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#breastfeedingproblems

Posted in Life by Marlène
Nov 28 2011
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(I should have known better than to write that dang post on breastfeeding last week)

Well, it’s November 28. Happy Birthday to me.

Here’s how I thought I’d celebrate my 32nd birthday: Wake up with Nico on my left, Angelo on my right, and Enzo at my feet. Feel a swell of love and joy that only a first-born can bring. Bask in soft-focus lighting for the rest of the day.

Here’s how I actually celebrated the first half of my 32nd birthday: Woke up at 1am with Nico on my left, Angelo on my right, and the most horrible pain I’ve felt since childbirth, along with a low-grade fever. Felt the swell in my right breast as I realized that I have Mastitis. Stay awake due to the pain till 4am, when the kid wakes up to feed. Cry so loudly at the pain of breastfeeding that it wakes up Angelo. Spend the rest of the day in a haze of aches and chills that is only temporarily relieved by Ibuprofen.

So yeah, not the best way to celebrate a birthday. And really, I am SO DONE with #breastfeedingproblems. I mean, I’ve battled low milk supply, foremilk/hindmilk imbalance, oversupply, a plugged duct, and now Mastitis.

At least I think it’s Mastitis. My symptoms are in line with that diagnosis, and I have a doctor’s appointment on Wednesday, so if I still feel this terrible by then, I’ll get him to investigate and ask about antibiotics.

In the meantime, I used my birthday as an excuse to splurge on something I thought I would never need: A nursing bra.

Here’s the thing… because I’m not large of chest, I thought I could get by with just sports bras and workout tanks. But despite still being an A-cup breastfeeding mamma, my breasts have still grown somewhat from their pre-pregnancy size. My pre-pregnancy bras were just too tight. And when a woman wears restricting clothing, it can trap breastmilk in the ducts, which can lead to pain and infection. I.E. welcome to my world.

So I went back to Milkface and tried on a bunch of bras, and picked two that fit really well and are quite comfortable. I also purchased some bamboo nursing pads, which are way more heavy duty than the more economical ones I had purchased before. Classic case of saving a little at first just to end up spending more on the good ones later on. It’s true that these things are expensive, but really, I’m determined to breastfeed for 12months+, so nursing accoutrements really are an investment in ensuring my kid grows and thrives.

And while I was on my shopping spree, I bought a little balaclava for Nico. Winter is coming, after all.

sorry for the terrible photo of Nico… He was not into this photoshoot at all.

So yeah, Happy Birthday to me. :/

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Nico: The Growing Boy

Posted in Nico by Marlène
Nov 24 2011
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My 9 week old son is a fast growing boy. I remember looking at his closet full of clothes while I was still pregnant and being amazed that one day he’d fit into all of that stuff.

Well, there are quite a few sleepers that he no longer fits into, so I thought I’d post a little homage to some of my favourites from the first two months:

My all-time favourite sleeper. It has little elephants on the feet, and it was the first piece of clothing that Nico ever owned. My mom bought it for him when I was 5 months pregnant. I’m going to keep this sleeper forever.

The sporty green stripes were a big hit at our house. And look at how tiny Nico looked in the arms of his grandpa!!

The cactus sleeper was a favourite of Angelo’s. This is a hand-me-down from Nico’s big cousin, Rio. (this was during the phase where Nico was losing all of his hair.)

This truck sleeper was SO HUGE on him when he was just 2 days old, but now try as I might, he just doesn’t fit in it!

After all, he’s a big man now!

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The Breastfeeding Post

Posted in Nico by Marlène
Nov 22 2011
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I have heard many moms talk about their struggles with breastfeeding, but they seldom go into detail about what that struggle actually meant for them. Even I’ve been quite vague about it in previous posts, but now that I’m confident that things are on track, I’m willing to discuss what’s been up these last seven weeks.

Nico had “perfect poop” for the first two weeks of his life. First he passed the meconium (the sticky black tar-like poop that babies collect in utero), then his poops went green as my colostrum came in (pre-breastmilk), and then they went to yellow when my breastmilk came in. But when Nico was 2 weeks old, his poop went from yellow back to green. Wanting to know more about why this had happened, I made mistake #1: I Googled it! The internet told me that it could be a milk intolerance, an infection, or  a hindmilk/foremilk imbalance.

Quick lesson in breastmilk: The consistency of breastmilk changes from the beginning of a feed through to the end – it starts off as thin watery foremilk (to quench thirst and provide lactose) and finishes off as richer thicker hindmilk (that provides fat and calories and keeps babies feeling full). If a mamma has too much foremilk, the kid fills up on the watery stuff and a) doesn’t get the calories he needs to thrive, b) doesn’t feel as full and wants to feed more often, which leads to “snacking” and aggravates the problem (because the kid doesn’t stay on the breast long enough to get hindmilk), and c) usually has bad gas and explosive, frothy green stools, which are both caused by the high levels of lactose in his stomach.

So… armed with this info, and without consulting anyone, I made mistake #2: I decided to block feed. I still fed Nico on demand, but he could only feed on the same breast for a 6 hour period. (so, say from midnight to 6am he may feed three times, but always from the left breast. Then from 6am to noon, whenever he’d feed it would only be on the right).

This was a huge mistake because all it did was reduce my milk supply!! His stools went from pea green to a really dark seaweed green. I could tell he wasn’t getting any bigger either.

At this point I was so worried about it, I finally decided to go to a breastfeeding clinic hosted by a certified lactation consultant.

October 20, 2011: My first time at Milkface, I was a little worried, a little frazzled, and didn’t know what to expect. But meeting with Barb the lactation consultant, and chatting with the other moms made me feel so much better. Barb asked me questions about his eating and pooping habits, as well as any concerns I was having with his feedings. We weighed Nico before his feeding, then weighed him after he fed on one breast. Turns out he had only transferred 2oz of milk, which wasn’t enough and accounted for his poor weight gain in the previous weeks. We discovered that because my let-down was so strong (that initial rush of milk when a baby starts to suckle) Nico had become a complacent feeder, only drinking during the let-down and not working too hard on sucking the rest of the milk. Barb showed me how to use breast compression to get him to drink more fully throughout the whole feeding. She also told me it was very important to offer him both breasts at every feed (even if he doesn’t take the second, it should still be offered) to get my milk supply back up.

That day I felt 1000 times better. But all it took was one bad feed (sputtering at the breast from a too-strong let down, followed by major fussing at the breast and popping on and off) wiped away all of my newly-found confidence. All that week I kept thinking his stools would switch back to yellow right away. I’d psych myself up at every diaper change, hoping to find yellow poop. I was always crushed when it was still green. That week I cried a lot during feedings. I started to hate breastfeeding. I wished I didn’t have to do it. I was feeling really low (and alone).  My mistake #3 was thinking things would get better overnight.

October 27, 2011: I went back to Milkface, and updated Barb on our situation. The poops were still green, and now I was dealing with a child who choked on my milk whenever he fed. Barb inspected my breasts and his latch, and told me that my supply had gone WAY up. In fact, my breasts were engorged and I was now dealing with an oversupply problem. However, I felt way better when we discovered that he’d gained 10oz that week, just by using breast compression and offering him both breasts. Barb assured me that we were on the right track and that his stools would turn yellow in the next few days.

So I went back home and waited, and tried to maintain our good feeding pattern. Sometimes we’d have good feeds where I could see him swallowing deeply and consistently. But sometimes we’d have bad feeds where he would fuss, choke and sputter, and do this high-pitch whine while on the breast. Those made me saddest of all, I couldn’t even comfort my child by feeding him (which is often seen as the surefire way to calm a fussy baby). I waited two weeks before going back to Milkface in the hopes that things would improve. But still the green poops remained.

November 10, 2011: I went back to see Barb, but because it was a particularly busy clinic (there was a lineup of moms waiting to be seen) I felt I didn’t have her full attention. She still weighed him and jotted down notes on our progress, but things felt a little rushed. Barb changed our nursing routine again: She wanted me to give him only one breast per feed, and to make sure he properly drained it by using breast compression. This was to help with my engorged breasts and would regulate my milk supply to meet Nico’s needs, and stop him from choking every time he fed. It’s important to note that I was to alternate breasts at every feed, and that I was doing this under Barb’s supervision with weekly weigh-ins to make sure my milk supply didn’t drop too low.

Again, I left feeling like a million bucks, but that night Nico was extra fussy and still needed more after his last feeding before bed. I broke down and offered him the other breast. I started not to care about green poop anymore – I just wanted to make sure my baby was getting enough.

I had begun to suspect that our breastfeeding problems was due to Nico’s latch, and that he was actually pinching off the milk flow and therefore not getting to his hindmilk. I felt like he couldn’t ever drain the breast adequately.

November 17, 2011: I put Nico on the scale myself, and was shocked to see he had gained another 12oz in one week. I could see the other moms look on with envy when Barb walked over to the scale and read his weight out loud.  A lot of those moms were battling poor weight gain and low supply, and would have killed for a 12oz week. But one thing I’ve realized is that breastfeeding issues come in all sizes and colours, and they all require just as much work and attention to resolve. I made sure Barb watched me as I latched Nico on, and showed her my nipple once he was finished. She assured me that his latch was good. She said if it doesn’t hurt and he’s transferring a good amount of milk, than his latch is good. It doesn’t have to be “textbook” in order to be efficient. I told her that sometimes I gave in and offered the second breast – she told me that was absolutely the right thing to do. She reassured me that things really are getting better, and to have faith that his stools will turn yellow eventually.

This week, feedings have been much better than they ever have before. I barely have to do breast compressions anymore (maybe 2 or 3 times at the very end of a feeding). Sometimes he takes one breast, sometimes he needs two (especially in the evenings). He drinks deeply and methodically and can drain a breast in under 10 minutes. (I really thought the days – and nights – of 45 minute feedings would never end!)

November 21, 2011: officially known as “the day the yellow poops returned”. For the first time in 7 weeks, Nico had a fully yellow poop. And I was ecstatic!

So there you have it. Thanks to those who stuck with me throughout this whole post. I hope it shed a bit of light on what moms may be dealing with when they talk about “breastfeeding problems”. Breastfeeding did not come easily for me, and I made some mistakes along the way, but now I’m very confident that everything will work out and we’ll be able to enjoy many more months of happy feedings.

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Mustering Motivation

Posted in Running / Training by Marlène
Nov 21 2011
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It has been so long since I followed a training plan that I forgot what kind of commitment it takes to stick with it day in and day out. After Wednesday’s run and situps, I felt tired and worn. I realized that getting back into the swing of things was going to be difficult. My legs were sore on Thursday. Friday blew by and I didn’t do my situps.

Saturday morning I made french toast for breakfast and enjoyed some quality time as a family (Angelo has been crazy busy with school, and some days he comes home just an hour or so before my bedtime. We’re like ships passing in the night). And then I remembered that I had to workout. What a bummer!! I super didn’t feel like it!! I told Angelo that I super didn’t feel like it. He told me to get out there and do it. And as much as I would have loved him to tell me it’s okay and that I didn’t have to if I didn’t want to, he actually told me what I really needed to hear.

So I strapped on some running gear, put Nico in the stroller, and hit the streets. I ran the same 2.5k course as Wednesday, but this time I timed it. On Wednesday I ran it in about 21 minutes; on Saturday I shortened that down to 16:35. While I thought my legs would feel like lead, they actually felt strong and kept me moving. By the end of the run I felt terrific, and very proud of my accomplishment.

So what does this teach us? That once you stop exercising, it really is hard to start back up again. That if you don’t have support from the ones closest to you, keeping up with good intentions is an uphill battle. And that nothing makes running more worthwhile than when you do it while pushing your sweet baby boy!

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Remember Running?

Posted in Running / Training by Marlène
Nov 16 2011
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Oh yeah, I went out for a run today!

I ran 2.5k in about 21 minutes. Yeah, that slow. But hey, I was out there, pushing the kid along and feeling the burn. I took two walking breaks, and overall I’m pleased with the run. Which is not to say that it wasn’t rough!

Though this guy thought it was a breeze:

Pushing the stroller (along with the super heavy infant car seat) really slows me down, and I’m hoping it won’t be quite so difficult once Nico can sit in the BOB stroller proper.

I also want to go on record to say that I ALWAYS wear the wrist strap. We’ve never had an accident or even a close call, and I intend to keep it that way!

Other things to note:

* I should prep my post-workout snack before going out for my run. That way I won’t get caught with a cranky kid waiting in his car seat as I frantically smear some PB on a banana.

* Running on the sidewalk is a big no-no with the stroller. Too bumpy (or maybe the sidewalks are just extra uneven in my neighbourhood). For longer runs, I will definitely make the effort to get to a running path.

* Where’s my knee sleeve??? I think I better dig that guy out.

* On days that I run, I don’t think I’ll shower until after my run. Getting one shower in a day is a challenge already, I don’t want to push my luck with a second.

* Running was SO FUN today!!!

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Marlène

Runner; Knitter; Cyclist; Sewer.  I am a starter of many projects.

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