Who says you cannot have it all? This is my crazy life as a wife, mother,healthcare professional, perpetual student, conservative yet feminist Keeper of the Crayons.
Thursday, March 17, 2011
Ending for the Third Time
Wednesday, March 2, 2011
Another Chapter Ends
Where to start?
I remember when I started to get into the throes of my pregnancy with Zachary, and John and I started to make lists of the things we needed. And we got to feeding supplies, and we started to discuss whether we were going to go with breastfeeding. I wanted to with Evan, but his prematurity got in the way and neither of us ended up interested at all. Did I want to try it again? Not really, because I was kind of afraid to get myself invested in the idea. I had breastfed Ben for a couple of months, and when it didn’t work out, I remember crying the first time I gave him a bottle of formula. And with Evan, I just felt guilty that we didn’t give it more of an effort. But knowing how breastmilk is the best for the baby, and seriously thinking Zach was to be my last chance to do so successfully, I decided to give it a go. One more try.
Wow.
You start off with the idea of breastfeeding as being this remarkably bonding experience. With a mind full of rosy images of a tiny baby nuzzling at a mother’s chest. Of cuddling and warmth and a bond that can only be shared between mother and child. A bond that cannot be broken. And I think after the pregnancy horrors I faced, I really needed that. And then Zach was born.
It was never supposed to go like it has. I was not supposed to be separated from my baby immediately after his birth after only having a small glimpse of him over a surgical drape. And I remember John bringing pictures of him from the NICU for me to see while we were still separated, and it was so bizarre and surreal. I had endured so much for him and this is what I got? Some blurry images on a digital camera that John barely knew how to use? Was this little person really my son? How could I be sure when I couldn’t hold him and touch him and smell his newborn scent? They said he was mine. And I could see a family resemblance, so it had to be true. He was beautiful, that was for sure. But really? I begged and begged for them to bring him to me. Everyone said he was doing great and had just needed a little longer to adjust to the outside world. So if he was fine, then he belonged with me. If he is mine, he belongs with me.
And just like that, he was with me. I kicked everyone but John out of the room as I stripped away layers of flannel blanket to look him over. So perfect. So so perfect. And then and there, we nursed. And all was right with the world. Suddenly it all was okay- the pregnancy, the time in the NICU. Suddenly, it was just Zach and I. I loved it. And I hated when the lactation consultant came in and told me he had to have formula and asked me what type I wanted them to give him. I hadn’t planned on that. And so my love/hate relationship with the pump began.
I hated that I had to pump at all. I hated that he got formula. I wanted to cry each time he took a tiny sip of it. 20 mL at a time at first. I gave him every bit of breastmilk I could. I wished they would have told me it was okay to stop the formula when my milk came in, but they didn’t until it was too late. And the supply issues started. I did everything I could and got most of it back. And then the latch issues happened, most likely a result of the bottle feeding he had received. Phrases like “nipple confusion” and “flow preference” entered my vocabulary. Still, I did everything. Always trying trying trying to get him off of the tiny amount of formula he was getting a day. And then when he wouldn’t nurse at all anymore and I learned what it meant to exclusively pump. And my reality became the breastpump, 15 minutes at a time, 8-10 times per day. I’ve kept that up since Zach was 4 months old. I hated it, but Zach was getting breastmilk. That was all that mattered. I still felt a deeper connection to him because of the months we spent together, nursing. That is how I spent the weeks of my maternity leave. And when I first returned to work, I would come home and Zach would nurse with me in the bed as I drifted off to sleep. Zach and Mommy. That’s all there was.
It has been such a difficult road. Difficult but rewarding. Worth it. I honestly can look at the differences in personalities between Evan and Zachary and I think the breastfeeding has something, if not everything, to do with it. Zach seems more content. More secure. I cannot help but think that this is because he had more of a connection to me.
So why am I writing this now? Because this afternoon, John helped me to gather up all of the supplies I have needed to exclusively pump. All of that equipment. And I cried as I made sure all of it was organized and packed away. This week and next, Zach will get what is left of my milk from the refrigerator and freezer, and that will be the end. When I initially started out, I said one year was my goal. In a perfect world, free from latch issues and prematurity, from supply issues and tongue-tie, I would have done one full year. I am pretty proud of myself that I made it this far in the face of all of the difficulties. By the time it is over, Zach will be 10 months old. He is to the point where he is getting more and more food from sources other than a bottle, and I feel like it is time to focus on enjoying the rest of his first year free from the stress of measuring every little ounce, from setting alarms to remind me to pump every 2 hours around the clock. I can spend time enjoying my baby boy and getting some well-deserved rest knowing that I gave him the best for 10 whole months.
So here is a picture for you. This is what thousands of dollars’ worth of breastpumps and equipment looks like. All of my work fits into this tote. Amazing. And the picture wouldn’t be complete without including in it the reason for it all.
Friday, January 7, 2011
The End is Near
I did some math in my head. I have pumped on average of every 3 hours. Sometimes more, up to every hour when I was trying desperately to boost supply, and sometimes less, like on those really busy nights at work. Every 3 hours is again just an average. And I pump for no less than 15 minutes at a time. 8 times a day. So about 2 hours a day, total. If you figure Zach has been on this earth for about 240 days, I have pumped 480 hours of my life away. 20 days.
I am saying all of this because I have a feeling it is winding up to a close. My supply is at a low point again, and while I am once again going to try to get it back up, I know I am honestly getting a little tired of the monotony. It becomes harder and harder to do. I want to spend my time playing with my baby as more and more of his fun personality emerges. I want to sleep for more than 2 to 3 hours at a time, and could do so with my baby who sleeps like a dream, if only I weren't forcing myself to wake so often to pump. I want to go to do things with my family without worrying about pump battery life or where I am going to go to do it. And I am drained from stressing about every teensy drop of milk I produce for Zach.
I remember the warmth and closeness I felt the first time he nursed. I remember the special first weeks when it was just the two of us. We would lay together, with him nursing, as we both dozed. My beautiful baby boy. And the first time I pumped more than he could take at a feeding! That pride as, even when he stopped nursing, I was still able to give him my milk. I would do it all again.
I have thought about giving up, and I am sure I don't want to do that. I will continue to give him all I can. But if the process is coming to a close naturally, I think I can find peace with that now. I couldn't say that before. I think, with the horrible pregnancy and birth, I just wanted that little piece. That teensy chance to do something that was the way nature intended. With the troubles that I have had, I didn't think we would make it past my maternity leave. I never dreamed we would get 8 months under our belts. And it has paid off. One look at my chunky preemie can tell you that. My preemie who hasn't had so much as a tiny cold since his birth.
I hope it isn't the end. But we will be okay now if it is. I did all I could. I was stronger than I ever thought I could be. It has been quite the journey.
Monday, November 29, 2010
The Death of Me

Tuesday, October 19, 2010
Not Jumping Off A Rollercoaster Mid-Ride
But I won't.
I'm almost halfway through my goal of one year. Halfway through the rollercoaster ride. Yeah, I'm talking about my boobs again. I was almost there. I had my production up. I'm back down to pumping less than 2 punces at a time. Again. A couple of busy days at work, and whoosh! There it goes. If milk production were solely based on effort, I would be able to feed the world. Damnit!
Right now, it is after 2 AM. I'm off work and my family is asleep, but I'm obviously not. Instead, I'm awake, fantasizing about throwing my pump out the window. If only it didn't cost so much, I probably would have by now. But no. I'm a slave to the stupid thing. I am in the midst of "cluster pumping" right now, heading into round 3. What the hell is "cluster pumping", you ask? Well, you pump every hour on the hour for 3 to 4 hours, twice a day. It has been proven to increase production. When I do this, I do it late at night/ in the wee hours of the morning, then I sleep for 4 hours and wake up to my normal pumping routine, only to do it again the following evening. I hate it but it has worked for me numerous times.
I hate this. I don't understand why I have had such a hard time. I'm sleep deprived because I never sleep more than 3 hours at a time. I might as well not sleep at all on the bad days. This time of night is particularly bad when I've had an off day. I sit and tally in my head how much I have pumped and if it is lower than the previous day, I worry and fret that this is it. My supply's drying up for good. So far, I have always bounced back, but each time could be the time. And so I do this to myself. Again.
I should note that today started as a good day. I slept in a little, only to have John wake me at 7AM because he was getting Evan ready for school and Zach had awakened and needed some attention in the form of a diaper change and, eventually, some form of breakfast. And so I changed him and made his bottle of my milk and waited a bit for cues that he was ready to eat, only to have him start nuzzling my chest and rooting. So I offered. And he nursed! The first time he had any interest in weeks. And he did again when it was time for his morning nap. I was so excited! And then the end of the day came.
I won't quit. I'm too stubborn for that. I will not jump off of the rollercoaster mid-ride.
Tuesday, October 12, 2010
On Daffy Duck at Work and Being a Hypocrite
But that's not all. An ER tech just walked by my desk and asked if I was okay because I am flushed. Nope. I'm dying....of embarrassment.
First of all, this is a freestanding ER, and there is no cushy lactation room. I told my supervisor when I returned from maternity leave that this may not be the best place for me until I wean Zach. But who was I to argue when she made special arrangements for me, finding me a room with a lock on the door and equipping it with a table and chair for me. She even ensured it had an outlet. So I can pump. Great. The only problem is that this room is within a large employee lounge that is equipped with a kitchen area, a dining area, lots of lockers, and staff restrooms. And any noise in the area echoes. And I am the only RT on for my 12 hours because it is just an ER. And while I can try to go at non-busy times when there are no patients waiting for my care and expertise, one does not always know from one second to the next when it is that I am going to be needed. Because the true emergencies that come through the door are the ones who need me (i.e. cardiopulmonary crisis) and are also the ones who cannot wait. Furthermore, this is a bad neighborhood and one of our therapists had her purse stolen here, so I get kind of skittish about bringing the pump. So instead, tonight I have opted to bring my little Freestyle. The only problem is that the Freestyle is a little noisier. And sounds, to be honest, a little like a duck. And had to be used in the room within the lounge where there is an echo. And other employees congregate. So what could make it just a little more embarrassing? Well, of course they need me to do a stat EKG as soon--and I mean as soon--as I get Daffy started up. They were nice about it. I heard a nurse (who was on her break) tell the secretary who came and got me that, "Hey, you can't interrupt her!!!!". And they told me not to worry, that they would cover it. And they did. But only after the entire ER staff knew what I was off doing.
I guess it could be worse. I could work amongst people who are not trained and credentialed healthcare providers. And primarily women. But still....
Thursday, October 7, 2010
How Could I?
She basically found out that after all of this time, Zach is pretty much exclusively bottle-fed, but that I have managed to get it to where he is almost exclusively getting breastmilk. And she asked me, the woman who has produced as lttle as a half an ounce at a time, how in the hell I have done it. And I teared up as I told her. I pump every 2 hours while at home. I pump when I'm tired, when I'm too busy, when I would rather be doing anything else. Even when I have worked like a dog all night, I still wake up and pump. Even when I am so tired that my resolve is weakened and it takes John 3 or more attempts to wake me up. I pump. And I pump. And I pump. And I hate it. It is the most difficult thing I have ever done. Breastfeeding was easy compared to this. I got to bond and cuddle with my baby and not a machine. And she told me of all of the women who have tried and given up, and wanted to know how I pull myself up by the bootstraps and do it. Simple.
I told her about Evan as a baby. And then I told her about Zach. Zach is the most content baby I have ever known. He sleeps through the night. He is all smiles while awake. Perfect in every way. And there is nothing that can convince me that it does not have everything to do with what he eats. And so I can. I pump and pump and pump. But having her say this and marvel at my dedication made me feel really great, as if I have accomplished some major feat.
Thursday, September 30, 2010
Seriously???? That's All?
So let's recap: Pump In Style Advanced ($300), Freestyle ($400), Reglan, Fenugreek, Blessed Thistle, Alfalfa, pumping pumping pumping, Breastfeeding Medicine specialists, visits to lactation, different bras thinking that the ones I had were cutting into me and causing the plugged ducts and thus decrease in supply. Lab test to check my thyroid. Biting the bullet and buying the $2K hospital-grade pump...
And I spend $10 on a set of shields in the next size up and actually pump double my average pumping yield in the first time I used them.
You have got to be kidding me.
I feel like a moron. And am having flashbacks of the first time I spoke to a LC about the drop in my supply. When we were puzzled that despite Zach's poor latch, my pumping with a good quality pump was not able to keep my supply up. And I started doing anything and everything to get it back up. And she aked me, "Andrea, do the flanges fit well?" And I said yes, thinking to myself, "Well duh!". But they didn't.
I found the solution. I'm glad it was such a simple one. I wish it had come sooner. I hope it isn't too late to fix it.
Thursday, September 23, 2010
2/3rd's, The Shots, Scheduling Woes, and More
On the breastfeeding front, things are going better and worse. I have managed to increase my supply a bit and am now producing about 2/3rds of his total intake. I now leave for work with more breastmilk in the fridge than he can eat in one night, and have a few days' worth built up in my freezer. Of course this progress comes at the cost of me being attached to a pump for what seems like all day. But in truth,I could be a lot better about it. I keep making plans to spend all of my off-time pumping at least every three hours and after feedings, but it seems like things always come up. Truly, I blame it all on my work schedule. We do self-scheduling, and we are currently working on the schedule I completed about 2 weeks after my big return to work after the 5-month hiatus. Instead of scheduling my days in a row, I scheduled myself for every other day. I did this not only because I had been off so long that I started to atrophy and didn't think I could physically handle long stretches of 12-hr. shifts, but also because I figured I would get no real sleep with a newborn who is breastfeeding. It turned out to be a mistake. Not only does Zach sleep like a champ, but I feel like I am never off of work and get even less sleep. Take today for example. I worked last night and had today off. By the time I got home and tried to sleep, most of the day was over. I really only got this evening off. And I spent that time doing things I needed to do. Plus the sleep I get is broken because I wake every few hours to nurse Zach or pump. Now it is 3:15 AM, my family is asleep and I am wide awake. I'll get more broken sleep tomorrow because I am back at it tomorrow night. Well, the next four nights, actually. I picked up 24 hours of overtime this weekend. For this next schedule that will be starting soon, I did the opposite: scheduled for three days at the beginning of one week and three days at the end of the following week, which means I have long 6-day stretches off in-between to rest and regroup and nurse and pump. My goal is to use this time to get Zach totally off of all formula supplements by the time he is 6 months old and ready to start solids. That seems lofty to me at this point but it really isn't when you do the math. For a baby eating solids, the average formula/ milk intake is about 24 oz. daily in addition to other foods. If I can pump just half an ounce more at each pumping session, that will put me way over that mark for daily output! And I will have all of those days off to do it! Ha! Finally!
On another Milk Maid note: It happened finally. I got a plugged duct. But not just any plugged duct. This is in a bad place. A very bad place. I had noticed I was a little more tender than normal. The LC has me hand-expressing after I pump because even the hospital-grade pump is leaving enough milk in there that it literally sprays out after a pumping session. So I do and it has become habit. But when I was doing my little ritual yesterday......oh bloody HELL!!! It hurt. Badly. Because I can't be normal and get a plugged duct on the side or something. Nooooooo! I get one actually inside of my nipple. And weirdest of the weird, you can actually feel the milk passages in there because there is about a 2-inch section of inflamed duct that feels all ropy and knotty. So tonight I waited and waited for Ev to go to bed so I could sit in my living room with a hot wet washcloth on my...well, you get the picture. It is still there. If it isn't gone in a couple of days, I am to see my doctor, according to the LC. Gah! I'm sure this all the result of my sucky schedule, business at work, and erratic pumping/ nursing schedule. I think I have come up with a solution: I bought that damned Freestyle that has the rechargeable battery. I might as well use it. I think I'm going to make its permanent home be my car, so when I am running errands or am out and can't nurse Zach, I can use it. No more excuses. And much handier than, say, lugging around the big pump of Herculean proportions. I don't een have an excuse to take it out of the car since I have a standard power outlet in my car's console and can just plug it in when the batt is dead. There!
So there you have the low-down on my issues once again. Now back to work.
Thursday, July 15, 2010
Pump It, Baby!
I don't know if I've talked about pumps before, but I purchased a Medela Pump in Style while still pregnant. It was supposed to be the gold standard in pumps for working moms, so Iwas pleased. I used the Medela Symphony while in the hospital, when Zach was barely nursing, and my milk came in in full force, then tapered off. And so the drama started. I thought it may be my pump. So I bought a Medela Freestyle, also the gold standard, but with more bells and whistles. No improvement. There was a great increase in the amount I could pump that was mainly due to other things: consuming lactogenic foods, increased nursing/ pumping, taking galactogogues (Reglan, Fenugreek, Flaxseed, etc.). The Symphony is also the pump they use in the lactation room at the hospital where I work. I noticed a huge increase in what I can pump while there. At first I thought this was due to the fact that I have no choice but to go longer in between pumping breaks. It just isn't feasible to pump every 2 hours there. Another therapist has to hold my pager, my patients have to be all tucked in and in need of none of my services, and more. The most I can do is 3 breaks in a 12-hour shift. But I have tried to duplicate the pattern here at home and still get about half the amount I do at work. There is only one solution in my mind: I need to get my hands on a Symphony at home. Bring on the rental!
Well, around here, one can rent the Medela Symphony for about $110 per month. With Zach's latch issues and voracious appetite, I will need one for the duration I will be breastfeeding--at least one year. I want to give extended nursing a try but am creeped out by an older toddler reaching for my boob, so if I do it, it will only be with pumped milk. With that in mind, I would need the pump even longer. So if you do the math, it would be roughly $1.4 K to rent a pump for the next year. If I give up and go straight to formula feeding, it would be even more. So I made some phone calls, and the hospital for which I work has a Women's Wellness Boutique that carries or can order anything a nursing mother needs. And they can special order me a Medela Symphony. They even give me a 20% discount on purchases. So for about the cost of renting a Symphony, I can just buy my own. And they do payroll deduction, busting purchases up into 3 payments if desired. But this pump is costly, and it would equal about $500 per paycheck. Nah. So I called and called. I made my plea as to why I need this pump (preemie, latch issues, last resort), and they agreed to break it up into 8 payments just for me. Yay.
So this time next week, I will own my very own hospital-grade Medela Symphony Preemie Edition (It has a computer software card that, when inserted, will mimic the way Zach sucks). I'm excited, as I know it is just a effective as nursing a baby is. And the beauty is that she quoted me a price of $1500 on the phone, then when she ordered it with the preemie software, found out it is almost $2K, but she felt bad so is only charging me the $1500.
In the meantime, our trip pretty much did in the progress I was making on the supply issue. I was just too self-conscious about pumping and nursing. The business of it all had me forgetting doses of my supplements and medication. And I completely forgot my Fenugreek, and thus stopped it abruptly which can be detrimental. Between the three, I am almost back to square one. So I have to pull myself up by the bootstraps and go back to the pump-every-hour routine, which makes me want to cry. But at least I now know it can be done. Having the hospital-grade pump will certainly help in the next week or so.
All of this makes me think of the trip to B&N today. I was perusing the parenting section in search of a new copy of LLL's The Womanly Art of Breastfeeding when I saw this title: Breastfeeding Sucks: What to Do When Your Mammaries Make You Miserable. Seriously, I about died laughing. And the cover is even better! (See right.) There was a whole line of "Sucks" books: Pregnancy Sucks, etc. Hilarious. I didn't buy any of them. They seemed entertaining, but I was there for more informative reading today. Now I am thinking about ordering it online.
So anyway, here we go. Again. The Misadventures of Ol' Bessie, the Milk Maker. Mooooooo!
