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Maternity & Parenting Center

What a week!

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Thought I’d start off sharing some additional pictures from our Florida trip . . . including our visit with his Great Aunt Ellen & Great Uncle Stu. Check out the first picture – when he does this I keep thinking someone has just shouted “stick ’em up” or “you’re under arrest!”


Okay . . . back to our regularly scheduled program. This has been a crazy week so far – a really good week, but definitely crazy. On Monday I went to my 6 week checkup. All is going well – I’ve healed nicely, but it seems I have a yeast infection on my nipples. No wonder breastfeeding has been so uncomfortable!! I was given a prescription for “Newman’s Nipple Cream” to try and fix everything.

Right after my appointment, I went to my first Baby & Me class! There were about 10 women in the class, and I think it seems like a really good group. We all just sat around to talk, then we went out to Panera afterwards to grab some lunch. It was nice for me to get out and about and feel like me again.

On Tuesday, I was worried that Micah might also have thrush since I had an infection, so I took him to the doctor. Turns out, he was just fine. We did get to weigh him again . . . and he weighed a whopping 8 lbs 10 ounces!!!! I talked to the doctor about whether Micah has reflux, and he thought it was a definite possibility. He gave us some different formula (which I didn’t think would matter since we hardly ever give him formula). We decided to table the discussion on Zantac because Micah had not been crying from the reflux. Naturally, we left the doctor’s office, and when we got home, Micah began to cry. And pretty much shrieked for over 8 hours. Nothing made him feel better. He was hiccuping, making choking and wheezing sounds, crying when he spit up . . . I was sure it was the reflux. I tried calling the doctor about 3 hours in, and he had left for the day. The other pediatrician wouldn’t prescribe Zantac since Micah was not her patient (seriously?) and when I pushed about what to do, she first told me to let him cry until the next day. I pushed some more, and she suggested children’s Maalox. I sent my Dad out to get it . . . only to learn that children’s Maalox only comes in pill form. I called the doctor back, and she said “Oops, I meant Mylanta.” I then sent Elliot out to look for Mylanta . . . and again, we learned it is not available in liquid. At 8:00 pm, I called the after-hours number . . . and got the same rotten doctor!! She finally gave in, and after giving me some attitude, she called in the Zantac. All I can say is it made a HUGE difference. Micah is doing really well on it!

On Wednesday, Micah was feeling so great that we went out ALL day. We went to the baby store to get gifts for a friend of mine who just had a baby (also named Micah), and then off to Target. After the errands, I went to the breastfeeding support group. Following the support group, two of us then went out for coffee. In the middle of all this, I got a call that one of my friends (whose grandmother had just died) was having Shiva that night. For those of you who do not know, Shiva is a Jewish custom to support the family members of a person who has recently died. Everyone goes to the house, brings food, and is there for a short prayer ceremony that enables them to mourn. The custom is designed to ensure that those in mourning do not have to mourn alone. Anyway, Elliot & I decided to go there, so I took Micah to my parents’ house on our way over. We made it home about 10:00 pm – I was out with Micah for 12 hours!!

Thursday was another adventure. I woke up in the morning and took Micah back to Target because I had mistakenly bought the wrong bottle. We then went to pick up Elliot, and we went to the bris for my friend’s baby Micah. We spent the afternoon there, then came home. Elliot & I decided we were long overdue for a date night, so my parents came over to babysit. We went out for a few hours to see a one-man comedy show – My Mother is Italian, My Father is Jewish, and I’m Still in Therapy – at the Bethesda Theatre. It was a lot of fun, and so nice to get out just the two of us.

Today we spent the day with Aunt Jen and cousins Paige and Peyton. It was another good day, although Micah seems to cry at the beginning of every car trip (which breaks my heart). I even had time to take a business call before we left! Micah has been so much more alert and awake this week. We’ve had time to play on the playmat (actually, both my babies were playing together):




and run some errands, too! I can’t believe how big Micah is getting. He is having some cranky periods now (very new for me) and he has some fussiness and hours when all he wants is for mommy to hold him. We’re working on getting the hang of the new routine.

Here are a few other fun pictures from this week:


And Micah wants to send out a big “hello” and a huge hug & kiss to his Poppy Ira and his Grammy . . . both of whom always make sure to read this blog and keep such close tabs on him! Thank you.

Roll over

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Yup, today Micah rolled over. I’m sure it was an accident, but today I put him on his playmat. He got REALLY pissed off, and then he flipped himself over! I was very impressed by my advanced little man.

In other news, we are starting to really get the hang of latching. I’m still not sure if he is getting enough off of me or not, though. I’ve been really lazy about supplementing and pumping today . . . in my pipe dreams, I can just feed him normally and all is well. I have a feeling I’ll regret avoiding my pump tomorrow – but hey, today was kind of nice. I just wish I responded well to the pump – I never seem to get much out at all :(.

So, here are a few pictures to complete the post for the day:

Good Day Today

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Today was a good day. My supply seems to be doing a little better (although we still have a way to go), and Micah seems to be eating better. One of my best friends came over today to watch the inauguration and help me out with the feeds. We even managed to go OUT to lunch today! It was the first time I took Micah to a restaurant. We just went down the street, and we made it back in plenty of time. I even got to take a bit of a nap. Micah is currently napping with Elliot on the couch.

I’ve got another lactation consultant coming tomorrow – wish me luck!

Don’t tell me to relax

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I REALLY hate when people just tell me to solve a problem by “relaxing.” When we were trying to get pregnant, that was a phrase worth murdering over. I mean, seriously, if someone told you they had a blocked artery and were on the verge of having a heart attack, would you tell them “relax and it will go away?” Sometimes, there are real problems and “relaxing” just doesn’t make them go away (especially when “stress” isn’t the root of the problem). When we were trying to get pregnant, if I had just “relaxed” instead of actively seeking help, we still wouldn’t be parents. I don’t think seeking help and answers is stressing . . . it is being proactive.

Well, now that I have a baby, my current challenge relates to Micah’s eating issues. We have a real problem – it isn’t being caused by stress, so I’m fairly certain that “relaxing” won’t fix the problem. Problem #1 – Micah doesn’t latch well or nurse efficiently. So, we have to use a nipple shield to get him to latch, but he still doesn’t nurse efficiently. As a result, we have Problem #2 – a low milk supply. Because he doesn’t nurse efficiently, my milk supply is low -which makes it more difficult for him to nurse efficiently. Can you see the catch-22 we have? Then, add in Problem #3 – Micah doesn’t have appropriate hunger cues. When left to his own devices, because of the inefficient nursing, he will nurse himself into a state of exhaustion . . . at which point, he is in such deep sleep that he won’t wake up to let us know he is hungry and nurse again. Because he doesn’t then nurse often enough and efficiently, it affects my milk supply, so then I don’t have enough to feed him when he is nursing, etc., etc.

So, I’m in this endless cycle. I can’t just follow his cues and let him feed on demand, because he doesn’t demand enough, and I don’t make enough. We need to increase demand to increase supply, but he isn’t capable of increasing his demand. So, I have to help him get the energy to increase the demand. We have to limit his nursing sessions so he doesn’t get so exhausted, and we have to help him nurse more efficiently by using techniques like breast compression so he can maximize output in the shorter time. I have to pump after each feeding to increase demand, and I have to actively wake him up and make sure he is eating at least 8 times/day (some say 10-12, but hey – I’m lucky if I can get this guy to eat 8x/day).

Now, the next problem. He also has to gain weight at an appropriate rate – which requires a certain caloric intake. Since I don’t make enough milk, we have to supplement with whatever pumped breast milk we can get plus formula. So – a rational person asks how much formula, right? Well, we can’t “use the baby” as our guide – he’ll fall asleep after a feed even if he hasn’t eaten enough . . . and stay asleep for 4-5 hours. So, the only other thing we can do is go by number of ounces of intake. How do you determine how much a nursing baby is getting? Well, you have to weigh him before and after each feed. And, unlike formula-fed babies, a nursing baby can take in vastly different amounts of breast milk with each feed. Micah can take in anywhere from 1 ounce to 2.5 ounces in a feeding on the breast. If he gets 2.5, I do not have to supplement, but if he only gets 1 ounce, I need to supplement. Hard to just “relax” and “wing it” with that kind of range. We tried to just offer him bottles and see if he would take them. The answer is, he will – even if he ISN’T hungry. If he is full and he over-eats, he then vomits, which also isn’t good for him.

So, we are stuck in this awful cycle. Or I should say I am stuck in this cycle. Feeding Micah is a real chore, and I have no clear feedback for how much and what he needs. I cannot trust his cues because apparently, he has been suppressing his hunger cues due to exhaustion and self-preservation. So, somehow I need to get him to latch better, nurse better, and increase my supply, and to do this, he needs to be adequately fed NOW, and I have to figure out what that means with no cues from him. And to do all that, the only guide I have is how many ounces he is taking in at each feeding. How, exactly, am I supposed to just “relax?” If I don’t pump after each feeding, my supply crashes. If I don’t weigh him, I don’t know how much to supplement him. If I’m by myself, the process of feeding Micah is horribly challenging – nursing now takes 30-40 minutes, then the diaper change, and the weight checks, and the bottle supplement, and the pumping (and try pumping with a baby who wants to be held after being fed). It just isn’t easy to do all alone. But hey . . . maybe if I just relaxed, the baby wouldn’t cry, my boobs would pump themselves, he will miraculously start latching and nursing efficiently, and my supply will overnight reach the sustainable level.

Okay – I have to go walk and feed the dog so I can undress the baby, weigh the baby, nurse the baby, weigh the baby, change the baby’s diaper, re-dress the baby, bottle supplement the baby, burp the baby, get the baby to relax, and then pump. That ought to leave me about 20 minutes before I start all over again . . . is that enough time to “relax?”

Don’t get me wrong . . . I love being a mom – but I wish feeding him wasn’t so complicated. We’ve been doing this routine for one week, and I just don’t think this is a workable long-term solution. And please . . . no lectures about just formula feeding or whatever else you think the solution is.

Breast Feeding Support Group

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Yesterday, I attended a breastfeeding support group . . . which, I have to say, is kind of a strange thing for me to do. I’m SOOO not a joiner – I hate to be around a group of strangers, and I hate to have to show up somewhere on a schedule. But, we are having issues, I kind of thought it would be nice to meet some other new parents who are dealing with breastfeeding crap, and mostly, I just wanted to get out of the house! I’ve been so worried about how to take Micah anywhere and deal with feeding, and I figured if I was going to give it a try, being around a lactation consultant and a bunch of breastfeeding women was probably the smartest idea I’d had in a while.

So, I fed Micah and put him in the carseat. I packed up the pump and the diaper bag, and off we went! We got to the session a few minutes late, but it was more of a drop-in session anyway. The group is hosted by the Shady Grove Adventist Health Group, and it is called the B.E.S.T. group. Micah mostly slept the entire time I was there. I have to say, I met several ladies around my age with new children who had dealt with some of the same challenges. It was actually kind of nice to hear! The lactation consultant gave us some good resources and some encouragement. I ended up needing to feed Micah there (and they had a scale so it all worked out for me). I did not realize how difficult it would be to put Micah down and pump there – he just wanted to be held, and I couldn’t figure out how to pump and cuddle him at the same time. Every other feeding we’ve been doing the pumping, Elliot or my mom has been around to hold him while I pump.

The down side to the meeting was one crazy woman who was there . . . I really could write an entire blog post about how inappropriate she was. She kept talking about her upcoming book, and how she was all about being “all natural” so she was going to feed her baby soy milk (um, hello – isn’t breast milk the preferred course of action to be “all natural?”). She kept trying to be the “facilitator” for the session – and she was NOT supposed to be the facilitator, nor did she have a clue about breastfeeding. She would take our questions and re-phrase them into something ridiculous and irrelevant and derail the conversation. Anytime side-conversations started (and remember, it is a drop-in, informal support group, so I would think these side-conversations would be desirable) she would ask us to stop talking and save it so she could follow all the different stories. I really wanted to strangle her the entire time. Oh, and did I mention she didn’t have a baby yet? She was pregnant and just looking for information, but I really felt someone who was not there with an actual issue shouldn’t be DRIVING the discussion – she should have sat back and observed/learned.

So, I learned a lot about nipples and bottles and supplementing and pumping and feeding techniques and got a list of resources for low milk supply. I think I’m now armed and dangerous!

Love/Hate Relationship with Breastfeeding

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I would say I am having a love/hate relationship with breastfeeding – and I’m pretty darn sick of it! I kind of thought after having challenges getting pregnant, and then struggling through the pregnancy with morning sickness, UTIs and pre-term contractions, that once Micah was here things would get easier. Naturally, that just wasn’t the case. We had all those eating issues the first week. Then, once we got the issues under control and he started gaining weight, I figured it would be smooth sailing from there, right? Wrong again! Micah caught a cold last week, and we’ve been on this eating spiral ever since.

Last night, I thought everything was actually back to “normal” and okay. I figured he had been eating every 3 1/2 hours all day, and nursing for a relatively “normal” amount of time for us (20-40 minutes a side) and then falling easily back to sleep or staying contentedly awake for a bit before dozing off. No cluster feeding, and then we put him down at 1:30 or 2 and he slept until 6 am. We couldn’t believe how great things were going!

Before things normalized yesterday, I was still worrying about whether Micah was eating enough or gaining enough weight and if my milk supply was sufficient. I called an LC and was invited to join a semi-private class this morning. I gave a non-committal “maybe” thinking it depended on whether Micah slept or cluster-fed or what time his morning feed was. Since he woke up at 6 and the class started at 10, I actually figured that it might be pretty decent timing. I fed him from 6 – 7:30 (he fell asleep a few times, and we changed his diaper and his outfit) and I put him back down. At 9:30 when I picked him up, he was still out cold – I figured I had enough time to get to class to feed him, so off I went!

I was feeling pretty confident when I got to class. I was mostly interested in working on latching without the nipple shield and seeing if we were using the nipple shield correctly. I have to say, I was a bit horrified by the LC. She was incredibly scattered, and much of her advice seemed to contradict all the other LCs I’ve consulted thus far. And her 2 year old daughter . . . well, there is just no way to say this nicely, but she was OBESE. I mean I’d guess she weighed over 50 lbs. She had 3 or 4 chins, and her waist was bigger than mine . . . probably even when I was 9 months pregnant. This poor child could barely walk normally. And she spent the ENTIRE time we were there eating! She drank 3 8 oz glasses of chocolate milk (mind you, I was there for 1 1/2 hours), and then nursed for 20 minutes, then had some crackers, and then ate a sandwich. I had a hard time taking bf’ing advice from a woman who allowed her child to get that obese (yes, I’m passing judgment – I have no idea what is going on there, but I think an overweight child should not be consuming that much sugar and chocolate).

So after I got there, we set Micah up, and she weighed him, and we tried to get him to latch/nurse without the shield. He did for a bit, but then he was getting hungry and frustrated so I put the shield on. The LC suggested I try a smaller shield, and she gave it to me and just placed it over the nipple. When I asked her about proper attachment, she said she doesn’t bother with any of that. I was a bit surprised, but decided to set aside what other LCs had taught me and try and trust this woman and her methods.

She said he was nursing well at first, but then later she urged me to switch sides, then said he was nursing too long and thought he wasn’t taking much in. We weighed him after he’d been nursing for about 45 minutes or so, and he had consumed about 1.3 ozs. Not bad, but definitely not enough. I kind of lost it – this whole process has been so frustrating, and I just don’t know what to do next. I really think he was doing fine before he got sick, but now I’m not even sure of that.

I noticed that my nipple didn’t seem to be fitting as well in this shield as it did in the other ones, and I decided that perhaps the nipple shield was interfering with how he was nursing. I put my own shield back on, and re-latched Micah. He ate again for a while, and started to doze off. She re-weighed him, and in a shocked voice informed me he had eaten another .9 ozs – so 2.2 ozs total for the feed (about where he needed to be). Her concern was that it took him over 1 hour to get that much, and she felt my supply might be a bit low.

I was pretty upset at this point. I knew we’d been having issues, but it just sucks hearing it. And the options don’t thrill me. I can either supplement with formula (which will do nothing to increase my supply, and because I’m allergic to coconut oil, giving Micah formula and trying to nurse gives me horrible rashes). Or, I can go back to pumping every 3 hours – another thought that depresses me a bit. There is also no guarantee that pumping every 3 hours will increase my supply, either – or help Micah nurse more efficiently.

So, I’m stuck. I could just throw in the towel on nursing (and yes, I know there is nothing wrong with bottle-feeding babies, but with my allergy, I have a different set of concerns about using formula and how it will affect how I interact with Micah). Or, I could try and pump every 3 hours, and increase my supply, and work on shortening Micah’s feedings and teaching him to be a more efficient nurser AND teaching him how to latch without a nipple shield AND supplementing with pumped milk after each feeding until he can properly nurse on his own (which may never happen). So I’m stuck. I’m not sure if it is worth continuing to fight this battle (or even the smart thing to do). I’m tired of fighting, but there is a part of me that is just stubborn and I want to win this battle. My reluctance to bottle feeding formula really isn’t about bonding, or which way is “better” or anything like that. I really do think it is mostly about winning this battle because I hate not being able to make things work, and part of it has to do with my fears about my coconut oil allergy (and no, you cannot buy any commercial formulas that are made without coconut oil). And part of me is ready for this to be easy, and I know bottle feeding would be so much easier (with the exception of my contact dermatitis rashes I’ll have for the next 11 months because of my allergy).

So . . . that is my love/hate relationship with breastfeeding. For today, we are going to weigh him before/after each feeding, and try and supplement with pumped breastmilk to make sure he gets 2 – 2 1/2 ozs at each feeding. I’m going to pump after each feeding, and maybe in between, too, to try and increase my supply. We’ll see where we are and then try and figure out what to do next.

Rough Week

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This week has been tough. Micah has been struggling with a cold, and then it affected his eating/nursing. We’ve been having a difficult time getting back on track. He seems to be feeling much better, but he is still congested. At the doctor’s appointment on Thursday (we went in to have him checked for his cold), he had only gained 4 ounces – about 5 ounces less than we would have liked. We have no way to know whether this slowed weight gain is merely due to his cold or if it signifies a bigger eating issue.

I’m a bit frustrated right now with breastfeeding. He was doing a great job eating, and we were on a pretty good schedule until he got sick. He wouldn’t eat for about a day, so I had to pump and bottle feed him. All I can say is this began a long cycle of crazy stuff . . . first I was feeling like I had an oversupply, and then it felt like my milk supply crashed. Micah finally got his appetite back, but he has been cluster-feeding pretty much non-stop for the past several days. We finally resorted to giving him a few bottle formula supplements because I just couldn’t nurse him that many hours a day. I think he was nursing for about 12 hours straight on Thursday and Friday. Yesterday was better during the day, but then Micah would not stop nursing overnight and would not go down to sleep. I had a horrible migraine, so after nursing him for 9 hours (with about 45 minutes of breaks TOTAL), I finally told Elliot to give him a bottle of formula so I could try and sleep my migraine off. I’ve been concerned that Micah is nursing like crazy because he isn’t getting enough from me. The formula did the trick last night and Micah finally slept for 5 hours straight. He seems to be nursing more “normally” today – we’ll see what happens tonight. He has been difficult to wake for his feedings today, so I’m concerned we are on a bad cycle here.

I’ve tried calling a few lactation consultants. Right now, everyone seems to think this is just a growth spurt (although I’m not convinced). Did I mention he is pooping green? I am concerned this means there is an issue with my milk, but who knows. He isn’t exhibiting other symptoms of a foremilk/hindmilk issue (and he nurses for very long periods of time – sometimes 30-50 minutes on each breast – and yes, he is actively nursing that WHOLE time). I may have another appointment with a lactation consultant tomorrow.

Overall, today was a good day. Niki and Eric and their kids came by to bring us bagels for breakfast and take a tour of our house. I then went to meet a new contractor to get a price quote on fixing up my condo for resale. Micah has been nursing easily and quickly going down for his naps today, but tonight will be the real test. I’m still obsessing about his weight (and my milk supply) and whether everything is okay, but I’m trying to hang in there for a few more days.

My baby is sick

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My poor little guy is sick . . . he is running a bit of a fever, and he is definitely congested. I can’t get him to wake up and eat today. I called the doctor, and there isn’t much I can do for him. I just hope he starts feeling better soon!

In good news, Micah did latch 2x in the past 24 hours without the nipple shield. He didn’t nurse that long, but he did latch, so there is hope that we’ll get off the nipple shield eventually!

I’m so sick – and he is so awake!

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Well, it is official – I’m SICK. I can’t breathe, I’m all stuffed up and coughing, and I’m just feeling horrible. We’ve been having a rough day today – Micah has been cluster feeding all day, and he has been wide awake for the past 5 hours. It is kind of fun having him awake, but then he gets upset and wants to nurse. I think he isn’t sure what to do with himself. I’ve been singing to him
(poor guy) and talking to him. I’ve been giving him a pacifier today – not sure if that is a mistake. It seems to keep him calm, but I don’t want to discourage him from eating. He is able to hold it in his mouth all by himself! As Elliot would say, “He’s so advanced.” Perhaps Micah isn’t feeling well either.

Hopefully being awake will help him sleep better tonight. We’re also going to try the secure sleeper and see if that helps. Wish us luck!

My little porker . . .

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Micah had his 2 week appointment today, and he weighed in at 6 lbs (well, with rounding up)! He is growing well (averaging an ounce a day) and we were officially given permission to stop force-feeding him at 3 hr intervals around the clock – we can now feed “on demand” so tonight is the first night we intend to let him sleep until he wakes up. I’m SOOO excited – I think we might actually get 4 hours of sleep in a row. I’ve continued to feed him every 3 hrs or so all day in the hopes that he won’t be too hungry tonight to sleep a bit longer.

The past few nights, he has been unhappy from about 4 am until 8 am. We’ve been waking him up from a pretty sound sleep to feed him, and then we have a hard time getting him back to sleep after the feeding. He’ll start crying, and I almost always have to nurse him again . . . we’ve been cluster feeding for several hours every night, and it is taking its toll on us. It is probably more accurate to say he won’t let us put him down after the feeding – he’ll sleep on me or Elliot, but if we try moving him to the bassinet so we can sleep, he starts crying, and since we are too exhausted to stay awake and hold him on us in the bed . . . well, let’s just say it has been challenging. We’ve eventually been able to get him to sleep in the bouncy seat, but we don’t want to have him sleeping in the bouncy seat every night. Here is hoping we have better luck tonight!

We are going to attempt to use the playmat tonight – we’ll see if he is ready for that. Luckily, he seems to really like tummy time, although he mostly spends tummy time on Mommy or Daddy’s chest. We thought we’d try a change of location tonight, so we’re off to the rec room in the basement for a change of scenery.