Monday, December 29, 2014

The 4th Trimester aka Maternity Leave

So it’s my last week of maternity leave, I’m a bit emotional today, a bit in denial and a lot grateful for the time I’ve had with my daughter.  As my peanut is hanging out in her swing (one of her favorite places to be) I thought I’d jot some notes about the “4th trimester” or “Sophie’s 1st 3 months” or “my maternity leave”.  They say you forget, you get amnesia as to how it really is or you would never have more kids… this MUST be true.  My daughter is adorable and sweet and I could literally eat her every day and she has not been the easiest baby.  I’m extremely lucky because Bart got to stay home with us for the first 8 weeks, hats off to you moms who are home by yourself your entire maternity leave – I have NO IDEA how you do it!  Here’s to making sure we remember the first three months…

Breastfeeding – let’s start with this topic as this is the one thing that has taken over my life the last 3 months.  I had no idea what I was doing and we had a lot of issues in the beginning.  First we had to trick Sophia to latch because she was used to getting bottles in the NICU.  So we would have a syringe of breast milk and put it in the corner of her mouth to get her to latch.  (Thank you Bart for the HOURS of help with this).  Then she would latch and begin screaming and arch her back.  I went to see a Lactation Consultant at my pediatrician’s office and she recommended seeing a doctor for reflux.  She also noticed I had a very fast let down and oversupply which is probably from pumping around the clock the first 10 days when she was in the NICU to get enough to feed her.  So she recommended a kangaroo hold and side laying positions as well as a shield to help with this.  Every day I wanted to quit, I had so much anxiety feeding my baby.  I would literally stare at the clock and as it got closer to feeding her I could feel my anxiety build.  I would cry and cry as I fed her knowing we would have to start the whole process again in two hours.  I set small goals for myself, let’s see if we can make it to 4 weeks, then 6, then 8 weeks.  I can honestly say I’m SHOCKED we have made it this long and yes it did get better.  Around 7 weeks there were 2 days Sophie didn’t want to nurse and I about lost it – by this point it’s so convenient not to have to worry about bottles and formula and the price is right and I was not ready to stop.  Luckily we made it through and I’m proud to say we’re still nursing.  Now going back to work and pumping will be a different story, I’m back to setting very small goals for myself – let’s see if we can make it through week one!
Things I learned:
·       Get your partner on board and supportive
·       Get a My Breast Friend.  Boppies suck!
·       Try different latches
·       Set small goals and celebrate small wins
·       Find a lactation consultant to help if you’re having problems
·       Don’t beat yourself up if you supplement or stop
·       Don’t quit on  a bad day – wait for a good day and make a rational decision

Reflux – Sophia has acid reflux, not the throwing up everywhere kind, the heartburn kind.  We started her on Zantac at the doctor’s recommendation.  At first we were giving it to her every 12 hours and at about the 10th hour it would stop working.  So we switched to 3x a day. Then we were giving it every 8 hours so sometimes that would be in the middle of the night – one day I asked Bart “why don’t we just give it to her when she wakes up, midday and before bed”.  She was getting the benefits in the middle of the night when it wasn’t benefiting anyone.  DUH! We also had to keep increasing her dosage as she gained weight (see all that work breastfeeding above to get that chunk).  She seems to be doing much much better with the reflux.  The next step would be a stronger medicine as she is capped at her Zantac dosage.  We’re really hoping not to have to do that as there is long term side effects with the stronger meds that we would like to avoid if at all possible. The doctor is confident that it will get much better around six months of age when her stomach is more mature and we will be able to stop all meds J.

Colic – In addition to the reflux, Sophia would just cry.  ALL.  THE.  TIME.  There were nights where she would cry for 6 hours straight – cry through feedings, cry through changings just never stop crying.  Those nights were rough.  We tried everything, going for car rides, the swing, the bouncy seat, swaddling, shushing, walking around with her swaying or bouncing or singing, bouncing on an exercise ball, football hold, laying her on her belly on our laps, I mean everything.  Different nights different things worked, some nights nothing worked but waiting it out and passing her back and forth to give each other a break.  One day we got in the car and drove around for 3 straight hours – she even slept through a feeding and I threatened Bart’s life when he asked if I wanted to stop for dinner.  She still gets fussy sometimes for no reason.  Her “witching hours” tend to be anywhere from 4:30 – 7, I have found if she naps during that time it is much more peaceful ;-). 

Mom’s group – my lactation consultant at my pediatrician’s office has a mom’s group that meets on Wednesdays.  She strongly encouraged me to go.  The first time I went I had never taken Sophia out by myself.  The benefit of having Bart home was we could do everything together; the bad part is I had zero confidence to take her out on my own.  What do you do if you’re driving and she has a meltdown?  Well… you figure it out.  So I started going to this mom’s group.  Sometimes I went and just watched and listened to the other moms, sometimes I had 10 million questions to ask, sometimes it just feels good for someone to go “ugh I remember those days they suck but it gets better”.  This group became one of my favorite parts of the week.  It gave us something to do and got us out of the house and I got solicited advice on top of it.  I used to bring a pumped bottle to feed her in the beginning and as the weeks went on, I got a nursing cover and that was the first place I felt comfortable nursing in public (with a cover of course).  I loved this group and will really miss it going back to work.

2 month shots – I made our 2 month doctor appointment will full intentions to send Bart and stay home with a glass of wine and avoid the whole situation.  Bart just happened to start his new job the exact day that these occurred.  She didn’t do all too bad getting the shots – she got 5 total vaccines, 2 shots in the left leg, one in the right and one orally.  One of the shots in the left leg had 2 vaccines in it.  I bought Tylenol just in case and headed home.  We nursed and she went down for a long nap.  I thought hey we got this, my kid is so used to being poked and prodded in the NICU we’re all good.  At about 8:30pm she woke up from her “nap” screaming bloody murder.  I thought she was starving because she hadn’t eaten in a while but when I laid her on her side to feed her she screamed louder.  I went and looked at her legs and that left leg was all red and about double the size.  Like when you slap skin and its hot red, the whole thing looked like that.  I gave her Tylenol instantly but she kept screaming.  I called into her doctor’s office fully expecting them to say no biggie, give Tylenol and all will be good.  NOPE she says I would like someone to check her out.  I’m like ok like in the morning, she says no right now, and I go ok where do I go, she says the ER.  WHAT?!?!?  THE ER?????  Apparently allergic reactions are real scary in infants.  We went to the ER right by our house and luckily it was only a surface reaction and Tylenol was all we could do and wait it out.  She seemed fine in a few hours.  Mental note – remember this at 4 month shots!

Sleeping (or lack there of) – I’ve asked a lot of opinions on sleeping – where do you put your baby, what do you dress them in, what is your bedtime routine, what time do you put them to sleep – here is what I learned… everyone is different, everyone does it different and everyone gets different results.  When Sophia was nursing every 2 hours throughout the night it was way easier to have her in the room with us.  I put her rock n play right next to the bed and we put a pack n play with a changing table in the room too so that we could change her right there and not have to wake her up too much.  My goal was to feed and get her back to sleep as fast as possible to I could try to get about 45 minutes of sleep before she woke again.  Sometimes I’d let her lay next to me in bed if she fell asleep so I’d get a little more.  I envy those who just put their baby in a crib right away and their baby sleeps there all night long.  I envy babies who magically sleep through the night.  One of these days I’m going to put my big girl panties on and put her in the crib.  I have no idea how to do this when I go back to work, I’m exhausted every day and have no idea how I will function in the real world.  People say to sleep when your baby sleeps; I’ve never been able just to fall asleep easy so I think I’ve been running on empty for 3 months.  That’s one thing about nursing, when she wakes up in the middle of the night it’s all on momma.  I can’t wait for this to get better, but I hear there is a 4 month sleep regression that takes them back to the newborn stage so I’m not getting too excited about it.

Filling the days – let’s face it, I’m not meant to be a SAHM.  I like my career and adult conversation and challenging myself in other ways.  I envy SAHMs who can be at home all day I’m just not one of them.  There are days I watched the clock and couldn’t wait until Bart got home.  When they’re this little and you’ve watched every show on Netflix or On Demand you can think of, you get a little bored.  What else can I do to entertain this baby?  We spend a lot of time smiling and laughing and making faces at each other.  This is my favorite thing to do and what I will miss the most about not seeing my baby all day every day.  We also do tummy time, play on the play mat, hang out in the swing and the bouncy, walk around in the Bjorn, rinse and repeat.  Since it’s cold and crappy I spend many days walking around Woodfield mall with the baby in the carrier.  It was good exercise but got to be a bit boring after a while.  Other than the smiling and cooing, my favorite part was watching Sophia learn new things.  Things like learning to stick out her tongue, finding her hands, grasping the oball for the first time – I’m mortified to think about all the things I’ll miss while at work.  We found a very sweet lady to watch Sophia.  I have dropped her off twice for dry runs for both me and the baby.  It gave me a day to get stuff done around the house to just some Monica time, and made me feel more confident dropping her off every day.  I’m hoping it continues to go as well as the dry runs did and that Sophia will love Cindy.

I have no idea if I’ll ever talk my husband into giving Sophia a sibling – I hope someday he forgets how tough the last three months have been so we can consider doing it all over again and if that day ever comes, I wanted this post to look back on and remember that we got through it all!