Its Not Entirely Their Fault...

My first pregnancy I was an uneducated mom-to-be who read books like, "Girlfriends Guide to Pregnancy" and "What to Expect When You're Expecting". I trusted my caregivers 100%. The only reason I switched, at 36 weeks, from a group of OBs to midwives was that the OBs never told me about childbirth classes or baby care stuff. We just felt that the OBs weren't educating me enough or answering my questions without rolling their eyes. See problem #1 is that pregnant women expect education from their prenatal care provider (PCP) but that is definitely not the place for it in modern medical settings. Even the midwife group I attended didn't have time to fully educate me. Looking back, I now see that it really is the mom-to-be's responsibility to educate herself.

I read a lot of blogs and articles pointing fingers at the health care system and how it "medicalizes" birth and treats it like an illness. While I totally agree that standard operating procedures (SOPs) within the healthcare system have lead to birth becoming less of the natural process it is meant to be, I think ignorance in women is perpetuating this problem. I watched the premiere episode of "One Born Every Minute" after reading The Feminist Breeder's review of the show. Within 10 minutes I was annoyed to the point that I shut the show off. A few minutes later I turned it back on because I just *had* to see what these uninformed people did. And yes, I'm sorry, but I'm calling people names here. The moms=to-be aren't entirely at fault but they didn't make the situation any better. While one mom was all about getting the epidural I don't have any serious issues with her. She is fully on board with medical birth. Fine. Have it your way. The nurse commentary during this particular labor was appalling. Stating that giving birth without an epidural is like getting a tooth pulled without novocaine. Um...really? I am pretty certain (and I suck at history) I recall reading about numbing tooth pain with alcohol (rubbed on or drank) before pulling a tooth. I don't recall any vaginal alcohol application or drinking during labor... it has ALWAYS been done naturally until modern medicine changed it. It was almost a rite of passage. Anyway...no one HAS to have a baby without drugs. BUT--they should be making an INFORMED decision to take the epidural. I'll be totally honest, when I was pregnant the first time...I set out to go drug-free just to experience it. I hadn't really been informed of the risks to both the baby and to my labor. I just wanted to do it...the way it was intended.

Other comments that I heard in the show-- one mother-to-be's own mother was totally critical! Ugh. The poor lady was trying to have a natural childbirth and no one was helping her at all....at least not from what we saw on film. She just stayed on her back in that bed! WHY WHY WHY! No ball and no other options were shown. Perhaps she refused them but if a nurse didn't suggest it...and why the heck didn't her mom get over there and help her out? The c-section seemed like it may have been prematurely called but I am sure a lot of the details towards the end were edited out to protect the hospital. Finally, the natural birth mama was harassed by the nurse. I can't believe the nurse came out and reported that they were more in charge than she was. I WOULD HOPE SO!

The most amazing thing...after the show aired I read TONS of people saying that the natural birth mama was crazy and she was the only one certain groups of people "picked on". They thought she was belligerent and offensive... disrespectful for not letting the nurse do her job. Really? I'm pretty sure the nurse's job was to SERVE the client. The client wanted to do it her way...without harassment.

The sad part is that I have conversations with women who think that birth MUST be medicalized. Natural birth is the oddity. Women truly believe that they MUST do something when a doctor says they must. I'm not saying we should argue like we know better than the professionals...but we should at least ask WHY and WHAT IF I DON'T?

I'd give anything to go back to the day of my induction. I know that I would have agreed to the induction. I was 1 week and 1 day overdue and at that time I had not read that going late is totally the norm. Even without any extra education I still could have asked to wait and see what happens. My baby was doing fine I just wasn't progressing...but I also wasn't given time to progress. See...I've heard dozens of doulas and midwives say that it is *not uncommon for a first time mom to have prodromal labor* in fact, it seem that it is a part of almost every first birth in some fashion. Did my midwife know this and think...today is the 22nd of December....if I let her run this out like a normal first time mom...we will be getting out of here on Christmas Eve?? Huh? No seriously...why else did we call it a day and have a c-section? We had only done pitocin for 4 hours. I had only really been attempting labor for 10 hours by the time my baby was taken from my body.

I should have asked what would happen if I waited...what would happen if we just stayed put for a few more hours...another day? What if I had read about birth more and realized that 24 hours is ok..especially if my water hadn't broken (and PS...even if it has broken...it is still pretty OK to keep laboring as you are).

Ugh... my natural birth activists must realize that it isn't entirely their fault...the medical profession...right? Women are just blindly accepting it all. They just show up for prenatal visits and show up for birth. To change this cycle a PCP would have to give the mom a checklist...a book...a list of books...and tell her to educate herself. But why would he/she want her client educated...wouldn't that lead to a fight during labor? This is an awful cycle. How do we stop it?

Stating the Obvious

You can really tell how you feel about something/someone/someplace when it is gone...or threatens to leave. Des Moines hasn't treated me super well in the past year or so but preparing to leave still makes me sad. I can't really tell if it is the fear of change or leaving some people behind that makes me so sad. I've moved all my life. Staying in this area for 10 years is an all-time record for me. I think the longest I stayed anywhere prior to this was 2 years. I already lack childhood friends from all those moves and now this. People try to comfort others by saying that true friends will stay friends no matter the distance. Yeah, I can say that in one instance this has been true for me. I just think that all my friends have kids and that makes nurturing friendships very low on the list of things to do every day.

I'm hoping that as our move day gets closer the positive side of moving will overwhelm the negative side. Of course I want to be with my husband--especially for the sake of the girls--but part of me is worried that I'm boarding some ship that is going to set sail and never port for very long again. I felt the same way growing up. As soon as I felt like I had friends and wasn't being picked on for being the new kid anymore--we picked up and moved. I used to cry so hard I made myself sick. Every single time we moved...even if no one liked me yet...I still cried so hard. Ick. Maybe I wouldn't be so freaked out if this move wasn't premised as a temporary thing. Avy is old enough now that she remembers her friends and actually asks to see them. I feel bad that I'm moving her. I know she'll adapt and be fine but I can't help but worry that it will hurt her a bit. I also created a moms group with the intention of letting all of our children grow up together. I love that we have all started out together with our tiny babies as new moms and now we get to watch as one-by-one they go through the same phases (with mine going through it all first as the oldest of the bunch!). That is all something I can't create again no matter where we go. Kind of like wishing you could recreate a first date...you just can't.

Silence!

For the past 9 weeks Ainsley has cried...the kind of cry that makes her face turn purple and she chokes on mucus that her throat produces to protect itself from all the friction. I'm sitting here in a quiet house and I just finished a HOT cup of tea. I'm reflecting on this 9 week journey and it is making me emotional...angry...sad...disappointed. First, let me just say that I am angry at having asked for help from so many "experts" and received shitty answers. My pediatrician said...wait until she's 12 weeks and she'll stop crying and in the meantime- don't have anyone but family watch her for you so they don't hurt her...and I should put that in quotes because that is exactly what she said! My midwife fed her formula and breastmilk in a bottle...and had decent results but they didn't last. My osteopath found that her rib was out of place and her back and neck were out of line. I made a trip to the ER and was given a colic packet that said to put the baby somewhere safe and let her cry and to go to the ER if I thought I would hurt her. The doctors there also told me to drink a Mt. Dew and prepare myself to have no sleep and to drink a glass of wine while she cried and not go to her until the glass was empty. Hmm. Yeah no wonder moms shake or hit their newborns. I know that most of you would read that and say, "oh no, not me, I would never get that upset." And my response: no...you wouldn't...because most babies don't cry like this! I wouldn't do it either...but in the past 9 weeks I have thought things that I feel ashamed for thinking and I have yelled and punched things (like doors and pillows) and cried a desperate cry that I have never experienced before. I reached a point of exasperation where I was no longer frantic to make my baby feel better but instead...I just wanted her to stop crying...whatever the cost! Thankfully after dialing several numbers in my phone I was able to reach people who could help. This Sunday I really reached a point where I could no longer handle the crying...and it started at 6:45am and went until 4pm with a short break and then went on again until sometime between 9 and 10pm that night. And this wasn't UNUSUAL this was just a day following a week all of us having the flu.

The same amazing mom I've written about in the past came to stay over Sunday to pretty much make sure I didn't hurt my baby...(don't judge me until you've listened helplessly to your newborn cry for hours on end and have no family nearby to help out). That night we dug a little deeper into a breastfeeding issue that I kind of thought I had in the beginning and that this mom mentioned that she thought fit in line with what we were experiencing. We figured out how to compensate for it-- it is a foremilk/hindmilk imbalance. It is characterized by green poo (sometimes mucousy), crying, pain, gas and general discomfort due to being less satisfied after eating. I also had a lot of symptoms that fit with this (painful letdown, excessive leaking and spraying, fullness etc). You know..the fix is rather simple so why the hell didn't any of the "professionals" I consulted ever mention it? All I did beginning Monday morning was nurse her on the same side for 2 feedings and then later that day I used a hand pump to pump past the let down phase before feeding Ainsley. It is now Friday..5 full days later and Ainsley hasn't cried for more than 30-45 seconds at a time (except in the car seat but that is normal).

Back to my emotional state-- I feel sad that I missed out on the first 9 weeks of my daughter's life because we were fighting this horrible battle together. I missed out on snuggling with a tiny little baby that just sleeps all day. She has NEVER slept all day. I set out to really enjoy the stages of Ainsley's life because I know that there is a really good chance that this is the last baby we will have. I know every mom always sets out to soak up every minute but I really wanted to just enjoy it because I knew what I was doing this second time around.

The past is the past..and I am so thankful that Ainsley seems to be "better" now. I am scared to really believe that the crying is over because I think I will be crushed if it starts again. In the meantime...my house is so quiet and that means both my girls are doing just fine.

Thriving

I've never been too terribly bothered by "unsolicited advice" in all my (few) years of raising children. However, lately it is bothering me. I'm in a situation where I have to ask for help-- whether it be just asking for advice, to talk or physically needing a break. It seems the medical professionals in my life have varying opinions on what defines a thriving baby. A few days ago Ainsley cried for huge blocks of time and only slept a total of 5 hours and some minutes over the course of the 14 hour day. I called our pediatrician and the on call doc called back telling me to take her to the ER in case she had a virus without a fever. So I did...but I was pretty much treated like an idiot mom at midnight who takes her "colicky" kid in. I was concerned that Ainsley's weight had only gone up 2 ounces in two weeks...the first ER pedi said that my breast milk wasn't "fatty enough" yet, which is normal she says. Um...ok...that is something I have NEVER read in any of my lactation consultant training or any breastfeeding book before. Whatever. Next ER pedi comes in and tells me to have a glass of wine and not visit the baby until the glass is gone. Um....what? I'm sent home with a crazy packet of information about colicky children-- much of it focuses on letting them cry it out and a few other generic suggestions: swaddle, rock, car rides, shushing etc. I'm not going to hurt Ainsley...but the long hours of crying are really pushing my limits, especially with a toddler. The shoddy advice from the health care team was less than encouraging.

I relayed this information and my troubles to another medical professional in my life and was told that the lack of weight gain was basically a sign that Ainsley wasn't thriving... which I would agree with but I'm not sure what to do about it. I've given up dairy and gluten to see what kind of results that can create. This person took Ainsley for several hours and fed her some expressed breast milk and a few ounces of formula. Ainsley slept a good deal after this and then she was awake and I saw her coo for the first time ever. This caused me some mixed feelings. First, it made me immediately believe that my breast milk is inadequate. Second, it didn't entirely convince me that supplementing with formula was the way to go. I came home and could not get her to latch on to feed...so I felt like it was one step forward and two steps back!

At this point I'm not sure what to do. I'm going in to see our regular pedi today. I suppose she'll have a different opinion...she'll either agree that Ainsley isn't thriving or she will say she should just "cry it out". Ugh... I know babies don't come with manuals but it would be nice if medical advice was somewhat consistent from one person to the next....and it would be great to have some encouragement instead of reasons to feel inadequate. Thinking that my child isn't thriving because of something I'm doing...some emotion (stress/anxiety) that I'm projecting is to blame is disheartening.

We'll see what today brings.

First Day: Sunday!

Well there was no chance we'd be making it to church this morning so that goes on my "to accomplish" list next week. I'm making this mental "to accomplish" list to keep myself from being overwhelmed. It seems that after I complete one of these accomplishments I feel like I can make it a regular part of my routine. Take the grocery trip yesterday for example, I feel pretty confident that I could take both kids out today to get the eggs we forgot. However, I have yet to fit in a shower so I'm putting the store off until tomorrow.

Stephen left at 8 this morning. He was very sad to say goodbye to his little girl. I mean, he was sad to leave all of us but he and Avery have a very special bond. He told her he was going to North Carolina for a while and she seemed OK. She did tell him not to go a few times but he distracted her with Toy Story.

On Sundays we have open houses from 1-4pm. Stephen kind of destroyed the house packing. It seems everything he left was in a pile in some corner of every room. UGH! First, the batteries died in the swing-- which is the only place Ainsley will sleep if I set her down. Second, I had 3 D batteries and the machine takes 4. Third, Avery wanted to eat in the living room. I normally don't let her eat much in the living room but she was starving and Ainsley was too. So...a bowl of Goldfish, sunflower seeds, bananas, strawberries and cheese was delivered. I know that is a weird breakfast but she didn't want eggs, oatmeal, cereal, toast or pancakes-- and yes-- I offered her them ALL! This is one battle I am giving up right here and now. When Avery is hungry-- she is uncooperative and actually pretty mean. I can either be strict and tell her she has to eat what is in front of her or go hungry (and deal with cranky pants) or I can let her eat what she likes (within reason). I'm thinking for now-- I'm going to keep giving her the "buffet" tray of things to eat. Anyway-- 25% of the bowl ended up smashed into the carpet (Open house day remember!).

Long story short-- I left the living room alone because she was destroying it and quickly cleaned up everywhere else. This was a LONG process. I had to stop and feed both kids twice during these 5 hours...change 6 diapers and 2 sets of clothes. Now both kids are napping and the house is clean except none of the floors are vaccummed (remember the Goldfish, sunflower seeds, bananas, strawberries and cheese?). I feel like I can cross preparing for the open house off my "to accomplish" list. I managed it and while I wouldn't lick my bathroom countertops-- they are mostly clean. We just scrubbed them last week... so they aren't that bad.

On to another topic-- I've decided what Sundays will include: Church, cleaning the house up for the open house and that is all. Sunday is to be a day of rest anyway so I'm going to enforce that in my home going forward. I feel like I should be doing 1,000 things but I'm not going to do anything but fulfill the girls' basic needs and hopefully my own! (Remember, I haven't showered yet today!). Now...if only I could shower while they were napping during the open house...but that could be a little awkward.

Eve of Departure

Today Stephen basically acted as if he wasn't really here when it came to handling both kids. I'm not sure if this was entirely intentional (to help me get used to it) or if he was just busy preparing to leave. Regardless, it was complete insanity. Last night, Avery refused to sleep. She crashed for 45 minutes at 7:30am but she was literally up 24 hours...and refused a nap later. We all went grocery shopping at three stores to stock up so I wouldn't have to take the girls out alone for a few more weeks. INSANE! This is where Stephen really let me handle things. If it were freezing cold right now-- Avy would have been turned into an ice cube sitting in the cart while I tried to get Ainsley out. I tried the car seat in the cart-- annoying because not all carts are big enough. I also tried carrying her in my ErgoBaby carrier but getting her into that quickly and then getting Avery is not quick at all! Anyway, it was rough.

My little one day experiment made me realize just how crazy hard it is to be a parent. I've had rough moments with Avery (prior to Ainsley) but I never really thought I would explode or possibly go insane. I definitely feel crazy now. I feel like the time I spend with each girl is just to fulfill their basic needs. Rarely do I get to interact with either of them in a way that is promoting their development or even nurturing. I'm simply providing for them...clothes, food, clean diapers, baths. That is about it. I really hope that in the coming days (not weeks or months!) I am able to spend quality time with these kids...and I'd love to have 15 minutes to myself. When I shower these days- I have one screaming newborn in a bouncy seat and a curious toddler whipping open the shower curtain spraying water everywhere.

Making the Best of It

I'm mostly OCD but having a toddler (and now a newborn) makes it hard to fulfill my obsessions..especially the ones that focus on being clean! So in order to cope with my husband's departure I have come up with a crazy plan to really organize our house from top to bottom. It isn't in that bad of shape but I feel like I have a lot of clothes that I will never wear, junk that we don't use and there are some things we need around the house--like couch pillows and a second set of sheets! All these things we just put off. So beginning Monday after Stephen leaves I will create a plan to attack this organization stuff. In addition to putting myself back on a cleaning schedule I'm going to have a project that I work on until it is complete. Normally my OCD self would put a deadline on when it would be done but with two kiddos I think I'd be happier just saying the task has to be complete before the next is started!

My first task is going to be a fun one-- I'm going to print and organize all of our photos from 2008 to present. I have a scrap booking addiction that I am very behind on. So I'm going to print photos, put them in a box with a label of the month and year...and task two will be to scrap book through 2009. I think it is OK to be a year behind but 2 years is insane!

To save myself from getting overwhelmed I'm not going to make a list of major projects. I'm going to work on one and then decide the next. This is very difficult for my OCD self to handle but I think it is the smartest way to handle things.

On another note... an ongoing task I have is to get back in shape! I've been pregnant or breastfeeding since March of 2008 and it shows! Even though I got back to my pre-pregnancy weight before getting pregnant again-- I was not muscular as I used to be. We have a membership at the YMCA so I better start using it!

Let's hope my OCD behavior can keep me sane. Stephen leaves in two days and I'm totally not ready.

Are You In there?

Can you believe it? I'm wishing for morning sickness? Seriously! I am! Why? Well, because I have a silly theory that if this pregnancy is just like the last then I WILL have another girl. I cannot find my early pregnancy journal so I am unsure as to when I first had morning sickness, but I remember it being terrible. It was, of course, only 24 months ago.

I know in the first trimester of the first pregnancy I was pretty nauseated and super sleepy. I'm definitely tired and I had some nausea during the weekend of implantation. I know it was implantation because I had all the other symptoms, plus a fever, chills, aches and vomiting. So yeah...that is how I knew I was pregnant.

I've read that the second pregnancy is more relaxing since the mom already knows how to deal. Well, I'd have to agree with that. I know my mind is not 100% consumed by pregnancy thoughts (yet). I actually am not really sure a baby is in there (well an embryo at this point). I definitely can't button my skinny jeans but other than that- I have a symptomless second pregnancy.

Come on heartburn! I want a girl!