Nursing Your Kids

Rash
The rash is improving. I can see now that I am VERY spoiled by my son’s hardy butt. I rarely put anything on him - sometimes, he might get a bit red and I will dump Cetaphil Cleanser on it. The Cetaphil is lanolin based and provides a thin protective barrier. But that’s all I apply. I bought a tube of Aveeno when he was born, but lost it somewhere. Then I bought a tube of Huggies for “just in case”. And that’s it. The Cetaphil Cleanser was all we needed. I think what happened with Anju is this:
1. I wasn’t changing her diaper enough
2. I mistook the beginnings of a rash for just a bony, red newborn tush
3. Anjali is peeling ALL of her skin right now and I suspect this includes her butt which only exacerbated the problem.

I did do some research on breastfeeding and diaper rash links to determine if something in my diet may have affected her. Dr. Google gave me a TON of information on yeast infections/thrush and diaper rashes but that is definitely not our problem. We definitely don’t have thrush going on - her mouth is clear (apparently, white stuff would appear on her tongue and I wouldn’t be able to “scrape” it off) and I don’t have a yeast infection nor do I have red nipples (apparently, the nipples will turn a bright red in that case). Also, it doesn’t appear that my diet would affect her, but feel free to correct me if any of you have differing information. Please!

So, we are applying generous does of Desitin Original Cream with good results. Once it clears up, I will go back to the Cetaphil and use that regularly on her until I determine whether she is just more sensitive or if it was a fluke.

I am definitely having more nipple soreness, but I think that is laziness on getting the good latch on my part. Overall, things are going awesome. She slept 6 hours night before last and 5 hours last night - I let her because she is nursing really, really well, she has plenty of wet AND soiled diapers, and she got in plenty of feedings during the day. I have no complaints.

breastfeeding, diaper rash, newborn

Update: OOPS. I meant to clarify what I meant by “sleep”. I am getting “3 hours between feedings” as opposed to “lying in bed with eyes wide open gazing upon my rock hard breasts” sleep, which for me, isn’t really sleeping at all. So, no - my newborn is NOT sleeping through the night!!! Also, we co-sleep, which goes miles in helping me and HER sleep. If I go to bathroom, she will fuss until I come back to bed where she can see me.

Mr Sandman,
My darling, please don’t tell my husband about our illicit affair we’ve been conducting in the wee hours.

Forever yours,
Kelli

Day 6
I am FINALLY sleeping (somewhat) and my breasts are cooperating. The nipple soreness is not that bad, actually. Once she gets latched on, I am pretty comfortable. Honestly? Getting a good latch and changing positions has been the key. I remember excruciating agony with my son to the extent that I dreaded it and even put off breastfeeding til the last possible moment. When he would initially latch on, I would curl my toes and bit my lower lip to distract myself from the pain. This time around I am not facing that. I’ve heard so many new mothers (um, including yours truly) scoff at the lactation consultant saying “it shouldn’t hurt if the latch is good“. Gulp. Um, they are right.

And wow. 2 nights of sleep IN A ROW. I feel like a new person. Maybe I AM a new person and perhaps, today I can make it through the ENTIRE day without bursting into tears. And no, it’s not all Sad Tears. I am also wont to burst into Boo Hoo Mode over good things happening since as my Sentimental Meter is running full blast these days.

The big problem that I am facing is a diaper rash - fortunately, not on my own butt, but STILL. I did some research on diaper rash and came up with this article from Dr Sears. I am new to this thing called “rash” - my son recently got a rash, but it didn’t BLISTER and was easily cleared up. We are trying a variety of creams and obviously, I am changing her diaper everytime I turn around. I wish I could just let her lie on a towel and airdry, but she needs to be swaddled these days. Sigh. A minor thing, sure and I am calling on my good buddy Perspective.

Last night was bad. REALLY bad. It didn’t help that I was very weepy yesterday, too - per the following equation:

(hormones + difficult family situation) x Newborn + Teething Toddler - Sleep = Copious Amounts of Tears

Last night, I was still facing a lot of engorgement and needed to sleep on my back. The problem is that I am a “side and stomach” sleeper. I absolutely cannot sleep on my back. No way. No how. As I gazed upon my sweet newborn sleeping peacefully, I couldn’t help but be frustrated. I did give up around 4 am and go downstairs to pump. I was pumping away, then looked down in shock to realize I had pumped 4 ounces in no time, but was still painfully engorged. Yep, I know it’s a good problem to have, but it is still a painful one. I think tonight will be better, though - I can feel these bazookas deflating a bit now.

What kept me going is this - Perspective. On my personal site, Rancid Raves, I refer to this quite a bit. Perspective has gotten me through a lot of difficult days as a mother - teething, no naps, illness, long business trips on the part of my husband. Perspective is that ability to realize that all of this is temporary - and it got me through some dark days of motherhood with my son. One day, my baby son would have all of his teeth (only 2 left now). One day, he would nap regularly (check). I knew that one day, my husband would come home (check). And one day, my little boy would be all grown up and I would miss those days when he wanted to be held 24/7 (sob). So, this morning at 5 am while I tossed and turned, I still managed to hold it together emotionally because I knew that this engorgement couldn’t last forever.

So, at 8 am when I woke still bleary-eyed, I was able to look into Anju’s eyes, see them for the precious gift that they are and smile.

I’m still pretty damned tired, though.

breastfeeding, newborn, engorgement, nursing

Several commenters made the great point about position. And yes, I did need to branch out from the ole Football Hold. It was difficult, because she was getting such a great latch. However. I am SO engorged right now and my nipples a wee bit sore, that I needed to suck it up and get back to the basics with the Cradle Hold and Lying Down Position. And yes - the new positions are helping. As are the Soothies! Unfortunately, as much as Anjali was taking one for the team, I did still have to get out the pump to help. My husband asked, innocently, why I couldn’t just pump myself empty to relieve the engorgement. I managed to not laugh in his face and fortunately, he has a great understanding of that teeny-tiny economics concept known as “supply and demand” so he understood when I explained that you can’t “fake your body out” like that or you will pay dearly. I’ve been pumping a minimum of 2 ozs for relief and to help with the latch, but hopefully not so much to psych my body into producing yet MORE milk. I also found that filling sandwich bags with cold water from the fridge and stuffing them in your bra goes a long, long way in relief, but little in the way of self-esteem. Finally, I banged one of my breasts with the car door today. Then I died.

So, today has been a bad day. Besides, the normal “wear and tear” * of a vaginal delivery, I managed to do something to my left hip joint during the delivery, so I am limping. And I am dealing with the engorgement. Did I mention that I am losing more sleep over one of my distraught cats meowing all night long than from either my newborn NOR my teething toddler???? This is where one must grab tight onto Perspective and hold on for dear life. All these things are temporary, right? And we did have a bright spot - we had a doctor’s appointment and it looks like we can officially call off Jaundice Watch 2007 - she’s a great nurser, isn’t too far down from her birth weight and all that nursing has produced enough stools to get the gunky bilirubin out of her system. And have I mentioned how sweet BOTH of my kids are right now? Both are so snuggly. So, yes - the nice thing about being a mother the 2nd time around is having some good Perspective. This too shall pass.

I just hope it passes soon.

* Did you see that I haven’t lost my sense of humor? DID YOU SEE?

Um. Yeah. My milk came in. The awesome news is that Anjali is such a stellar nurser that engorgement hasn’t been too bad. I haven’t even had to pump because I can pop her right on when I get too uncomfortable. I am SO grateful she is a good nurser since we are on a jaundice watch - it’s not too bad yet. But, I want her to eat as much as possible to help get the bilirubin out of her system (stools are the best way for newborns to move the junk out of their systems). I am definitely getting sore, but it’s not agonizing or “toe-curling” as I used to call it with my son. We’ll see, but I am hopeful that keeping consistent with a good latch will help somewhat.

Gerber Gunk
Okay. I tried the Gerber soothing gel pads and they SUCKED. HARD. I have only used 2 of them and am seriously contemplating pitching the remaining 6 and chalking them up to a loser purchase. They are very thin, they only last 4 hours a piece, and they crinkle oddly which means they show through a bra AND shirt. I can NOT recommend these pads - however, I do welcome any comments from anyone who has had a good experience, just in case it was a “personal issue” on my part. I can report that my lactation consultant shook her head when I told her my “grand plan” about giving Gerber a fair chance. She said Soothies are far superior and I have to agree with her. The cost comparison is criminal - an 8 pack of Gerber costs as much as a 2 pack of Soothies. However! To put it into a proper perspective, an entire package of Gerber will only last you about 16 hours and a pack of Soothies will last you at least 3 days (with proper care, I was able to push a few to 5 days the last time around on the Breastfeeding Wagon).

Hormonal!
This morning, as I was feeling my breasts to see how full they were, I had an overwhelming case of the shivers. I felt like I was going to shiver n’ shake straight out of my skin AND my palms were burning as if hot needles were poking them. Because I’ve been through this before, I knew that I must have stimulated my breasts and hormones must have been released - it still unnerved me, but at least I knew it was normal. I also forgot to mention yesterday that while in the hospital, I had a terrible case of night sweats, also courtesy of El Hormones. I am trying to keep track of all these things because when they can happen, it can be a little scary if you don’t realize straight away they are just hormones messing with you.

Uterine Contractions
In my last post, Leah made the comment that uterine contractions are important because they help to clean the uterus out AND they help the uterus contract back down to the original size. I wanted to point that out, because it should be noted that the uterine contractions are a GOOD thing. They just don’t FEEL good!

Some snaps!

Very concerned that the “bee-bee” is crying

Bug-Eyed #1

Bug-Eyed #2

Little vampire.

Sleeping. Because, the SUN is still up.

Okay - Anjali is here. And I am officially breastfeeding. I can quit feeling like an imposter, eh?

Day 1:
I was supposed to be at the hospital by 7:15 pm to be induced. I ended up getting there by 6pm because labor had already started after all. She was born by 10:27 after some incredibly tense moments in which an ob for a c-section was summoned. I pushed and pushed for dear life and fortunately, she came without needing a c-section. I was able to breastfeed her straight away, the latch was NOT a good one, she mostly had nipple. Because of the position I was lying in on the bed, I simply could not “get to her” any better. The good news, is that from the very beginning, she’s had a good, strong suck and LOVES nursing.

Day 2:
Since I am less sore, not drugged and in a regular bed (not a hospital bed), I am able to experiment with different positions. Far and away, the best is sitting “Indian style” on the bed with a nursing pillow and getting her latched on with football hold. Since I am more experienced this time and can determine myself whether she is properly latched on or not, I can report that it IS true — if the baby is latched on correctly, there is SO much less pain. I am starting to get sore nipples, but I am not in agony like I was with my son and a proper latch is indeed, critical. However. Even though I am an “experienced” mother, it is still damned difficult to shove enough breast into a newborn’s mouth! Their pieholes are just so teeny-tiny that it still takes me a few tries.

I will say that I had forgotten about 2 things - the uterine contractions spurred by breastfeeding are SO painful. Yep, they are necessary, but I had forgotten the pain. However, I’d also forgotten how incredibly sweet and awe-inspiring it is to see your newborn’s eyes looking up at you as he/she is gulping away. She LOVES nursing, is anticipating it now and opens her mouth wide. Which helps with the latch, thank goodness.

Housekeeping Note:
This will be in a “Dear Diary” format. I’d like to do this for at least the first 2 weeks to try and document a realistic, real-time experiment with those early days of breastfeeding. All these entries will be under the “Dear Diary” category but I will still do other, separate posts for news and interesting articles.