My Life

I belatedly realized that my last post didn’t include any topics outside of Calvin. While most of my world does currently revolve around Calvin, I’m starting to have more of a life than I did a couple of months ago.

I use to be a rabid exerciser. I got up faithfully at 5:30 each morning to give me time to exercise before leaving for work. Since having Calvin, I don’t drag myself out of bed until he wakes up. As a result, my exercise routine mainly consists of taking Calvin on walks 3-4 times a week. However, since we started putting Calvin to bed earlier, I’ve started doing about 15 minutes of my favorite abs video. I couldn’t believe how out of shape I’d become. I’m still out of shape but am slowly working on containing my postpartum belly.

Due to lack of exercise and a lack of careful eating, I haven’t lost my pregnancy weight yet. About a month ago I went down to 140 (10 lbs from pre-pregnancy) but I’ve gained 2 lbs back. This is probably because I’ve finally figured out a way to eat supper around Calvin’s evening routine. I know I should work on losing the last 10 lbs but I’m finding it hard to make it a priority.

Around August, I managed to give my wrist a repetitive stress injury due to carrying Calvin around too much one day. I keep hoping if I ignore it it’ll go away but so far that hasn’t worked. It doesn’t interfere at all with my typing and only moderately with piano playing but it is annoying when I try to pick Calvin up. I should probably go get it checked out but that would take time I don’t want to spend and they’d probably tell me that I need to stop using it and let it heal which isn’t very practical.

In somewhat related news, I’m scheduled to play for church next week. This will be the first time I’ve played since January. I’ve been practicing each day before I pick Calvin up from daycare. I use to slack off until the week before I was scheduled to play and then frantically practice to make up for my laziness. I’d also go into church really early to grab the church piano for practicing the day I was scheduled to play. That was useful because the church was a very different feel than my piano. However, with Calvin that won’t be very practical. Another church member has agreed to watch him during the service and I guess I use prelude as my warmup time :-)

I’ve been reading a fair amount after Calvin goes to bed for the night. I just finished Fledgling by Sharon Lee and Steve Miller and Tempt Me at Twilight by Lisa Kleypas. I enjoyed both books immensely. For non-fiction, I’m reading Einstein Never Used Flash Cards. It’s all about how we’re too focused on making forging our children into genisuses at the experience of playtime which is when real development occurs. I strongly suspect I have a tendency toward trying to be an overachiever so this is a good book to help me keep perspective.

A couple of weeks ago, Jaeger pointed me toward a new parenting website called moms4mom. It allows parents to ask questions and other parents to post answers. The most popular answers appear at the top of the list so you don’t have to wade through a lot of junk like some other sites. Also, participants acquire “reputation” when their answers or questions receive positive votes. It’s a pretty new site but so far I’m impressed by the lack of spam. I haven’t asked any questions yet but I’m sure I will sometime in the next couple of months.

In a brief Calvin related tidbit, he may be getting sick. For the last couple of days he’s thrown up and had diahrea at daycare. Today, he is refusing to eat. We’re not sure if he’s coming down with something or this is just a result of teething. Jaeger’s probably headed to San Diego next week so I suspect Calvin will get sick to add some excitement to life.

Progress

Calvin is in a stage of constant change. True, he’s been changing ever since he’s been born but now he seems more engaged with his environment.

Around September he obtained the ability to entertain himself for multiple minutes at a time. This was a revolutionary breakthrough :-) Prior to September, I had to give him my undivided attention in order to keep him happy. This made it very difficult to do anything other than take care of Calvin. Now Calvin will sit and shake his rattle or happily play in his activity center for up to 15 minutes at a time.

You may have noticed I mentioned sitting. Calvin can now sit unassisted. However, when he gets excited, he waves his arms wildly and loses his balance. He also can roll from front to back and from back to front. This is a mixed blessing. First, he now rolls onto his stomach in his sleep. Calvin hates being on his stomach. Unfortunately, he doesn’t seem to be awake enough to know how to roll to his back unassisted so wakes me up crying at odd hours of the night. Second, “tummy time” is pretty much impossible as he immediately rolls himself over to his back as soon as we put him down (now why can’t he do this at night!?).

We’ve also changed Calvin’s sleep cycle. He’s never been a good napper. On a typical day he would take three 30-minute naps. Calvin still usually manages a couple of naps a day but he’s started to drop his afternoon nap completely. One Saturday I tried to insist he nap (when he was obviously tired) and let him cry in his bassinet for more than 30 minutes before relenting. Soon after he started dropping naps, I decided to move his bedtime from 8:00pm to 7:00pm. This appears to work much better. I’ll feed Calvin his last meal around 6:30pm and then transfer him to his bed for the night. He sleeps the full night and usually wakes up around 6:30am, about same time he did when going to bed at 8:00pm.

I usually read to Calvin for about 20 minutes right after his first meal of the day. He has fun grabbing for the board books. Sometimes it appears he is purposefully trying to help me turn the pages (I’ll admit this is unlikely). Right now he particularly likes looking at books with baby faces. Some of his favorites include Where is Baby’s Belly Button, I Love Colors, and Baby Talk.

About a month ago, at 5 1/2 months, I started attempting to feed him solid food. He is not impressed with the concept. We started with the traditional rice cereal. I’m not sure if he just hasn’t lost his tongue thrust reflex yet or is purposefully pushing the food out but either way very little is getting in his stomach. When we had his 6 month visit his pediatrician suggested trying some fruits and vegetables instead. Since then we’ve tried carrots, sweet potato, peas, bananas, and pears without much success. Currently, I view the solid food feeding time as a very messy play time.

Just today I spotted Calvin’s first tooth emerging. It’s just a sliver of white against his gums and very tricky to see. However, I’m sure we’ll have some picutures in a couple of weeks.

Fest

This last weekend we hosted Megafest 8.1 at our house. It’s the first fest we’ve attended (and hosted) since Calvin was born. I really had no idea how the fest would work out with Calvin but it turned out to be neither as good nor as bad as I feared.

Calvin’s daycare had an “inservice” day on Friday so I took vacation that day in order to take care of Calvin. I had great plans for the day that included going into Boulder and buying a new pair of tennis shoes, picking up a high chair for Calvin, and swinging by Costco to get more formula. However, the cold that I had been fighting hit me hard and it was pretty much all I could do to appropriately supervise Calvin. I did make it to Target and picked up a high chair for Calvin but that was it. Both Calvin and I went to bed before the festors arrived.

Saturday, Calvin woke me up and we got ready for Sabbath School. In typical fest scheduling, most people were still asleep when we left. Calvin enjoyed Sabbath School and then we headed back home to meet everyone who had arrived the night before. Calvin and I got back just as they were clearing off the table from breakfast. Introductions were made and Calvin had great fun staring at all the new people. Jaeger watched Calvin while I played a game of Puerto Rico with everyone else. Then, Jaeger worked on his Sushi supper while I supervised. I went to bed at my normal time since I had to get up when Calvin got up. However, I was really congested and only got about 3 hours of sleep before Calvin woke me up the next day.

Sunday, Calvin and I had our normal morning routine and then I headed out to pick up some pastries for breakfast. Most of the day is a blur, I recall Calvin being pretty cranky and requiring a fair amount of attention (though I was sleep deprived so it might have been me that was cranky). I did make it to Costco and was able to restock our formula supply.

Monday, Anya was awake by the time Calvin and I were ready for our morning walk so she came with us. Later in the day, Anya and Yanthor went on another walk with Calvin while I made Jaeger a birthday cake. I really liked the cake frosting. It was simple yet decadent consisting of three ingredients: heavy cream, semi-sweet chocolate, and vanilla. Jaeger had agreed to get up with Calvin on Tuesday so I stayed up later than usual and watched a movie.

Tuesday, Jaeger got up and took care of Calvin’s morning routine before taking him to daycare. It was amazing to have the ability to sleep in but I didn’t fully appreciate it as I was having to struggle to breath. We had a quick (for a fest) breakfast and then everyone but Yanthor set off for a hike in Rocky Mountain National Park. I debated until the last minute on whether or not I would go as there was some stuff around the house I needed to do. However, eventually I decided to go. I coughed and sniffled the whole way there but did enjoy the hike. We arrived back home and I worked on getting leftovers ready for supper. At my normal time, I picked Calvin up from daycare. By the time I should have finished supper prep, Calvin was sleeping in my arms so Anya took over and finished everything.

Wednesday was the last day of the fest. Calvin and I went through our morning routine and I took him to daycare after our morning walk. Back home, we played a fairly brief game of Settlers of Catan before the Lincolnites packed up to head back home. The rest of the day I worked on household chores before picking Calvin up from daycare.

I wish I could have played more games at the fest. Jaeger and I realized a bit late that we should have tried to get a babysitter for a couple of hours to allow both of us a chance to play more games. I also wasn’t involved in much of the food prep this time. I feel like I should have done more but supper time is when Calvin is the crankiest and it’s hard to juggle both him and food at the same time.

A Typical Day – Part 2

The first couple of months after Calvin was born I was barely surviving. I’m not yet to thriving but I’m slowly starting to figure out my new “normal” life.

Calvin usually wakes up between 6:00 and 7:30. He always coughs himself awake and then starts babbling to himself. He use to wake up screaming for food but doesn’t do that anymore. Now he wakes up much calmer which gives me time to get up and mix up a bottle. I then go into his room to pick him up, change, and dress him. We then go downstairs where I feed him on the couch.

After his breakfast, I pump for about 20 minutes. While pumping, I put Calvin in a car seat on our sofa (a big no-no but I’m always watching him) and sing songs and read books with him. I’m phasing out my pumping routine so starting tomorrow I’m going to attempt to go down to pumping only once a day. However, even after I stop pumping in the mornings, I’m going to try to keep song/story time right after breakfast.

When we’re finished with pumping/story/songs, it’s time for my breakfast. I lay out a blanket next to our dining room table and put Calvin down on it for some “tummy time.” Calvin doesn’t particularly enjoy tummy time but it’s allegedly good for his development so we subject him to it at least once a day. Usually, he’ll tolerate it long enough for me to get through most of my granola.

On Tuesdays and Thursdays I take Calvin into daycare early. This allows me to do stuff around the house such as clean and pay bills. It seems like most mothers I’ve heard about somehow manage to do this while taking care of their baby. However, I haven’t been able to do this with Calvin. He requires almost constant attention and only takes 1/2 hr naps. I’ve tried doing chores while carrying him in the Baby Bjorn but that usually keeps him happy for only about 15 min before he wants a change of scenery.

On Monday, Wednesdays, and Fridays we go for a walk after I’ve eaten. The walks provide me with a nominal amount of exercise and, more importantly, get Calvin to take a morning nap. Normally, Calvin won’t take naps unless you force him to by holding him and sticking a pacifier in his mouth as he screams. However, both car rides and stroller walks put him to sleep fairly quickly. After our walk I’ll play with Calvin a little bit more, feed him again, and then get him ready to go to daycare.

I work from 11:30-3:30 every week day. After work, I make dinner before picking Calvin up from daycare. Often Calvin and I will sit under the tree in our front yard until Jaeger comes home. Calvin loves lying outside. He watches the wind move the tree leaves or follows the cars as they drive past our house or looks up at the clouds.

Jaeger gets home around 6:00 and we attempt to eat supper. Recently, we’ve been setting Calvin’s Bumbo seat on the table (another no-no but again we watch him carefully) and let him watch us as we eat. This will keep him happy about half of the time. The other half it’s time for his nap so I have to hold him while he sleeps (I’ve given up trying to transfer him to the bassinet, he always wakes up) and then I’ll eat after he wakes up.

After dinner Calvin might take a nap, or we’ll video conference with one of our mothers, or Calvin might get a bath (we only bath him 1-2 times a week). He gets one more bottle for the night and if he hasn’t fallen asleep already, we put him to bed at 8:00. Jaeger will often put him to bed while I engage in my evening pumping while watching half of a Stargate SG-1 episode (I’m almost to Season 8 ). If I have time after I pump I’ll read for a couple of minutes before going to bed at 9:00.

Thursday nights are a little different as Jaeger often stays in Boulder for either BLUG or Hacking Society. I usually eat leftovers in the fridge and, if Calvin’s schedule allows, will take Calvin for a walk.

Saturdays are Jaeger’s climb-mountains-and-do-useful-things-around-the-house day. Calvin and I leave for Sabbath School around 9:00. Calvin really like Sabbath School. He loves looking at all the children. Until recently, I had to hurry back home after Sabbath School to pump. However, now that I’m not pumping as much I could theoretically stay for church. I stayed for church last week but it was tricky keeping Calvin occupied for that long. For the rest of the afternoon, Calvin and I alternate between nap, food, and playtime.

Sundays Jaeger will attempt to finish any chores he didn’t get done on Saturday and we take a family grocery shopping trip. Sometimes we’ll go to the library on Sunday but they close at 5:00 so it’s often easier to visit them on a weekday night. Occasionally, if we have time, we’ll take a family walk where Jaeger and I chat while Calvin falls asleep in his stroller.

As you can probably tell, I’m feeling much better than I did several months ago. It’s really helped that I’m not pumping as much and can sleep through the night. I’m no longer falling asleep at 7pm anymore :-)

4 Months

Calvin turned 4 months old yesterday. Since my last entry my life has continued it’s hectic pace. I started to write a long and detailed entry about my life since May but it quickly got out of control. Instead, I offer up bullet points:

May

  • I started working 10 hrs a week and Calvin started attending daycare.

June

  • Willy, Jaeger’s brother, graduated from college and we took the opportunity to fly out and visit both sets of grandparents
  • Jaeger went to San Diego for training and Calvin became ill. I had to take time off work and deal with a sick baby by myself for most of a week. I almost didn’t survive.
  • I started working 20 hrs/week

July

  • Jaeger’s mom came out and helped for a little over a week. I used the opportunity to do things like catch up on bills and get a badly needed haircut.
  • Calvin started rolling over and playing more with toys
  • Just this week I’ve started phasing out pumping. I hate the idea of Calvin getting all his nutrition from formula but I need my freedom back. Currently, simple things like going to church have to be carefully planned around my pumping schedule.

I’m sure I’m forgetting stuff that happened but I’ve run out of time.

A Typical Day

In case anyone is wondering why I’ve been silent, I actually have a good reason this time. I present my typical day (assume periodic diaper changes throughout):

1:00-1:30 Calvin starts making “hungry” noises in his sleep
1:30-2:00 Calvin wakes up and wants to eat. I bottle feed him changing the diaper midway.
2:00-2:30 I put Calvin in the downstairs bassinet while I pump and and then clean my equipment. Calvin is asleep again.
2:30-4:30 To avoid waking Calvin up, I sleep on the couch.
4:30-5:30 I try to ignore Calvin as he makes hungry noises again
5:30-6:00 I give up and once again feed and change him.
6:00-6:30 I pump
6:30-9:00 I try to sleep some more but Calvin is starting to wake up and escalates his noises.
9:00-9:30 I attempt another breastfeeding session
9:30-10:00 I bottle feed Calvin the rest of his breakfast.
10:00-10:30 I pump. If I’m particularly lucky and Calvin isn’t fussy, I eat breakfast at the same time.
10:30-11:30 I attempt to go out on a walk with Calvin. This is usually successful as Calvin falls asleep while I push his stroller.
11:30-11:40 I dash upstairs with Calvin in hopes I can shower before he wakes up. I’ve always taken quick showers but I’ve recently made it an Olympic sport.
11:40-12:30 Calvin may sleep or he may be fussy until I give in and feed him. If he sleeps, I often use the opportunity to fold his laundry.
12:30-13:00 I try breastfeeding again
13:00-13:30 More bottle feeding
13:30-14:00 More pumping. Calvin is usually awake at this point so pumping while entertaining him can be challenging.
14:00-16:00 Often Calvin sleeps while I attempt to make supper
16:00-16:30 More breastfeeding if I can handle it.
16:30-17:00 Bottle feeding
17:00-17:30 I attempt to pump and pray Calvin won’t start screaming 5 minutes in.
17:30-18:00 I start counting the minutes until Jaeger gets home.
18:00 Jaeger gets home and I thrust Calvin at him so I can finish up supper.
18:00-19:00 We attempt to eat and entertain Calvin at the same time.
19:00-19:30 I often will breastfeed for the last time in the day
19:30-20:00 I pump while Jaeger feeds him. It’s much more relaxing to not have to attempt to entertain Calvin at the same time.
20:00-22:00 Jaeger clean up supper and we alternate trying to get Calvin to stop crying. I usually pump for my last time in the day around 21:30
22:00 I go to bed and hope to sleep till at least 1:30

Breastfeeding Fun

Disclaimer: Like most of my posts recently, this one may contain details that you really didn’t want to know about me. Read at your own risk :-) In addition, this account may paint a gloomy picture of breastfeeding. It’s my understanding that it’s rarely this tricky for most people so don’t let my story scare you.

Breastfeeding is hard. Many of the women whose birthing stories I heard or read mentioned that they had trouble breastfeeding. Thanks to this, I knew that breastfeeding, while natural, is not necessarily easy. I prepared as much as I thought I could. I read numerous books, attended a La Leche League meeting, and both Jaeger and I attended a breastfeeding class at a hospital. In addition, most hospitals have lactation consultants on staff for new mothers. As a result, while I expected there to be some minor challenges, I thought I had enough resources to figure it out.

At first, everything seemed to go great. While I did have a cesarean, Calvin was breastfeeding within an hour of being “born.” The latch looked great and he loved to suckle. I fed him 15 minutes on both sides and he’d still want more so I’d go back to the first side again (the lactation consultant told me I shouldn’t allow him more than that during any one feeding). We did have some minor issues with him latching on to my left side but he seemed to figure that out without too much trouble. Naively, I thought that would be the extent of my breastfeeding issues.

By the end of the first full day, my nipples were tender. I knew that a properly latched-on baby shouldn’t hurt but it was unclear exactly how much discomfort I should feel. By the end of the second day, my nipples were bleeding. This seemed sub-optimal but all the nurses assured me that the latching looked great so there didn’t seem to be a reason for my nipples to be so uncomfortable. However, Saturday night, they weighed Calvin and he had lost 14 oz of his birth weight. It is normal for babies to lose up to 10% of their birth weight. However, the nurses were concerned about how fast he had lost weight. They barely managed to convince us that he needed to be supplemented with formula. We were very unhappy with this but I wasn’t comfortable ignoring medical advice so we went ahead and started finger feeding. After breastfeeding each time, Jaeger or I would then finger feed Calvin additional formula. Calvin accepted the finger feeding fairly easily but I felt incredibly guilty every time I fed him this way.

All things considered, I felt very good after the cesarean so we went home on Sunday. Sunday night was a nightmare. I think I had become engrorged and Calvin couldn’t latch on. I tried manually pumping and taking hot showers but I didn’t seem to get anything so my breasts wouldn’t soften. It wasn’t that it was painful for me, it was that poor Calvin was starving and wouldn’t go to sleep. I think I got about 2 hrs of sleep that night when Jaeger woke up and finger fed him for a bit. First thing that morning, I called the hospital lactation consultant, R, and we went in to see her. After listening to my problem, she agreed that I was probably engorged and hooked me up to her hospital grade pump. She also evaluated Calvin’s suck and determined the reason my nipples were so sore was that in addition to sucking, he was also chewing. Unfortunately, Calvin had lost another ounce and was down from his birth weight of 8 lbs 15 oz to 8 lbs even. The lactation consultant said that we needed to get his birth weight up as soon as possible and we needed to stop finger feeding him and start bottle feeding him. R also suggested that we should let my nipples heal up before trying to breastfeed again. She rented me a hospital grade pump, suggested some herbal supplements to boost my milk supply, and we went back home.

It was a huge relief to figure out what the problem was. I was almost completely incoherent with lack of sleep and frustration. Monday night was completely blissful. I had to get up to pump but even then, I got substantially more sleep that night. After that day, we settled into a routine of me pumping every 2 hrs during the day and every 3-4 hrs at night. Jaeger had the week off so he fed Calvin most of his night feedings. Neither of us were getting huge amounts of sleep but we both were sleeping.

Several days later, my nipples had healed. I tried breastfeeding Calvin again but it was still painful. In addition, my milk had allegedly “come in” by this point but my milk supply was much lower than the lactation consultant wanted. As a result, I was only able to provide about half of the milk Calvin needed and had to continue supplementing the other half with formula. However, now that we were feeding him, Calvin steadily started gaining weight.

R would check up on us every other day and suggest some other way to boost my milk supply. Even though I’m not always a huge fan of supplements, I was pretty desperate so I started taking More Milk Plus, alfalfa tablets, soy lecithin, and brewer’s yeast (I did clear all of these with my doctor). My milk supply didn’t substantially increase but Calvin’s appetite did. I started taking 3-4 oz a feeding so the percentage of breast milk he got continued decreasing. I continued faithfully pumping every 2 hrs (this is two hrs from start to start so I really have about 1 ½ hrs in between pumping). I read all the books I could about low milk supply issues and almost all of them said the best way to boost milk supply was to breastfeed more. However, I still couldn’t handle breastfeeding for more than 5 minutes a couple of times a day. In addition, these books all seemed to claim that if I truly had a good latch, it shouldn’t hurt. I couldn’t find much information about infant’s chewing or how to go about correcting that.

Initially, learning that Calvin had a chewing problem was a huge relief. Having a problem meant that a solution might be possible. However, since a solution didn’t readily appear, the pumping and feeding routine started to become overwhelming. About a week after Calvin was born, my mother arrived to help out and Jaeger went back to work. I started doing both my nighttime pumping as well as feeding Calvin so Jaeger could sleep enough to go to work. Each morning after mom got up, I’d hand Calvin off to her and get a couple of hours of uninterrupted sleep before reappearing for the day. The pumping/feeding situation was sustainable but just barely and only if I didn’t need to do anything else. Many of the books I read indicated that Calvin might spontaneously outgrow his chewing habit sometime between 4-6 weeks so I started hoping the problem would eventually magically go away.

A week ago last Friday, I started Reglan. One of the off-label uses of the drug is to increase lactation though it can have pretty severe side affects for some women. I’ve been lucky and haven’t noticed anything. Last Tuesday, I went to a local La Leche League meeting. I almost didn’t go because I was exhausted but Jaeger convinced me that it would be a good idea. It was a good idea. I got a chance to talk to other breastfeeding moms as well as the leaders who all had a lot of experience breastfeeding. One of the leaders found several books that suggested various pumping techniques (many of the books I had found only considered pumping a “last resort” and so didn’t discuss pumping technique). I read through those books and got several more hints of things to try. Previously, I had bought a breastfeeding bra from Walmart and cut it up so I could insert the breast pump flanges and not have to hold them the entire time I pumped. Among other things, this allowed me to use massage to express more milk than pumping alone. Most of the books I read emphasized the importance of breast massage so I doubled my efforts in that area.

Under the impression that more opinions on our breastfeeding situation couldn’t hurt, Jaeger called to schedule an appointment with another lactation consultant. We met with E last night. She performed another evaluation of Calvin and believes that if we could get my milk supply up, his sucking problem may correct itself. She believes that he’s pretty much outgrown the “chewing” problem but has become lazy and is now sucking improperly due to bottle feeding which is continuing to hurt my nipples. She suggested we could try SNS feeding with the tube attached to my breast. However, other than that, most of her suggestions were aimed at increasing my milk supply. She said that in principle, I’m doing everything right but she did suggest some websites to read as well as some other pumping techniques to try.

Today, I’m trying Power Pumping which is one of the techniques the lactation consultant suggested. It involves pumping for 10 minutes, resting for 10 minutes, and then repeating. It sounds like many mothers will try power pumping for an hour each day and then go back to their normal pumping schedule. Supposedly, this might trick your body into thinking you have a very hungry baby. Currently, I’m trying the “boot camp” version of this which involves power pumping for an entire day. I don’t know if it’ll work but it seems worth a shot.

I’m hoping we manage to figure out these breastfeeding issues eventually. I have no idea how mothers managed to breastfeed back in the era when it was actively discouraged. (I have heard from several older mothers who indicated they wanted to breastfeed but didn’t have enough support and gave up. So, maybe it’s only those that had a relatively easy time that persevered.) Without the support of Jaeger and all the other resources available I would have given up long ago.

Birth Story

Disclaimer: Below is the story of my perception of Calvin’s birth. Labor is a very confusing time so what I remember and what actually happened may not be the same thing. In addition, you may learn more than you ever really wanted to know about me in which case you probably shouldn’t continue reading :-)

Calvin was born on March 26, 2009 at 10:02 PM. He was 8 lbs 15 oz and measured 21 inches long. Those facts are very easy to relate. However, getting to this point was more complicated than I expected.

Originally, both Jaeger and I were astonished by how my pregnancy proceeded right on schedule. However, my by-the-book pregnancy abruptly changed on January 31 when I went into preterm labor. Since then it has been a roller coaster ride alternating between active terror and expectant boredom.

Much to the medical staff’s surprise, Calvin was not born the instant I was taken off my preterm labor medications. However, they assured me he would be born any day since at that point I was dilated 5 cm. A couple of weeks later, my obstetrician started making noises about inducing me. After some compromises, we decided that I would go in for an induction on March 26, Calvin’s official due date.

On March 25, Jaeger and I ran last minute errands and made sure that we were as prepared as we could be for Calvin’s arrival. As previously instructed, I called the hospital an hour before I was scheduled to be admitted to make sure they still had time for the induction that day. Everything was still on scheduled so Jaeger and I arrived at the hospital around 7:45 AM and went up to the labor and delivery floor. Our first labor and delivery nurse introduced herself and helped us get oriented. I had to sign a bunch of paperwork and then they administered my penicillin IV.

Since I was GBS positive, one reason the doctors had pushed for the induction in the first place was because they wanted me to be able to get a full 4 hours of penicillin before Calvin was born (one of the Denver doctors predicted I’d have a 2 hour labor and thus wouldn’t have time for the full dose). Penicillin is delivered via an IV every 4 hours while in labor. However, once the dose has been delivered, it is okay to remove the IV. The previous day, I had started panicking about the IV because I was concerned they might put it in and leave it instead of giving me a heplock to make it easy to take off and on. However, Jaeger reminded me that we had already discussed this with my doctor and learned it shouldn’t be a problem to go off the IV at the hospital once each dose had been delivered. While I was on the IV, they monitored my contractions and the baby’s heart rate. I had my normal amount of contractions and Calvin was as happy as ever.

Our doula arrived an hour before we expected my water to be broken. This freed Jaeger up to run out and grab some lunch before all the excitement was scheduled to begin. While waiting for the doctor, we chatted with her a bit about how we met and our families.

Around 1:00 PM, Dr. B showed up to break my water. She started with a cervical exam which is never very pleasant. I was 5 cm dilated, 50% effaced and at -1 station. Then nurse then passed her the little crotchet needle-like wand. Somewhere I had heard it hurt when ones water was broken so I was very surprised to all of a sudden feel a warm gush of liquid. Dr. B seemed surprised by the amount of water. After the doctor left, we settled in to wait and see if anything happened. To pass the time, we paced the room and wandered around the halls. I was attempting to stay active in order to help promote labor. A little bit later, my contractions started to get more intense and actually started to be a little uncomfortable.

At 3:00 PM, the nurse checked me again. At this point, I was still 5 cm dilated but effaced 80% and Calvin had moved to station 0. The nurse reported the results back to the doctor who suggested that just a bit of pitocin might send me over the edge into full blown labor. Neither Jaeger nor I was very fond of the idea, especially since not much time had passed. We asked to put off getting pitocin for a little while and I got up and walked around a bit. A couple of minutes later our first nurse told us that she was leaving (she was a sub) and introduced us to her replacement. Her replacement stuck around and said that she heard we were reluctant to use pitocin. We told her she was correct. She then looked at us for just a moment and said something like, “should I be bold? I’ll be bold. I’ll be back in just a moment.” Jaeger, the doula, and I all just stared at her departing in bemusement. A moment later she was back with a very warm folded blanket. She told me to put it up against my breasts as it acted like mild nipple stipulation. I’d never heard of this method before but it didn’t seem like it’d hurt anything. I’m not sure if it was the warm blanket or just coincidence but it did appear that my contractions picked up after that.

At 5:00 PM, I started really feeling the contractions. At this point, they were noticeable and uncomfortable even when I was standing up. I told Jaeger that he needed to go get supper immediately if he wanted something for the rest of the night. He wandered off and our doula stayed with me. Not too long after he was gone they got even worse and I started feeling nauseated. Jaeger arrived back from picking up supper just as I threw up. Once I really started labor, I think I went straight to the transition stage. The labor nurse suggested that the Jacuzzi tub might be soothing and it seemed like a good idea since I’ve always liked warm baths. However, I got in and couldn’t get comfortable. The tubs were quite big which originally seemed like a good idea but there wasn’t a way for me to prop myself off (they might have been designed with the idea of accommodating the husbands too). I ended up sitting cross legged in the tub which wasn’t as relaxing as I had hoped. About this time I was deep enough into labor that I had lost all my inhibitions and was completely naked. Our birthing instructor had told us that this might happen but I didn’t believe her. As a side note, when I was in labor I really didn’t care about any of my surroundings. My world shrunk to be just big enough to accommodate Calvin and I. During birthing classes you learn about all sorts of embarrassing things you or your body might do during labor. Trust me, when the time comes, you really don’t care.

I remember thinking that the contractions really hurt but they were survivable. Our doula was great. She helped massage me and also gave suggestions to Jaeger on what I might like to try. We tried a couple of positions. I don’t remember much of this time period except I was on the birthing ball a bit and I really liked it when they would rub my lower back really hard. The next time I was checked, I had dilated to 8-9 cm. Fairly quickly after the nurse had checked me, I mentioned that I wanted to go to the bathroom. I didn’t think I wanted to push but the nurse said that I really shouldn’t go to the bathroom as dilated as I was as I probably wanted to push without realizing it.

Just a little bit after 6:30 PM I started pushing. I don’t actually remember anyone telling me I could. I’m pretty sure they never double checked to make sure I was at 10 cm which confused me at the time. I started out on my hands and knees which was one of the most comfortable positions for me. However, over the next 2 ½ hrs we tried a lot of positions. I remember hands and knees, on my side, classic C, and squatting. There might have been other positions but those are the ones I remember. Without a doubt, this stage was the hardest part for me and I quickly lost coherent thought. I could no longer really feel my contractions as contractions. It felt more like constant discomfort that occasionally peaked. I kept telling them that I couldn’t really feel my contractions but they said that I must feel them because I always breathed heavier when the monitor said I was starting to have one. (They had put me back on the monitor once I started having the contractions but I don’t know how that all worked because by then I was completely out of it. I have a vague recollection of our doula holder the monitor onto me so I would still have enough freedom to keep moving around.) All I know is when I was pushing, I was never entirely sure I was pushing at the right time. I also never felt that my contractions were rhythmic. To me, they felt like they were completely random. Sometimes it felt like I had a couple of minutes between contractions and sometimes they seemed to come one after another. I did learn that I pushed much more effectively when the nurse put her fingers inside of me and gave me something to aim for (it sounds really weird but it worked for me). Also, I remember that at one point when I was in the squatting position our doula and Jaeger were on opposite sides of me applying pressure as hard as they could. That felt as good as pretty much anything could at that point.

I think they had called Dr. B when I first started pushing. Periodically she would pop in and take a look. At some point, they realized that Calvin’s head was rotated 45 degrees from where it should have been. His head kept banging up against my pubic bone and we couldn’t get him over it. I remember both the nurse and Dr. B trying to turn him without success. Their attempts didn’t feel good. I started losing energy. I could feel my pushing getting weaker. Jaeger tried giving me honey sticks which our birthing instructor had recommended as a good source of quick energy. However, I couldn’t stand them. They were way too sweet. The next thing he tried was giving me Gatorade. To my surprise, because generally I loathe Gatorade, I was able to tolerate that much better than the honey. At one point, I remember asking the labor nurse what all my options were. She started listing options but none of them sounded good to me. One of the things she mentioned was augmenting with pictocin in hopes of strengthening the contractions. To me at the time, that sounded like an awful idea. However, looking back with my head clear, I can see how stronger contractions might have made it easier for me to distinguish what was going on. As a side note, I was surprised that I never asked for an epidural. I had given Jaeger elaborate instructions on how he was to determine if I really meant it when I asked for an epidural. I seriously thought about it several times but never actually opened my mouth to say I wanted one.

About 2 ½ hours after I started pushing Dr. B came in to check up on how I was doing. Apparently when I pushed they could see his head but he wasn’t even close to crowning. I think she said something to the nurse about him not having moved much since she last looked in but I could have been wrong. I don’t know exactly how the conversation came to be, but she did offer that a cesarean might be an option at this point. (I don’t remember her exact phrasing. It was very vague, something like we can go in and get him or something like that.) He wasn’t close enough that they could try any other type of intervention. By this point, I had completely lost hope that he was ever going to come out. We had tried several different pushing positions in hopes of shifting him and neither that nor the medical staff trying to turn him appeared to be working. I suppose it’s possible that if I’d continued longer he might have come out vaginally but even looking back now, I doubt that would have happened. When I talked to Dr. B about it later, she seemed to think that there was no way he would have come out vaginally.

As soon as Dr. B offered the cesarean option, I jumped on it. As incoherent as I was, that was really what I had in mind back when I asked the nurse for all my options. I just couldn’t bring myself to ask for it. I must confess, I didn’t even double check with Jaeger to see what he thought about it. I feel bad about that now. Given the state I was in, I probably should have first consulted my more coherent half. Once I indicated I wanted a cesarean, the medical staff jumped into action. There was a consent form that I had to sign (I have to wonder, would it really have been binding if I contested it later? I can’t imagine any woman on a jury who had been through childbirth would have said I was in my right mind at the time.) and staff to hunt down. Unfortunately, this was all in the middle of a snow storm so the hospital was a little shorter staffed than usual. At this point, there wasn’t any sense in me pushing but little pushes felt better than nothing.

Eventually, everything was ready and they wheeled me into the labor and delivery operating room. Jaeger and the doula were instructed to wait outside while they prepped me. The anesthesiologist apologized that numbing the area before giving the spinal would sting and be pretty uncomfortable. If I would have been in a condition to laugh, I would have. I’ve had IVs that feel worse than the numbing for the spinal. The spinal took effect almost immediately. It was amazing. Up until that point, I hadn’t realized how much pain my body had been in. I spent the rest of the operation near giddy with relief.

Naturally, my view of the caesarean was almost nonexistent. The anesthesiologist was to the left behind my head the entire time. He spent a lot of time talking to me telling me what was happening. Jaeger and the doula were to my right. It seemed to me that they were removed Calvin quickly. Once he had been removed, he was whisked over to a table to my right. I could kind of see what was happening but it was a little bleary because I didn’t have my glasses. However, I remember thinking he looked really big and his head was strange (very conical on top). Previously we had discussed the remote possibility of a cesarean and Jaeger and I had agreed that he would stay with Calvin to make sure at least one parent was with him as soon as possible. Jaeger went over to the table where they were taking care of Calvin. Once their initial assessment of Calvin was done, they let Jaeger carry him over to me so I could take a look. Then Calvin and Jaeger went to the recover room. The doula stayed with me as they put me back together. For some reason I was surprised by how much longer it took compared to getting Calvin out. However, eventually they finished and I was wheeled into the recovery room.

In the recovery room, they finished working on Calvin and brought him over to me so I could hold him and try breastfeeding. He seemed alert and very interested in trying to feed. Breastfeeding felt uncomfortable but having never experienced breastfeeding before, I couldn’t tell whether or not it was normal. I think they kept me in the recovery room for about an hour to make sure I didn’t have any unexpected side effects. I was very fortunate in that I seemed to have skipped all the side effects, even nausea which the anesthesiologist had told me about 50% of women get. From recovery, Calvin and I were wheeled into our postpartum room. Jaeger was there when we arrived.

I don’t remember much of the night after that point. Jaeger attempted to sleep on the dreadful sleeper sofa in the room. It was exceptionally noisy every time he turned over. Nurses kept popping in and out taking Calvin and my vitals to make sure we both survived the experience.

It wasn’t the birth story I expected but I was really happy with the outcome. Our goal had been healthy baby, mother, and father and that’s what we got.

Induction Week

I already mentioned that I have an induction scheduled for March 26. As the time gets closer, I haven’t managed to completely resolve my conflicting feelings.

Originally, Dr. L suggested induction at 39 weeks. At the time, it seemed like one of the major considerations was that she would be on vacation at 40 weeks and wanted to make sure she was around so I wouldn’t have to be delivered by a stranger. This wasn’t a sufficient enough reason for Jaeger and I to feel comfortable with an induction. We talked about it further at our next appointment and the two main medical reasons Doctors L & B gave were: 1) I’ve been dilated 4+ cm since January 31 and even though my water hasn’t broken, they are concerned about infection and 2) I’m GBS positive and they are concerned that since I’m already so dilated they might not have time to give me the full antibiotic course before Calvin comes. 3) After 41 weeks there is a high risk of fetal demise.

While I love the advances western medicine has given us, I also usually prefer to do as much preventive care as possible to avoid needing medical interventions. Thus, a part of me wants to wait for labor to start “naturally.” There are risks to inducing labor. In my case, they probably aren’t as significant because we are past the 39 week mark and I have a “favorable” cervix.

Being a librarian, I tried to find research on inductions for situations similar to mine. I couldn’t find anything. Of course, the research might exist somewhere but if it does, I’m using the incorrect terms to find it. Because I can’t find any research for or specifically against induction in my situation, I felt a compromise between my preferences and my doctors’ preferences was reasonable to take into account anecdotal evidence they have gathered over the years. After talking with the doctors, we compromised by pushing the induction to 40 weeks (assuming normal blood test result which I did have).

Jaeger and I have been trying some gentle “natural” methods of inducing labor. For instance, I’ve been making sure to exercise at least an hour each day and then often will go on additional walks. You might wonder why I’m trying even natural induction options if I’m dubious about inductions. Most natural labor inductions have very little research supporting their effectiveness (nipple stimulation is one we haven’t explicitly tried due concerns about its safety). In addition, I’m not going to try any of the “herbal” remedies. I feel much less comfortable with herbal remedies than I do using western medicine for a variety of reason (mainly because I feel in many cases, herbs are just very poorly regulated/researched versions of standard drugs). As such, I don’t think it’s likely any of the natural induction methods I’m willing to try will start labor unless my body is already ready to go into labor.

Ironically, even though I’d like to go into spontaneous labor, for several reasons I really hope it doesn’t happen at night. First, even when I went into preterm labor, I never had painful contractions. As a result, I think it’s very possible I could start having regular contractions while sleeping and not wake up until an hour or two after it starts. Considering that one doctor in Denver thinks I could have a 2 hr labor, this doesn’t seem ideal. (Note, I am fully expecting contractions to hurt at some point, it just obviously hasn’t so far). Second, if I go to the hospital in the middle of the night, I’ll be even less coherent than I would under normal labor circumstances and as such, may not be able to make my wishes fully understood.

Now that I’ve got most of that out of my system, I think it’s time I go grocery shopping to stock up on essentials we’ll need for the next several weeks.

As an aside, I was induced and I turned out mostly normal :-)

Assignment

Please compare and contrast:

  1. Real Life Corn Syrup Ad
  2. Clip from Thank You for Smoking

(For the record, I do believe that high fructose corn syrup has been excessively demonized. It’s empty calories but not the root of all evil. However, equating it with “natural” is taking it a bit far.)