Showing posts with label natural childbirth. Show all posts
Showing posts with label natural childbirth. Show all posts

Wednesday, July 15, 2009

Things I Never Expected Before I Was a Parent

Among the many things one does expect to encounter when becoming a parent there are sprinkled a great many other things that are completely unexpected. Every mother or father has moments of exasperation or shock that "this is really happening to me" or "I really did just do that!" Here are some of the things the pre-pregnancy me would not have guessed I'd find myself doing a short while later:

  1. Enjoy changing a diaper
  2. Become violently ill from changing a diaper
  3. Stay at home beyond 6 months postpartum without working
  4. Sit on the toilet with diarrhea while nursing a baby
  5. Completely change lifelong sleep habits
  6. Not be able to sleep at times just because I was expecting my child to wake during the night
  7. Enjoy snuggle time with a sick baby
  8. Buy my kid a loud and annoying toy
  9. Eat food that had been half-chewed by someone else first and then spit into my hand or on the floor
  10. Nurse a baby for 13 months without pumping bottles
  11. Go for more than a year before hiring a babysitter--and even then only for a doctor's appointment
  12. Co-sleep with a child
  13. Give birth to a nearly 10lb baby with no drugs
  14. Allow an almost-12-month-old baby to transition from crib to queen sized bed
  15. Surrender the living room furniture (futon) to the baby's room
  16. Put the baby in the master suite and take the "other" bedroom for my spouse and me
  17. Go an entire year only trimming the baby's fingernails 3 times total
  18. Have complete sympathy with parents who rage out on their kids--just takes sufficient additional stress in one's life to push someone in an already trying situation over the edge
  19. Write a mom blog
  20. Allow my child to regularly eat food from the floor
  21. Allow my child to use a pacifier that had been on the floor without first cleaning it in some manner (other than to dust off the big chunks)
  22. Spend an entire 3 hour napping period for the baby just looking at pictures of him in his photo albums
  23. Teach my child basic sign language
  24. Let my kid scream at restaurants without acknowledging it
  25. Begin potty training my baby before he could speak two-word sentences
There are so many other things to add to this list, to be sure, but in all honesty this is really just a filler post to help me while I build back up a buffer of posts. Comments made on this post expressing opinion (positive, negative, or neutral) or similar thoughts about unexpected parenting behaviors would be much appreciated.

Wednesday, May 6, 2009

Post Partem, Part I

Since a few people have complained that the last few posts weren't gross enough...let's talk about postpartum issues.

Everyone tosses around the phrase "postpartum depression", but you rarely get the joy of hearing about the other stuff.  Perhaps because it's considered impolite?  Pardon me while I go off in a corner and laugh.  You know what's impolite?  Not telling the truth about the facts of life to those who are yet to experience some of them.

People have babies around just at the time they are least capable of handling them.  Consider the following:  Women spend months on end in discomfort, gaining weight and feeling exhausted, losing sleep and then, when pregnancy comes to a halt, there's labor and delivery and/or a C-section.  It's a grueling, painful, scarring, traumatic, and gory event.  When all that work is done, suddenly there's a cranky, crying little weasel of a thing demanding food about every two hours around the clock--for months on end!  And what's more, if the child accidentally oversleeps that two hour period (as long as 4 hours between feedings), the doctors say to wake them and feed them!  This little weasel also wants to be kept free from its own excrement, yet it insists on continually soiling itself.

And through all that, somehow Mom and Dad have to figure out how to care for themselves.  Mom is expected to try and remember to continue to nourish herself and get sufficient rest, and Dad is expected not to go insane while Mom is greatly incapacitated--and has comparatively paltry recourse for calming the child due to a lack of mammaries.

And Mom is sore.  Maybe she tore.  Maybe she was cut.  Maybe she had a large surgical incision made through her abdominal wall and has a belly full of stitches.  Walking is painful.  Sitting is painful.  Perhaps just moving at all is painful.  But that is secondary to the child because even more painful is listening to the sound of a crying baby.

And what's more:  the blood just never seems to stop flowing.  During pregnancy, Mom's blood supply increases by nearly half again what she had.  Well, she doesn't get to keep it all.  Sure, some goes with the baby, and some leaves at the birth, and some more leaves with the placenta and cord.  But there's more.  Lots more.  And it wants to come out as soon as possible.

Some wonderful people along the way designed some very long, hygienic, disposable pads for postpartum bleeding.  They are too small.  In order to be useful, they need to be chained so that one goes in front and overlaps somewhat a second that goes further toward the back.  If you are a particularly large woman, it's conceivable that you might need three at a time.  I'm not kidding.  At 5'8" (1.73m), I'm hardly what you'd call petite, but I'm not fat either, and to cover the span of gore, I needed this doubling.  Later, after 4 days or so, I was able to start substituting Poise and Serenity incontinence pads, which hold more fluid than the traditional feminine hygiene options.

And then there's the groin pain.  The hospital offered me pain killers.  I was allowed a strong dose of naproxen sodium (Aleve), and while it helped, it was more of a numbing than anything.  Same with the canister of pain-relief foam and the tube of hydrocortisone cream they gave me.  I was continually aware of the pain.  Thankfully, the hospital staff were also innovative.

Part of the pain in the groin is from swelling.  Anyone who knows much about first aid knows that ice helps to reduce swelling.  But who wants to put ice on their feminine delicacies?  Well, I did, though obviously doing so was tricky with all the red tsunami issues in the region.  The nurses did something very smart:  they took a disposable newborn diaper (which is, of course, absorbent and somewhat designed to prevent leaks) and found one end of the crotch region which was open like a pocket.  Ice was crammed into said pocket, and the diaper was introduced to my nethers.  Relief!

Now, another consideration.  We civilized folk understand that having blood all around is something of a health hazard.  And we aren't keen on handwashing a bunch of the stuff out after all that other work.  What does one wear?

While still at the hospital for recovery, I wore the Hospital Gown of Impossible Modesty again.  But obviously that wasn't going to hold my pads to the area of interest, nor was a newborn diaper going to fit around my thighs and hips.  Some genius whom I could kiss a thousand times over created some totally awesome underwear.  This underwear is purely a mesh of gentle elastic material.  It's lightweight and net-like, and super stretchy.  It's just strong enough to hold things together but sympathetic enough not to remind a new mom of her injuries.  I took home as many pairs as I could acquire and even managed to send them through the wash a few times and reuse them before finally donating them to a mom planning a home birth.  Part of me was tempted never to wear any other kind of underwear again...until I stopped needing pads.  Turns out the comfort level was dramatically reduced when mesh meets tender flesh.

The hospital staff gave me certain requirements before I could leave.  Immediately after I was done with the octopus and pony show, I met my first requirement:  peeing.  Owing to the extra hydration from the saline drip, I more than made quota there.  They also kept asking me if I had any gas.  Apparently you can't leave the hospital until you are farting properly.  Let me tell you, it's very strange to be regularly asked by strangers if you are passing wind.

One benefit that I experienced (and I'm not sure how common this is) was that I didn't have to have a bowel movement until 4 days postpartum, and it was relatively easy since I had stayed well hydrated.  Andrew and I drank an entire 24 pack of bottled water during our vacation at the hotel--er, I mean, our stay at the hospital.

Showering was tough, but I was not allowed to take a bath, nor did I want one given that I absolutely did not want to try getting back to a standing position afterward.  For the postpartum mom, I suggest disrobing (and rerobing) while in the bathtub.  I did not realize how keen gravity was to help me make a mess and ended up smearing blood on the floor in a vain attempt to clean up my drippings before more exited my person.  At least it wasn't my floor, so it was somebody else's problem in the end.


Okay, just kidding, but seriously, the whole experience was full of all sorts of nastification.  Still, there were bright spots.  I was up and walking around immediately after giving birth.  I was able to take pictures of Jackson napping on Andrew for the first time, just a couple hours afterward.
My mother-in-law (MIL) and then, shortly thereafter, my own mother traversed their separate drives (each in excess of 2 hours) and gladly snuggled with their new grandson.  My mom had already been made a grandmother twice over via my sister's reproductive habits.  My MIL had not, as Andrew was an only child, and she dubbed herself Nana.

Nana and I had not had a great deal of time to get to know one another in the less than a year's time we had known one another, but she soon got more than her fair share of time with her only daughter-in-law as she stayed the next 10 days to help us adjust to our own new roles as Mama and Dada.

Next up, a review of nursing and postpartum doulas, and (I promise) an end to the postpartum grotesquerie.  We'll start a new kind soon enough.


Wednesday, March 4, 2009

Learning to be Natural



Bill Cosby famously joked (see video below) about how he and his wife went to classes to learn how to have natural childbirth.  Andrew and I experienced a journey somewhat similar to Bill Cosby and his wife--conceivably because we are also "intellectuals."  



One of the main reasons we wanted a midwife was because we didn't want a hospital experience similar to the example shown in Monty Python's The Meaning of Life:  



When I delivered, I wanted it to be a personal event, not a personnel event.  I wanted things to be calm and focused and as uncomplicated as possible.  After taking our classes on how to have children (after the conception bit; we had figured that part out just fine), I had determined I wanted to deliver naturally:  no drugs at all.

This came about as a result in large part of learning about the distinctions between natural vaginal childbirth and medicated vaginal childbirth.  Our instructor, Tina, was a mom 3 times over.  She had been present at many more births beyond those of her own children.  She also knew a fair amount of statistics, which are about on equal footing with anecdotal information to any mom looking at squeezing out a kid for the first time.

In birth, Tina said, any medical intervention tends to lead to further medical interventions.  For example, if a woman were to receive an epidural dose of pain medication, she might potentially have difficulty knowing how to maneuver in order to expedite delivery.  She is also confined to the hospital bed and cannot move around very freely to even be able to attempt such maneuvers.  She may have, therefore, a longer labor.  
Additionally, it may be difficult for her to know how to push or even to be able to push, thereby increasing the likelihood of a Caesarean birth.  However should she still manage to try vaginal delivery, she will have a far greater chance of needing help to get the baby out via 
the "salad spoons" or the suction cup or an episiotomy.  Vain as I was for my unborn child, I wanted him to have a well-shaped head, so a quick delivery with no use of forceps or suction was optimal to me.  (Image above obtained here.)

Another issue with medication was plain and simple fear.  I've known enough kids born when their mothers used drugs to make them comfortable in labor to recognize that any effects are inconsequential in the long run.  My sister and I were both born Caesarean (bless you, Mom, you were a trooper!) just 18 months apart, and we are perfectly fine.  At least, any defects we have we can't blame on the birth medicines, anyway!

No, my fear wasn't for Jackson so much as for me.  In our childbirth class, Tina showed us a video of an epidural injection.  In order to get the most common method of pain relief in labor, the mom-to-be has to be turned onto her side and made to hug her knees.  Then, despite being continually wracked with pain, she has to hold very still as an anaesthesiologist spends about 15 minutes putting things in and out of her spine.

Needle in the spine?  Wasn't going to be mine.

We learned all the techniques for breathing and noise-making.  (Came in VERY handy!)  We learned about how the baby might be oriented at the time of departure.  (Also very handy.)  We learned distraction methods so that I might have a focus other than OH MY GOD THIS HURTS WHAT THE (BLEEP) DID YOU DO TO ME?!? (Which would have come out as "Omgrrdfkdym!?!!")

We also learned about this mysterious doula concept that had been floating throughout some of our literature of pregnancy and labor.  And the search began for a person to substitute for the drugs I would not be taking!