in time for the holidays, anyway, since so much family lives far away.
--My friends and family are awesome. They have all been so supportive, calling and texting and emailing and sending messages of love and congratulations and encouragement through Facebook. I have a core group of girl friends who have kids and they have been especially great, but it's not just other moms. Everyone has been wonderful!
--Mike and I went to lunch today at a restaurant where I went with his mom, when she was in town, about 10 days ago. I couldn't get over how crazy it is that 10 days ago, I was still pregnant, still a month away from having the baby, and his mom was here. Now, 10 days later, his mom is back in Colorado and I'm a mom. Wow.
Lots of other emotions and random tidbits to share, but I'm happy to have gotten these things out.
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