Thursday, July 31, 2008

Breast is best...but at what cost?

As I sit here typing, allow me to create an image for you. I'm on my bed, with Ajay's laptop on my lap, and my double breast pump hooked up to both breasts. 

On my left breast there is a serious burn blister from where I iced my breast with one of those ice chest cold packs without realizing I should have first wrapped it in a towel or something. I literally froze my left boob completely...it felt like a frozen chicken breast by the time I realized what I had done. 

See, three days ago, my right breast became engorged. I placed a bunch of ice cubes in a baggy and put it in the far right side of my bra, and the cold pack from the cooler in the middle of my boobs. Ahhh, relief. The pain of an engorged breast is up there with the actual c-section...I am not kidding. I left the packs in my bra until the ice cubes in the baggy turned to water. I took them out, and when I tried to pull out the cold pack from the middle of my boobs, I quickly realized it was frozen on to the skin of my left breast. I finally got it off, and to my horror, once removed, it revealed a frozen gray section of breast...I seriously looked like my boob climbed Everest and was exposed to the elements. The next morning, this section of my breast had blistered up completely....from the nipple to the center of my chest was one huge liquid filled blister. But that's not the worst part.

The worst part was the hardness of my right breast. Regardless of the whole icing, which was supposed to slow down my milk production and reduce the swelling of my ducts so the engorged milk could pass and release the painful pressure associated with the back-up, the right breast was still so huge it ended underneath my right arm pit and was hard as a rock and painful just sitting still. 

So why is all this happening? Well, it's a long story. If you've read my blog for awhile, before Alia was born I decided that I'd give breast feeding the old college try. It's something I think is worth the effort. The day Alia was born, I tried to breast feed her within the first few hours of her birth, just as all the breast-feeding experts recommend. But it didn't go so well. Alia couldn't latch on. And then she became frustrated. Her whole entire little body turned bright red with frustration...she shook with anger and sadness. She cried and cried. I finally couldn't take it any more, and the lactation consultant told me she has never been able to accomplish a latch once a baby was so worked up. So together we decided that for now, we'd feed her some formula from a bottle to take the edge off her hunger, and then try again. 

The second, third, fourth, fifth, sixth...you get the idea... attempt went the same way. Not good. When I finally did get her to latch on, surprise!!!! No milk. Never fear, though...any lactation specialist will tell you that the pre-mik stuff called colostrum is all a newborn needs. Well, all most newborns need. Since Alia only weighted 6 pounds 12 ounces, she came out ready to eat...her drive to put on weight was like the will of an angry tornado. She wanted milk. Now!!!! So once again, I was faced with an obstacle....hungry baby, no milk...so again, I had to substitute formula until my milk came in, which should be in 3 to 5 days. So until then, the nurse would bring in the hospital grade breast pump and I'd pump the colostrum to be added to the baby's bottle, so we made the best of it.

Finally, my milk came in the following Saturday. Happy day! But what I didn't count on and had optimistically pushed aside in my mind was the fact that by now, Alia didn't really want to learn a new skill. She'd been bottle fed for her entire life, so she didn't really have much motivation. But I wanted her to learn to breast feed from the breast...even though I've been pumping since the day Alia was born and she's receiving my breast milk in an alternative way, I want her to nurse directly from me. I want the convenience of not sterilizing bottles every 4 hours. I want the closeness that comes from the intimate act of breast feeding. I would much rather look down and see her beautiful little face and eyes staring back at me than my nipples pulsating in the breast pump cones that suction on my boobs. 

Although it's not the worst thing if she never latches on,  it would make my life much easier and more fulfilled if we could overcome this obstacle. There have been  times that I'm holding a content happy little baby and have to pass her off to some one else so I can retreat into my breast pumping lair...and I'd much rather have the time with her than my pump, but at least we're fortunate enough to live in a time that there is a breast pump that allows her to have my milk regardless of the obstacles.

The big news of the day

Two things of significance happened today, Alia's 8th day of life.

Today Alia showed us that she's no longer afraid of her arms. See, she's spent a lot of time swaddled and every time we would unwrap her, are little alien arms would flail about and scare her. But no longer! Today we put her in her little jungle mat and she stretched and lounged and enjoyed herself in an unswaddled state. 



Wednesday, July 30, 2008

World, Hold on!

"World, Hold On" by Bob Sinclair is perhaps the happiest song in the world...except in my world. This song now brings me to tears even thinking about it,  and did I mention can also inspire me to create overflowing bottles of pumped milk. Shall I explain?

Last week, I wrote about the lovely playlists Ajay made for Alia's birth. The first attempt was the playlist full of emotional and relevent songs to our relationship. 

After Ajay saw me listening to the original playlist with tears running down my face, he decided to re-do the playlist and chose more upbeat party songs that would set the mood a little better. This new playlist had songs like a groovy remix of "I Got You Babe" and lots of fun dance music from our summers in Turkey...including the above-mentioned song, "World, Hold On". 

So when the time came for my C-Section, Ajay brought the extra special up-beat playlist, with songs from our history together, but not too overly emotional. Alia was born with "World Hold On" playing in the background. Now all I have to hear is the tiniest hint of the chorus or the background whistling and my eyes well up with tears. And as I mentioned before, I am pumping my own milk and bottle feeding Alia with it (she just won't latch on!) for now...at least until I can get in to my lactation appointment on Thursday. So now all it takes to get the milk flowing is listening to that song, which takes me back to her birth and seeing her for the first time, and the milk turns on like a tap. And the tears flow down my face.

Tuesday, July 29, 2008

One Word: Waft

Ajay and I are currently splitting the night time duties of Alia-care. He's taken three weeks off vacation to spend with her. Our nights usually involve me on duty until 3 AM or so, and he takes over from there into the morning. 

Allow me to qualify this next bit...we are new parents. We're learning. But we're not always very bright. Take for instance tonight. I just fed Alia the final feed on my shift and was pumping milk for her next meal. I was hooked up to my bilateral pump when I heard Little Miss make a suspicious noise involving her cute little bottom. Since I was hooked up to the bilateral pump, I told Ajay "I think she pooped". He was already awake, returning from the bathroom himself, and came immediately to her bassinet next to my side of the bed and began to pick her up to go change her. 

I told him, "hang on...smell first in case it's a false alarm". My thinking was she had just gone back to sleep and it could have just been wind...in which case he would be waking up a sleeping baby for no reason...right?

Ajay leans over the bassinet and inhales like he's smelling chocolate cake. It was the single largest smell attempt I'd frankly ever witnessed. He immediately retreated, making dry heaving sounds. He retreated to the bathroom, pacing, trying to create a little space between himself and what he had just smelled. Finally 3 or 4 minutes later he returned...green.

I asked Ajay if he remembered 7th grade science class...where we learned to investigate with the scientific method...using all of our senses...including our sense of smell. Then I asked if the word "waft" rang a bell.

Monday, July 28, 2008

The cord...no longer attached

Throughout my hospital stay, it was always somewhere in the back of my mind that I should minimize the pain medication that I took. Forget that my husband is a highly trained expert in things involving pain prevention and management...that would be too logical. 

For a C-Section, typically they give you a spinal, which is different than an epidural. A spinal is a one-shot deal, where an epidural usually utilizes a catheter to be able to continuously dose medicine for post-labor pain management.  So after a C-section, instead you rely on narcotics and ibuprofen to manage the pain and swelling. 

Anyway, after the C-Section, the nurse offered me my first dose of pain medication just as Dr. K was coming by for a visit. I was in no pain, because the spinal was still in effect, which I realized. Dr. K recommended that regardless of pain level, I should take my first dose while I'm pain free in order to prevent the pain from setting in. I don't know how many times I've heard Ajay explain how pain works and how much better it is to prevent pain than trying to make it go away. With this knowledge, I went ahead and took the narcotic and the ibuprofen. 

The following day, I woke up sore...like hit-by-a-truck sore. I felt the pain one would normally feel after an abdominal surgery. I knew then what they were trying to protect me from the day before, and promptly hit the nurse button and requested my next dose...hoping that I didn't turn into a pain pill addict (which by the way, I was offered the choice of Percocets or Vicodin, and since I found that Vicodin was best when you take it on a sunny day and go for a bike ride weeks after I had a breast biopsy done about ten years ago, I decided Percocets may be the wiser of the the two choices for me.)

I continued to manage the pain this way for another day, and then I had the bright idea that I'd asked for the ibuprofen alone next time, passing on the Percocets. Why? Because obviously I should have been all better by a day and a half after surgery...right? Yeah, brilliant, aren't I? Again, I woke up in pain that was through the roof. What part of managing the pain before it set in did I not get???

So the other night at dinner with our Moms, my sister and Ajay, we were talking about when I took my last Percocet...Ajay noticed me flinching when I sat down. I told him about 12 hours ago. He reminded me that my dose was every four hours, and also reminded me what Dr. K told me, which was within a weeks time, I won't even be in pain and won't need them...so I wasn't doing myself any favors by trying to be a hero and suffering this week. That's when I told Ajay "but I don't want to drug up Alia". He looked at me. Finally he said, "you do realize she's outside now, right?" To which I responded, "while that may seem obvious to you, I suppose the honest answer is no, I didn't realize that she's no longer in there." Which, I realize, makes no sense---I see her on the outside every day...it's just that my primitive brain hasn't caught up with the new reality...

Sunday, July 27, 2008

Alia's birth

It's been awhile since my last post...sorry, I got a little busy having a baby! So without further delay, I want to post some photos of Alia's birthday.

In the holding room before heading for the operating room



Me and my nervous smile...breathing deep breaths of oxygen. This is before my nausea hit and the throwing up began...a minor problem in an otherwise perfect day



Ajay's friend Bob, (our anesthesiologist) who was Ajay's mentor at work, and also takes credit for Ajay and I getting together...which is partially true, but we'll never tell him it wasn't all him... This photo shows Bob being Bob and taking care of me with kisses...a very medically advanced methodology



Here's Alia's first moment outside my body...notice the furrowed brow. This is Ajay through and through...his exact expression when he thinks (minus the circle-mouth, perfect for nursing). This is her favorite expression when you talk to Alia, show her new things, like water running in the sink. It's also a good shot that captures the fact that is sometimes overlooked...a C-section is major abdominal surgery!



This photo brings tears to my eyes...this is the first moment I met my little baby. Here's Ajay, and Dr. K  and Dr. B peaking over the curtain sharing in the moment



In the recovery room...Alia is still a little blue in this shot, which compliments my nice greenish tint from being sick! Still, barf could have been coming out my ears (which is a distinct possibility) and it still would have been among the happiest moments of my life.


Here's Ajay holding a sleeping Alia...for the first night in the hospital , she spent the night in the nursery (our hospital is a room-in hospital and typically the babies stay in Mom's room) so I could get past my nausea and recover from the 7 drugs they used to attempt to manage the nausea (seriously...did I mention it was really bad?) Anyway, in the morning, they brought Alia back to the room and she was sporting a very fashion forward look of baby-bow in the hair.

Okay, I'm off for now...it's 3 a.m. and I have a sleeping baby which means I need to captitalize on some sleep!

Overheard

Ajay (while holding Alia): Ohhhhh...what's that face for?

Alia: whining sounds

Ajay: Oh, I understand...Daddy smells like a Turkey sandwich....you like Mommy's smell better...she smells like cookies.


Wednesday, July 23, 2008

It's Baby Time!!!

Yep, I've found that Ajay's username and password allows me access to use the computer in my hospital room! And they said we could only access the Internet by paying $79 for the "entertainment package"! They didn't know 'bout me!

So let's get down to business, shall we?

Alia was born on Monday morning at 8:59 a.m. She weighed 6 pounds, 12 ounces, and was 20 inches long. Yep, I know...all that thought about giving birth to a 14 pound turkey....boy was I wrong...she's a beautiful little delicate flower!

The C-section didn't take long at all. At 8:30 I walked myself into the O.R., my nerves building with every step I took. I was positioned on the operating room table for my spinal, which was a totally trippy experience. After the spinal, I felt like the lady that the magician saws in half...I could see my legs, but I couldn't feel a thing. Then, the yucky happened...I got sick. My nerves coupled with my strong history of motion sickness coupled with my fear of surgery came forward in the form of barf. Several times.

From there the surgery started. Ajay's smiling face was next to mine, telling me everything that was going on...from the beginning incision to locating the uterus to breaking the water to pulling her out. And she was here! They brought her around to me, cleaned up, and layed her on my chest. Immediately I looked at that little girl and she took my heart. She made these little grunts and groans and whimpering sounds. My heart just melted. This was all going on while they sewed me shut.

Alia is beautiful, healthy, and has a very sweet disposition. She is the most beautiful thing I've ever seen. I've even found myself asking nurses and anyone else that comes into my hospital room...."I know I'm biased, but isn't she like, exceptionally cute?" to which they all answer "yes" and I'm sure they're rolling their eyes as they walk out the door thinking "first time parents".

I haven't been able to post any photos yet, as the Hospital System computers don't allow me to download my camera driver...I know, how rude, right? But anyway, I'll be heading home tomorrow and will be sure to post photos just as soon as we get settled back in.

Sunday, July 20, 2008

Oh My God...I'm having a baby tomorrow

Today is the final day before Alia is born. Wow...that is such a trip. Tomorrow there will be another freestanding human being on the planet...that belongs to us. That's big.

So on this final day, we had a terrific meet up with family for brunch. My brother in law and sister in law came down from L.A. with their two little girls...Haylah and Ciela. After brunch, we got to play with Ciela, dubbed our test-baby for the afternoon, because we got to do everything from clothing changes to diaper changes to putting her down for a nap to brushing her hair. Oh, and we got to load her in the car seat for the ride home. Not a bad day's practice on the day before our unit arrives tomorrow!

So today was much less emotional than yesterday. I think yesterday the enormity of everything happening hit me. Today, I'm still looking like a deer in the headlights from time to time, still a little freaked out that they'll eventually send me home with our baby, but for the most part, the time spent one-on-one with my baby niece was very reassuring. All I had to do was look at her and have that eye contact connection to realize that it'll be no problem when it's my own baby that I'm looking at and caring for.

So tomorrow at 6 a.m. we'll head out for the hospital. By 8:30 or so, our baby will be here. I'll be in the hospital until Thursday. Will post again as soon as possible!

Saturday, July 19, 2008

The Playlist

I think I mentioned before that my Doctor put Ajay in charge of creating a playlist for the actual birth of Alia. And create the playlist Ajay did.

This morning after getting up, I treated myself to my final piece of guilt-free pregnancy chocolate cake from the Gipsy Den. I think I've talked about this cake many times before, no? Well, if you haven't read my former blogs about this delicious chocolate mocha cake, I'll make it brief: I love this cake. I have allowed myself this cake throughout this pregnancy guilt-free. Last night after dinner, we brought home the final piece of guilt-free cake, which I saved like a little chipmunk saving nuts for the winter...until this morning. I didn't offer to share a single bite with Ajay or his Mom, Maya. I sat. I ate. I enjoyed. Then I needed a nap.

That's when Ajay brought me my iPod, saying he was done with the playlist. Already feeling emotional, I plugged in the earbuds and pushed play. And there I found some of the most meaningful songs of our relationship...

Love is Innocent, by Colin Hay
Don't Panic, by Coldplay
Yellow, by Coldplay
Waiting for my Real Life to Begin, by Colin Hay
#41, by Dave Matthews
Every Little Thing She Does is Magic, by The Police
Ultraviolet (Light My Way), by U2
Beautiful Day, by U2
This Must Be the Place, by Talking Heads
The Girl From Ipanema, by Astrud Gilberto
Beautiful World, by Colin Hay
Be Still My Beating Heart, by Colin Hay
Tea in the Sahara, by the Police
Walk On, by U2
Miracle Drug, by U2
Pure, by the Lightning Seeds
Starry Eyed Surprise, by Paul Oakenfold
It's not Unusual, by Tom Jones


These songs are the songs we've listened to throughout our dating years, and represent concerts we've gone to together, songs from our wedding playlists, songs that say the perfect thing about this pure perfect little thing we're about to welcome into our world. So of course, I just lied there and listened to song after song with tears streaming down my face. While each song is the perfect choice, I can't help but think perhaps some Motley Crue would be a better choice so that I don't cry for the first 19 hours of Alia's life.

I talked to my sister-in-law this morning and told her about the playlist, and how is was so perfect, but just so emotional, and I just didn't know if I could handle it, and shared my idea about something from Motley Crue or something similarly insignificant emotionally perhaps being a better idea. She said she cried during both her deliveries and that I should stay with the perfect songs that Ajay picked. Maya was in the room when I was telling her this and she offered similar advice. "What's wrong with crying?" she asked. She also went on to say that I've been holding in a lot of feelings for a long time and they're bound to come out some time...what better way to let the emotion out than the tears of joy after the baby is born? So, okay, she has a point. But. BUT. As emotional as I'm feeling, I'm not sure I can trust those tears to stop.

So that makes me wonder...am I a freak? Or am I just another emotional girl about to have a baby (after a tumultuous ride through infertility and a late fetal demise). Does every girl feel so emotional before having their first baby...or any baby for that matter? Because up until now, I've been feeling cool as a cucumber. And now all of a sudden, it's an emotional roller coaster in my head!!! Or has the roller coaster always been there, but maybe it was the purple elephant in the room that I've ignored just to get myself through all this.