Wednesday, November 24, 2010

Reflections on pregnancy, labor+delivery, and recovery

A bit overdue, but here are my reflections on pregnancy, labor, delivery, and recovery.  Better late than never, right?  These things have been on my mind for a long time and I'm finally going to write about them :)

Pregnancy
1st trimester - sucked.

2nd trimester - glorious!

3rd trimester - sucked.

I think that about sums it up.  Honestly, after Camille is born, I don't even remember pregnancy all that much.  I'd like to think that motherhood is so blissful that I block out the sucky memories of pregnancy.  But I think it's just sleep deprivation induced amnesia.

I miss feeling the kicks and rolls
Okay, so, reflecting on my pregnancy experience (you can read my account of the whole pregnancy starting from week 0)...  I did not like weeks 6 to 10 of pregnancy at all.  The nausea and vomiting was horrible.  I also felt bloated.  And at the beginning, I didn't tell a lot of people so it was just this limbo period of feeling a little fat and gross.

From week 11 to week 20, I had a solid ten weeks of pure pregnancy bliss!  No more nausea/vomiting.  My appetite came back.  My belly grew.  My pregnancy became public knowledge.  We found out Camille was a girl and named her.  It was spectacular!

The last stretch of pregnancy (weeks 21 to 37) was not so fun physically or emotionally...but the anticipation of Camille's arrival was amazing.

Favorite part ... Hands down: feeling baby move!  Followed by second best: having Chin feel baby move. 

Least favorite ... Was the emotional strain in the 3rd trimester with the passing of Caleb and the stress of school.

If I could do it over again ... I would eat more healthy.  I ate a lot of unhealthy foods and would often let myself go hungry because I was too lazy to make something to eat.  I think the key is to have healthy foods prepped and ready to go.  That's what I would do next time.

Labor & Delivery
I would consider myself having a relatively short labor.  But my mentor (Christine Nakano) would say, "You were in labor for three months!"  Alright.  Alright!  Buuuuuut, I'm still going to consider "real-ish" labor to start the Friday before Camille was born...and "real" labor starting at 3:40am on Camille's birthday.

She's here!  She's really, finally here!
Considering that I was sleeping when my water broke and I delivered 93 minutes later, it was a very precipitous labor!  I am SO thankful for that!

Favorite part ... Pushing!!  Pushing was by far the best part of the process!  The pain was annoying when there wasn't anything I could do except to breathe through it.  Pushing, now, that was productive!  I just made the most awkward pushing-face in the world and just went at it with abandonment.  It was great!  I can't stress enough how much I loved this part!!

Least favorite ... I could say the worst part was the anticipation of our baby's arrival, or the feeling of helplessness, or being unprepared because it all happened so quickly, blah blah blah.  Whatever.  It was the pain.  It was painful.  But, yes, good thing it was quick!

If I could do it over again ... I would not let my "plan" ruin the labor experience.  I was feeling bad that I had called everyone and told them that I was in labor on Friday...and then everything halted.  Next time, I will choose not to care so much.  Baby comes when baby comes.

Recovery
This is a part of childbearing that a lot of women don't talk about.  They say that recovery from childbirth typically takes about 6 weeks.  From my experience, this was pretty much true.

Did this mean I was back to my pre-pregnancy shape by this time?  No. 

Did this mean intimacy could just be picked up where we left off?  No. 

Did this mean I was more or less kind of normal again?  Kind of.

At nearly 3 weeks postpartum, you can see that I still looked 
about 5 months pregnant.  This is normal, folks! Embrace it!

Breastfeeding definitely helps with the "getting back to your pre-pregnancy shape" part.  At the end of the 6 weeks, I think I was still about 5-7 pounds above my pre-pregnancy weight.  At 3 months postpartum, I'm 5 pounds lighter than my pre-pregnancy weight.  Does this mean I am hotter than before?  My boobs are bigger and I'm thinner.  You do the math!  Although...I have not even attempted to wear non-maternity pants yet :P

One weird thing that I did not anticipate for was the degree of urinary incontinence I had in the immediate postpartum period.  The day after delivering Camille, I went into our bathroom and as soon as I saw the toilet, I felt pee running down my legs.  What?  WHAT?!  This also happened to be on my 30th birthday.  Am I that old that I already have urinary incontinence?!  For the next couple of days, I would have a hard time controlling my bladder just right before getting to the toilet.  I had to make a point to go to the bathroom frequently to avoid this from happening.  I also did more Kegel exercises...which Tara (my trusty friend & doula) reminded me also helped with the healing process "down under" as the flexing rushes blood to the area and speeds up the restoration of the area.

I also had a urinary tract infection (UTI) and a kidney infection.  How did this happen?  Lemme tell you...  After delivery, the midwifery student gave me some misoprostol to ensure that I won't bleed out.  Misoprostol commonly causes a slight spike in temperature.  When they saw that I had a low grade fever, the team of nurses + midwives + OBs (who did not take into account the fact that I was given misoprostol *tsk tsk*) decided that I must have an infection.  A common infection is a UTI.  So they decided to get a urine sample with a catheter insertion (which, by the way, was nearly as painful as the birthing process...and nowhere near as beautiful).  The result, of course, came back that I did not have a UTI.  I could have told them that!  Even though I felt feverish, I had a feeling that everything was fine.  I felt like my body just needed some time to work things out.  Besides, I just gave birth to another human being.  Give me a couple of hours to bounce back!  Geez!!  Anyway, in the process of inserting the catheter, the two nurses totally botched it and introduced some E. coli into my bladder.  About 4-5 days postpartum, I felt that things were not right but I didn't know what it was.  I had a feeling that I had a UTI and maybe even a kidney infection because I had flank pain on my left side.  I should have trusted my instincts...because a few nights later, I suddenly had a fever of 103 and was taken to the ER where they found that, yay, I had a UTI and a kidney infection.  After some antibiotics, I was peachy again.  *phew*

Oh!  Postpartum depression (PPD).  Did I have it?  I would say "no."  I did have the typical postpartum blues from time to time, though.  I do remember very distinctly one day while sitting at the dining room table thinking, "I think PPD is creeping up on me!  But let's think this through first..."  I remembered feeling sad.  And so I sorted through all the reasons why I should be sad and I methodically used logic to explain to myself how silly it was to be sad.  I had no reason to be sad.  Silly.  PPD = over.

While we're on the topic of PPD, however, I would like to say that I have cracked the code.  Yes.  I think I have figured out why women (more specifically women in Western cultures) get PPD.  Here goes:
  • In the postpartum period, whether you are having your first child or your tenth (but most likely, your first), you are going through a fantastic time of transition.  
  • As your whole life shifts, you are demanded to think all introspectively and get all emotional.
  • To add to this wild fire are your raging postpartum hormones.
  • To add even more fuel is the fact that you have not been sleeping and you are completely delirious.
  • The deliriousness impedes your ability to think clearly.
  • This fogginess of mind in combination with the prompts to be introspective then lead to depression.
TADA!

I would also like to add to this theory that the best way to mitigate the possibility of PPD is: living in community.  In the "home country" this would mean living with family.  Our current situation puts us far away from family and we (as I am sure many of you can relate) make a patchworked family out of friends around us.  An old couple from church can be the wise grandparents.  Friends without children can be the spoiling aunts and uncles.  Anyway, you know what I mean.  And we love our patchworked family here!  So many of you have brought us food, come to visit, and given us invaluable advice.  Without you (and our real families, of course), we really could not have made it out of this postpartum period with any wits intact.  Thank you so much!!

Favorite part ... Camille.  It's cliché, I know, but I have to say that my favorite part was getting to know this little person.

Least favorite ... Oh, boy, what is it?  There are so many things that I did not enjoy so much.  I can't pick just one.  I will give you...the top three things: sleep deprivation, UTI & kidney infection, and leaking milk everywhere.  Yup.  That about sums it up.

If I could do it over again ... I would trust myself more and make quick decisions based on those instincts.

Sunday, November 14, 2010

Camille's third month: A review

This month has been marked by (1) regular spit ups, (2) a routine, and (3) smiles!

Camille has been spitting up (immediate regurgitation of milk) on a nearly daily basis starting on October 16th.  It was projectile...but it wasn't vomit; just stuff that she had just ingested.  The regurged stuff would have some phlegm in it and Camille would be totally happy after throwing up.  And then she'd want to feed again.

Camille has a nice little routine going this month.  Being so delirious with sleep deprivation, I didn't pay much attention to any patterns in Camille's day.  But I saw our friend Krista keep a little log of her son's activities on the white board and I thought maybe I would do the same to see if I can see any patterns in Camille's day.  And the pattern that I found (at least true for 90% of this month) was:
  • Sleeps at 11pm (yes, she's a night owl just like her parents!)
  • Wakes at 6am to feed, then goes back to sleep
  • Wakes at 10:30, poops, feeds at 11 and stays up
  • By around 1pm, she gets restless and wants to feed again so she can nap
  • Naps for 2-3 hours
  • Wakes up cranky and wants to feed right away, then poops
  • Then the time between her nap and her bedtime is a little variable...usually including a couple of 1-hour naps around 5 and 8
I didn't mean to set a schedule for her.  This was just the routine I noticed.  It's weird.  Because Chin & I are not routine people.  Yet Camille is :)

Finally, Camille is smiling a lot more this month.  The smiles are not always predictable, but they are definitely more obvious and frequent.


The specs
As of October 13th (2-month check-up)
  • Weight: 9 lb 7 oz (25th percentile)
  • Height: 22.5 in (75th percentile)
  • 14.5 in (10-25th percentile)
Milestones & important events
October 17 - Lots of family and friends came together to meet Camille and celebrate this little girl.

October 25 - I caught a cold :(  Lemme tell ya, it isn't easy taking care of a newborn when one isn't 100%, let alone a new mom who is already functioning at 32% prior to the cold.  I really needed some help so that I could take some peaceful naps.  And that is why...

October 27 - My first solo interstate drive with Camille down to Portland to surprise my parents (she slept the whole way!).  Chin carpooled down with some Rideshare folks on Friday and we drove back together that Sunday.  We were away from Chin for two days.  It felt like forever (to Chin & me anyway)!!  It was a good trip because I got to sleep a lot and kind of get over my cold.  Camille also caught a mild version of that cold (thanks to the antibodies in breast milk) but she recovered quickly.

November 3 - With Camille in tow, I managed to go grocery shopping and made a pot of Bún Bò Huế...which is no small feat, lemme tell ya!



November 8 - Camille and I made another trek down to Portland.  This time, we were down there for 4 days and 3 nights...and I drove with just Camille both ways.  Once again, she was a champ and slept the whole way.

November 11 - We took Camille to her (and our) first UW women's volleyball game!

We did put pants on her, thank you Freakout Moms
November 13 - My parents babysat Camille over Skype while I took a shower. :)

Favorite part...
Seeing Camille's smiles get bigger and more frequent :)

Least favorite... 
Being away from family.  I really wish we lived closer to family.  I love being with Camille all day.  But it does get pretty lonely.

Shout outs
...To Joel+Lisa+Kaden To for lending us a UW onesie and a swing set for Camille!

...To my mom for taking care of Camille while I took lots of naps to recover from my cold.

...Once again, to my sister GT who gave me her old iPhone 3G.  It has been so nice to have this gadget handy when I'm breastfeeding (and Camille is sleep-nursing)!!

...To myself, for winning so many diapers!  Hehe :P

Camille is modeling a Thirsties Duo Diaper
Discoveries & reflections
...I pray with Camille everyday.  I feel like I am praying more now than I ever did when I was pregnant.  I love it.  It's so sweet!

I love this girl a lot
...I remember being really mean to Camille when she was a lot younger.  I can't imagine how I can be that mean to her!  I love her so much more now than I ever did before.

...The decision to take time off from school until next June = one of the best decisions I have ever made!

...I love it when Camille smiles while she is sleep-nursing.  I captured a photo of this but I'm not going to post it on here because it shows my boob.  Thanks.
 
...I need to be more careful of my posture when I breastfeed.  I am developing the bad habit of slouching & I'm paying for it in an achy lower back. :(

...Some days, having showered is a big accomplishment.

...Grocery shopping and cooking with an infant in tow is an art that takes experience and finesse.  I have a long ways to go!

...I think sleep deprivation can really lord over new parents' lives.  From the ability to stay sane to the choices we make for our family to how we interact with others, the tiredness we experience as a result of lack of sleep has a tremendous effect on nearly every aspect of our daily functions.  For instance, while I was pregnant and naive (or rather, better rested), I would fantasize about the bliss of co-sleeping and never having to even think about letting my child cry it out.  Being driven by the lack of sleep, I often think, "To hell with this attachment parenting crap!  Cry it out!  See if I care!"  I really don't want to make these important parenting decisions based on sleep.  God help me!

...It is insulting to a new mother for someone (usually the new father) to do simple arithmetic with how many hours of sleep she has had.  Please do not suggest that, "You slept for 3 hours, and then fed the baby for 30 minutes, and then slept another 3 hours, and then woke up to feed for 30 minutes, and then slept for another 2 hours...so you slept for 8 hours!"  No, no, no, no, no.  New motherhood defies simple arithmetic.  You're wrong.  Go back to school.

I brought Camille over to our bed to snuggle with Chin before he had to go to work
...I kind of hate to admit this, but some days, I just look forward to Chin coming home.  Heck, who am I kidding.  EVERYDAY I just look forward to Chin coming home!

...I wish we lived closer to family.

Our 3-month-old girl