Monday, October 1, 2012

Frenotomy

Today we saw the doctor and had Lily's frenulum clipped. Her doc was really great with her. She responded well to him and he was very gentle with her. The procedure was very brief and he was quick to comfort her when it was over. She barely bled and only cried for a bit. She nursed right away and I immediately felt a difference. The right side felt great. The left side, that still has a bit of a sore, hasn't felt great. I feel like her latch was fine, bit it was probably her suck.

Going forward we are nursing!

Our consultant will be checking in tomorrow and meanwhile we will be doing some exercises to work out the new movement in her tongue. I will still pump if I don't feel empty or if I have any pain. Folks, I don't have an alarm set.

Here we go!

Friday, September 28, 2012

Breast Feeding Update (The NEW Gameplan)

Today I bit the bullet and paid for an IBCLC (Internationally Board Certified Lactation Consultant) to come out to our house. I wasn't truly comfortable with the plan given to me by the consultant at the hospital. After digesting it, it just didn't feel 100% right. Plus, as I started getting her back to breast, I was already feeling sore. Something just wasn't right.

I am so glad I did!

Firstly, she's awesome. We had a great conversation last night, she talked through our experience, familiarized herself with our background, and did her best to see if she could help via phone without charging us at all. In the end, I needed her to come and spend a little bit of time with the two of us. She rearranged her afternoon to ensure that she saw me right away. I think she could tell I was getting desperate.

She was only with us for an hour and already I think we've found our solution. And it's a simple one - Lily is tongue tied. Part of me is pissed off. She had two lactation consultants put hands in her mouth before we even left the hospital - and now we've had two appointments with another... how did they not know this?! Clipping her frenulum takes minutes and could have been done the day after she was born! There was no reason at all for us to struggle, for me to get mastitis... none of it! Her tie is a bit more posterior, so it isn't immediately obvious, but even I could see it once she pointed it out. A trained consultant, that even commented on her holding her tongue back... didn't know?? Maddening.

But, the good news is - we have a fix.

Our new favorite person in the whole world referred us to a doctor that can see us Monday to fix it. Folks, our whole world is about to change. I hope!

Having a game plan feels amazing. Once we wrapped things up, I cried I was so grateful. If this is it, I am going to drive to this woman's house and smother her in kisses.

I appreciate everyone's comments on my last post. It does make me feel better to know that I'm not alone in this. I am going to keep talking about it - I am lucky to have good listeners and this blog when I need a good word-vomit. Otherwise I am going to give myself a little bit of space to see how things go once we are on the mend, breast feeding wise. I think if that major stress can be removed - and I can sleep more consistently - perhaps my overall disposition will improve. But, as one of you suggested, I will get a referral from my doc at my appointment next week. That way I have it should I need it.

Fingers crossed that our time pumping/bottle feeding is limited!

Thursday, September 27, 2012

Baby Blues VS. PPD

How do you know the difference? The past six weeks have been wrought with frustration. Mostly surrounding breast feeding. There are been a few other hiccups that come with having a new baby - figuring out why she's crying, dealing with a lack of sleep, her scare spit-up episode...

The first few weeks I was definitely emotional, would cry at the drop of a hat, and simply exhausted. I was recovering too. Most everything I read says the blues should be gone by now, but I still feel them most days. Most of the time I don't care to get dressed (hellllo yoga pants - again) and it's all I can do to make sure I at least brush my teeth. I've only really left the house for doctors appointments. But, I don't really have any desire to socialize either - going out feels like A LOT of work.

There are times that the extra pumping/breast feeding problems really weigh on me. Living in such restrictive three hour cycles is making me a little nutty. Especially at night, because our routine takes at least an hour of that three hour cycle, so our sleep is really impacted.

Money is really tight for us right now. We just got rid of our rental property and do to so we basically emptied our sizable savings. That stress is added on top of all of the rest because we're facing the added cost of childcare expenses. A friend of ours is helping us out the first few weeks, but not for nearly as long as I'd originally been planning for.

There are some days, honestly, that Lily would already be on formula if it wasn't for the cost. I'm continuing this fight firstly because I know it is what is best for her. If I can get through this rough patch it will mean giving my baby the best start possible. But, on those really hard days when I want to say 'Screw it! I was formula fed and I'm FINE!' the added cost plays a part too. I have to go back to work in a month. I need to work out my breast feeding issues because I want to start building a freezer supply. 

There is an ongoing pity party in my mind too. WHY must everything be so difficult? Why did it take me almost 4 years to meet our baby? Why did I have to be the one with the two and a half day labor? Why did I get mastitis and thrush at the same time? Why do I now have problem breast feeding? Couple the pity party with the other stresses in my life and some days I just want to quit.

How do I know the difference? Do I wait for my six weeks appt, or see my doc now? Really, I hope it passes because I do not want another thing to keep me from relaxing and enjoying our baby.

But instead, like right now, I am going to stop what I'm doing and go hold my baby - she just woke up. The rest will just have to sort itself out.

Sunday, September 23, 2012

Breastfeeding Woes Continue...

My left nipple is still giving me grief. I have a large crater in the center and Lily latching on is excruciating. I called the lactation consultant yesterday and today they fit me in. I did a bit of homework last night and watched a few videos (search for Jack Newman - a canadian doc and good resource for breastfeeding info). I noticed that Lily wasn't sucking like the babies in the video and that got me looking into my letdown.

At my appointment today I learned I was on the right track. What started with my Mastitis and then the resulting pain/stress, has resulted in a huge drop in my supply.

Awesome.

She watched Lily latch on both nipples and on each she really chomped down in frustration when I wasn't letting down for her. It was her level of aggression that contributed to my being put on 'nipple rest'. It isn't the ideal situation when working to build up supply, but what are you going to do? My nipple simply won't heal.

We've got a good game plan that involves pumping, fenugreek, ointment, and a lot of time topless - all for at least the next 48 hours. Here's the plan:

I will feed Lily what I pumped the prior session and supplement whatever is lacking (thankfully I have a friend who has donated us her breast milk, so I no longer have to do formula - which Lily only got at two feedings)
I will then pump again (both breasts) for the next feeding.
After pumping I will apply a mixture of triple antibiotic ointment and lotrimin (anti-fungal) 4x a day
Every hour I will rub my nipples with breastmilk
Fenugreek 3x a day

Tonight will be an interesting, and probably long, night. It's a lot of work to feed her, put her back down, pump, clean up, etc, etc. But, we will do what we have to do until we're healed up and build our supply. Once my nipples have healed we will hopefully be able to ditch the exclusive pump and get back to building supply with nursing.

Tomorrow, even though I cannot nurse her, Lily and I are going to spend the whole day in bed. Her in her diaper, me topless, and we're going to snuggle and rest, drinking tons of fluids.

I am so frustrated. I was so sad to have to give my baby a bottle of formula at the consultants office. But mostly, I feel good about the plan. I am just pissed as hell that nothing can go smoothly. Why must we hit these speed bumps at every turn? I'd like to pass through one thing without hiccups. Getting pregnant, pregnancy, labor, breast feeding... everything has been so damn hard.

But for now, I just need to get through it. And now, it's time to pump. Here we go again...

Saturday, September 22, 2012

My Period?!

I'm fairly certain that I'm currently having my first period postpartum. I've had irregular periods for years now and all of a sudden I'm going to get one almost exactly one month after I give birth?

I'm fighting tooth and nail through this breast feeding business and I cannot even get a delay on the start of my period? Figures.

How long did it take for Aunt Flo to visit you for the first time after giving birth?
 Were you regular right away?

All of this period crap got me thinking... My six week visit is in a couple of weeks and I'll need to start some sort of birth control. I'm thinking of getting an IUD. I've not had one before, so I'm a bit nervous about the experience, but I think it is the best option for us at the moment.

Which birth control option did you choose? Why?

Friday, September 21, 2012

One Month!

I cannot believe it, but it's true...

Doesn't she look thrilled about it?? lol

Monday, September 10, 2012

Mastitis and Thrush

This weekend the pain in my boobs got much worse. Achy stabbing pains in my boob, in addition to the agony that already was my nipple. J was out of town, but thankfully my mom was around to go to the walk-in clinic with me and help with Lily.

The doctor I saw was hugely helpful. She gave me major kudos for breast feeding and we talked about how incredibly hard those first days/weeks can be. And that is without the added pain. We talked about my pain, she examined my breast. I was fairly certain I had at least a mild case of thrush. Although there is nothing in Lily's mouth, I did have a white spot on one nipple and the pain that went along with it. Doc agreed and recommended an anti-fungal cream (ewww).

But, in addition to thrush, she said I have mastitis. She (and I) was glad to see me when I came in, because I didn't yet have any of the flu-like symptoms yet. But my breast (left especially) was a bit red, swollen, and complete with all of the lightning and stabbing pains that typically go along with it. I couldn't even let Lily snuggle on my chest. Even the light pressure from my bra could make my eyes water. "I'm glad you came in when you did, this can get much much worse."  WORSE?! Dear Lord, I'm glad I came in when I did too. What I had was sucky enough.

With my perscription antibiotic in hand, I was sent home with the instructions to continue nursing - frequently. After 24 hours I do feel a bit better. The aching has subsided and while it still hurts for her to latch on the left side, it has improved. Hopefully after a few more days we'll be sitting pretty.

Moral of this story? If you're having any aches and pains associated with breastfeeding - do not hesitate to go in. Waiting to see how things go only makes it worse.