Brute! (7w)

OMG, it’s not our imagination! In the last 15 days, Kieran has gained 28 ounces – 1.75lb!!! He’s been eating like crazy, and it shows! In the last couple of days, we’re finding that the footie sleepers that fit fine last week are too short now, Kieran is filling them out so well. He’s fine in his newborn-sized onesies, pants and rompers – but he can’t fully stretch out his legs in his footie sleepers anymore! (We can barely strap the newborn sized disposable diapers on him anymore. Same goes with his preemie-sized cloth diapers!)

I weighed him today at the lactation consultant’s office, using their very precise scale. Paul and I are going to try to get his length tonight – I think he’s grown taller too. I can’t believe how BIG he looks now, especially compared to the pics we took in the hospital.

I’m boxing up the stuff that Kieran is outgrowing to give to Paul’s sister, who is due at the end of September. It’s harder than I expected to box up Kieran’s clothes like this. We’re happy that Cassie will get to use them, but folding up our favorite outfits from our son’s first weeks of life… it’s hard to do so immediately after he’s outgrowing them. I’m saving the striped preemie-sized onesie that Kieran wore in the hospital. I don’t know that we’ll save something from each other size… but it’s tempting.

Tonight, I’m continuing to re-do Kieran’s dressers. I was a little over eager with their organization when I filled them up a week before going into the hospital. Makes it kinda hard to know what sizes are what, and makes putting away laundry a PITA. Now that I’m removing nearly all the newborn clothes, it will be easier to get at his various types of clothing in his current size of 0-3 or 3. Stuff that he won’t be wearing for another 4-6 months doesn’t have to be in the dresser yet, methinks.

My little boy is a little brute!! But man, he’s so cute! Paul and I are struck several times a day with just how precious this little guy is. He’s becoming more alert and aware of his surroundings every day – so interacting with him is getting more and more enjoyable. We haven’t had a smile yet, but we’ve had cute grimaces. (A silver lining to the gas that plagues our little man no matter what formula we have him on.)

Kieran is starting to hit some development milestones too – like reaching out for things, grasping and not letting go. He frequently holds on to my shirt or finger while he’s eating. He reaches out for, grasps and pulls off my glasses at least once a day now while we’re playing. (I don’t mind cleaning my glasses when the fingerprints are SO TINY!) He’s able to hold his head up really well – which I think comes directly from his dislike of being burped. I put him on my shoulder so he can rear back his little head and tell me off directly into my face & ear. Good exercise for my little man.

It’s still very much an adventure, but I think Paul and I are doing a pretty good job. Paul is fantastic with Kieran, which makes it a little easier to contemplate going back into the office in three weeks or so.

Follow up on Breastfeeding II (5w5d)

The struggle continues…

My supply continues to dwindle. The herbal supplements don’t seem to help (neither the Mother’s Milk Plus nor the Fenugreek seeds) although I don’t know that I’m taking enough of the Fenugreek seeds because I don’t think I smell like maple syrup.

I’m averaging less and less with the pumping every day. Sometimes I’ll get over an ounce (30ml) combined, but like this morning, I got just over 10ml combined. That is SO frustrating, let me tell you. That’s a lot of time being tied to that pump for so little return. I’m working to increase the number of times I’m pumping though, in the hopes that I can bounce back.

Kieran is basically refusing the breast all the time now. Having to give him thickened feedings because of his acid reflux has necessitated using an even more open bottle nipple, which requires even less effort than a regular bottle nipple for Mr. Lazy Nurser. We give him the occasional un-thickened bottle with the tightest nipple we have just to remind Kieran what it should be like. We can tell that frustrates him. So when he’s offered the breast (even when I’m nearly engorged, so I know he could get a fair feeding outta me) he just fusses and squirms and cries and won’t nurse. We’ve tried giving him a half feeding with a bottle and then offering the breast when he’s not ‘starving’ – but Kieran is convinced that he’s starving until he’s full.

It’s disappointing on several levels.

  • I was SO INCREDIBLY looking forward to nursing Kieran. The bonding, the special time, the perfect nutrition that only I could provide, the easy-clean-up diapers.
  • The Cost. Even using some of the most inexpensive formula we can find (currently Target’s house brand “up & up” Partially Broken Down version) is gonna add around $60-75 a month to our budget that already doesn’t quite cover everything. And as he grows, that figure will only increase. (I can’t imagine if we had to stay on one of the name brands. The Target stuff runs ~$.46/oz whereas the cheapest you’ll find Simalac is ~$.89/oz at Costco or Amazon.)
  • Formula diapers are not as pleasant as BF diapers were. Just sayin’.

On the bright side though, Kieran is gaining weight like a champ. He’s still right at the very bottom of the growth percentage charts – but that mostly has to do with the fact that he was 3 weeks early and such a tiny peanut to start with. ~8lb is teeny for a nearly 6 week old baby. But then again, ~8lb for a nearly three week old baby is still small too. He’s gaining ~1oz a day, which is a very healthy growth rate – so his pediatrician is happy with that.

Truth be told, we’re a little concerned about him gaining weight too fast with the thickened formula – but we’re carefully watching Kieran’s signals and feeding him when he actually tells us he’s hungry, feeding him a set amount (currently 3oz + 1T of oatmeal cereal) and waiting to see if he asks for more 10 minutes later. Sometimes he does (and gets another 1-1.5oz + cereal) and sometimes he doesn’t. The oatmeal cereal added to his formula adds the nutrition/calories equivalent to another ounce of formula. So he’s getting what he needs to grow at the rate that works for him.

I’m bummed that Exclusive breast feeding hasn’t worked out. (Not devastated though, which is a VAST improvement over my mental status for the first 2-3 weeks of this adventure.) But I’ll keep trying with the pump, which we have rented through September and see how it goes. I’m comforted by knowing that any breastmilk Kieran gets is better than none, but that regardless he’s growing well and thriving.

Surrounded with Love (5w2d)

As we settle into the daily routine of having a baby, it’s amazing the things we start to take for granted. The tools and gadgets that make life so much easier right now – things that we never would have given a thought to before.

We are so blessed to have friends and family who take an active interest in Kieran’s life – even before he was born! We were (and still are) blessed with gifts from family and friends throughout the pregnancy, not just at the shower – which was overwhelming in a very good way. The little gifts keep coming now, and are hugely appreciated as we discover new things that are required to keep Mr. Kieran happy and healthy.

A huge example of that right now: Kieran is getting slightly thickened feedings now due to his acid reflux – 1t of oat cereal per ounce of formula or EBM. The bottles we have for him (Born Free) don’t really support thickened feedings – which require a different type of nipple. Fortunately, Kelly (Gnoam in the comments) had just sent us yet another care package of hand-me-downs from her 9 month old daughter Kara – which included four 5oz Avent bottles. The Avent system has a FANTASTIC variable flow nipple for thickened feedings. So Kelly’s hand-me-downs saved us from having to go purchase other bottles for these next few months of feedings for Kieran. So HUGE thanks to Kelly (and hubby Peter and Ms. Kara) for the great hand-me-downs.

But even more than that – when I look around Kieran’s room I see what he cannot. That every minute he is surrounded with reminders of how much he was loved before he even arrived. That he is (literally) cradled with and wrapped in love from people who have never met him. Aunt Nita provided his crib; Auntie Lisa & Uncle Mikey provided the mattress and sheets he sleeps on; Donna, Lisa, Kym, Becky, Lisa & Tia, Aunt Cassie & Uncle Kurt, and Grammy Jeanne provided the stuffed friends who keep watch over him as he naps. Every time we change Kieran, we’re grateful to Great Grandma Cat and Grampa John for the wipes warmer which makes all the difference in the world to Mr. Sensitive Tushy. Bathtime is made possible by Uncle Oin & Aunt Cynthia who completely stocked our cabinets with baby necessities, and by Caroline who passed on her baby bath now that her little Hannah has outgrown it.

And that doesn’t even start with the clothes!! Admittedly, nearly everything he’s worn at this point was provided by Mama & Daddy (or Kelly again with the hand-me-downs in newborn sizes) but Paul and I look ahead with a bittersweet glance to the future when Kieran can wear outfits provided by everyone – from adorable onesies, to rompers and safari outfits and teeny tiny smoking jackets. (I don’t think any of us expected me to have such a tiny little peanut!) But the flannel blankets that we received from so many people have been put into daily use – as well as the burp cloths! (Admittedly, I wish the burp cloths weren’t so needed now – the reflux really made those a necessity.) Once he’s able to wear the outfits that fill his dresser and closet – we’ll think of the friends and family who gifted him with such cute togs every time we change his clothes!

The books we’ve been gifted with right before I gave birth are being put to use already – not that Kieran has much of an attention span… but it’s nice to have something to read to him.

So thank you, again, to everyone. The love and support that you have shown Paul and I since we announced our news last Thanksgiving to our family and to the world at Christmas; the care and concern and interest shown during the roller coaster ride of my pregnancy; the generosity shown as we transformed our house into a haven for our son; and the fact that you’re even reading this now… it means more to us that we can say. Kieran has no idea how lucky he is.

Follow up on Breastfeeding (23d)

Breastfeeding isn’t going as well as we would have hoped. There are several factors at play here:

Kieran just isn’t good at breastfeeding. He isn’t “tongue tied” but the connecting tissue at the base of his tongue is thicker than normally seen, and it is a little farther forward than normally seen. Not enough to need medical treatment, but enough to make it harder for Kieran to nurse. He “snacks” instead of really sucking. The Lactation Consultants say that he is “inefficient” with his nursing. This isn’t a good thing because his nursing never truly empties my breast, so the signal to make more for next time isn’t/wasn’t being sent. (Having to give him formula from a bottle starting in the hospital didn’t help matters, because Kieran got a taste of what a bottle is like, and he doesn’t want to have to work for food like he needs to work for breast milk.)

My medical issues (Hypothyroid and PCOS) are two big strikes against me for creating a sufficient milk supply. These are the same issues mostly responsible for me not being able to get pregnant for so long. I’m taking a ton of herbal supplements right now and am adding things like flax seed, oatmeal and brewer’s yeast to my diet (in the form of Peanut Butter Oatmeal cookies) to try to boost my supply; with limited success so far.

I’m using a rented hospital-grade pump instead of fully nursing Kieran now as well. The hospital pump is much better for creating and maintaining a supply as opposed to the pumps you can purchase in the store which are intended to maintain and eventually gently reduce a well-established supply.

Kieran is offered the breast most of the time when I feed him, and he’s offered “comfort boob” often in the evenings after he’s had a bottle. “Comfort boob” isn’t for nutrition purposes; it’s just to give Kieran and me a chance to snuggle together, skin to skin and gives him an outlet for his need to suck. Also, when he’s being fussy and fighting falling asleep, nursing him for a bit puts him right out.

We’re seeing Lactation Consultants weekly for help with positioning, latching, supplementing, and as cheap psychotherapy for me. I had so much pinned on exclusive breastfeeding that the reality of it not working was something that was incredibly hard for me to accept. Crying in frustration as Kieran fussed and cried at my breast, weeping in sadness watching as Paul fixed yet another formula bottle for our baby, and feeling big hot tears of guilt and rage roll down my cheeks as the guilt and shame of not being able to provide all my baby needs washed over me again and again in those first two weeks. Paul had to put up with so much crying initially, from both Kieran and me. I was having panic attacks several times a day. The feelings of fear, dread, anxiousness and being completely overwhelmed were awful. I really thought that Postpartum Depression was setting in with a vengeance. I couldn’t sleep even though I was exhausted, and was starting to have nightmares again.

But one of the LCs confided that even though she’d lose her license for saying it: formula isn’t the devil. Breastfeeding isn’t the end-all, be-all of everything for the baby. SOME breast milk is better than NO breast milk. Kieran will still get all the benefits of breast milk with my pumping and supplementing with formula – plus he’ll get the weight-gaining benefits and sleep-inducing benefits of the formula itself. Her earnest exhortations to calm down and just focus on giving Kieran what I *can* give him helped immensely. I’ve been *MUCH* better in the brainmeats department since then.

Currently we’re using the Similac formula that the hospital sent home as well as the free samples we got in the mail. But within another week or two, we’ll have to make our first purchase of formula. Something I never, ever thought we’d do. I’m going to investigate the differences between the name brands and Costco brand formula. I want to cut our costs, but I won’t do it at Kieran’s expense.

So that’s where the whole breastfeeding thing stands. Formula supplemented with breast milk, as I’m lucky to get a third of what Kieran eats every three hours out of a pumping session. I’m averaging just over an ounce every time I pump. I was hoping the “Mother’s Milk Plus” pills would help, but they’re not. I’m going to switch to just Fenugreek pills when the Mother’s Milk Plus runs out this week.

Paul has been (of course) just fabulous during all this. He wants breastfeeding to work as much as I do, because he understands all the great benefits to be had if exclusive breastfeeding were an option. But he’s seen how hard it’s been, and sees that exclusive breastfeeding just isn’t in the cards. He assures me that he’s proud of me and that we’ll figure out a way to make this work for us. His support and acceptance have made all the difference in the world. I am so blessed in him.

We’re hoping as Kieran continues to grow that maybe nursing will come easier to him. We’ll keep trying and I’ll keep pumping regardless. The pump has been rented for three more months at least.

Roller Coaster (36w3d)

Poor Paul. I’m having a rough week, so he’s having a rough week.

I assume it’s the pregnancy hormones that are responsible for this. But I’m crying at the drop of a hat. Not at Hallmark commercials or anything (although I did cry at the end of Deadliest Catch this evening.) I just am feeling overwhelmed with the enormity of the changes that are coming towards us. It’s making me cry, a lot, and I don’t like it.

I know Paul and I will be good parents. It’s not that. I know we can care for this baby. I know we’ll be able to handle the upcoming sleepless nights. I know we’ll find a stride with eating, sleeping, & pooping ad nauseum. We’ll get the hang of swaddling. We have diapers (cloth and disposable in newborn sizes) and clothes and dinners for us in our freezer. We’re as ready as we can be on that front.

It’s just…. there’s a lot riding on me these days. My physical endurance and ability to hold my proverbial shit together for another couple of days makes a huge difference in how the first days and weeks of my child’s life will go. My ability to breastfeed him will make a huge difference in his first hours/days/months, and in our finances for the foreseeable future. (The thought of paying for formula strikes fear into my heart – let alone the fact that I don’t want to give my baby formula to begin with.) I’m pushing myself to put up full-time hours at work to keep from burning my paid leave, to keep earning paid leave & benefits at a full-time rate, and to keep bringing home full-time checks. We’re doing OK financially, but not as OK as we were. This was known and expected, it’s just hard to feel the creeping slide. The buck literally and figuratively stops with me in my personal and professional life and I’m feeling the pressure of it more acutely than usual.

I’m a planner. I’m a do-er. Everyone turns to me because I’m usually right, and I do things very well. And for the most part, this works for me. I’m an overbearing bitch by default, so my take-charge attitude serves me well for the most part. But the flip side to this means that I’m lousy at “letting go” and letting other people do things. I’m used to making sure stuff gets done. So these last few weeks of being told to stop doing so much and let others do things and “go with the flow” and “just let it happen” has been making me crazy. For some people, this sounds like a vacation. For me? It’s akin to torture. (Yes, I’m sure this is indicative of some sort of trust issues that I need to work through or something.) But knowing that I’m in control of very little about my body and my mind these days is a very bitter pill for someone like me to swallow. Knowing that come Sunday evening, I will have no control over anything, that I’ll be at the mercy of IVs and Drugs and Doctors.

And then the wild and amazing world of parenthood awaits. I’m happy and excited to be riding this particular roller coaster with Paul at my side… but it’s like that coaster that you *know* you wanted to ride, and everyone says is TEH BEST THING EVAR – but it doesn’t make you question your sanity for wanting to ride it any less as you clank-clank-clank up that first huge hill, and it doesn’t make it any less scary as you tip over the top and all you can see is sky before the track comes up at you again and you’re off on the most thrilling, exciting ride you’ve ever taken.

Paul and I stood in line for a long-ass time to get on this ride. But this first hill is a doozy, and I’m freaking out a little bit. So pardon me if I scream on the way down. I’m sure I’ll be laughing by the first turn – but until then, the anticipation of what’s over that first hill is a little scary.