Saturday, August 9, 2014

My Exclusive Pumping Experience


In honor of World Breastfeeding Week, I thought it would be fitting to share my experience with exclusive pumping in hopes of encouraging other pumping mothers. My first two children were exclusively breastfed. I never worried if they received enough milk... I never knew how many ounces they consumed on a daily basis. I was completely confident in my body's ability to nourish my children. They were both full-term babies... Cue Lamby's birth!

As you may know,  Lamby was born 10 weeks premature due to placental abruption. You can read his birth story here.  He spent 9 weeks in the NICU being fed almost the entire time through a ng tube.  I remember a few hours after his birth, requesting a breast pump. It was SO important to me that my baby receive the best nourishment that he possibly could. It would be days before he would actually be given any breast milk through his ng tube. I diligently pumped every two hours around the clock for twenty minutes each time. My husband and mom were amazing troopers to run my milk upstairs to the NICU each time I pumped. It was so exhausting to wake every two hours! Essentially, by the time I woke, pumped, and washed the pump parts, I had abut an hour to sleep in between.  All while recovering from an emergency cesarean. Exhausting yes, BUT it was also my way of feeling close and connected to my baby.


After many weeks, Lamby attempted to breastfeed. I was so confident that he would be able to successfully breastfeed. After all, I had successfully breastfed my older two well beyond their first birthdays! Lamby had a great latch, but unfortunately was too weak to effectively suck. Also, by this time I had an enormous oversupply due to pumping, which made it even harder for Lamby to nurse. I have seen Lamby stop breathing and turn blue more times than any mother should ever see. At first he started with one bottle or breast attempt per day. Eating is exhausting for a premature baby. Once he mastered an entire feeding, then a second feeding would be added, etc. until he took all 8 feedings by mouth with no episodes. He had such a hard time with the suck, swallow, and breathe reflex. Often his breathing would become so fast that I was told it was equivalent of running a marathon... he would become exhausted from simply trying to eat! He finally learned to take a bottle thanks to the amazing nurses, physical and speech therapists, and so many prayers. For many months we had to feed him is a side lying position (to his left as we learned this is more tolerable for preemies) and slightly elevated. Even when we brought him home, we had to continue to "pace" his feedings. Basically meaning that we had to watch and listen to make sure that he "remembered" to breathe while eating. It would often take him 30+ minutes to finish only 1.5 ounces. He also had issues with reflux.

Lamby's physical therapist feeding him in the NICU.


Lamby is now 9.5 months old and very healthy, praise God! He takes a bottle like a "typical" baby, AND I AM STILL PUMPING!! I must say, the time commitment to pumping is huge! Everything takes twice as long. For instance, a night feeding consists of feeding baby, pumping, then cleaning parts. The thought of quitting has been on my mind from the very beginning. To be 100% honest, I have never enjoyed it- even dreaded it at times, but knowing that my son is receiving the best makes it all worth it. At this stage, I am down to pumping only three times per day (morning, mid-day, and evening). I still have a huge over supply and make double what my son drinks per day. I feel very blessed that I have been able to pump and have such a large supply. At this point, my goal is to continue pumping until his 1st birthday. By then, I should have enough frozen breast milk to hopefully last another six months!

Wednesday, January 22, 2014

Lamby's Monthly Pictures




November 28, 2013



 December 28, 2013
               


        January 28, 2014
    


  February 28, 2014
                        

      March 28, 2014
                        

    April 28, 2014


May 28, 2014


June 28, 2014


July 28, 2014


                                                        August 28, 2014


                                                      September 28, 2014

Sunday, January 19, 2014

Dear New NICU Mom,


Dear New NICU Mom

(A letter to myself)

I know you are terrified. All of these new machines, terms, and sounds…

 Stop asking yourself what you did wrong. I know you feel so guilty gazing at your sweet boy in the isolette hooked up to a CPAP and various other monitors. I know you feel guilty for every IV, blood draw, ultrasound, and eye exam, but there is nothing you could have done and nothing you did wrong. You did everything in your power to keep that sweet boy in your womb, where he belonged.

Someday you won’t have to sign in to see your baby.

Someday you WILL be that woman bringing your baby home that you see every day in the elevator.

Someday there will be no alarms of desats and bradys. No mention of level 2 brain bleeds or heart murmurs… this will all be behind you.

One day he will “just get it” like all of the nurses have told you so many times. He WILL drink his entire bottle! And you, the mom who breast fed both babies before, will be over the moon with joy that your son is taking a bottle. I know you never thought that would happen, but this experience has changed you. You will never be the same!

Someday you won’t leave the hospital crying all the way home feeling torn between spending time with your baby and time with your other children at home. Your sweet boy WILL come home.

Someday the alarms will stop going off to tell you that it is once again time for that midnight pumping session. Oh, that swish, swish sound of the pump. It reminds you that this isn’t right… your baby should be home with you. You continue to pump through the tears and sore nipples, and call the night nurse to make sure your son is ok.

Someday your boy will maintain his temperature and be moved to a crib!

Someday your boy will no longer require the oxygen cannula or ng tube!

Someday your boy will take 8 full feedings by mouth!

Someday there will be no more desats and bradys!

Someday your boy will go home!

The nurses who have become like friends over the past 9 weeks will come to rejoice with you and see him off. Some even with tears in their eyes. You are sure the NICU staff are angels on Earth.

Soon you will take your baby home! I know you are once again terrified, but you CAN do this.

Today is the day YOU are the one taking your baby home! All those days you had visions of unrealistically running out of the hospital baby in tow are OVER!

Today is the day your baby meets his sisters!



Sweet Lamby's Premature Birth Story Due to Placenta Abruption


Sweet "Lamby" was due on January 7, 2014. Our third child and first BOY, much to our surprise! This pregnancy just felt… different. I couldn’t explain the difference, but I felt myself uttering those words over and over. Everything was going smoothly, as far as the doctor could tell, until one day in mid October. I was babysitting that day when I felt (Get ready for it, I told you not for the faint of heart!) a surge of warm fluid… every expectant mother’s worst nightmare! I ran to the restroom praying “No, this couldn’t be!”. Yet, it was true. Bleeding immensely, I quickly text (I just wasn’t ready to utter the words of what was happening) the parents of the kiddos I was watching. Next I called my husband. He was working over 45 minutes away that day. I called my mom, brother and dad… Everything was a blur. When the second mom came to pick up her baby, she could see all over my face that I was freaking out. Thankfully, she drove me to the closest hospital where my brother’s girlfriend met us to help watch “Bells” and “Tangled”. I spent the next 24 hours in the hospital (not the hospital I was to deliver in, but the closest hospital to home). I learned that I was experiencing a placenta abruption. Placenta abruptions happen when the placenta prematurely separates. It should separate after delivery as it is the baby’s life source. Placenta abruption only happens in about 1% of pregnancies. I did not fit into any of the typical reasons for this happening.

 

At this point, I was 28 weeks pregnant. To say I was terrified was an understatement. After lots of testing, and a very impersonal on staff OB, I was released 24 hours later with a contraction stopping medication and told to follow up with my OB. I spent the next week (still bleeding) on strict bed rest. [Bed rest is definitely NOT what I had always imagined it to be! I had visions of laying around in my jammies, watching all the Jane Austen movies my heart could handle and eating bon bons (to be quite honest, I have not a clue what bon bons are, but they sound quite magical!)... Oh, that was not the case! Watching people take care of my children and clean my house was incredibly hard! I'm ever so thankful for my amazing family (my mom especially) and friends who babysat, cleaned and cooked for us] After a visit with my OB, she sent me to a specialist, a perinatologist. The (quirky) specialist said that I had a large blood clot in the uterus from the bleeding. She sent me across the hospital to have my first steroid shot to help develop Lamby’s lungs. I was also told to immediately STOP taking the contraction stopping medication. She said that I needed to feel the contractions, as they could be a sign of severe internal bleeding that I would need to know about. That night, I don’t even remember jumping out of bed and going into the bathroom. I screamed for my husband. My bathroom and the trail leading to it looked as if someone had been severely wounded! Blood was everywhere! We gathered our two girls and headed straight for the hospital, a thirty minute drive in perfect traffic. This time, to the hospital I was to deliver at, the hospital with a Level 3 NICU.

 

Arriving at the hospital, I was rushed to Labor and delivery. At this point I was 29 weeks. I could tell by the look on the nurses faces and the amount of staff coming in and out of the room, that things were not good. Thankfully, Lamby’s heart rate was stable. It was about 1AM when the OB on call came in to check me. We were attempting to hold off delivery as long as possible to give the steroids time to do it’s job. Instead of the usual 24 hours, I was given my second steroid shot 12 hours after the first. Things stabilized until the following day when Lamby’s heart rate started to dip. An anesthesiologist was sent in to prepare me for the fact that I was to have a cesarean and that I would not be awake for the delivery because of the circumstances. I was terrified, yet oddly comforted by the fact that I would not be awake. Lamby’s heart rate came back up, so we decided to hold off on the cesarean as we were still trying to give his lungs as much time as possible to mature. We were stabilized and moved to the antepartum area.

 

Monday, four days later, my husband had returned to work. I was wheeled over for another in-depth ultrasound with the perinatologist, my first “outing” in a week! I was so happy to be out of that hospital room! I couldn’t care less that I was being rolled through the hospital in a gown looking like a mess. I was that girl that no one in the perinatologist office wanted to be… the one being wheeled over from the antepartum area of the hospital… the girl that I had seen and felt so sorry for the week before while sitting in that same office. We learned from that visit that the clot had grown even larger. Lamby looked good though.

 

My aunt and cousin were visiting me in the hospital room that same day when that all too familiar feeling came back. I had started bleeding again. This time the OB arrived with a worried look on her face. As she paced back and forth, I waited impatiently for her decision hoping they would deliver my sweet boy before the unspeakable happened. She spoke up “We will do this as organized as possible. Unless something happens, prepare for delivery in 3 hours.”. Those were the longest three hours!Through bleeding and contractions I called my husband and mother to inform them that today would be the day, hurry and get to the hospital, but PLEASE don’t tell the girls!! I had never had a C-section before. The pregnancies with my daughters were very uneventful, “normal” pregnancies and births. Everything was so terrifying to me… Would my baby be ok? Will I be ok? After all, I had a hemorrhage cart outside of my room for a good amount of my stay as well as an extra IV line as a “just in case you need a transfusion”.

 

While prepping for surgery my water broke. Let me just be real and say, I did not handle the C-section as well as all those beautiful, make-up clad, perfect hair mommas out there that I see pictures of with their babies in the OR room! I was a sweaty, anxiety-ridden, numb handed, trying not to vomit mess. It didn’t help any that my OB was yelling at the nurse “Why isn’t Dr—– here? I’m not comfortable with this situation… Call Dr—– from my practice!”. Those aren’t very comforting words to hear coming out of your very experienced OB’s mouth, especially while laying 29weeks 6days pregnant on an operating table! The good news is, our prayers were answered and everything went well! Lamby was born at a whopping 3lbs 3oz! He was whisked away to the NICU with daddy, but he was ALIVE, thank God! I’ll save the NICU story for another day…