Archive for January, 2010

calling for some sort of change

from Our Babies, Ourselves, p. 146

In more affluent Western industrialized nations, parents assume crying is first and foremost linked to hunger. In fact, some women in these cultures often end breast-feeding and turn to bottle-feeding because they believe excessive crying by the baby means he is not getting enough nourishment from the breast. But researchers know that early crying has a broader range of functions. It can be stopped by various methods, and food is not always the solution. In the 1960s, an era in America when parents were advised to let babies cry, Wolff ran a series of experiments to figure out just why these kids were so unhappy. He tried a pacifier to determine if oral gratification, without nourishment, would calm a screaming baby. It worked. He next tested a series of newborns with wet diapers. Wolff put clean diapers on half and put the wet diapers back on the other half. Both groups were quieted and didn’t seem to care if the diaper was wet or not. Wolff concluded that babies simply like the stimulation and physical sensation of being changed. He then questioned the idea that babies cry when they are cold, and so placed some infants in cribs heated to 88 degrees and others in cribs set 10 degrees cooler. Those in the cooler cribs cried more frequently, indicating that warmth, too, can reduce crying. Wolff investigated this notion further by layering some babies in clothes, covering others in various positions with blankets, and lightly swaddling others. Their reactions varied; some cried when covered tightly, others liked it tight. Finally Wolff tried the classic parental response to a crying baby. Using a group of crying babies who had to be artificially fed by tubes into their abdomens for medical reasons, he fed them this way until their stomachs were full and waited to see if satisfying their hunger would quiet them. Surprisingly, a full stomach did not stop these infants from wailing. Wolff also discovered that simply picking them up worked perfectly well as a cry-stopper, even if they were hungry and waiting to be fed. In general, he concluded picking up a baby, giving it a pacifier, or feeding it — not for the nutritional value but for the physical contact — worked best.

As most parents intuitively know, crying is not just a signal of hunger. Even in newborns, it communicates much more — the need for touch seems to be especially important; and clearly a crying baby is announcing its internal state and calling for some sort of change.

I love this book, it just has so much evidence inside. And I love the image of this man, Wolff, running around in the warm dark with 20 babies, sticking pacifiers in their mouths and putting their soaking wet diapers back on. I know it must have been more scientific than that, but really it feels like something out of a story, some strange story where a man is trying to get all these babies to stop crying and learns at last that they just want to be held.

bath time

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(I’ve been updating my iphoto and exporting almost 7,000 photos from last year onto an external hard drive. I’ve finally had a chance to put the week’s photos up on flickr.)

what i didn’t expect

I didn’t know that Rosie would cry when she saw her brother for the first time. Really sob as she held him.

Feedings are every two hours, but oh that means every two hours start to start. Which means that, if he’s nursing for an hour, I have an hour to not nurse him before I nurse again. This morning I nursed him, put him in a sling, picked up some clothes, cleaned the kitchen, made oatmeal, and he asked to be nursed again before I’d had a chance to eat. And lunch didn’t happen.

I didn’t realize I’d only have one hand for most of the day. Typing is so slow. Thinking is slow when I type so slowly. Googling is slow. But yes I can read. I can read with one hand so well. I read actual books, whole books, with plots and denouements.

But it is difficult to do dishes with one hand. I pick up a lot of clothes with my feet. It is impossible to bend over the washer and scoop out clothes and put them in the dryer with one hand. Thank goodness the boy seems to like the rumbling feeling of the dryer when I place him on top of it (I am projecting here. I don’t know how to read him just yet).

The dogs have not made one false move. Today Joon gently put her head on the pillow beside the boy as he slept. She very gently licked his hand. Moby has not jumped on me as I’ve held the baby. He waits to be told to be let up on the bed if I have the baby in my arms. They are good to him and respectful. I knew they were smart dogs, but I thought their jealousy would take over and it hasn’t.

I didn’t know that nursing would feel like glass shards cutting through my nipples. Apparently this is more common for fairskinned people and redheads, and on the internets it says it will get better. Someday in the next three months, if the baby and I haven’t cried ourselves saltless by then, it will get better, I will get calloused.

I don’t even care if he’s mine biologically. When the midwife put him on my chest, I didn’t even see what he looked like. I don’t care what he looks like. I’m already over wondering who he looks like. He doesn’t look like me or Steve, he looks like himself. If the doctors had given me a decoy baby I would have been just as content. It makes me realize that adoption, if it were possible for us (it’s not, or at least without a big fight, for complicated legal reasons), it would be possible to love a child that way, too. I just thought I would look down at this new baby and see that he was my son, but I look down at him and feel connected, but mostly I see that he is very much already his own person.

I am intimidated by him. I laughed at myself when I thought this the other night — only I would be intimidated by a three-week-old baby. But I’m startled by his will. He tells me what he wants better than I think I’ve ever been able to tell anyone what I want. If he wants me to walk around, he lets me know. If he doesn’t want me to nurse him lying down, he fusses. If he’s hungry he demands food. He has so much strength to keep himself alive, it shocks me. I thought he would come to me more helpless, but he comes to me ready to coexist with all his might. I thought that if I didn’t hold his head like an egg that it might snap off, but, while he has typical newborn floppy neck, there are some muscles, it doesn’t snap off.

I knew it would be exhausting, but what surprised me is the exhaustion from all sides. I’m still recovering from labor — it takes six weeks to stop losing blood, and my intestines and other internal components that left- or right-aligned for a bit have to shift back to center — and still feeling frail and creaky is exhausting. The pain of nursing is demoralizing. The intent attention on one small being is a meditation on a fixed point all day, everyday, and his life depends on it. Waking up every two hours to nurse or change diapers or console is disruptive, even if the nighttime feedings are already often my favorite time of day. And everything is so new, the learning curve is so steep, each everyday detail takes attention as if I were learning to walk again: how to get toothpaste on the toothbrush while holding a baby, how to go to the bathroom while holding a baby, how to sleep beside a baby, how to time dinner so the baby doesn’t wake hungry right when we sit down to eat. And yet if I were to explain this time, these first three weeks and nine minutes, I wouldn’t say it’s exhausting. We’re alive and enraptured. Very alive, and constantly cuddling.

The bounty of love from others. The food and gifts and cards and emails and visits. I had no idea people care so much and know me so well–and know just what to do. Despite feeling a bit cooped up for the winter, I feel very much not alone.

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back labor

from Our Babies, Ourselves by Meredith F. Small (pp 8-12)

Unlike apes, who hang from the trees with long arms and walk along the ground balancing their weight on the surface of their knuckles, individuals in the human line stood up on their back legs. … [H]umans, and our ancestors, have used bipedal walking as the primary form of locomotion. That switch to bipedalism eventually brought us the pain of childbirth.

The sacrum, the lower back, is wider and thicker and it angles into the pelvic opening to help support the internal organs in a creature with a shifted center of gravity. And so, right in the middle of what should be a clear hole for infants to pass through, there is a point of the sacrum coming radically close the the pubic bones of the front of the pelvis–a detour sign for emerging babies that arose when humans stood up on two legs.

And so the infant enters the birth canal at a side angle, twists to accommodate the midsection, flexes the head down to bypass the squeeze at the sacrum, and ends up coming out face down. Since the outlet faces more backward than downward, the baby also has to bend a bit and thus comes out at an angle facing the mother’s back. The shoulders follow a similar path, dipping and twisting; but since the head is then already out, this requires the execution of a head-body twist…

bodies

I am a body to the baby, with fluids and hormones and arms.

At night his eyes don’t close unless mine are closed next to him. My breath is slower. The breast pump is beside us, and when it’s on I hear his breath change–race–to match it.

I am a body with food inside. He is a strong suckler–the doctors are amazed by the strength of his mouth around their latex-covered finger. I have been stunned by his strength, left bloody and cracked and crying by his strength. The pain is extraordinary. I see his mouth coming at me and my brain hurts. I cradle him so gently and coo and dig my toes into the floor. I practice yoga breaths until I am a windy day on his forehead. And rainy, crying.

The lactation specialist tells me to feed him my milk from a bottle (nipple confusion! nipple confusion!) for three days to give myself a chance to heal, dried blood on his face. A weekend of grief, certain that my boy will love plastic more than flesh because of this rough start. Hormones are everything. And sleep, too. I kneel on the kitchen floor and cry. I cry in bed listening to the milk machine, which hurts me, too. Two ounces at a time. Once the milk was pink but now it’s cream.

I air out my flesh at night but last night my body cried, milk all over the fitted sheet, one towel and then another between me and the baby. I folded and folded the towel to keep him dry, the milk came out warm but in our drafty house the bed feels cold so fast. Milk all over, but none would go in the bottle, none in the boy’s mouth. We wake exhausted and hungry, one ounce ahead and then one ounce behind his wants, and his wants are his needs.

Body and spirit. He’ll know I’m tense because my milk won’t let down. I breathe. Still cracked. I stare at his face and think of milk waterfalls and painless milk and milk baths and milk boy skin. Soon boy we will be back to skin to skin.

naming

The name Henry won because I loved it even after it had been through a war.

1. I didn’t pick it. Steve and I came to the relationship years  ago with some dream names for our babies. Steve’s boy name was Henry. I like to be the creative one (I’m whining as I say this). I wanted a name that came from somewhere in the ether that I pulled into being, not a name that someone else suggested.

2. I had no idea until very recently that Henry and Hank were related names. But I knew that Steve had a Grandpa Hank — or more specifically a step-grandpa Hank. (Steve’s dream baby girl name is his grandmother’s name. And he’s pushing already, if we have another boy, for him to have the name of his father. That seems a little much, though he insists these names aren’t after the people, he just likes the names). What I know of Grandpa Hank is he was an abusive alcoholic who pretty much abandoned his children and who liked to pee just about anywhere. Not a positive namesake. And the thought that anyone, especially Steve’s stepfather, would think that I chose the name Henry because of that alcoholic man, that would be unbelievably inaccurate. It took me the full nine months to come to terms with the relationship between the name Henry and the infamous step-grandfather. And each time I said the name Henry as a possible baby name and someone said Hank my heart would sink. Please no one say Hank.

3. Because, familial connotation aside, I don’t like the name Hank. It sounds like something you use to blow your nose. It sounds like a swear word. Steve says that males may like the name more than females — it has a swift sharpness and toughness about it, he says, but I don’t hear it. In a way our compromise is that he got his dream boy name as long as he insists along with me that the name Hank is not attached to our boy.

4. The name Henry is getting more popular. It’s in the top 75 names this year. I was hoping for a more unusual name. But I also wanted a name that could blend into a poem, that didn’t poke out as too unusual and change the fabric of the poem. And I’d never known a Henry. But a couple of days before Henry was born, a friend wrote to say that her friend just gave birth to a boy that they named Henry. It seemed like the name was everywhere.

5. The name means nothing poetic. It means something like ‘Ruler of the house,’ which I also hope won’t be true in our house. Though my name means ‘Owner of the land,’ so I shouldn’t talk.

6. Steve and I went to the elaborate Catholic wedding of his cousin and his cousin’s wife a few years ago, and a couple of days before I went into labor, his cousin’s wife wrote me to say that her husband left her and their son Henry when he was six weeks old. Just to let me know, because I sent her a card with both of their names on it. And their son Henry was born on January 6, a year exactly before ours. That name became doubly cursed and compromised. At that point, I seriously thought that that name was out.

We had our shortlist of names that we took with us to the hospital. Henry was on the list, as was a name that I thought might fit a boy who — I am generalizing here — seemed sensitive, and a name that fit a boy who seemed to blend into me, and a name that was more sharp yet sort of effeminate. Four names to choose from. I wanted to see this boy to know. And Henry was born and he came out so strong yet also careful. The name Henry feels like that to me — it has a gracefulness to it, I like how my mouth moves through it, the H sound, the delicateness it takes to say the N right next to the R, and the diminutive quality of the E sound at the end. And we in this house, we love our underdog stories. So the name that came from behind and that was hammered from all sides, it became the name that best fit the energy of the new boy. It really fits him; I haven’t looked back.

changed

Rosie said last night that she’s seen in movies how people are changed when a baby comes. She cited “Waitress.” You guys don’t seem very changed, she announced. (She’s a tough crowd.)

Steve told her that in the movies those people weren’t ready for for the change, and the change surprised them. We were ready, our lives were prepared for this.

I told her that our lives already changed, we already have kids. Steve was, according to the way he tells it, detaching from reality before Rosie was born. She brought him back to earth, away from heady philosophy and typical 20-year-old selfishness. When I met Rosie I was a rich Catholic super-educated privileged selfish 23-year-old. It took a massive pivot in my sense of the world in order to be the person this particular nine-year-old (and her three-year-old drooling sidekick) needed. Rosie brought about the biggest change in me, more than anything else in my life.

I also told her that a lot changed in order for us to choose to have Henry. We were changing as we were deciding to go through IVF, to love one another under such trying circumstances, and changing as we prepared our home for this person we hadn’t met yet.

I also told her that often change happens afterward — the baby comes and then a year later the parents are ready to alter their lives. Or it takes that long to kick in.

What I wanted to say is that I have changed since his birth, even if the change is visually subtle. I feel incredibly grateful: blessed. With all the chaos and pain in this world, one healthy boy survived inside of me and came out whole and strong. Since his birth, I’ve stood in the shower and cried for all the women who went through the nine months of transformative tending and then the pain of childbirth — to give their baby up. I’ve cried for all the mothers in Haiti giving birth without even a hospital, under circumstances so much more chaotic than what they had pictured.

Just after Henry was born, my friend gave birth to a 1 pound 5 oz boy who is right now fighting for his life, and so there is no way I can be so terribly upset that my nipples are bleeding from the trouble I’ve had nursing. I am not opposed to adversity, and I believe that we are given the lessons from which we can bear to learn, but at night the shoulders of this new boy stick out from the blankets beside me, and he’s managed to squirm so close to me that our breath is touching, and I am awash with gratitude. I feel connected to all the mothers and babies, and shocked by this kind of love that is for one boy but really, without trying, it’s for everyone.

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hair

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Not red, but reddish.

His eyebrows are gold, his eyelashes are clear like Steve’s.

Around his temple it’s pretty orange, and on the back of his head it’s brown.

Though Jack was born with light brown hair and then it fell out, like most baby hair does, and in its place grew in the whitest blond.

And it’s hard in photographs to gauge his hair color because the lights in our house turn everything a little more gold, but when I go into the color settings and add more blue for accuracy, his skin starts to look sickly pale.

So he has to be seen in person, that’s the point.

labor

(There’s so much I want to say about the labor, but Henry’s sleeping and I have two hands to type so I’ll just have to write more later as it moves me.)

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Chronologically:

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On January 5 at 3:30 in the afternoon in my appointment with the midwife I was 1 cm 50% effaced — which is what I had been two weeks before. This was discouraging news, and because I was already three days past my due date they made an appointment for me to have an ultrasound and they scheduled a day for me to be induced.

Not twelve hours later, on January 6 at 2:30 in the morning, I awoke and knew I was in labor. I called the hospital because there was a lot of blood, and by 7 in the morning we were in the hospital and they had a funny belt strapped to me and could see I was having contractions. At that point I was 4 cm 80% effaced, but really I could barely feel the contractions the screen said I was having – it just felt like cramps. They asked if I wanted to be admitted then, but we chose to go out to breakfast and wait to come back until the contractions were too much to stand.

At breakfast at 8:30 I suddenly felt the beginning of what would be a day of pain. I could feel it in my back–the beginning of almost twelve hours of back labor. I stayed in the house with Steve and together we got through the day, which went surprisingly quickly, first with me on my side and then standing, then pacing, then leaning over the birth ball, then on the kitchen floor, then on the toilet, then on the bathroom floor, then back to leaning over the birth ball. I was trying not to go into the hospital until the pain became too bad (in order to prevent me from having to be induced), and I couldn’t talk through the pain for a long time but still I stayed in the house until finally Steve fed the dogs and put the birth ball and our bags in the car and Rosie, too (she had come home from school and found the house filled with another sort of energy, and through it she was polite and tried her best to keep her father in good spirits). I fit myself in the backseat on my hands and knees and we drove a very bumpy-seeming road to the hospital.

As soon as we got through the two-contraction hallway and then the three-contraction hallway and made it to our room, that’s when I started feeling the need to push. I was 6 cm 100% effaced, a discouraging number after a day of labor, so I got in the tub and an hour passed and then my water broke. Water does break, I didn’t break it. The action was in the water itself — it’s astounding the pressure of that bursting.

The midwife had me get out and found I was ready, 10 cm 100% effaced. There was no way to not push, I could not have stopped myself anymore than I can stop any other impulse to eject something from the body, and I pushed first on my hands and knees and then on my back and then on my side while Steve put a cup of water to my lips, then five more, and in an hour I pushed out a head and then the body popped out and there was a baby underneath my left leg.

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What I know:

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Over the day I kept a post-it note and marked the minutes each time I felt pain, but the contractions weren’t regular – 6 minutes, 5, 3, 4, 5 minutes. Everything online said that these were Braxton-Hicks contractions, not real, and so it wasn’t until after 2pm when we called the midwife again could I actually believe that this would be the day, that I really was in labor. The midwife assured me that everyone experiences contractions differently and that I would know when to come into the hospital because the pain would be too great. That is what happened. In the post-it note the written time becomes increasingly illegible.

At first I needed Steve there, in our house. I wanted him right beside me on the bed, right with me on the kitchen floor, I wanted him timing the contractions for me and writing them down. I wanted him to know when I inhaled the word pain what I meant. And then the pain got so bad that I just wanted to be on my hands and knees on the bathroom floor all by myself. I went into a cave in my mind, and in between contractions it seemed that I was asleep. My brain would shut down, my body would go limp, I would somehow intuitively store my energy. And then another wave would start and I would be awake again, though very rarely with my eyes open. There were no sights, no sounds, no smells. I was my breath and a dark space with a lightning bolt of pain at the base of my spine that I could not find a way to move away from. But then in the hospital I needed Steve again. Maybe it was a new phase, or maybe because the place was strange, maybe I felt vulnerable around people I didn’t know, and the lights were so bright – but each contraction in the hallway I needed to bury into his chest. The bath was warm but he wasn’t in it. I liked standing and burying into him best. The contractions were getting more and more painful and there was so little time in between to come back to reality.

You’re really beautiful right now, he said when I was on the table and pushing, in between pushes. Your lips are red and your eyes are dark.

I thought I would be more modest. I was naked and groaning and the lights were bright and at 7pm, the shift change, there were maybe ten people in blue in the room with me and I didn’t know or care.

While some say the pushing is the best part – you get to take the pain and act on it, use it for an end that is in sight – the pushing was the worst. The pain in my spine was so great I couldn’t bring myself to push into it. I could barely raise my legs let alone hold my knees and push into the pain like the midwife asked me to do. Apparently just one hour of pushing is very good for a first labor, but I’m not sure if I could have pushed much longer. It was in this phase that I thought to myself, Could I do this again? and felt like I couldn’t, I couldn’t imagine having another child knowing that I would feel the intensity and duration of this kind of pain again. Now, of course, I’d do it again as soon as possible. Perhaps I lack empathy for even myself, but I can’t remember what the pain was like, I can’t imagine that it really hurt that bad.

The midwife who caught our baby was the only one we had said we didn’t want – there were seven others that might have been on call that night, but she was the one. She’s the more talkative one who jokes a lot; I wanted someone more reverent and official. I feared my parents would meet her and shake their heads at my choice of a midwife. I didn’t notice her, though. Anyone could have been there delivering my baby and I don’t think I would be able to tell you a thing about that person. Except this about this midwife, this incredulous detail that is probably too much information: when the baby’s head was coming out, as the baby’s head was being pushed out of my body with all my might, the midwife said, Oh look, he has so much hair, and she made gleeful sounds as she twirled it. Look, you’re giving him his first hairdo, the nurse exclaimed while I went back into the cave of my mind to prepare for another wave of pain.

You’re doing so good. He’s almost out. You’re doing so good. You’re beautiful. Steve said all these things and held one of my legs when I pushed and held my hand and put me to his chest and gave me water. He got to see everything in this way that even I couldn’t. There is so much love and awe in that, and the reverence of birth, of witnessing, it lingers in our house.

In pushing out the baby’s head, I tore through skin and muscle enough to warrant lots of stitches afterwards. But I did not feel that pain at all. Not at all. There was too much else going on, too much other pain with the baby inside of me, I had to get him out. It’s amazing to me that the body can tear through its own skin and muscle and not even notice.

When my water broke, there was meconium, which means the baby might be under some distress, so at the birth they paged pediatricians. I had wanted the cord to pulse for some time before it was cut and I had wanted the baby to rest on my chest as long as possible to keep him warm and to help him know that he was home, but they put him on my chest and asked Steve to instantly cut the cord, then they put a blanket over him and took him to a table and drew fluid out of his lungs and put drops in his eyes and checked him over for any distress. There was none. They brought him back to me for another short time, then they took him away again for too long. I was in a daze. He’s been gone for a long time, I remember saying to Steve and staring at the heat lamp under which I could hear him screaming, and then they brought him back to me.

I was afraid of so many things for his birth – that I wouldn’t be able to take the pain, that I’d ask for an epidural, that some distress would warrant a C-section, that he would be born with only one leg or a cleft lip or a face distorted in a way that the ultrasound couldn’t detect, or he’d be born and I’d know that they’d put the wrong embryo in me from the start. Everything I feared dissolved. There was a baby screaming underneath my left leg. He was born and cried instantly and he didn’t stop for a long time. I knew at once that he was strong. He looked unbelievably sturdy curled up there at the base of the bed screaming his heart out, his skin already the color of mine, not blue. His hair looked much darker than I thought it would. His body looked bigger than I pictured. I didn’t get to see his face, I saw a screaming mouth and then the top of his head when they put him to my chest, and he turned his head on his own so he could breathe. As vulnerable as he was, he was intent on keeping himself alive.

I wondered about the rush of oxytocin that the body experiences after a natural birth, but I didn’t feel it so strongly. They injected me with pitocin after he was born so that I wouldn’t bleed from the afterbirth, and then they were back between my legs shooting numbing agents and sewing me up. I was shivering and the pain of the stitches was too much after the climax of pain of labor, but through this I felt exquisitely calm. Maybe that’s the experience of oxytocin: I was calm, and I knew beyond a shadow of a doubt that my baby was fine.
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What my mother saw:

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I called her at 8:30 in the morning and she and my father and brother drove all day from Pennsylvania. They were in the waiting room by 7pm, and at 7:30 my mom walked down the hallway to my door and the nurse said, I don’t think you want to go in there right now – this was less than half an hour before the birth. They watched “Modern Family” in the waiting room while Henry was being born, my mother most likely chewing nervously on the inside of her lip. They saw a man crying on the ground — he had lost his baby. His mother was crying next to him: I didn’t even get to hold him. They talked to a set of young parents whose baby was born at 24 weeks, 1 pound 4 ounces, and the man had just lost his job. At 7:45 my mother saw nurses wheeling in the bottom half of the birthing table. Then she saw them wheel in a crib. Henry was born, and two nurses walked out and as they passed my mother they said to one another, When a baby’s crying like that you just give him to his mother. That’s how my mother knew that we were fine.

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