09 September 2015

Thomas's Birth Story

The usual warning precedes the story I'm about to tell. If blood and fluids and birthy things skeev you out, stop reading now. If those things don't bother you, read on!

This story begins weeks before my due date. I was feeling particularly sick of being pregnant. This is a feeling I was not unfamiliar with, but I had hit the proverbial wall much sooner than in previous pregnancies. A combination of fatigue, extreme heartburn, pelvic pain, and being the primary caregiver for two young children likely contributed. I'm not a huge fan of cervical checks before the due date because I know they're not an accurate predictor of when labor will start, not to mention they're extremely uncomfortable. But my curiosity got the best of me and I agreed to be checked after my GBS test at 36 weeks. I was already 1cm dilated and 75% effaced 4 weeks away from my due date!

This concerned me for several reasons. My last labor was only four hours long and my mom and sister, who were planning to be present at the birth, had an 8 hour drive to get to me. If I went into labor early they wouldn't make it in time. Also, my home birth midwife lives two hours away and as I have had a tendency in the past to bleed an excessive amount after birth, I was concerned about her making it in time as well.

This early dilation convinced me that surely this child wouldn't make it to his due date like his siblings did. I was already predicting he would be much bigger than my previous babies judging by the size of my belly and how much more weight I had gained.

A week passed. I discovered at my next prenatal that I had passed my GBS test for the first time! Praise God! I agreed to have my awesome backup midwife, Brende, check me again just to see if these contractions I was having were being productive or not. Sure enough I was 2cm dilated. The next week was the same story. I had dilated another centimeter and was continuing to efface. At this rate I'd be at 4cm a week before my due date. This was the same level of dilation I had reached the day before Margaret was born. I started checking things off my to do list like a madwoman in anticipation.

At my next appointment I was 4cm dilated and 80% effaced. My midwife assured me I would have my baby before the coming week was up. I informed my birth team and prepared myself for the possibility of an early baby. I washed the towels.

The next night, a Friday, my Braxton-Hicks seemed different. They were getting stronger and more painful, and coming about 10-15 minutes apart. This was by far the most promising sign yet. I was chatting with my mom and sister at the time, so I told them to be on standby. After about an hour the contractions were consistently 10 minutes apart and persistent. Certain that labor was imminent, I told them they might want to consider getting their affairs in order. They agreed to leave right then and drive through the night. I texted my midwife and went to bed.

Of course, the contractions stopped the moment I laid down. And thus began a nightly ritual that would persist so very much longer than I was prepared for.

My mom and sister arrived the next morning to a "still very pregnant and not in labor" me. We spent the next two weeks in what felt like a bad remake of Groundhog Day: contractions 10-30 minutes apart for hours, complete cessation once in bed, waking up still pregnant, only to have a repeat performance later that night. My home birth midwife made a home visit during that time and checked me at 5-6cm and VERY soft. The baby's head was in my pelvis and labor could happen at any time. She left me with some blue and black cohosh tinctures to take if I really wanted to get things going. We inflated the birth pool.

My due date came and went. This was unfamiliar territory for me because both of my previous babies came on their due dates or very shortly thereafter (I went into labor with Dom on his due date, but it stopped and he wasn't born until two days later). Two days after my due date my sister in law, who was due the week after me, was induced and gave birth to her baby boy. I cried. Why wouldn't my body cooperate? Why was this baby holding out so long?

I was starting to despair of ever going into labor on my own. I tried the cohosh tinctures three days after my due date but they did nothing. My sister forced me to take walks almost every night. I bounced on the exercise ball. I did pelvic tilts and danced the Cotton-Eyed Joe (of which there is video evidence). I even consented to a membrane sweep. Nothing would make this kid emerge before he was ready.

The evening of August 8th we settled in for another night of the same old thing. The contractions were getting too uncomfortable for me to sit on the couch so I moved to the exercise ball. We queued up an episode of Doctor Who on Netflix (season 8, whoo!). The contractions were getting more painful than any of my previous contractions so I texted my midwife and started timing them. Much to my disappointment they were still 15-20 minutes apart. I texted Michelle again and told her I was probably not in labor. That was at 9:23pm.

At 9:37pm my water broke.

I called Michelle to let her know to start heading my way. She instructed me to let her know the moment I had a contraction.

Five minutes later I had a contraction. I timed the next few and they were consistently 5 minutes apart and felt a WHOLE lot different than before. We started to fill up the birth pool (thank God it was already inflated!).

We couldn't pay attention to Doctor Who, so we decided to switch to Scrubs. Once the pool was filled, I settled in for the long haul. The show kept me relaxed and laughing and helped the time pass.

After about an hour I was having to vocalize during contractions. I was keeping pretty well hydrated with my coconut water so I kept having to get out of the pool to use the bathroom. Michelle texted me to let me know she was getting close and that her birth assistant, Hanna, would be ahead of her. I was anxious for them to arrive so I could stop worrying about having this baby without them.

They both arrived within ten minutes of each other, and both of them came in while I was in the middle of a contraction so I had to get through it before I could greet them. I was still in good spirits even though the contractions were getting harder. We turned off Netflix and chatted for a bit between contractions. Michelle checked the baby's heart rate and got a strong 130 bpm. Everyone settled in and got comfortable. It was about midnight.

I quit paying attention to the time at this point, focusing instead on getting through each contraction and resting in between. I had to get out of the pool to use the bathroom several times and as my labor progressed it got more and more painful to do so. Only in the water was the pain mitigated between contractions. We had stopped timing them so I could only guess at how close together they were. Hanna, my mom, and my sister all snoozed on the couch during this phase. Nick sat bedside me on the exercise ball and held my hand through each contraction. Michelle read a book and checked the baby's heart rate a couple times. She went outside at one point to eat a Kind bar because she was afraid of disturbing me too much.

After a little while I could feel the intensity of the contractions increase. They were getting harder and harder to manage calmly and I found myself tensing up. I asked Hanna to fetch Michelle from the front porch because I was starting to feel like things were picking up. I couldn't recline in the tub anymore so I moved to my knees and leaned against the edge of the pool. In my past labors this was always a sign that pushing was imminent or had already begun, and this time was no different. The contractions had changed drastically and I felt a strong desire to run away from the pain.

Nick remained on the exercise ball next to the pool and I found it comforting to lean on his leg as I worked through each contraction. He leaned over me and made me feel anchored and secure as each contraction pushed me to the edge of my endurance. After each one I could hear myself saying, "I can't do this anymore. I can't do it. It hurts too much."

I could feel the contractions bearing downward but found myself holding back because of how badly I had torn in the past. After a couple of these contractions Michelle had to tell me to stop fighting against my body and that the baby could sense my hesitation. I bore down and immediately felt the baby descend. I pushed for about three contractions before I could feel his head beginning to emerge. I remember saying, "I want him out! I just want him out!" But Michelle coached me to slow down and pant. "You've got a big old head that needs to come out," she said. At this point I was standing in the pool because his nose was in the water when I was on my knees. I felt the head come out and the ring of fire ceased. One more push and he was born at 2:45am. Michelle handed him to me between my legs, but he was so tangled in his cord that we had to unwrap it before I could even bring him to my chest.

I was elated. I sat back down in the pool and felt Nick climb in beside me and hold me up so we both could look at him. We awaited that first lusty cry with tense anticipation. I rubbed his back vigorously and encouraged him to take a breath. The air was thick with tension, as if everyone in the room was holding their own breath, waiting.

Michelle leapt into action. She instructed me to tickle his feet while she suctioned his throat to hopefully clear his airway. She did this a few times before she used the bag mask on him. I could hear Nick's voice breaking in my ear, "Is he ok? Is he going to be ok?" Michelle was reassuring and calm, "He'll be fine, he just needs to be shown how to do it." As she was bagging him, I held his little hand and prayed. I'm not sure how much time passed, but I think about a minute went by before Michelle told Hanna that they would have to cut the cord soon and resuscitate. The moment she said this, he started gurgling and let out a very wet cry. The atmosphere immediately changed. As he continued to cry we all breathed a collective sigh of relief and watched him slowly pink up. Michelle listened to his lungs periodically to make sure they were clearing. He didn't seem as big to me as I was anticipating and he had a full head of hair like his sister.

To hopefully stave off some of my bleeding, I was given an herbal tincture that tasted awful. Thomas was still attached to his cord when I delivered the placenta, which was placed in a bowl floating beside us in the water. Michelle checked the cord and deemed it ready for cutting and Nick was given the honor of doing so. I handed the baby off so I could get out of the pool and prayed that my bleeding wouldn't be bad like my previous births. Unfortunately, the moment I stood up it was clear that I wasn't going to get off easy.

It took what seemed like forever to get my bleeding under control. In the end the only thing that stopped it was a shot of Pitocin. Thomas latched on and nursed like a champ. I was anxious to know if I was going to need stitches again so I had Michelle check me and to my amazement I had only a tiny tear that didn't need stitches! I was too weak to get off the couch so I stayed there while Michelle checked Thomas over. He weighed in at 9lbs 6oz, almost a full pound bigger than Margaret, and was 22" long!

It was almost sunrise when Hanna left. Michelle stuck around to make sure my bleeding was under control. Everyone found a place to sleep and we tried to get some rest. We were awoken by my early riser, Dom, at about 6:30. He was only slightly perplexed by Thomas's presence and warmed to him quickly. Margaret required breakfast before she would acknowledge the baby, but once she did she fell in love. They're both obsessed with their baby brother.

Once Michelle was satisfied that my bleeding was under control and Thomas was doing well she went home. We arranged for the kids to spend the day at their grandparents' while we all rested and recuperated from our all-nighter.

I'm so grateful for our capable midwife, who kept us safe and taken care of during this birth. I'm acutely aware of how blessed we are. Thomas is a thriving and easy going little guy, which is the least he could do after the scare he gave us!

19 May 2011

Adventures in Baby-Led Weaning: First Foods

It's happening. What we parents dread from the very moment we see those two lines on our home pregnancy test. The one thing we wish we never have to face but we know is as inevitable as the rotation of the earth around the sun...

My little boy is growing up.

It feels like he was tiny and squishy and helpless only yesterday. Where did this active, expressive, curious little guy come from? And it feels like only yesterday I was plastered to the couch with a tiny person attached to my breast for hours on end. Now I'm lucky if I can get him to nurse for five minutes...total. And he's begun the journey that will eventually lead to him weaning off the breast entirely (although that will be a slow and gradual process, and doesn't look like it will happen anytime soon).

He's started eating solid foods.

18 May 2011

Runny Rhubarb and Sloppy Strawberries

It's high time I posted another recipe here. And since it's strawberry season, what could be more appropriate than my favoritest strawberry pie ever? I'm preforming an experiment this year, though. When I made this last year, I ended up with strawberry rhubarb soup in a pie crust bowl. Delicious, but hard to eat. So I did some snooping and discovered that wheat flour does not make a very effective thickening agent in fruit pies, as it tends to break down in acidic environments. The original recipe uses wheat flour. So this time I'm substituting tapioca flour for the wheat flour, as tapioca flour does not break down. Also, I'm macerating the rhubarb in sugar overnight to coax out some of the excess juice. Hopefully these measures will produce a less soupy pie.

I took ingredients from the original recipe (which can be found in The Fannie Farmer Cookbook) and the idea to macerate the rhubarb in sugar overnight from Greg Patent's Baking in America.

Strawberry Rhubarb Pie

1 1/4 cups granulated sugar
3 Tbsp tapioca flour
4 cups (1/4 inch peeled pieces) rhubarb stalks
2 Tbsp unsalted butter
1 cup sliced strawberries

1. Mix together the rhubarb and sugar in a bowl and let sit overnight or for 6-8 hours (refrigerate if your kitchen is warm).

2. Stir the rhubarb mixture to dissolve any remaining sugar. Set a strainer over a bowl, transfer rhubarb mixture to it, and let drain for about 1 hour. Measure the juice, adding water if necessary to equal 3/4 cup.

3. Adjust one oven rack to the center position and set a baking sheet on the rack (to catch all the gooey stuff that inevitably bubbles over). Preheat oven to 425 degrees F. Line pie pan with dough.

4. Whisk together rhubarb juice and tapioca flour and stir in the rhubarb and strawberries. Spoon the mixture into the bottom crust, mounding it slightly in the center. Dot with the butter.

6. Roll out remaining dough, wrap it around the rolling pin and unroll it over the top of the pie. Make slits in the top in a pinwheel pattern (or make a lattice top, which is how we've always done it). Crimp edges.

7. Place pie on top of the baking sheet and bake for 10 minutes. Reduce heat to 350 degrees F and bake for 40-45 minutes more until juices start bubbling up and the crust is browned. Cool pie on wire rack before serving (filling will be runny if cut too soon).

Easy Pie Crust

2 1/2 cups all-purpose flour
1 teaspoon salt
1 teaspoon sugar
2 sticks chilled unsalted butter, cut into pieces

1. Mix 2 1/2 cups all-purpose flour and 1 teaspoon each salt and sugar in a medium-size bowl. Cut 2 sticks chilled unsalted butter into pieces. With a pastry blender, cut in butter, working until mixture resembles coarse meal.

2. Add 4 tablespoons ice water; work with hands until dough comes together. If dough is still crumbly, add more ice water a tablespoon at a time (up to 4 more tablespoons). Do not overwork.

3. Divide dough in half, and flatten halves into disks. Wrap disks separately in plastic; refrigerate at least 1 hour.

4. To form the pie shell, roll the dough on a floured surface into a 14-inch round. Wrap around rolling pin and carefully unroll over a 9-inch pie plate.

5. Fit gently into bottom and side of plate. Use kitchen shears to trim dough to a 1-inch overhang; fold under, and seal to form a rim.

The result?

Pie perfection! It didn't run at all! After convincing myself I would never be able to make a fruit pie that didn't have to be eaten with a spoon, this is a thrilling triumph! Wahoo!

So to sum up: Tapioca flour ROCKS in fruit pies. Take note.

Oh, and it tasted awesome, too.

02 May 2011

God Loves Osama Too

"I have no pleasure in the death of the wicked, but that the wicked turn from his way and live." Ezekiel 33:11

While I wholeheartedly disagree with expressing joy over the death of another, no matter what that person has done, I can see the point of those who take comfort in the fact that this man is no longer capable of committing the terrible acts he was known for. I can sympathize with that sentiment. I can't, in good conscience, take pleasure in his death. He is a child of God and a sinner like the rest of us (albeit his sinfulness caused quite a bit of damage, but still).

"Faced with the death of a man, a Christian never rejoices, but reflects on the serious responsibility of everyone before God and man, and hopes and pledges that every event is not an opportunity for a further growth of hatred, but of peace.” -The Vatican's Statement on Bin Laden's death

May God have mercy on his soul.

01 May 2011

Adventures in Baby-Led Weaning: Introduction

Dominic is approaching the six-month mark. That magical age when he begins the journey into the world of solid foods. The beginning of the end of our breastfeeding relationship (more on that). Time to begin replacing his feedings of nutrient dense breast milk with nutritionally void, iron-fortified rice cereal!

Wait a minute. That doesn't make sense.

Rice cereal, like all refined carbohydrates, breaks down into sugar in the body, raising blood sugar and insulin levels. Chronic high levels of insulin contribute to obesity and diabetes. Not to mention young babies lack intestinal amylase, the enzyme required for the proper digestion of grains. So we probably won't be stocking up on Gerber rice cereal, or any baby cereal for that matter. Unfortunately just about every pediatrician and well-meaning grandparent in the country advise rice cereal as the first food introduced to an infant, sometimes as early as two months. The only reason I can imagine for this is that rice cereal is the least likely food to cause an allergic reaction and/or the mistaken notion that after six months (or two months) milk (whether breast milk or formula) isn't enough to sustain a growing baby.

The latter is simply nonsense, of course. But enough about that.

I've had a lot of time to think about how to start Dom onto solid foods. Before he was born I bought Cooking for Baby, a cookbook full of wholesome recipes and tips for starting solids. We knew right from the beginning that we didn't want to feed him commercial baby food. It's full of preservatives and added sugar and the organic baby food requires a small loan to purchase enough for the first three months. So we planned on making our own purees from foods we regularly eat (flavors he would have likely been exposed to through my breast milk). Sure, it's a little extra work, but it seemed worth it.

I didn't take into account how much of a lazy mom I am.

Yes, lazy. Why? Let's review my parenting decisions over the past six months:

  • Breastfeeding: No bottles to wash, no powder to measure, no cans to open, highly portable, always the right temperature, and (after the initial 2-3 months) so easy. Definitely lazy.
  • Co-sleeping: I don't have to get up out of bed when Dom wakes in the night, no worrying about waking him up to put him down in a crib, no need to sleep train. The ultimate in laziness.
  • Babywearing: No need to lug a stroller or car seat around (those bucket seats are heavy!).
  • Cloth-diapering: OK this one is admittedly more work than disposables, but I don't have to go out and buy diapers when I run out, so it's kind of lazy.

There are a few others that are slightly more controversial, so I'll leave them for another post. But you get the picture. So why on earth did I think that I possessed the motivation required to not only prepare separate meals for Dom, but also to puree, label, date, and freeze the individual portions for later use?

Luckily for me I soon discovered baby-led weaning. No purees, no cereals, no "baby food". Just give them table food and let them at it. Perfect!

Obviously, there are guidelines. You can't hand your kid a bag of Fritos and let them go to town. And you probably want to avoid peanuts and honey for the first year. But the essential principle still holds true. Babies can feed themselves actual food around six months (or later depending on the child). Nutrient content is important, of course, but he still receives all the calories and nutrients he needs through breast milk, so no need to obsess over whether he's "getting enough" (had to obsess enough about that in the first weeks of breastfeeding). We can focus on letting him try a wide range of flavors and textures without pressure. It's the perfect solution for us!

First, I should explain the use of the word "weaning" in this context. This method of infant feeding is based on a book by the same title published in the UK, so the word means something slightly different than what we in the US consider weaning. Here it means the cessation of breastfeeding, but in the UK it means the introduction of solid foods (so the cessation of exclusive breastfeeding). So we're not talking about the end of the breastfeeding relationship, although starting solids does signal the beginning of such a process, as solid foods will eventually start to replace breast milk as the child grows.

So how do we know when he's ready to start rubbing mashed potatoes into his hair? Here are some of the signs to look for:

  • Your baby shows interest in food and family meal times.
  • Your baby can sit without support.
  • Your baby has lost the tongue-thrust reflex (pushing solid foods out of the front of the mouth).
  • Your baby is ready and willing to chew (though he may not have many teeth).
  • Your baby can pick up items with the thumb and forefinger (pincer grasp) as opposed to using the whole hand (palmar grasp).

The last one is debatable, I think. It's sufficient if he can grasp an object accurately and bring it to his mouth. Pincer grasp is more important for smaller bits of food, like peas. Dominic is already showing some, but not all of these signs. He becomes transfixed on our actions whenever we sit down to eat, has begun imitating the way we chew, and can grab fairly accurately. I'm not sure if he's lost the tongue-thrust reflex entirely and he can't sit up unassisted yet, so he probably won't be delving into a plate of spaghetti the day he turns six months (this coming Thursday), but I'm sure it's not far off.

It's a fairly relaxed approach to starting solids and quite different from the way most of us are accustomed to feeding babies. The basic principles of this approach are:

  • At the start of the process the baby is allowed to reject food, and it may be offered again at a later date.
  • The child is allowed to decide how much he wants to eat. No "fill-ups" are to be offered at the end of the meal with a spoon.
  • The meals should not be hurried.
  • Sips of water are offered with meals.
  • Initially, soft fruits and vegetables are given. Harder foods are lightly cooked to make them soft enough to chew on even with bare gums.
  • Foods with clear danger, such as peanuts, are not offered.
  • Non-finger-foods, such as oatmeal and yoghurt, may be offered with a spoon so baby can learn to self-feed with a spoon.

Remember, milk is still the main source of nutrition, so solid foods are offered more for exploration than for nourishment. Food before one, just for fun!

As Dominic approaches this new stage in his development, I plan to chronicle our experiences with this method in a series of posts (including pictures). So look forward to some sloppy shenanigans in the weeks to come!


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