Tuesday, April 07, 2009

nothing left to say

so my credit card for typepad billing has expired.  it's just a matter of going in to change the date to the new one, but it's gotten me thinking.

almost everything that i say now, i say on twitter, facebook, and flickr.  my thoughts aren't usually big enough for a blog.  i've read too many extraordinary parenting blogs to write an ordinary one.  i've thought about doing that monthly letter-to-child format, but when i try to think of what i would say to sammy this month, and last month, and the month before, it's always the same simple thing:

i'm so lucky.
i'm so happy.
you're so wonderful.

she's such an easy baby, i can't even write funny complaining stories about being up in the middle of the night with a screaming baby, or struggling with breastfeeding, or what have you.  maybe we'll have toddler tantrums and potty-training stories but right now i have nothing to say.  i love being a mom. i'm so lucky.  i'm so happy.  oh my god y'all, she's so wonderful.

that is all.

Friday, March 20, 2009

hanna rosin wants to hit me with a 2x4

the blogosphere, and even real-life gatherings of parents, are all atwitter about Hanna Rosin's article in the Atlantic titled "The Case Against Breastfeeding".

i have slightly mixed feelings about it.  there are some good points to be made. women in particular do tend to beat themselves and others up over parenting choices, even when they really aren't choices.  case in point, i'm still second-guessing my every move, wondering if there was something i could have done to avoid a c-section.  not that the end result wasn't totally perfect and worth it, but still.  anyway, anything that makes people who honestly did their best to breastfeed feel better about their decisions - especially the decisions that weren't really a choice - is good.  although rosin understates the scientific case "against formula", breastfeeding advocates are sometimes guilty of overstating it (although their reasons for doing so are possibly worthy?) 

so to the extent that the simplistic idea is out there that "breastmilk = superbabies, formula = dumb, sick babies", rosin is right.

on the other hand, maybe there is less of that than rosin thinks.  i've never met any of these crazed lactivists that defenders of formula insist are everywhere.  every breastfeeding advocate i've ever met has understood that while formula is an artificial substitute, and has inherent risks as a medical intervention, different mom-baby pairs will have different challenges, situations, and risk tolerances.  formula has its place, and the "lactivists" i've met aren't against its use in general, just against its nonchalant use, against potentially harmful marketing tactics in regions where constant access to safe formula and safe water are not guaranteed, and against breastfeeding-ignorance and breastfeeding-hostility that increases formula use unnecessarily.  if a mom only thinks she has low supply because she's been erroneously told that feeding her newborn more than once every 3 hours is going to 'spoil' her, or other misinformation about what's normal and healthy in a breastfed newborn, can't we be against the misinformation without being against the mom?

of course, it is hard to keep from judging people who take bigger risks than we are comfortable with.  i would never judge someone with legitimate supply and/or latch challenges who tries and does what she can.  i would never judge someone who had taken bad advice and sabotaged themselves unintentionally, or someone for whom external pressures (unsupportive partner, hostile workplace, or logistical challenges) force the issue.  but someone who just doesn't feel like breastfeeding?  intellectually, i know that her choice is a valid one.  formula is not poison and the risks are pretty small - more of a public health issue on a large scale than an individual issue in an otherwise healthy baby.  but while i can understand almost anything that would cause a mother who theoretically wanted to breastfeed to be unable or even just unwilling to do so, i simply cannot understand not wanting to breastfeed at all in the first place.  so yeah, i get a little judgy.  but that mom needs to understand that my opinion doesn't really matter, and i can't make her feel bad for her choice without her permission.

but what really drives me crazy in the article is this:

Breast-feeding exclusively is not like taking a prenatal vitamin. It is a serious time commitment that pretty much guarantees that you will not work in any meaningful way. Let’s say a baby feeds seven times a day and then a couple more times at night. That’s nine times for about a half hour each, which adds up to more than half of a working day, every day, for at least six months. This is why, when people say that breast-feeding is “free,” I want to hit them with a two-by-four. It’s only free if a woman’s time is worth nothing.

hey, you know what's a serious time commitment? a baby.  

let's leave aside the overestimate of the time involved, and let's leave aside the glossing over of the fact that formula doesn't magically make the baby eat faster - it just lets you hand off some of the eating time to your partner, while dramatically increasing prep time.

having a baby means changing your priorities. of course you can still work in meaningful ways while exclusively breastfeeding - i am.  what you can't do is work in meaningful ways, exclusively breastfeed your child, and do everything you used to do exactly the same way before you had the baby.

i watch significantly less tv now.  i read less.  i knit less.  i don't go to the gym anymore.  i go out socially a lot less.  i am not playing in my steelband anymore.  i even have to work harder at work to make up for time lost to pumping (which, ironically, gives me time to read a little bit.)

but it's utterly ridiculous to imagine that formula feeding would change that.  even if it gained me a little bit of "free" time (by taking away some of rebecca's "free" time of course) i would spend that time playing with my baby or just watching her sleep!  in fact, i treasure our nursing time.  i'm a mom now, and my life is no longer about me, me, me.

breastfeeding means that i'm responsible for feeding the baby.  but that doesn't mean, as rosin says, that we can't still equally divide the work of our household.  egalitarian marriages don't require every duty to be split exactly 50/50.  we split ours based on preferences and aptitudes - as long as one partner isn't constantly doing more work than the other, it doesn't matter if i always put away the laundry because rebecca hates the chore, and it doesn't matter if rebecca always cleans the bathroom because i hate it.  likewise, it doesn't automatically sink our chances at an equal partnership if i feed the baby 100% of the time.  the simplistic idea of splitting every task 50/50 is out the window, sure, but that never happens anyway.

for a stay-at-home mom who doesn't have to pump, breastsfeeding ensures that no cold, hard, cash has to be laid out specifically so that the baby can eat.  if that same mom were to formula feed, she would spend about $100 a month more than she otherwise would have.  the math isn't as simple for moms who work outside the home, but the general principle is still there:  breastmilk is basically free.  if you choose to formula feed, you're committed to spending actual cash, cash that someone has to go earn, on baby formula for a year.  it isn't discretionary spending, and you can't really go back to breastfeeding once you've switched to formula, even if it becomes a financial necessity.

i'm a knitter; i enjoy handicrafts and do them in my spare time.  i have some yarn someone gave me.  if i make a hat out of it, is it free?  yes and no.  i couldn't sell it for enough to "pay myself" even minimum wage for the time i spent on it.  but i didn't have to pay for it, and i enjoy having something to do with my hands while i sit on the bus.  so in that sense, hell yeah, free hat.

so yes, hanna, breastfeeding is "free".  it's free like walking instead of driving is free.  it's about quality of life and doing something to free ourselves, even if just a little bit, from the earn/spend cycle.  everyone makes choices about how to spend their time.  the kind of accounting you're doing, adding up the pennies and nickels you could have been making instead of spending time giving your child the best possible nutrition, counting the opportunity cost of all the things you'd rather be doing, is pretty distasteful to me.

 

Thursday, March 12, 2009

things i call my daughter

cuddlebug, stretchyhead, lovebug, yawnybutt, sweetiepie, cutiepie, cutiehead, sugarbooger, sugarpie, squirblebutt, wigglyhead, bobblehead, scrubblebutt, scrubblyhead, frownyhead, sleepyhead, fussybutt, fussbucket, smileyhead, smiley baby, happy baby, cutie baby, sugar baby, pretty baby, sweetie, sugar, darlin', punkin, munchkin

this child will possibly never learn her actual real name.

Tuesday, February 03, 2009

control

what i had control of, the decisions i could make, were these:  who my obstetrician was, and what hospital i delivered at.

what i didn't have control of... now there's a longer list.  my company chose the insurance company.  the insurance company chose their "reasonable and customary" fee schedule.  fate decided on a c-section.  reality insists that c-sections require anesthesia.  the anesthesiologist chose what medicines he uses, and he chose what he charges for whatever he gave me.  i cannot for the life of me figure out who chose the anesthesiologist - he was just the one on duty, he was the one available to someone who had chosen a hospital and an obstetrician who were in-network providers.  and yet somehow, despite having made every choice i could (a total of two choices) to ensure that all of my providers were in-network, having felt completely reassured that the delivery would be completely covered by my insurance, it turns out that the anesthesiologist - the guy i was so happy to see when i needed him - he is NOT in my network.

my generous insurance company, those good samaritans... they cover 100% of out-of-network providers during childbirth. wonderful!  except that there's a huuuuuuge disconnect between what the insurance company thinks he should charge, and what he actually chose to charge.  and they sure don't cover 100% of that.

so because two entities i did not have any control over choosing - my insurance company and my anesthesiologist - cannot agree on what is reasonable and customary to charge a woman who requires numbing before she is sliced open, i have to pay the difference.

for the curious, this is what an anesthesiologist thinks is reasonable and customary: $3000.

this is what an insurance company thinks is reasonable and customary: $901.

this is what i, who had no voice in any of these decisions, have to pay: the difference.

this is shit.  this is a broken system.  i did everything right, i did everything i could, to have a 100% covered birth.  i even tried as hard as i could to not require anesthesia at all - something a lot of women don't bother doing, which is their choice, but not the one i made.  what a slap in the face, after my body failed to do what i asked of it - deliver naturally - to now owe $2099 for the privilege of being numbed before surgery.

Tuesday, January 13, 2009

seriously confused, y'all

Ok so. I feel like a complete idiot and like I should totally know the answer to this but I don't.

Babies sleep through the night, sometimes, I hear. It's a rumor going around. I've even heard that some babies sleep like 10 whole hours at night.

My question is this: what about the diaper?? How does this work? On that blessed day when/if my baby ever sleeps, like, a whole seven hours straight, doesn't her poor behind suffer the consequences?

Saturday, January 03, 2009

how to get a 5-week-old baby to sleep

9:00 pm

it is near bedtime.  nurse the baby, change her diaper, put her in some warm pajamas, and rock her until she's sleepy.  it's best to put them to sleep drowsy but awake, you know.  good sleep habits start now.

9:30 pm

aw, she's fallen asleep in your arms!  place her gently in her crib.  it's actually good that she woke up a bit and is stirring.  she'll settle herself in a minute.

9:32 pm

she's crying.  pick her up and rock her.

9:34 pm

what's that noise?  she pooped!  change her diaper again.

9:39 pm

she'll be sleepy again any minute now.  dance her around the house until she is.

10:17 pm

i think she's asleep.  is she asleep?  no, she's not asleep.

10:29 pm

she's asleep.  place her gently in her crib.  stand nearby for a few minutes

10:34 pm

hooray!  creep into your bedroom and lay down.

10:35 pm

she's crying.  pick her up and rock her.

10:37 pm

dance around the house again until she's sleepy.

10:49 pm

she's fussing.  and is she chewing on her hands?  i think she is. she can't be hungry yet. give her a pacifier - she probably just needs to suck.

10:50 pm

pick the pacifier up off the floor.  blow on it to sterilize.  return to baby.

10:51 pm

pick the pacifier up off the floor again.  she doesn't want a paci, fool, she's hungry.  but be smart about this!  change her wet diaper first so you can put her down when she falls asleep nursing.

10:53 pm

oh no, the diaper leaked. replace her pajamas.

10:58 pm

nurse the baby.

11:01 pm

she's asleep.  but she didn't eat long enough.  she'll be up again in a half hour.  wake her up to eat more.

11:03 pm

she pooped - yes, in the diaper you changed 10 minutes ago.

11:06 pm

she spits up all over while you're changing her diaper.  get a new outfit.

11:08 pm

settle back down to nurse.

11:09 pm

she's asleep again.  wake her up to eat more.

11:14 pm

she's asleep again.  is that enough nursing?  i think that's enough.  stand up.

11:15 pm

she's wide awake.  dance around until she gets sleepy.

11:34 pm

she's asleep, but keep dancing so she's sure to be deeply asleep when you put her down - screw that drowsy-but-awake thing.

11:42 pm

place her gently in the crib.  sneak away quietly.  but don't get into bed just yet, since she might wake up.

11:53 pm

ok, it's safe to get into bed now.

11:54 pm

she's crying.  pick her up and rock her.

11:57 pm

she's still crying.  why is she still crying?

12:01 am

oh, her diaper was wet.  that's why she was still crying.

continue until you finally manage to get a sleeping, full baby in a clean diaper and pj's.

i have read that around 5 or 6 weeks, breastfed babies usually stop pooping every time they eat and slow down to 1 poop every few days.  i am looking forward to this A LOT.

 

Thursday, December 04, 2008

baby!

samantha jo was born on wednesday, november 26th, at 1:02 am!

she was 6 lbs, 12 oz, 19.5 inches long.  she's very healthy, had apgars of 7 and 9, and was incredibly awake and alert after the birth.  she's eating like a champ - actually the breastfeeding thing has gone a lot more easily than i expected so far.  not easy exactly, and certainly not painless, but it works.

the labor and birth were very difficult.  i went into labor around 6 pm on monday night, the 24th, after an exam where the midwife said there were no signs i'd go soon :-).  the contractions started out way closer together than the books say, although not unbearably painful.  so i wasn't able to rest or labor at home as much as we wanted because we didn't know how far along i was.  we did go back home for a while after we went in the first time, though.  anyway i ended up stalling out at 6 centimenters for hours.   we decided to go ahead and break my water to see if that would step up the frequency of the contractions, which had spaced out.  it didn't make them much closer together, but it did make my already very strong contractions even stronger.  awesome. 

rebecca had been talking me through them very well, helping me breathe instead of just yelling.  also whenever i'd get another update of "you're still at 6!" i would pretty much freak out, so she had to talk me down from that too.  after a few of those stronger contractions, though, i had had enough.  it felt like i was being torn apart.

i made it until 6pm on tuesday without medication, but i hadn't slept since sunday night, hadn't eaten since 5 am, and nothing we were doing with different positions, etc seemed to be helping.  when they told me that the stronger contractions probably weren't doing anything more to dilate me, since they were still so far apart, i couldn't do it anymore.  so i had an epidural and a low dose of pitocin to help the contractions along - the baby was tolerating everything beautifully - and pretty quickly made it to pushing.  pushing seemed to be going well - i thought it was going well - but then the midwife noticed that the baby's head was sideways and was not turning.  usually the head has already turned to the anterior by the time it descends that far, and sometimes it stays posterior and that's ok too - but when there is no other way (like a funny shaped pelvis) the baby turns her head sideways and gets stuck.  this might be why it spaced out so much, too - she was tring to turn and couldn't.

the midwife brought the ob in to confirm and he tried to turn her a few times but no luck.  so we basically had no choice but to go for the c-section.  my parents, who i had put on labor alert around 11pm monday, had left jax at 11 am tuesday, arrived at the hospital in dc around 11pm just in time for this news.  last they had heard, i was pushing.  so, silver lining, at least they were there for the birth.

the surgery was... unpleasant.  it took a while to get totally numb, and i was feeling nauseous, exhausted, and disappointed that after all our preparation and resolve to do this naturally, i had ended up with the epidural, pitocin, and a section.  when rebecca finaly was allowed in, they got started and for all their reassurances that getting the baby out only takes a few minutes, it took a while.  apparently she was really, really stuck.  they were practically standing on my chest wrenching her out.  my blood pressure crashed and so the moment my daughter entered the world, i felt absolutely horrible.  i had the shakes so bad, and i was drowsy, and my sternum hurt.  rebecca says i was really scaring her because i was so out of it.  but i cried with joy anyway.

Samantha 007

Thursday, November 20, 2008

no baby yet

t minus 9 days and 14 hours until due-date.  guys, that's single digit days.  phwoa.

so i went to the midwife yesterday.  for the past three weeks, i've gone every week and she's gone in to see what's going on down there in my ladybusiness.  i've been hoping that one of these appointments will go something like this: "oh, you're in labor already!  you're almost fully dilated.  those little twinges you're feeling are real contractions, even though they don't hurt (wow, you are tough!)  so let's get you to the hospital and have this baby!"

that hasn't happened yet but there's always next week.

anyway, instead of telling me there's been any progress it turns out that i'm still where I was 3 weeks ago.  for those of you who like to hear information about my cervix, that would be about 50% effaced, less than fingertip dilated, and with the baby dropped but not engaged.  for those of you who don't, i hope you stopped reading before i said that.

i'm pretty convinced that i won't be pregnant forever but i may have jinxed myself into being at least a week late by allowing christmas in-law plans to be made that will "only start to overlap with my mom's post-baby plans if i go past december 6th".  oh the hubris.  it's not like it will cause major problems, but making any plans that assume i won't be more than 6 days late - what was i thinking?

i take two-week interval pictures on sundays, and i'll post the 36 week version in a minute, but this past sunday (38 weeks) i never left the house and may or may not have stayed in my jammies all day. soooo, no 38 week picture.  maybe i'll take a 39 weeker.  suffice it to say i look pretty much the same only bigger and uncomfortabler.

i'm trying to decide if i should just go ahead and start my leave after thanksgiving anyway, even if i go past my due date.  i'm thinking yes.  because nothing makes a baby come faster like sitting around twiddling one's thumbs, right?  ok, no, but my clothes and shoes don't fit so great these days, and it's cold, so i end up wearing 15 different layers to achieve both coverage and warmth when i leave the house.  it's a good look.  kind of like homeless meets medieval peasant.  i wouldn't mind a few days of sitting around in yoga pants playing guitar hero, especially because my leave seems to be measured in weeks, not days, so working on monday and tuesday and then going into labor on wednesday wouldn't buy me any more time with the baby.  i think.

my appointment next week is on monday, so think dilatory thoughts.  there's still a chance i'll go early, fast, and not even notice until i'm almost done.

36

Tuesday, October 21, 2008

oh yeah, i have a blog

so i meant to at least do a counterpart to the 10 weeks down, 30 to go post.  you know, when it was 30 weeks down, 10 go.  that was 4 weeks ago.

well, you see, my excuse is that pregnancy blogs are so DONE.  there are so many out there that say anything i could possibly have to say about pregnancy, only better or funnier.  go read those!  it's how i feel.

and of course i am not thinking of anything else, ever.  except sometimes when i'm thinking about politics and especially, you know, the gay marriage thing. but i have been trying with limited success to avoid such things because they angry up the blood.  i wouldn't want to be diagnosed with pregnancy-induced hypertension when really it's just election-induced.

there was some small drama, a few weeks ago, when i barely failed my initial glucose screen and for a little while had to entertain the notion of being gestationally diabetic.  but i wasn't, and that was that.  except for the syruppy awfulness of the 100-gram glucola and the horribleness of how one feels during the sugar rollercoaster of the 3-hour test.   but like i said, there are people who have written about that already, better and funnier than i could.  so all i have to say about that is how lovely my midwife is, because she let us hang out in her office where i could lay down in the recliner.  far, far better than suffering through that in the waiting room.

so, we can expect to have a baby in anywhere from 3 to 8 weeks.  but probably more like 6.  no more than 8, because they'll go in after her.  and of course how much that is simultaneously thrilling and terrifying has already been talked about in other places, better and funnier than i could say it.

but it's all true.  it's all little panic attacks about how i'm actually going to go into labor soon, and then i'm going to birth a baby, and then we will take this baby home where, like someone else already said funnier than i could have, i will attempt to keep her alive using only what i keep in my bra...  but i can't wait and every day that goes by goes a little slower and i'm going crazy with the waiting except for the fact that there's nowhere near enough time to get everything done, of course.

also, it really is hard to sleep when a 5-pound creature is having a wiggly dance party in your uterus.  and it really is funny how clever everyone thinks they are when they say, "get some sleep now!" like no one in the history of pregnant women has ever thought of saying that before.  dude, I'M TRYING but there's this DANCE PARTY GOING ON.

anyway, 34 weeks:

34

Monday, July 14, 2008

halfway there

we came home from work today and there was a baby on our doorstep.

ok, no.  but there was a baby carrier on our doorstep.  the first registry item made its way to our house today, courtesy of my uncle and aunt in miami.  the little stack of baby stuff we've been slowly accumulating - a hat, a couple of bibs, etc - is one thing, but having a car seat/infant carrier sitting in our living room is just wack.  it's like we're going to have an actual baby here soon, or something.  haha!  that's crazy talk!

Photo

OH YEAH: IT'S A GIRL

so we had our 20 week ultrasound on friday!  it was so incredibly cool. i feel a lot of kicks and squirms these days* but apparently there's a lot going on in there that i can't feel, too.  anyway so the tech puts the gel on my belly and starts doing her thing.  the first thing we could see was the head and the belly, and then the picture changed and i said, "is that the little butt?"  the tech said it was.

now, i am a google MD, and our sweet baby was in a highly unladylike position. i saw the hamburger.  at least, i was about 90% sure i had seen the hamburger**.  i said, "is that the hamburger thing, the three lines, the girl anatomy, right there?"  the tech said, "i'll come back around and do the sex at the end.  otherwise everyone laughs too much."   gah!  but i was pretty sure.

anyway, finally, after doing a bunch of silly stuff like making sure all four chambers of the heart were there and that the brain looked brainy and kidneys looked kidney-ey and measuring limbs and stuff, she finally confirmed that indeed, we are having a girl.  yay!  we would have been happy either way, of course.  it's just nice to know and be able to address her by her name and call her "her" instead of it.

i wasn't thrilled with either the quality or the quantity of pictures printed out for us - they come nowhere near the experience of actually seeing her on the screen.  the best one we got somehow makes her spine look melded to her umbilical cord, and the effect is very tail-like.  and having a tail is so 8 weeks, mom. 

* you know this already if you've been following my twitters, which you can find over there on the right providing fascinating updates between posts - microblogging!  because i have microthoughts! - but it was just a couple of days after that post down there that i felt a couple of distinct kicks, and in the past 2 weeks or so it's become downright powerful and startling and frequent.  i sometimes bust out laughing when a particularly strong one takes me by surprise... it tickles a little, but mostly because it's just so damn cute.  anyway, i'm not sure if i'll make it back to the big gay pregnancy group since our bradley method classes kind of interfere with the timing, but at least i know that i won. 

** rebecca hates it when i say "hamburger" in this context.  she says it's gross.  i'm sorry, honey.  that's just what teh interweb calls it!