Wednesday, October 24, 2012

My Labor Story and Tips for Surviving Your Hospital Stay

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Today Thomas is four weeks old.  I can’t believe it!!  It’s strange how fast time has gone by.  It seems like we were driving to the hospital yesterday, and at the same time, (though I’ve only had him for a few weeks) I can’t remember exactly how my life felt before him (Definitely not as full).

WARNING: For those of you, who are grossed out by labor stories, skip this next section:

Looking back, I can say I had a fairly smooth labor.  It wasn’t perfect by any means, but what ever is?  I went to bed around 11:00 p.m. feeling unexceptionally ordinary.  John and I had made several fun plans for the following day (kind of a “before-baby-comes” day) and I was looking forward to getting in some quality time together before our little duo became a trio.  However, I woke up around 1:30 a.m. feeling “crampy”.  I wasn’t sure if these cramps were contractions, but I was suspicious. While pregnant I basically asked every mom I’ve ever known about what I could expect when labor hit (a terrifying curiosity).  Everyone pretty much responded the same: “When it happens, you just know.”  Well, no labor light bulb went off for me.  I tried to use the bathroom, thinking maybe it was some oatmeal cookies working against me.  When that didn’t help, I started watching my clock.  The “cramps” were questionably coming every 5 minutes and lasting about 60 seconds.  But I STILL wasn’t sure.  There was no cliché movie moment of me bent over in the bathroom puffing air and screaming at my husband, “it’s time!” There was no tell-tell gush of water sending me over the edge of certainty.  Nope, just cramps similar to that of bad Indian food.  My doctor had warned me that contractions would start slow and be spaced far apart, and that I SHOULD NOT come to the hospital until they were 3-5 minutes apart.  I envisioned hours of watching my clock and pacing the halls.  I even downloaded a contraction app to help do the counting for me.  But, after 30 minutes of lying in bed, questioning myself, the 5 minutes had turned into 3 to 4 minutes. Thinking that I was being overly cautious, but afraid of having Thomas on our hardwood floor (we would never be able to clean that mess up), I decided to wake John up and, with trepidation, head to the hospital.  I still had my doubts when we checked in to the maternity ward.  I even embarrassingly told the nurse that it might be a false alarm.  Looking back I’m not sure why I was so worried about it being false labor.  For some reason I felt really guilty about waking John up and making a fuss about what could be nothing.  I told John not to call anyone until a nurse had appropriately checked me; this is how much I doubted that I was in labor.  I was still waiting for the big “ah ha!” moment.  That moment never really came until the nurse checked me and I was already 7-8 cm dilated (2:30 a.m.).  The nurse asked me, because I was moving so quickly, if I wanted to do a natural childbirth.  I had a solitary moment where I considered the idea.  How neat would it be to have a natural childbirth without any prep work?  A single contraction later I snapped back to reality and became totally freaked out by the idea (“Are you insane?? You haven’t even taken a childbirth class, let alone a natural childbirth class!!  Get the Epi fool!!!!”), so, needless to say, I requested an epidural.  After I received the epi my contractions slowed down and I felt a-maz-ing!  I couldn’t believe I was in active labor and felt absolutely nothing.  My in-laws and my dad got to the hospital and I was just chilling  (“dum-de-dum-dum-dum, my body is practically ripping open and I feel NOTHING!”).  Side note: An epidural is liquid magic and the creator of it should be given a golden throne.

Little did I know that the real “fun” was just beginning.

Unfortunately Thomas decided to enter into the world the one night that my doctor (who I love and adore) was not on call and couldn’t be in until 8:00.  I was moving so quickly that the nurse warned me that I wasn’t going to make it to that time.  I knew that this may be a possibility, but it never seemed to bother me.  Someone’s got to get the baby out, right? I approached my labor completely open and relaxed.  I never did a birth plan, and when the nurse asked me about one, I told her I planned to have a baby.  I knew that anything could happen during the process, and the end result was my main concern. Just get me from pregnant to non-pregnant with a healthy baby in my arms, preferably by the end of the day and all will be good.  I highly suggest this attitude to anyone preparing for labor.  ANYTHING can happen and you may set yourself up for disappointment if you meticulously plan how your labor will go.  Good luck with that one, bud!

Before the other doctor came in to check me, my wonderful nurse (can I just take a moment and show my gratitude and appreciation to all of the nurses who helped us? They were amazing!!) warned me that this particular doctor was a drill sergeant.  He apparently was old, “curmudgeon” and didn’t want to be there that early (umm, you picked the wrong profession, Einstein!)  Still, this did not bother me; I was in my “epi zen” mode.

To make the whole gory and lively story short, this doctor didn’t like waiting for babies and first time moms (this is what the nurse told me).  He, instead, wanted to rush the process along.  As a result, he decided to cut off my (precious) epidural to speed things up. Four hours is not fast enough for mister “I have better things to do at 3:00 in the morning.” “We can turn it back on” he assured me, falsely. To move things even faster, he decided that with every contraction, while I was pushing, he would push down on my stomach as well.  This would push the baby against my cervix.  He did this so hard I had bruises on my stomach.  I wont even go into details about the pain that this caused, but lets just say after I had Thomas I almost passed out, literally.  I pushed like this for about 40 minutes, with him pushing down on my stomach, making every contraction feel 100 times more terrible.  I don’t want to tell people this to scare them, but to prepare them.  Don’t let this happen to you!! It’s NOT normal (I found out) to have your epidural completely turned off (they can turn it down), and it’s NOT normal for the doctor to push on your stomach unless the baby is in distress.  Most first time moms are in labor for a long time and can even push for 3 hours before having a baby.  Don’t let the doctor rush you or make you feel like you are doing anything wrong by taking a while.  I got an episiotomy  (of course) and the guy even cut the cord for us, without asking, just to speed things along.    Despite of this, I have to think positively about how fortunate I am.  All-in-all everything was worth it.  I had the most beautiful and healthy baby at 6:36 a.m.  Because my epi was turned off, Thomas was alert and ready to eat, I was able to walk afterwards, and I know I can have a natural childbirth if I want to for the next one. 

FYI- I did inform my doctor about the situation, who was incredibly upset and was going to take action against the other doctor. 

The hospital stay was great.  We were there for two additional nights after Thomas was born.  Our room had a full size, Tempur-Pedic bed, so John didn’t have to sleep in one of those tiny chairs or couches.  I was so ready to get home, though, with my little bundle in tow. 

Here is some of my advice for your hospital stay:

-Don’t be afraid to put your baby in the nursery: If you are like us, you’ll hear all kinds of opinions on this matter.  Attachment advocates will tell you that it’s better to have the baby in your room to learn nursing cues and to get acquainted to one another.  This is what I had always planned on doing.  I wanted my baby, who I had been waiting on for 9 months, to be with me.  Let me tell you though, when you’ve had 2 hours of sleep, an intense labor, 50 thousand visitors, and battle wounds, you may not be up to having your baby in your room.  THERE IS NOTHING WRONG WITH THIS.  I was SO thankful we decided to put Thomas in the nursery.  The nurses monitored him all night and watched for any signs of problems or issues.  They brought Thomas in when he showed feeding cues and when he was ready to eat (about every two hours).  I could actually sleep knowing that he was okay and looked after by professionals.   The nurses told me that they thought he was so cute that he was continually rocked and cuddled (I loved that he wasn’t just laying in cold bassinet with a crazy eyed, sleep deprived momma near by). If he had been in my room I would have been standing over his bassinet, continually staring, afraid of every squeak (or lack of squeak) he made.  This does not make for a happy, healthy, and fully functioning mommy.  Trust me, you will better serve yourself and your baby when you are well rested. 

-Bring your own clothes: This is another thing you may hear debated on.  I can’t tell you how good it felt to shower and put my own robe on.  Some people may tell you not to bring your clothes because you may mess them up (you do bleed a lot), but I didn’t have any problems with this.  I highly suggest an open front robe with flip-flops or house shoes. 

-Spread out visitors (if possible): At one point we had a room of 20 people the day Thomas was born: TOO many people at once.  Talk to your family and friends and try to spread them out over several days.  Tell some that you would rather have them visit when you are home and settled.  The day is so exciting and overwhelming in itself without 50 people in your face.  Also, don’t be afraid to tell people you aren’t up for visitors.  This is not always easy, but you will need time to rest, feed, and adjust to your baby.  Don’t try to people please right now.  It will get old, QUICKLY!

-Accept help: This one you’ve also probably heard, but it’s true.  When people ask you if you want food/help, say yes! Just go ahead and start practicing now.  Sometimes you may worry that people will offer this out of courtesy, but still say yes.  They shouldn’t have mentioned it if they didn’t mean it.  Accept food, drinks, chores, whatever is offered and don’t feel guilty!

-Take advantage of what your hospital offers: Ask for the lactation consultant every day you are there just to make sure you are getting things right (don’t expect them to just show up, sometimes you have to ask for them repeatedly), if your hospital offers free massages get one every day you're there, load up on supplies (ask for extras), think of questions to ask your pediatrician or nurse.  Now is not the time to be shy. You have so many people, sources of information, and services at your disposal.  USE THEM. 

-Down there care: I can’t speak for c-sections, but I can for vaginal delivery.  For me what really helped after labor were ice packs.  The hospital provides ices packs and I used them continuously.  I kept asking for them, day and night.  This really helped with swelling and pain.  Also, using the squirt bottle was helpful when having to go to the bathroom.  Whenever you have to use the bathroom, fill the squirt bottle with lukewarm water and spray it on you as you go.  This will help with pain and also with keeping the area clean.  Afterwards you can dab with toilet paper to dry.  I could never do a spritz bath.  These are little tubs that go in your toilet that you fill with warm water and sit on.  The nurse and doctor told me to use it three times a day for 20 minutes each time.  I couldn’t do past 5 minutes once a day.  I eventually just gave up.  It caused me too much pain.  Don’t feel like you have to use one.  I did just fine without it.  I also didn’t take percocets. I’m really anti-painkillers.  My doctor did encourage me to rotate Motrin and Tylenol, this really helped with pain management and also swelling.  Don’t be a hero, go ahead and take it. Motrin and Tylenol will not hurt anything.   You will bleed for weeks after labor.  Load up on pads for your home.  You don’t necessarily need diaper sized ones, like they give you in the hospital.  The thin, winged, heavy, Always brand was my favorite.   I didn’t really use the witch hazel pads, except when things started healing and feeling somewhat itchy.  They are apparently really good for hemorrhoids.  This is really common after labor, but I did not have any.  Ask for a stool softener while you are in the hospital.  Being backed up will only make things feel worse.  You may feel pressure down there from pushing.  It’s uncomfortable, but it will pass.  You will also feel contractions while breastfeeding (I know, LAME!).  This is your uterus shrinking.  Lastly, remember to rest.  Your body has gone through something MAJOR.  You need to allow it to heal.  Don’t freak out about your flabby tummy and try to walk three days after labor.  Give yourself some time (a month).

-Breastfeeding is difficult, be prepared: I was really determined to breastfeed.  I know that not everyone can do it, but I really wanted to.  As I mentioned before, I got really sore and had blisters at first.  I used a lot lanolin cream, which really helped.  This is also where asking for a lactation consultant is helpful: You’ll know if you are doing it right.  After a couple of weeks of breastfeeding, I also had the problem of overproduction and got Mastitis.  I woke up one morning with a really sore breast, a terrible headache, and a fever.  I called the doctor immediately and was put on an antibiotic.  Pumping, feeding, Tylenol, ice packs, warm towels, and LOTS of rest really helped me, but it took me a couple of days to feel better.  You basically feel like you have the flu.  To help with overproduction, I’ve started feeding only on one side at a time.  Breastfeeding takes a lot of sacrifice, adjustments, discipline, and commitment.  As my pediatrician pointed out, this is why they use to have wet nurses who specialized in the stuff: It’s not easy!  I think you have to approach it with conviction and determination, prepared for difficulties and problems.  It has taught me a lot about what being a mommy is all about, and I know it will be worth it in the end.  Anything worth doing takes work, right?  There are so many pros that outweigh the cons.  Plus, I’ve already lost 20 lbs just through breastfeeding alone! There’s another bonus to hanging in there!!

-What to bring:
                        -Robe
                        -Flip-flops (good for the shower, too)
-No need to bring underwear (I just wore the disposables they gave me. They aren’t as bad as people make them out to be, and trust me with all of the stuff going on down there, there is no way to be comfortable anyways.)
-Cell phone and charger (duh)
-Shampoo, toothpaste, toothbrush, makeup (for visitors), hair ties, soap, hair-brush.
-No need for extra blankets or baby clothes (except going home outfit) unless you just want to dress your baby up.
-Maybe bring the baby a smaller, newborn friendly paci (the ones the hospital provide are too big for their mouths)
-Snacks, snacks, snacks
-Candies/treats/bars for the nurses.  We did this with a little thank you stuck to the front of the bowl and they LOVED it.  Not only the nurses but all the people who visited us.  Bring it to the labor room with you too, those are the people who are with you the most.  We were told several times by multiple people that the nutrigrain bars we included were the only things they had been able to eat.
-I just wore home what I wore to the hospital: Comfy yoga pants and a T-shirt. 
-Nursing bras/sleeping bras.
-I didn’t really need nursing pads while there. Your milk doesn’t come in until a couple of days. 
-The hospital will provide you with (at least mine did) icepacks, a sitz bath, jumbo pads, witch hazel pads, a squirt bottle, pain reliever spray, disposable underwear, diapers, wipes, baby blankets, baby clothes, gowns. 
-The towels at the hospital are pretty small, so you may want to bring one, although I didn’t, because I didn’t want to haul a million things with me.
-A camera for the bazillion pictures you’ll take of your baby. 
-Change for the vending machine.  Although, my hospital had a family room with drinks and snacks for the family members, so John didn’t end up having to use the vending machines.  Check with yours to see if they provide this as well.


Wednesday, October 10, 2012

Surviving the First Two weeks

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My life for the past two weeks has been a blur of feeding, changing, snuggling, and sleeping.  I almost hate to admit it, but I’ve loved all of it!  Having a newborn brings all of the challenges that people warn you about.  You get very little sleep, you feel like a momma cow, and your freedoms become incredibly limited.  But, there are so many aspects about it that completely out weigh the bad.  For one, you have an excuse to wear your pajamas and lay in the bed all day.  It’s like the fun aspects of being sick without the bad physical affects.  Also, no one can fully prepare you for the amount of love you will have for your child.  You may hear about it or think about it for nine months, but there is nothing like looking into your child’s eyes while they look back at you.  It’s better than Disney World, Christmas, and chocolate combined. 

There have been so many things that I’ve learned over the past couple of weeks. Here are 10 tips that I’ve discovered for surviving this new and exciting time:

-         The best thing you can do for new parents (in my opinion) is to bring them food.  When you are sleep deprived and have a baby who continually depends on you, food is the last thing on your mind.  Sometimes I don’t even realize I’m hungry until I put something in my mouth and discover that I’m famished.  If it wasn’t for the kindness and generosity of our friends and family, we would be living off frozen pizza and cereal.  When people bring us food it’s like edible gold.  We get so excited.  It doesn’t have to be anything gourmet or fancy.  We had one friend who picked us up a rotisserie chicken from the grocery store and you would have thought it was Thanksgiving dinner.  Some people have brought us their leftovers and we loved it!  If you live far away order the couple a pizza, most websites you can order and pay online.  Food, in any shape or form, is the best gift to new moms and dads.

-         Get a breastfeeding app on your smart phone before you have the baby.  It will save you some awkward stares when the nurses and doctors ask you how many times you have fed him, how many dirty diapers he’s had, and how much he has slept.  These things may seem simple enough to remember, but trust me, there may be a moment when the nurse asks you the last time you fed your baby and you will have no clue.  It’s amazing how sleep deprivation, physical exhaustion, and excitement can affect your memory.   Go ahead and load one on your phone now.  You’ll be thankful during those late night feedings and doctors appointments.

-         Breastfeeding may still hurt, even when you are doing it “right.”  Before having Thomas I had done my fair share of research on breastfeeding.  I read books, watched videos, and took classes.  Something about nipple damage terrified me (shock).  So, I felt prepared for breastfeeding before I even stepped into the hospital.  A lot of the classes, books, and videos will tell you that if you are doing it “right” it wont hurt.  This is NOT always true.  I had three lactation consultants check my latch, positioning, and technique and it still hurt and I still got blisters.  Prepare yourself just incase you are like me and don’t expect it to always be pain free.  Your body has a lot of adjustments to make.

-         Give yourself two weeks.  Tell yourself that in a couple of weeks, things will get easier, and they really do.  Breastfeeding, sleep deprivation, hormones, healing, diaper changes, they all seem to become more manageable after a two week period.  I read that most moms will stop breastfeeding before two weeks because of intense pain or other issues.  Don’t give up! Things will and do get better.  Once your body heals, you get to know your baby, and things settle down you will feel so much better.  Fight through the first couple of weeks and look towards the light at the end of the tunnel!

-         Make a plan for surviving nighttime feedings.  Although being a mom may seem like something that should come naturally, many aspects of motherhood do not.  Waking yourself up every hour to feed your baby is not an easy transition to make, but it doesn’t have to be a horrible experience.  Before I had Thomas I knew that I would struggle with this.  I decided to make a game plan, which I implemented, and have found to be incredibly successful for me.  The best advice I can give is to figure out what works for you and prepare for it beforehand.  Think about what it’s going to be like to feed every hour or two and for 30 minutes at a time, and then having diaper changes immediately following.  What is going to keep your sanity?  For me what works is to keep off all of the lights, except for cracking our bathroom door (just enough to see what I’m doing), having snacks and drinks on my bed night stand, having a book with an attachable light, and my computer with headphones where I can watch Netflix or listen to music.  Finding things that will keep you awake and sane during nighttime feeding may make the difference in your sanity.  I’ve actually even begun to enjoy the night when things are quiet and I get time to my baby and myself.  It’s become incredibly peaceful for me. 
              *A note on nighttime sleeping habits.  I have no proof that this works, but I've read (and hope) that it will.  We try to keep the lights as low as possible, talk in hushed voices, and keep the nighttime about sleeping.  I'm quick about feedings and diaper changes and I put Thomas down to sleep immediately afterwards.  I've heard that this will help transition him into long nighttime sleep and keep his days and nights separate.  Right now he eats every three hours during the night (from beginning of feeding to the next feeding), which is pretty good for an infant.  I'll let you know how this plan works as he gets older.

-         If you are having a boy, don’t try to change him on your bed.  We initially made this mistake and paid for it by having to wash our sheets several nights in a row.  I’m not sure if girls have this same problem, but boys will be boys and will spray pee surprisingly long distances.  We ended up turning our dresser into a changing station, which has worked wonders. YES, you have to get out of the bed and change the baby, which is really annoying at first, but it beats having to change your sheets.  Plus, you’ll probably have to get up and use the bathroom anyways.

-         Don’t worry about spoiling your newborn.   People will warn you that your willingness to continually pick-up, feed, and comfort your baby will spoil them.  The truth is that spoiling isn’t even possible until your baby has the cognitive ability to be spoiled.  A two week old is not manipulative.  They haven’t learned that wonderful human quality yet.  Don’t be afraid to feed your baby or hold them when they are this young.  They depend on you to meet their needs.  Considering where they have come from (continually having their needs met) to where they are now is a big adjustment.  Plus, it will save you your sanity.  You shouldn’t be worrying about doing too much for your baby when your central nervous system is in shock from them screaming their heads off. Plus, in a couple of months they will be spoilable, so get as much lovins in now as you can.

-         Get at least one nap in a day.   People will tell you to sleep when the baby does.  Well, if you're like me, this may not always be possible.  Sometimes you just want to do the laundry, hang out with your husband, or do other things besides feeding, changing, sleeping, and repeat.  I’ve tried (and often fail) to take at least one long nap a day.  The difference one nap can make can be huge.

-          Set aside time to bond with and enjoy your baby.  I think it’s easy to get lost in the monotony of having a newborn.  Many times you are just trying to make it through the day/night.  I think it’s really important to set aside time to bond with and enjoy your baby. This is what I’ve tried to do:  At night, between feedings, I read to Thomas, sing him a couple of songs, and talk to him.  I did this when I was pregnant before I would go to bed, so I’ve just tried to continue that tradition.  In the morning, after his feeding, I’ll read to him a daily devotion, scripture reading, and say my prayers out loud.  I also try to take moments when I can just watch him, take pictures of him, and laugh at his adorable facial expressions.  Taking moments to do these things can really put things in perspective and makes all of the dirty diapers, continual feedings, and tears worth it. 

-         For husbands:  Husbands may often feel left out during this time.  It’s the moms who do all of the feedings and most of the nighttime work.  Some husbands may be uncertain on how to help.  For me, the biggest help John could and has provided (short of growing boobs himself) has been his expressions of love, support, and gratitude.  Some ideas may include: Buying your wife a present for delivery (push present) to show her how proud of her you are (labor isn’t easy, trust me).  When running out to get some last minute supplies, pick her up her favorite coffee or candies.  The simple pleasures in life can be huge right now.  During the night when she’s feeding the baby, wake up and ask her if she needs anything.  Help change diapers or hold the baby so she can take a nap or a long shower.  Make, or pick up, her favorite meal.  When the baby is crying and she is trying to comfort him, hold her hand, rub her back, offer to take the baby, or find ways to show her that you are in this with her.  These simple acts of appreciation can make all of the difference for her, and they express how much you value all of the things she does for you and the baby. 


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