madcap misadventures in infertility, pregnancy, and parenthood

08/18/2008

Don't make me post a recipe, too.

I don't know where to go from here.  My first feeling based on the comments from my last entry is gratitude — from most of you I felt warmth and understanding, even from those whose stories are radically different from mine, and, man, what an amazing gift that was.  Thank you.

My next feeling, though, is defensiveness, the almost irresistible urge to say, But wait, we did have his tongue clipped, and we did try again.  My God, of course we did.  And You know, I am still pumping, just not with crazy-making frequency, so Ben gets human milk at least three times a day.  And After two days on the bottle we gave on the lactation consultant's advice, Ben wouldn't latch worth a good goddamn.  And But.  And And.  And so on, graf after graf of fevered justification.  But then I rein myself in — uh, okay, mostly — and remind myself that although I feel buoyed by the support of my friends inside the computer when I'm lucky enough to get it and occasionally crestfallen when I don't, it's Ben and Charlie and Paul to whom I ultimately need to answer.  And Paul understands; Charlie, despite my frequent pestering, doesn't read my blog; and every time Ben makes that captivating baby bird mouth I smile instead of grimacing.  All answers good enough for me.

My friend T., who had difficulty nursing her own two children, said something to me that rings beautifully true: Don't let anything get in the way of your relationship with your kids — least of all yourself.  Depending on your situation, of course you can read that any number of ways, and I recognize there are those who will say that by giving up on nursing, that is exactly what I've done.  But in our circumstances I interpret it as meaning that it would be emotionally ruinous for me to indulge my own lingering issues at the expense of being the relaxed, happy parent my family and I deserve.

And that really is all I'm going to say.  Except that I still want to make out with anon of comment #45 et seq., although despite professional encouragement I still haven't settled the contraceptive issue, so maybe we should wait until we're really sure we're ready.  And that I have a few choice remarks to share with Jonnelle of comment #256 and a few other commenters who've offered similar views in the last two weeks.  And that Ben's jaundice has resolved, he has regained his birth weight, and I am taking back everything bad I ever said about ready-packed prefab food for kids because it turns out that the Campbell's Cream of Lunchables we're feeding him ten times a day really isn't that bad after all.

What, humor's not working?  Then how about that last refuge of someone who'd really like to change the subject, a picture of a baby?

Posted by Julie at 11:36 AM in It was the breast of times, it was the worst of times | Comments (249) | TrackBack (0)

08/10/2008

The only post I will ever write about nursing our second son

Ben nursed exclusively for the first ten days of his life.  My milk came in on day 3 postpartum — a revelation to me, since the sudden engorgement made it clear that my breasts never really did quite what they should have with Charlie.  (Apparently a premature delivery and a full tank of mag can do that to a girl, no matter how much hippie-smelling funk the fenugreek induces.) 

Supply was not a problem, and Ben had a beautiful latch, and I had the invaluable assistance of a cadre of knowledgeable nurses.  Aside from his routine weight checks in the nursery, Ben was never taken out of my room.  He spent his days and nights wearing only a diaper and a light blanket for plenty of skin-to-skin contact, and I brought him in close every time he started making interesting shapes with that curious pink mouth of his.  We had the peerless support of a donut delivered straight from the bakeries of Heaven itself.  Hot and cold running Lansinoh.  A leopard-print nursing bra, for crying out loud.  Everything should have been great.

And it hurt every goddamn time.

I had always heard the first two weeks of breastfeeding are the most difficult, not an instant blissful communion but a hump to get over by dint of determination and endurance.  And endure I did, wincing with every chomp, twelve times a day, chanting to myself with every beat of the rhythmic mangling, The first two weeks are the toughest.  So it wasn't strictly the pain that made me — say it with me, friends — talk to a lactation consultant.  It was the pediatrician, casually mentioning in the course of her routine examination that Ben's pretty mouth is tongue-tied, not severely, but enough to warrant a consultation with an ENT doctor.

And because I like a good specialist as much as the next heavily medicalized God-bless-American, I also called the lactation consultant.

She watched me feed Ben.  She saw his jaw working fast, clamping down over and over.  She saw me stiffen and grimace as he worked.  She checked the position of his lips, properly flared in an ardent fish-kiss, and watched the motion of his tongue, which was not clearing his lower gum during sucking to form the comfortable cushion it should have.  She suggested a tongue exercise for us to do with Ben.  (Open mouth, insert pinky, initiate sucking, press gently on back of tongue, and savor the cries of one righteously pissed-off newborn.)  She was encouraging, positive, and relatively sanguine about our chances of eventually getting Ben to nurse without making me dread each feeding.

Dread.  It's precisely the word.  She said only the right things, but she told me exactly what I did not want to hear.  She recommended that while we wait for our ENT appointment, I bottle-feed to limit damage to my nipples, and pump ten to twelve times a day to keep my supply from dwindling.

Oh, how we all did laugh.

I talked with her a bit about my history with Charlie, in which my hatred for the pump figured prominently.  I think she somehow mistook me, because she warmly told me that I should be proud of working that hard for him (I was and am) and that I have no reason to feel I'd failed him (um, what?).  Failed, what a ridiculous word under the circumstances, one that has nevertheless a dangerous resonance.  When we left her office I could already feel the crazy creeping in.

How much influence ankyloglossia has on an infant's feeding is up for debate.  The main problem seems to be the pain it can cause the mother, coupled as it often is with near-constant nursing to compensate for the less than optimal sucking action.  Of course breastfeeding such an infant can be done, especially with a relatively mild case like Ben's.  The trouble is, I am not willing to do it.  The pain while nursing, the pain while pumping, the bad place it all takes my head and heart — I don't believe it's worth it.

While we waited for our appointment with the lactation consultant, Paul leafed through the breastfeeding brochures racked outside her office.  "A mother's love knows no bounds," he intoned in an ominous voice, reading from one.  Talk about a dangerous resonance.  I can't look at Ben without feeling a rush of that mother's love.  But I can't look at the pump without feeling a bound so definite it might as well be a concrete wall.  After Charlie, I don't equate any mode of feeding with love.  With Ben, though, when I know my giving up after ten scant days to be a decision borne of purest selfishness, I can see how someone might.

For the last two days I've been feeding Ben a combination of formula and the milk I've pumped solely to reduce engorgement.  I can't describe the feeling of well being I have as I hold him and give him, yes, a bottle.  I hear his squeaks of enthusiasm as he drinks, and I see his eyes getting heavier, and I watch the fleeting sleep-smile that's no less enchanting for being only reflex.  And of course breastfeeding has incomparable advantages, but the signs of a contented baby seem, to my biased eye, to be the same in any infant who's being held close and fed with love.  I remember them from Charlie.  I want to enjoy them this time without pain, drama, or stress.  I want to enjoy this baby.

I am enjoying this baby.  I don't dread his waking to eat.  I don't put him down with a feeling of resignation as I lurch off to the pump.  Feeding him, which at this point constitutes the bulk of his conscious moments, brings only pleasure.

That's not to say I'm completely okay; in fact, I'm rocked with ambivalence a dozen times a day, telling myself, There's still time to keep pumping, to keep the supply going, to give him another week, to see how it goes.  And then I swing wildly in the other direction: But why exactly would I do that?

Despite the obvious nutritional superiority of breast milk, I can't think of a reason good enough to continue — that's how strong my resistance is.  I promised myself I wouldn't get crazy again.  I promised Paul, and I meant it.  I promised Charlie, if silently, not to subject him to a mother made unhappy that way.  Three good reasons not to.

However we nourish our children, we all want to give them the best in ourselves.  It's just that for Ben, his mother's best isn't milk.  It's time, peaceful feeding, and the recognition, won through experience, that sometimes embracing "good enough" is the very best of all.

Posted by Julie at 10:27 AM in It was the breast of times, it was the worst of times | Comments (395) | TrackBack (0)

08/08/2008

She must not have gotten the memo

Thank you so much, everyone, for your kind words and support.  There is no doubt but that I get by with a little help from my friends [YouTube], and I'm really grateful you've been here to share all of this with me.

The story, such as it is — because if ever there were a blessedly uneventful blessed event, Ben's birth was it — will have to be told in small chunks.  For now, please chew on this.  (And if you must spit it out, do so discreetly into your napkin.)

Imagine, if you will, that you are two days postpartum, post-surgery.  It's 5:45 AM.  You're sleeping topless in your hospital bed, facing the nearly-naked baby who's finally asleep himself after a long night of grizzling, rooting, and squeaking.  You are not so much asleep, really, as poleaxed.

And the OB resident, whom you have never met before, enters the room.  You wake, disoriented, and decide that fatigue must be making you hallucinate her presence, because, I mean, damn: really?  But no; it is only too corporeal.  After a painful palpation of your abdomen, during which she verifies that your uterus, despite its better judgment, has not, in fact, staged a daring moonlit escape in the eight hours that have elapsed since the last check, she has a very pressing question for you.  A question, remember, from a stranger.  A question that not only cannot wait until your six-week followup, but that cannot wait for the gentle blush of dawn.

Ready?

You'll like this.

"Have you considered your contraceptive options?"

Posted by Julie at 02:49 AM | Comments (165) | TrackBack (0)

08/06/2008

Greetings to the new brunette

Benfirst

Ben, born 8/1/08, 8 lbs. 9 oz., 20.5".

Mother and baby doing well.

Very, very well indeed.

Posted by Julie at 01:15 PM | Comments (448) | TrackBack (0)

08/01/2008

No, I would not like to cut the cord

Not even a symbolic snip of the last few inches. I was instructed to put on scrubs and booties and mask and a silly hat, and not to touch anything that might be sterile. Okay, a newly-extracted baby covered in blood and goo and other stuff probably isn't sterile but I still prefer to practice my cutting skills on things that aren't yelling at the top of their healthy little lungs about how effing cold and bright it is out here.

Not that any of you were waiting with bated breath or anything: Baby not-Natalie arrived a little before noon; he and Julie are doing fine. And darn the maternity unit for not having wireless. (But if they did, not a baby in the place would sleep for the clacking of keyboards.) More when more of us are awake.

Posted by paul at 10:36 PM in Paul scrawl | Comments (415) | TrackBack (0)

Into the great wide open

Here goes everything, folks.

I am more grateful than I can say for your kindness, generosity, and good wishes.

Paul will let you know.

Posted by Julie at 06:00 AM in Jesus gay, I'm pregnant. | Comments (260) | TrackBack (0)