Tuesday, October 12, 2010

Band-Aids and 9-Month Olds Don't Mix

My daughter is a left-thumb sucker. She absolutely refuses to suck her right one. This recently became a major problem when she sliced open the top of her left thumb with her two bottom teeth. At first, it was just a tiny cut and we hoped it would heal on its own, but because she is an avid left-thumb sucker, it continued to get bigger and deeper. After the ordeal we have been through over the last few days, I regret not taking action earlier.

At first we tried to bandage it up with a little Vaseline while she was awake. I didn't want her to have a band-aid on her thumb while she slept in case she managed to suck it off and choke on it. Anyway, because she was still able to suck it when she slept, it was just not healing. We tried several different types of band-aids and tape in an attempt to get something that would stick and that we would feel comfortable leaving on while she slept, but she is would just keep pulling off whatever we put on.

Finally, drastic measures were necessary and I had a brainwave! I decided to sew a sock to the sleeve of a onesie. This way, I could put a band aid on her finger and she wouldn't be able to get it off while she slept. The finger would be off-limits and would start to heal. I knew that this scenario was going to cause major problems in the falling-to-sleep department, but we had to do what we had to do.

Lilah SCREAMED the first night we put the 'torture oneie' on her. She was just so upset that she could not suck her thumb to put herself to sleep. It took 40 minutes to get her to sleep that first night (she normally falls asleep on her own). The next day, she refused to take a morning nap altogether and getting her to sleep in the afternoon was really tough. I decided at this point, to go out and buy a soother. She has never had a soother before (other than on the plane) and I certainly didn't want her to get in the habit of needing one, but she needed to sleep. Post-soother, it has been much easier to get her to sleep at night, but naps are still a major challenge (today she refused to take a morning nap again).

This finger is taking longer to heal that I hoped, but we are optimistic she will be able to have her thumb back tomorrow. I fear that we have totally screwed up her ability to fall asleep on her own though and are going to have a few rough days and nights getting that back.

The moral of the story...try to teach your baby not to rely on only one method of self-soothing, just in case and get on even the smallest of injury as soon as possible rather than waiting until drastic measures are necessary because band-aids and 9-moths olds don't mix.

Monday, September 27, 2010

It's Challenging Being a Stay-at-Home Mom

Being a stay-at-home mom is hard work. It can be physically, mentally and emotionally draining. That is not to say there aren't a million amazing things about being a stay-at-home mom, but sometimes one just needs to talk about the tough parts of the job.

My daughter is 9-months old now and she never stops! Hence, the physically exhausting part of the job (never mind the never ending list of household chores that need to be done on a regular basis). Lilah is always on the go and getting into everything. It has definitely become more challenging to keep her occupied during the day which contributes to the mental exhaustion.

The reason I decided to write this blog post, however, is that I have been feeling a little (for lack of a better word), 'down' lately. I wanted to spend some time writing about the emotionally draining part of being a stay-at-home mom. Perhaps it will be therapeutic for me and maybe it will let other moms out there know that they are not alone if they are not feeling super happy all day every day.

I think there are several things contributing to the 'down' feeling I am currently experiencing. For starters, the weather is shitty and given that fall has just begun, it is only going to get worse. Add to that the fact that my hormones are out of whack again this week (if you know what I am saying). That being said, those factors don't completely explain my current emotional state.

I am feeling a little isolated. Sadly, we do not live in a family-friendly neighbourhood at the present time so there are no other young children around. I venture into a nearby family-friendly neighbourhood every single day in hopes of running into other moms and their kids, but it never happens. I take my daughter to the library every week with the same hope...nothing. We recently started taking a music class which is proving to be a positive experience, but getting out once a week to interact with other parents and children for an hour doesn't feel like much. At the current moment, I am trying to remain optimistic that we may walk away from the music class with a few new friends that we can get together with for play-dates.

Being a stay-at-home mom can also be a lonely job. Sure, you have someone else with you 24/7, but it is not the same as having another adult around that you can converse with. Living 9 1/2 hours away from both of our families and our friends that have children does not help with this feeling either.

I suppose I am a little bored as well. I know boredom is self-inflicted, but that doesn't mean I can't feel that way. It is hard not having time to do things for yourself that you enjoy. Yes, I do enjoy playing and interacting with my daughter more than anything else in the world, but I also like a little mental stimulation once in awhile and miss being able to sit down for a couple of hours and paint, read or scrapbook.

Let me just say, I don't feel like this everyday or even very often, but I know I am not alone in experiencing these feelings. I imagine there are plenty of other stay-at-home moms out there feeling much the same way. When I am overcome with these feelings, I suppose the best I can do is try to follow my mother's advice and "enjoy every minute of every day" and hope that this too shall pass...right? (I am sure a little sunshine would help too).

Friday, September 17, 2010

First Illness

How lucky are we! The first time I take my daughter into a situation where there are other kids around and they are touching the same things, she gets sick! Don't get me wrong, I think that is is a good thing that she has finally contracted something because her immune system needs to start building up a resistance to the more than 100 cold and flu strains that are out there. That being said, it still sucks and has resulted in a few very rough days and nights.

We attended the class on Monday and by Wednesday afternoon, she started to show symptoms. First, she threw up her lunch which I didn't think much of because it has happened before after she gags on a bit of food that is a little bigger than she is used to (I am trying to slowly feed her more textured foods). By that evening, she was very noticeably congested and her nose was running like a faucet. Poor girl! If you have ever tried to wipe an infants nose, you will understand how challenging and unpleasant it is for both you and baby. She was also getting increasingly fussy and tired. At that point, my husband and I knew it was going to be a rough night.

I don't actually think any of us got any sleep that first night. Lilah was miserable and understandably so. Her nose was running all over the place and she couldn't breathe very well. She wasn't interested in nursing at all at bedtime (I usually feed her lying down at bedtime). The only way I could get her to nurse was to stand and rock her in my arms while letting her nurse. A challenge, yes, but definitely do-able. She slept for a short time and then was awake again and very upset. She threw up once again, but this time judging by the look of the vomit, it was because of all of the mucus she had been swallowing. Our first experience cleaning up vomit in the middle of the night! Yahoo, what fun!

After that episode, we decided to prop her mattress at one end to help her breathe. I simply placed two thick books under the head of her mattress and we made sure she was good and asleep when we lied her down so that she stayed in the propped position rather than upside down with the blood rushing to her head (no worries, the mattress was not that angled)! This seemed to help quite a bit because she slept a little better after that (but still woke very frequently). Of course, her typical nursing schedule was thrown off, but I did manage to get her to nurse around midnight. I really wanted to get some fluid into her given that she had recently vomited.

The next day was a rough, sad day. Lilah would play happily for a short time and then realize she was sick and start crying. We had to torture her by wiping her nose all day, but I tried to ease the uncomfortableness of it all by switching between tissue and a warm cloth. I also mostly dabbed because I didn't want her to end up with a raw, sore nose on top of everything else. She wasn't interested in nursing in the morning so we ended up giving her a bottle. Due to her congestion, it was just easier for her to drink from a bottle. Later that day, I was able to get her to nurse. We managed to get some solid food into her, but she puked up her dinner which probably contributed to the need to nurse more than usual in the night. It was another rough night. Lilah woke very frequently once again (even more than the night before).

Today has been a much better day. Her symptoms seemed to have almost disappeared. She is no longer congested and her nose isn't running at all. At this point, she has yet to develop a cough which I am thankful for (and I hope it stays that way).

We went to music class again this morning so just my luck, she will be sick again in a couple of days! They say that once children start interacting with one another, they are always sick! It does make sense when you think about the fact that there are more than 100 different strains of the cold and flu out there and they have yet to be exposed to any of them.

We can't isolate them forever and they need to get sick once in awhile to build up their immunity. I am not one of those crazy parents who won't allow my child to put anything in her mouth that hasn't been sanitized (although I will wipe toys down after Lilah has played with them, especially if she is sick). I really don't think we do our children any justice by being too freaky when it comes to germs. In fact, there are studies now showing that germs help children. It has been suggested that the rise in things like allergies are a result of growing up in too clean of an environment. Of course, we need to use common sense when it comes to what we will let our children touch and put into their mouths, but there is no need to be a freak about germs. Regular hand washing and basic hygiene can go a long way!

Just to note, I didn't give Lilah any kind of medication. I did buy some saline spray for her nose, but didn't end up using it. I did apply a small amount of Vaseline under her nose at one point because it was looking a little raw and sore. It is important to check with your doctor before giving any kind of medication at this age as cough medicines and decongestants are not generally recommended.

Saturday, September 4, 2010

Dropping a Night Feed

My daughter hit the 8 month mark. I can't believe it! Time is flying by so quickly! The lack of sleep is also finally catching up with me. I have been tired ever since I started having to get up to pee several times a night when I was pregnant...if we do the math that means I have been tired for the past 17 months! However, it was only recently that I started to feel truly exhausted! As I mentioned in an earlier post, I have never been a napper and have rarely taken naps since Lilah was born. Over the last few weeks, naps have been essential.

It is the case that nursing mothers tend to find they are more exhausted during their baby's second half of the first year. There are a number of reasons for this:

1) Our baby's become more active and, therefore, we become more active, but we don't make up for it by resting any more than we had been resting.

2) Menstruation returns for many women in the second half of the first year when baby becomes more reliant on solid foods and is nursing less. I was lucky to have 8 period-free months, but alas this is now contributing to my lack of energy!

3) Many mothers pay less attention to what they are eating as time goes on and/or decide it is time to lose some weight and eat less. However, because we are still nursing, we need to continue to fuel our bodies properly so that milk production does not drop off.

As an aside...in a recent post I talked about the common drop in milk production many women experience around the 7 month mark. Shortly after writing that post, I started menstruating again which helped explain why I was having trouble producing enough milk. I failed to mention in that post that the return of menses is a very common cause of low milk production. It tends to be the case that your milk supply will drop most drastically before your first cycle and for some women it many continue to drop before each cycle.

Anyway, back to the main reason for my exhaustion...My daughter was still waking 3 times a night to nurse. She goes to bed at 7:00pm and would wake to nurse around 10:00pm, 1:00am, and 4:00am and then wake for the day between 6:00am and 7:00am. I was fine continuing with this schedule up until a few weeks ago when the extreme exhaustion set in.

As I mentioned in a previous post, it is completely normal for a breastfed baby to wake 1-3 times per night well into the second year of life if they continue to breastfeed. Now that my daughter has been eating 3 solid meals a day, however, I decided that I would like to attempt to get her to drop one of her night feedings. I am happy to continue nursing her 1-2 times a night for the time being, but I no longer feel 3 feedings is necessary given that she is a good eater during the day (nursing 4-5 times and eating 3 solids meals and occasionally a small snack).

As I am not a fan of any kind of cry-it-out sleep approach, my husband and I decided that we would simply try to gradually stretch the time between feedings by comforting Lilah in other ways (ie. rocking her). I was prepared for this to take some time, but after only a few rough nights we have now had 2 nights in a row during which she only woke to nurse at 10:00pm and 2:30am! This is still a work in progress because she is still waking in the night at other times, but she is getting better at putting herself back to sleep (we are now trying to eliminate the rocking and letting her try to fall back asleep on her own which has been successful).

I think that after a few weeks of nursing only twice a night, I would like to attempt to get Lilah to drop yet another feeding so that she is nursing only once each night ideally right before I head off to bed (10:00pm). As she consumes more and more solid foods, I will feel more comfortable doing this.

My ultimate goal is to continue to breastfeed until she is a year old. I may continue for longer, but at that point, I would only like to be nursing once in the morning and once before bed. This gives us a few months to gradually wean her off of night feedings altogether. Wish me luck and good luck to all of the parents out there that are feeling as exhausted as I am!

Sunday, August 15, 2010

The Joys of Teething

Teething...the wonderful 2 year ordeal that all children must unfortunately go though (it is no walk in the park for parents either).

My daughter started getting her first bottom tooth several weeks ago. Shortly thereafter, her second bottom tooth started to come through. They are ever so SLOWLY making their way through, but it seems to be taking forever!

Pain Medication

I really don't like the idea of giving my daughter pain medication. I never have. When she had her immunizations, I would only give her one dose afterwards if she was in pain. On those occasions, it was pretty obvious that she was in pain and giving her pain medication to settle her down seemed like a no-brainer. When it comes to knowing when to give medication for teething pain, it is a different story.

How do you know?

Unfortunately, babies can't talk. If they could, our job would be SO much easier. When it comes to figuring out what is wrong, it seems like a complete guessing game at times. Throughout the teething process, Lilah has never seemed distressed during the day and usually doesn't want to have anything to do with a teething ring. At night, it is a different story...I think.

It is so hard to know whether she is just really fussy because she does not want to go to sleep, if she is going through a little bit of separation anxiety or if she is truly in pain. Some of the signs that seem to indicate teething pain are when she is chewing on her blanket and/or fingers in a way that is not typical or when her cry is a little more distressed. Another sign is that it feels a little different when she is nursing. By 'feels a little different', I mean it can hurt. She tends to suck more aggressively and it almost feels as though she is mashing my nipple which I am sure simply makes her gums feel better. If she is exhibiting these signs, I will consider medication if it is preventing her from falling asleep.

I bought an all-natural teething gel because I would rather give that a try than drug her up every time I think she might be in pain. Given that the teething process takes roughly 2 years, one could potentially go through a lot of pain medication if it was given when it wasn't completely necessary. I have also given her Infant Tempra on a couple of occasions after first trying the teething gel alone. The pain does seems to come and go. She will seem very unhappy for a few nights and things get a little rough and then she will be fine for a week or so (which just makes it that much harder to figure out).

Sadly, there really isn't anything we can do to speed up this process. As parents our job is to love and comfort our children at these times and be VERY patient. Just when you think you have things figured out and you have established a good routine, something else comes along, like teething, to blow it out of the water!

The Process of Dropping a Nap

I think it is safe to say that Lilah has officially dropped her 3rd nap. Over the past several weeks, it became increasingly more difficult to get her to go down for her later afternoon nap and on many occasions it didn't happen at all. On the days that she refused to nap, she would be exhausted by the time bedtime rolled around because she had been awake since the early afternoon. Keeping her up until bedtime and getting her to go to sleep at night was becoming very challenging because she was so overtired by that time (FYI - 7:00pm is our bedtime and has been for several months). At this point, we realized we needed to step in and 'manipulate' the situation in order to shorten the long afternoon period.

Let's rewind...For several months, Lilah consistently took 3 naps each day. Her first nap would be 1 1/2 -2 hours after she woke in the morning for about an hour and then she would take 2 more hour long naps after being awake for about 2 hours in between each. When the process of dropping a nap started (yes, it very much was a process because it didn't just happen one day), Lilah was still taking her first 2 naps early in the day which meant there was a very long stretch between waking from the 2nd nap and bedtime.

I started to slowly try to keep her up a little later in the morning and between her naps. At first I was only able to keep her up for about 2 1/2 hours in the morning and between naps, but now we have worked our way up to about 2 1/2 - 3 hours of awake time. Three hours seems to be her limit which makes sense because it is actually common for children of her age (8 months) to be able to stay awake for only 2 1/2 - 3 hours at a time. Her naps are now becoming slightly longer which means she is still sleeping for the same amount of time as she was before, but in 2 spurts instead of 3 (Generally speaking, it does not matter how many naps your child takes, but that they are getting about 14 hours of sleep each day on average. There are, however, huge variations when it comes to amount of sleep).

Our new schedule is working out much better. The longer awake periods between naps means she is now napping well into the afternoon and there is a shorter period of awake time between the last nap and bedtime. Bedtime has become easier and we don't have to work to keep her awake until 7:00pm.

An added bonus is that our nursing and eating schedule has also become a little more predictable as there is more time to fit in a nursing and breakfast and/or nursing and lunch (and sometimes even a snack) before it is time to go back to sleep. Prior to the change, it was often very challenging to get her to nurse and eat breakfast/lunch in the span of 1 1/2 - 2 hours during which she was awake. Getting out of the house is now a little easier too!

I am not looking forward to the day when Lilah decides to drop her morning nap. It is inevitable and will happen sooner than later. I guess I will just have to fully enjoy the time I now have in the morning for as long as I have it!

Happy napping!

Wednesday, August 4, 2010

Adventures in Breastfeeding

It has been some time since I posted on the topic of breastfeeding. In my last breastfeeding post, I focused on the period of time during which your milk comes in and the pain that can come along with that in the form of engorgement. In this post, I would like to discuss some of the other breastfeeding issues that I have had over the last several months.

Luckily, breastfeeding has come very easy for me and, therefore, I have not experienced many of the problems facing other nursing mothers out there. However, I do want to share a couple of experiences I have had in the hopes that it may help other mothers out there that may be experiencing the same or similar things.

Raynauld's Phenomenon

After several months of successful nursing, I started to experience a burning sensation in my nipples after nursing and they became very sore and blanched. After a few days, I started to wonder if I possibly had some kind of an infection or some other serious problem and debated going to the doctor. I pulled out my The Nursing Mother's Companion book to see if I could find some answers and low and behold I discovered Raynauld's Phenomenon.

Raynauld's Phenomenon occurs when a vasospasm in the nipple prevents blood from getting to that area of the body. It is often brought on by the drop in temperature when the baby's mouth leaves the nipple (the ambient air is cooler than the baby's mouth). Coincidentally, I was experiencing this during the coldest winter months when the air inside my home was fairly cool. Once I stared to wrap myself in a blanket and take more care to keep myself warm during our nursing sessions, the pain and blanching went away.

Biting

This is a new one and luckily, it has only happened once. My daughter now has two bottom teeth and the other day, she bit me during a nursing session. It is actually my fault because I was trying to nurse her when she wasn't really hungry. Anyway, I yelped because it really hurt! Her tooth actually broke through the skin on my nipple and drew blood! It has been a few days and the wound is healing, but nursing has been somewhat painful since (it almost reminds me of the early days...although the pain is less intense).

Generally speaking, babies are more likely to bite at the end of a nursing session or when they are allowed to snack or play at the breast and it usually occurs when their first teeth are coming in. There are a few steps that you can take to prevent biting and/or put an end to it:

1) Don't let baby snack or play at the end of the nursing session. End the session as soon as baby has stopped actively sucking and swallowing.
2) Soothe baby's gums before nursing with a cold teething ring or washcloth.
3) Have your finger ready during the nursing session to end the feeding if necessary.
4) If baby does get your nipple between his or her teeth pull him or her closer to the breast such that the nose is partially blocked which will usually cause baby to release in order to breathe.

Slow Let-Down and Diminished Milk Supply

At around the 7 month mark, I started to notice that my milk was taking longer and longer to let-down and my daughter was getting increasingly frustrated by the situation. A slow let-down can often be a sign of a low milk supply. I was also noticing that I was unable to pump very much milk while I was at work.

It is not uncommon for a nursing mother to notice a decrease in her milk supply after about 6 months post-partum. It is critically important to take steps to build up your milk supply if this occurs if you plan to continue nursing. Getting plenty of rest, drinking plenty of fluids and eating right are key. It may also be necessary to pump after or between feedings for a few days to build up the supply. After a few days, you should notice that your breasts feel fuller and that baby is drinking for a longer period of time.

I am currently in the process of trying to increase my supply. My daughter currently nurses 4 times during the day (and 2 times at night) so I have been pumping one additional time during the day to stimulate milk production. I have started to notice a fuller feeling and I am hoping my milk will start letting down a little more quickly over the next few days.

The breastfeeding relationship continues to change as your baby grows and your body adjusts to his or her current needs. Some of these changes are welcome (like when your baby begins to nurse less frequently and you begin to feel like you can devote more time to other endeavours) and some of the changes can be scary (like when you think there may be a problem). Have a good book on hand that you can refer to even during the second half of your baby's first year. I highly recommend The Nursing Mother's Companion as it takes you through the 6-12 month period and beyond into toddler hood. It has eased my mind more times than I can count!