Showing posts with label extended breastfeeding. Show all posts
Showing posts with label extended breastfeeding. Show all posts

Friday, April 30, 2010

Tales: Lillian's Birth Story- She's One of Those People, She's Always Gotta Be Different


Lillian's pregnancy was the opposite of Bekah's in that I suspected it the moment I conceived. I was late right away so when I started having very bad morning sickness there was no mistaking it for a "weird flu." I had had it with my first 3 pregnancies but this was even worse. I tried just about anything over the course of the pregnancy to make the relentless nausea, fatigue, and headaches go away.

I started trying the usual things I do- eating small frequent meals of whatever I can stomach at the time and eating a lot of protein.

I was still having trouble functioning with the constant overwhelming feeling of sickness so I tried acupuncture. I had success with acupuncture for migraines. Some of the points were so sore that I bled, something that had never happened before. Since the acupuncture seemed to help a bit I started wearing sea sickness acupressure bands constantly. The only time I would take them off was in the shower or if they got so sore I bruised.
 

I had to be even more aware of what I was eating and when. I couldn't drink water in the morning or early afternoon. I had to eat about every 20 minutes, usually high protein, just to take the edge off of the unrelenting nausea. I drank a little soda to settle my tummy but I could only drink it with crushed ice. I couldn't eat bland food, like crackers. People's suggestion that I just eat some crackers and drink ginger-ale made me laugh or cry, depending on the day.

It got so bad that the smell of the water, not just shampoo or soap, but the actual water would make me throw up in the shower. I carried a bag with me everywhere I went in case I had to throw up. I cried a great deal of the time because I felt so bad. At one point my back-up midwife (a CNM) wrote me a prescription for Reglan to control the nausea. I never filled it.

I read about hyperemisis gravidarum and just reading stories helped a lot. I never had to be hospitalized for dehydration, though I did come close. The physical and emotional feelings from the extreme, relentless nausea led me to contemplate all sorts of horrible solutions to end my misery.

It was an unusually hot summer in Massachusetts and in addition to working full-time at my paint-your-own pottery studio, I was bringing my homeschooled oldest son into Cambridge by train every morning to go to camp at the Museum of Science and another camp at Boston Dance Company. It was extremely difficult while dealing with morning sickness.
One day I took ballet class with him at Boston Dance Company which actually helped temporarily. It was fun and funny to take class again with the former artistic director of the ballet company I was dancing with when I got pregnant with Felix.

In spite of the debilitating morning sickness, I managed to keep the pregnancy a secret while my sister, who worked at the pottery studio with me, contemplated having a 3rd baby. I actually encouraged her to have another baby because I didn't want my pregnancy to be a reason for her to hold off on having another child. I just figured we'd work out the logistics of running the store somehow. My sister did get pregnant, and then she found out I was pregnant too.

My daughter Bekah nursed throughout the whole pregnancy. She really loved to nurse! When I was about mid-pregnancy I developed yeast in my breasts. It is painful and a long process getting rid of it. In addition to making some diet and lifestyle changes, I used gentian violet. Bekah did not like the color or taste. She said the gentian violet was "spicy." She stopped nursing for 3 weeks while I was treating myself for the yeast. She slowly started up again after the purple was gone, and then really got interested after Lillian was born and there was more milk.

After having my last 2 babies at 36 weeks, I thought I would have another preterm birth. I had several risk factors too- short cervix, evaluation for preterm labor at 26 weeks, excessive walking and standing on my feet all day. However I made it to 36 weeks and celebrated by making a belly cast. Frankie started asking me when the baby would "crack out."

My sister and I also had the best baby shower ever around this time. We went to the fabric store and each picked out fabric to make a baby quilt. We cut the fabric into squares and had all of our friends and family decorate squares to be sewn into the baby quilts. We also asked everybody to bring a silver charm representing their hopes for the babies.
 
At the shower my sister and I each had beads we had picked out that we strung into necklaces with the charms. I continued to wear my necklace throughout the rest of my pregnancy. Guests also brought their favorite children's books to give to each baby. We had a tea theme and gave out goody filled tea cups as favors. We had a great time and I was elated that I had gotten in everything I ever wanted in a baby shower.

I figured I would give birth soon after the shower since I only expected to get to 36 weeks. I had a lot of work at the pottery studio and I was taking a local Family Strengthening workshop. I had a big project due painting platters for Epiphany School, a local Episcopal middle school. I wanted to complete the order of 30 platters before giving birth. I just kept painting, glazing, and firing as I got to 37 weeks, 38 weeks, 39 weeks and then finally reaching my "due date" at 40 weeks.

I only had 2 platters left to finish at 40 weeks 2 days. I worked all day at the store and finished painting and glazing the last 2 platters. I loaded them into the kiln and walked over to my acupuncturist's office about a 1/2 mile away. I couldn't believe I was actually getting "Chinese take-out" needles put in to encourage labor. The extra small flexible needles were held in place with round band aids on spleen 6 and great eliminator points on both sides of my body. They could stay there for a week and then be replaced with new ones.

After I had the needles put in I picked up a couple pizzas for dinner and walked the mile to my house. It was snowing out, but just lightly. It was just enough to make the town look magical. I often think that Concord looks so beautiful that it is surreal.

Back at home my husband discussed a birth request with me. He said he was tired at the other births because my water had broken in the middle of the night before he had a chance to sleep at all. He asked that my water not break until about 6am so he could be more rested. I laughed and told him that that wasn't something that I could control.

It was a Friday. Since all of my children had been born on a Tuesday so far, I figured that I wouldn't go into labor for a few days. I went to sleep early so that I could be rested up for work the next day. My in-laws were also coming to visit. They had been waiting until the baby was born but this was their last weekend they could come, so they decided to come anyway. We were all hoping the baby would be born during their visit.

I woke up suddenly at 5:45am when my water broke. I waited until 6am to wake up my husband Frank. He couldn't believe that I actually did it; I actually granted his wish for a 6am start to labor. I couldn't believe I was in labor on a Saturday instead of a Tuesday. Frank's parents and sister, Christine, were heading out from New York at around the same time. I wondered if they would arrive while I was still in labor.

We called our midwife to head over but at first there was no real urgency. Pretty quickly after I hung up the phone my contractions became intense and close together. I sat on the birthing ball breathing and low moaning to get through the contractions. By the time our midwife called her assistant and started heading over I was unable to talk through the near constant contractions. It was clear I was in transition. It was close to 8am.

Frank had planned a webcast of the birth to share with family and friends but since his family was already on the way over he put the idea on hold. Things were moving very fast and he had a lot to set up. After already being through one homebirth he knew exactly what to do. He turned the heat up, put the foil wrapped blankets in the oven, put the plastic sheets on the bed with old sheets on top, put some waterproof underpads on the bed, poured me some Gatorade, started boiling water to sterilize instruments, and started getting out the birth supplies, crock pot, and cookie sheet to hold the supplies. He also set up the video camera.

We had called my aunt to head over and she arrived at about the same time as both midwives. They were all grateful that Frank had done so much set up because I was sounding like I needed to push. I was shaking. My contractions had slowed down and I was in-between the intensity of transition and real pushing. I was feeling like I needed to push but was holding back until the urge was really strong.

I was on my husband's side of the bed in a semi-reclining position. Frank's nonchalant attitude kept cracking me up. I commented on the intensity of the labor.

At one point my midwife checked my daughter's heart rate with the Doppler and I could hear that it was very slow. It was clear it was her heartbeat and not mine. I wish that I didn't hear it for myself because it took me from "labor land" straight into my head. Labor gets painful when you are too "in your head," especially when there is also fear involved. I think, for the mother, labor is meant to be more on an instinctual level rather than a cognitive one.

My midwife asked me to turn onto my side to push. The act of moving and this new position brought up the intensity of labor. I prefer to give birth semi-reclining. I think the reason I instinctively choose this position is that it keeps the pushing stage at a slow to moderate pace making it more comfortable.
 
When I turned to my side, the contractions started coming faster and the baby moved through the birth canal faster than the slower forward and back pushing stage of my last 2 births. Even Frankie's 2 hour labor had a slow and controlled pushing stage. 

The intensity of the pushing was in sharp contrast to the Latin Lullaby CD that was playing in the background. I clutched the quilt made by family and friends. We had decided Frank would catch this time so he left the room to wash his hands as Lillian started to crown. 
 
Frank cheered me on as he guided Lillian's slippery body out and onto my chest. He was as elated and energized as I was after what seemed to me the most collaborative event the 2 of us have ever experienced together. It was 9:03am, a little over 3 hours after my water broke.

Lillian had no vernix left and her skin was dry and starting to peel a little. She weighed 8 lbs 8 ozs and had lots of dark hair. The kids all came upstairs to see her before the placenta even came out. My sister stopped by to see her on her way into the studio and the midwives were still filling out paperwork when my in-laws arrived.

While doing some online research on the Continuum Concept, a book I had read that really resonated with me, I came across some information on Natural Infant Hygiene, also known as Elimination Communication (EC). I had just finished reading Diaper Free! The Gentle Wisdom of Natural Infant Hygiene just before Lillian's birth. I decided I wanted to start right away. When the midwife asked if we wanted diapers on Lillian I said "no." The first time I offered Lillian the potty she peed.

Lillian came to the pottery studio with me starting just before her cousin, my nephew, Elessar was born 2 months later. She nursed, slept, pottied, and was carried in a sling all day 5 days a week at the studio until we had to close when she was 6 months old.



Saturday, March 6, 2010

Radical Parenting on Discovery Health was Rad

My family participated in the recently aired Discovery Health Channel show Radical Parenting. In case you missed it, it will air again on March 23rd at 8pm and 11pm ET.


It was a wonderful experience and a main motivation for doing it was to open up a dialogue about Attachment Parenting. It has been very interesting to hear and read different responses.

If you didn't see the show, it followed the lives of 3 families who practice parenting styles that are considered unusual in our culture today. I represented Attachment Parenting and other practices that fit well with AP lifestyle. We showed and discussed extended breastfeeding, co-sleeping, babywearing, Elimination Communication, placental ritual (we planted ours), and avoiding the use of pacifiers, sippy cups, highchairs, etc.

Before the show aired I tried to imagine what the different reactions would be. I immediately figured that we would come across as more child-centered than we actually are. I anticipated this by writing my first blog entry.

I also figured that there would be the strongest reaction to the scene where we plant my daughter's placenta under a potted tree. This has turned out to be true, but not as much as I'd anticipated.

I figured babywearing would fair the best because it has become more mainstream. What I didn't anticipate was that there would be so many comments about babywearing beyond, "What's so radical about babywearing?".

Of course my inner tween was most nervous about what people would say about how we looked. I could hear chants of "You're weeeeeird!" while I was denied access to the "cool table" in the cafeteria. I know, I know, it's cliche. In reality I fared okay in middle school. I was able to straddle the line between the most popular students and the least. But somehow the self-conscious kid hides inside forever.

After the show I obsessively scanned the Internet for comments. I've been inspired, energized, annoyed, and surprised by the reactions. I'd like to go through a few of them and respond, as well as respond to the expert comments on the show. Here goes...


Attachment Parenting:

Jenn Berman's main criticism of Attachment Parenting was that it can be very demanding and parents can get burnt out. She's right. It's true of all parenting, at least in modern Western culture. I've found that staying as close to natural, biological expectations and merging them with modern culture have decreased the demands I've felt as a parent. The one thing my husband and I could do better, though, is to one of these days let someone else watch the kids so we can go out as a couple. We haven't been out without children in 11 years.

Something that surprised me was that some people described us as very "extreme" APers, but yet others criticized us for different things being too "mainstream" or "old school" (like the frame backpack my husband uses), as if we weren't really AP. Some people said they thought we were chosen because we are so extreme, and others implied that we did things just for show (yes, I started AP 20 years ago thinking that someday I might go on TV).

The truth is that I don't think of us as extreme at all. I think we might have come across that way to some people because I really think of us more as practicing Continuum Concept parenting (if I have to label us at all). I actually asked to be identified as practicing Continuum Concept parenting, but the producer felt that this would be too confusing a term for the audience. She was right.

I think the reason we were chosen was based on a lot of things, but if we didn't practice a lot of Attachment Parenting and Continuum Concept practices not only would we have gotten criticism for not really showing AP, but also the practice wouldn't have registered well on TV. We did not do anything just for show though. And I certainly don't practice any of these things to get a "most AP prize" (though if there really is one, someone please let me know).


Extended Breastfeeding:

This may have been the biggest surprise reaction-wise, on several levels. Jenn Berman's comment that a drawback to extended nursing is that kids can feel different from their peers. I'm usually pretty good at anticipating what expert comments will be. I did not see that comment coming. I do, however, have my own comments in response. First of all, all kids are different and may at times feel different from their peers. Secondly, older children who are breastfed typically only do so a couple of times a day in their own house. It is very often just at night. How would their peers even know?

Even if their peers did find out, it would be because the child felt comfortable enough to let their friend find out, say after hurting themselves while playing and needing to nurse for comfort. But also the age I was talking about, age 4, is not a typical age for kids to tease each other or exert "peer pressure". That leads me to wonder if the family or families Jenn Berman was talking about had much older children, say over 7 (not that there's anything wrong with that).

It also makes me wonder if these self-conscious children felt that way because an adult, maybe even Jenn Berman herself, made them feel that way. It reminds me of when I took a nursing 3 year old Bekah to the hospital to be treated for Rotovirus. The only thing she could even hold down a little bit of was breastmilk, which was good because it protects against Rotovirus.

When we got to the ER and talked to the nurse I let her know that thankfully Bekah was still nursing. She proceeded to turn right to poor sick little Bekah and say, "That's really silly that you do that! That's a really funny thing to do.". I wanted to deck her! I would have engaged in a very heated debate with her but she then started looking at Bekah's bruised knees and basically let me know that she suspected me of child abuse. Something inside (that intuitive parenting) told me to just shut up at that point rather than giving her an excuse to call Social Services.

Thankfully when the doctor finally arrived he felt that she was so well hydrated because of breastfeeding and decided she did not need to be admitted for IV fluids. The nurse had previously said she was positive she would need an IV. My main point though is that the adult nurse was doing everything in her power to make my daughter feel weird, different, and like she was doing something wrong.

In cultures where extended nursing is still the cultural norm (it is the biological norm everywhere), children don't feel weird at all for openly nursing as an older child. It isn't that extended nursing itself makes American children feel weird. It is that people have directly made them feel weird and simply because it isn't practiced enough. I'm hoping that shows like Radical Parenting will actually make more families feel okay about extended nursing, and more and more will practice it.

I thought though that the extended nursing would have gotten way more negative comments. I only read a couple of comments from people mistakenly thinking that there are no "benefits" to it or that I must be "doing it all the time". So perhaps we have come a long way towards greater public acceptance since extended nursing controversies of just a few years ago.


Co-Sleeping:

Jenn Berman was probably the most harsh about co-sleeping. She said the the American Academy of Pediatrics is not "a fan of co-sleeping". This actually isn't quite true. The AAP defines co-sleeping as sleeping in the same room or close proximity to your baby, a practice they support, and bed sharing as in the same bed. I happen to disagree with the suggestion that all bed sharing is dangerous, and that all crib sleeping is safe. Just as there can be safe crib sleeping and unsafe crib sleeping, there can be safe bed sharing and unsafe bed sharing.

There is also evidence that co-sleeping is safer than crib sleeping. I think the better approach Jenn Berman could have taken would have been to talk about safe versus unsafe co-sleeping. Parents are not going to stop co-sleeping and they deserve to have safe co-sleeping information.


Babywearing:

A lot of people have mistakenly commented that I wear my son Luke "all the time". I can see where they would get that impression based on Radical Parenting, but that was 15 minutes of time shown out of 3 days of filming. It would hardly show babywearing if even half of the time he was on the ground and one of the things we were trying to show was babywearing and how that helps to include your child in family life.

During the show an information box popped up that said that from birth to the crawling stage Luke was carried or in close contact with a caregiver 24 hours a day. It did not say that we carry him 24 hours a day now.

Another factor was that during the filming my 17 month old was teething big time. This increased his need to be held. I would have been holding him more whether there was a film crew there or not.

Which brings me to another factor. There was a film crew there. Just having new people and equipment in the house made him want to be held more.

I always find it interesting that the parents criticizing babywearing are the same ones lugging around a toddler without the help of a baby carrier, often while pushing the stroller that their child refuses to sit in. They are the same ones who end up with carpel tunnel syndrome and sciatica from the strain on their bodies from not using a baby carrier. Babies and toddlers need to be held. To me it makes sense to make it as easy for yourself as possible.

One thing I was worried about before the show aired was a lot of criticism about how I was wearing my sling. There was one commercial I saw where my sling was a bit too close to my shoulder and I thought other babywearers might jump on that. In my defense I am short and if the sling is too far over on my shoulder it hurts my rotator cuff. I have been babywearing a long time and I know where the sling is comfortable on me. It also may have been in a slightly different position because I had a microphone under my clothes. In the end, I only read one comment that mentioned the way I was wearing the sling.

What I didn't anticipate is that there would be criticism of my husband wearing a framed backpack. I personally don't find them comfortable, but my husband does, as do many other guys. I have close to 30 baby carriers of all types, and my husband has tried many of them. This is the only one he will use. So if it is the difference between him wearing my son in the backpack versus not wearing him at all, the backpack is just fine to me. My son also likes it.

Now to Jenn Berman's comments from the show. She said that a drawback to babywearing is that children miss out on the tactile stimulation of being able to explore their environment. I couldn't disagree with this more. In my experience children worn in slings or other baby carriers are in the perfect position to interact with life. They are within reach of a rich world of tactile exploration. They are able to hear and participate in family and community conversation. They feel the familiar shifts and movements of their mother as she goes about her day, and they learn the movements of their dad and other caregivers. The mechanism that teaches balance is stimulated and develops through their babywearing experiences.

My children have all reached their motor milestones at expected times. They have all been alert and engaged in their surrounding. They have all spoken and understood language at an early age. Bekah said her first word at 4 months, and it was clear enough for strangers to understand.

To me, what Jenn Berman said was a drawback, is actually a benefit.


Elimination Communication:

Jenn Berman gave 2 benefits of Elimination Communication, which was great, but I guess she wasn't aware of the other 73 reasons listed on the DiaperFreeBaby website.

I guess Jenn Berman didn't hear the part in my interview where I said that Elimination Communication is not early potty training. Many ECers have found that the potty training struggles and regressions that Jenn Berman cited as being a possible drawback to EC, don't happen. In fact, DiaperFreeBaby lists reducing or eliminating potty training struggles as a benefit of EC. Difficulties such as these have more to do with how a child becomes toilet independent, rather than when.

As far as the public's comments I was again very surprised because I expected to hear a lot of negative comments, but there were very few. Of the ones that I did read, they were all just based on confusing EC with early potty training.


Placenta Ritual:

I knew there would be a lot of comments about the scene where we defrost, examine, and plant my daughter's placenta. Personally, I really find looking at the placenta interesting. My midwife has showed all of us each child's placenta right after birth, and explained different things she was looking for and what they meant. Each one was a little different. One child's placenta was really unique and beautiful, even more so the umbilical cord. We used it to make beautiful tree-like prints.

Every culture has a history of placenta rituals. Experts agree that family rituals are important and healthy. I don't think planting a placenta under a tree is any more weird than say saving a lock of hair from a 1st haircut or putting a tooth under a pillow for the Tooth Fairy.


Random Comments:

The funniest comment I read in the "random" category was that the weirdest thing about the AP family was the dad going outside in the snow in shorts. Now, first of all, he really does this. It was actually a really big deal for him during the filming. He insisted on wearing his shorts for comfort and for accuracy in the depiction of our family. He shovels in shorts, bbq's year-round in shorts, checks the mail in shorts, etc.

All in all, I think Radical Parenting opened up the dialogue I was hoping it would, and I hope it continues to do so. Please let me know your thoughts on the show and any questions that you have. Also, Gina from The Feminist Breeder, the "gender-neutral" mom is hosting Radical Parents Talk Back on her radio show on March 21st. All 3 moms from the show will be on. Here is the link:

http://www.blogtalkradio.com/thefeministbreeder/2010/03/22/radical-parents-talk-back

Happy Parenting!